AFTER HOURS CARE

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AFTER HOURS CARE

• TACHC 24th ANNUAL CONFERENCE
• Monday, October 22, 2007

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After Hours Care

• Federal Requirement Section 330 of Public Health
  Service Act
• Primary health care services
• Promptly accessible to catchment area
• Appropriate
• Assure continuity
• Includes care during hours when closed
• Establish firm after-hours coverage arrangements

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After Hours Care

• Bureau of Primary Health Care Program
  Expectations (PIN 98-23)
• Minimum expectation for after hours coverage
• Ensure telephone access to a covering clinician
• Establish mechanisms for patients to be seen in
  appropriate location
• Assure timely follow up by health center
  clinician for patients seen after hours

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After Hours Care

• Practical terms
• Speak to live clinical person
• Examples
• Direct triage line
• Call-coverage service
• Answering service with page and return call
  system
• Receive medical advice
• Solid follow up arrangements

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45. Use of Community Primary Care Services, FQHC,
and Special Health Initiatives Funds. a. It is
the intent of the Legislature that up to
5,000,000 in fiscal year 2008 and 5,000,000 in
fiscal year 2009 of the funds appropriated in
Strategy B.3.2, FQHC Infrastructure Grants, be
expended exclusively to establish new Federally
Qualified Health Centers (FQHCs), FQHC
Look-alikes, or expand sites or capacity at
existing FQHCs and to aid FQHCs and organizations
through grants to existing or new institutions
seeking to become FQHCs for planning, grant
writing, initial operating costs, and initial
capital costs. Any unused funds after June 1 of
each year shall be used solely for the
provision of direct primary care services through
the continuation of the Primary
Healthcare Program for existing FQHCs and
non-FQHCs in Strategy B.1.4, Community
Primary Care Services. b. It is the intent of the
Legislature that a total of 302,100 for the
2008-09 biennium appropriated in Strategy B.1.4,
Community Primary Care Services, be
expended exclusively for the Parkland Senior Care
Project. No more than 800,000 may be used each
year in Strategy B.1.4, Community Primary Care
Services, for administrative expenses to support
the Community Primary Care and FQHC grant
programs. c. It is the intent of the Legislature
that all grantees, except Parkland Senior Care
Project, receiving funds appropriated in Strategy
B.1.4, Community Primary Care Services,
be required to coordinate their services with
existing FQHCs located in their county or
to examine seeking designation as an FQHC if no
FQHC is currently available within
their county. d. It is the intent of the
Legislature that 321,398 in fiscal year 2008 and
321,398 in fiscal year 2009 of the funds
appropriated in Strategy A.1.1, Public Health
Preparedness and Coordinated Services, be
expended exclusively for the Office for the
Elimination of Health Disparities. e. It is the
intent of the Legislature that an FQHC that
receives funds through this section shall operate
extended weekend and evening hours.
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Rider 45 (e)

• e. It is the intent of the Legislature that an
  FQHC that receives funds through this section
  shall operate extended weekend and evening hours.