Ron Yee, MD, MBA, FAAFP Chief Medical Officer, NACHC Arizona Alliance for Community Health Centers Annual Meeting February 6, 2014

Transcription

1 Ron Yee, MD, MBA, FAAFP Chief Medical Officer, NACHC Arizona Alliance for Community Health Centers Annual Meeting February 6, 2014

2 Our Time Today Health Center Funding Issues for Advocacy National Framework for Collaboration Audience Feedback, Q&A

3 Consolidated Appropriations Act of 2014 Signed on January 17, 2014 $1.1 trillion legislation, bipartisan spending agreement Community Health Centers receive $3.7B for FY2014 Includes $1.495B in discretionary funding and $2.2B mandatory funding originally from the ACA Represents $700M increase for health centers (spent by 10/1/14) $110M for base grant adjustments Not less than $350M for New Access Points (NAPs), EMC and service expansion grants for OH, Pharmacy and Vision services $50M for BH service expansions $35M for PCMH Facility Improvement $58M Outreach and Enrollment (1,157 CHCs) $50M for possible sequestration on mandatory funding

4 Consolidated Appropriations Act of 2014 Signed on January 17, 2014 $1.1 trillion legislation, bipartisan spending agreement Community Health Centers receive $3.7B for FY2014 Includes $1.495B in discretionary funding and $2.2B mandatory funding originally from the ACA Represents a $700M increase for health centers (spent by 10/1/14) $110M for base grant adjustments Not less than $350M for New Access Points (NAPs), EMC and service expansion grants for OH, Pharmacy and Vision services $50M for BH service expansions (around 200 awards, Due 3/3/14) $35M for PCMH Facility Improvement ( wards, Due 3/14/14) $58M Outreach and Enrollment (1,157 CHCs) $50M for possible sequestration on mandatory funding

5 Issues for Advocacy Health Center Trust Fund Cliff Will expire after FY2015, resulting in a 70% reduction in 330 grant funding in FY2016

6 Issues for Advocacy National Health Service Corps (NHSC) Cliff $1.5B from ACA; $290M FY2011 up to $310M by FY : Over 10K NHSC Clinicians, 10.4M patients served Funding Cliff Oct. 1, 2015, $310M

7 Issues for Advocacy Teaching Health Centers Cliff $230M, 5-year initiative Awards: 11 in 2011, 11 in 2012, 23 in 2013; 43 Active in 2014

8 National Framework for Collaboration The Value Centered Collaborative (VC 2 ) What is it? It is a resource to: Support total practice improvement (financial, operational, clinical) To demonstrate health center value (local, state, regional, national) Develop a learning community for improvement Help fulfill the Triple Aim (better care for individuals, better health for populations and lower per capita costs) Unify and align the 1,200 health center entities, 9,000 delivery sites and care provided to over 22 million patients nationwide

9 The Value Centered Collaborative (VC 2 ) Initial Design Leverage and develop best design principles and practices of the HDCs Build upon existing PCA, HCCN, PCMHI/Coaches work and infrastructure Start with metrics/measures already required (UDS, 330 grant, HEDIS) Create a state, regional and eventually, a national data/metrics strategy ID subject matter experts (CHC and non-chc) to act as faculty to create change packages and to instruct Learning community avenues (BTS, Web & Action, Rapid Cycle-Virtual) Initial focus on High Cost/High Utilizing patients, Wellness & Prevention NACHC provides overall leadership, administration and logistics support, acting as the convener of partners, funders and federal resources

10 NACHC SUPPORTED KNOWLEDGE SHARING PLATFORM FOR COLLABORATION AND DATA AGGREGATION The Process

11 The Value Centered Collaborative (VC 2 ) Learning Collaborative Potential: Improve the health of patients and populations Improve and transform practice Energize staff and engage patients & their families Address the Social Determinates of Health Address workforce and patient engagement Extend improvement infrastructure to smaller centers and new starts Enhance health center competitive advantage in local and state markets

12 Feedback

13 The Value Centered Collaborative (VC 2 ) Factors to Consider Health center readiness to participate Perception of new or additional work Identifying resources to support and sustain this effort Process to determine consensus, agreement and alignment of metrics Creating a culture of sharing, while respecting the autonomy of PCAs, networks, and health centers While all health centers will be welcomed and supported, not all will access or sustain involvement in this opportunity

14 Feedback/Question & Answer