The North Carolina Health Center Incubator Program<br />Strengthening Ohio’s Safety Net Conference<br />April 29, 2011<br ...
Project Overview <br />
North Carolina Community Health Center Association<br />Our Mission<br />To promote and support patient-governed community...
North Carolina’s Health Status<br />NC is ranked in the bottom third of all states for 20 years:<br />obesity<br />smoking...
Uninsured<br />1 in 5 North Carolinians were uninsured<br />1 in 4 were uninsured for at least part of the year in 2008.<b...
Counties with an FQHC<br />
<ul><li> 26 Health Center Grantees, 1 Migrant Voucher Program
 136 Clinical Service Sites, 19 migrant voucher program sites
 8 Migrant Health Center Grantees
 3 Healthy Schools/Healthy Community Grantees
 4 Homeless Health Care Grantees
2 Federally Qualified Health Center Look-Alike organizations with 5 clinical service sites</li></ul>Federally Qualified He...
<ul><li>400,593 patients
1,318,320 patient visits
51% of patients were uninsured (203,644)
21% of patients receive Medicaid (85,691)
94% of patients live below 200% of the federal poverty level (FPL)*
72% live below 100% of FPL
54,400 migrant and seasonal agricultural workers
6,716 homeless patients
2,873 school health patients</li></ul>NC Health Center Patients (2009)<br />
3 year trend<br />
$11 billion in new, dedicated funding for the Health Centers Program over five years. <br />$9.5 billion <br />fund new he...
Potential Grant Awards<br />
Resources:$400,000 grant from the Kate B. Reynolds Charitable Trust to NCCHCA for 18 month initiative<br />Goal: Establish...
Collaborative Partners<br />
Collaborative Networks <br />
High Need Counties<br />
High Need, Under Served Communities<br />Readiness (Compliance with Program Model)<br />Collaboration within Communities<b...
Introductory Webinar: Program Expectations and Performance Measures (Hosted by Care Share Health Alliance)<br />March 26, ...
Hospital & Health Department Conference Call<br />April 7, 2010<br />Health Department 	 27<br />Private Organization	   6...
April 15, 2010 <br />Free Clinics		 15<br />Private Organization	   5<br />FQHC			   3<br />Health Department	   3<br />Ho...
April 19-20, 2010<br />FQHC		   8<br />Health Department	   4<br />Rural Health Clinic	   4<br />Free Clinic		   2<br />Ho...
April 26-27, 2010<br />Health Department  6<br />FQHC	            6<br />Rural Health Clinic   5<br />Hospital            ...
NCCHCA Annual Meeting & Conference <br />– June 11-12, 2010<br />Pre-application clinics for Cohort #1<br />Section 330 Gr...
Incubator Participants eligible to receive:<br />$10,000 Scholarship for Grant Writing Services<br />Contingent on partici...
Review Criteria<br />Need<br />Response<br />Collaboration<br />Evaluative Measures<br />Impact<br />Resources/Capabilitie...
January 29, 2011—This one-day interactive training covered the program requirements of a Federally Qualified Health Center...
February 3 & 4, 2011<br />Chronic disease management<br />Quality Improvement<br />174 total attendees, 6 from Rural Healt...
February 17, 2011<br />Facilitated by NC Division of <br />Medical Medicaid site certification<br />Provider enrollment<br...
March 2 & 3, 2011<br />Facilitated by Priority Management Group, BKD, NC AHEC Regional Extension Center, NCHIMA. RSM McGla...
March 7, 2011<br />Presented by the Division of the North Carolina Department of Insurance.  <br />Overview of Medicare an...
April 1, 2011- Presented by Capital Link<br />1-day seminar focusing on developing a successful FIP project and applicatio...
Nächste SlideShare
Wird geladen in …5
×

The North Carolina Health Center Incubator Program - Ben Money

1.253 Aufrufe

Veröffentlicht am

Presenter Benjamin Money, MPH, President & CEO, North Carolina Community Health Center Association, on The North Carolina Health Center Incubator Program as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/

Veröffentlicht in: Bildung, Gesundheit & Medizin
  • Als Erste(r) kommentieren

The North Carolina Health Center Incubator Program - Ben Money

  1. 1. The North Carolina Health Center Incubator Program<br />Strengthening Ohio’s Safety Net Conference<br />April 29, 2011<br />Benjamin Money, MPH – President & CEO<br />NC Community Health Center Association<br />
  2. 2. Project Overview <br />
  3. 3. North Carolina Community Health Center Association<br />Our Mission<br />To promote and support patient-governed community health care organizations and the populations they serve.<br />Our Vision<br />Every North Carolina community will have access to a patient-centered, patient-governed, culturally competent health care home that integrates high quality medical, pharmacy, dental, vision, behavioral health, and enabling services without regard to a person’s ability to pay.<br />
  4. 4.
  5. 5. North Carolina’s Health Status<br />NC is ranked in the bottom third of all states for 20 years:<br />obesity<br />smoking<br />premature death<br />infant mortality<br />35th in overall health status<br />
  6. 6. Uninsured<br />1 in 5 North Carolinians were uninsured<br />1 in 4 were uninsured for at least part of the year in 2008.<br />Since 2000, average family health insurance premiums have increased by 91 percent in North Carolina<br />The number of uninsured in North Carolina increased by 22.5% from 2007 to 2009, which was the largest percentage increase in the nation <br />Current estimates from Families USA project that 1,480 North Carolinians lose health coverage every week, and by the end of 2010 some 2 million people in North Carolina were uninsured. <br />
  7. 7. Counties with an FQHC<br />
  8. 8. <ul><li> 26 Health Center Grantees, 1 Migrant Voucher Program
  9. 9.  136 Clinical Service Sites, 19 migrant voucher program sites
  10. 10.  8 Migrant Health Center Grantees
  11. 11.  3 Healthy Schools/Healthy Community Grantees
  12. 12.  4 Homeless Health Care Grantees
  13. 13. 2 Federally Qualified Health Center Look-Alike organizations with 5 clinical service sites</li></ul>Federally Qualified Health Centers Currently in NC <br />
  14. 14. <ul><li>400,593 patients
  15. 15. 1,318,320 patient visits
  16. 16. 51% of patients were uninsured (203,644)
  17. 17. 21% of patients receive Medicaid (85,691)
  18. 18. 94% of patients live below 200% of the federal poverty level (FPL)*
  19. 19. 72% live below 100% of FPL
  20. 20. 54,400 migrant and seasonal agricultural workers
  21. 21. 6,716 homeless patients
  22. 22. 2,873 school health patients</li></ul>NC Health Center Patients (2009)<br />
  23. 23. 3 year trend<br />
  24. 24. $11 billion in new, dedicated funding for the Health Centers Program over five years. <br />$9.5 billion <br />fund new health centers for communities in need<br />expand capacity at existing health centers <br />By 2015, health centers to double current capacity to 40 million patients. <br />The remaining $1.5 billion in capital funding will allow health centers to modernize aging buildings and build new facilities to serve more patients.<br />Affordable Care Act <br />
  25. 25. Potential Grant Awards<br />
  26. 26. Resources:$400,000 grant from the Kate B. Reynolds Charitable Trust to NCCHCA for 18 month initiative<br />Goal: Establish health center sites in needy counties through organizations prepared to develop high quality and sustainable projects.<br />Emphasis: Collaboration among safety-net providers within communities to make successful application for funding.<br />Format: Trainings, on-site technical assistance, professional grant writing<br />NC Health Center Development Incubator Program<br />
  27. 27. Collaborative Partners<br />
  28. 28. Collaborative Networks <br />
  29. 29. High Need Counties<br />
  30. 30. High Need, Under Served Communities<br />Readiness (Compliance with Program Model)<br />Collaboration within Communities<br />BPHC Emphasis<br />Collaboration within Safety-Net<br />Collaboration with Critical Access Hospitals<br />Defining Priority Applicants<br />Limitation of Grant Writing Resources<br />2 Cohorts <br />Regional Training – FQHC Look-alike Application Preparation<br />Prioritizing Projects<br />
  31. 31. Introductory Webinar: Program Expectations and Performance Measures (Hosted by Care Share Health Alliance)<br />March 26, 2010<br />Health Department 17<br />State Organization 14<br />FQHC 13<br />Private Organization 12<br />Rural Health Clinic 7<br />Free Clinic 7<br />Hospital 6<br />Hospital Affiliate 2<br />School-based Clinic 2<br />Association 2<br />FQHC Look-Alike 1<br />Other 1<br />TOTAL 84<br />
  32. 32. Hospital & Health Department Conference Call<br />April 7, 2010<br />Health Department 27<br />Private Organization 6<br />FQHC 3<br />Hospital Affiliate 3<br />Rural Health Clinic 2<br />Hospital 2<br />Other 2<br />Free Clinic 1<br />State Organization 1<br />TOTAL 47<br />
  33. 33. April 15, 2010 <br />Free Clinics 15<br />Private Organization 5<br />FQHC 3<br />Health Department 3<br />Hospital Affiliate 2<br />Rural Health Clinic 1<br />TOTAL 29<br />Free Clinic Conference Call<br />
  34. 34. April 19-20, 2010<br />FQHC 8<br />Health Department 4<br />Rural Health Clinic 4<br />Free Clinic 2<br />Hospital 2<br />Private Organization 2<br />Hospital Affiliate 1<br />School-based Clinic 1<br />TOTAL 24<br />Regional Training – Winston Salem<br />
  35. 35. April 26-27, 2010<br />Health Department 6<br />FQHC 6<br />Rural Health Clinic 5<br />Hospital 3<br />Free Clinic 3<br />FQHC Look-Alike 1<br />TOTAL 24<br />Regional Training – Greenville<br />
  36. 36. NCCHCA Annual Meeting & Conference <br />– June 11-12, 2010<br />Pre-application clinics for Cohort #1<br />Section 330 Grant Workshop conducted by<br />Pam Byrnes (NACHC) and Tanya Bowers (BPHC)<br />Clinical Quality<br />Meaningful Use<br />
  37. 37. Incubator Participants eligible to receive:<br />$10,000 Scholarship for Grant Writing Services<br />Contingent on participation in Incubator Trainings <br />Installments<br />$3,000 at initiation of contract<br />$3,000 after narrative completion<br />$4,000 upon submission<br />Full copy of Grant required for final installment<br />Grant Writing Support<br />
  38. 38. Review Criteria<br />Need<br />Response<br />Collaboration<br />Evaluative Measures<br />Impact<br />Resources/Capabilities<br />Support Requested<br />Governance<br />New Access Points (NAP) Guidance Issued August 9, 2010<br />
  39. 39. January 29, 2011—This one-day interactive training covered the program requirements of a Federally Qualified Health Center (FQHC) and provided board members the tools needed to fully understand their role. <br />Facilitated by a retired health center CEO and current field reviewer of FQHC program administration and governance for HRSA. <br />Training included<br />overview of the FQHC program<br />role of the board<br />recruitment of board members<br />ethics<br />strategic planning<br />board’s authority<br />board composition<br />conflict of interest <br />ready-to-use tools, resources and forms <br />49 total attendees, 3 from Rural Health Centers, 8 from a Hospital affiliated organization, 37 from Community Health Centers, and 1 from a Free Clinic. <br />Repeated February 26, 2011—44 total attendees, 9 from Rural Health Centers, 22 from Community Health Centers, and 13 from Health Departments.<br />Community Health Center Governance Training<br />
  40. 40. February 3 & 4, 2011<br />Chronic disease management<br />Quality Improvement<br />174 total attendees, 6 from Rural Health Centers, 19 from Hospital affiliated organizations, 37 from Community Health Centers, 14 from Health Departments, and 2 from Free Clinics. <br />Janet Reaves Memorial Conference on Clinical & Quality Care<br />
  41. 41. February 17, 2011<br />Facilitated by NC Division of <br />Medical Medicaid site certification<br />Provider enrollment<br />35 total attendees, 4 from Rural Health Centers, 2 from Hospital affiliated organizations, 19 from Community Health Centers, 1 from a Health Department and 1 from a Free Clinic. <br />Site Certification & Provider Enrollment Webinar<br />
  42. 42. March 2 & 3, 2011<br />Facilitated by Priority Management Group, BKD, NC AHEC Regional Extension Center, NCHIMA. RSM McGladrey<br />2-day workshop included the key components for a financially successful health center.  <br />Designed for Chief Operating Officers as well as other Executive Management, billing staff, and front desk staff, this innovative seminar provided clear strategies to maximize health center’s resources and productivity. <br />Sessions on Billing & Coding, Optimizing the Billing Process, Performance Indicators & Benchmarks, Medicaid Cost Reporting, Financial Grants Management and Patient Centered Medical Home. <br />47 total attendees, 4 from Rural Health Centers, 8 Hospital affiliated organizations, 23 from Community Health Centers, and 5 from Free Clinics. <br />Financial Management and Operations Workshop<br />
  43. 43. March 7, 2011<br />Presented by the Division of the North Carolina Department of Insurance. <br />Overview of Medicare and SHIPP program<br />30 total participants, 2 from Rural Health Centers, 2 from Hospital affiliated organizations, 20 from Community Health Centers, 2 from Health Departments, and 1 from a Free Clinic. <br />Seniors' Health Insurance Information Program (SHIIP), <br />
  44. 44. April 1, 2011- Presented by Capital Link<br />1-day seminar focusing on developing a successful FIP project and application  <br />updates on HRSA funding, and the three main components<br />1) Market and need assessment <br />2) Operations and facilities planning <br />3) Financing structure (Using New Market Tax Credits, HRSA loan guarantees, USDA financing, Tax exempt bond financing, Bank financing, and Foundation financing) <br />8 participants representing 4 health centers attended.<br />Facility Improvement Programs (FIP) Training<br />
  45. 45. Results/Impact<br />
  46. 46.
  47. 47. New Access Point Development 2011<br />
  48. 48. Potential Impact <br />25 new counties served in North Carolina – bringing the total counties with an FQHC up to 68<br />A total of $40.3 million in HRSA funds requested by North Carolina’s applicants. <br />Potential for 308.5 FTE jobs created<br />
  49. 49. Health Center Planning Grants<br />Collaboration with NC Care Share Health Alliance<br />3 organizations representing 6 counties applied<br />
  50. 50. Golden LEAF Foundation <br />established in 1999 with funds from the Tobacco Master Settlement Agreement<br />support economically-distressed, rural, and/or tobacco-dependent communities<br />earmarked $1 million for the Rural Hope Initiatives<br />Funders collaborative including Kate B. Reynolds Charitable Trust<br />enable better care delivery<br />create jobs by assisting in the construction and expansion of rural health care facilities<br />Incubator participation used as leverage by Rural Hope applicants<br />Leveraged Funding<br />
  51. 51. Lessons Learned <br />
  52. 52. What worked<br />Collaboration with Safety-net partners<br />Promulgating models of collaboration<br />Partnering with a neutral convener - (Care Share Health Alliance)<br />
  53. 53. Contract with participants directly for grant writing scholarships conditional on participation.<br />Collaboration with local health director’s association regarding public entities at the onset of the project.<br />What we would do differently<br />
  54. 54. New Directions<br />
  55. 55. July 17th – Tornados Ravage North Carolina<br />
  56. 56. April 12, 2011 – Budget Compromise Ravages Health Center Funding<br />$600 million cut from health center funding<br />Health Center Trust Fund may be used to “back fill” base funding.<br />Perhaps $100 million available for New Access Point Funding?<br />
  57. 57. Continued Collaboration and Support<br />Training & Technical Assistance<br />Diagnostic and Re-application Clinic for unfunded applicants<br />Parallel FQHC Look-alike applications<br />Focus on Meaningful Use and Patient Centered Medical Home Development<br />Grassroots Advocacy<br />Next Steps<br />

×