strategic community health center growth - shawn frick
DESCRIPTION
Strategic Community Health Center Growth - Shawn Frick - as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/TRANSCRIPT
Strategic Community Health Center Growth
Strengthening Ohio’s Safety Net Roundtable
HealthPath Foundation of Ohio
April 29, 2011
Shawn [email protected]
Director, State Growth Strategies
Health Center Focus 2011-15
Obama, Boehner and The Tea Party
Health Reform – Funding Growth Chart
•36% of total Trust Fund Pot (3.6B) has been allocated•Does not include $1.5B for capital projects
2011 CHC Budget Results
• Reduced base appropriations to $1.59 billion from $2.19 billion• Health Center Trust Fund - $1.0 billion for FY ‘12• Total Funding $2.6 billion for FY ‘12
–$600 million taken from Trust Fund to sure up existing
appropriations ($2.19 billion)
–$250 million used for ARRA Funded Health Centers
–FTCA, Across the board cuts and Supplemental
funding to Cooperative Agreements
• About $60-92 million available for growth in FY ‘11
Health Reform: What Does It Mean For Ohio?
Current Ohio(2009) Patients by Payer Source
(437k)
Post-Reform (2015+) PatientsBy Payer Source (850k??)
NOTE: Medicaid and Exchange patients will grow over the next 10 years. Private Insurance will likely decline.Ohio CHCs must increase Medicare patient population
Access Across Ohio
• Comprehensive needs analysis of each state indentifying:
–Priority communities for new health center development
–Planned expansions of existing health
–Coordination: PCA/Existing CHCs/New Entities
• Demonstrate that PCAs and health centers have a plan and are prepared to address their state’s needs. • Identify PCA T/TA for new/existing Health Centers to:
–Assure high scoring applications (90+)
–Drive toward full service health centers
• Promote and defend the CHC mission
2011-13 Strategies for Growth
• Focus on Existing Health Centers
–Must Expand Sites and Services Now
–Stability is the key
–Smart Growth to areas without a CHC site
• Come together as an provider!
–Must be united and strong
–Future is dependent upon our business plans
–Data, data, data
–Marketing and Market Share
• Must be a driver in Ohio for the ACO and Exchanges
2011 - Are there Opportunities ???
• Time to think and plan!!!!!
• $60-90 million in expansion funding (NAPs or Expanded Services)• NAP applications – viable until December 15, 2011• Facility Improvement Program Opportunity ($750 M)
• ACA Implementation – All providers will be affected by:
–Patient Centered Medical Homes
–Meaningful Use
–Accountable Care Organizations
–State Exchanges
Communities interested in Health Center designation should be…
• Completing 3-5 year strategic plans
– Where are high needs in your area? Nearby?
–What are your capital needs:• Facilities• Information Technology• Workforce
• Merging with other CHCs?• Taking over practices or adding satellites
(Look-Alike or Change in Scope)
2011-15 Biggest Challenges ???
More Pressure ChallengesTo integrate with other
providers (including other CHCs)
To coordinate patient care to assure continuity and full sharing of clinical data/information.
To coordinate service delivery and match capacity while linking patients with enabling services.
Re-engineering our health center operations (data and insurance focused)
Thank You!
Any
Questions?