FQHCs 101. Presented by Teresa A. Cheek, Esq. Chief Legal and Human Resources Officer Westside Family Healthcare, Inc. Wilmington, Delaware 1

Transcription

1 FQHCs 101 Presented by Teresa A. Cheek, Esq. Chief Legal and Human Resources Officer Westside Family Healthcare, Inc. Wilmington, Delaware 1

2 What does FQHC mean? FQHC = Federally Qualified Health Center A.k.a. Community Health Center FQHCs are nonprofit organizations that: Provide comprehensive primary medical care Serve medically underserved areas or populations Offer sliding fee scales for services Have ongoing quality assurance programs Have a governing board of directors of which a majority are users of the FQHC s services 2

3 How can FQHCs afford to do this? The U.S. government provides: Grants under Section 330 of the Public Health Service Act Enhanced reimbursement from Medicare and Medicaid Medical malpractice coverage through Federal Tort Claims Act Eligibility to buy reduced cost medications for patients Access to National Health Service Corps programs for healthcare providers Access to the Vaccine for Children program 3

4 Where are FQHCs located? 4

5 FQHC Data Information from National Association of Community Health Centers (NACHC) 5

6 2012 FQHC Patient Population Facts Information from National Association of Community Health Centers (NACHC) 6

7 Who works at FQHCs? Information from National Association of Community Health Centers (NACHC) 7

8 FQHC Services Information from National Association of Community Health Centers (NACHC) Some FQHCs also provide access to medical-legal partnership services Some FQHCs also provide financial counseling and assetbuilding services 8

9 FQHC On-site Services 9

10 Westside Family Healthcare FQHC since 1994, with 26 years of service ( ) Joint Commission accredited since 2000 Primary Care Medical Home certified by Joint Commission in health centers across State of Delaware 2 dental offices (co-located in health centers) 1 mobile health unit serving farmworkers 2 outreach/enrollment offices 2 administration offices 10

11 Our Team About 250 staff members Employees are multilingual and multi-cultural, hired from the local community 60+ licensed independent practitioners, including physicians (family, med/peds, peds, OB-GYNs), nurse practitioners and dentists 11

12 Core Clinical Services Primary Medical Care (all ages) OB/GYN and Women s Health Care Dental Care Behavioral Health Care Podiatry and Ophthalmology 12

13 Enabling Services Healthcare coordination Certified Diabetes Education (CDE) Breastfeeding peer counseling On-site laboratory services Social services ARC Adolescent Health Care Financial aid / CHAP / Health insurance marketplace enrollment assistance 340b reduced drug pricing program 13

14 Our Patients 46% Hispanic, 31% African- American, 18% White 61% female 26,611 patients 95,259 visits in babies delivered Patient Income, as % of FPL % 8% 31% 8% 49% 100% and Below % % Over 200% 5% Patient Insurance Status % Uninsured 40% 35% Medicaid Medicare Private 14 Unknown

15 Westside Family Healthcare Financial Empowerment Strategy Partner with Stand By Me, a joint project of the state of Delaware and United Way of Delaware and a priority program for Governor Jack Markell. Integrate Financial Empowerment into staff and patient services at Westside Family Healthcare Serving Three Target Markets: Staff Free Financial Coaching as an employee benefit Patients - Low-income without health insurance (about 35% of patients) Patients - Patients with public or private health insurance (about 65% of patients) 15

16 FINANCIAL EMPOWERMENT SERVICE PACKAGE Goal: Increase personal economic security. Personal Financial Coaching and Education: Budgeting, debt, financial goal setting, savings, and personal money management Financial Services: Work with credit unions and non-profits to develop and increase access to consumer-friendly savings, loan, and transaction products Post Secondary Education Services: Financial planning for post-secondary, FAFSA applications, managing student loan debt Community Referrals: Debt consolidation, foreclosure assistance, free tax preparation, matched savings programs, home ownership counseling FREE OF CHARGE TO DELAWAREANS 16 Copyright Delaware Financial Empowerment Partnership. All Rights Reserved.

17 Developing strategies for helping to improve patients financial well-being For low-income patients without health insurance Train staff members to make referrals to Stand By Me 1-minute elevator speech about Stand By Me during the enrollment process Help interested patients fill out a referral form that is passed on to the coach for follow-up Show brief video testimonial so patients can hear from peers about how the program helped them. Co-locate services at Westside Health to serve patients 17

18 Developing strategies for helping to improve patients financial well-being For Westside Health patients with health insurance (about 65% of patients) o Train Receptionists to call patients attention to the Stand By Me brochures. o Teach them a 30-second elevator speech to hit the highlights. o Install brochure racks in all waiting rooms. o Develop signage to hang in waiting rooms: o o Q: What do you have in common with a millionaire? A: Both of you can have your own personal Financial Coach! 18

19 Thank you! 19