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Final Briefing Report for SFY 2010

Statement of Intent

This project provides funding to Alaska’s Community Health Centers (CHCs) statewide to increase access to care for seniors. The funding is intended to help alleviate the strain on CHCs resulting from their provision of medical homes for seniors who have been refused care by physicians in private practice due to low Medicare reimbursement rates. Many individuals were able to be served at the CHCs in their area. The CHC-SAP funding for SFY 2010 totaled $350,000.

Eligible Organizations

The 26 CHCs that receive US Public Health Service, Section 330 funds from HRSA-Bureau of Primary Health Care were eligible to receive state funding from the CHC Senior Access Program. During SFY’10, there were 14 CHC applicants that participated, with the remaining 12 having either declined or otherwise identified as not eligible. The 14 CHC catchments were estimated to have contained about 30,583 seniors, with 59% of those in the ANHC area, 16% in the INHC area and 9% in the Peninsula CHC area.

Method of Distribution: In SFY’10 CHC-SAP funds were allocated in the following way: (a) each participating CHC received a base allotment of $1,000. In addition, all remaining funds were allocated to all participating CHCs (n=14) according to that portion of the senior population (age 65 & up) which each CHC catchment contain as compared to the sum total of senior population contained in all participating CHC catchments.

Activities Supported

Allowed service-delivery activities included, but were not limited to:

  • Community education regarding Medicare or CHC services for seniors;
  • Provider education regarding needs of seniors;
  • Media activities;
  • Financing of direct services provided to Medicare recipients (an example would be group appointments for patients with chronic illness);
  • Partial salaries for providers who serve Medicare recipients;
  • Outreach services;
  • Group sessions for chronic disease patients;
  • Other activities, as described by the applicant.

Service-Delivery Results: Below, find the aggregated service-delivery data for the 14 participating CHCs. Within a given service-delivery type (category), with each given quarterly reporting period, the client-counts were for unique individuals. However, a given individual may have received more than one type of service either during a quarter, or across quarters. These service-data are thus here-presented as “person-service episodes, both as “grand total” and also as “new clientele”.

The minimum number of (non-duplicated) count of unique individuals served during SFY’10 as a result of this grant program stood at:

  • 2,685 seniors (total, non-duplicated)
  • 575 new clientele (of the total)

Table 1

Number of Person-Service Episodes

TOTAL No. of Person-Service Episodes

No. of Person-Service Episodes with NEW Clientele

3,908

686

Table 2

Potential Grant Activities. Grantees may also propose others (specify)

Total # Clients Served via Grant - This Period

# New Clients Served via Grant - This Period

Community education re: Medicare or CHC services for Seniors

47

47

Provider education re: needs of Seniors

68

9

Media activities

0

0

Financing of direct services provided to Medicare recipients

62

31

Partial salaries for provider(s) who serve Medicare recipients

2,967

534

Outreach services

327

44

Group sessions for patients with chronic disease

0

0

Other - Delivery of Primary Care Service - Specified via # in RFP

437

21

Overall, the response from Alaska’s CHCs was strongly enthusiastic, and, virtually all program funds were expended. A suggestion for continued operation is to include modest administrative funding in overall request since currently there is no allocation for administrative support.

The FY 2011 program-years is now well underway, budgeted at $401,000. Looking ahead to SFY 2012-2014, we will enter a new cycle of “limited competition,” with RFP’s to be issued during Spring 2011.

Previous Briefings

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