This virtual outreach and enrollment workflow lists the overall steps involved with the process. Enrollment occurs year-round as a result of Open Enrollment and Special Enrollment Periods. This tool serves as a guide for enrollment assisters and is a “living” document that can be amended based on individual needs. The circles flow in rotation with the exception of Outreach & In-Reach which is year-round.
PPTPatient Focus
Since 2013, over 1,300 health centers nationwide have received federal funding to conduct outreach and enrollment (O&E) activities. This case study – the third produced by the National Association of Community Health Centers – examines how Borinquen Medical Centers, a federally qualified health center in Miami, FL, transformed their practice operations in order to conduct outreach and enroll uninsured community members into health insurance coverage. This case study examines the impacts that these activities had on the health center’s finances, operations, and social determinants of health.
Outreach and Enrollment Case Study #3: Borinquen Medical Centers of Miami-Dade
Questions? Contact us at trainings@nachc.org.
Important NACHC Library Content Note: This technical assistance resource was developed prior to the August 2017 release of the Health Center Compliance Manual by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC). The BPHC Compliance Manual, issued August 2017, indicates where PINS, PALs and other program guidance are now superseded or subsumed by the BPHC Compliance Manual.
This case study highlights how the use of federal funding for outreach and enrollment (O&E) activities impacted a federally qualified health center in a rural portion of a state that expanded Medicaid and created its own exchange. The case study describes how O&E impacted the health center’s operational work flow, finances, and even clinical operations.
Questions? Contact us at trainings@nachc.org.
Important NACHC Library Content Note: This technical assistance resource was developed prior to the August 2017 release of the Health Center Compliance Manual by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC). The BPHC Compliance Manual, issued August 2017, indicates where PINS, PALs and other program guidance are now superseded or subsumed by the BPHC Compliance Manual.
In 2013, as a result of changes under the Affordable Care Act, Partnership Community Health Center, based in Appleton, WI, transformed itself to enroll the uninsured patients and residents in its community. The health center hired the first five certified application counselors in Wisconsin and led the way on innovative approaches to O&E activities. This case study examines the operational, financial, cultural, and in some cases clinical changes that occurred within the health center as a result of their O&E-related activities.
Questions? Contact us at trainings@nachc.org.
Important NACHC Library Content Note: This technical assistance resource was developed prior to the August 2017 release of the Health Center Compliance Manual by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC). The BPHC Compliance Manual, issued August 2017, indicates where PINS, PALs and other program guidance are now superseded or subsumed by the BPHC Compliance Manual.
This eLearning module discusses the importance of general and basic operations as part of a clinical leader’s core competency development, and demonstrates examples of useful resources and activities a clinical leader can use to enhance their ability to:
- Demonstrate the ability to work fluidly with governmental units and other funding sources that support health centers.
- Demonstrate a comprehensive understanding of the unique dynamics of the health center model
- Leverage marketing opportunities and social media to continuously enhance the health center’s image within the community and among external constituencies
- Continuously build knowledge and expertise through industry networks
- Effectively assist or provide oversight in Uniform Data System (UDS) report completion
- Demonstrate effective leadership qualities
- Actively guide the clinical team toward patient self-management and true patient-centered,integrated care, wellness and health promotion
- Demonstrate advanced proficiency in office technologies
Select the image to launch the module.
Questions? Contact us at trainings@nachc.org.
This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS).
This Office Hour is led by a subject matter expert to discuss and answer participants’ questions about the importance of general and basic operations as part of a clinical leader’s core competency development. The presentation demonstrates examples of useful resources and activities a clinical leader can complete to enhance their ability to:
- Demonstrate the ability to work fluidly with governmental units and other funding sources that support health centers
- Demonstrate a comprehensive understanding of the unique dynamics of the health center model
- Leverage marketing opportunities and social media to continuously enhance the health center’s image within the community and among external constituencies
- Continuously build knowledge and expertise through industry networks
- Effectively assist or provide oversight in Uniform Data System (UDS) report completion
- Demonstrate effective leadership qualities
- Actively guide the clinical team toward patient self-management and true patient-centered,integrated care, wellness and health promotion
- Demonstrate advanced proficiency in office technologies
Questions? Contact us at trainings@nachc.org.
Running time: 1 hour
This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS).