UTAH COMMUNITY HEALTH CENTERS ANNUAL OVERVIEW
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14 Utah health centers operate 60 clinics in urban and rural communities and provide care to more than 166,000 people annually.
COMMUNITY HEALTH
* Health Center is an awardee through the Health Center Program authorized by section 330 of the Public Health Service (PHS) Act, as amended (42 U.S.C. 254b, as amended). Health Center awardees receive operational support to provide comprehensive primary health care services to defined service areas and patient populations through the Health Center Program.
2021 Uniform Data System (UDS), Health Resources and Services Administration (HRSA); representing data from 13 Utah and 1 Arizona/Utah Health Center
• Health centers are required to offer their services on a sliding fee scale (SFS) for low-income patients with or without insurance, and they cannot turn away patients for an inability to pay.
• Patients with incomes between 100-200% of the current FPG are charged on a sliding fee scale and patients below 100% FPG may only be charged a nominal fee.
Source: https://bphc.hrsa.gov/programrequirements/compliancemanual/chapter-9.html
received $43M in HRSA grants to support SFS
collected $14M in self-pay SFS
billed $159M in self-pay services
resulting in a $102M deficit which is made up through other patient and grant revenue
“My experience with the CareerStep MA Training program gave me access to attend school that I otherwise wouldn’t have had. I am a young single mom and needed a cheap fast track way to get an education and still be able to support my family. The MA Training program provided me with that. My experience going through the program was good. I had a wide variety of support from Career Step, AUCH, and my employer, Carbon Medical Service, to help me through the process. They were all very accessible to me and my direct supervisor helped to keep me on track. It was important for me to finish the course for both personal and professional reasons. It has given me the skills to excel at work and pushed me to further my education.”
- Baylie Cave, Carbon Medical Service employee
Medical Assistants (MA) are an anchor of patient care in America’s health centers. The value of a qualified MA cannot be overestimated, as they can enhance productivity, drive quality improvement, and advance patient care. However, hiring and keeping qualified MAs is a workforce challenge due to the high demand for MAs at small and large health centers alike. Adding to this challenge, MAs in Utah do not have to be certified, which can sometimes lead to gaps in medical knowledge.
To address this challenge, Utah health centers partnered with AUCH to undertake a pilot project utilizing CareerStep’s online training platform for MAs. Through this project, as many as 25 Utah health center employees will become Certified Medical Assistants. This project provides economic opportunity for the learner and improved patient care for the patients they serve.
Our value is caring for the whole person.
Caring for the whole person means offering comprehensive care in a coordinated and proactive manner. Utah’s health centers provide whole person care by offering medical, dental, behavioral health, substance use disorder (SUD) services, and affordable pharmaceuticals. Addtionally, health centers address social determinants of health by providing social supports, health education, assistance with insurance coverage, and healthy lifestyle coaching.
We focus on comprehensive primary and preventive care, including immunizations and screening exams, and proactive management of chronic illnesses such as diabetes, asthma, heart disease, lung disease, and cancer. Preventing illnesses and managing chronic disease creates value by providing care in the least costly setting and keeping people out of emergency rooms and hospitals.
We work with each patient to get well, be well, and live well.
The whole person care model recognizes that physical illnesses may co-occur with or exacerbate mental illness and SUD. Patients with these conditions may experience worse health outcomes than expected because of the interplay between the conditions. For example, people struggling with depression may be less able to engage in managing their chronic medical conditions than people without depression. Co-occurring conditions are optimally managed by providing integrated care. Integrated care happens when primary care and behavioral health clinicians work together and closely collaborate with patients and families to address all aspects of the patient’s health.
We provide value everyday through the comprehensive and integrated primary and preventive care we offer our patients.
Utah health centers are building capacity for success in value-based payment models through the use of enhanced technology to improve the quality and efficiency of care through actionable data. In Fall 2021, UTECH implemented an interoperable population health management platform designed to facilitate care transformation, drive quality improvement, aid in cost reduction, and simplify mandated reporting.
At the close of 2022, twelve health center organizations have successfully implemented the platform.
The platform, Azara DRVS, enables health centers to more efficiently organize patients into groups by risk —allowing care teams to more effectively manage them. In 2022, Utah health centers used this platform for a targeted outreach campaign to improve their patients’ cancer screening rates. The campaign led to increased cancer screening rates, saving lives and lowering long term health care costs.
increased breast cancer screening rates by
Utah Technology Exchange for Community Health (UTECH) is a HRSA-supported network of health centers working to strengthen and leverage health information technology to improve patient outcomes.
increased cervical cancer screening rates by increased colorectal cancer screening rates by
Percentage change from 2020-2022, Utah Health Centers, Azara Healthcare
Family Healthcare, which operates five clinics in St. George, Cedar City, and Hurricane, has been integrating behavioral health into their medical care settings since 2015.
In that time, their behavioral health team has more than doubled, currently consisting of eight fulltime Behavioral Health Consultants (BHC), who work shoulder to shoulder with 14 medical providers.
By shifting their approach to behavioral health care, moving away from traditional therapy, and increasing immediate access with brief interventions, Family Healthcare has seen improved patient outcomes from diabetes to depression.
decrease in diabetic patients A1C volatility 17% 10.5 point reduction in PHQ-9 scores among patients with depression 37% greater reduction in PHQ9 scores than just seeking treatment with a medical provider Family Healthcare leadership used what they have learned about integrated care to guide them in designing their new St. George clinic, which opened in August 2022. The space was intentionally created for integrated practice, so they can continue impacting patient lives with this innovative best practice.
In this document, unless otherwise noted, the term “health center” is used to refer to organizations that receive grants under the Health Center Program as authorized under section 330 of the Public Health Service Act, as amended (referred to as “grantees”) and FQHC Look-Alike organizations, which meet all Health Center Program requirements but do not receive Health Center Program grants. It does not refer to FQHCs that are sponsored by tribal or Urban Indian Health Organizations, except for those that also receive Health Center Program grants.
Bear Lake Community Health Center 325 West Logan Highway Garden City, UT 84028
Bear Lake Community Health Center - Montpelier 152 South 4th Street Montpelier, ID 83254
Box Elder Community Health Center 5 West 200 North Brigham City, UT 84302
Cache Valley Community Health Center - North Logan 1515 North 400 East, Suite 104 North Logan, UT 84341
Cache Valley Community Health Center – Providence 517 West 100 North, Suite 110 Providence, UT 84332
Evanston Community Health Center 75 Yellow Creek Road, Suite 102 Evanston, WY 82930
Rock Springs Community Health Center 2620 Commercial Way, Suite 140 Rock Springs, WY 82901
CARBONMEDICALSERVICE.COM
Abeyta Chief Executive Officer
Carbon Medical Clinic 331 Highway 123 Sunnyside, UT 84539
Helper Clinic 125 South Main Helper, UT 84526
East Carbon Medical Clinic 305 Center Street East Carbon, UT 84520
Price Clinic 250 North Fairgrounds Road Price, UT 84501
Carbon Mobile Medical Clinic Carbon County, UT
Carolyn Cam Williams, MD Medical DirectorCHC-UT.ORG
LOCATIONS
72nd Street Community Health Center 220 West 7200 South, Suite A Midvale, UT 84047
Bear River Community Health Center 440 West 600 North Tremonton, UT 84337
Brigham City Community Health Center
980 South Medical Drive, Suite 1 Brigham City, UT 84302
Central City Clinic
610 South 200 East, Suite B Salt Lake City, UT 84111
Ellis R. Shipp Community Health Center 4535 South 5600 West West Valley City, UT 84120
Neighborhood Community Health Center 1388 South Navajo Street Salt Lake City, UT 84104
Oquirrh View Community Health Center 4745 South 3200 West Taylorsville, UT 84129
Stephen D. Ratcliffe Community Health Center + Dental 1365 West 1000 North Salt Lake City, UT 84116
Community Health Centers, Inc. Administration Offices 2621 South 3270 West West Valley City, UT 84119
Creek
Hunter
Family Healthcare Riverside Drive Clinic 2276 East Riverside Drive St. George, UT, 84790
Integrated Cedar City East Clinic 245 East 680 South Cedar City, UT 84720
Hurricane Clinic 391 North 200 West Hurricane, UT 84737
Cedar Harding Medical Clinic 74 West Harding Avenue Cedar City, UT 84720
Chief Executive Officer
Tyler Goddard
22 South State Street, Suite 1007 Clearfield, UT 84015
Hope Homeless Health Center 269 West 33rd Street Ogden, UT 84401
James Madison Elementary Health Center
781 25th Street Ogden, UT 84401
Midtown Children’s Clinic 5285 South 400 East, Suite A Washington Terrace, UT 84405
MIDTOWNCHC.ORG 24,442
Midtown Community Health Center + Dental 2240 Adams Avenue Ogden, UT 84401
166 Agricultural Workers
81% - MEDICAL 7% - SUPPORTIVE SERVICES 4% - MENTAL HEALTH/ SUBSTANCE USE 8% - DENTAL 50% UNINSURED 26% MEDICAID/ CHIP 19% COMMERCIAL INSURANCE 4% MEDICARE PATIENTS BY PAYER TYPE 70% 58% 93% identify as a racial or
ethnic
East Bay Homeless Health Center 299 East 900 South, Suite 101 Provo, UT 84606
Mountainlands Family Health Center 589 South State Street Provo, UT 84606
Mountainlands Family Health Center - Payson 910 East 100 North, Suite 155 Payson, UT 84651
Mountainlands Family Health Center - Vernal Dental 133 South 500 East Vernal, UT 84078
Mountainlands Family Health Center - Vernal 1680 West Highway 40, Suite 201 Vernal, UT 84078
Mountainlands Family Health Center - West Park 750 North 200 West, Suite 201 Provo, UT 84601
Todd Bailey Executive Director
Blanding Family Practice Community Health Center + Dental 910 South 300 West Blanding, UT 84511
Montezuma Creek Community Health Center 1478 East Highway 162 Montezuma Creek, UT 84534
Monument Valley Community Health Center 30 West Medical Drive Monument Valley, UT 84536
Navajo Mountain Community Health Center #2 Rainbow Road Navajo Mountain, UT 86044
San Juan Family Dental 217 South 100 West Monticello, UT 84535
at or below 100% FPG at or below 200% FPG
74% 41% 65% identify as a racial or ethnic minority
MikeLOCATIONS
Mid-Valley Health Clinic 8446 South Harrison Street Midvale, UT 84047
Utah Partners for Health Dental 7651 South Main Street Midvale, UT 84047
Utah Partners for Health Family Health Clinic & Pharmacy –West Jordan 9103 South 1300 West, Suite 102 West Jordan, UT 84088
Utah Partners for Health Mobile Medical Clinic
Salt Lake County & Tooele County
Utah Partners for Health Mobile Vision Clinic Salt Lake County & Tooele County
Turner Chief Executive Officer
Debbie
LOCATIONS
Bicknell Clinic 128 South 300 West Bicknell, UT 84715
Escalante Dental 65 North Center Street Escalante, UT 84726
Hanksville Clinic 30 South Highway 95 Hanksville, UT 84734
Kazan Memorial Clinic 570 East Moqui Lane Escalante, UT 84726
Panguitch Dental 75 North 200 East Panguitch, UT 84759
Salina Clinic 131 East Main Street, Suite 3 Salina, UT, 84654
Salina Pharmacy 43 East Main Street Salina, UT 84654
Evan Christensen Chief Executive Officer
For over 35 years, the Association for Utah Community Health (AUCH) has represented Utah’s health centers and their patients. As Utah’s federally designated Primary Care Association and Health Center Controlled Network, we provide more than 12,000 hours of training and technical assistance to Utah’s health centers and affiliate members each year.
AUCH’s Community Health Services division is home to the Utah Healthcare Corps, an AmeriCorps program, and supports more than 20 CHWs making a difference in the community by providing vital health education and connections to health and social resources to improve patient lives.
In support of our members and the people they serve, AUCH helps reduce barriers to health care through health promotion, community engagement, education, and policy analysis.
AUCH receives federal, state, and private program support to improve the quality of and access to comprehensive health care services.
To learn more about AUCH, visit www.auch.org.
860 East 4500 South, Suite 206 Salt Lake City, Utah 84107 P: (801) 974-5522 www.auch.org
"This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U58CS06848, Training and Technical Assistance National Cooperative Agreement for $1,009,005 with 0% of the total PCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.”