Federally Qualified Health Centers Program Overview

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• Welcome to Essential Learnings Webinar
• Strategies for Health Center Expansion
• Presented by
• Trudy Brown Ripin, MPH and Molly K. Gwisc, MPH
• Shoreline Health Solutions
• Overview of E-Learning and Essential Learnings
  Organizational Learning Management System
• Presented by
• Pat Tully , Senior Vice President of Business
  Development
• Essential Learning

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About Shoreline Health Solutions

• Specialize in working with community-based
  agencies
• Services include
• FQHC preparation
• Grant writing
• Joint Commission preparation
• Policy and procedure manuals
• Staff and leadership training
• Community needs assessment
• Program evaluation
• Improving visit efficiency / operations

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Strategies for Health Center Expansion

• Strategies for expanding access
• Sources of funding
• Health information technology
• American Recovery and Reinvestment Act

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Case Study

• The Community Health Center of Springfield opened
  its doors four years ago.
• Within six months, wait time of 10 weeks for new
  patients.
• Hired two additional physicians.
• Within 2 months, new doctors also booked.
• In response
• added exam room
• hired new nurse practitioner
• Again, appointment schedule filled up.

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Case Study - Response

• Add more providers
• Improve the efficiency of their visits
  (productivity)
• Further expand their facility
• Relocate to a larger facility
• Add a satellite site

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Ways to Expand

• Add new services
• Expand facility capacity
• Increase the patient base
• Hire additional providers
• Expand hours
• Increase visits

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Visit Efficiency

• Visit efficiency study find bottlenecks
• Decentralize
• Scheduling changes
• Incentive programs
• STUDY YOUR RESULTS! Do one thing at a time.

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Federal Funding Opportunities

• Expanded Medical Capacity
• Service Expansion
• New Access Point
• Added to base 330 funding
• Change in Scope application

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Expanded Medical Capacity

• For 330 funded FQHCs only.
• Addition of new medical patients.
• Existing target population within existing
  service area.
• In past years, up to 600,000 per year in ongoing
  operational support.
• CAUTION! Funding amounts and grant requirements
  are subject to change annually.

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Expanded Medical Capacity

• Patient base and number of encounters remained
  steady or increased over past three years.
• Propose to significantly increase patient base
  over two-year EMC project period.
• A significant increase is defined as a minimum
  increase of 25 of your total patient base over
  two years, or 3,000 new patients over two years,
  whichever is less.

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Are These Health Centers Eligible for EMC
Funding?

• A FQHC Look-Alike that has doubled their patient
  base in the past 2 years (NO)
• A 330-funded health center showing a dramatic
  increase in their dental patient base (NO)
• A 330-funded health center that is proposing to
  add 3,000 new patients over two years (YES)
• A 330-funded health center that is proposing to
  add 2,500 new patients, a 30 increase in their
  current medical patient base (YES)

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Service Expansion Grants

• Adding or expanding non-medical services.
• In past years, funded
• Oral Health (250,000 per year)
• Mental Health/Substance Abuse (150,000 per year)
• Pharmacy (100,000 per year)

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Service Expansion Eligibility

• 330-funded
• Existing target population within existing
  service area
• Must NOT have received funding for first time
  under section 330 as new start in past two years

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Are These Health Centers Eligible for Service
Expansion Funding?

• Currently receive CHC 330 funding, want to start
  pharmacy program for migrant farmworkers (NO)
• Service area lacks mental health providers (YES)
• Add more medical patients (NO)
• Add more dentists to existing dental program
  (YES)

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New Access Point Funding

• Start up a new health center, OR for new
  satellite site
• For NAP satellite applications, you may NOT
• Propose funding to support relocation of a
  site(s)
• Propose expansion of capacity at any site already
  in your approved scope of project

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Change in Scope

• Strategic opportunity to increase revenues
• Used to add a new site, re-locate to a larger
  facility, or add a new service
• Cost-based reimbursement rate no federal grant
  dollars
• Services can include mental health, oral health,
  specialty medical care

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American Recovery and Reinvestment Act of 2009

• 2 billion for grants to health centers over two
  years
• Grants will be awarded for
• Construction, repair and renovation of
  facilities,
• Acquisition of equipment, and
• Adoption or expansion of the use of health
  information technology systems.

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Health Information Technology

• Office of Health Information Technology at HRSA
• Funding available for
• Electronic medical records
• Electronic dental records
• Other innovative health information technologies
  that aim to improve quality of care

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How Does HIT Enhance Expansion Efforts?

• Improved continuity of care when adding a new
  site.
• Improved continuity of care through shared health
  records when adding a new service.
• Improved efficiency, allowing the health center
  to see more patients with existing resources.
• Improved efficiency, increasing the health
  centers revenues.

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Resources

• www.bphc.hrsa.gov
• www.hrsa.gov/grants
• www.nachc.com
• www.nachc.com/healthcentersandeconomicstimulus.cfm
  
• www.recovery.gov

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Contact Us

• Shoreline Health Solutions
• Trudy Brown Ripin and Molly K. Gwisc
• info_at_shsconsulting.net
• [phone]

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Welcome!

• Overview of E-Learning and Essential
• Learnings Organizational Learning
• Management System
• Presented by
• Pat Tully , Senior Vice President of Business
  Development
• Essential Learning

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About Essential Learning

• Exclusively Focused on E-Learning for Human
  Service Organizations.
• Over 500 Organizations Use Our System in 48
  States.
• 97 Customer Retention, Year to Year.
• 200,000 Active Registered Students.
• 2,000,000 Training Hours in 2008.

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Community Health Centers Are Adopting E-Learning
Strategies to

• Efficiently provide staff orientation.
• Increase compliance with state and federal
  regulatory training mandates.
• Prepare for and maintain Joint Commission
  Ambulatory Care , FQHC Standards and increase
  focus on Behavioral Health trainings.
• Expand continuing education opportunities for
  their staff.

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Services We Provide - Customized E-Learning Site
for Your Organization

• Easy- to- use reports let you monitor your
  compliance with training requirements (Joint
  Commission patient goals , Mission driven
  trainings, regulatory, licensing).
• Continuing education for your professional staff
  - ANCC and 47 other national and state licensing
  organizations.

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Comprehensive Libraries Available for CHCs

• The Ambulatory Care Library
• Maintain compliance with OSHA, FQHC Training
  standards , State and Federal Regulatory
  Agencies, Joint Commission.
• Continuing education credits for nurses.
• The Behavioral Health Library- for CHCs that
  provide behavioral health services
• Comply with Joint Commission BH standards and
  FQHC increased focus on BH.
• Continuing education credits for nurses and
  clinical professionals.
• Premium Clinical Library Over 400 hours of
  training on more advanced clinical topics.

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Lets take a quick look at how e-learning
operates at community providersJessie Godina
will be contacting you for a more in-depth
demonstration
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Questions??

• Live question and answer session.
• If youre using a telephone, make sure you have
  entered your Audio PIN so your line can be
  unmuted to ask your question live.
• Use the raise your hand feature on your control
  panel to be selected to ask a question.

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Thank You for Joining Us

• Take the online course Strategies for Health
  Center
• Expansion for continuing education credit. Course
  will be
• available after the webinar.
• Go to www.cequick.com, select "generic
  completion" and
• "all subjects" options in the left hand-side drop
  down
• menus to view an alphabetical listing of courses.
  Select
• this course and check-out.
• If you have questions, contact
• Jessie Godina 800.729.9198 Ext. 291 or
  jgodina_at_essentiallearning.com