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Community Health Partnership and Health Care Reform

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Community Health Partnership and Health Care Reform An Overview of Working Together May 25, 2011 – PowerPoint PPT presentation

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Title: Community Health Partnership and Health Care Reform


1
Community Health Partnership and Health Care
Reform
  • An Overview of Working Together
  • May 25, 2011

2
Presentation Overview
  • Health Care Reform- Getting Familiar with
    Landmark Legislation
  • Role of Community Health Centers (CHCs)
  • Carrying out the Promise of Health Care Reform in
    Santa Clara County
  • Our Call to Action!

3
Circle of Health Care Reform
4
Henry J. Kaiser Family Foundation Pop Quiz on
Health Care Reform
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15
Whats in the health care reform
legislation?Patient Protection and Affordable
Care Act, 2009
16
Health Care Reform Hits Main Street by the Kaiser
Family Foundation
17
Pop Quiz Self-Scoring!
18
How did the public do?
19
Grading the Public
  • 1/4 got 7-10 answers correct
  • 1/3 got 0-4 answers correct
  • 2/3 got 5 or more answers correct
  • Most people got 4-6 questions correct
  • Less than 1 responded to all 10 questions
    correctly

20
What does the health care reform law do?
  • The health care reform law
  • Expands, promotes, and improves health care
    insurance coverage
  • Requires delivery system changes
  • Promotes primary and preventative care
  • Improves health care quality

21
How does health care reform impact medically
underserved communities?
  • Health care reform makes an 11 Billion
    investment in Community Health Centers
  • Expands Medicaid/Medi-Cal
  • Improves quality and coordination of care
  • Funds prevention and wellness initiatives
  • Funds workforce development initiatives

22
Community Health Centers
  • The idea for health centers was inspired by a
    model of community care in South Africa.
  • Created in 1965 as part of the Office of Economic
    Opportunity to provide health and social service
    access points in poor and medically underserved
    communities.
  • Incorporated the community empowerment philosophy.

23
Community Health Centers
  • Community Health Centers (CHCs) play a vital role
    as the safety net for our countrys health
    delivery system.
  • Do not turn anyone away for lack of insurance or
    ability to pay.
  • CHCs are community driven at least 51 of the
    health center board must be patients.

24
Community Health Centers
  • Improve access to primary and preventative care
  • Facilitate access to specialty care
  • Provide quality care and produce cost savings

25
Administration of CHCs
26
What does this mean locally?
27
1115 WaiverBridge to HealthCare Reform
28
Medi-Cal Waiver
  • The Medi-Cal 1115 Waiver
  • 1115 Waiver Relationship to Health Care Reform
  • 1115 Waiver Components

29
The 1115 Waiver
  • Agreement Federal Government State of
    California
  • Allows the State to waive national Medicaid
    regulations
  • Savings from the program will go back into the
    waiver program created
  • A mechanism for funding to public hospitals for
    Medi-Cal services and indigent care
  • Previous waiver programs in Santa Clara County A
    low- income health initiative called Valley Care
    and funding for hospital to care for indigent
    patients.

30
Health Care Reform1115 Waiver Components
  • Medi-Cal Coverage Expansion
  • Seniors People with Disabilities
  • DSRIP-Delivery System Reform Incentive Pool
  • Improve infrastructure
  • Innovation
  • System Redesign
  • Population-Focused Improvement
  • Urgent improvement in Care (access,quality, etc.)
  • 20,000-30,000 New Patients in Santa Clara County

31
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32
The Role of Community Health Partnership
33
Community Health Center Advocacy
Asian Americans for Community Involvement,
Foothill Health Centers, Gardner Family Health
Network, Indian Health Center of Santa Clara
Valley, Planned Parenthood Mar Monte, Mar Monte
Community Clinic, MayView Community Health
Center, North East Medical Services, Ravenswood
Family Health Center, RotaCare Bay Area, School
Health Clinics of Santa Clara Valley
34
OUR ROLEPolicy and Advocacy
  • To ADVOCATE on behalf of CHCs
  • To ensure that the CHCs role as a VITAL component
    of the countywide System of Care
  • To represent CHCs at local, state, and federal
    government levels (in concert with CPCAs
    strategic plan)

35
OUR ROLEPreparing CHCs for Health Reform
  • Assessing CHC capacity for expansion
  • Testing and implementing payment reform
    initiatives
  • Helping build systems that will quantify QI and
    DSRIP measures
  • Supporting and increasing enrollment retention
    in qualifying health plans

36
OUR ROLEProviding technical assistance to CHCs
in these areas
  • Patient Centered Medical Home
  • Achieving Meaningful Use of Electronic Health
    Record Systems
  • Building operational infrastructure that
    improves
  • Cost management
  • Resource management
  • Data collection and reporting
  • Patient care coordination
  • Quality management

37
Call to Action!
  • Be part of an Historic Era in Healthcare!
  • Be part of a TEAM with a strategic direction!
  • Be part of a something BIGGER than the sum!
  • Witness the transformation of CHCs into Medical
    Homes!

38
Be part of a MOVEMENT in health care by
  • Participating in legislative events and advocacy
    activities
  • Educating yourself about the Santa Clara Health
    and Hospital System
  • Determining linkages and opportunities between
    your program and health care reform (enrollment,
    medical home, etc.)

39
Questions/Discussion
40
References
  • Jorge De Luna, MPH
  • California Primary Care Association (CPCA)
  • Families USA
  • Kaiser Family Foundation
  • National Association of Community Health Centers
    (NACHC)

41
Thank You!
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