The 2017 Health Centers Booklet

70 Pages·2017·2.88 MB·English

THE HEALTH CENTER PROGRAM
IN KENTUCKY
PUBLISHED BY THE KENTUCKY PRIMARY CARE ASSOCIATION
KENTUCKY PRIMARY CARE ASSOCIATION

This booklet provides the following information on the Health Center Program in Kentucky:
- Health Center grantees and sites divided by Congressional District
- Individual clinics of each Community Health Center
- Profiles for Health Centers providing primary care services in Kentucky by clinic

The Kentucky Primary Care Association (KPCA) was founded in 1976 as a private, non-profit corporation of Federally Qualified Health Centers, Rural
Health
Clinics, Primary Care Centers and other individuals and organizations concerned about access to primary health care services for the
Commonwealth’s underserved rural and urban populations.
The KPCA’ s mission is to strengthen the primary care safety net throughout Kentucky by increasing access to high quality comprehensive,
community-oriented primary health care services for the underserved and enhancing the sustainability of primary care safety net providers. This
mission is carried out through member services such as: research, staff training, technical assistance, and community development.

From the Chief Executive Officer, Kentucky Primary Care Association:
For more information, please contact:

2016 represents our efforts to continue to build a strong foundation for a high quality and affordable
KENTUCKY PRIMARY CARE ASSOCIATION
community based primary health care system for the citizens of the Commonwealth. Patients are the heart of
226 West Main Street our Community Health Centers’ services. This means serving every Kentuckian who walks through a
Frankfort, KY 40601 Center’s doors. The Health Centers continue to pursue innovative plans to improve the care their patients
502 227-4379 receive through expanded screening, integrated services and value based care, all to improve the health and
potential of the patients to stand on their own.

Joseph E. Smith, CEO
In pursuit of this mission the Community Health Centers in Kentucky served 430,789 patients in 2016.
[email protected]
About 267,000 (48%) patients served were below 100% poverty, with 362,000 patients (84%) below 200% of
poverty. Our members are dedicated to continuing to meet this mission of serving their communities in 2017
and beyond.
Joseph E. Smith
OVERVIEW OF THE HEALTH CENTERS
The Commonwealth of Kentucky is served by 23 Community Health Centers Health Center data includes all medical visits and school clinic visits, case management,
plus three centers based in bordering states. Between all Community Health Centers, enabling services, dental services, oral health screenings at schools, mental health
there are 262 sites. These sites are different than regular clinics. Community Health
services, vision services, outreach and enrollment and care coordination.
Centers in Kentucky provide primary care, mental health care, dental and vision care,
some, all under one roof! Some sites are operated with the homeless population as a
priority, migrant farmworkers, or school based primary care sites. There are five CHANGES IN THE ACA
Homeless Community Health Center programs (330 grantees), two rural and three
The ACA and the expansion of Medicaid in Kentucky created an opportunity for
urban.
health centers to innovate and transform. These changes to former processes are costly
These Community Health Centers provide coordinated, comprehensive primary
in the short term, but save down-stream costs in the long term. With only 2 years into
care at the community level. Many of these Community Health Centers serve
the changes of processes, more progress needs a little more time. Changing a culture of
counties where they are the only access point for any health care for area residents. At
ER use or going without care will take time. Health Centers have expanded and worked
any of these clinics, access to care is available, and cost is not a barrier to care for a
to address capacity and services needed in mental health, case management, oral health,
patient below 200% Federal Poverty Level. The Community Health Center Program
vision care and pharmacy. More counties are covered with school health than before
leads to a healthy community and enables the underserved to potentially become a part
ACA, with licensed providers and oral health screenings. Due to these investments, the
of the work force once they are healthy.
health of our future generation is improving.
CHANGES IN 2015-2016
By 2015, the impact of the ACA was evident on Community Health Centers. The
The Community Health Centers in Kentucky served 430,789 +, around 10% of number of patients treated by Health Centers increased to 378,268, with an increase
Kentucky’s total population. This is a 12.5 % increase over 2015. There were 1,593,399 in 467 full time positions created throughout Centers across Kentucky. In 2016 this
patient visits in 2016. Health Centers have expanded to 262 health center sites through- number expanded by 840 more full time positions created since 2013 and the hiring of
out Kentucky. Many are school sites. School sites provide preventive services which 94 more Licensed Independent Providers since 2015. Community Health Centers are
allow children to stay in school and out of emergency rooms. Health Centers have hired important economic drivers in the communities they serve for employment.
more than 94 licensed independent professionals (LIP) in the last year, building local
economies. Average annual encounter rate per LIP = 3,029 (2016). Prior to the implementation of the ACA, and the expansion of Medicaid in
Kentucky, Kentucky Health Centers employed 1,895 FTEs, treating 315,593 patients,
LIP includes those providers who are licensed independent professionals – MDs, creating an economic impact of $360 million in Kentucky. In 2015, the economic impact
DOs, APRNs & PAs, Dentists, Optometrists, Psychiatrists and Licensed Clinical Social of Kentucky’s Health Centers was $397 million through employee hires, purchasing,
Workers. Many services provided are non-billable, but are overseen by licensed clinical services, tax revenue generated and indirect job creation in their communities.
personnel. Health Centers provide value based services for the payers and the patients Kentucky Community Health Centers provided $425 million in savings to the health
they serve. care system (Capital Link, Economic Impact Study, 2016)
OVERVIEW OF THE HEALTH CENTERS
CHANGES IN THE ACA CONTINUED
The patient population using Kentucky’s Health Centers has not changed; 84% of The total value of ACA to providers in the state is $2.49 billion. These
patients live at or under 200% of the Federal Poverty Level. For a single parent expenditures are regulated, have an economic impact, provide jobs, bring more doctors
earning about $9-10 per hour, with 2 children, they would fall just at or under 100% and other medical professionals to rural areas and inner city areas, while bringing
Federal Poverty Level. About 62% of the health centers’ population live at 100% FPL. quality health care to those patients served.
In 2016, this accounts for 267,089 Kentuckians who used the Community Health The expenditures will not decrease as people will continue to need health care
Centers for their primary care. If the percentage of patients receiving Medicaid benefits and still experience an inability to pay for their insurance or medications, and will
(48%) remained the same for 2016, approximately 206,778 Medicaid recipients depend continue to use the ERs as alternatives if affordable, quality healthcare is not available.
on the Community Health Centers for their care. That number has increased for those Health Centers provide efficient, effective care and costs four times less as a Medicaid
Medicaid recipients who sought care at the Health Centers from 2015, by approximately payment to a fee for service provider for the same service. Community Health Centers
185,350 Kentuckians. are an integral part of the safety net.
With all the successes achieved in transforming processes in the last two years, Community Health Centers offer the opportunity for Kentucky to move the
changes in the payment methodology for both patients and providers will impede needle on the cost and quality of the health status of our citizens. They offer the
progress. To transform a health system, the patient and provider have to be engaged. opportunity to build a strong, healthy work-force for the future.
Patients outside the health system, using the system only on an emergency basis, is
ineffective and inefficient.
Per the Kentucky Center for Economic Policy the stakes are high:
Congressional Total Medicaid Expanded Medicaid ACA Insured with Economic Effect for Insured Kentuckians who Kentuckians Covered by a
Districts Beneficiaries Population Subsidies Providers in Districts could Lose Coverage Publicly-Supported Plan
that will be Lost
District 1 215,035 66,545 58,760 $273.8M 36,740 33%
District 2 208,503 64,206 22,390 $317.9M 38,193 30%
District 3 212,037 69,300 56,750 $527.6M 40,716 31%
District 4 191,407 60,785 36,410 $285.8M 35,080 28%
District 5 314,923 95,224 82,880 $497.2M 30,824 48%
District 6 212,362 69,724 43,810 $584.7M 45,170 30%
Total 1,354,267 425,784 301,000 $2.49B 226,723
Kentucky Health Center Fact Sheet
State Summary Patient Profile
Patients by Age and Ethnicity Federally-Supported Health Centers
  2013 2014 2015 2016 2013 2014 2015 2016
Total Patients 315,593 340,614 378,258 430,789 Number of Grantee Organizations 21 22 23 23
Total Patient Visits 1,194,973 1,305,686 1,427,760 1,593,399 % w/ Electronic Health Record System Installed 81% 91% 91% 100%
Number of Delivery Sites 139 155 177 262 % w/ Patient Centered Medical Home Recognition 65% 65% 68% 68%
Age (% of total patients) Total Patients 315,593 340,614 378,258 430,789
Total Homeless 12,708 11,506 13,249 N/A
Children (< 18 years old) 29.4% 29.5% 29.0% N/A
Total School Based Health Center 6,599 9,321 12,831 N/A
Adult (18 - 64) 62.1% 61.8% 62.0% N/A
Total Veterans 7,387 7,501 8,181 N/A
Older Adults (age 65 and over) 8.6% 8.7% 9.0% N/A
Total Migrant/ Seasonal Farmworkers 1,514 1,520 1,834 N/A
Non-Hispanic White 79.2% 79.3% 79.5% N/A
Medical 89.8% 89.3% 90.4% N/A
Racial and/or Ethnic Minority 21.5% 21.3% 21.3% N/A
Dental 15.3% 16.7% 15.9% N/A
Hispanic/Latino Ethnicity 6.8% 6.8% 6.9% N/A
Mental Health 2.3% 3.4% 3.9% N/A
Black/African American 13.0% 13.0% 12.7% N/A
Enabling Services 5.8% 5.9% 5.8% N/A
Asian 0.8% 0.8% 0.9% N/A
American Indian/Alaska Native 0.1% 0.1% 0.2% N/A
Native Hawaiian / Other Pacific Islander 0.2% 0.2% 0.2% N/A
More than one race 1.3% 1.1% 1.2% N/A
Information was provided by the Health Resources & Services Administration -All data from the “Patients by age and ethnicity” are reports from 2015.* 2016 date is strictly from the KPCA in-house data. 2016 numbers have not yet been released for HRSA.
Data are rounded to the first decimal place. National Quality Leader: Health center exceeded national clinical benchmarks for chronic disease management, preventive care, and/or perinatal/prenatal care. For more information about the Health Center Quality Improvement Awards: http://bphc.hrsa.gov/program-
opportunities/fundingopportunities/quality/index.html.
Health Center Quality Leader: Health center among the top 30 percent of all health centers that achieved the best overall clinical outcomes. For more information about the Health Center Quality Improvement Awards: http://bphc.hrsa.gov/programopportunities/fundingopportunities/quality/index.html.
** The UDS Mapper provides detailed geographic information for HRSA Health Center Program Grantees and Look-Alikes.
Kentucky Districts Data Compared
District 1- James Comer District 2 - Brett Guthrie Dirstrict 3 - John Yarmuth District 4 - Thomas Massie District 5 - Harold Rogers District 6 - Andy Barr
Total Awarded Grants
2016
$14,413,898 total funding, to $1,797,930 total funding, to 2 $19,098,388 total funding, to 7 $7,708,808 total funding, to 4 $27,570,564 total funding, to $46,832,670 total funding, to
10 grantees, through 12 grants grantees, through 2 grants grantees, through 17 grants grantees, through 4 grants 13 grantees, through 17 grants 13 grantees, through 37 grants
2015
$13,884,870 total funding, to $1,825,721 total funding, to 2 $18,182,904 total funding, to 7 $8,881,459 total funding, to 4 $25,293,356 total funding, to $42,245,706 total funding, to
12 grantees, through 16 grants grantees, through 2 grants grantees, through 17 grants grantees, through 4 grants 12 grantees, through 17 grants 13 grantees, through 40 grants
Primary Care/ Health Centers
Currently this Geographic Area contains
48 health center sites 12 health center sites 15 health center sites 35 health center sites 97 health center sites 45 health center sites
5 health center grantees 4 health center grantees 3 health center grantees 5 health center grantees 10 health center grantees 9 health center grantees
National Health Service Corps
Currently this Geographic Area contains
3 clinician(s): 7 clinician(s): 11 clinician(s): 29 clinician(s): 18 clinician(s):
8 provide mental health care 1 provides primary 2 provide primary 1 provides primary 14 provide primary 8 provide primary
8 are working in rural medical care medical care medical care medical care medical care
communities† 2 provide mental health care 5 provide dental care 2 provide dental care 1 provides dental care 6 provide dental care
3 are working in rural 7 are working in urban areas 8 provide mental health care 14 provide mental 4 provide mental health care
communities† 11 are working in rural health care 10 are working in
communities† 1 is working in urban areas urban areas
29 are working in rural 9 are working in rural
communities† communities†
Shortage Designation
Medically Underserved Areas (MUAs)/Populations(MUPs)2
42 Medically Underserved 28 Medically Underserved 5 Medically Underserved 16 Medically Underserved 37 Medically Underserved 25 Medically Underserved
Areas Areas Areas Areas Areas Areas
4 Medically Underserved 3 Medically Underserved 2 Medically Underserved
Populations Populations Populations
Kentucky Economic Impact
Summary of 2015 Total Economic Activity Summary of Kentucky CHC’s 2015 Tax Revenue
Stimulated by 19 of Kentucky’s Community Health Centers’ Current Operations
Employment Federal State/Local
Economic Impact
(# of FTEs*)
$23,712,843 $6,589,685
$ 257,838,967 2,043
Direct
Direct
$3,190,489 $2,185,368
Indirect
$ 43,166,410 399
Indirect
$7,003,958 $7,003,958
$ 95,844,843 777
Induced
Induced
$33,907,290 $15,222,169
Total
$ 396,850,220 3,219
Total
$49,129,459
Total Tax Impact
Direct # of FTEs (employment) based on HRSA
2015 UDS state level data for FQHCs.
As health centers expand, their expenditures and corresponding economic impact also grows. In 2015 alone, Kentucky health centers
contributed about $397 million dollars. The table to the left summarizes economic impact and employment. The tax impacts of Kentucky
health centers are divided into state/local governments and Federal government agencies. Tax revenue is generated through employee
compensation, proprietor income, indirect business taxes, households, and corporations based on the modeled impact.
*Data is based of the 2016 Capital Link, Inc “The Economic Impact of Kentucky’s Community Health Centers”. All Rights Reserved. www.caplink.org
*Full-time Equivalent (FTE) of 1.0 means that the person is equivalent to a full-time worker. In an organization that has a 40 hour work week, a person who works 20 hours per week (i.e. 50 percent time) is reported as “0.5 FTE.” FTE is
also based on the number of months the employee works. An employee who works full time for four months out of the year would be reported as “0.33 FTE” (4 months/12 months).
Kentucky 2015 Numbers Compared Nationally
  Kentucky National
Total Number of Patients Served 378,258 24,295,946
Medical Services 341,861 20,616,149
Dental Services 60,017 5,192,846
Mental Health Services 14,841 1,491,926
Substance Abuse Services 214 117,043
Other Professional Services 749 584,902
Enabling Services 21,950 2,388,722
Target Populations
% Pediatric <12 Years Old 20.6% 21.8%
% Geriatric (Age 65 and Over) 9.0% 7.9%
% Women’s Health (Age 15-44) 27.7% 26.2%
Other Patient Characteristics
Racial and/or Ethnic Minority 21.3% 62.4%
Data comparison type: State to National
% Best Served in Another Language 6.8% 22.8%
Total number of reporting grantees (Kentucky): 23
% <= 200% Poverty (% of Known) 84.7% 92.2% Total number of reporting grantees (National): 1,375
Reporting period: 2015
% Uninsured 14.5% 24.4% Report Source: Uniform Data System Report
% with Medicaid Coverage 49.2% 48.9%
*Data is based of the 2015 HRSA Program Grantee Comparison Data* https://bphc.hrsa.gov/uds/datacenter.aspx?year=2015&state=KY&compare=Nat
KENTUCKY CONGRESSIONAL DISTRICTS
K
BOONE E
N District 4
T CAMPBELL
O
N
PENDLETON
GALLATIN BRACKEN
CARROLL GRANT
TRIMBLE MASON
OWEN ROBERTSON LEWIS GREENUP
District 3 HENRY HARRISON
OLDHAM FLEMING
SCOTT NICHOLAS CARTER BOYD
District 2 FRANKLIN BOURBON
JEFFERSON SHELBY W District 6 BATH ROWAN
O ELLIOTT
O FAYETTE MONTGOMERY LAWRENCE
SPENCER D
BULLITT ANDERSON F
MEADE OR CLARK MENIFEE MORGAN
HANCOCK D JESSAMINE
JOHNSON
NELSON POWELL MARTIN
HENDERSON BRECKENRIDGE MERCER MADISON
DAVIESS WASHINGTON ESTILL WOLFE MAGOFFIN
UNION HARDIN
BOYLE
District 1 GARRARD LEE FLOYD
WEBSTER MCLEAN LARUE MARION BREATHITT PIKE
OHIO GRAYSON LINCOLN RCA JACKSON OWSLEY
CRITTENDEN TAYLOR OS KNOTT
HOPKINS CT PERRY
LIVINGSTON BUTLER HART GREEN CASEY KEL
MUHLENBERG EDMONSON
CLAY
CALDWELL PULASKI LAUREL LESLIE LETCHER
ADAIR District 5
BALLARD
MCCRACKEN LYON CHRISTIAN WARREN RUSSELL
BARREN METCALFE
KNOX
LOGAN HARLAN
CARLISLE MARSHALL TRIGG TODD CUMBERLAND WAYNE
HICKMAN GRAVES SIMPSON ALLEN WHITLEY BELL
MONROE CLINTON MCCREARY
CALLOWAY
FULTON
Disclaimer – Three counties are shared among three districts. They include Spencer (District two & four), Jessamine (District two & six) and Harrison (District four & six).
Tab page for District 1