Nancy Merriman, Executive Director Alaska Primary Care Association

Transcription

1 Nancy Merriman, Executive Director Alaska Primary Care Association

2 1. Must serve a high needs area (designated Medically Underserved Area or Population) 2. Comprehensive healthcare and related services based on the needs of the community 3. Open to all regardless of insurance status or ability to pay 4. Governed by the community (51% of board members MUST be patients) 5. Held to strict accountability and performance measures for clinical, financial and administrative operations by the Health Resources and Services Administration (HRSA)

3 A proven solution for a nation searching for better returns in health care delivery. High-quality care Effectively manage patients health care needs Reduces the use of costly emergency departments and hospitals 98,568 patients served in 2012 More than 160 clinic sites hosted by 25 organizations More than 126,000 Patient visits

4 Tailor comprehensive services to remove persistent barriers to care and meet their communities unique cultural and health needs. More than 8 in 10 are at or below 200% FPL About 6 in 10 are at or below 100% FPL Nearly 2 in 5 are Uninsured 1 in 4 are covered by Medicaid/ CHIP

5

6 Primary Health Care Dental Care Behavioral Health Pharmacy *Please refer to Program Expectations as this is not a complete list of services Note: all services required on site or through established written arrangements/referrals Basic Lab Emergency Care Radiological Services Transportation Case Management After Hours Care Hospital/Specialty Care

7 Health Centers nationwide eliminate disparities in health outcomes for poor, minority, & medically underserved populations. The Institute of Medicine recognizes FQHCs as models for screening, diagnosing, & managing chronic conditions: Diabetes, Cardiovascular Disease, Depression, Cancer, HIV/AIDS, Asthma FQHCs nationally saved an estimated $1,262 per patient in FQHC efforts have led to improved health outcomes for their patients, as well as lowered the cost of treating patients with chronic disease 2 FQHCs generated $20 billion in economic activity for low income communities in Shi, L et al. (2004). America s Health Centers: Reducing Racial and Ethnic Disparities in Prenatal and Birth Outcomes Health Services Research, 39(6), Part I, Chin M. (2010) Quality Improvement Implementation and Disparities: The Case of the Health Disparities Collaboratives. Medical Care, 48(80): Community Health Centers: ROI Fact Sheet November 2010

8 Estimated Total Medical Savings Per Person 2009 $1, $1, $1,756

9 Perinatal Health Access to Prenatal Care (First Prenatal Visit in 1 st 74.5% 72.9% 75.0% Trimester) Low Birth Weight 5.1% 6.5% 6.5% Preventive Health Screening & Services Cervical Cancer Screening 51.8% 47.7% 45.8% Adolescent Weight - Screening and Follow Up 12.8% 15.7% Adult Weight Screening and Follow Up % 31.0% Tobacco Use Screening % 82.1% Tobacco Cessation Counseling for Tobacco % 48.4% Users Colorectal Cancer Screening % Childhood Immunization % 29.4% 35.5%

10 Chronic Disease Mgt Asthma Treatment (Appropriate Treatment Plan) % 57.5% Cholesterol Treatment (Lipid Therapy for Coronary Artery Disease Patients) % Heart Attack/Stroke Treatment (Aspirin Therapy for Ischemic Vascular Disease Patients) % Blood Pressure Control (Hypertensive Patients with Blood Pressure < 140/90) 60.0% 59.8% 62.3% Diabetes Control (Diabetic Patients with HbA1c <= 9%) 68.4% 68.6% 73.5%

11 Health centers meet or exceed nationally accepted practice standards for treatment of chronic conditions. In fact, the Institute of Medicine and the Government Accountability Office have recognized health centers as models for screening, diagnosing, and managing chronic conditions such as diabetes, cardiovascular disease, asthma, depression, cancer, and HIV. Health centers efforts have led to improved health outcomes for their patients, as well as lowered the cost of treating patients with chronic illness.

12