Migrant Clinicians Network (MCN), funded by the Robert Wood Johnson Foundation, conducted a one-year study of adult patients receiving health center care to determine best practices for conducting cost-of-care (CoC) conversations and optimal methods for training clinic staff. This project examined determinants of building trust between clinicians and their patient populations to improve acceptance and implementation of CoC conversations. Session presenters will showcase staff training modules, with background and evidence about the potential improvement on patient adherence and outcomes with positive CoC conversations; tools for health insurance literacy for patient handouts; and a clinic CoC conversation policy template.
This session will address the financially focused areas of the Health Center Program Compliance Manual. Presenters will discuss policy considerations and language that HRSA believes will ensure that grant recipients have policies in place that are compliant with the Uniform Grants Guidance and the Department of Health and Human Services (HHS) Grants Policy Statement. Special consideration will be made for findings most commonly disclosed in single audit reports, HHS Office of Inspector General reports, HRSA Operational Site Visit reports, and DFI grant reviews which are designed to ensure Health Centers have safeguards in place for the appropriate financial stewardship of federal funds.
Incarceration has a lasting impact on the individual returning home and the community they return home to. A growing number of health centers are developing responses to the health and social disparities that returning persons with chronic disease, mental health disorder, and/or substance use disorder experience when they are not properly linked with a medical home and welcoming community. These programs seek to bring public safety and public health together to enroll formerly incarcerated individuals in primary care and behavioral health options while reducing emergency room utilization, hospitalizations, and recidivism. This panel discussion will highlight work done at the local, state, and federal levels to meet the needs of this vulnerable group and examine the medical, operational, and policy implications for health centers working with this population.
While always important, strategic planning has recently become an organizational imperative for health centers as they seek to successfully navigate uncharted territory. The health care industry is experiencing rapid change brought on by demographic shifts, economic influences, policy changes, and bureaucratic adjustments. These changes are especially significant for Federally Qualified Health Centers (FQHCs) because of their significant reliance on government programs for reimbursement. This session - led by a health center CEO - will provide a concrete, how-to guide for organizations beginning or refining their strategic planning process. Part 2: An Introduction to a Dynamic Toolkit for Health Centers (PThG2) will serve as a continuation of this topic and provide an overview of a strategic planning toolkit.
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.This session will focus on Business Intelligence (BI) and its importance for safety-net providers. Presenters will also identify strategies for overcoming the major challenges and barriers to building BI competency, as well as lessons learned and key components for building your own BI capacity.
Many health centers are involved in providing essential health services to veterans who live in their communities. As a result of these efforts, health centers have reported that they served in excess of 320,000 veterans in 2016 alone. There are several ways for a health center to be a recognized community provider of services to veterans. This session will review the provider participation options available to health centers, describe how to approach and complete the provider application process, and discuss how payment for services occurs.
Capitation in the 1980s, 90s, and early 2000s was used to restrain health care costs and encourage more efficient care of the patient. The caveat is that the participating primary care physicians received this fixed sum for each insured patient regardless of how much care a patient actually received and actually encouraged underutilization. These unintended consequences, operational constraints, and market pressures led to the lack of these capitation arrangements today. As health centers move into more value-based care models and risk-sharing contracts that are incorporating more components of capitation, this history leads to an infrastructure that makes it challenging to be successful as health centers take on more risk. This session will offer lessons learned and how these lessons have been applied to move from the 'old' model to today's adaptation of full capitation in an accountable care framework.
The National Health Service Corps (NHSC) and the Teaching Health Centers Graduate Medical Education (THCGME) program help health centers to attract and retain the most talented workforce possible to meet the needs of vulnerable patients and populations. These health workforce programs also provide significant resources such as scholarships, loan repayments, and clinician residency training to ensure that a skilled workforce will be available for health center patients in the future. About half of the NHSC clinicians serve in health centers and nearly half of the 5,000 NHSC-approved sites are community health centers. Mandatory funding for both these programs ended on September 30, 2017 removing $370,000,000 annually in workforce investments in health centers. What has been the impact of these programs going over the cliff? This session will highlight how health centers and their partners have worked to mitigate these impacts and the lessons learned in the process.
Traumatic situations, such as abuse, neglect, experiencing natural disasters, seeing family members impacted by immigration situations, or witnessing violent acts, can affect a child’s development. Health centers can lessen the impact of childhood trauma via the provision of workshops for parents and training for teachers to recognize signs and symptoms, short or long-term counseling, and therapy sessions at various levels. Nationally, we are also seeing long-term champions for children, such as Sesame Workshop and the Robert Wood Johnson Foundation, increase their attention to develop resources in this space. Presenters will discuss their experiences and programs that have proven effective at the health center level, identify resources for providers and families, and engage participants in a robust Q&A on how health centers can lead.