CityMatCH January 17, 2008. Collaboration between Community Health Centers and Local Health Departments. Disclosure.
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Community Health Centers
Local Health Departments
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The ultimate collaboration
Population of Lyon County: 35,560
Principal city population (Emporia): 26,780
Population of 4-county catchment area for community health center: 63,627
Majority of services provided to Lyon County residents, and maximum distance would not exceed 20 miles.
Outlying counties: maximum travel distance, 50 miles
As Lyon County Health Department meeting two essential services: community assessment and assurance led the organization to pursue community health center funding.
Lack of access to personal health care services was a significant unmet need leading to the initiative to secure funding and resulting in the collaboration. Local hospital was a key partner in the process.
Lack of access to oral health services resulted in addition of dental clinic in 2000
Capacity shortage for mental health services resulted in addition of behavioral health services in 2002
Can LCHD/FHCHC be a totally independent entity?
Must maintain a connection to Lyon County as an instrumentality of government. This became a key issue. Instrumentality is a legal construct under Kansas law.
Lyon County Commission authorized Flint Hills Community Health Center Board of Directors to move forward with an implementation plan to begin functioning as an instrumentality of government
Dual governance: County Board of commissioners and Community Health Center Board
Duplication of work efforts in human resource and financial responsibilities
More limited ability to be responsive to work force needs in the health care environment
LCHD/FHCHC began functioning as an instrumentality of government effective January 1, 2004
Employees were transferred from Lyon County government to FHCHC
Lyon County Health Department remains the grantee for Section 330 funds
FHCHC Board of Directors has a contract with Lyon County Commission by which grants and their requisite responsibilities are assigned to FHCHC
Contract also includes assignment of responsibility for public health functions