Leadership PP Version 3

7/29/2019 Leadership PP Version 3

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Fykeson SarmientoRadhika Shah

Aiman Sohail


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About 250 centers located throughout US in 40different statesthe Northeast, Southeast, andMidwest being the regions with the greatest numbers

Community-based health centers led by advancedpracticed registered nurses (APNs)

Predominantly staffed by nurse practitioners (NPs)

Other members of care team include: social workers,

health educators, RNs, outreach workers, physicians,and other health professionals


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Uninsured

Insured

Pediatrics Adults

Low-income

Vulnerable

Ethnic minorities


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Nurses provide health screenings, vaccinations, directcare for minor acute problems, health education, andcounseling services

Nurses also focus on community-based healthpromotion programs in order to address problemssuch as smoking, obesity, and poor nutrition


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Works to help NMHCs meet the costs of providingcare to the low income and vulnerable populations.


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Many NMHCs were initially launched with start-upgrants

Grants were nonrenewablecenters were unable to

secure sustainable long-term funding once the grantperiod ended

Many NMHCs closed down once funding dried up

Others attempted to acquire funding from private

foundations and improve reimbursement from third-party payersall with varying degrees of success


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NMHCs are safety net providers for patients regardlessof their ability to paypatients are guaranteed care

About 35%-40% of patients are uninsured

Sliding fee scale used to collect payment from suchpatients but these contributions alone do not cover theactual cost of care

Charitable grants used to make up the difference butnot always available on a consistent basis leading to

budget instability from year to year Further problems include lack of access to predictable

governmental funding and inconsistentreimbursement from insurers


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State laws and policies have a great impact on NMHCSand their capability to provide services to patients.

Some state governments have made additional funding

and other resources available-Ex. Pennsylvania governor Edward G Rendellsprescription for PA

- Prescription for PA is a set integrated practical

strategies for improving the health care of all people inPA, by making the health care system more efficient andcontaining its cost.


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NHMCs needed funding to provide care

The National Nurses Center Consortium (NNCC)advocated for NMHCs

Helped introduced the Nurse-Managed Health ClinicInvestment Act of 2007 and 2009

Patient Protection and Affordable Care Act of 2010


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Health Resources Services Administration (HRSA)supports the growth of NMHCs

Between fiscal years 2000-2009 the HRSA awarded atotal of $50,443,123 for NMHCs

NNCC (National Nursing Centers Consortium) haveplayed a role in political advocacy and educationefforts.

NMHC advocates work with Congressional Healthstaffers


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In 2010 more than 1200 community health centersserved more than 20 million people at 8,000 clinicalsites in the U.S.

CHC provide medical, dental, mental health,substance abuse services, nutrition counseling,outreach, transportation, and other social services.

Mainly located in areas designated by federal

government Funded primarily by a mix of public insurance and

federal grants


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Health service institutions that are communityoriented, culturally sensitive model of health careservices integrated with social and educationalservices.

Governed by consumer boards, that by federal lawwhere majority of members who are patients at thehealth center

Safety net providers, caring for people who are noinsurance


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NMHC

More extensive care

Low-income+

population Located in many

communities

federal and stategovernment

Limited care

Uninsured + no income

population Location is designated

by the federalgovernment

Mostly funded byMedicaid

CHC


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CHCs were created as part of the War on Poverty byphysicians and the federal government

They served the community and not just individuals

Created to help provide jobs as well as health services Continues to play a role in health today


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There was not an understanding of CHCs in thepolitical environment.

Members of Congress and federal agency officialsstarted becoming advocates for CHCs creating theNational Association of Community Health Centers(NACHC)

CHCs expanded during the Bush Administration


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The American Recovery and Reinvestment Act of 2009

Community Health Center advocates were active inhealth care reform

Patient Protection and Affordable Care Act


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made during the 1930s

Created by Franklin D. Roosevelt

Provides economic security for those who can not

work Taxes are collected from income and placed in the

system


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NMHCs and CHCs are both federally funded whichmakes a big impact on Social Security.


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Nurses have the ability to become global leaders

This requires personal initiative (more extensiveeducation in issues related to global healthcare andthe investment of time by being active in internationalwork)

In order for leadership to occur on a global level, theremust first be the existence of leadership on a local and

national level (see notes below)


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Nurses can become leaders on a global level

Many poor and desperate third world countries inneed of help with healthcare

Nurses can volunteer their help and expertise For example: nursing students who went to Sierra

Leone, West Africa


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Doing work on a global level provides nurses theopportunity to gain experiences that are vastlydifferent from what they may be accustomed to

Allows them to become aware of values and beliefs ofother cultures, thus giving them new perspectives ashealthcare providers


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Do you think that the survival of Community HealthCenters is crucial to our healthcare system?


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Recent annual Trustees Reports indicate that Old Age,Survivors, and Disability Insurance (OASDI) funds willcover full scheduled benefits until 2037. Do youbelieve that no cuts to benefits are necessary or serious

cuts to benefits are necessary? Why?

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Leadership PP Version 3