Increasing exposure to community health centers
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Increasing Exposure to Community Health Centers. Zachary Ginsberg Public Health Justice American Medical Student Association November 11, 2006. Community Health Centers. aka Federally Qualified Health Centers Emphasis on prevention and community wide health care delivery

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Increasing exposure to community health centers

Increasing Exposure to Community Health Centers

Zachary Ginsberg

Public Health Justice

American Medical Student Association

November 11, 2006


Community health centers
Community Health Centers

  • aka Federally Qualified Health Centers

  • Emphasis on prevention and community wide health care delivery

  • Community responsive & accountable

  • Located in areas where care is needed but scarce

  • Governed by community boards


Chc service provided
CHC: Service Provided

  • High quality

  • Affordable preventive services

  • Primary care

    • medical

    • dental

    • mental health

  • Continuity of care

  • Tailored to fit the special needs and priorities of their communities


Chc who do they serve
CHC: who do they serve?

  • 15 million people nationally

    • Chronically ill

    • Vulnerable populations

      • Migrant populations

      • Uninsured

      • Homeless

      • Others in need

    • Role of CHCs on the rise as people have difficulty gaining access to medical care


Chc how do they compare
CHC: How do they compare?

  • Meet or exceed nationally accepted practice standards for treatment of chronic conditions.

  • Improved health outcomes for their patients

  • Lowered the cost of treating patients with chronic disease


A few facts about the status quo
A few facts about the Status Quo

  • 46 million people are uninsured

  • Another 45 million people are underinsured

  • Chronic diseases account for one-third of the years of potential life lost before age 65. 

  • The direct and indirect costs of diabetes are nearly $132 billion a year. 

  • The estimated direct and indirect costs associated with smoking exceed $75 billion annually. 

  • In 2001, approximately $300 billion was spent on all cardiovascular diseases. Over $129 in lost productivity was due to cardiovascular disease. 

  • Nearly $68 billion is spent on dental services each year.




Chc quality of care
CHC: Quality of Care

CHCs are best equipped to handle:

Chronic disease

$1.4 trillion annually are spent on health care in the United States.

$3 out of every $4 in U.S. healthcare expenditures are due to chronic disease care

90 million people suffer from chronic disease in the U.S.

The Uninsured

47 million uninsured

45 million underinsured

Underserved and diverse populations


Chc who uses them
CHC: who uses them?

The current public health infrastructure lacks the support to expand the program services in highest demand with the greatest cost inflicted upon our most vulnerable communities



Chc challenges in the status quo
CHC: Challenges in the Status Quo

  • Current health care infrastructure is based on historical circumstance and antiquated laws rather than on efficiency or effectiveness criteria

  • CHCs are a new model but face the following challenges:

    • Chronically ill

    • Funding cuts

    • Workforce Shortage


Chc cost of care
CHC: Cost of Care

  • Community Health Centers provide an affordable model for delivery of health care services to otherwise underserved communities

  • CHC: $1.30/day/patient

  • ED: $126/visit

  • Private Physician: $250

  • Bamezai, Melnick & Nawathe. Costs of Emergency Department Visits. Annals of Emergency Medicine. Vol 45(5). May 2005.


Chc funding
CHC: Funding

  • Funding

    • We must leverage the potential savings from:

      • Preventing acute exacerbations of chronic disease

      • Reduce nonemergent visits to EDs

    • Title VII

      • Recent cuts in state funding are the largest cuts in 60 years

      • Allocation of resources to local agencies remains a low priority for policy makers

      • The cost of excluding the few may make our system unaffordable for everyone tomorrow



Chc workforce1
CHC: Workforce

  • Students rotating through Community Health Clinics are more likely to pursue primary care and work for the underserved

  • Establish a set of standards for public health workers


What s being done
What’s being done?

  • Nationally: Health Disparities Collaborative

  • Goal: Change the way primary care is provided

    • CHC are learning a systematic approach to quality improvement

    • provide a framework for delivery of care to those with chronic illnesses

    • Deliver cost-effective and high-quality health care to underinsured and uninsured

    • Prepare medical teams

    • 600 Health Centers nationwide are participating


What s being done1
What’s being done?

  • AMSA

    • USPHMCA

    • Widening the pipeline

    • Student Debt Relief

    • Student Run Clinics

    • Health Disparities & Social Justice Campaign

    • Equity Pledge


Take action
Take Action

  • Call your Senator & Representative and tell them you want them to increase Title VII funding to expand Community Health Centers nationally to cover 45 million people suffering without medical care!!


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