healthy communities access program public health institutes: a new way of doing business may 20-21,...
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Healthy Communities Access Program
Public Health Institutes: A New Way of Doing Business
May 20-21, 2004Presented By Susan Lumsden
Cephas Goldman, D.D.S., M.B.A.U.S. Department of Health and Human ServicesHealth Resources and Services Administration
Bureau of Primary Health Care
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Office of the Bureau Director
Bureau of Primary Health CareBureau of Primary Health Care
Office of Policy, Evaluation& Data
Division of Immigration Health Services
Division of Health CenterDevelopment
Division of State andCommunity Assistance
Division ofClinical Quality
Division of Health CenterManagement
Office of Minority and Special Populations
Division of National
Hansen’s DiseaseProgram
-Expand: Increase the # primary care access points, people served, and services provided-Strengthen: Increase clinical, managerial and financial efficiency -Improve Quality: Improve quality of care for patients and families
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The President’s Health Center The President’s Health Center InitiativeInitiative
Goal:To strengthen the health care safety
net for those most in need (FY 2002-2006)
Performance Measures:• 1200 new/expanded health center
access points• Serve an additional 6 million people• Maintain commitment to community-
based programs
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Three Essential AreasThree Essential Areas
• Managing quality improvement
• Strengthening existing health centers
• Managing the growth of new and expanded health centers
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President’s Initiative to Expand Health Centers
President’s Initiative to Expand Health Centers
130 130
9080
61 63
176
156
145
125
0
20
40
60
80
100
120
140
160
180
200
NAP EMC NAP EMC NAP EMC NAP EMC NAP EMC
FY 2002 FY 2003 FY 2004 FY 2005 FY 2006
Projected Actual171
131
10087
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New Users Projected Within InitiativeNew Users Projected Within Initiative
1.04M
1.18M
0.74M
1.59M 1.56M
4,560,000
2,970,000
2,230,000
1,040,000
6,100,000
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
FY 2002 FY 2003 FY 2004 FY 2005 FY 2006
0
1
2
3
4
5
6
7
Add'l Patients
Cum. # of Patients
+
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Healthy Communities Access Healthy Communities Access Program (HCAP)Program (HCAP)
Provides assistance to communities and consortia of health care providers and others, to develop or strengthen integrated community health care delivery systems
Coordinates health care services for individuals who are uninsured or underinsured
Develops or strengthens activities related to providing coordinated care for individuals with chronic conditions who are uninsured or underinsured
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Basic Eligibility RequirementsBasic Eligibility Requirements
For an entity to be eligible to receive an HCAP award, the following requirements must be met:
1. The applicant entity must represent a
consortium whose principal purpose is to provide a broad range of coordinated health care services to their defined community’s uninsured and underinsured populations.
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Basic Eligibility Requirements(Continued)
2. The community-wide consortium represented by the applicant entity must include at least one of each of the following providers that serve the stated community, unless such provider does not exist, declines or refuses to participate, or places unreasonable conditions on its participation:
• A Federally qualified health center• A hospital with a low-income utilization rate, that is greater than 25
percent• A public health department• An interested public or private sector health care provider or an
organization that has traditionally served the medically uninsured and underserved
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HCAP ExpectationsHCAP Expectations
The coordination of services through the HCAP grant will allow the uninsured and underinsured to gain entry into and receive services from a more efficient, comprehensive and higher quality system of care, regardless of ability to pay.
The infrastructure development supported by HCAP will result in a health care delivery system characterized by effective collaboration, information sharing, and clinical and financial coordination among providers and organizations in the community. HCAP funds should not supplant or replace existing Federal categorical programs that support entities providing services to low-income populations in the community, but instead build on these resources in an effort to expand and improve the quality of services for more individuals at a lower cost.
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HCAP: Outcomes
Community assets and HRSA programs are integrated at the community level
Capacity of existing safety net providers is coordinated and enhanced
Collaboration and community linkages are strengthened
Gaps or duplication in services for the uninsured and underinsured are eliminated
Resources are leveraged
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HCAP: Outcomes (Continued)
FY 2000: $25 Million to support the first 23 CAP communities
To date, Communities Access Program & HCAP have supported 193 grantee communities in 44 states and the District of Columbia
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Service Area Type Reported by FY 03 HCAP Grantees:
40% urban
31% rural
29% serving blended rural, urban, tribal and other communities
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Consortia Represent a Broad Array of Community Stakeholders
73% are Federally Qualified Health Centers72% are Local Health Departments59% are Community Based Social Service
Organizations57% are Private Hospitals54% are Local Government51% are Other Community Health Centers53% are Public Hospitals40% are Faith Based Organizations39% are Mental Health Programs35% are Private Providers & Group Practices
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HCAP GRANT FUNDSHCAP GRANT FUNDS
Grant funds may support justified direct expenses associated with achieving the greater integration of and/or to fill identified or documented gaps in the health care delivery system.
Some examples of what costs grant funds may support are:• Project staff salaries• Management Information Systems (e.g.,hardware and software)• Project-related travel and training• Other direct expenses necessary for the integration of administrative,
clinical, information system, or financial functions• Program evaluation activities• Case management and disease management activities that are not
reimbursable services• Outreach and health education activities
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HCAP: Leveraging Other Funding Sources
Source % of Grantees
Local Foundations 21%State Government 19%National Foundations 14%Other Federal Sources 13%Hospital Organizations 12%County Government 11%
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HCAP: Leveraging In-Kind
Contributions
Source % of GranteesPrivate Hospitals 30%Federally Qualified Health Centers 25%Local Health Departments 24%Various Other sources 20%Public Hospitals 19%Private Provider/Group Practices 18%
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For More Information
Bureau of Primary Health CareDivision of State and Community Assistance
4350 East West Highway, 9th FloorBethesda, Maryland 20814
301-594-4488301-480-7833 (FAX)