Hey! You! American person with no health insurance or inadequate health insurance!

Chances are you live near a FQHC - a Federally Qualified Health Center. These are clinics and health centers that get extra money for treating Medicaid patients for the purpose of using those extra dollars to provide care to the un-and-under-insured in their communities. The services are on a sliding fee scale dependent on your income. You might pay as little as $5 per visit. FQHCs offer complete, comprehensive care from checkups and preventative medicine to sick visits and mental health and substance abuse services. Just click the link to search for a center near you.

They are real doctor’s offices staffed by real doctors (and PA-Cs, midwives, NP’s, etc). Many have pharmacies with discounted drugs available. Many have emergency dental care.

It would be awesome if you guys could reblog this. I know there are a lot of people out there who don’t even know these kind of health centers exist, and you could help a follower out!

Community health centers compare well with private practices, researcher finds

Government-funded community health centers, which serve low-income and uninsured patients, provide better care than do private practices, a researcher at the

Stanford University School of Medicine

has found.

Randall Stafford, MD, PhD, professor of medicine at the Stanford Prevention Research Center, and colleagues at University of California-San Francisco looked at the actions physicians took when patients visited private practices versus the actions that were taken at community health centers, also referred to as Federally Qualified Health Centers and FQHC Look-Alikes, both of which receive government support.

Their study was published online July 10 in the American Journal of Preventive Medicine. Stafford is the senior author.

The results of the study are particularly encouraging given that the Affordable Care Act, which the U.S. Supreme Court upheld June 28, depends on community health centers to provide services to previously uninsured patients.

Full article by MANDY ERICKSON at Stanford School of Medicine

An email I never sent regarding the misuse of tax dollars for medical education

Wednesday, February 23, 2011

To: ***********

From: Hector Parra

Subject: Re: *** Financial ***

Regarding FQHCs being the only clinics receiving Prop 1D equipment: I find this decision to be unethical.

The taxpayers approved bonds of “(a), the amount of two hundred million dollars ($200,000,000) [that] shall be used for capital improvements that expand and enhance medical education programs with an emphasis on telemedicine aimed at developing high-tech approaches to health care”. Dealing only with FQHCs denies not the original education goals of such funds, but it denies the communities they were designed to serve, particularly with intra-community concepts such as inter-clinic communication and clinic-satellite communication, e.g. clinics to schools. There is a wealth of medical education and research opportunities here. If a medical department can cover the IT costs to support such a deployment they should be allowed to use this equipment.

I understand there are faculty who wish to deploy this equipment specifically for medical education purposes. I explained that under current policies they won’t be able to use such equipment. I told them if they wanted to do so they should express this directly to the dean. HGPA

[The federal and state healthcare system, and everything involved in it, is broken. Likewise, you can’t give grant money to an entity that is also acting as a corporation. I quit a month later.]

We don't have "entry level" patients here.

NP residents frequently describe the presentation of the unknown, the complex, and/or the undifferentiated patient concerns (a routine part of primary care practice) as the greatest challenge they face and discuss examples such as these:

  • The ‘brief’ appointment for a chief complaint of ‘bump on the leg’ that proved to be an aggressive cancer in an uninsured migrant farm worker
  • The ‘late medication refill’ for a new pediatric patient who presented with a list of multiple co-morbidities and medications initiated elsewhere.
  • The crashing diabetic, newly homeless and contemplating suicide

These are the ‘initial’ patients that appear in the schedule of every primary care provider in the nation’s federally qualified health centers, and who stand to reap enormous health benefits from the expert care of a nurse practitioner over time. Far from rare, these patients are in fact quite representative of the special populations served by health centers. All primary care providers must be ready, able, and trained to thoughtfully, completely, accurately, and compassionately establish a relationship; begin the process of differentiation, management, and treatment; work with a team to coordinate care; and assure that patients and families get the full benefit of prevention, health promotion, treatment, and management.

                                    -Margaret Flinter, PhD, APRN, c-FNP

GULP.

New York, NY : Chief Financial Officer (Senior Director) - Gotham FQHC - Community Health Care Association of New York State

Marketing Statement The New York City Health and Hospitals Corporation (HHC) is a $6.7 billion integrated healthcare delivery system with its own 420,000 member health plan,… http://dlvr.it/6rcv4b #freshjob - jobiee.com

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