Felicia Parker Population Health Program Manager North Country

Felicia Parker Population Health Program Manager North Country Family Health Center

NCFHC & FQHC OVERVIEW Develop basic understanding of North Country Family Health Center and Federally Qualified Health Centers

3 North Country Children’s Clinic Founded by Volunteers & First Well Child Clinic Held 1971 Prenatal Education Program Founded; Now Known as Healthy Outcomes 1974 1980 WIC Program Funding Sought and Received; One of First in the Country Pediatric Dental Care Services Commence 1989 Pediatric Primary Care Services Commence 1991 School-Based Dental Program Commences 1993 Pediatric & Family Behavioral Health Services Commence; Start of School-Based Health Program 1994 Transitioned to FQHC, now serving all ages as North Country Family Health Center; Went Live with EHR 2010 2012 2019 Telemedicine Program Begins Today, NCFHC operates

NCFHC Mission & Vision Mission � To improve the health, wellness, and quality of life of all individuals in our community by providing accessible, high quality, affordable, patient-centered, and integrated health services. Vision � A community in which every individual achieves a healthy and wholesome life.

4 HEALTH CENTER PATIENTS SERVED 5, 000 FAMILIES SERVED 11, 098 PATIENTS 24, 253 ANNUAL VISITS 38, 233 PATIENT VISITS 2018 3, 700 ENROLLED STUDENTS

5 What is a Federally Qualified Health Center? • A community-based healthcare provider that receive funds from the Health Resources & Services Administration to provide primary care services in underserved areas. FQHCs must meet a stringent set of requirements, including providing care on a sliding fee scale based on ability to pay and operating under a governing board that includes a majority of patient members.

NCFHC Programs – For All Ages Medical � Telemedicine services � MAT services Behavioral Health Dental WIC Care Coordination/Population Healthy Outcomes Healthcare For All Facilitated Enrollment School-Based Health � Medical, Dental, & Behavioral Health Services

Community-Based Primary Care Located at 238 Arsenal Street, Watertown Family practice � Pediatrics and Adults Internal Medicine � Prevention, diagnosis, and treatment of adults Telehealth (primary care, teleretionpathy) Medication Assisted Treatment (MAT) services � � � Provided as a treatment option under our Primary Care providers for our patients Behavioral Health/Substance Use Care Coordinator Integrated services Four adult providers (2 MDs, 2 NPs) and two pediatric providers (1 MD, 1 NP)

TELEMEDICINE CART HP All In One Monitor Keyboard Ø Speakerphone Ø Mouse Mobile Cart

TELEMEDICINE PERIPHERALS General Exam Camera Digital ENT Otoscope Telephonic Stethoscope with Headphone attachment

Behavioral Health Located at 238 Arsenal Street, Watertown Children and Adults Integrated Care 1 Psychologist & 2 Social Workers Telepsychiatry available for patients in need

Dental 238 Arsenal Street, Watertown � 7785 N. State Street, Lowville � 2 dentists; 2 RDHs 26908 Independence Way, Evans Mills � 2 dentists; 3 RDHs 3 dentists; 3 RDHs Preventative and Restorative Care Teledentistry – Pediatric patients only for oral surgery consultants and follow-up

TELEDENTAL CART Logitech Camera Dell Laptop Intra Oral Camera Teledental Cart

INTRAORAL CAMERA

Women, Infant, and Children Program (WIC) 238 Arsenal Street, Watertown 7785 N. State Street, Lowville 26908 Independence Way, Evans Mills Nutrition, breastfeeding support, monthly checks and community referrals Facebook page for information on satellite locations (Jefferson County WIC and Lewis County WIC)

Healthy Outcomes Services for high risk pregnant women and their families through 1 year postpartum Case management Education Baby supplies Community referrals

Facilitated Enrollment Certified Application Counselor � Assists patient with obtaining Medicaid and health insurance on the New York State Exchange and with NCFHC’s sliding fee scale application � Assists approximately 4, 000 individuals with insurance enrollment annually

Care Coordination/Population Health Care Coordination • • Referrals Coordinator Triage Nurse Prescription Refills/Prior Authorizations Medical Records Population Health Behavioral Health/Substance Use Care Coordinator � MA Care Coordinator � LPN Care Coordinator � Patient Outreach/Engagement Accountable Care Shared Savings Contract

Who Has the First Question? Felicia Parker fparker@No. Co. Family. Health. org