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Community Health Centers: Relationships and Opportunities for Local Health Care Systems

Community Health Centers: Relationships and Opportunities for Local Health Care Systems. Community Health Centers. Community Health Centers. Federally Qualified Health Center (FQHC) History Basic Requirements Key: Governance Staffing Reporting Outcomes Services Benefits.

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Community Health Centers: Relationships and Opportunities for Local Health Care Systems

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  1. Community Health Centers: Relationships and Opportunities for Local Health Care Systems

  2. Community Health Centers

  3. Community Health Centers • Federally Qualified Health Center (FQHC) • History • Basic Requirements • Key: Governance • Staffing • Reporting • Outcomes • Services • Benefits

  4. Outcomes Tracked & Reported • Prenatal care/1st tri. • Immunizations (2 yr) • Cervical CA screen • Diabetes – A1c • HTN - < 140/90 • Low birth weight births • Total cost/patient • Medical cost/medical visit • Net assets:expense • Working capital: monthly expense • Long term debt:equity

  5. FQHC Look-Alike • Same program benefits as FQHCs • Except FTCA coverage • No federal grant!

  6. What is This to Us??

  7. Myths & Misconceptions • CHCs want to put us out of business • They’re competition • They’re rich • They want to take over health care

  8. Put Us Out of Business • CHCs need hospitals! • Inpatient • Trauma • Lab/radiology • Human resources • Recruitment

  9. Competition • Lab/diagnostic tests • MRI/CT Scans • Basic radiology • Lab • Physicians

  10. CHCs are Rich! • About 54% uninsured • About 75% have incomes < 200% FPL • Federal grant for the uninsured • Enabling services • Comprehensive care

  11. Taking Over Health Care • Nationally, $2.2 billion program • ACA provides another $11 billion • Total U.S. healthcare spending: More than $2.3 trillion

  12. The Future of Rural Health • Survival! • Partnerships • New relationships • New approaches • New opportunities

  13. Relationships & Opportunities • Opportunities • Reduce readmissions • Decrease hospitalizations among uninsured • Decrease ER use by uninsured • Federal grant • Malpractice coverage for outpatient care • Establish a new healthcare delivery system

  14. Relationships & Opportunities • Relationships • Services • Diagnostic tests • ER Diversion • Staffing • Shared physicians • Trust

  15. Questions? Cathy Harding Executive Director Kansas Assoc. for the Medically Underserved 785-233-8483 charding@kspca.org

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