Improving Health Center Sustainability
           Learner Objectives
    • The learner will gain insight into how to 
     utilize Health Information Technology (HIT) 
     to improve financial performance. 
    • Identify the critical success factors related to 
     workflow integration.
    • Understand the relationship between the role 
     of health information technology, workflow, 
     and revenue cycle management.
    • Incorporate the principles of workflow 
     integration into revenue cycle management.
                Key Discussion Points
                        History/Mission
                    1
                           Policy Information Notice
                       2
                           Health Information Technology Strategy
                       3
                        Sustainability
                     4
                                    History 
             •   In 2015 Health Centers will celebrate 50 years of  
                 expanding healthcare access and delivering quality 
                 primary to medically underserved and uninsured 
                 populations.
             •   The health center model targeted the roots of poverty 
                 by combining the resources of local communities with 
                 federal funds to establish neighborhood clinics.
             •   Health centers primarily provide health care to 
                 patients who are uninsured or covered by Medicaid.
             •   Community health centers rely on a combination of 
                 Medicaid payments, grant revenues, and other private 
                 and public funding sources to fund their operations.
             •   Health centers have established themselves as 
                 mission based healthcare providers that provide care 
                 to patients regardless of “ability to pay.”
          Mission
    • Medically underserved populations.
      – Uninsured
      – Underinsured
      – Chronically unemployed
      – Newly unemployed
    • Migratory and seasonal agricultural 
     workers. 
    • Homeless populations.
    • Residents of public housing.
                  Policy Information Notice
             •   Health centers must assure that any fees or 
                 payments required for services will be reduced or 
                 waived to enable the center to fulfill the assurance.
             •   The Health Center Program statute also requires “a 
                 schedule of fees or payments for services consistent 
                 with locally prevailing rates or charges.
             •   The PIN requires health centers to design a fee 
                 schedule to cover its reasonable costs of operation.
             •   And “to make every reasonable effort to secure from 
                 patients payment for services in accordance with 
                 such schedules. 
             •   And to collect reimbursement for health services to 
                 persons covered by public or private insurance.