Primary Health Care Update November 18, 2008
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1 Primary Health Care Update November 18, 2008 Jim Macrae Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care National Association of Community Health Centers 26 th Annual State/Regional Primary Care Association Conference
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Primary Health Care Update November 18, 2008. Jim Macrae Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care. National Association of Community Health Centers - PowerPoint PPT Presentation
Transcript of Primary Health Care Update November 18, 2008
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Primary Health Care Update
November 18, 2008
Jim MacraeAssociate AdministratorU.S. Department of Health and Human ServicesHealth Resources and Services AdministrationBureau of Primary Health Care
National Association of Community Health Centers 26th Annual State/Regional Primary Care Association
Conference
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Primary Health Care Primary Health Care MissionMission
Improve the health of the Nation’s underserved communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services
Health Center Program OverviewHealth Center Program OverviewCalendar Year 2007Calendar Year 2007
63 Million Patient Visits 1,076 Grantees - 53% rural 7,000+ Service Sites
Over 100,000 Staff 8,000 Physicians 4,700 NPs, PA, & CNMs
Source: Uniform Data System, 2007
16.1 Million Patients (1 in 20) 91% Below 200% poverty (1 in 7) 39% Uninsured (1 in 8) 930,589 Homeless Individuals 826,977 Migrant/Seasonal Farmworkers 133,518 Residents of Public Housing
Health Centers Serve All Ages
Our Focus
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Key Health Center Program Key Health Center Program RequirementsRequirements
Need Needs Assessment Shortage Area/Population Designation
Services Full Range of Primary Care/Enabling Services Core Staffing Accessible Hours/Location After Hours Coverage Hospital Admitting Privileges/Continuum of Care Sliding Fee Discounts Quality Improvement/Assurance Plan
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Key Health Center Program Key Health Center Program RequirementsRequirements
Management and Finance Key Management Staff Contractual/Affiliation Agreements Collaborative Relationships Financial Management and Control Policies Billing and Collections Systems Budget Program Data Reporting Systems Service Level – Scope of Project
Governance Board Authority Board Composition, including Patient Majority Conflict of Interest Policy
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Forthcoming Policy Information Notices
Target Population (Fall 2008)
Specialty Care (Fall 2008)
FQHC Look-Alike Application (Draft Out for Comment)
Institutional Care (Draft for Comment: Fall 2008)
Governance (Draft for Comment: Fall 2008)
FTCA (Draft for Comment: Winter 2008)
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FY 2009 Health Center FY 2009 Health Center Funding OpportunitiesFunding Opportunities
Behavioral Health Service Expansion Oral Health Service Expansion Pharmacy Service Expansion Enabling Services for Special Populations
Planning Grants
Health Information Technology Grants
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Key Health Center Program Key Health Center Program Performance Measures/ImpactPerformance Measures/Impact
Outreach/Quality of Care Entry into Prenatal Care Childhood Immunizations PAP Tests
Health Outcomes/Disparities Low Birth Weight Blood Pressure Control Diabetes Control
Financial Viability/Costs Total Cost per Patient Medical Cost per Medical Encounter Change in Net Assets to Expense Ratio Working Capital to Monthly Expense Ratio Long Term Debt to Equity Ratio
Health Center TrendsHealth Center Trends
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Program EffectivenessProgram Effectiveness
Health Care Quality Studies Patient Satisfaction Survey
Balanced Scorecard/Dashboard
Grantee Satisfaction
Staff Satisfaction
Quality/Timeliness
Impact/Assistance Program Requirements Performance Improvement Primary Health Care/Public Health Leadership
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Primary Health Care/Public Primary Health Care/Public Health LeadershipHealth Leadership
Workforce Medical/Health Home Health Disparities/Evidence-Based Care Health Information Technology Medicaid/SCHIP/Medicare Patient Safety and Pharmacy Collaborative Integration of Primary Care and Behavioral Health Oral Health HIV/AIDS TB & Hepatitis C Comprehensive Cancer Control Veteran’s Care
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Questions?
Jim MacraeAssociate Administrator
U.S. Department of Health and Human ServicesHealth Resources and Services Administration
Bureau of Primary Health Care 5600 Fishers Lane Rm. 17-105
Rockville, MD 20857Telephone: 301.594.4110
http://bphc.hrsa.gov
