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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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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


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


FQHC Look-Alike

  • Same program benefits as FQHCs

    • Except FTCA coverage

  • No federal grant!


What is This to Us??


Myths & Misconceptions

  • CHCs want to put us out of business

  • They’re competition

  • They’re rich

  • They want to take over health care


Put Us Out of Business

  • CHCs need hospitals!

    • Inpatient

    • Trauma

    • Lab/radiology

    • Human resources

    • Recruitment


Competition

  • Lab/diagnostic tests

    • MRI/CT Scans

    • Basic radiology

    • Lab

  • Physicians


CHCs are Rich!

  • About 54% uninsured

  • About 75% have incomes < 200% FPL

  • Federal grant for the uninsured

  • Enabling services

  • Comprehensive care


Taking Over Health Care

  • Nationally, $2.2 billion program

  • ACA provides another $11 billion

  • Total U.S. healthcare spending: More than $2.3 trillion


The Future of Rural Health

  • Survival!

  • Partnerships

  • New relationships

  • New approaches

  • New opportunities


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


Relationships & Opportunities

  • Relationships

    • Services

      • Diagnostic tests

      • ER Diversion

    • Staffing

      • Shared physicians

    • Trust


Questions?

Cathy Harding

Executive Director

Kansas Assoc. for the Medically Underserved

785-233-8483

[email protected]


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