PHCPI framework: Presentation Crosswalk to Service ... · PHCPI framework: Presentation Crosswalk...

PHCPI framework: Presentation Crosswalk to Service Delivery Elements

C1. Facility Organization and Management

C1.a Team-based care organization

C1.b Facility management capability and leadership

C1.c Information systems

C1.d Performance measurement and management

C3. Access

C3.a Financial

C3.b Geographic

C3.c Timeliness

C4. Availability of Effective PHC Services

C4.a Provider availability

C4.b Provider competence

C4.c Provider motivation

C4.d Patient-provider respect and trust

C4.e Safety

C5. High Quality Primary Health Care

C5.a First Contact C5.b Coordinated C5.c Comprehensive C5.d Continuous C5.e Person-Centered

C2. Population Health Management

C2.a Local priority Setting

C2.b Community engagement

C2.c Empanelment

C2.d Proactive population outreach

C. Service Delivery

The Front Lines of Primary Care: A Case Study of an Exemplary FQHC Margaret Flinter, PhD, APRN Community Health Center, Inc. The Weitzman Institute

A Model that Works:

Bill & Melinda Gates Foundation, Seattle, WA

November 9, 2016

Bill & Melinda Gates Foundation, Seattle, WA

November 9, 2016

Bill & Melinda Gates Foundation, Seattle, WA November 9, 2016

Ryan White/HIV comprehensive services

Hepatitis C Chronic pain Opioid addiction Healthcare for the Homeless LGBT care Maternal-infant/obstetrics

Caring for Key Populations


Federally Qualified Health Centers (FQHCs) Nation’s largest safety net setting Located in designated high need communities Caring for 24 million patients annually 93% served are below 200% poverty and 35% uninsured

CHC Profile Founding year: 1972 Primary care hubs: 14; 204 sites Annual budget: $100m Staff: 1,000 Patients/year: 100,000 (est. 2017) Specialties: onsite psychiatry, podiatry, chiropractic Specialty access by e-Consult to 15 specialists

Elements of Model Fully Integrated teams and data Integration of key populations into primary care Data driven performance “Wherever You Are” approach

Weitzman Institute QI experts; national coaches Project ECHO®— special populations Formal research and R&D Clinical workforce development

CHC Locations in Connecticut


“Every Patient has a Team!”


From the perspective of patients…


Following the Patient Pathway


Meeting the Need for Just In Time Care


Medical Assistants Planned Care Dashboard


Nurse Practitioners

Clinical Psychologists

Medical Assistants (NIMAA)

Administrative Leaders

Training the Next Generation


National Development


• Health Centers are economic engines. • We can compete for the best talent if we offer

opportunities to teach and do research. • Health Centers have been rebuilt across the country

since 2008. • The ACA has reduced, but not eliminated, the

number of uninsured patients needing care. • We are a socially responsible business—with big

challenges to achieve the triple bottom line, and big opportunities.

Additional Key Points


CHC Board of Directors


Contact

Margaret Flinter APRN, PhD, FAAN, FAANP, c-FNP

Senior Vice President/Clinical Director, Community Health Center, Inc.

Phone: 860.852.0899 Email: [email protected]

www.chc1.com


mailto:[email protected]

PHCPI framework: Presentation Crosswalk to Service ... · PHCPI framework: Presentation Crosswalk...

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