Presented by Vicki M. Young, PhD October 19,

Community Health Centers (CHCs) are community owned and operated, non-profit businesses that provide access to quality primary and preventive health care that is affordable to everyone. 2

 Community Health Services  Community Economic Development  Community Participation 3

 Must be non-profit organization  Must have Governing Board dominated by health center patients  Must provide services based on community need (5 life cycles: perinatal, pediatric, adolescent, adult, geriatric)  Must see all patients regardless of their inability to pay  Must be located in an MUA or serve an MUP 4

 Must employ at a minimum, an Executive Director, Medical Director and a Finance Officer  May charge a nominal fee for patients who are 200% of FPL  Must have a sliding fee scale for services for patients between 100% and 200% of FPL  Must address linguistic needs  Must be accessible 5

 Primary Care ◦ Family Practice ◦ Internal Medicine ◦ OB/GYN ◦ Pediatrics  Other Health Care Services ◦ Dental ◦ Pharmacy ◦ Mental Health  Diagnostic ◦ Lab and X-ray  Ancillary/ Support Services ◦ Outreach ◦ Transportation ◦ Communication Assistance ◦ Case Management ◦ Social Services ◦ Nutrition ◦ Podiatry 6

 Primary Care Core Services ◦ Screenings ◦ Treatment  Referral  Supportive Care ◦ Patient Education/ Self Management 7

 Physicians are covered under FTCA  Several of the CHCs have partnered/merged with private physician practices  Hospital affiliations may include residency training  Must have annual independent audits; also reviewed routinely by the federal government 8

 Must have 24-hour call arrangements  Support for the integration of mental health, oral health, pharmacy services 9

 19 CHC Corporate Grantees  163 service sites  Served 300,000 + medical patients in 2009  275 provider FTEs 10

 center-data/NationalData/index.html center-data/NationalData/index.html 11

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 THE MISSION ◦ The mission of the South Carolina Primary Health Care Association is to provide a coordinating structure to assure access to community based primary, behavioral and other health care services to every community in South Carolina. ◦ Direct Services through Migrant Health 13

Primary Care Association (all centers are members) TA/Training Research Advocacy Programs/Initiatives/ Services Health Policy Program/Communit y Development Partnerships 14

 Operations and Administration  Programs and Health Policy  Finance and Information Technology (IT)  Clinical Quality Improvement 15

 Focus on providing assistance to centers in the area of quality improvement  Provided through different mechanisms ◦ Technical Assistance in the area of clinical practice and quality management (e.g., FTCA, Risk Management, Accreditation, Credentialing, Emergency Preparedness, Planned Care Models, CPR Training, etc.) ◦ Training  Quarterly Clinical Network Meetings  Annual Clinical Retreat ◦ Other ways we assist with quality improvement  Management/Coordination of Programs  Liaison Role between partners and member organizations ◦ Research 16

 Adequate Access to Care  Coordination of Care for Patients ◦ Access to specialists due to  Uninsured numbers  No specialists in the area  Resources ◦ Financial  Compensation for care  Timeliness of compensation ◦ Human  Workforce ◦ Facility 17

 Dedicated funding to decrease the burden of the challenges ◦ Workforce ◦ Facility ◦ Patient access to services  Preventive  Increased access to primary care services  Specialty and enhancing services  Some of current challenges will decrease but won’t be eliminated (e.g., workforce, coordinated care issues, etc.)  Establishing strategic partnerships 18

 Meaningful Use  Patient Centered Medical Homes  Population Health  Data Assisted/Driven Decision Making  Integration of Enhancing Services 19