Title: Federal Administrative Update
1Federal 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
2Primary Health Care Update
- Mission
- Recent Accomplishments
- Grantee Survey
- UDS
- Looking into the Future
3Focus 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.
3
4Fiscal 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
4
5Fiscal 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
5
6Primary 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)
7Health 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
8Health 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
9Health 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.
10Health 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
11Support 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
11
12Support Health Center Success Performance
Improvement
- Web Based Electronic Reporting
- 2009 Service Area/Budget Period Application
- Health Care/Business Plans
- 2008 Uniform Data System Submission
12
13Strengthen 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
13
14Demonstrate 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
14
15Questions?
16- 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 301.594.4303
- http//bphc.hrsa.gov