Federally Qualified Health Centers Federally Qualified Health Centers (FQHCs):(FQHCs):
Addressing the Challenges of Health Care ReformAddressing the Challenges of Health Care Reform
Community Treatment Program (CTP) CaucusClinical Trials Network Meetings
Building Building IntegrationIntegration
CTPs – FQHCs - CTPs – FQHCs - FundersFunders
March 15, 2011 5:00 PM – 6:30 PM
Goal:Goal:Articulate Articulate
opportunities for opportunities for integration integration
between FQHCs between FQHCs & CTPS& CTPS
• • Understand Understand FQHCs FQHCs
• • Discuss how Discuss how CTPs can CTPs can
become one or become one or integrate with integrate with
oneone
• • Discuss the Discuss the OpportunitiesOpportunities
• • Discuss the Discuss the barriersbarriers
• • Next stepsNext steps
CTP Member PanelistsCTP Member Panelists
John Gardin, Ph.D.Director of Behavioral Health & ResearchADAPT, Oregon
Nancy PaullChief Executive OfficerSSTAR, Inc., Massachusetts
Guest Panelists
Alexander F. Ross, Alexander F. Ross, Sc.D.Sc.D.
Office of Special Office of Special Health AffairsHealth Affairs
Health Resources and Health Resources and Services Services
Administration Administration
Michael R. Lardiere, Michael R. Lardiere, LCSWLCSW
Director, Health Director, Health Information Technology Information Technology Sr. Advisor, Behavioral Sr. Advisor, Behavioral
Health National Health National Association of Community Association of Community
Health CentersHealth Centers
Background of NIDA CTN
• Studies of behavioral, pharmacological, & integrated behavioral & pharmacological treatment interventions in rigorous, multisite clinical trials to:
• determine effectiveness, practicality, & feasibility across a determine effectiveness, practicality, & feasibility across a broad range of treatment settings & diversified patient broad range of treatment settings & diversified patient populations; &populations; &
• Transfer of research results to physicians, clinicians, providers, & patients.
• 3 ways to use the CTN are: • to conduct ancillary studies in connection with CTN protocols; to conduct ancillary studies in connection with CTN protocols; • to utilize CTN Node facilities as a platform for investigations; &to utilize CTN Node facilities as a platform for investigations; &• Nodes to serve as home bases for NIH Training Centers & Nodes to serve as home bases for NIH Training Centers & individual researchers who have NIH fellowships or career individual researchers who have NIH fellowships or career development awards. development awards.
Scope of the CTPS
• # of states – 36• # of CTPs – 169• 34 states + Puerto Rico• Modalities – OP, Res, IOP• Patients - 10s X Thousands• Youth and Adults• Diverse populations•
Questions from Caucus membersQuestions from Caucus members
1) What are the advantages and disadvantages of becoming an FQHC or FQHC look-alike?
2) What does it take to become an FQHC or look-alike? (Development time, money, relationships, infrastructure). (Development time, money, relationships, infrastructure).
3) What do you recommend for programs establishing partnerships with FQHCs? • What should they seek? What should they seek? • What pitfalls should they avoid? What pitfalls should they avoid?
4) What are the distinctive issues for small, medium, large addiction treatment programs?
5) Does there exist a mechanism for payment to mental health and substance abuse providers for services to FQHC patients?
6) Can FQHC’s do onsite medical services at providers’ locations with or without establishing the site as a formal FQHC?
7) How might funding reductions at the federal & state level (including Block Grant effect the ability to provide services & (including Block Grant effect the ability to provide services & integrate servicesintegrate services
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