The California Federally Qualified Health Center Alternative Payment Model (FQHC APM) is a proposed initiative of the California Department of Health Care Services (DHCS). The FQHC APM is designed to maneuver away from the normal fee-for-service (FFS) cost system, which rewards the quantity of providers offered, to a mannequin that rewards high-quality and cost-effective care that’s coordinated, team-based, handy to entry, and greatest meets affected person wants.

This information is for leaders and employees in FQHCs which are contemplating or have dedicated to collaborating within the California FQHC APM. The information consists of sensible sources for reimagining and redesigning how an FQHC delivers care so it may be profitable within the FQHC APM. The information will assist FQHC leaders and employees:

• Understand the influence of collaborating in FQHC APM to your FQHC’s leaders, employees, and sufferers
• Identify key focus areas
• Set priorities
• Determine staffing wants
• Build and broaden employees competencies

The information is designed for all FQHC employees, together with:

• Leadership. Chief govt officers, chief administrative officers, chief operations officers, chief monetary officers, chief info officers, chief medical officers, chief behavioral well being officers, chief technique officers
• Providers. Physicians, doctor assistants, nurse practitioners, licensed nurse-midwives, therapists
• Licensed and unlicensed scientific employees. Nurses, social employees, medical assistants, counselors, pharmacists, care managers, care coordinators
• Operations. Administrative, info expertise, and knowledge analytics employees

Note: At the date of publication, this system is topic to approval by the Centers for Medicare & Medicaid Services on the US Department of Health and Humans Services. Information about this system contained on this information displays probably the most lately obtainable particulars from DHCS and is topic to vary. Official program pointers are forthcoming from DHCS, and this information can be up to date as new info turns into obtainable.

About the Authors

Greg Howe is a senior fellow; Karla Silverman, MS, RN, CNM, is affiliate director of advanced care supply; and Rob Houston, MBA, MPP, is director of cost reform on the Center for Health Care Strategies. CHCS is a coverage design and implementation accomplice dedicated to enhancing outcomes for individuals enrolled in Medicaid. CHCS works throughout sectors and disciplines to attach individuals and concepts to spark insights, construct experience, strengthen management, and unfold improvements.