Primary Health Care Update

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1 National Association of Community Health Centers 2010 Community Health Institute Primary Health Care Update September 14, 2010 Jim Macrae Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Health Center Program Overview Calendar Year Million Patients 92% At or Below 200% Poverty 38% Uninsured 63% Racial/Ethnic Minorities Over 1 Million Homeless Individuals 865,000 Migrant/Seasonal Farmworkers 165,000 Residents of Public Housing 73.8 Million Patient Visits 1,131 Grantees half rural 7,900+ Service Sites Over 123,000 Staff 9,100+ Physicians 5,700+ NPs, PA, & CNMs Source: Uniform Data System, Health Center Performance Calendar Year 2009 Among Health Center Patients: 67.3% entered prenatal care in the first trimester Rate of low birth weight babies (7.3%) continues to be lower than national estimates (8.2%) 68.8% of children received all recommended immunizations by 2 nd birthday 63.1% Hypertensive Patients with Blood Pressure<= 140/ % Diabetic Patients with HbA1c <= 9 $600 Total Cost per Patient $131 per Medical Visit For more information: Source: Uniform Data System,

2 2009 Health Center Patient Survey o Over 80% reported the overall quality of services received at the health center were excellent or very good. o Over 80% reported that they were very likely to refer friends and relatives to the health center. o Over 75% reported the main reason for going to the health center for healthcare instead of someplace else was because it was convenient (28%), affordable (25%), and provided quality healthcare (22%). 4 Health Center American Recovery and Reinvestment Act Outcomes What have we accomplished so far? o More than 2.7 million new patients served o More than 1.5 million new uninsured patients served o More 10,000 health center jobs added in 2009 What s next? o 1,600+ New or Improved Health Center Sites o 650+ Health Centers with new equipment or health information technology systems o 380+ Health Centers with new/enhanced certified EHRs 5 Health Centers: Affordable Care Act The Affordable Care Act provides $11 billion in funding over the next 5 years for the operation, expansion, and construction of health centers throughout the Nation. $9.5 billion is targeted to: Create new health center sites in medically underserved areas. Expand preventive and primary health care services, including oral health, behavioral health, pharmacy, and/or enabling services, at existing health center sites. $1.5 billion will support major construction and renovation projects at community health centers nationwide. This increased funding will enable health centers to nearly double the number of patients seen. 6

3 FY 2011 Funding Opportunities o $250 million to continue New Access Points and Increased Demand for Services funding initiated under the Recovery Act (President s FY 2011 Budget Request) o $250 million for Health Center New Access Points o New Health Centers o Satellite Sites 7 FY 2011 Funding Opportunities Expanded Services at Existing Health Centers Serve additional patients by expanding current service capacity, including adding providers/staff and increasing hours of operation New or expanded oral health, behavioral health, pharmacy, and enabling services (outreach and enrollment, case management, patient and community health education, transportation and translation services) $25 million for Behavioral Health Service Expansion (President s FY 2011 Budget Request) 8 FY 2011 HRSA Strategic Priorities Improve Access to Quality Health Care and Services Community/new site development Expansion planning Patient-centered medical/health home development Strengthen the Health Workforce Workforce recruitment and retention Meaningful use adoption Build Healthy Communities and Improve Health Equity 9

4 Affordable Care Act: Other Key Health Center Provisions o National Health Service Corps and Workforce Programs o Teaching Health Centers o School-Based Health Centers o Negotiated Rulemaking for Shortage Designation o Community-Based Collaborative Care Networks 10 Our Measures of Success 11 Health Center Program National Presence 12

5 Health Center Program Overview Calendar Year 2016 Million Patients % At or Below 200% Poverty % Uninsured % Racial/Ethnic Minorities Homeless Individuals Migrant/Seasonal Farmworkers Residents of Public Housing Million Patient Visits Grantees rural Service Sites Source: Uniform Data System, 2016 Over Staff Physicians NPs, PA, & CNMs 13 Jim Macrae Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care 5600 Fishers Lane Rm Rockville, MD Telephone:

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