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Final Briefing Report for SFY 2009

Statement of Intent:

This project provided funding to Alaska’s Community Health Centers (CHCs) statewide to increase access to care for seniors. The funding was 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 2009 totaled $350,000, and this amount is again budgeted for SFY 2010.

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 09, there were 21 successful “CHC Grant Program” applicants, and of these 20 participated in the CHC-SAP program via acceptance of the available SAP grant amendment.

Method of Distribution:

In SFY09 CHC-SAP funds were allocated to CHCs according to that portion of the Alaska’s population that is age 65 years and over.

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 all of the 20 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. Of note, however, the summation of “new” clients was cumulative. These service-data are thus here-presented as “person-service episodes, both as “grand total” and also as “new clientele”.


Table 1

Number of Person-Service Episodes

TOTAL No. of Person-Service Episodes

No. of Person-Service Episodes with NEW Clientele

3442

790

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

118

20

Provider education re: needs of Seniors

123

52

Media activities

3

0

Financing of direct services provided to Medicare recipients

0

0

Partial salaries for provider(s) who serve Medicare recipients

2363

539

Outreach services

177

30

Group sessions for patients with chronic disease

0

0

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

658

149

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

The FY 2010 request for proposals will be distributed during October 2010.

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