Vermont Primary Care Sourcebook Prepared by Bi-State Primary Care Association Bi-State Primary Care Association January 2019 61 Elm Street, Montpelier, Vermont 05602 (802) 229-0002 8th Edition www.bistatepca.org Printed on January 22, 2019 1 Table of Contents Mission and Vision 4 FQHCs Collaborate Across Health Sectors 19 Public Policy Principles 5 FQHCs Partner to Achieve the Best Care 20 Public Policy Priorities and Strategies 6 Planned Parenthood of Northern New England 21 Bi-State’s Recruitment Center 7 Rural Health Clinics Overview 22 Bi-State’s Members 9 Grace Cottage Family Health & Hospital 23 Member Map 10 Vermont Area Health Education Centers (AHEC) 24 Member Directory 11 Vermont Coalition of Clinics for the Uninsured 26 FQHCs Strengthen Communities 13 FQHC Federal Requirements 29 FQHC Patients by Payer 14 Member Site Directory by Organization 30 FQHC Focus on Medicaid Priorities 15 Member Site Directory by County 31 FQHCs Funding and Reimbursement Structure 16 Vermont Legislative Representative Directory 33 Vermont FQHCs Exceed National Average on Quality Measures 17 Acknowledgement and Contact Information 39 Vermont FQHCs Serve a Growing Portion of Vermonters 18 3 Bi-State Primary Care Association Mission and Vision Mission Vision Promote access to effective and affordable primary care and preventive services for all, with special Healthy individuals and communities with quality emphasis on underserved populations in Vermont health care for all. and New Hampshire. Who We Are Bi-State Primary Care Association was established in 1986 to serve Vermont and New Hampshire. Bi-State is a nonprofit, 501(c)(3) charitable organization that promotes access to effective and affordable primary care and preventive services for all, with special emphasis on underserved populations in New Hampshire and Vermont. Bi-State has served as a catalyst for diverse groups, with varying interests, to organize around a shared vision of access to health care for all. Bi-State members include federally qualified health centers (FQHCs), rural health clinics (RHCs), hospital-supported primary care practices, area health education centers (AHECs), clinics for the uninsured, Planned Parenthood, and health center controlled networks. What We Do Bi-State works with federal, state, and regional health policy organizations, foundations, and payers to develop strategies, policies, and programs that provide and support community-based primary health care services in medically underserved areas. Bi-State’s nonprofit recruitment center provides workforce assistance and candidate referrals to FQHCs, RHCs, and private and hospital-sponsored physician practices throughout Vermont and New Hampshire. The Recruitment Center focuses on recruiting and retaining primary care providers including physicians, dentists, nurse practitioners, and physician assistants. For more information, please contact: Georgia Maheras, Esq., Vice President, Policy and Programs [email protected], (802) 229-0002 ext. 218 4 Bi-State’s 2019 Vermont Public Policy Principles Public Policy Principles Bi-State is committed to improving the health of Vermonters and ensuring that all individuals have access to affordable and high-quality primary medical, mental health, substance use disorder, and oral health services, regardless of insurance status or ability to pay. We believe that community-based, accessible, and affordable primary care for all Vermonters is the foundation for successful health reform in Vermont. We support the state’s efforts to move to a universal and unified health care delivery system and ensure universally available health access and insurance coverage. We support the increased investments in comprehensive integrated primary preventive care that will cost-effectively improve the health of all Vermonters. Our work aims to preserve, strengthen, and expand Vermont’s community- based primary care safety-net providers, recognizing that these organizations are integral to the lives of one in three Vermonters and are the foundation of healthy communities statewide. 5 Bi-State’s 2019 Vermont Public Policy Priorities and Strategies Public Policy Priorities and Strategies Bi-State works through effective partnerships and robust engagement with the Governor and the Administration, State Legislature, Green Mountain Care Board, and other partners to ensure continued access to primary care using a cost-effective workforce and to: . Ensure every Vermonter has access to a primary care medical home with particular attention to underserved Vermonters. Advocate for delivery system and payment models that invest in, build upon, and prioritize proven and cost-effective community-based primary care -- specifically that sustain and enhance the Federally-Qualified Health Center and Rural Health Center models of care delivery and reimbursement. Build on the successes of the Blueprint for Health, ensuring substantial and equitable investment in patient-centered medical homes and empowering local care communities in decision-making through inclusive processes. Close coverage gaps for uninsured Vermonters and affordability gaps for under-insured Vermonters. Promote population health and well-being through the support of public health goals and population health initiatives. Establish strong community-based partnerships that support patients through transitions across care settings. Increase investments to integrate mental health, substance use disorder, and primary care services. Integrate coverage for and expand access to oral health. Invest in preventive services, early intervention, wellness initiatives, and health education. Support primary care practitioners in care management and patient engagement for patients with chronic conditions. Sustain the 340B pharmacy program to ensure continued access to low-cost pharmaceuticals. Increase funding for Vermont Medicaid, and ensure continued investment in primary care. Invest in comprehensive workforce development strategies including: increased federal and state loan repayment for health care professionals, and funding for national marketing and outreach. Increase access to and funding for telemedicine services to improve access to services for Vermont’s rural and underserved populations. Sustain federal payment “floors” and framework for FQHC and RHC infrastructure, initiatives, and services to improve access to comprehensive primary care for the uninsured and underinsured. Sustain and improve state funding for the Vermont Coalition of Clinics for the Uninsured. Sustain and improve state funding for the Area Health Education Centers (AHEC). Reduce the amount of administrative burden to Vermont’s health care providers. 6 Bi-State’s Recruitment Center: Addressing Primary Care Workforce Bi-State’s Recruitment Center Conducting National Outreach to Promote Vermont Practice Opportunities: Primary Care Oral Health Mental Health Substance Use Disorder Treatment For more information, contact Stephanie Pagliuca, Director of NH/VT Recruitment Center, at (603) 228-2830 or [email protected] 7 OUR MEMBERS 8 Bi-State’s Member Health Centers and Clinics Provide Care to over 1 in 3 Vermonters Our Members Federally Qualified Health Centers (FQHCs): Member Average Payer Mix Vermont FQHCs encompass 66 sites in all 14 counties Planned Parenthood of Northern New England: Uninsured 12 clinics 11% A Rural Health Clinic (RHC): 1 site Third Party Vermont Area Health Education Center (AHEC): 41% Medicaid A Network of Partners 29% Vermont Coalition of Clinics for the Uninsured: 9 clinics Vermont’s health centers and clinics have served as medical homes Medicare for more than 200,000 patients, with more than 620,000 visits in 2017. 19% They focus on the social determinants of health enabling patients to achieve their goals. Our members serve: . 37% of Vermont Medicaid enrollees . 32% of Vermont Medicare enrollees . The majority of uninsured Vermonters Source(s): FQHC self-reported UDS data for 2017 9 Bi-State Primary Care Association Member Map Our members provide care to Vermonters at 88 sites across every county of the state. 10 Bi-State Primary Care Association’s Vermont Members Battenkill Valley Health Center Grace Cottage Family Health & Hospital Northern Tier Center for Health Kayla Davis, Project Director Douglas F. DiVello, CEO Pamela Parsons, Executive Director Anje Van Berkelaer, MD, Clinical Director 185 Grafton Road (Route 35), Townshend, VT 05353 44 Main Street, Richford, VT 05476 9 Church Street, PO Box 61, Arlington, VT 05250 802-365-7357, [email protected] (802) 255-5560, [email protected] (802) 375-6566, [email protected] www.gracecottage.org www.notchvt.org www.battenkillvalleyhealthcenter.org The Health Center Planned Parenthood of Northern New England Community Health Centers of Burlington John Matthew, MD, CEO Meagan Gallagher, CEO and President Alison Calderara, CEO 157 Towne Avenue, PO Box 320, Plainfield, VT 05667 784 Hercules Drive, Suite 110, Colchester, VT 05446 617 Riverside Avenue, Burlington, VT 05401 (802) 454-8336, [email protected] (802) 448-9778, [email protected] (802) 264-8190, [email protected] www.the-health-center.org www.plannedparenthood.org www.chcb.org Indian Stream Health Center Springfield Medical Care Systems Community Health Centers of the Rutland Region Kevin Kelley, Interim CEO Josh Dufresne, Acting CEO Michael Gardner, Finance Director 253 Gale Street, Canaan, VT 05903 25 Ridgewood Road, Springfield, VT 05156 71 Allen Pond Street, Suite 101, Rutland, VT 05701 (603) 388-2473,