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 clinics(access points) serving the Tri County region Crook County Jefferson County Deschutes County
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 •
Patient Demographics Patients By Age Patients By Insurance Type 24% Children (0-18) 59% 8% 63% Adults (19-64) 19% 14% 13% Seniors * Oregon Health Plan (65+)
School Based Health Centers A partnership • Local Public Health Authority o School District o Medical Sponsor o 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
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
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 of the curve on behavior health integration.
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
CAHPS, KPMs and KPIs
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 •
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 •
QUESTIONS??? Tamarra Harris tamarra.harris@mosaicmedical.org 541.617.5375
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