Ready or Not? How Community Health Centers View Their Preparedness to Care for Newly Insured Patients

Abrams, Melinda K.; Doty, Michelle M.; Ryan, Jamie; Hall, Dominique; Riley, Pamela

doi:10.15868/socialsector.18140

Cited by 4 publications

(2 citation statements)

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“…Prior research has shown that FQHCs deliver care of comparable or perhaps higher quality than other primary care practices, [15][16][17] but face challenges in areas such as recruiting staff or implementing health information technology. 18,19 Of course, federally qualified health centers likely represent a fraction of practices caring for disadvantaged patients, and little research has examined the primary care safety net more broadly.…”

Section: Introductionmentioning

confidence: 99%

FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality

Lewis

Spivack²,

Murray

et al. 2021

J GEN INTERN MED

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BACKGROUND: Concerns exist about the ability of safety net health care organizations to participate in US health care reform. Primary care practices are key to several efforts, but little is known about how capabilities of primary care practices serving a high share of disadvantaged patients compare to other practices. OBJECTIVE: To assess capabilities around access to and quality of care among primary care practices serving a high share of Medicaid and uninsured patients compared to practices serving a low share of these patients. DESIGN: We analyzed data from the National Survey of Healthcare Organizations and Systems (response rate 46.8%), conducted 2017-2018. PARTICIPANTS: A total of 2190 medical practices with at least three adult primary care physicians. MAIN MEASURES: Our key exposures are payer mix and federally qualified health center (FQHC) designation. We classified practices as safety net if they reported a combined total of at least 25% of annual revenue from uninsured or Medicaid patients; we then further classified safety net practices into those that identified as an FQHC and those that did not. KEY RESULTS: FQHCs were more likely than other safety net practices and non-safety net practices to offer early or late appointments (79%, 55%, 62%; p=0.001) and weekend appointments (56%, 39%, 42%; p=0.03). FQHCs more often provided medication-assisted treatment for opioid use disorders (43%, 27%, 25%; p=0.004) and behavioral health services (82%, 50%, 36%; p<0.001). FQHCs were more likely to screen patients for social and financial needs. However, FQHCs and other safety net providers had more limited electronic health record (EHR) capabilities (61%, 71%, 80%; p<0.001). CONCLUSION: FQHCs were more likely than other types of primary care practices (both safety net practices and other practices) to possess capabilities related to access and quality. However, safety net practices were less likely than non-safety net practices to possess health information technology capabilities.

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Section: Introductionmentioning

confidence: 99%

FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality

Lewis

Spivack²,

Murray

et al. 2021

J GEN INTERN MED

View full text Add to dashboard Cite

show abstract

“…Providers working in FQHCs may face challenges related to increased patient load, and therefore FQHCs may experience higher staff turnover. Incentives to improve recruitment and retention of clinicians in underserved areas are being employed ( Abrams et al, 2014 ).…”

Section: Methodsmentioning

confidence: 99%

Provider beliefs associated with cervical cancer screening interval recommendations: A pilot study in Federally Qualified Health Centers

Roland

Greek

Hawkins

et al. 2015

Preventive Medicine Reports

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BackgroundAmong providers who serve low-income and uninsured women, resistance to extending the cervical cancer screening interval following normal Pap and co-test results has been documented. Our objective was to examine provider characteristics and beliefs associated with guideline-consistent screening interval recommendations.MethodWe collected cross-sectional survey data between 2009 and 2010 from 82 primary care providers in six Federally Qualified Health Centers in Illinois, USA. The relationships between characteristics, beliefs, and screening interval recommendations (1 year vs. 3 years) were tested with Pearson chi-square, negative binomial and ordered logistic regression.ResultsCompared to providers who recommended annual intervals after a normal co-test, providers who recommended a guideline-consistent (i.e., 3 years) screening interval were significantly more likely to report the goodness, ease, and benefit of their recommendation and perceived encouragement for a 3-year interval from professional organizations and journals (p < .05). Providers who recommended a 3-year interval were also less likely to report that longer intervals increase patient risk for cervical cancer (p < .05). Interval recommendations were not associated with provider specialty, gender, or years in practice.ConclusionMessages that promote the benefits of longer screening intervals after a normal co-test, the natural history of human papillomavirus and cervical cancer, and low risk of developing cancer with a longer interval may be useful to promote evidence-based screening in this population of Federally Qualified Health Center providers. Dissemination of targeted messages through professional journals and specialty organizations should be considered.

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Use of Electronic Health Records at Federally Qualified Health Centers: a Potent Tool to Increase Viral Hepatitis Screening and Address the Climbing Incidence of Liver Cancer

Pham¹,

Sin

2020

J Canc Educ

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Ready or Not? How Community Health Centers View Their Preparedness to Care for Newly Insured Patients

Cited by 4 publications

References 0 publications

FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality

FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality

Provider beliefs associated with cervical cancer screening interval recommendations: A pilot study in Federally Qualified Health Centers

Use of Electronic Health Records at Federally Qualified Health Centers: a Potent Tool to Increase Viral Hepatitis Screening and Address the Climbing Incidence of Liver Cancer

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