fqhc

The National Network for Oral Health Access (NNOHA) promotes access to oral health care for underserved populations. For this episode, Matt sat down with NNOHA Education Director Candace Hsu Owen, RDH, MS, MPH, at the recent NNOHA Annual Conference in Denver, CO. They chat about her journey and how she landed at the organization and the many resources and opportunities available through NNOHA. Matt also shares IOH news and highlights the Giving Tuesday fundraising push coming up at the end of November.

NNOHA: www.nnoha.org

ADHA IOH: https://www.adha.org/ioh/

Dr. Eddie Ramirez, a DACA recipient and dentist, shares his journey from being undocumented to becoming the first practicing DACA dentist in Oregon. He discusses the challenges he faced in dental school, the uncertainty of his legal status, and the importance of advocating for undocumented students. Eddie emphasizes the need for awareness and support for DACA recipients and encourages others to educate themselves and share the truth about the immigration system. He also highlights the significance of celebrating Latino culture and embracing diversity in America. Connect with Eddie on social media at dental_eddie and reach out to him for support and guidance. Follow Pre Health Dreamers on Instagram for resources and community for undocumented students pursuing healthcare professions. 

**Key Takeaways:**

 - Eddie Ramirez was the first undocumented DACA student to be accepted into the dental program at Oregon Health and Science University.

- He faced numerous challenges in applying to dental school, including being discouraged by his pre-dental advisor. 

- Eddie worked multiple jobs throughout dental school to support himself financially. 

 He is now an advocate for undocumented students and works to support them in pursuing their dreams of becoming healthcare professionals.

 - Eddie emphasizes the need for comprehensive immigration reform and a pathway to citizenship for undocumented individuals.

Connect with Eddie Ramirez on IG: @dental_eddie

Connect with New Dentists on the Block: @newdentistsontheblock

Connect with Tanya Sue Maestas: @tsmaestas.dds

Full video on Youtube

In this special recording of a live Canton Pulse webinar, host Don McDaniel sits down with Dr. Caroline Carney, President of Behavioral Health and CMO of Magellan Health, to discuss how health centers have embraced integrated care as a driver for improved outcomes. Dr. Carney is an active clinician practicing internal medicine and psychiatry, and works with a FQHC in building collaborative care models.

What should men in their 20s consider when it comes to their health? How about in their 30s? Their 40s and beyond? June is Men’s Health Month and in this CommonHealth episode, Tracy speaks with Dr. Vladimir Markovic, Chief Medical Officer of the Hampton Roads Community Health Center, about crucial considerations for men’s health and why Community Oriented Primary Care is important to our Commonwealth.

With special guest:

Dr. Vladimir Markovic

Federally Qualified Health Centers, or FQHCs, typically deliver services to an underserved population. But do you know as much about it as you should? Jasmine Vializ, CEO of Inlera Inc. and trailblazer since the age of 14, dives deep into the future of healthcare by considering how FQHCs are a testing ground for continuing to serve the populations of the future. In this episode of Leaders in Medical Billing, you’ll dive deep into the population that is served by FQHCs, what a provider needs to offer in order to open a FQHC (or be a lookalike), and her theory that FQHCs are the way of the future across the US. Plus, you’ll learn about Vailiz’s perspective on the use of offshoring to increase the efficiencies of the business.

Show Notes: https://www.youtube.com/@InleraU, https://www.fqhc.org 

Because two-thirds of their patients lack insurance and are self-pay, HealthWorks for Northern Virginia can’t rely upon insurance payer data to obtain the patient records they need. But as Jesse Burke explains, using healow Insights PRISMA enables HealthWorks to get the data they need at the point of care, because PRISMA gathers information from all available EHRs nationwide using queries based on a patient’s name and/or date of birth — effectively solving the interoperability puzzle for this busy Federally Qualified Health Center.

Jonathan Gerber is the CEO of MEDCOR Group Inc, a medical billing company focusing on Federally Qualified Health Centers (FQHCs). In this rich episode, you’ll hear how Gerber got started and nearly failed, how his no-marketing marketing approach saved the company, what it’s like to work with family members, and how he is gearing his company for the future using algorithms and bots to evaluate eligibility, claim status reports, and analytics. New episodes at the end of each month.

At CommonHealth, the Virginia Community Healthcare Association brings you stories and conversations from the frontlines of community health. Our podcast amplifies the voices of community health – both those who give care – and those who need it.

First, let’s talk about reducing administrative waste in the US healthcare system. There was a pretty famous 2019 study by Shrank et al. that estimated about 25% of the $3.6 trillion the US spends on healthcare annually is potentially wasteful. This is each person spending $2500 unnecessarily.

Robert Kocher wrote a really interesting article about getting rid of administrative waste and inefficiencies, and he said that it is the “safest form of health care cost savings; virtually no one argues that administrative costs should remain high. Reducing administrative waste should be the highest priority … [because] everyone, including patients and clinicians, would benefit from lower health care costs.” In my mind, “everyone” means payers, policy makers, and also providers who are or want to take some accountability for the total cost of care here.

To talk about the possibilities, I have the perfect guest: Gary Campbell, who is the CEO of Johnson Health Center, which is an FQHC, a Federally Qualified Health Center, in Lynchburg, Virginia. Why is the CEO of an FQHC a great person to talk about cutting out administrative waste with? Well, first of all, the patient population is what many would consider challenging at an FQHC. Second, they really have to cut out as much waste as possible because there is zero potential to cost shift. They do not have the option to charge their commercial lives 4x Medicare or whatever and effectively cost shift the impact of inefficiencies. There basically are no commercial lives. You either figure out how to be efficient, or the patient population does not get care.

As Gary and I were talking, however, it became clear that when you cut out administrative waste, you wind up actually with the potential to become a great place to work. One reason for this just has to do with the process of cutting out waste, which requires culture and process. And a by-product of a great culture and a great process means a great place to work.

You might be thinking, as I was thinking, that this show, which is supposed to be about cutting administrative waste, is going to be all about how to do lean and Six Sigma and pretty much go peak MBA. Spoiler alert: It’s not. When I asked Gary how to be operationally efficient, it all ladders up to organizational leadership: leaders who commit to putting patients first, to have core values with the expectation to actually achieve them (for reals—not just in the marketing). Because without effective, accountable, committed leadership, patient first, lowering the cost of care, removing administrative waste … it ain’t gonna happen. Leaders should be visible, have a vision, a strategic plan, project plans, and be inspirational. They also need to not be afraid to “move along,” as they say, people who are pulling the team down and holding it back—maybe even if a short-term revenue hit will transpire.

Before we get started here, let’s talk about FQHCs for a sec just in case you’re unfamiliar. Besides the acronym giving me fits of dyslexia—my brain always wants to invert the letters, so I have a Post-it Note here and I’m staring at it so, hopefully, I’ll be able to keep this straight—FQHCs (Federally Qualified Health Centers) are usually nonprofits that are oriented to take care of the underserved. Today they serve upwards of 30 million people in the United States, and that’s a growing number. There’s something like 1500 of them across all 50 states. They’re federally funded. They are a safety net really for individuals out there who may not be able to access care anywhere else. There’s generally bipartisan support for FQHCs and often a real purpose and passion to really care for people regardless of their ability to pay. They also tend to offer a lot of resources under one roof (eg, medical care, dental care, other things, mental health care), which can add substantially to the operational complexity.

Gary Campbell, my guest in this healthcare podcast as I said, is the CEO of an FQHC. Gary has a procurement and operations background, and this background informs how he approaches leadership and care delivery in ways that I find inspirational—and I hope that you do, too.

Some of the conversation that we had in this episode reminded me of the interview with Tony DiGioia, MD, in EP332; so if you want to dig further into this topic, go back and listen to that episode. That interview is very specifically about how to create a patient-centric value system, which Dr. DiGioia says should be the new OS for healthcare delivery. During this show, I also mention my conversation with Jerry Durham (EP297), where we talk about streamlining the front desk. 

I didn’t mention this in the show, but another episode that would be great to go back and listen to if this topic intrigues you is the one with Matt Anderson, MD, MBA, talking about how things get better when the scrubs and the suits collaborate (EP266).  

You can learn more at impact2lead.com. 

Gary Campbell is the founder and owner of Impact2Lead, LLC, and the CEO of Johnson Health Center (JHC), where he has enjoyed a career centered on leading for-profit/not-for-profit organizations and helping to unleash potential in others along the way.

In 2011, he left Bayer and came to JHC; and in 2013, he launched Impact2Lead to provide transformation-consulting services to other firms across the United States.

Since joining JHC, the center has enjoyed unprecedented success and growth by transforming the culture using his Impact Leadership model and becoming the first Federally Qualified Health Center to be recognized as an Employer of Choice by Employer of Choice International, Inc. The health center has achieved multiple workplace and community awards since that time and has enjoyed exponential growth during his seven years as the CEO.

Gary currently speaks and consults nationally on leadership, workplace strategies, and motivational topics.

05:15 Why is there no opportunity to cost shift in an FQHC?
05:46 What happens when an FQHC is operating inefficiently?
06:12 “Have you workflowed it out? … You can overstaff yourself in a way that your cost per patient goes way up.”
06:37 Why is taking a lean approach not an excuse to cut staff?
08:05 “The nurses are linchpins to everything.”
09:05 How does standardizing care lead to personalization of care?
10:28 “Our clinical teams see that we care.”
10:48 “If you don’t have a vision for where you want to be two and three years down the road, you’re struggling.”
11:03 “I want everybody to understand, What is their why?”
20:10 “They don’t teach leadership in most medical schools.”—Dr. Robert Pearl
21:19 “Get to know these clinicians … sincerely.”
23:11 “From a core values perspective, you can make every single decision … on core values.”
23:35 “We always start with those values. … They’re embedded in everything we do.”
24:16 “You have to project plan things out that you want.”
25:09 How does an FQHC or private practices that are patient-oriented attract talent?
30:45 “First and foremost, be visible.”

You can learn more at impact2lead.com. 

@Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

Why is there no opportunity to cost shift in an FQHC? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

What happens when an FQHC is operating inefficiently? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“Have you workflowed it out? … You can overstaff yourself in a way that your cost per patient goes way up.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

Why is taking a lean approach not an excuse to cut staff? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“The nurses are linchpins to everything.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

How does standardizing care lead to personalization of care? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“Our clinical teams see that we care.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“I want everybody to understand, What is their why?” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“Get to know these clinicians … sincerely.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“We always start with those values. … They’re embedded in everything we do.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“You have to project plan things out that you want.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

How does an FQHC or private practices that are patient-oriented attract talent? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

“First and foremost, be visible.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth

Recent past interviews:

Click a guest’s name for their latest RHV episode!

Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell

To mark National Health Center Week 2021, the eCW Podcast team met with three of the many hundreds of health centers we work with nationwide to learn more about their latest strategies. Our customers share how they are using our telehealth solution, healow TeleVisits™, along with other Patient Engagement tools to expand access to care and reduce no-shows during the COVID-19 pandemic.

In this edition of the eCW Podcast, we hear how Wesley Community and Health Centers in Phoenix, Arizona, a Federally Qualified Health Center, uses eClinicalWorks® to focus on Social Determinants of Health to improve care to it is patients. Wesley also interacts with Aunt Bertha, the nation’s leading referral platform for social services, to connect people seeking help with verified social care providers in their communities.

Tune in now for our National Health Center Week 2021 Podcast Series!

Ashley Clement describes how Southeast Community Health Systems made the switch to the eClinicalWorks® EHR at the end of 2019. With the use of different training aids and marketing materials, the health center was able to notify their patients of their telehealth adoption during the COVID-19 pandemic. Ashley Clement explains how they combined features of the EHR with healow TeleVisits™ to continue meeting their patients' needs.

Bright Spot #3 - A FQHC that serves 100,000 patients in upstate NY

CF 079: w/ Dr. Kris Anderson: 

Today we’re going to be joined by a special guest Dr. Kris Anderson from North Dakota. Yes, North Dakota’s finest is here to tell us about some of the stuff he’s got shaking and there’s a lot of stuff shaking thanks to this amazing guy. 

But first, here’s that silky satiny bumper music

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OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  

You have collapsed into Episode #79

Introduction

We’re here to advocate for chiropractic while we also make your life easier using research and some good solid common sense and smart talk. 

Store

Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. I just got in my first box. I started with the non-surgical spinal decompression brochures. I wanted them for myself and ordered enough to send you some too!

If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders. 

Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it. 

DACO

Let’s talk a bit about the DACO program. I’m still studying. Nothing sexy there. I will say that the second time through the material is really really valuable. At least for me it is. I forget so much. Especially being 46. Not only am I older and I don’t remember things at the level I once did, but I also think I’m undiagnosed ADD. 

If I see anything shiny, man, I’m off in a completely different direction. When you have computers and phones dinging at you all the damn time, it’s tough. I have tried to minimize my notifications on the electronics. I’ve tried to keep my phone turned to do not disturb and all that good stuff. I can’t deal with all the racket when I’m trying to focus on something. 

So, yes, the second time through, for me, is of high value. 

Personal Happenings

If you hear something here that you really like and would like it in written form rather than spoken, just hop onto  chiropracticforward.com, find the episode, and just scroll down to copy and paste it. If you’re using it for content or on your website for some reason, just be cool and give us some credit please. I’d sure appreciate it and I’m sure the researchers we discuss would too. 

Now, let’s get ot our guest today. 

Sometimes, we have doctors on as guests that not everyone knows. I think that if you do not know our next guest, you either should or will know him in due time. He is a mover and shaker in our profession and is really just getting started. Some people cannot be ignored and I think our guest is one of those. Without a doubt. 

He is the current President of the North Dakota Chiropractic Association and was voted Chriopractor of the Year last year for the NDCA. That’s a pretty big deal. 

He has worked on behalf of the State of North Dakota with payers, legislatyors, government agencies, and other healthcare and community stakeholders. We’ll be finding out more about that in a bit. 

He has helped conduct research on safety as well on a smoking cessation pilot study.  

He was part of a study team whose systematic review of manual therapy for pediatric patients was published in BMC Complementary and Alternative Medicine. 

He treats part time as an employee of his local FQHC. Which stands for Federally Qualified Health Center. He’s their first chiropractor so I can’t wait to learn more about how that is progressing and what challenges he is encountering as he goes. 

If all of that were not enough, he is currently the AMA RUC HCPAC ACA Alternate Advisor. Don’t feel bad if you don’t know what that is because I had to ask too. We’ll tell you about it. Some of it is super double top secret but interesting for sure. 

He is also in the middle of a North Dakota Department of Health grant to help expand detection and management of hypertension within our profession. 

Now….now do you see why we have him here with us today? You may or may not know the name Kris Anderson but I feel confident the entire profession is going to know who he is by the time he’s done leaving his dent on our profession. 

We are happy to welcome Dr. Kris Anderson to the Chiropractic Forward Podcast today. Thank you for joining us today Dr. Anderson. 

My first question for you is, “When the hell do you ever sleep?” You have a ton of stuff going on.

I noticed on your CV that you worked as a barista at Starbuck’s during your time at Palmer. I’m not sure how anyone can hold a job while going through chiropractic college but, is this a skill that has paid off for you? Do you have an espresso machine in your office?

When I go through your information, you are involved in so many things. For example, I see your are District 4’s representative for Clinical Compass, Delphi Panelist, Grantee from ND Dept. of Health, Committee member for Notrh Dakota State Board of Chiropractic Examiners, ACA, and on and on. Where does all of this stem from? I’ve never even considered district representative for Clinical Compass was even a thing. Lol. 

We covered a paper you were part of back in Episode #68. In fact, that may be how we became familiar with each other. The paper was callled “Manual therapy for the pediatric population: a systematic review. It was in the BMC Complementary and Alternative Medicine(Prevost C 2019) just this year. I want to know all about it. How did you get involved with the team? Tell us a little about the process. 

This study came out at just about the same time as the Australians and certain spots in Canada started dealing with attacks on their rights to treat pediatric patients woith chiropractic care. What amazing timing. First, are pediatric patients a significant part of your practice and secondly, what has been the reception globally in regards to the paper’s findings?

As you probably well know, Texas has been in quite a battle with our state medical association. You are clearly as deeply involved in your state’s association. What challenges are the North Dakota chiropractors facing in 2019?

Do you have any specific goals to work on as President of the North Dakota Chiropractic Association?

Tell me about the gig with the FQHC? Dr. James Lehman was on our podcast in episode #55 and he was discussing the FQHC’s and integrating. He felt integration into them would be helped by completing a specialization like the DACO or something like that. What is your opinion on that? How did you get involved? 

What does your day at the FQHC look like?

Being the FQHC’s first chiropractor, what biases or other issues are you finding yourself having to address and navigate?

Tell us more about the grant you are in the middle of for the North Dakota Department of Health? How did it come about? What is the mission?

Let’s talk about alphabet soup….. AMA RUC HCPAC ACA Alternate Advisor. I promise, almost no person alive knows what all of that stands for so do us a favor and break it down for us and tell me what the purpose is. What’s the goal and how does it help chiropractors?

Those of us that have been active know the difference between being a member and being an active member. What has it meant to you both personally and professionally to not only be a member of your state association but to also be active in it? 

When we are sitting in our offices in Amarillo, TX or in Grand Forks, North Dakota, Washington DC and the ACA seems far away and somewhat out of reach. What have you seen is an effective way to become active with the ACA on a national level?

What’s coming down the pike for you in the next 5 years and in the next 10 years? Where do you see all of your efforts headed. Or where do you hope they’re headed?

Thanks for joining us

There you have  

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The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots.

When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few.

Chiropractic care is safe and cost-effective. It can decrease instances of surgery & disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient. 

And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient!

Key Point:

Patients should have the guarantee of having the best treatment offering the least harm.

That’s Chiropractic!

Contact

Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so.

Help us get to the top of podcasts in our industry. That’s how we get the message out. 

Connect

We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. 

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About the Author & Host

Dr. Jeff Williams - Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

Bibliography

Prevost C, G. B., Carleo B, (2019). "Manual therapy for the pediatric population: a systematic review." BMC Comp Altern Med 19(60).

The Door, a busy New York City health center serving youth ages 12-24 with primary care, mental health, career and legal guidance, art, and even nutrition classes, needed more effective ways to deliver the comprehensive range of services they offer. After attending the 2017 eClinicalWorks Health Center Summit in Boston, they recognized that healow Patient Relationship Management (PRM) Services was the best strategy for them. With training and marketing assistant from the PRM team, The Door has improved workflows and communications internally, and provided their patients with new tools that are keeping them more involved and engaged with the health center than ever.

Live from the eClinicalWorks National Conference, Pecos Valley Medical Center joins the eCW Podcast to explain how eClinicalWorks technology — in combination with a relentless focus on training — has helped their Federally Qualified Health Center deliver quality, affordable care to all in need.