Preceptor Development Training - April 3rd, 2019   OPCWI Annual Meeting - May 30th, 2019 Program Updates Year Four

Year 1-3 Summary

Year 1-3 Summary

Program Contacts

The FQHC Primary Care Workforce Initiative will be monitored and implemented by the Ohio Association of Community Health Centers. The following OACHC staff will be responsible for program implementation:  

Carrie Farquhar | Director of Workforce Development | cfarquhar@ohiochc.org 

Marie Grady | Program Coordinator | mgrady@ohiochc.org

Executive Summary

According to the American Academy of Family Physicians “the United States is not only facing a shortage but also a maldistribution of primary care physicians. This deficit is of particular concern given that access to health insurance will likely increase substantially, the elderly population continues to grow, and many rural, poor, and minority communities remain medically underserved. However, fewer medical school graduates are choosing primary care as a specialty today than in the past.”

Ohio’s 45 Community Health Centers are uniquely poised to teach, inspire, and put to work our next generation of primary care providers by exposing students to rich clinical experiences in our network of advanced, modernized primary care settings. Located in approximately 232 locations throughout the state, FQHCs are serving nearly 575,000 Ohioans each year. One hundred seventeen (117) of our health care delivery sites have received national recognition as Patient Centered Medical Homes, and the remaining (as applicable) are well on their way. And even more, we are developing person-centered medical neighborhoods and understand what primary care clinicians do and how it all works together in the medical neighborhood for increased value at decreased cost. Our goal is to expose students to PCMHs in practice and provide a standardized, high-quality educational experience while accounting for the loss of productivity associated with precepting. These structured clinical experiences in our modern primary care FQHC sites will lead to increased primary care capacity in some of the most depressed and underserved neighborhoods in Ohio.

Participation Criteria

• Host a student from one of the following primary care disciplines: Medicine; Advanced Practice Nursing; Physician Assisting; Dentistry; & Behavioral Health.
• Have current national recognition (NCQA, TJC, AAAHC, or URAC) as a PCMH or submit an application for PCMH recognition within one year of precepting first student.
• Obtain Teaching or Faculty appointments with affiliated schools, as applicable.
• Ensure student performance reviews are completed within two weeks of rotation completion.
• Have student teaching ability included in annual clinician performance review.
• Participate in faculty development opportunities.
• Obtain and report required student demographic information, and final student evaluation of rotation experience in the FQHC.
  
  

Proposed Measures

Process Measures

Student Demographics

• Age, Ethnicity, Race, Sex.
• Childhood Community Type, Birthplace, & Current State of Residence.
• Health Professions School & Discipline.
• Undergraduate School & Degree.

FQHC: Number of Students Precepted by Discipline and Health Professions School.

Outcome Measures

• Did the precepted student stay in Ohio for residency training?
• Did the precepted student enter primary care practice ? In Ohio? If not primary care, then what discipline?
• Does the precepted student practice in an FQHC? In Ohio?
• Does the precepted student accept Medicaid & uninsured patients in their practice?

Reimbursement Methodology

Eligible FQHCs are entitled to earn up to an annual cap of $50,000 for precepting students. FQHCs must report student rotators quarterly to OACHC with all required reporting information in order to receive payment. Any remaining funds at year end will be reallocated to FQHCs that had sufficient student teaching volume to be eligible for earnings above the cap. The reallocation will be directed to qualified FQHCs based on the following criteria: their percentage of total students precepted in all FQHCs with volume over the cap; and, their student evaluations of their FQHC experience (80% or more of student evaluations of their FQHC experience being scored 4/5 or better).