Food insecurity, defined by difficulty in accessing affordable nutritious food, affects approximately 14 percent of our nation's population, with health centers serving those at highest risk. Recent research details the linkages between diabetes, hypertension, cancer, obesity, and food insecurity.
Health centers are responding to food insecurity through screening for hunger, including incorporating such screening as a "vital sign." Coupling screening with intervention, health centers are able to monitor the impact of food intervention practices on the health outcomes of their patients.
This session will highlight how health centers are incorporating efforts to reduce food insecurity into their practices with an emphasis on food insecurity screening, electronic health record integration, and measurement of health outcomes related to food intervention practices. Resources for health centers interested in incorporating food security practices into their programs will be shared.
To be successful in the future, health centers will need a system of tools that work for all members of the care team, administrators and executives, community-based care givers, and the patient. Business intelligence tools will help community health centers prove they are already serving, and well-positioned to care for complex populations facing a variety of socioeconomic challenges. Health centers need data to show they are caring for safety-net populations who comprise a significant percentage of the highest risk, highest cost patients in our health system at a lower cost, while achieving better outcomes and increasing patient satisfaction.
The Affordable Care Act (ACA) fundamentally changed the way healthcare is delivered in the United States in several ways. Most fundamental to the Health Center Program is the ACA-heralded, local decision making as the preferred method for healthcare delivery. As a result, health center boards now have even greater responsibility for assuring that care provided inside the health center is of the highest quality-- but they also are creating and establishing "networks of care" at the local level. This session will examine basic health center financing, the new types of care models health centers will be asked to join (Accountable Care Organizations, Independent Practice Associations, etc.), and how a health center board should strategize for entering into these types of conversations with external partners or other health centers.
This education session will discuss and compare the different generations operating alongside each other in health centers, and how to better engage the entire workforce, including non-clinicians and others who interface with patients, based on both their individual needs, as well as the experiences that have shaped their perspectives. Organizational and people development are the underlying premises to assure the viability and strength of health centers. We will explore what is behind the behavioral and attitudinal differences managers and supervisors perceive among diverse members of different generations, as well as the different generations' relationship and facility with innovative technologies, and how those impact instructional design, training, and learning, leading to the development of an efficient learning ecology for the expanded primary care team.
Cybersecurity is an ever-increasing threat to health centers and networks charged with securing protected health information. The best defense to these threats is to consider an attack before it happens. Among the key considerations panelists will discuss are: lessons learned from the experience of a network which came under a ransomware attack; preparing appropriate physical, technical, and administrative safeguards necessary to protect systems; and additional insurance safeguards.
States may seek a waiver as a vehicle for demonstrating or implementing new or different ways to administer (deliver and pay for) their Medicaid, CHIP, and Health Insurance Marketplace programs. While there are many types of waivers, those that are most often relevant for health centers and their patients are Section 1115 and Section 1332 waivers. An 1115 waiver is the broadest type of waiver available under Medicaid and is used by states to create demonstration projects intended to improve Medicaid and/or CHIP programs. A 1332 waiver, otherwise known as a "State Innovation Waiver," allows states to waive certain Affordable Care Act (ACA) provisions related to the Health Insurance Marketplaces and the individual and employer mandates.
In the rapidly changing healthcare market, FQHCs are well positioned to act as a 'node' for the delivery of integrated care, especially to support the growing, vulnerable aging population eligible for both Medicaid and Medicare benefits - dual eligible patients. Since older adults are among the nation's vulnerable populations affected by chronic disease, FQHCs have an opportunity to increase the number of older adults they serve and provide them with critical self-management services. Enabling older adults to age in community-based settings is recognized as a top priority for public policy and health leaders. The integrated care model already common at FQHCs is well suited for serving this population. This session will provide an overview of the demographic trends that will lead to a marked increase in the number of older patients at FQHCs over the next few years as well as best practices for serving this population. We will focus on a wide range of models that are currently serving dual eligible Medicare and Medicaid patients including the Program of All-Inclusive Care for the Elderly (PACE) model. The panel will also touch on how to source the capital needed to support these models.
Both public and private payers have adopted goals to improve patient experience and population health while reducing system costs. Payment reform is being recognized as a pivotal catalyst and support for a transformed healthcare system. But what does this mean for health centers? This session will explore ways health centers are engaging in new and emerging payment models to support their work to meet Quadruple Aim goals.
Interested in the latest policy developments from the Bureau of Primary Health Care (BPHC)? This session will provide attendees with an update from BPHC's Office of Policy and Program Development, as well as a litigation update. Previous attendees, please note this year we are breaking the traditional BPHC Update into two sessions, Part One focuses on updates on quality and data, while Part Two (this session) will focus on policy updates.