1. 2016 Family Planning Update Beyond Birth Control: Meeting Clients Other Needs
Need to fix mission statement at bottom of slide

2. OUR MISSION
Primary Health Care, Inc. is a team of caring professionals providing health care and supportive services to all people to improve their quality of life.

3. OUR VALUES
We continually strive to be the best we can be and to bring the best of ourselves to those we care for and serve. This is our goal, our responsibility, and our duty.
Integrity = being honest, sincere, and doing the right thing
Compassion = empathy, caring, and providing hope
Access = being available, affordable, and flexible
Respect = dignity, treating others as you want to be treated, and valuing everyone
Excellence = being the very best, high quality, and a dedicated team

4. FQHC What is a Federally Qualified Health Center (FQHC)?
The term “Federally Qualified Health Center,” or FQHC, refers to three different types of clinics:
• Health Centers (HCs) funded under Section 330 of the Public Health Service (PHS) Act, including Community Health Centers (CHCs), Migrant Health Centers (MHCs), Health Care for the Homeless Health Centers (HCHs), and Public Housing Primary Care Centers (PHPCs)
• FQHC “Look-Alikes,” or FQHCLAs, that have been identified by HRSA and certified by CMS as meeting the definition of “Health Center” under Section of the PHS Act, although they do not receive grant funding under Section 330; and
• Outpatient health programs/facilities operated by tribal organizations (under the Indian Self-Determination Act) or urban Indian organizations (under the Indian Health Care Improvement Act).
{ (pg 6-7)}
Note the cite at the bottom of the slide.
I’ve highlighted in red the 2 types of health centers we are at PHC. I’ve included the others though so you can identify any that might be in your area.

5. CHC What does it mean to be a Community Health Center? {
This is a short 3 minute video that I think is great way of introducing what it means to be a CHC.

6. FQHC vs. RHC Criteria Rural Health Clinic FQHC Location
Non-urbanized Area
N/A
Shortage Area
MUA, HPSA or Governor Designated Shortage Area
MUA or MUP
Corporate Structure
Unincorporated, public, nonprofit or for profit
Tax-exempt nonprofit or public
Board of Directors
Required
Clinical Staffing
MLP required at least 50% of the time the clinic is open
No specific requirements
MUA = Medically Underserved Area
MUP = Medically Underserved Population
HPSA = Health Professional Shortage Area
MLP = Mid-level Provider
BOD needs to be at least 51% consumers of health center services.
{ (pg 10)}

7. 2015 STATISTICS PATIENTS SERVED: Total Patients: 36,478
Homeless Patients: 3880
VISITS PROVIDED:
Medical: 105,462
Dental: 22,134
Mental Health: 3891
Enabling Services: 6799
As an FQHC, who receives funds as a HRSA 330 grantee, we have to report this data annually as part of what HRSA calls UDS or Uniform Data System.

8. 2015 PATIENT DEMOGRAPHICS INSURANCE STATUS: Uninsured: 35%
Medicaid: 37%
Private: 19%
Medicare: 9%
Prior to the ACA about 50% of our patients were uninsured. Thankfully we have seen this number decrease even more in 2016 to around 25% because it really broadens our patients access to care.

9. 2015 PATIENT DEMOGRAPHICS ETHNICITY: Latino: 13,044 Non-Latino: 23,434
We see a large number of refugees as well which this demographic really doesn’t illustrate because of how we are required to report the data.

10. 2015 PATIENT DEMOGRAPHICS RACE: Asian: 2513 Pacific Islander: 127
Black: 3981
American Indian/Alaskan Native: 153
White: 28,006
>1 Race: 568
Unreported: 1130

11. AGE AND GENDER OF PATIENTS
MALE PATIENTS
FEMALE PATIENTS
TOTAL PATIENTS
5 and under
1845
1841
3686
Ages 6 – 12
1807
1803
3610
Ages 13 – 19
1386
1721
3107
Ages 20 – 24
882
1624
2506
Ages 25 – 44
4894
7070
11,964
Ages 45 – 64
3842
4330
8172
Ages 65+
1384
2049
3433
TOTAL
16040
20438
36478
As you can see almost half of our patients are of reproductive age and I don’t think that’s unique to PHC, I think that’s pretty typical of health centers in general, which really highlights the importance of Title X providers and health centers to collaborate.

12. AGE AND GENDER OF PATIENTS
Same info but incase you’re more visual.

13. INTEGRATED HEALTH CARE SERVICES PROVIDED
Family Practice
Gynecology/Obstetrics
Pediatrics
Internal Medicine
Behavioral Health/Substance Abuse
Family Planning/Title X
HIV Treatment & Care Management (Ryan White grantee)
Pediatric & Adult Dental
Lab & X-Ray Services
Nurse care management
Affordable Medications/ 340b Pharmacy Services
Health Care for the Homeless & Housing Case Management
Bilingual Staff at all sites; other interpretation services
Legal Assistance & Referrals (Health & Law Project)
Transportation Assistance
Health Benefits enrollment/ assistance
Referrals to other community agencies when necessary
Title X grantee is new to PHC as of June For the prior year and a half we were a subgrantee so we’re still learning all of the details of having full responsibility, but what’s really important to PHC, and I’m sure to all of you sitting in this room, is access for patients. Hopefully you can see from this slide we are really trying to be that medical home, providing whole-person centered care, not just on paper, but in every day practice so that our patients have access to the services they need to be healthy and successful.

14. Integration is Challenging!
This probably comes as no surprise to all of you…

15. A few of the challenges…
Different requirements – Health Center vs. Title X
Different billing parameters – meaning FQHC slide vs. Title X slide
Figuring out the most appropriate program for the patient based upon his/her individual needs/situation
Dispensing medications and collecting payment

16. What if you don’t have the opportunity to be an integrated program?
Now you’ve seen who we are, who we serve, the services we provide, and some of the challenges we’ve encountered with integrating the Title X program. So you might be asking yourself, what does this have to do with the session objectives?

17. Referral Agreements Get to know people! Bidirectional referrals
What resources are in your community?
What services do they provide that you don’t?
Bidirectional referrals
Think about what you need
Discuss expectations
Systems of communication
Denise might wish that I’m not saying this…but I’d encourage you to worry less about developing written agreements and just get to know the resources in your community that you can collaborate with because finding that commonality of providing access for improved health outcomes is a great start. Then sit down at the table together and figure out what services you provide that they don’t and vice versa.
As with all things, communication is key. Be clear and direct about what you need and encourage the agency you’re collaborating with to do the same. Try to focus on simple processes to start so that the small wins help to build the relationship.