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What is a CHC?
Facts & Figures
Becoming an FQHC
What Is a Community Health Center (CHC)?
Indiana has State-Funded Community Health Centers, which receive operating monies from tobacco settlement funds received by the state, and Federally Qualified Health Centers (FQHC). The FQHCs are funded primarily t hrough the Bureau of Primary Health Care (BPHC), part of the US Department of Health and Human Services, and they may also receive state money from the tobacco settlement. In total, there are 48 Community Health Centers in Indiana, 19 of which are FQHCs.
"Health Centers" is actually an all-encompassing term for a spectrum of public, not-for-profit organizations and programs. Those receiving Federal funding t hrough BPHC under Section 330 of the Public Health Service Act (as amended by the Health Centers Consolidated Act of 1996 and the Safety Net Amendments of 2002), are called Federally Qualified Health Centers, or FQHCs. These include Community Health Centers, Migrant Health Centers, Health Care for the Homeless Health Centers, and Primary Care Public Housing Health Centers. Among other benefits, FQHCs have access to special medical malpractice insurance t hrough the Federal Tort Claims Act.
Other organizations meet FQHC requirements but do not receive Federal funding. These are known as Federally Qualified Health Center Look-Alikes (FQHCLAs). Like FQHCs, FQHCLAs are eligible to receive enhanced reimbursement from Medicare and Medicaid and to participate in the 340B Program t hrough which they can purchase medications at reduced prices. .
Background: Primary Health Care
The World Health Organization (WHO) defines "primary health care" as both a level of health service delivery and an approach to health care practice. Primary care is the basis of a health system that provides initial care, as well as many other needed health services, to a person or population t hrough a primary care provider.
Core principles of primary care are that services must include accessible, comprehensive, continuous, and coordinated personal care, delivered in the context of family and community. Primary health care should be available to all people without regard for barriers of geography, cost, language, or culture. Services should include care for acute problems, injuries, and c hronic diseases; in addition, preventive care services (including health education) must be provided. Finally, primary health services for individual clients should involve an understanding of emotional and social factors in assessment and intervention.Primary health care encompasses all life cycles and consists of five major components:
Providers can be physicians, nurses, dentists, hygienists or other health professionals trained and credentialed specifically for primary care. Clinicians coordinate care for patients among various health professionals and for multiple patient concerns, responding to the multiplicity of problems faced by most patients. Coordination is achieved t hrough an approach known as "continuity of care", defined by the ongoing relationship between individual patients and primary care clinicians who are committed to the person (not a specific disease) and who recognize that physical, mental, emotional, and social concerns are interrelated. Primary care clinicians discuss ongoing care with the individual, recognizing that health is greatly influenced by family, culture, and community.
Health Center Fundamentals
Community Health Centers are characterized by five essential elements that differentiate them from other providers:
Indiana's Health Centers
The 48 Indiana Community Health Centers serve as "health care homes" for residents in more than 50 of the 92 counties in Indiana.The Centers are public or private not-for-profit organizations that provide some or all of the following services depending on the need and support within the specific local Indiana community:
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