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PHCPI framework: Presentation Crosswalk to Service Delivery Elements
C1. Facility Organization and Management
C1.a Team-based care organization
C1.b Facility management capability and leadership
C1.c Information systems
C1.d Performance measurement and management
C3. Access
C3.a Financial
C3.b Geographic
C3.c Timeliness
C4. Availability of Effective PHC Services
C4.a Provider availability
C4.b Provider competence
C4.c Provider motivation
C4.d Patient-provider respect and trust
C4.e Safety
C5. High Quality Primary Health Care
C5.a First Contact C5.b Coordinated C5.c Comprehensive C5.d Continuous C5.e Person-Centered
C2. Population Health Management
C2.a Local priority Setting
C2.b Community engagement
C2.c Empanelment
C2.d Proactive population outreach
C. Service Delivery
The Front Lines of Primary Care: A Case Study of an Exemplary FQHC Margaret Flinter, PhD, APRN Community Health Center, Inc. The Weitzman Institute
A Model that Works:
Bill & Melinda Gates Foundation, Seattle, WA
November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA
November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Ryan White/HIV comprehensive services
Hepatitis C Chronic pain Opioid addiction Healthcare for the Homeless LGBT care Maternal-infant/obstetrics
Caring for Key Populations
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Federally Qualified Health Centers (FQHCs) Nation’s largest safety net setting Located in designated high need communities Caring for 24 million patients annually 93% served are below 200% poverty and 35% uninsured
CHC Profile Founding year: 1972 Primary care hubs: 14; 204 sites Annual budget: $100m Staff: 1,000 Patients/year: 100,000 (est. 2017) Specialties: onsite psychiatry, podiatry, chiropractic Specialty access by e-Consult to 15 specialists
Elements of Model Fully Integrated teams and data Integration of key populations into primary care Data driven performance “Wherever You Are” approach
Weitzman Institute QI experts; national coaches Project ECHO®— special populations Formal research and R&D Clinical workforce development
CHC Locations in Connecticut
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
“Every Patient has a Team!”
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
From the perspective of patients…
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Following the Patient Pathway
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Meeting the Need for Just In Time Care
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Medical Assistants Planned Care Dashboard
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Nurse Practitioners
Clinical Psychologists
Medical Assistants (NIMAA)
Administrative Leaders
Training the Next Generation
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
National Development
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
• Health Centers are economic engines. • We can compete for the best talent if we offer
opportunities to teach and do research. • Health Centers have been rebuilt across the country
since 2008. • The ACA has reduced, but not eliminated, the
number of uninsured patients needing care. • We are a socially responsible business—with big
challenges to achieve the triple bottom line, and big opportunities.
Additional Key Points
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
CHC Board of Directors
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016
Contact
Margaret Flinter APRN, PhD, FAAN, FAANP, c-FNP
Senior Vice President/Clinical Director, Community Health Center, Inc.
Phone: 860.852.0899 Email: [email protected]
www.chc1.com
Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016