The Role of School Based Health Centers September 12, 2018 - - PowerPoint PPT Presentation

the role of school based health centers
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The Role of School Based Health Centers September 12, 2018 - - PowerPoint PPT Presentation

The Role of School Based Health Centers September 12, 2018 Mission: to improve the health and well-being of the individuals, families and communities we serve Mosaic Medical Founded in Prineville in 2002 Ochoco Clinic 15


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Mission: to improve the health and well-being of the individuals, families and communities we serve

September 12, 2018

The Role of School Based Health Centers

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Mosaic Medical

  • Founded in Prineville in 2002
  • Ochoco Clinic
  • 15 clinics(access points) serving the Tri County

region Crook County Jefferson County Deschutes County

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General Services Provided

  • Primary Care
  • Care Coordination
  • Panel Management
  • Behavioral Health
  • Clinical Pharmacy
  • Nutrition Integration
  • Remote Patient Monitoring
  • Wellness Education
  • Substance Abuse Services
  • Telemedicine
  • Outreach & Enrollment
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Patient Demographics

Patients By Age Patients By Insurance Type

24% Children (0-18) 63% Adults (19-64) 13% Seniors (65+)

* Oregon Health Plan

59%

8% 19% 14%

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School Based Health Centers

  • A partnership
  • Local Public Health Authority
  • School District
  • Medical Sponsor
  • Primary care clinic that is located on school campus
  • Provide care to anyone between the ages of 0 through 18
  • Studies show better school attendance when there is an SBHC on campus
  • Collaborate with parents, youth advisory councils, local providers and community

partners to provide health services that benefit students, families and the community

  • We bring youth centered medical care to the school so school nurses, counselors

and staff can refer students quickly for the care they need

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Pediatrics and School Based Health Centers

2010 – Full service pediatrics at one location (Bend) 2011 – Crook Kids School Based Health Center Crook County Public Health and School District 2012 – Lynch Elementary School Based Health Center Deschutes County and Redmond School District 2014 – Enworth Community Health Center Deschutes County and Bend La Pine School District 2015 – Bend High School Based Health Center Deschutes County and Bend La Pine School District 2017 – Madras High School Based Health Center Jefferson County Public Health and 509J School District 2017 – Redmond High School Based Health Center Deschutes County and Redmond School District La Pine High School Based Health Center – La Pine Community Health Center Gilchrist School Based Health Center – La Pine Community Health Center Sisters High School Based Health Center – St. Charles

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National

  • 1367 Community Health Centers nationwide with 10,404 delivery sites. Last year, overall,

they saw 25,860,296 patients, a 33% increase since 2010. School based sites saw 755k patients last year (2.9% of total).

  • Most visits were for preventive service (25.2M), but visits for chronic care management

(22.6M) and behavioral health (20.9M) were not far behind.

Oregon

  • 31 Community Health Centers statewide with 212 delivery sites. Last year, overall, they

saw 383, 691 patients, a 38% increase since 2012. School based sites saw just over 27K patients (7% of total, over double the national).

  • Most visits were for behavioral health (709K), while visits for chronic care management

(283K) and preventive health (283K) were still significant. Overall, Oregon has been ahead

  • f the curve on behavior health integration.
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A Few Facts…..

  • Mosaic Medical is the medical sponsor of 6 of 78 SBHCs in

Oregon

  • For ever $1 in State Public Health Revenue, Mosaic Medical

brought in $5.09 in other revenue (the average was $2.55)

  • Mosaic Medical SBHCs ranked 4/27 in utilization across the

state

  • Mosaic Medical ranked 4/27 in average revenue
  • Mosaic Medical, in partnership with County and School

District Sponsors, received one of five of this years SBHC Service Excellence Awards

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CAHPS, KPMs and KPIs

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More School Based Health Centers?

  • How do you choose a site for an SBHC?
  • If funding were available would there be more SBHCs?
  • How are SBHCs funded?
  • Planning grants
  • Base funding
  • Counties with one SBHC - $60K per year
  • Counties with more than one SBHC - $56K per year
  • Funding structure
  • Reimbursement
  • Confidential visits
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How can the State help?

  • Continue funding SBHCS
  • Increase funding as well as offer more planning grants for SBHCs
  • Increase funding for integrated services within SHBCs
  • Behavioral Health
  • Dental
  • Provide funding for capital improvements
  • Crook Kids
  • Madras High
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QUESTIONS??? Tamarra Harris tamarra.harris@mosaicmedical.org 541.617.5375