# Presentation: 708858

## Policy Academy Presentation

- Betsey K. Cooke
- President and CEO
- Health Choice Network
- December 9, 2003

## Health Resources and Services Administration (HRSA) Programs
PHS Section 330 Community Health Centers
PHS Section 330 Health Care for the Homeless
Public Housing; School Health
State and Local partnerships
Primary Care Associations/Organizations
Practice Management Networks
Local initiative in Dade County

- PHS Section 330 Community Health Centers
- PHS Section 330 Health Care for the Homeless
- Public Housing; School Health
**State and Local partnerships**
- Primary Care Associations/Organizations
- Practice Management Networks
- Local initiative in Dade County

- Ending Chronic Homelessness

## President’s Initiative to double patients served 
Competitive grants to 501 © 3 organizations with user majority Boards of Directors
Comprehensive preventive and primary health care with arrangements for other care
Focus on “special populations” 
Grants are about 40% of budgets

- Competitive grants to 501 © 3 organizations with user majority Boards of Directors
- Comprehensive preventive and primary health care with arrangements for other care
- Focus on “special populations”
- Grants are about 40% of budgets

- Community Health CentersFederally Qualified Health Centers

## Funding

- Community Health – 800 Centers, CY 02 UDS 11 million users
- Health Care for the Homeless – CY 02 UDS  545,000 users
- Public Housing Primary Care – CY 02 UDS 93,000 users
- School-Based Centers – CY 02 UDS 84,000 users

## Competitive grants available to new or old organizations serving homeless only
Competitive grants also available to Community Health Centers to increase access with new site/services
Focus on outreach, prevention, social services 
Focus on “special needs”

- Competitive grants also available to Community Health Centers to increase access with new site/services
- Focus on outreach, prevention, social services
- Focus on “special needs”

- Health Care for the Homeless Grants

## Health Care for the Homeless

- FY 03 appropriation nearly $130 million (8.6 of the Health Centers appropriation)
- Currently 161 grantees in 50 States, District of Columbia and Puerto Rico
- Grantee Sponsorship:
- 52% (83) Community Health Centers
- 17% (27) Public Health Departments
- 7% (12) Hospitals or Hospital Systems
- 24% (39) Other Community-based organizations

## HCH Program, cont’d.

- Clients:
- Approximately 545,000 persons seen in FY 02
- 66% were persons of color
- 94% were below 100% of the Federal Poverty Level
- 16% were under age 20, including 31,000 adolescents
- 73% were uninsured
- 20% were enrolled in Medicaid

## HCH Program, cont’d.

- Diverse service settings to meet client needs:
- Stable clinic sites
- Mobile vans
- Shelter and street-based care
- Services offered:
- Primary care
- Substance abuse services
- Mental health services
- Oral health services
- Extensive outreach and engagement
- Extensive case management services

## Centers in Public Housing developments
School Health Services
Integrated Delivery System Initiative
Practice Management Networks
Shared Information System Grants
Community Access Initiative
Community infrastructure to improve access

- School Health Services
- Integrated Delivery System Initiative
- Practice Management Networks
- Shared Information System Grants
- Community Access Initiative
- Community infrastructure to improve access

-  Other HRSA Grants

## State Primary Care Associations:
Trade/support group for CHCs in a State or region
Develop statewide plans for expanded access/ services – limited technical assistance

State Primary Care Organizations:
Assist in identifying need for expanded access
Manage loan programs

- Trade/support group for CHCs in a State or region
- Develop statewide plans for expanded access/ services – limited technical assistance
- State Primary Care Organizations:
- Assist in identifying need for expanded access
- Manage loan programs

- State and Local Initiatives

## Practice Management Networks made up of Community Health Centers
Integrate administrative, financial, IT, clinical functions for group of centers
Provide technical assistance for expanded access/services
May serve to develop/manage resources for high need services shared among centers

- Integrate administrative, financial, IT, clinical functions for group of centers
- Provide technical assistance for expanded access/services
- May serve to develop/manage resources for high need services shared among centers

- Local/Regional Initiatives

## “Bed Tax” as revenue source for homeless initiatives
Implemented by Miami-Dade Homeless Trust 
Developed two “Homeless Assistance Centers”, both with health services
Focus on transition from homelessness

- Implemented by Miami-Dade Homeless Trust
- Developed two “Homeless Assistance Centers”, both with health services
- Focus on transition from homelessness

-  Miami-Dade County Initiatives

## HRSA website – www.bphc.hrsa.gov and www.bphc.hrsa.gov/homeless: Background on the Health Care for the Homeless program and other Health Center and primary care programs
Bureau of Primary Care website – www.bphc.hrsa.gov/pinpals:  All Bureau of Primary Care Health Care policy issuances, including FY 2004 grant application guidance (PIN 2004-02)
National Health Care for the Homeless Council website – www.nhchc.org:  Includes information on key clinical and administrative topics related to homeless health care. Includes information about the Health Care for the Homeless Clinicians’ Network

**Bureau of Primary Care website** – _[www.bphc.hrsa.gov/pinpals](http://www.bphc.hrsa.gov/pinpals)__:  All Bureau of Primary Care Health Care policy issuances, including FY 2004 grant application guidance (PIN 2004-02)_
**National Health Care for the Homeless Council website** – _[www.nhchc.org](http://www.nhchc.org/)__:  Includes information on key clinical and administrative topics related to homeless health care. Includes information about the Health Care for the Homeless Clinicians’ Network_

- Resources