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Home My WebLink About02112019 City Council Laydown - SCHC Presentation S C prep..44 -7-cd;o4 2/11/2019 Ci://) CouUr, 6`' Seward Community Health Center New Board &Staff Orientation pia4,0 Updated February 11, 2019 MUNITY ;HEALTH CENTER Overview About Federally-Qualified Health Centers About Seward Community Health Center Board Member Responsibilities Resources 1 2/11/2019 What is a Federally-Qualified Health Center? ne A^ec'3 OVER 9,200 COMMUNITIES https://www.youtube.com/watch?v=aV9i1pXOPZI What is a Federally-Qualified Health Center? '41461" • • gCOMMUMTY f HEALTH d CENTER BPHC FQHCs Seward Bureau of Prima __ (Federally ( Primary Qualified Health Community Health Care) Centers) Health Center DHHS (US Department of HRSA Health and Human Services) ealth Resourc and Services Administration' NACHC NWRPCA (National (Northwest APCA =' r'� Association of Regional Primary (Alaska Primary Community Care Association) Care Association) HRSA Health Centers) MYk FeaY.t1 S Ssrz!krrvyvi " NOM/CM! 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M Gu ASWC'.CAltTCH l A4.. 2 2/11/2019 Uniform Data System (UDS) Report due to HRSA on February 15 annually Must report 14 clinical measures • 4 financial measures Patient demographics • Data compiled at state and national level N 5 ('y clinical i3 need • • • data • requirements uirernents sCOMMUNI'Y HEALTH �wxtcntand 'CENTER Patient-Centered Medical Home (PCMH) Recognition/Accreditation by the National Committee for Quality Assurance (NCAA) ▪ Model of care that uses a team-based approach • Emphasizes care coordination&collaboration with other providers ▪ Goals: • Provide quality care • Help lower medical costs • Provide excellent patient core experience `otoo MDQ- Cte ~6NCQAy . • • oCOMMUNITY !HEALTH CENTER 3 2/11/2019 Our Model of Care Medical Record s ,oc, y ya'` Qroviders P�� Patients are at the heart of 0� r_ ��0y Fa everything we do H Sim v ++ H I.Graphical representation of e PCMH o e Z lifTE''' v Ns .HEA -CEN yJPa1p�OBUMIS SO I ADMIN SUPPORT Executive Director,Medical Director,Finance Director,Executive Assistant,Quality Improvement BOARD OF DIRECTORS Federal Tort Claims Act (FTCA) i Deeming Provides FQHC health care providers with medical malpractice coverage mo Requires covered facilities to have systems in place to address Risk management MP Quality improvement - Credentialing &privileging Claims management I. Requires annual "redeeming" MRSA • • '• FTCA Deemed Facility f OCOMMUNITy HEALTH '` tgCENTER 4 2/11/2019 About Seward Community Health Center - i • . • • RCOMMUNIT• .4HEALTH t4CENTER SCHC Mission To identify and serve the healthcare needs of our community by providing quality, affordable services and promoting wellness, prevention, and partnerships • • • • aCOMMUNIT V HEALTH CENTER 5 2/11/2019 Seward Community Health Center Organizational Chart Updored 4141/5E 27 2018 :- 11- ry aeeo°`..;. L m.. mot Direct ay....a --_ CRMtN Care Rewwe Ante (contracted) MidlaM « Coordr.Mor/ Mower DroNdera QA Manager r a.ted) S C H C Arc...mg/ ES Re6ntraton WR sPRWho N.M.. xMI . Org Chart — `n`""" —'°""` `4 .- DedNtrkYn McA*N RI/Mo1. Aaahtant Record, — Dunne n _Corneal Moat PatentAnima. Awn. — Rro tn"" Merman hone Congaed hong e.t.a —DneLiR)M,lr &Natant neQt4N4n .. Spectabtt _teens.CIw. k . Saler Wolter — MMN &metre • • Clink hone/ • ecCUMMUNITY Me.ettn Educator-- {HEALTH CENTER Amy Shane Komarek, Pam Jarosz, q^duras et Hand, Chair Vice Chair Treasurer Secretary Alan Haskins Maranda Maya Kathy Kloster McManus Moriarty Micheley Steve Pautz Sharon Smith Susie Board of Kowalski Urbach Directors Don Hanna (Ex-Officio) Vacancy 1 Vacancy 2 Vacancy 3 15 seat maximum � ! 3 vacancies _lJ VP:„Elle HEALTH u;CENTER 6 2/11/2019 Jean Melissa Lois Bardarson Biggs Daubney Valarie John Skip Kingsland Melvin Reierson Non-Board Tara David Nan Riemer Squires Thompson Committee Members Mary Tougas • • • RCOMMUNIfY }HEALTH u4CENTER • • • SCHC History A COMMUNITY HEALTH CENTER QDec. 2010 Q May 2013 Seward residents approve an SCHC Board submits second ordinance establishing the SCHC application seeking federal funding for board of d•ectors. SCHC is created as a new FQHC. a non-pr it;initial board members appoin d by City. SCHC Board of Directors submits an SCHC receives notice of federal application for federal funding to funding!HRSA gives 120 days to get the establish an FQHC.The application clinic up and running in the hospital foiled to achieve funding by only one space currently occupied by ranking point. Providence Family Medicine Clinic. 4 Dec. 2010 4 Nov. 2013 7 2/11/2019 SCHC History (con't) • COMMUNITY $HEALTH CENTER 9 Feb. 2014 Q Sep. 2014 `I For federal funding purposes,the City A team of federal reviewers conducts of Seward and SCHC enter into a co- a 3-day site visit to assess compliance applicant agreement. with 19 program requirements.Noted j deficiencies are remedied in the required timeline. Six employees move into a SCHC opens to the public with a total of prefabricated mobile office trailer to six staff.Most positions are filled with accommodate growing medical staff in temporary staff/locum tenens providers. the main building. aMar. 10, 2014 6 Dec. 2014 • • • SCHC History (can't) • COMMUNITY HEALTH 'CENTER • 9 Mar. 2015 9 Sep.2015 SCHC hires Drs.Van Camp and Allen Jeanette Nienaber,PA-C,starts seeing as its first two permanent physicians. patients as our first permanent female provider. The SCHC staff has now grown to a total SCHC lobby/waiting room receives a of 20 employees. much-needed facelift. 4 May 2015 4 Apr. 2016 8 2/11/2019 .• • • SCHC History (con 't) • ,gCOMMUNITY ;HEALTH !"-.'CENTER Oct. Oct. 2016 Q May 2017 SCHC goes live with new EHR(Epic), SCHC receives FTCA deeming,which which allows seamless communication provides federal medical malpractice w/Providence. coverage to providers. / •A Craig Ambrosiani steps into the Clinic hours expanded to include Executive Director position;Patrick Saturdays during the summer,9:00 am- Linton retires. 5:00 pm. 4 May 2017 4 June 2017 - • • SCHC History (con 't) 0 COMMUNITY ;HEALTH CENTER QJuly 2017 Q Sep. 2017 SCHC acquires 1-acre lot north of the SCHC receives supplemental grant to hospital to use for future clinic start integrating behavioral health expansion with primary care. A SCHC is formally recognized as a 3-day site visit by HRSA to assess Patient-Centered Medical Home, compliance with 19 program demonstrating our commitment to a requirements.Scores are within the top higher level of care that places the 10%of all CHCS. patient at the heart of all we do. Aug. 2017 Oct. 2017 9 2/11/2019 SCHC History (con 't) - • °COMMUNITY HEALTH !,.CFNTFR Jan. 2018 Q June 2018 Dr.Carolyn Roloff begins seeing pediatric SCHC receives its first clean audit report with no patients twice a month. findings for FY17. / F 4 SCHC staff fake over all patient billing,drastically improving AR&patient satisfaction. 0 May 2018 • • • SCHC History (con 't) • F,COMMUNITY :HEALTH :.CENTER QAug. 2018 Q Oct. 2018 SCHC divests itself from the City's healthcare LCSW starts providing behavioral health services plan to administer its own plan,offering more in Seward schools. benefits to employees at a lower rate. • SCHC hires Brandon Ercanbrack,LCSW,as first step in integrating behavioral health with primary care. 6June 2018 10 2/11/2019 Co-Applicant Agreement w/ City Clinic operations Hires Receives Executive HRSA$$ Director funding Financial& Grant personnel oversight administration Owns Patient hospital/ Billing CHC Governs, facility Sets policies SCHC Board City of Seward Co-Applicant Agreement w/ City City receives federal grant funding from HRSA • City finance staff manage grant • SCHC invoices City for reimbursement • City is authorizing official of HRSA grant 11 2/11/2019 Co-Applicant Agreement w/ City 4 SCHC must meet SCHC must make City & SCHC w/ City Admin public report to employees & their and Council reps City Council on immediate family on quarterly basis quarterly basis cannot serve on the SCHC Board (HRSA rule) Co-Applicant Agreement w/ City 6 Requires City Provides SCHC Requires SCHC to Council to with access to a collaborate with approve SCHC portion of the 1% other Seward annual budget sales tax revenue healthcare dedicated to providers healthcare 12 • 2/11/2019 Co-Applicant Agreement w/ City 9 Encourages SCHC to avoid Provides the City with duplication of healthcare means to ensure that services SCHC meets grant requirements and overall best interests of the community Clinical Services • Family medicine • Pediatrics • Mental Health • Immunizations O U r • Chronic disease management • Women's Health Services • Annual Wellness Exams • PAP Evaluations • Prenatal and perinatal care • Post-partum care • Family health and planning • Birth control, including IUD placements 13 2/11/2019 Clinical Services (cont') • Men's Health • Minor office procedures • Labs • Nutritional counseling Our • Wound care Services • Annual physicals • School and sports physicals • CDL/DOT physicals • Teacher physicals • STD testing — Patient Support Services • Sliding Fee Discount Program • Payment plans • Health Education Our • Transportation Assistance Services • Video Translation • Prescription Assistance • Care Coordination • Insurance & public assistance enrollment support 14 • 2/11/2019 Full-Time Providers • Dr. Lance Allen • Julie Crites, ANP • Jeanette Nienaber, PA-C • Brandon Ercanbrack, LCSW Our Staff Part-Time Providers • Dr. Ross Van Camp, Medical Director • Dr. Carolyn Roloff, Pediatrician • Dr. Gail Pokorney, Internal Medicine • Dr. Rebecca Shellinger, Family Medicine • Lori Landstrom, PA-C Administration • Craig Ambrosiani, Executive Director • Marcie Wood, Finance Director (PT) • Jilian Chapman, Executive Assistant - Nursing & Support Staff Our Staff • Albi Tatum, RN, Clinical Supervisor • Stephanie Kaiser, RN, Clinic Nurse • Tiffany Anderson, CMA • Rhiannon Rolon, CMA • Eric Gardner, CNA • Andra Woodard, LBSW 15 2/11/2019 Front Desk • Frances Azzad-Smith, Outreach & Enrollment Coordinator • Conner Nuckols, Registration Specialist • Karen Lechner, Registration Specialist Billing (Full-time) Our Staff • Stephanie Higgins, Billing Specialist Billing & Coding (Part-time) • Jude GalIt, Revenue Cycle Manager • Jodi Kurtz, Billing Specialist • Annette Shearer, Billing Specialist • Stephanie Ray, Billing Specialist • Emily Alsup, Medical Coding Analyst SCHC Funding Sources $1000,000 $2.500,000 $2.000.000 $1.500,000 $1.000.000 $500.000 $- 2014 2015 2016 2017 2018 2019 Projected ■Federal 'City ■Net Patient Revenue ■Other 16 • 2/11/2019 Community Health Needs Assessment - Conducted every 3 years (HRSA requirement) Done in partnership with Providence Seward 2018 Results Poor Mental Health&Lack of Access to Mental Health Services Alcohol/Substance Abuse 10 Overweight/Chronic Conditions Low Utilization of Preventive Care • • • • oCOMMuNITY 1HEALTH 'CENTER About our Board of Directors • • n•il . • • • ocOMMUM7Y ,HEALTH tCENTER 17 2/11./2019 Board Duties & Authority Establishes general policies for the organization. mi Approves,hires,evaluates,and dismisses the SCHC Executive Director. Determines services to be provided and hours of operation. Conducts periodic strategic and financial planning. Approves the annual budget,upon recommendation and approval by the City of Seward. I. Reviews and approves grant applications. M. Selects financial auditor,reviews and approves audit. Selects and hires legal counsel. ▪ Evaluates SCHC activities annually for compliance with applicable laws and grant requirements. • • • • cCOMMUNITY ;HEALTH CENTER Committee Roles & Responsibilities Structure &Authority ▪ Committee Chairs appointed by Board Chair Meet monthly w i Committees provide recommendations to full board w/input from staff • • • • COMMUNITY (HEALTH CENTER 18 2/11/2019 Executive Committee • Four Officers:Chair,Vice Chair,Treasurer,Secretary • Meets as Chair deems necessary • Each person can serve two consecutive 1-year terms in each seat • May exercise powers of the Board of Directors,except the power to add to, amend or repeal the bylaws; hire or fire the Executive Director(ED); renegotiate the ED contract; or obligate funds in excess of$10,000. • Aft -COMMJIWTY HEALTH ;;;CENTER Finance Committee • Chaired by Treasurer per bylaws • Monitors financial status and reporting; reviews annual budget; reviews financial policies. • Meets 12:00 pm on the 3rd Thursday of each month Q Seward Community Health Center • o L1161�'ITV HEALTH CENTER 19 2/11/2019 Outreach Committee Provides oversight and support for SCHC outreach and marketing activities to the public,employers, and community partners. Meets 12:00 pm on the 1st Thursday of each month @ Seward Community Library M,, • • • • oCOMMUNITV " HEALTH CENTER Board Development Committee Coordinates board member recruitment, new board member orientation efforts, ongoing board training,and self-evaluation. 116 Meets 12:00 pm on the 2nd Tuesday of each month @ Seward Community Library&Museum • • • • aCOMMUNIIY <HEALTH CENTER 20 2/11/2019 Quality Assurance (QA) Committee - Provides oversight of Quality Assurance& Improvement activities (e.g. credentialing and privileging,peer review, clinical policy review) Meets 4:00 pm on the 1st Thursday of each month @ Seward Community Health Center • • • • 5HEALTH r)CENTER Building Committee SCHC is undertaking a clinic expansion project.This committee is responsible for overseeing all aspects of the project. Committee includes representatives from the SCHC board,former SCHC board members,City of Seward, and Providence Seward Medical Center. Meets 12:00 pm on 3rd Tuesday of each month @ Seward Community Health Center • ■■ .... ■■ ■■ ■■ • • • • ;HEAL CEN I 21 2/11/2019 Board Composition - Must have 9-25 people on the board SCHC max.is 15 At least 51%of board must also be patients of SCHC Board members must be representative of community it serves Among non-patient members, no more than 50%may derive more than 10%of their annual income from the health care industry Board members may not be employee of SCHC or City (or spouse,child, parent, brother, or sister by blood or marriage of such an employee) • • • • RCOMMUNITY %HEALTH t,ICENTER Resources Dropbox eoCio Bylaws&organizational documents Archived meeting agendas&minutes Educational materials Website:www.sewardhealthcenter.orq Social Media:www.facebook.com/sewardhealthcenter 171 Office 365 email groups •• • • • 000MML.NITY HEALTH --)CENTER 22 2/11/2019 Resources - YouTube Videos mi Dropbox Tutorial: https://www.youtube.com/watch?v=gybe YIpAe4 FQHCs: HRSA Chalk Talk https://www.youtube.com/watch?v=j80B4ckiOT8&t=106s HRSA Quality Care,Satisfied Patients https://www.youtube.com/watch?v=h9ByPtBIuRk&t=17s NWRPCA: SPCC 2018: Health Center Boards https://www.youtube.com/watch?v=ghhe9wozWu8 D YouTube , • • • University • ,'HEA NII RHEALTH CENTER Strategic Plan 41* 42 11111V I. Clinic expansion , ow New building OR expansion of hospital/clinic building Increased collaboration/integration with local partners mo Innovation in healthcare delivery Integrating behavioral health with primary core so Addressing social determinants of health Food,housing,education,transportation, financial stability,mental health, legal • `• • • iacommuN ITY 'HEALTH CENTER 23