grantmakers presentation october 2012 megan haase, fnp chief executive officer

GRANTMAKERS PRESENTATIONO C T O B E R 2 0 1 2

MEGAN HAASE, FNP CHI EF EXECUTI VE OFFIC ER

MISSION

The mission of Mosaic Medical is to improve the lives and health of individuals and families we serve.

WHAT IS A FEDERALLY-QUALIFIED HEALTH CENTER (FQHC)?

Federal designation assigned to private non-profit or public healthcare organizations that serve predominantly uninsured or medically underserved populations

Mission is to provide high quality, comprehensive primary care for individuals & families regardless of insurance coverage or the ability to pay

Community-owned, private nonprofit or public businesses governed by a board of directors comprised of area volunteers, over half of whom are patients

Receive a federal grant under Section 300 of the Public Health Service Act that enables the organization to offer its services to qualified under and uninsured individuals and families on a sliding fee scale

Are strongly linked to the communities they serve Work with other public and private health services to coordinate resources for effective patient

care Partner with local government and community-based organizations to offer non-medical

resources to their patients Offer their services in a culturally-sensitive environment, offering interpretive services on-site

for all patients Offer enabling services on-site to address social needs

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental Health

• Technology

• CCO Funding

PAST – CURRENT – FUTURE VIEW

• Patient Care in Clinic

• Technology

• Care Coordination

• Behavioral Health

• CCO Funds

• Dental

PAST – CURRENT – FUTURE VIEW

Patient Care in Clinic

PASTFQHC• Community

Health Worker• Social

Patient Care in Clinic

PASTFQHC• Community

Health Worker• Social

CURRENTPCPCH• RNCC• Community

Health Worker• Pharmacist

Patient Care in Clinic

PASTFQHC• Community

Health Worker• Social

CURRENTPCPCH• RNCC• Community

Health Worker• Pharmacist

FUTUREPayment Reform

Role development and standardization

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental

• Technology

• CCO Funding

Care Coordination

PASTPatient guides care transition

Care Coordination

PASTPatient guides care transition

CURRENTPilot projects related to transitions of care

Care Coordination

PASTPatient guides care transition

CURRENTPilot projects related to transitions of care

FUTUREFormal agreements for transitions of care

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental

• Technology

• CCO Funding

Behavioral Health

PASTBehavioral

Health>referral to outside resource

Behavioral Health

PASTBehavioral

Health>referral to outside resource

CURRENTImbedded Part Time

Behavioral Health

PASTBehavioral

Health>referral to outside resource

CURRENTImbedded Part Time

FUTUREFull integration

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental

• Technology

• CCO Funding

Dental

PASTVan

Dental

PASTVan

CURRENTVan + DCO

Dental

PASTVan

CURRENTVan + DCO

FUTUREIntegration

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental

• Technology

• CCO Funding

Technology

PASTPaper Document

Technology

PASTPaper Document

CURRENTEMRPatient Portal

Technology

PASTPaper Document

CURRENTEMRPatient Portal

FUTUREHIESkype VisitTelemedicine

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental

• Technology

• CCO Funding

CCO Funding

PASTMedicaid funding

in silos

CCO Funding

PASTMedicaid funding

in silos

CURRENTCCO

Implementation

Behavioral Health and physical health funding integrated

under CCO

CCO Funding

PASTMedicaid funding

in silos

CURRENTCCO

Implementation

Behavioral Health and physical health funding integrated

under CCO

FUTURECCO expansion

beyond Medicaidand integrate

dental

• Patient Care in Clinic

• Care Coordination

• Behavioral Health

• Dental Health

• Technology

• CCO Funding

Questions/Discussion