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 U.S. Department of Health and Human Services
Health Center Program Increase Access: Growth 2 22.9 million patients 92% Below 200% Poverty 28% Uninsured 62% Racial/Ethnic Minorities Percent Growth 2008-2014 Dental Patients 56% Special Populations 1,151,046 Homeless Individuals 891,796 Agricultural Workers 429,251 Residents of Public Housing 289,391 Veterans 7,154,362 Children National Numbers 170,331 total FTEs 1 in 14 people living in the U.S. 1 in 7 people living below 200% FPL 1 in 7 of the Nation s uninsured Substance Abuse Patients Mental Health Patients Medical Patients Total Patients 8% 85% 31% 34% 0% 20% 40% 60% 80% 100%
Health Center Program-Public Housing Increase Access: Growth 3 429,000 residents of public housing served nationwide 97 health centers now receive public housing dedicated funds, up from previous years. More than 253,000 patients served in health centers with dedicated public housing funds in 2014 Special Public Housing Funding in 2015 $6.5 million in New Access Points $500,000 in Behavioral Health Integration efforts (20 public housing grantees) 84 Quality Improvement Awards ($1 Million) 18 Health Infrastructure Improvement (Capital) grants, $200,000
4 FY 2016: Anticipated Funding Funding Amount Awards Substance Abuse Service Expansion $100 M 310 Health Center Controlled Networks $33 M ~ 50 President s Budget Quality Improvement Awards $40 M ~1,300 New Access Points $50 M 75
5 Primary Care: Key Strategies Increase access to primary health care services for underserved populations Modernize the primary health care safety net infrastructure and delivery system Increase Modernize Promote performancedriven and innovative organizations Promote Improve Improve health outcomes for patients
Primary Care: Key Strategies Increase 34% increase in patients served since 2008 64% of health centers increased patients/2013-2014 304 new health centers since 2008 12 million assisted under Outreach and Enrollment Promote 118 health centers increased patients overall by at least 5% and increased patients in at least 2 service categories 69% of health centers are Patient Centered Medical Home (PCMH) recognized/accredited Over 700 health centers are participating in health center controlled networks
Primary Care: Key Strategies 98% of health centers have installed Electronic Health Records (EHR) 89% of health centers are participating in Meaningful Use Modernized over 800 service delivery sites Modernize 89% of health centers met or exceeded Healthy People 2020 goals for at least one clinical measure 93% of health centers improved in at least one clinical quality measure/2013-2014 6% increase in Enabling Services patients/2013-2014 Improve 7 7
Improving the Health Care System Incentives Quality Improvement Awards, Quality Measure Alignment, Promoting Operational Excellence Delivery System Reform Care Delivery Primary Care Integration, PCMH/Accreditation Information EHR Adoption, Meaningful Use, HIT Data and Analytics 8
Health Center Program Modernize Care: EHR Adoption 9 Health Centers by Meaningful Use Progress Stage 3, 1% Not Sure, 2% 13% Stage 1, 58% AIU, 17% Health Center Controlled Network Accomplishments 100 90 80 70 60 50 40 30 20 10 0 Biggest Challenges: Health Information Exchange Engaging patients with HIT Use of HIT to coordinate Enabling Services Other Considerations: 77% of HCs use one of 5 vendors Over 500 HCs reported UDS via EHR Baseline % Yr1 % Yr2 %
Health Center Program Modernize Care: PCMH Recognition 10 Goal: All health centers are PCMH recognized Next steps on your journey: Optimize/enhance your PCMH Team based care Integration of care Patient engagement Engage with the Medical Neighborhood Care coordination Build Community Partnerships to address social determinants of health Housing Nutrition Education Social Services Aging & Disability Supports Transportation
Affordable Care Act: Health Center Role and Achievements 11 From July 1, 2013 through June 30, 2015, health centers assisted more than 12 million individuals in their efforts to become insured. From October 1, 2014 through June 30, 2015, health centers assisted more than 4.9 million individuals in their efforts to become insured. Coverage to Care (C2C): educate consumers about their new coverage and connect them with primary care and preventive services. The Health Insurance Marketplace Open enrollment period: November 1 2015 - January 31, 2016 www.healthcare.gov www.marketplace.cms.gov
12 Contact Information Tonya Bowers, MHS Acting Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Telephone: 301.594.4110 Email: TBowers@hrsa.gov