Federal Administrative Update

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Federal Administrative Update
2009 National Health Care for the
Homeless Conference and Policy Symposium

• Henry Lopez, Jr. CAPT, USPHS
• Director
• U.S. Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Primary Health Care
• Office of Minority and Special Populations

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Primary Health Care Update

• Mission
• Recent Accomplishments
• Grantee Survey
• UDS
• Looking into the Future

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Focus on Mission

• Improve the health of the Nations underserved
  communities and vulnerable populations by
  assuring access to comprehensive, culturally
  competent, quality primary health care services. 

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Fiscal Year 2009 Goals

• Focus on Mission
• American Recovery Reinvestment Act
• New Access Points
• Increased Demand for Services Grants
• Capital Improvements
• Repair and Renovation
• Expanded Medical Capacity
• Able to award some from last year
• Base Adjustment
• 56 Million formula as IDS

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Fiscal Year 2009 Goals, Cont.

• Service Expansion
• 20M available
• Oral Health, Behavioral Health, Pharmacy and
  Enabling Services
• Planning Grants
• 2M Available
• PCAs/PCOs NCA
• Possible one time award for support of ARRA

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Primary Health Care Patient Survey

• Launched on May 5th 2009
• 115 Randomly sampled health center grantees
• Additional grantees may be contacted to replace
  those unable to participate
• Ensuring representation of Special Populations
  (MSFWs Homeless)

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Health Center Program Overview Calendar Year 2007

• 16.1 Million Patients (1 in 20)
• 91 Below 200 poverty (1 in 7)
• 39 Uninsured (1 in 8)
• 930,589 Homeless Individuals
• 826,977 Migrant/Seasonal Farmworkers
• 133,518 Residents of Public Housing

Health Centers Serve All Ages 2007

• 63 Million Patient Visits
• 1,074 Grantees - 53 rural
• 7,000 Service Sites
• Over 100,000 Staff
• 8,000 Physicians
• 4,700 NPs, PA, CNMs

Source Uniform Data System, 2007
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Health Care for the HomelessProgram Overview
Calendar Year 2007

• There are now 207 HCH programs
• 119 (56) CHCs
• 28 (14) Public Health Depts.
• 8 (4) Hospitals
• 52 (26) Other community- based
  organizations

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Health Care for the HomelessProgram Overview
Calendar Year 2007

• 701,623 patients seen in HCH sites in 2006
• 742,588 patients seen in CHC sites in 2007
• 930,000 patients seen in all health centers in
  2007.

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Health Care for the HomelessProgram Overview
Calendar Year 2007

• Fiscal Year 2008 Funding
• New Access Points 7
• Expanded Medical Capacity 5
• Service Expansion 25
• ARRA Funding
• New Access Points 5
• Increase Demand for Services 11

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Support Health Center Success Performance
Improvement

• Outreach/Quality of Care
• Entry into Prenatal Care
• Childhood Immunizations
• PAP Tests
• Health Outcomes/Disparities
• Low Birth Weight
• Blood Pressure Control
• Diabetes Control
• Financial Viability/Costs
• Total Cost per Patient
• Medical Cost per Medical Encounter
• Change in Net Assets to Expense Ratio
• Working Capital to Monthly Expense Ratio
• Long Term Debt to Equity Ratio

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Support Health Center Success Performance
Improvement

• Web Based Electronic Reporting
• 2009 Service Area/Budget Period Application
• Health Care/Business Plans
• 2008 Uniform Data System Submission

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Strengthen HRSA/Grantee Partnership

• Strengthen Grantee/Project Officer Relationship
• Promote Greater Understanding and Assistance with
  Applying Program Requirements/Performance
  Improvement in State/Local Context
• Increase Project Officer Site Visits
• Improve Technical Assistance and Training
  Coordination Among National Cooperative
  Agreements, Primary Care Associations, HRSA and
  BPHC
• Applications/Newly Funded Grantees
• Availability of TA/Training Resources

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Demonstrate Overall Effectiveness

• Patient Satisfaction Survey
• Balanced Scorecard/Dashboard
• Grantee Satisfaction
• Employee Satisfaction
• Quality/Timeliness
• Impact/Assistance
• Program Requirements
• Performance Improvement
• Primary Health Care/Public Health Leadership
• Collaboration and Accountability

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Questions?
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• Henry Lopez, Jr. CAPT, USPHS
• Director
• U.S. Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Primary Health Care
• Office of Minority and Special Populations
• 5600 Fishers Lane Rm. 16-105
• Rockville, MD 20857
• Telephone [phone]
• http//bphc.hrsa.gov