Market forces and payment models are forcing CHCs to change the way they operate. This session will cover two key elements of that change – staffing and workflows. We will evaluate the needs – operational, financial and missional. We will then discuss staffing models that address these needs, and redesigning workflows based on the human capital management system (Staff/workforce) that is consistent with Health Center core values, reflective of its mission and strategic goals, clear in its purposes flexible in its implementation. The session will include a case study of a CHC’s human capital alignment and optimization process. The operational goals are, attract, develop and retain a diverse, workforce that is continually learning and expanding its capacity to shape the healthcare future and nurture a culture of integrity and excellence that encourages initiatives and that promote a healthy work-life environment.

NACHC wants to hear from the field. During this listening session, participants will share their views regarding the development of a health information technology strategy and its potential contribution to the overall success of their organizations, as well as other CHCs, PCAs, and HCCNs. This session will be facilitated by an HIT industry leader and expert to ensure current and emerging topics and innovations are addressed.  

Running a 340B program is a complex undertaking for FQHCs, fraught with the challenges of complying with rigorous regulatory requirements, separately tracking 340B drugs, coordinating care, and ensuring that the program benefits patients, providers, and administrators alike. Designing and running a successful 340B program depends on multiple factors, including number and location of sites, number of visits, payer mix, available management time and expertise, and interest in revenue generation and service expansion. While FQHCs with considerable management and pharmacy expertise may be able to take on the challenges of developing and managing their own pharmacy, they should do so with a full understanding of the financial risks and operational demands of this DIY approach as well as the other options that are available. Whether you are an FQHC leader seeking to contract out your 340B program or manage it in-house, this session will help you realize the full operational and financial potential of this important drug discount program. Learn from session panelists that include: an FQHC CEO discussing 340B management; an FQHC CFO discussing finance; and a COO of a 340B management company discussing how to operationalize in-clinic pharmacies.

Health centers are constantly facing change and must consider the impact of internal and external influences on sustainability. This session will present resources and processes available to assess your opportunities and environment in consideration of these influences within the evolving health care landscape. As expectations for health care providers continue to increase in number and complexity, health centers are responsible for a broader array of services. To better prepare for these initiatives, health centers can use readily available information in making data-driven decisions and developing actionable strategies. This session will also review approaches for improving health center financial condition by proactively estimating several operational functions under a variety of scenarios and by implementing strategies to reduce uncertainty and risk.

CHC revenue cycle management (RCM), coding, and billing compliance is complex. Do you understand the potential risks to your CHC? Are you familiar with the Office of the Inspector General (OIG)? Do you understand risk around provider enrollment/credentialing? Familiar with CHC safe harbor around anti-kickback? Understand limitations on Medicare PPS G code billing as it pertains to certain CHC services including chiropractic and stand-alone procedures? Attend this session to learn about these topics and more, as well as what you can do to evaluate potential, yet avoidable risks.

This session is an introduction to creating data visualizations, graphs, and dashboard elements. As long as you have access to a spreadsheet program like Excel or Google Sheets, you can do quality data visualizations. No advanced knowledge required, just a need to be able to tell a story with your data. The presenter will cover some fundamentals of visual communication, why you should almost never use a pie chart, and the four most common types of charts to tell a clear, accurate, and compelling story with your data. Whether your audience is clinicians, your board, or your patients, using numbers to tell your story is a skill everyone can learn. Learn how and when to use various kinds of data visualizations. No fluff, just good actionable information you can use immediately! No need for expensive business intelligence tools to get started, although they can be powerful tools. You’ll also have access to a resource guide, created just for FOM/IT, for more information and where to go to take a deeper dive into visual communication.

Community Health IPA (CHIPA), an independent practice association comprised of 23 New York-based Federally Qualified Health Centers (FQHCs) using six separate electronic medical record (EMR) vendors, needed to align its practices and policies and fully transition to value-based care in order to optimize value-based contracts. Rather than relying on anecdotal evidence for care decisions, CHIPA wanted to use data and analytics to drive practice transformation. This workshop will provide insights into how we seamlessly incorporated a population health management (PHM) solution to optimize patient outcomes, costs, and resource utilization under value-based care agreements. Specifically, this session will address: How we discovered creative solutions related to confidential, proprietary, and contractually-obligated information; Key factors driving the successful implementation of the PHM solution, including: integration of clinical and claims data, attribution methodology, risk stratification, targeted care management based on cost, quality and utilization data, creating profiles for each patient, dashboards that promote provider engagement, and generating MCO performance report cards; and How we used technology to: ensure compliance at the organizational, practice and provider levels, track performance based on cost, quality and utilization, and monitor gaps in care at the patient and provider levels.

As health care moves toward value-based care and reimbursement, data and its application have grown in importance. The use of data has expanded beyond routine clinical, administrative, and reporting tasks to include deeper analyses of diagnoses, treatments, and outcomes as well as of population-level measures. The amount of data in use has also increased substantially. Today’s environment necessitates new infrastructure, new applications, and most importantly a new appreciation of the role of data at all levels in the health center, and the ability to assess data quality. The Level-Up data quality assessment method, developed and deployed by the RCHN Community Health Foundation, has been used effectively in health center settings. Level-Up determines initial data quality in EHR-based data sets by comparing different data stores of the same data through the execution of standardized SQL queries, and interpreting discrepancies to identify potential data quality gaps. Seven categories of data issues have been identified in this way. The Level-Up method will be described in detail, during this session, along with the issue categories and approaches to correcting the data to optimize quality.