occupancy capabilities and limitations of federally qualified health centers in emergency situations...
TRANSCRIPT
Occupancy Capabilities and Limitations of Federally Qualified
Health Centers in Emergency Situations
Jessica Yanow, MPH
Director of Women’s Health Programs and Grant Administration
AACHCAACHC
Mission:
To promote and facilitate the development and delivery of affordable and accessible community-oriented, high quality, culturally effective primary healthcare for everyone in the state of Arizona. This will be accomplished through advocacy, education, and technical assistance.
AACHC MembershipAACHC Membership
35 Members
Members include:– 16 Federally Qualified Health Centers (FQHCs)– 1 FQHC Look-Alikes– 2 Rural Health Centers– 16 other community-based, primary care
organizations
180+ clinical locations statewide
What is an FQHC?What is an FQHC?
• Entity that receives a grant under Section 330 of the
Public Health Service Act – Health Center Program:
-Community Health Center Program – Section 330(e)-Migrant Health Center Program – Section 330(g)-Health Care for the Homeless Program – Section 330(h)-Public Housing Primary Care Program – Section 330(i)
FQHC RequirementsFQHC Requirements
Demonstrate Need in their Service Area Medically Underserved Area (MUA) / Medically Underserved
Population (MUP) Provide Primary, Preventive, Enabling and Additional Health
Services as Appropriate and Necessary Accessible Hours of Operation Sliding Fee Discounts Collaborative Relationships with Other Health Care Providers Collect and Report Data via Uniform Data System Board / Governance Requirements
FQHC ServicesFQHC Services
Family Medicine OB/GYN and Pediatrics Dental Family Planning Behavioral Health Immunizations Pharmacy Outreach Health Education Programs
Eligibility Assistance Prenatal Care Transportation Radiology Translation Disease Management Referrals for Specialty Services Physical Therapy
FQHCs in ArizonaFQHCs in Arizona
384,287 Patients Served in 2010
16 Main FQHCs : 135 Clinical Sites
FQHCs and Emergency Preparedness: Things to knowFQHCs and Emergency Preparedness: Things to know
Each is an independently operating business Size of FQHCs vary widely Staffing varies EP activities required by HRSA and ADHS Transportation resources vary (including mobile units) Encouraged to develop mutual aid agreements
– Personnel, equipment, supplies Work in Progress
– Hurricane Katrina
FQHCs and Emergency Preparedness: Scope of workFQHCs and Emergency Preparedness: Scope of work
Primary care services
Special/Hard to Reach Populations
HRSA involvement
Services consistent with their approved scope of project
Federal Tort Claims Act (FTCA)Federal Tort Claims Act (FTCA)
The Federal Tort Claims Act is the statute by which the United States authorizes tort suits to be brought against itself. With exceptions, it makes the United States liable for injuries caused by the negligent or wrongful act or omission of any federal employee acting within the scope of his employment, in accordance with the law of
the state where the act or omission occurred.
FTCA coverage and Emergencies within Service AreaFTCA coverage and Emergencies within Service Area
Temporary locations are within the covered entity’s service area or neighboring counties, parishes, or other political subdivisions adjacent to the covered entity’s service area
Services provided by covered individuals are within the covered entity’s approved scope of project; and
All activities of covered individuals are conducted on behalf of the covered entity.
FTCA coverage outside service areaFTCA coverage outside service area
Prior approval from HRSA.
Demonstrate that the purpose of the temporary site is to provide services primarily to its original health center target population and that the population has been displaced by the emergency and that other displaced medically underserved populations may need their services as well;
Services provided are on a temporary basis;
Services are provided by covered individuals and are within the covered entity’s approved scope of project; and
All activities of covered individuals are conducted on behalf of the covered entity.
FTCA does not coverFTCA does not cover
Health center employees volunteering at other sites
Volunteers at FQHC
Health center employees conducting work outside their approved project scope either at their site or at an alternate site
Thoughts on working with FQHCsThoughts on working with FQHCs
Collaboration and clear identification of resources and capacities of the specific health center sites in your community
Understanding current scope of work and intent of FQHCs
Accepting that Emergency Prep is still a work in progress
Knowing patient population FQHCs as a resource for worried well or primary care
services
Questions?Questions?
Jessica Yanow, MPH
Director of Women’s Health Programs and Grant Administration
602-288-5745