Including the Role of the Consumer in the Operations of Your Health Center. Presented by the National Center for Health in Public Housing

Transcription

1 Including the Role of the Consumer in the Operations of Your Health Center Presented by the National Center for Health in Public Housing

2 Overview: The healthcare status of residents in public housing continues to be poor and there is continued need to increase access to quality care and improve health outcomes of residents through cost effective methods. The Public Housing Primary Care (PHPC) program provides residents of public housing with increased access to comprehensive primary health care services through direct provision of health promotion, disease prevention and primary health care services. Involving the local Public Housing Authority (PHA) and other key members of the community in program planning and implementation is vital to the successful implementation of the PHPC program. During this webinar participants will gain familiarity with: How HUD and HRSA are collaborating to meet the health care needs of residents of Public Housing How PHAs and FQHCs can work together to strengthen care for residents Benefits of collaborations between PHAs and FQHCs Effective approaches to form the partnerships between PHAs and FQHCs Best practices and models that work in public housing communities Additional resources to support outreach to residents Presenters: Ron Ashford, HUD Tiffane Smith, Branch Chief, OSPH/HRSA Astril Webb, MD, Director Health, NAM Lindsey Vick, Director Housing, NAM Karen Williams, West End Andy Teitelman, PHA

3 Webinar FAQ: How do I listen to the audio conference? This webinar is using a teleconference service for audio presentation. The details are as follows: Call-In number: Participant Code: Why can no one else hear me on the teleconference? Due to the number of participants, this webinar is using a presentation mode to avoid excessive audio static. Only the presenters will be speaking.

4 Webinar FAQ: How do I enlarge the presentation? Participants will be able to use the Full Screen feature to maximize the presentation area.

5 Webinar FAQ: How do I ask a question? Participants will be able to use the Q&A feature during the webinar. Presenters will answer questions to the best of our ability.

6 INCLUDING THE ROLE OF THE CONSUMER IN THE OPERATIONS OF YOUR HEALTH CENTER David Vincent, National Center for Health and Public Housing Roland Goertz, MD, Heart of Texas Community Health Center, Waco, TX Karen Williams, WestEnd Medical Centers, Atlanta, GA

7 WHAT IS GOVERNANCE Governance is the process in which consumers and nonconsumers participate in the oversight of health center operations.

8 THE FEDERAL MANDATE Health center s must have a governing board that consist of a majority (at least 51%) of individuals ( consumers or patients ) Majority must represent the individuals being served by the organization in terms of race, ethnicity, and gender. Does not apply to those from Indian tribes, tribal or Indian organizations. There must be at least one consumer from each of the funded special population. Must have a minimum of 9 and a maximum of 25 members. No more than 50% of the non-patient governing board members may derive more than 10% of their income from the health care industry.

9 WHAT ABOUT WAIVERS While 51% consumer representation is a mandate, it is possible to obtain a waiver. Waivers are not granted automatically. Health centers must demonstrate why they are unable to meet the requirements and what part of the statutory requirement they are requesting the waiver. Typically only granted for two issues: unable to meet the 51% consumer representation and/or they are unable to meet the monthly meeting requirement. A detailed plan on how they plan to obtain consumer feedback is required. Historically, waivers are only granted to r 330(g) migrant and seasonal farmworkers Health centers who receive 330 (e) Community Health Center funding must meet the 51% consumer requirement and have monthly meetings.

10 GOVERNING BOARD REQUIREMENTS Meet at least once a month; Select the services that are to be provided by the health center; Determine the hours of operations in which services are to be provided; Measure and evaluate the health center s progress in meeting its annual and long-term programmatic and financial goals; Develop and approve the health center s strategic plan; Review of the health center s mission and by-laws on an on-going basis; Evaluate patient satisfaction annually; Approve the health center s annual budget; Approve the health center grant applications; Approve the selection/dismissal of the health center s Executive Director/CEO Review the performance of the health center s Executive Director/CEO; and Establish general policies for the organization (this requirement does not apply to public health centers e.g. county health clinics).

11 ELIGIBLE PUBLIC HOUSING RESIDENTS According to HRSA, public housing residents are defined based on section 3(b)(1) of the Housing Act, which includes low-income housing developed, acquired, or assisted by a public housing agency including dwelling units in a mixed finance project that are assisted by a public housing agency with capital or operating assistance other than support under section 8 of the Housing Act (section 8 vouchers). A facility that accepts section 8 vouchers and receives no assistance under any other section of the Housing Act does not fall under the definition of public housing.

12 MEMBER OUTREACH Recruiting members is typically a board driven process. The Executive Director is helpful in identifying a public housing resident who might be interested Constantly be on alert for patients who might be good board members. Referrals from PHPC program staff or other health center staff for recommendations Using the local housing authority as a referral source (Resident Advisory Councils) Using affiliated programming such as Head Start programs. Consider having more than one public housing representative especially if you serve more than one public housing community.

13 RETENTION OF MEMBERS Incentives increase public housing resident s participation Providing monetary incentives is not permitted. Incentives used include: Food Childcare Conference Calls Reimbursement for transportation Translation services during the meeting Use of Technology to stay in communication

14 HEART OF TEXAS COMMUNITY HEALTH CENTER, WACO TEXAS Roland Goertz, MD History of Heart of Texas Community Health Center Experience with Board of Directors Success/Challenges Commitment of the Executive Director Conducting Board Self-Assessments

15 MAKING IT WORK Choosing the right public housing resident and what to do if they aren t a match. The average term of a board member is approximately 6 10 years. New members may require up to 2 years for full integration. Training efforts for many health centers are limited, because funding constraints.

16 WESTEND MEDICAL CENTERS, ATLANTA GA Karen Williams History of WestEnd Medical Centers Experience with Board of Directors Success/Challenges Recruitment of Board Members Training of Board Members

17 BEST PRACTICES Trial Board Membership - Have potential public housing residents attend a minimum of 3 meetings as an observer, can help with selection and retention process. Take Advantage of other Grant - Related Programming Requirements

18 CHANGING LANDSCAPE Challenges in identifying public housing residents for Board of Director s membership. Impact of Hope VI, Section 8 and Housing Choice Vouchers. Residents and health center confusion on public housing status. Need to inform Project Officer of changing landscape.

19 RESOURCES HRSA Policy Information Notice (PIN) Governance Requirements: in pdf HRSA Governing Board Handbook : handbook.pdf National Association of Community Health Centers - Governance: US Housing Act of 1937:

20 CONTACT INFORMATION David Vincent National Center for Health and Public Housing Roland Goertz, MD Heart of Texas Community Health Center, Waco, TX Karen Williams WestEnd Medical Centers, Atlanta, GA

21 Across the nation there are millions of residents living in publicly subsidized housing. In close proximity to many of these housing sites are health centers, some of which are federally funded Public Housing Primary Care programs that provide comprehensive primary health care services to residents of public housing and others of which are health centers that are seeking resources to better reach these residents to provide services. The goal of the conference is to strengthen the capacity of health centers to meet the specialized primary care needs of residents of public housing. Conference participants will include health care professionals, staff of Primary Care Associations (PCA) Health Resources and Services Administration (HRSA) staff, U.S. Department of Housing and Urban Development (HUD) staff, public housing officials, residents, researchers and other key stakeholders. The Health Care for Residents of Public Housing Training Conference is sponsored by the National Center for Health in Public Housing, North American Management and is supported by a grant from the Health Resources and Services Administration (HRSA) to provide training and technical assistance to the Health Center grantees. Continuing Education Units will be offered Please visit our website for details and registration.

22 Contact Us National Center for Health in Public Housing 2111 Eisenhower Avenue, Suite 300 Alexandria, VA Phone: Information: Website:

23 Thank You