Transcript Slide 1

NC SCHOOL COMMUNITY HEALTH ALLIANCE
Annual Meeting
December 4, 2012
Partnering for Healthy Communities Since 1973
Early 70’s
*Photo Courtesy of Cecil G. Sheps
Center for Health Services Research
Early 70’s
Clingman Medical Center, Wilkes
County
“State government could not merely issue
edicts or dangle money; it had to engage in
meaningful partnerships, be prepared to
make long-term investments in
communities, and nurture the leadership
needed to deliver the desired
improvements.”
~Jim Bernstein
OFFICE OVERVIEW 2012
PURPOSE
The North Carolina Office of Rural Health and Community Care assists
underserved communities and populations to develop innovative
strategies for equal access, quality, and cost-effectiveness of health care
for all.
PRINCIPLES • Work with communities to meet the health needs of all underserved residents
• Foster state and local partnerships with ownership vested in communities
• Provide in-depth technical assistance on an on-going basis
• Assure clear and measurable accountability
• Seek to eliminate health disparities
•Founded in 1973
• 40 Employees
• Budget (July 1, 2012) -
$37,632,240
• Appropriation (SFY 2013) -
$16,244,397
Other Support (SFY 2013):
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Federal (Grants and
Medicaid) - $11,291,070
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Other Grants and Provider
Match - $10,096,773
Office of Rural Health & Community Care
Snapshot – Size and Budget
Technical Assistance
 Key Elements:
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Those supported through
Technical Assistance:
Market analysis
Organizational analysis
Practice development
Practice management
Architectural
Graphic design
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Rural Health Centers
Community Health Centers
Hospitals
Health Departments
Other Safety-Net Providers
Programs & Resources
 R U R A L H E A LT H C E N T E R S P R O G R A M
 M E D I C A L A N D D E N TA L P L A C E M E N T S E RV I C E S
 N C H E A LT H N E T P R O G R A M
 P R E S C R I P T I O N A S S I S TA N C E P R O G R A M
 C O M M U N I T Y H E A LT H G R A N T S
 R U R A L H O S P I TA L A S S I S TA N C E P R O G R A M
 FA R M WO R K E R H E A LT H P R O G R A M
Placement Services
MEDICAL, DENTAL, AND PSYCHIATRIC
PLACEMENT SERVICES
P RO V I D E S C O M P R E H E N S I V E R E C R U I T M E N T A S S I S TA N C E
TO C O M M U N I T I E S A N D P R A C T I C E S T H AT S E RV E
U N D E R S E RV E D R E S I D E N T S
• Recruit primary medical,
dental, and psychiatric providers
• Secure candidate pool from instate residencies, nationwide
mailings, and national clinical
meetings
• Provide personal contact with
providers and communities to
assure quality matches
• Provide travel assistance to
sites for provider and spouse
• Offer incentives to providers
locating in areas of greatest need
(loan repayment or service
bonus)
• Make optimal use of National
Health Service Corps resources
Medical, Dental, and Psychiatric
Placement Services
Medical, Dental, and Psychiatric Placement Services
Placement Statistics
Average placements per year over the past 6 FYs: 149
 Placements to rural and underserved communities SFY 2011 and SFY 2012
Physicians
33
41
Physician Assistants
28
26
Nurse Practitioners
24
24
Certified Nurse Midwife
1
1
Dentists
29
20
Dental Hygienists
2
0
Psychiatrists
12
12
Licensed Clinical Social Workers
1
1
Totals.....................................................................
130 ………. 125
 Number of active PC, Dental, and/or Psychiatric recruitment opportunities as of 10/01/12: … 467
Primary care …………………… 434
Dental ……….……………………. 33
 Number of active candidates in recruitment pool as of 10/01/2012: … 431
Primary care ……………… 363
Dental ..…………………… 68
 Number of incentive contracts issued SFY 2012: …
 Average incentive contract SFY 2012: … $23,367
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NC HealthNet Program
L I N K S S A F E T Y N E T O R G A N I Z AT I O N S A N D I N D I G E N T
C A R E P RO G R A M S P RO V I D I N G F R E E A N D L O W - C O S T
H E A LT H C A R E S E RV I C E S F O R U N I N S U R E D A D U LT S
W I T H C O M M U N I T Y C A R E O F N C ’ S A D M I N I S T R AT I V E
INFRA STRUCTURE A ND NE TWORKS OF PHYSICIA NS
A N D C A RE M A N AGE RS .
• State appropriation
($4,800,000 recurring) to
sustain existing HealthNet
networks and develop new
programs
• Grants support local efforts
to increase access and quality
of care through a coordinated
delivery system
• Share and conserve limited
resources through
collaborative partnerships
• Office provides on-site
technical assistance and
monitoring
NC HealthNet
Program Summary
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Funding 34
networks providing
services for the
uninsured in 71
counties
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96,000+ individuals
have a primary care
medical home
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56,000+ individuals
have access to
needed prescription
medications
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37,000+ individuals
with chronic
medical conditions
have a care
coordinator
Collaborative Networks of Care
Funded by HealthNet
Ashe Alleghany
Surry
Rockingham
Stokes
Caswell
Granville Warren
Person
Vance
Northampton
Gates
Hertford
Halifax
Watauga Wilkes Yadkin
Bertie
Orange
Mitchell
Forsyth Guilford Alamance
Franklin
Avery
Caldwell
Durham
Nash Edgecombe
Alexander
Davie
Washington
Dare
Madison Yancey
Martin
Tyrrell
Davidson
Iredell
Wake
Randolph
Burke
Wilson
Buncombe McDowell
Catawba
Chatham
Pitt
Beaufort
Rowan
Hyde
Haywood
Johnston
Greene
Swain
Rutherford
Lincoln
Lee
Cabarrus
Graham
Montgomery
Jackson
Henderson
Gaston
Harnett
Lenoir
Polk
Cleveland
Stanly
Wayne
Craven
Moore
Pamlico
Mecklenburg
Cherokee
Macon
Transylvania
Cumberland
Clay
Jones
Richmond
Sampson
Union
Anson
Hoke
Duplin
Onslow
Scotland
Carteret
Robeson
Bladen
HealthNet Networks Funded SFY 2011-12 (71 counties)
Pender
Columbus
Brunswick
NC HealthNet
Program Status
New
Hanover
Prescription Assistance Program
P R OV I D E S P R E S C R I P T I O N A S S I S TA N C E
S O F T WA R E A N D T E C H N I C A L A S S I S TA N C E TO
C OM M UNIT Y PR AC T IC ES A SSIST ING
U N I N S U R E D A N D L OW- I N C O M E R E S I D E N T S I N
O B TA I N I N G P R E S C R I P T I O N D R U G S .
Prescription Assistance
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Key Elements:
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Assists community organizations in
establishing a Prescription Assistance
Program for indigent patients
Distributes and supports Prescription
Assistance software that accesses
pharmaceutical companies’ free and
low-cost medication assistance
programs
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Provides technical assistance through
training sessions, on-site visits, and
software support
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ChecKmeds NC is designed to help
seniors enrolled in a Medicare
Prescription Drug Plan manage their
medications through one-on-one
consultations with pharmacists.
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Program Statistics SFY 2012:
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MARP sites: 133
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Medications Received: 249,146
Number of patients served: 48,245
Value of medications received:
$157,035,352
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Community Health Grants
I M P R OV E S A C C E S S TO H E A LT H C A R E S E RV I C E S
F O R N O RT H C A R O L I N A ' S U N D E R S E RV E D
RESIDENTS THROUGH GRANT FUNDING FOR
S A F E T Y- N E T P R OV I D E R O R G A N I Z AT I O N S
Community Health Grants Program
 Improve access to health care services
for NC’s uninsured and indigent
residents through a RFP
 Non-profit primary care safety-net
organizations, such as community
health centers, rural health centers,
local non-profit health centers, free
clinics, public health departments, and
school-based health centers, are
eligible to apply
 $4,407,473 received in appropriations
 43 program grants and amendments
awarded in SFY 12
 ~ 44,100 uninsured and indigent users
accessed health care through this
grant process
 39 counties benefiting from these
grants
Other Programs & Resources
E C O N O M I C I M PA C T O F H E A LT H C A R E O N N C S T U DY
H E A LT H P R O F E S S I O N A L S H O R TA G E A N A LY S I S
C H I L D R E N ’ S H E A LT H I N S U R A N C E P R O G R A M R E A U T H O R I Z AT I O N A C T
(CHIPRA)
S TAT E H E A LT H A C C E S S P L A N ( S H A P ) – C O M M U N I T Y C A R E O F N C
F O R U N I N S U R E D PA R E N T S ( C C N C - U P )
M U LT I - PAY E R M E D I C A L H O M E D E M O N S T R AT I O N
Contact Information
JOHN PRICE, DIRECTOR
ANNE BRASWELL, HEALTHNET MANAGER
NC OFFICE OF RURAL HEALTH AND COMMUNITY CARE
2009 MAIL SERVICE CENTER
RALEIGH, NC
TELEPHONE:
EMAIL:
27699-2009
(919) 733-2040
[email protected]
[email protected]
WEBSITE: WWW.NCDHHS.GOV/ORHCC/