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¿Qué es un FQHC?

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La misión de un centro de atención médica calificado a nivel federal es

  • para ayudar a todos los estadounidenses a obtener servicios de atención primaria de salud de calidad

  • para ayudar a los pacientes a programar citas y realizar visitas regulares a su médico de atención primaria

  • para brindar atención médica a todos los pacientes, incluso si no tienen seguro

Valley View ofrece a los pacientes

  • Atención médica, tanto primaria como preventiva

  • Coordinación de cuidados

  • Visitas de salud mental y conductual

  • La salud de la mujer

  • Difusión e inscripción

  • Conexión con los mejores especialistas, cirujanos, imágenes, trabajo de laboratorio y más

Los FQHC operan bajo el liderazgo de una Junta Directiva impulsada por los consumidores y siguen la supervisión de la Administración de Recursos y Servicios de Salud (HRSA), que es parte del Departamento de Salud y Servicios Humanos de los Estados Unidos (HHS). Originalmente, los FQHC estaban destinados a brindar servicios de salud a los médicamente desatendidos para reducir la carga de pacientes en las salas de emergencia de los hospitales.

Los FQHC brindan sus servicios a todas las personas, independientemente de su capacidad para pagar y cobrar por los servicios utilizando una escala de tarifas móviles, que se basa en los ingresos y el tamaño de la familia de los pacientes. (Los FQHC deben cumplir con los requisitos del programa de la Sección 330).

A cambio de atender a todos los pacientes, independientemente de su capacidad de pago, los centros reciben subvenciones del gobierno federal, reembolsos basados en los costos para sus pacientes de Medicaid y la oportunidad de recibir cobertura por negligencia en virtud de la Ley Federal de Reclamaciones por Agravio (FTCA).

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Key Components of PCMH
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The recognition program established by the National Committee for Quality Assurance (NCQA), which is regarded as the gold standard for PCMH evaluation, emphasizes several vital components that are necessary for an effective implementation:

 

  • Comprehensive Care: We proudly offer a wide array of services that address various stages of life and different levels of care, including preventive, acute, and chronic care services. Importantly, our organization is committed to ensuring that these services are accessible to all individuals, regardless of their financial situations, effectively reducing barriers to healthcare.

 

  • Patient-Centeredness: Our approach to care is tailored specifically to meet the unique needs, preferences, and values of each individual patient. We actively engage and empower our patients, ensuring they are involved and informed participants in their healthcare journeys through consistent communication and education.

 

  • Coordinated Care: At Valley View, we prioritize the coordination of our patients' care across all elements of the healthcare system. This includes collaboration with specialty care providers, hospitals, home healthcare personnel, and community services and supports. Our goal is to ensure that all aspects of a patient's healthcare are interconnected, facilitating a seamless experience.

 

  • Accessible Services: We strive to make our services as accessible as possible by offering flexible hours and a variety of options for communication, such as phone, email, and in-person visits. Additionally, we are committed to incorporating telehealth options, making it easier for patients to access care as they need it.

 

  • Quality and Safety: Continuous quality improvement is not just a necessity; it is imperative in any healthcare setting. We utilize evidence-based medicine and state-of-the-art clinical decision-support tools to ensure our patients receive safe, high-quality care that adheres to the latest standards and best practices in the field.

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Criteria for PCMH Recognition
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For practices like ours to receive this important distinction, they must meet specific quality standards in six areas:

 

1. Team-Based Care and Practice Organization

Practices are evaluated on leadership structure, care team responsibilities, how they engage with patients, families and caregivers.

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2. Care Management and Support

Practice clinicians use care management protocols to help them identify patients who need closely managed care

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3. Knowing and Managing Patients

Practices must meet standards for data collection, medication reconciliation and evidence-based clinical decision support.

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4. Care Coordination and Care Transitions

Practices ensure that primary and specialty care clinicians share information and manage patient referrals.

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5. Patient-Centered Access and Continuity

Practices provide patients with convenient access to clinical advice and continuity of care.

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6. Performance Measurement and Quality Improvement

Practices have processes for measuring their performance and for quality improvement activities.

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Why this matters

 

Achieving PCMH recognition goes beyond just meeting defined standards—it's fundamentally about enhancing patient outcomes and overall healthcare experiences. Here’s a closer look at how our patients benefit from this model:

 

  • Improved Chronic Condition Management: Patients can expect significantly better management of chronic conditions such as diabetes and hypertension, reducing the need for more intensive and costly interventions, and consequently improving their quality of life.

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  • Reduced Fragmentation of Care: By coordinating care efficiently and ensuring consistent communication among various providers, we reduce the risk of miscommunication and duplicated services, which can often lead to confusion and errors.

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  • Lower Healthcare Costs: By focusing on preventive care and ensuring appropriate resource utilization, we help lower overall healthcare expenses. This proactive approach not only benefits our patients financially but also contributes to a healthier community overall.

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Our Commitment to You
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At Valley View Health Centers, we are committed to providing top-quality care that meets NCQA's PCMH standards. We know healthcare can be confusing, so we're here to help you. Our services are accessible to everyone, regardless of financial situation, with our adaptable fee scale. You are more than just a patient to us—you're part of our community, and your health is our priority.

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The Patient-Centered Medical Home model is our promise to create an inclusive healthcare community. We deliver warm, professional, and high-quality care. Our partnership with NCQA means we aim to exceed expectations and provide compassionate and supportive service.

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If you have questions or need someone to listen, we're here for you. Your needs are central to everything we do, and we're committed to offering the comprehensive, accessible, and affordable healthcare you deserve.

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