Oklahoma s Safety Net Providers: Collaborative Opportunities to Improve Access to Care

Size: px
Start display at page:

Download "Oklahoma s Safety Net Providers: Collaborative Opportunities to Improve Access to Care"

Transcription

1 Oklahoma s Safety Net : Collaborative Opportunities to Improve Access to Care PRESENTATION FOR THE OKLAHOMA RURAL HEALTH CONFERENCE MAY 22, 2015

2 Participants will be able to: L e a r n i n g O b j e c t i v e s o Recognize and catalog the reach of health care safety net providers across the state Oklahoma s Safety Net and Collaborative Opportunities to Improve Access to Care o Acquire knowledge as to collaborative initiatives with public health and health care state agencies o Examine strategic partnerships utilized in other states that could serve as possible pilots in Oklahoma

3 What is a Health Care Safety Net Provider? Institute of Medicine 1. Either by legal mandate or explicitly adopted mission, care is offered to patients regardless of the ability to pay for those services 2. that organize and deliver a significant level of health care and other health-related services to uninsured, Medicaid, and other vulnerable patients 3

4 Public Hospitals Free Clinics School-Based Health Clinics Homeless Clinics Federally Qualified Health Centers Community Mental Health Centers Rural Health Clinics Local Health Departments 4

5 PUBLIC HOSPITALS, 2015 PSYCHIATRIC SPECIALTY HOSPITAL REHABILITATION HOSPITAL CRITICAL ACCESS HOSPITAL GENERAL MEDICAL SURGICAL HOSPITAL COUNTIES Total Public Hospitals: 43 Data Source: American Hospital Association, AHA Guide 2015 Edition

6 FREE & CHARITABLE CLINICS IN OKLAHOMA, 2015 Total Free Clinics: 84 Data Source: Oklahoma State Department of Health, Office of Primary Care and Rural Health Development

7 RURAL HEALTH CLINICS RURAL HEALTH CLINICS COUNTIES Total Rural Health Clinics: 51 Data Source: Center for Medicare and Medicaid Services, 2015

8 SCHOOL-BASED HEALTH CENTERS SCHOOL-BASED HEALTH CENTERS COUNTIES Total: 5 Data Source: Oklahoma State Department of Health, Office of Primary Care and Rural Health Development

9 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs), 2015 FEDERALLY QUALIFIED HEALTH CENTERS COUNTIES Total FQHCs: 70 (3 new NAPs) Population Characteristics, 2013* Percent Rural: 72% Percent Under 200% of Poverty: 89% Percent Uninsured: 40% Percent Medicaid: 35% Percent Medicare: 9% *Oklahoma Health Center Fact Sheet, 2015 National Association of Community Health Centers Data Source: Oklahoma State Department of Health, Office of Primary Care and Rural Health Development

10 COMMUNITY MENTAL HEALTH CENTERS (CMHCs) COMMUNITY MENTAL HEALTH CENTERS COUNTIES Total CMHCs: 107 Data Source: Oklahoma Department of Mental Health and Substance Abuse Services

11 OKLAHOMA COUNTY HEALTH DEPARTMENTS (CHDs) COUNTY HEALTH DEPARTMENT SITES COUNTIES WITH HEALTH DEPARTMENTS* COUNTIES WITHOUT HEALTH DEPARTMENTS Total CHDs: 70 (89 sites) Data Source: Oklahoma State Department of Health

12 HOMELESS SHELTER-BASED HEALTH CENTERS, 2015 HOMELESS SHELTER HEALTH CENTERS COUNTIES Total: 8 Data Source: Oklahoma State Department of Health, Office of Primary Care and Rural Health Development

13 PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAs) GEOGRAPHICAL AREA HPSAs POPULATION GROUP HPSAs NOT HPSAs

14 POPULATION OF OKLAHOMA: 3,878,051 Source: U.S. Census Bureau, Population Division, Annual Estimates of the Resident Population: April 1, 2010 to July 1, 2014 PERCENT UNINSURED All Oklahomans: 17.7% U.S. Census Bureau, Current Population Reports P60-250, Health Insurance Coverage in the US: 2013, U.S Government Printing Office, Washington, DC, PERCENT WITH DISABILITY 15.6% of Oklahomans Source: U.S. Census Bureau, Year American Community Survey. DEMAND FOR SAFETY NET SERVICES PERCENT BELOW THE FEDERAL POVERTY LEVEL All Oklahomans: 16.9% Source: U.S. Census Bureau: State and County QuickFacts. Last Revised: 3 1-Mar :14:14 EDT Children in Poverty: 24.1% Source: Oklahoma Institute for Child Advocacy, The State of Children in Oklahoma Fact Sheet, HIV/AIDS PREVALENCE cases per 100,000 population, 2013 Oklahoma State Department of Health HIV/STD Service, Surveillance and Analysis Living HIV/AIDS Cases in Federal Poverty Level Individual: $11,770 Family of Four: $24,250 14

15 COUNTY RANKINGS FOR HEALTH OUTCOMES RANK 1-19 RANK RANK RANK COUNTIES Source: University of Wisconsin Population Health Institute, County Health Rankings 2015

16 COUNTY RANKINGS FOR HEALTH FACTORS RANK 1-19 RANK RANK RANK COUNTIES Source: University of Wisconsin Population Health Institute, County Health Rankings 2015

17 Disproportionate Needs of Patients Served by Safety Net Hospitals and System Characteristics to Address Needs Health-related needs Personal and social factors adversely affecting health Personal and social factors affecting health care access Disproportionate Needs Chronic conditions Disability Mental illness Substance abuse Reproductive health care Poor nutrition Chronic stress Shortage of personal time Illiteracy Low social support Homelessness Disability Dangerous work Unsafe and/or Unhealthy environments Health risk behaviors (smoking, substance abuse, inactivity) No sick leave Language barriers Cultural disparities Transportation Nontraditional work hours Transient residence Disability Safety-Net System Characteristics Team care Care management Care coordination/integration Patient Centered Medical Home Co-located services Integrated services Social services Patient education Outreach services Facilitated enrollment in public programs Wraparound services Extended hours of service Transportation services Language services Cultural sensitivity Home visits Electronic visits Electronic heath records Home health care Telephone advice lines Source: E. L. Schor, J. Berenson, A. Shih, S. R. Collins, C. Schoen, P. Riley, and C. Dermody, Ensuring Equity: A Post-Reform Framework to Achieve High Performance Health Care for Vulnerable Populations, The Commonwealth Fund, October

18 Strength & Viability of Safety Net Oklahoma s health care safety net is heavily reliant on external funding and Increased Demand for Services support Increased scrutiny Uniquely vulnerable to shifting and adverse economic pressures and policy 20 SAFETY NET SPEEDOMETER 80 on health outcomes conditions Decreased State/Local/etc. Of concern is safety net providers reliance on revenue from state and local funds to assist with uncompensated care governments, which leaves them highly costs exposed to changes in public spending and priorities 18

19 OVERVIEW OF STATE APPROPRIATIONS TO FQHCs Uncompensated Care Fund $4,000,000 $3,500,000 $3,000,000 $3,500,000 $3,286,558 $3,122,230 $3,122,230 $3,122,230 $2,500,000 $2,552,477 $2,000,000 $1,500,000 $1,000,000 $500,000 SFY Appropriated Funds $

20 Total Patients Served at Oklahoma FQHCs HRSA Uniform Data System Report: (most current) 162, , , , ,

21 COLLABORATIONS

22 Shared Goals INCREASE Healthcare Quality and Access IMPROVE Population Health Outcomes BEND The Healthcare Cost Curve CREATE a State of Health OSDH/OHCA COLLABORATIONS 22

23 Current Collaborations Between Agencies and Safety Net Uncompensated Care Fund MOUs w/ Maternal & Child Health Partnerships w/ Volunteers Take Charge! Program County Health Departments & FQHCs to provide & FQHCs New Development Funds Oklahoma Volunteer Charitable Healthcare Provider Program primary care State Trauma Fund Health Homes and Community Mental Health Centers Joint Strategic QI Projects 23

24 Strategic Partnerships Among State Agencies & Safety Net Public Health Primary Care Safety Net Expansion TN MD Tri-County Health Improvement Plan Allow FQHCs to be Eligible KS MO FQHCs co-located in Medicaid Health Homes with local health agencies 24

25 Collaborative Opportunities to Improve Access to Care Co-location Arrangement Two distinct health systems, each remains as a separate entity. This arrangement allows a LHD staff to colocate in a CHC/Clinic, or vice-versa. The focus is on removing barriers and increasing access to health care. Cross-referral Arrangement Establish a cross-referral arrangement enabling Individuals to obtain primary care through the Safety Net Provider & other services through the CHD (immunizations, well-baby & adolescent health clinics, maternity education, etc.) Telehealth Technology Support long-distance clinical health care, patient and professional health-related education, and public health services to reduce the cost of health care, reduce travel times, and result in better management of chronic diseases. Enhancing Capacity of Safety Net Via resource sharing, leveraging technology, and the provision, evaluation, and communication of value to health system partners and other key stakeholders. 25

26 BENEFITS OF COLLABORATION Contribute to Community Assessments Eliminate Duplication of HC Services Better Coordination of Care and Hand-offs Increase Access to Higher Quality HC Establishing Trust & Transparency Gathering & Sharing of Data 26

27 ? QUESTIONS?

28 THANK YOU! Becky Pasternik Ikard Deputy State Medicaid Director Oklahoma Health Care Authority Valorie Owens, Manager of Statewide Access to Care Planning Office of Primary Care & Rural Health Development Center for Health Innovation & Effectiveness Oklahoma State Department of Health

The Affordable Care Act, HRSA, and the Integration of Behavioral Health Services

The Affordable Care Act, HRSA, and the Integration of Behavioral Health Services The Affordable Care Act, HRSA, and the Integration of Behavioral Health Services Indiana Council of Community Mental Health Centers Ft. Wayne, Indiana May 19, 2011 David B. Bingaman, LCSW, ACSW U.S. Department

More information

Community Health Needs Assessment July 2015

Community Health Needs Assessment July 2015 Community Health Needs Assessment July 2015 1 Executive Summary UNM Hospitals is committed to meeting the healthcare needs of our community. As a part of this commitment, UNM Hospitals has attended forums

More information

Health Centers Overview. Health Centers Overview. Health Care Safety-Net Toolkit for Legislators

Health Centers Overview. Health Centers Overview. Health Care Safety-Net Toolkit for Legislators Health Centers Overview Health Centers Overview Health Care Safety-Net Toolkit for Legislators Health Centers Overview Introduction Federally Qualified Health Centers (FQHCs), also known as health centers,

More information

PHCPI framework: Presentation Crosswalk to Service Delivery Elements

PHCPI framework: Presentation Crosswalk to Service Delivery Elements PHCPI framework: Presentation Crosswalk to Service Delivery Elements C. Service Delivery America s Federally Qualified Health Centers (FQHC) Program David Stevens, MD, FAAFP George Washington University

More information

Colorado s Health Care Safety Net

Colorado s Health Care Safety Net PRIMER Colorado s Health Care Safety Net The same is true for Colorado s health care safety net, the network of clinics and providers that care for the most vulnerable residents. The state s safety net

More information

Financing SBIRT in Primary Care: The Alphabet Soup and Making Sense of it

Financing SBIRT in Primary Care: The Alphabet Soup and Making Sense of it Financing SBIRT in Primary Care: The Alphabet Soup and Making Sense of it CAPT Hernan Reyes, MD Deputy Regional Administrator, HRSA Region 6 July 13, 2016 Objectives Understand the role of HRSA within

More information

Community Health Needs Assessment: St. John Owasso

Community Health Needs Assessment: St. John Owasso Community Health Needs Assessment: St. John Owasso IRC Section 501(r) requires healthcare organizations to assess the health needs of their communities and adopt implementation strategies to address identified

More information

MEDICAID EXPANSION & THE ACA: Issues for the HCH Community

MEDICAID EXPANSION & THE ACA: Issues for the HCH Community MEDICAID EXPANSION & THE ACA: Issues for the HCH Community POLICY BRIEF September 2012 Starting on January 1, 2014, two components of the Patient Protection and Affordable Care Act (ACA) will increase

More information

XYZ Community Health Center

XYZ Community Health Center Federally Qualified Health Centers and other safety-net clinics such as [XYZ Community Health Center] provide tremendous value and impacts to their communities from JOBS and ECONOMIC STIMULUS to local

More information

SNC BRIEF. Safety Net Clinics of Greater Kansas City EXECUTIVE SUMMARY CHALLENGES FACING SAFETY NET PROVIDERS TOP ISSUES:

SNC BRIEF. Safety Net Clinics of Greater Kansas City EXECUTIVE SUMMARY CHALLENGES FACING SAFETY NET PROVIDERS TOP ISSUES: EXECUTIVE SUMMARY The Safety Net is a collection of health care providers and institutes that serve the uninsured and underinsured. Safety Net providers come in a variety of forms, including free health

More information

National Academies of Sciences Achieving Rural Health Equity and Well-being:

National Academies of Sciences Achieving Rural Health Equity and Well-being: National Academies of Sciences Achieving Rural Health Equity and Well-being: Challenges and Opportunities A Workshop Prattville, AL June 13, 2017 Dennis Johnson Executive Vice-President Children s Health

More information

Medicaid 101: The Basics for Homeless Advocates

Medicaid 101: The Basics for Homeless Advocates Medicaid 101: The Basics for Homeless Advocates July 29, 2014 The Source for Housing Solutions Peggy Bailey CSH Senior Policy Advisor Getting Started Things to Remember: Medicaid Agency 1. Medicaid is

More information

HR Telehealth Enhancement Act of 2015

HR Telehealth Enhancement Act of 2015 HR 2066 - Telehealth Enhancement Act of 2015 Rep. Harper (R-MS), Rep. Thompson (D-CA), Rep. Black (R-TN) & Rep. Welch (D-VT) Author Intent: To promote and expand telehealth application under Medicare and

More information

How to leverage state funding to bring federal dollars into Nevada

How to leverage state funding to bring federal dollars into Nevada How to leverage state funding to bring federal dollars into Nevada EXHIBIT F Senate Committee on Health and Human Services Date: 2-12-2013 Page: 1 of 38 FQHC Opportunities for Federal Funding FQHC 101

More information

Mental Health Liaison Group

Mental Health Liaison Group Mental Health Liaison Group The Honorable Nancy Pelosi The Honorable Harry Reid Speaker Majority Leader United States House of Representatives United States Senate Washington, DC 20515 Washington, DC 20510

More information

Community Analysis Summary Report for Clinical Care

Community Analysis Summary Report for Clinical Care Community Analysis Summary Report for Clinical Care BACKGROUND ABOUT THE HEALTHY COMMUNITY STUDY The Rockford Health Council (RHC) exists to build and improve community health in the region. To address

More information

Critical Access Hospital-Relevant Measures for Health System Development and Population Health

Critical Access Hospital-Relevant Measures for Health System Development and Population Health Flex Monitoring Team Policy Brief #42 December 2015 Critical Access Hospital-Relevant Measures for Health System Development and Population Health John Gale, MS; Andrew Coburn, PhD; Zach Croll, BA University

More information

1. Standard Contract Provisions [ 438.3(s)(3)]: Ensuring access to the 340B prescription drug program

1. Standard Contract Provisions [ 438.3(s)(3)]: Ensuring access to the 340B prescription drug program July 27, 2015 Centers for Medicare and Medicaid Services Department of Health and Human Services Attn: CMS-2390-P P.O. Box 8016 Baltimore, MD 21244-8016 RE: Proposed Rule for Medicaid and Children s Health

More information

Why Massachusetts Community Health Centers

Why Massachusetts Community Health Centers ? Why Massachusetts Community Health Centers A history of excellence The health care safety net Massachusetts Community Health Centers: A History of Firsts In 1965, the nation s first community health

More information

Department of Health Care Services Integrating Telehealth Efforts. Joanne Peschko, MBA Health Program Specialist

Department of Health Care Services Integrating Telehealth Efforts. Joanne Peschko, MBA Health Program Specialist Department of Health Care Services Integrating Telehealth Efforts Joanne Peschko, MBA Health Program Specialist 1 Telehealth Programs Public Hospital Redesign and Incentives in Medi-Cal (PRIME) Managed

More information

Therefore, the plan s strategies, performance measures and action plans address both long-term goals as well as current focus areas.

Therefore, the plan s strategies, performance measures and action plans address both long-term goals as well as current focus areas. Introduction...3 Agency Goals...4 Strategic Plan Focus Areas...4 Vision of Success...5 Situational Analysis...7 Ten Strategies...9 Key Performance Measures... 10 Strategy Action Plans... 11 1. Preventive

More information

2017 State of Minnesota Rural Health Report to the Minnesota Legislature, Feb. 2017

2017 State of Minnesota Rural Health Report to the Minnesota Legislature, Feb. 2017 2017 State of Minnesota Rural Health Report to the Minnesota Legislature, Feb. 2017 2017 Minnesota Rural Health Association 1 of 22 As rural communities in Minnesota pursue the triple aim of greater access

More information

An Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care

An Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care An Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care AIM Partnership Forum June 5, 2014 Lynda C. Meade, MPA Director of Clinical Services Michigan Primary Care Association

More information

Central Iowa Healthcare. Community Health Needs Assessment

Central Iowa Healthcare. Community Health Needs Assessment Central Iowa Healthcare Community Health Needs Assessment October 20, 2016 Table of Contents Executive Summary 1 Introduction 3 Summary Observations from Current CHNA 5 Information Sources and Data Collection

More information

Medi-Cal and the Safety Net California Association of Health Plans Seminar Series Medi-Cal at its Core

Medi-Cal and the Safety Net California Association of Health Plans Seminar Series Medi-Cal at its Core Medi-Cal and the Safety Net California Association of Health Plans Seminar Series Medi-Cal at its Core August 3, 2017 Deborah Kelch Executive Director Insure the Uninsured Project 1 Safety-Net Definitions

More information

Good Samaritan Medical Center Community Benefits Plan 2014

Good Samaritan Medical Center Community Benefits Plan 2014 Good Samaritan Medical Center Community Benefits Plan 2014 This Addendum to the Community Benefits Plan 2014 is an addendum to the Community Benefits Plan approved by the Community Benefits Council on

More information

Health Center Partners of Southern California

Health Center Partners of Southern California Seventeen Federally Qualified Health Centers (FQHCs) and other safety-net clinics provide care to residents of Southern California. They collectively provide tremendous value and impacts to their communities

More information

Using population health management tools to improve quality

Using population health management tools to improve quality Using population health management tools to improve quality Jessica Diamond, MPA, CPHQ Chief Population Health Officer CHCANYS Statewide Conference and Clinical Forum Sunday, October 18, 2015 Introduction

More information

3. Expand providers prescription capability to include alternatives such as cooking and physical activity classes.

3. Expand providers prescription capability to include alternatives such as cooking and physical activity classes. Maternal and Child Health Assessment 2015 In 2015, the Minnesota Department of Health conducted a Maternal and Child Health Needs Assessment for the state of Minnesota. Under the direction of a community

More information

Medicaid Update Special Edition Budget Highlights New York State Budget: Health Reform Highlights

Medicaid Update Special Edition Budget Highlights New York State Budget: Health Reform Highlights Page 1 of 6 New York State April 2009 Volume 25, Number 4 Medicaid Update Special Edition 2009-10 Budget Highlights David A. Paterson, Governor State of New York Richard F. Daines, M.D. Commissioner New

More information

National Regional Extension Centers and Health Information Exchange Summit West

National Regional Extension Centers and Health Information Exchange Summit West National Regional Extension Centers and Health Information Exchange Summit West Marcia Thomas-Brown Chief Operating Officer October 2010 San Francisco, CA Introducing NHIT Our Vision To become the premiere,

More information

Health Center Program Update

Health Center Program Update Health Center Program Update PCA/HCCN General Session NACHC Community Health Institute August 21, 2015 Tonya Bowers, MHS Acting Associate Administrator Bureau of Primary Health Care Health Resources and

More information

Maternal and Child Health Services Title V Block Grant for New Mexico. Executive Summary. Application for Annual Report for 2015

Maternal and Child Health Services Title V Block Grant for New Mexico. Executive Summary. Application for Annual Report for 2015 Maternal and Child Health Services Title V Block Grant for New Mexico Executive Summary Application for 2017 Annual Report for 2015 Title V Block Grant History and Requirements Enacted in 1935 as a part

More information

Primary Care 101: A Glossary for Prevention Practitioners

Primary Care 101: A Glossary for Prevention Practitioners PREVENTION COLLABORATION IN ACTION Engaging the Right Partners Primary Care 101: A Glossary for Prevention Practitioners As the U.S. healthcare landscape continues to change under the Affordable Care Act

More information

COMMUNITY HEALTH IMPLEMENTATION PLAN

COMMUNITY HEALTH IMPLEMENTATION PLAN COMMUNITY HEALTH IMPLEMENTATION PLAN 2017 2017-2020 Table of Contents Letter from Jeff Feasel, President & CEO 1 About Halifax Health 3 Executive Summary 6 Halifax Health Community Health Plan 2017-2020

More information

States of Change: Expanding the Health Care Workforce and Creating Community-Clinical Partnerships

States of Change: Expanding the Health Care Workforce and Creating Community-Clinical Partnerships States of Change: Expanding the Health Care Workforce and Creating Community-Clinical Partnerships Thursday, November 7, 2013 12:00 1:30 pm ET Sponsored by Merck Foundation www.alliancefordiabetes.org

More information

Exploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics

Exploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics Exploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics Susan A. Primo, O.D., M.P.H., F.A.A.O. Director, Vision and Optical Services Emory Eye Center Professor

More information

2016 Social Service Funding Application Non-Alcohol Funds

2016 Social Service Funding Application Non-Alcohol Funds 2016 Social Service Funding Application Non-Alcohol Funds Applications for 2016 funding must be complete and submitted electronically to the City Manager s Office at ctoomay@lawrenceks.org by 5:00 pm on

More information

Michigan Council for Maternal and Child Health 2018 Policy Agenda

Michigan Council for Maternal and Child Health 2018 Policy Agenda Michigan Council for Maternal and Child Health 2018 Policy Agenda MCMCH Purpose! MCMCH s purpose is to advocate for public policy that will improve maternal and child health and optimal development outcomes

More information

Community Mental Health and Care integration. Zandrea Ware and Ricardo Fraga

Community Mental Health and Care integration. Zandrea Ware and Ricardo Fraga Community Mental Health and Care integration Zandrea Ware and Ricardo Fraga One in Five Approximately 1 in 5 adults in the U.S. 43.8 million, or 18.5% experiences mental illness in their lifetime. Community

More information

2018 IMPLEMENTATION PLANS. of the 2016 Community Health Needs Assessment

2018 IMPLEMENTATION PLANS. of the 2016 Community Health Needs Assessment 2018 IMPLEMENTATION PLANS of the 2016 Community Health Needs Assessment After examining the range of services currently available, significance, impact ability, relevance to the population served, and

More information

NEED, RESPONSE, EVALUATIVE MEASURES, RESOURCES/CAPABILITIES, GOVERNANCE

NEED, RESPONSE, EVALUATIVE MEASURES, RESOURCES/CAPABILITIES, GOVERNANCE New Access Point application (2014) Considering Need The following selected excerpts on need were taken from the most recent New Access Point (NAP) funding announcement. Although each new HRSA funding

More information

Healthy Kids Connecticut. Insuring All The Children

Healthy Kids Connecticut. Insuring All The Children Healthy Kids Connecticut Insuring All The Children Goals & Objectives Provide affordable and accessible health care to the 71,000 uninsured children Eliminate waste in the system Develop better ways to

More information

The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010

The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010 The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010 This document is a summary of the key health information technology (IT) related provisions

More information

Illinois' Behavioral Health 1115 Waiver Application - Comments

Illinois' Behavioral Health 1115 Waiver Application - Comments As a non-profit organization experienced in Illinois maternal and child health program and advocacy efforts for over 27 years, EverThrive Illinois works to improve the health of Illinois women, children,

More information

Draft. Public Health Strategic Plan. Douglas County, Oregon

Draft. Public Health Strategic Plan. Douglas County, Oregon Public Health Strategic Plan Douglas County, Oregon Douglas County 2014 Letter from the Director Dear Colleagues It is with great enthusiasm that I present the Public Health Strategic Plan for 2014-2015.

More information

NOW, THEREFORE, be it resolved that DHS and HEALTH agree to perform the following in connection with this agreement: Purpose

NOW, THEREFORE, be it resolved that DHS and HEALTH agree to perform the following in connection with this agreement: Purpose COOPERATIVE AGREEMENT between NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES and NORTH DAKOTA DEPARTMENT OF HEALTH and PRIMARY CARE OFFICE/PRIMARY CARE ASSOCIATION This agreement has been made and entered into

More information

Telehealth: Using technology in the delivery of healthcare

Telehealth: Using technology in the delivery of healthcare Telehealth: Using technology in the delivery of healthcare Using Telemedicine to Treat Chronic Disease in Rural Communities "Rural Americans face a unique combination of factors that create disparities

More information

RE: CMS-1631-PM Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016

RE: CMS-1631-PM Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016 September 8, 2015 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-2333-P Mail Stop C4-26-05 7500 Security Boulevard Baltimore, MD 21244-1850 Main Office

More information

Community Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012

Community Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012 Community Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012 Joan Cleary, Interim Executive Director Minnesota Community Health Worker Alliance

More information

Geiger Gibson / RCHN Community Health Foundation Research Collaborative. Policy Research Brief # 42

Geiger Gibson / RCHN Community Health Foundation Research Collaborative. Policy Research Brief # 42 Geiger Gibson Program in Community Health Policy Geiger Gibson / RCHN Community Health Foundation Research Collaborative Policy Research Brief # 42 How Has the Affordable Care Act Benefitted Medically

More information

FACT SHEET Congressional Bill

FACT SHEET Congressional Bill HR 3306 - Telehealth Enhancement Act of 2013 Rep. Gregg Harper (R-MS) Purpose: To promote and expand the application of telehealth under Medicare and other Federal health care programs. Positive Incentives

More information

Widespread prescribing, distribution and availability of naloxone for high risk individuals and as rescue medication 2

Widespread prescribing, distribution and availability of naloxone for high risk individuals and as rescue medication 2 Co Occurring Collaborative Serving Maine Expanding Medication Assisted Recovery Services & Building a Stronger Recovery Oriented System for SUD Treatment in Maine April 2018 Introduction: With support

More information

POOR AND NEEDY DIVISION Grant Application Guidelines

POOR AND NEEDY DIVISION Grant Application Guidelines POOR AND NEEDY DIVISION Grant Application Guidelines Who We Are The Kate B. Reynolds Charitable Trust is the legacy of the late Kate Gertrude Bitting Reynolds, who was married to William Neal Reynolds,

More information

Self-Assessment of Strategies for Expanding the System of Care Approach

Self-Assessment of Strategies for Expanding the System of Care Approach Self-Assessment of Strategies for Expanding the System of Care Approach DEVELOPED BY BETH A. STROUL, M.ED. AND ROBERT M. FRIEDMAN, PH.D. REVISED NOVEMBER 2013. Georgetown University National Technical

More information

Health Resources & Services Administration and the Affordable Care Act: Strategies for Increasing Provider Capacity & Retention

Health Resources & Services Administration and the Affordable Care Act: Strategies for Increasing Provider Capacity & Retention Health Resources & Services Administration and the Affordable Care Act: Strategies for Increasing Provider Capacity & Retention Hal Zawacki, San Francisco Regional Office Health Resources and Services

More information

Health Center Program Update

Health Center Program Update Health Center Program Update Public Housing National Symposium September 29, 2015 Tonya Bowers, MHS Acting Associate Administrator Bureau of Primary Health Care Health Resources and Services Administration

More information

Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital

Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital November 5, 2013 Martin Luther King, Jr. Community Hospital Page 1 11/05/2013 Agenda

More information

NYS Prevention Agenda : Progress Toward Becoming the Healthiest State

NYS Prevention Agenda : Progress Toward Becoming the Healthiest State NYS Prevention Agenda 2013-2018: Progress Toward Becoming the Healthiest State June 2, 2017 Presentation to the NYS Oral Health Coalition Sylvia Pirani, Director, Office of Public Health Practice Prevention

More information

American Recovery and Reinvestment Act What s in it for MN Rural Health?

American Recovery and Reinvestment Act What s in it for MN Rural Health? American Recovery and Reinvestment Act What s in it for MN Rural Health? Rural Health Advisory Committee May 19, 2009 Karen Welle, Asst Director, Office of Rural Health and Primary Care Liz Carpenter,

More information

A CDC REACH, NIH, OPHS and HRSA CHC grantee applies lessons learned to create a new paradigm for community health care financing and delivery

A CDC REACH, NIH, OPHS and HRSA CHC grantee applies lessons learned to create a new paradigm for community health care financing and delivery A CDC REACH, NIH, OPHS and HRSA CHC grantee applies lessons learned to create a new paradigm for community health care financing and delivery Census 2010 Population / % served: Grant County: 29,514 / 55.4%

More information

COOK COUNTY HEALTH & HOSPITALS SYSTEM

COOK COUNTY HEALTH & HOSPITALS SYSTEM COOK COUNTY HEALTH & HOSPITALS SYSTEM Strategic Planning Town Hall Meetings May 2016 Strategic Planning Timeline February-June 2016 Strategic planning presentations and discussions at CCHHS Board of Directors

More information

Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients

Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients March 12, 2018 Prepared for: 340B Health Prepared by: L&M Policy Research, LLC 1743 Connecticut Ave NW, Suite 200 Washington,

More information

Rural Health Clinics

Rural Health Clinics Rural Health Clinics * An Issue Paper of the National Rural Health Association originally issued in February 1997 This paper summarizes the history of the development and current status of Rural Health

More information

2012 Community Health Needs Assessment

2012 Community Health Needs Assessment 2012 Community Health Needs Assessment University Hospitals (UH) long-standing commitment to the community spans more than 145 years. This commitment has grown and evolved through significant thought and

More information

Minister. Secretaries of State. Department of Planning and Health Information. Department of Human Resources Development

Minister. Secretaries of State. Department of Planning and Health Information. Department of Human Resources Development KINGDOM OF CAMBODIA NATION RELIGION KING 1 Minister Secretaries of State Cabinet Under Secretaries of State Directorate General for Admin. & Finance Directorate General for Health Directorate General for

More information

Primary Care Options in Rural Healthcare. Jonathan Pantenburg, MHA, Senior Consultant September 15, 2017

Primary Care Options in Rural Healthcare. Jonathan Pantenburg, MHA, Senior Consultant September 15, 2017 Primary Care Options in Rural Healthcare Jonathan Pantenburg, MHA, Senior Consultant JPantenburg@Stroudwater.com September 15, 2017 Overview Overview Market Updates Definitions / Regulations Rural and

More information

Community Health Needs Assessment Implementation Plan

Community Health Needs Assessment Implementation Plan Community Health Needs Assessment Implementation Plan 2016-2019 Introduction Sandoval Regional Medical Center (SRMC) serves patients in Sandoval County and the surrounding communities. As part of the Community

More information

Financing of Community Health Workers: Issues and Options for State Health Departments

Financing of Community Health Workers: Issues and Options for State Health Departments Financing of Community Health Workers: Issues and Options for State Health Departments ASTHO Technical Assistance Presentation Terry Mason, PhD Carl Rush, MRP Geoff Wilkinson, MSW This webinar is supported

More information

PCMH 2014 Record Review Workbook (RRWB)

PCMH 2014 Record Review Workbook (RRWB) PCMH 2014 Record Review Workbook (RRWB) Purpose of the Record Review Workbook (RRWB) There are three elements in PCMH 2014 that require an accurate estimate of the percentage of patients for whom practices

More information

TEXAS DEPARTMENT OF HEALTH CENTER FOR HEALTH STATISTICS (CHS) DATA PRODUCTS AND REPORTS

TEXAS DEPARTMENT OF HEALTH CENTER FOR HEALTH STATISTICS (CHS) DATA PRODUCTS AND REPORTS HOSPITAL SURVEY/HOSPITAL DATA Hospital Survey Form (Hard Copy), 1998-2003 Blank copy of the Annual Survey of Hospitals form. The three most recent survey forms may be viewed and printed from the CHS web

More information

Building a Culture of Engagement for Medicare- Medicaid Enrollees: Health Plan Approaches

Building a Culture of Engagement for Medicare- Medicaid Enrollees: Health Plan Approaches TECHNICAL ASSISTANCE BRIEF August 2015 Building a Culture of Engagement for Medicare- Medicaid Enrollees: Health Plan Approaches By Sarah Barth and Brianna Ensslin, Center for Health Care Strategies I

More information

Community Health Care And Emergency Preparedness. CNYRO HEPC Full Regional Meeting June 6, 2017

Community Health Care And Emergency Preparedness. CNYRO HEPC Full Regional Meeting June 6, 2017 1 Community Health Care And Emergency Preparedness CNYRO HEPC Full Regional Meeting June 6, 2017 2 CHCANYS EM Team Alex Lipovtsev Assistant Director Michael Sardone Program Coordinator Gianna Van Winkle

More information

Florida s Federally Qualified Health Centers (CHCs) serve as safety-net providers for all Floridians, delivering health care services to the state s m

Florida s Federally Qualified Health Centers (CHCs) serve as safety-net providers for all Floridians, delivering health care services to the state s m Florida Association of Community Health Centers Low Income Pool Proposal December 2, 2009 Andrew R Behrman, MBA President & CEO Florida Association of Community Health Centers, Inc. Florida s Federally

More information

TEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM. Bluebonnet Trails Community Services

TEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM. Bluebonnet Trails Community Services TEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM Regional Healthcare Partnership Region 4 Bluebonnet Trails Community Services Delivery System Reform Incentive Payment (DSRIP) Projects Category

More information

HRSA Strategic Goals. Federal Office of Rural Health Policy. FORHP Programs and Grants 6/17/2016. June 9, 2016

HRSA Strategic Goals. Federal Office of Rural Health Policy. FORHP Programs and Grants 6/17/2016. June 9, 2016 HRSA Strategic Goals Federal Office of Policy June 9, 2016 Improve Access to Quality Health Care and Services Strengthen the Health Workforce Build Healthy Communities Improve Health Equity Strengthen

More information

Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network

Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network A force for justice in healthcare for the mobile poor Welcome

More information

American Health Quality Association. How QIOs Achieve Safety and Quality in Rural America. Maggie Elehwany National Rural Health Association

American Health Quality Association. How QIOs Achieve Safety and Quality in Rural America. Maggie Elehwany National Rural Health Association American Health Quality Association How QIOs Achieve Safety and Quality in Rural America Maggie Elehwany National Rural Health Association NRHA Mission The National Rural Health Association is a national

More information

Chapter 72: Affordability. Rates and premiums established annually by Insurance Commissioner and may vary by region.

Chapter 72: Affordability. Rates and premiums established annually by Insurance Commissioner and may vary by region. SUMMARY PENNSYLANIA HEALTH CARE REFORM ACT Chapters 72 through 75 of Title 40 of the Pennsylvania Consolidated Statutes Chapter 72: Affordability Section 7202 Cover Al Pennsylvanians or CAP Establishes

More information

Community Needs Assessment. Swedish/Ballard September 2013

Community Needs Assessment. Swedish/Ballard September 2013 Community Needs Assessment Swedish/Ballard September 2013 Why Do This? Health Care Reform Act requirement Support our mission to give back to community while targeting its specific health needs Strategically

More information

POLICY AND SYSTEMS CHANGE RFP INFORMATION SESSION OCTOBER 19, 2017

POLICY AND SYSTEMS CHANGE RFP INFORMATION SESSION OCTOBER 19, 2017 POLICY AND SYSTEMS CHANGE RFP INFORMATION SESSION OCTOBER 19, 2017 Agenda 1. Introduction to Communities of Opportunity 2. Request for Proposal (RFP) Overview 3. Questions 4. What s Next Communities of

More information

Patient Protection and Affordable Care Act Selected Prevention Provisions 11/19

Patient Protection and Affordable Care Act Selected Prevention Provisions 11/19 Patient Protection and Affordable Care Act Selected Prevention Provisions 11/19 Coverage of Preventive Health Services (Sec. 2708) Stipulates that a group health plan and a health insurance issuer offering

More information

Serving the Homeless Community: New Findings on the Impact of the Medicaid Expansion. Presented by the Kaiser Family Foundation April 26, 2016

Serving the Homeless Community: New Findings on the Impact of the Medicaid Expansion. Presented by the Kaiser Family Foundation April 26, 2016 Serving the Homeless Community: New Findings on the Impact of the Medicaid Expansion Presented by the Kaiser Family Foundation April 26, 2016 Join the conversation on Twitter #ACAHomeless @KaiserFamFound

More information

Rural Health: Issues and Solutions for Rural Communities

Rural Health: Issues and Solutions for Rural Communities Rural Health: Issues and Solutions for Rural Communities Common and Chronic Health Care Management 589 Advanced Nursing Education University of Mary March 26, 2018 Bismarck, ND GoTo Webinar Presented by:

More information

Joining Forces for Our Nation s Students

Joining Forces for Our Nation s Students Joining Forces for Our Nation s Students Amy Garcia RN, MSN, CAE National Association of School Nurses Linda Juszczak DNSc, MPH, MS, CPNP National Assembly of School-Based Health Care Objectives Compare

More information

Partnering with Managed Care Entities A Path to Coordination and Collaboration

Partnering with Managed Care Entities A Path to Coordination and Collaboration Partnering with Managed Care Entities A Path to Coordination and Collaboration Presented by: Caroline Carney Doebbeling, MD, MSc Chief Medical Officer, MDwise May 9, 2013 Agenda Are new care models on

More information

Running head: U.S. BIOMEDICAL MODEL OF HEALTH Last Name 1. The U.S. Biomedical Model of Health. Student Name. Virginia Commonwealth University

Running head: U.S. BIOMEDICAL MODEL OF HEALTH Last Name 1. The U.S. Biomedical Model of Health. Student Name. Virginia Commonwealth University Running head: U.S. BIOMEDICAL MODEL OF HEALTH Last Name 1 The U.S. Biomedical Model of Health Student Name Virginia Commonwealth University U.S. BIOMEDICAL MODEL OF HEALTH Last Name 2 Abstract This paper

More information

Jail Enrollments in King County--- Changing the enrollment culture!!

Jail Enrollments in King County--- Changing the enrollment culture!! Jail Enrollments in King County--- Changing the enrollment culture!! King County Context 2 Washington State King County State-based exchange 1.8 million people; 39 cities Expanded Medicaid (Apple Health)

More information

PCA/HCCN Health Center Program Update

PCA/HCCN Health Center Program Update PCA/HCCN Health Center Program Update National Association of Community Health Centers Community Health Institute August 30, 2016 Tonya Bowers, MHS Acting Associate Administrator Bureau of Primary Health

More information

EXECUTIVE SUMMARY. The document has been designed to answer the following questions:

EXECUTIVE SUMMARY. The document has been designed to answer the following questions: PREAMBLE. Purpose. This comprehensive plan outlines and explains the goals and objectives for HIV service delivery in the Baltimore eligible metropolitan area (EMA). The plan, created by the Greater Baltimore

More information

The State of Health in Rural C olorado

The State of Health in Rural C olorado Snapshot of Rural Health 2016 Edition The State of Health in Rural C olorado COLORADO ADDRESSING RURAL THE HEALTH ISSUES CENTER COLORADO S RURAL POPULATION RURAL WORKFORCE ACCESS TO CARE ADDRESSING THE

More information

This session will: At the end of this presentation, participants will be able to: The Federally Qualified Health Center s Mission

This session will: At the end of this presentation, participants will be able to: The Federally Qualified Health Center s Mission Expanded Role of Federally Qualified Health Centers TB Intensive Workshop October 5, 2012 Ed Zuroweste, MD, CMO Migrant Clinicians Network A force for justice in healthcare for the mobile poor Welcome

More information

Community Health Needs Assessment. Implementation Plan FISCA L Y E AR

Community Health Needs Assessment. Implementation Plan FISCA L Y E AR Community Health Needs Assessment Implementation Plan FISCA L Y E AR 2 0 1 5-2 0 1 8 Table of Contents: I. Background 1 II. Areas of Priority 2 a. Preventive Care and Chronic Conditions b. Community Health

More information

Pathways in Washington

Pathways in Washington Pathways in Washington What do you most want to know about Pathways? Relationship to Medicaid Demonstration Project? How it works? What training is like for the Care Coordinators? Medicaid Transformation

More information

Social Innovation Fund (SIF)

Social Innovation Fund (SIF) Welcome & Social Innovation Fund (SIF) Pre-Launch Training John A. Hartford Foundation Seattle, Washington September 14-15, 2013 Welcome & Implementing IMPACT University of Washington AIMS Center 1. Lay

More information

NEW YORK STATE MEDICAID REDESIGN TEAM AND THE AFFORDABLE CARE ACT (MRT & ACA)

NEW YORK STATE MEDICAID REDESIGN TEAM AND THE AFFORDABLE CARE ACT (MRT & ACA) NEW YORK STATE MEDICAID REDESIGN TEAM AND THE AFFORDABLE CARE ACT (MRT & ACA) The Affordable Care Act (ACA) The Affordable Care Act 3 Officially called the Patient Protection and Affordable Care Act (PPACA)

More information

Overview Application for a Medically Underserved Population Designation for Fairfax County

Overview Application for a Medically Underserved Population Designation for Fairfax County Overview Application for a Medically Underserved Population Designation for Fairfax County Definitions/General Information Medically Underserved Areas (MUAs)/Medically Underserved Populations (MUPs) are

More information

Medicaid Payments to Incentivize Delivery System Reform Webinar Dec. 17, :00 3:00 pm ET

Medicaid Payments to Incentivize Delivery System Reform Webinar Dec. 17, :00 3:00 pm ET Medicaid Payments to Incentivize Delivery System Reform Webinar Dec. 17, 2013 2:00 3:00 pm ET TODAY S SPEAKERS: Beth Feldpush, DrPH Senior Vice President for Policy and Advocacy, America s Essential Hospitals

More information

I. Coordinating Quality Strategies Across Managed Care Plans

I. Coordinating Quality Strategies Across Managed Care Plans Jennifer Kent Director California Department of Health Care Services 1501 Capitol Avenue Sacramento, CA 95814 SUBJECT: California Department of Health Care Services Medi-Cal Managed Care Quality Strategy

More information

Health Center Program Update

Health Center Program Update Health Center Program Update NACHC Policy & Issues Forum March 14, 2018 Jim Macrae Associate Administrator, Bureau of Primary Health Care (BPHC) Health Resources and Services Administration (HRSA) 3/22/2018

More information