Statewide Growth Strategy
Of
Louisiana’s Federally Qualified
Health Centers
For the Years
2014 - 2019
Presented to:
The LPCA Board of Directors
Prepared by:
The LPCA Community Development Department
Table of Contents
Executive Summary ................................................................................................................... 1
Louisiana’s Federally Qualified Health Centers (FQHC) ............................................................. 2
Figure 1: Louisiana's FQHCs .................................................................................................. 2
Health Impact ......................................................................................................................... 2
Figure 2: Louisiana's Health Rankings.................................................................................... 3
Figure 3: Louisiana FQHC Patients by Service Type ............................................................. 5
Economic Impact ....................................................................................................................... 5
Recent Expansion ...................................................................................................................... 7
Figure 4: Facility Expansion Initiative (FEI) Facts ................................................................... 8
Figure 5: Health Center Program Funding, 1980 – 2010 ........................................................ 9
Figure 7: Louisiana’s New Access Point Sites, Fall 2013 .......................................................11
Figure 8: Health Center Program Budget Announcement, 2014 ............................................12
Statewide Growth Strategy (SGS) Survey Results ....................................................................13
Figure 9: New Health Center Locations .................................................................................14
Figure 10: Dental Health Expansions ....................................................................................14
Figure 11: Behavioral Health Expansions ..............................................................................15
Figure 12: Pharmacy Expansions ..........................................................................................15
LPCA Community Development ................................................................................................16
Gulf Region Health Outreach Program (GRHOP) ..................................................................16
Figure 13: Parishes Most Affected by the BP Oil Spill ............................................................17
Addressing the Remaining Gaps ...........................................................................................18
Figure 14: Patient Access Rankings ......................................................................................18
Figure 15: No FQHCs and No Plans ......................................................................................19
Table 1: Parishes without FQHCs..........................................................................................20
Summary ..................................................................................................................................22
References ...............................................................................................................................23
1
Executive Summary
The Louisiana Primary Care Association (LPCA) is our state’s organization of Federally
Qualified Health Centers (FQHC). Our association consists of 31 organizations with
over 100 service sites that serve over 250,000 patients a year. Each of these health
centers provides high quality, affordable primary care to all individuals regardless of
their ability to pay. These services include primary care, dental, behavioral health,
pharmacy, lab, preventive care, specialty referrals, outreach, and social services.
The LPCA provides a variety of services to our members, including Community
Development, Emergency Preparedness, Fiscal Management, Health Information
Technology Assistance, Legislative Education, Provider Recruitment, Workforce
Training, Quality Improvement and Assurance, and Marketing and Strategic Planning.
Through providing these services we further our mission of being “the voice of
Louisiana's Health Centers, who believe that all Louisianans deserve access to the
highest quality healthcare".
The LPCA’s Statewide Growth Strategy (SGS) is an annual strategic planning activity
that involves each health center sharing their plans for opening new sites and offering
new services in communities where they don’t currently exist or are provided. It is also
used to identify areas of our state where our members aren’t expanding, but where
primary care could be provided by an FQHC. This activity is also a part of an effort led
by the National Association of Community Health Centers (NACHC) to expand health
centers into more medically underserved areas.
This document explains the results of a survey conducted in the fall of 2013 in which 17
health centers described their plans for pursuing 53 new projects over the next five
years. These plans include expanding into areas of Louisiana where there aren’t health
centers sites, and offering services where they aren’t currently provided, including
dental, behavioral health, and pharmacy. In total, 21 of these projects will be site
expansions, and 20 of them will involve service expansions. All together these plans
would allow our members to serve an additional 157,954 patients a year, and employ
209.4 FTEs.
These results demonstrate that our members are striving to find new ways to address
the need for high quality, affordable primary care in Louisiana’s medically underserved
areas, and this document shows that we have a plan. This document also explains our
readiness to work with communities where health centers aren’t expanding, but where
an FQHC might be appropriate. These efforts are a part of our continued mission to
expand access the highest quality health care, which is exactly what Louisiana’s
FQHCs deliver.
2
Louisiana’s Federally Qualified Health Centers (FQHC)
The LPCA currently represents 30 FQHCs in Louisiana that have 143 sites
located within 50 of the 64 parishes in the state. In 2012 these health centers served
251,438 individuals by delivering 765,306 encounters. They also directly employed
1,564 Full Time Equivalents (FTEs), and supported another 753 jobs in other
industries.
Figure 1: Louisiana's FQHCs
Health Impact
Our health centers have a positive impact on the health of the communities they
serve by providing access to high quality, affordable primary care through a variety of
health care and support services. This is critical given the state of health in Louisiana.
According to the United Health Foundation, in 2013 Louisiana’s health status ranked
48th out of all 50 States (The United Health Foundation, 2013).
3
Figure 2: Louisiana's Health Rankings (The United Health Foundation, 2013)
4
As shown in the figure above, the factors contributing to this poor ranking are a
high prevalence of smoking (46th) obesity (34.7 percent of the adult population),
physical inactivity (29.9% of the adult populations) and diabetes (12.3 percent of the
adult population). Other notable rankings include preventable hospitalizations (87.5
per 1,000 Medicare enrollees), low birth weight (10.9 percent of births below 5
pounds, 8 ounces), individuals without health insurance (46th), deaths from cancer
(48th), cardiovascular deaths (46th), and infant mortality (8.18 deaths per 1,000 live
births). Additional factors included high rates high school graduation rates (46th), and
rates of violent crime (44th) and children living in poverty (31 percent of persons
under 18).
Louisiana’s health centers address these factors by providing high quality,
comprehensive primary care, which includes access to behavioral health, dental, and
pharmacy. For example, in 2012 alone 251,438 individuals sought and received care
at Louisiana’s FQHCs in 2012, of whom 123,243 visited for medical care, 67,661
visited for behavioral health care, and 126,769 visited for dental care. They also
provide preventative services, such as outreach, health education, and case
management, as well as referrals to other social services providers and specialists.
These services treat many of the chronic conditions discussed above, along with the
health factors associated with them. They are also provided in rural areas where
individuals would otherwise have to travel away from to receive similar services.
Furthermore, health center patients receive these services on time and in the
appropriate setting. This usually eliminates the need to seek care in more expensive
settings such as an Emergency Department, which is often the only place they can
access it given that a majority of them are living in poverty and often lack health
insurance. For example, in 2012 approximately 76% of Louisiana’s health center
patients were below the Federal Poverty Level (FPL), and 93.2% were below 200%
of FPL1 (Health Resources and Services Administration, 2013). This level of poverty is
also reflected in their revenue mix. For example, 38.4% of Louisiana’s health centers’
revenue came from Medicaid patients in 2012, while 40.9% of their revenue came
from the federal grant they receive to provide care to the uninsured.
1
According to the U.S. Department of Health and Human Services (HHS), the FPL in 2012 was $11,170 for an
individual and $23,050 for a family of four.
5
Figure 3: Louisiana FQHC Patients by Service Type (Health Resources and
Services Administration, 2013)
Economic Impact
Providing access to high quality, affordable primary care that improves the
overall health of communities is just one way Louisiana’s FQHCs have a positive impact
on our state. By delivering this type of care they also improve the overall health of their
local workforce, which in turn improves their local economies. They are also often one
of the largest employers in their community, and as a result, provide direct employment,
including essential entry-level jobs, professional training, and career opportunities. In
addition, they purchase goods and services directly from other local businesses and
support jobs in other sectors. Moreover, they stimulate the local economy through an
influx of spending, stimulate indirect expenditures of related industries, and induce
expenditures of new household income. Furthermore, FQHCs engage in capital
development projects that spur local economic revitalization and increase tax revenue in
their community by attracting investments and other businesses.
6
Many of these benefits occurred in 2012, when Louisiana’s FQHCs:
-
-
Injected $150 million of operating expenditures directly into the local
economies, and stimulated additional indirect and induced economic
activity of over $93 million.
Had an overall economic impact of $231 million.
Directly generated 1,588 full time jobs.
Supported an additional 773 jobs in other industries.
Contributed approximately $39.8 million in total tax revenue, including
$12.7 million in state and local taxes, and $27.1 million in federal taxes
Figure 4: The Economic Impact of Louisiana’s Health Center
7
Recent Expansion
Louisiana’s FQHCs have had such an impact on our state’s health and economy
in recent years because of our individual and collective endeavors aimed at increasing
access to affordable, quality primary care. These efforts have been supported by capital
development and facility expansion programs funded by the state and federal
government. These programs were established to address the fact that there are still
many medically underserved communities in our state and country without access to
quality, affordable primary care. They were also created to fulfill the need for additional
services and new facilities in communities that already have FQHCs. One program that
has significantly benefited medically underserved communities and FQHCs in Louisiana
is the Facility Expansion Initiative (FEI).
This program was established using a comprehensive list of Louisiana’s FQHCs’
capital needs that was contained in our Statewide Strategic Plan (SSP) for 2006 – 2011.
Using this information we conducted a legislative advocacy campaign to establish a
capital development program. This campaign involved explaining the importance of a
capital development program for Louisiana’s medically underserved communities and
FQHCs to both Governor Kathleen Blanco and the state legislature. Fortunately, this
campaign resulted in a bill establishing such a program making its way through the state
legislature and to Governor Blanco’s desk for her signature. This law allotted $41.5
million in seed funding to initiate a $100 million capital development program for
Louisiana’s FQHCs and medically underserved communities. In order to receive these
funds, the law required that an FQHC first obtain funding from other sources, such as
grants, loans, and New Market Tax Credits. After obtaining these funds they were
allowed to request FEI funds to cover the balance of each project.
The program began with the LPCA signing a Cooperative Endeavor Agreement
with Louisiana’s Division of Administration in early 2009. It started with 67 eligible
facility, equipment and health information technology (HIT) projects, which included
Capitol City Family Health Center’s new facility in Baton Rouge, Iberia Community
Health Center’s New Iberia addition, and Outpatient Medical Center’s Natchitoches
addition. Also included was Primary Care Providers for a Health Feliciana’s Clinton
expansion, which was the first health center in Louisiana to utilize state and federal New
Market Tax Credits. Since then 91 projects have gone through the certification and
procurement process and received funding. Some of the latest projects to be completed
include David Raines Community Health Center’s Administrative Building in
Shreveport, Primary Health Service Center’s Dental Clinic Addition in Monroe, and
Southwest Louisiana Primary Healthcare’s new building in Ville Plate.
8
Figure 4: Facility Expansion Initiative (FEI) Facts
The FEI has produced an estimated $182 million economic impact on Louisiana’s
medically underserved communities and their surrounding areas. It has also created
and retained hundreds of jobs in health centers. Furthermore, the planning and
construction of new health center facilities, along with the purchasing of new equipment
has impacted approximately 1,000 construction and architectural jobs. Now in its final
phase, the FEI’s use of various and diverse funding resources has enabled our health
centers to expand and enhance access to high quality, affordable primary care
throughout the state.
Louisiana’s FQHCs have also benefited from a massive federal effort to expand
health centers throughout the nation. This expansion began during the administration of
President George W. Bush, who in his first year in office proposed to open or expand
1,200 FQHCs over five years and double the number of patients served annually (Sack,
2008). Fortunately, he accomplished his goal of increasing the number of FQHCs by
1,297, the number of sites to 7,354, and the number of patients served annually by
60%, to 16 million (Sack, 2008). This was the largest expansion of FQHCs since the
program’s beginning the 1960’s.
Louisiana’s health centers have also received a large amount of funding during
the administration of President Barack Obama. In March 2009 he signed into law the
American Recovery and Reinvestment Act (ARRA), which helped to stimulate the
economy out of a recession that lasted from January 2007 to June 2009. Through a
combination of tax cuts and increased government spending this law improved the
economy, and in doing so, provided $2 billion to expand FQHCs across the nation
9
(Shin, Rosenbaum, & Paradise, 2013). This investment in health centers was intended
to grow the economies of medically underserved areas, and provide care to those
individuals who lost their health insurance when they lost their job. In particular, this law
supported an expansion of the services offered by FQHCs, new facility construction,
renovations of existing facilities, and the acquisition of Health Information Technology
(HIT).
Figure 5: Health Center Program Funding, 1980 – 2010 (Shin, Rosenbaum, &
Paradise, 2013)
Another law that has spurred the growth of FQHCs throughout the nation and
within Louisiana is the Patient Protection and Affordable Care Act (PPACA) of 2010.
Otherwise known as the Affordable Care Act (ACA) or “Obamacare”, this law contains
$11 billion in mandatory federal spending to establish a Health Center Trust fund for the
federal fiscal years (FY) of 2011 - 2015 (Shin, Rosenbaum, & Paradise, 2013). The
purpose of this investment is not only to further expand FQHCs into medically
underserved communities, but also to provide access to care for the tens of millions of
Americans that are receiving health insurance through the ACA. These funds are
especially important given that many of these individuals have little income and live in
10
communities with inadequate access to affordable, high quality primary care (Shin,
Rosenbaum, & Paradise, 2013)
Figure 6: Health Center Trust Fund Spending, 2011 – 2015
Though these funds have supported the expansion of FQHCs into hundreds of
communities throughout the nation over the past few years, the impact of this money
has been smaller than what was expected when the ACA was signed into law. This is
due to the fact that a $600 million reduction in annual discretionary funding for the
FQHC program was implemented in April 2011 (Shin, Rosenbaum, & Paradise, 2013).
This reduction in funding was part of an agreement between President Obama and
Congressional leaders that prevented a government shutdown and funded the federal
government through FY 2011. As a result of this reduction HRSA has had to use money
from the Health Center Trust Fund to support the operations of health centers (Shin,
Rosenbaum, & Paradise, 2013).
Consequently HRSA was only able to fund 67 NAP grants in FY 2011 instead of
the 350 that had previously been expected, and unfortunately none these grants were
awarded in Louisiana (Shin, Rosenbaum, & Paradise, 2013). Due to the reduction in
funding HRSA could also only use $350 million for health center expansion in FY 2012,
instead of the $1.2 billion that was initially intended for this purpose, resulting in just 219
NAP grants being awarded that year (U.S. Department of Health and Human Services,
2012). However, this award cycle did support three new sites in Louisiana, including the
establishment of Delhi Community Health Center in Richland Parish, a new site for
SWLA Center for Health Services in Crowley, LA, and the establishment of Marillac
Community Health Center in New Orleans.
The $600 million cut from the FY2011 budget continued its impact in FY2013 by
reducing the amount available from the Health Center Trust Fund from $1.5 Billion to
$300 million (National Association of Community Health Centers, 2013). In addition,
$115 million of that $300 million was used to support health center operations because
11
of the implementation of a budget sequester (Pinkele, Health Centers on the Hill, 2013).
This sequester was part of the Budget Control Act of 2011, a law which is aimed at
significantly reducing our nation’s annual deficit and long term debt. $150 million of the
health center funds remaining for FY2013 went towards funding outreach and
enrollment grants and $48 million were used to support base grant adjustments
(National Association of Community Health Centers, 2013). This left only $19 million for
health center expansion, which was used to fund 32 NAP grants in September 2013,
including the establishment of Washington Community Health Center in Bogalusa,
Louisiana (U.S. Department of Health and Human Services, 2013).
However, in a surprise announcement made in November 2013, $150 million in
NAP grants were awarded to 236 new health center sites across the country, including
12 sites in Louisiana (U.S. Department of Health and Human Services, 2013). These
grants were awarded to organizations that had originally applied for NAP grants in April,
but were not included in the September announcement. The organizations receiving
these awards from Louisiana included Capitol City Family Health Center, David
Raines Community Health Center, Iberia Comprehensive Community Health
Center, Morehouse Community Medical Centers, Primary Care Providers for a
Healthy Feliciana. The list was also comprised of three FQHC Look-A-Likes, which
were CASSE Community Health Institute, Common Ground Health Clinic, and New
Orleans East Community Health Center. These funds also supported the
establishment of two new FQHCs in Louisiana, which are Jeff Care and New Orleans
AIDS Task Force.
Figure 7: Louisiana’s New Access Point Sites, Fall 2013
12
The money for these awards came from the FY 2014 Health Center Trust Fund
allotment, which was available at that time because Congress had recently passed a
budget deal that extended the FY 2013 budget until January 2014, and initiated the
process of drafting and passing a budget resolution for FY2014 (Pinkele, Health
Centers on the Hill, 2013). This process continued when a budget resolution was
passed in December which set the spending levels for this fiscal year, and was finished
when the appropriations bill passed in late January. This law, the Consolidated
Appropriations Act of 2014, allocates approximately $3.7 billion in health center funding
for FY2014, including $1.5 billion in programmatic funding and $2.2 million in Health
Center Trust funding (National Association of Community Health Centers, 2014).
Figure 8: Health Center Program Budget Announcement, 2014
Although this amount is less than what would have been possible if the $600
million cut from the FY2011 budget had not been enacted, it is still a significant increase
in the annual funding for health centers. Totaling $700 million, this increase was made
possible solely by the Health Center Trust Fund expansion dollars (National Association
of Community Health Centers, 2014). The appropriations law that was passed stipulates
that $110 million of the expansion dollars go towards base grant adjustments, and $350
million go towards NAPs and service expansions. Although the sequestration will also
reduce the amount of expansion dollars available this year by $50 million, this is much
better than $115 million lost to sequestration last year (National Association of
Community Health Centers, 2014). Nevertheless, the appropriations law still reduces
13
the intended impact of the Health Center Trust fund. Though with $350 million due to be
released in the form of NAPs this year, there is a great opportunity for Louisiana’s
health centers to extend their reach and further their impact. If they are successful, we
will be able to continue our mission of increasing access to the highest quality health
care for all Louisianans. The formal plan for accomplishing our goals in the coming
years is as follows.
Statewide Growth Strategy (SGS) Survey Results
As explained earlier, the LPCA’s SGS is a part of a strategic planning exercise
that we undertake annually to identify the areas in the state that are in need of an
FQHC, and to establish the plans of our members and new FQHCs to open sites in
those areas. The result is a coherent, rational, and coordinated strategic plan that
identifies the resources required to expand our impact. To develop this year’s SGS we
conducted a survey of our members in the fall and winter of 2013 which asked them to
list the projects they have planned for FY2014 – FY2019. These projects included site
expansions, and service expansions. The site expansions included opening new
locations, such as New Access Points, or School Based Health Centers, and the service
expansions included those for dental care, behavioral health care, and pharmacy
services. They also described whether or not these projects would be serving a special
population, such as homeless individuals or migrant/seasonal farmworkers, how many
patients would be served, and how many providers would be required. A total of 17
FQHCs responded to this survey, detailing 53 projects they will be pursuing over the
next five years. Of these projects:
-
21 will be site expansions, and 20 will be service expansions.
16 will involve expanding dental care,
14 will involve expanding behavioral health care,
7 will involve establishing pharmacy services.
10 will involve expanding School Based Health Centers
2 will involve serving Migrant/Seasonal Farmworkers
4 will involve serving Homeless Individuals
9 will serve individuals in Public Housing.
In addition, these projects would serve an additional 124,004 patients and would
employ 168.44 FTEs. These projects will be pursued in parishes that already have a
health center or are receiving health center services, as well as parishes that don’t,
including Avoyelles and Jackson parish. The following maps display the results of this
survey2.
2
To see a full listing of the survey results, including details about each project, please see Appendix I.
14
Figure 9: New Health Center Locations
Figure 10: Dental Health Expansions
15
Figure 11: Behavioral Health Expansions
Figure 12: Pharmacy Expansions
16
LPCA Community Development
Now that we know these plans, it is important to highlight our current community
development efforts, especially those focused on helping our health centers and other
safety net provider organizations expand into new areas. Early last year the LPCA
worked with our members and other organizations to assist them with their applications
for the latest NAP opportunity from HRSA. The grant application was due in April 2013,
and the awards were announced in September. As explained earlier, $19 million dollars
was awarded to 32 organizations across the nation, including $325,000 to Access
Health Louisiana for a new site in Bogalusa. Also mentioned earlier was the surprise
announcement of 12 NAP awards in November 2013 totaling $6.9 million in funds for
new FQHC sites throughout the state, including sites in six parishes that were
previously without an FQHC. These parishes include De Soto Parish, Grant Parish,
Iberville Parish, Livingston Parish, Sabine Parish, and Union Parish. In total, it is
estimated that these 12 new sites will serve an additional 63,907 patients a year, which
would increase the number of patients LPCA’s members serve annually to over
300,000.
The LPCA stands ready to assist our members and communities without an
FQHC with NAP applications or any other grant opportunities that are released this
year. We continue to search for other sources of funding for these providers and
communities, as well as provide them with the tools and resources to find other funding
sources themselves. Furthermore, we continue to respond to inquiries for guidance on
how to establish an FQHC from individuals who are interested in doing so in their
community.
Gulf Region Health Outreach Program (GRHOP)
In addition to our traditional community development efforts, the LPCA is
currently working with the Louisiana Public Health Institute (LPHI) on a project aimed at
increasing access to primary care in the coastal parishes that were most affected by the
Deepwater Horizon/BP oil spill. This project, titled the Primary Care Capacity Project
(PCCP), is part of program resulting from a legal settlement, titled the Gulf Region
Health Outreach Program (GRHOP). The overall purpose of this program is to expand
access to integrated, high quality, sustainable, community-based primary care, as well
as specialty behavioral health, and environmental and occupational health, in coastal
Alabama, the Florida panhandle, Mississippi, and Louisiana. The particular parishes this
project is serving include Cameron Parish, Jefferson Parish, Lafourche Parish,
Orleans Parish, Plaquemines Parish, St. Bernard Parish, and Terrebonne Parish.
17
Figure 13: Parishes Most Affected by the BP Oil Spill
The LPCA has a Community Developer on staff that is currently coordinating our
PCCP efforts. So far the LPCA has shared information about the FQHC model with
LPHI, and facilitated their discussions with the health centers in the affected parishes.
We have also reviewed the Community Health Needs Assessments LPHI has
conducted for St. Bernard Parish, Plaquemines Parish, Terrebonne Parish, and
Lafourche Parish, as well as participated in community meetings for the residents of
these parishes, which involved documenting the health care conditions and disparities
their communities are experiencing. LPHI is currently using this information to finalize
the Community Health Needs Assessments, and determine how, and for what purpose,
the PCCP funds will be awarded to the primary care providers in the affected parishes.
These purposes include enhancing their ability to address their health care disparities,
serving new populations, providing integrated care, and improving their communities’
overall primary care infrastructure. In addition to participating in this decision, the LPCA
also plans to participate in the PCCP’s efforts in Cameron parish, which is one of our
state’s most sparsely populated areas, though it still lacks enough primary care
providers to serve this population. Furthermore, we recently hired another Community
Developer who will assist in these development activities, as well as focus on
Emergency Preparedness at the health centers in the affected parishes, and those
throughout the state.
18
Addressing the Remaining Gaps
Despite these efforts to expand into areas where FQHC services are desperately
needed, there still remain communities in this state that don’t have adequate access
high quality, affordable primary care. The following map displays patient access
rankings for each parish in the state. This ranking was developed by County Health
Rankings using a score consisting of each parish’s percent of population uninsured,
ratio of population to primary care physicians, and ratio of population to dentists, with
the highest rankings (displayed as darkly shaded parishes) signifying parishes with very
low access, and the lowest rankings (displayed as lightly shaded parishes) signifying
parishes with adequate access (Robert Wood Johnson Foundation, 2013). This map
shows that there remain many areas within Louisiana with inadequate and
unacceptable access to care.
Figure 14: Patient Access Rankings
With these areas identified, it is important to identify the specific parishes where
our services aren’t currently offered, and where our members aren’t planning to expand
into. According to our records, and the results of this year’s survey, these parishes
include:
19
-Bienville Parish, Caldwell Parish, Cameron Parish, East Carroll Parish, Jefferson
Davis Parish, La Salle Parish, Lincoln Parish, Red River Parish, and West Carroll
Parish. These parishes are also identified on the following map:
Figure 15: No FQHCs and No Plans
By identifying these parishes, and using their patient access score, we can begin
the process of analyzing the primary care services that are available in each of them,
and targeting them for our community development efforts. The following table lists
each of these parishes, and a few key indicators which will help us in working with any
communities who are interested in starting an FQHC. These include whether or not
each parish is a Medically Underserved Area (MUA) (Health Resources and Services
Administration, 2014), the number of residents whose annual incomes are below the
Federal Poverty Level (United States Census Bureau, 2012), and the closest FQHC,
FQHC Look-A-Like (LAL) or Rural Health Clinic.
By obtaining this information, we can work with any community within these
parishes that recognizes a need for high quality, affordable primary care amongst their
neighbors. This could involve any of these communities approaching the LPCA about
FQHC development, one of the nearby FQHCs expanding into these areas, or an
existing provider, such as an RHC, exploring becoming an FQHC or FQHC LAL.
Additionally, the LPCA could approach these communities to gauge their interest in
FQHC development.
20
Table 1: Parishes without FQHCs
Parish
Allen
Medically
Patient
Underserved Access Score
Area (MUA)
(out of 64)
Yes
47
Low
Income
(below 200
% of
Poverty)
Closest FQHC, LAL, or
Rural Health Clinic.
9,544
Southwest Louisiana
Center for Health
Services (FQHC), Allen
Parish Rural Medical
Center (RHC), Women’s
Clinic of Oakdale (RHC)
Bienville
Yes
37
6,827
Caldwell
Yes
43
4,206
Cameron
Yes
46
2,199
East Carroll
Yes
51
4,459
David Raines Community
Health Center (FQHC),
Winn Community Health
Center (FQHC), Christus
Coushatta Ringhold Rural
Health Clinic (RHC)
Winn Community Health
Center, Primary Health
Services Center, The
Medical Center at Sicily
Island, Winters Clinic
(RHC), Citizens Rural
Clinic (RHC)
Southwest Louisiana
Center for Health
Services, Hackberry
Rural Health Clinic,
Johnson Bayou Rural
Health Clinic
Morehouse Community
Medical Centers (FQHC),
Delhi Community Health
Center, Lake Providence
Medical Center (RHC) ,
Family Medical Center
(RHC), The Family
21
Practice Center (RHC)
Jackson
Yes
50
6,763
Jefferson
Davis
Yes
25
12,537
La Salle
Yes
35
4,975
Lincoln
Yes
20
20,065
Red River
Yes
54
4,205
West Carroll
Yes
62
9,544
Primary Health Services
Center, Winn Community
Health Center, Chatham
Medical Clinic (RHC),
Jonesboro Family Care
Center (RHC), Jackson
Parish Hospital Family
Care Center (RHC)
Southwest Louisiana
Center for Health
Services, Shirley Medical
Clinic (RHC), Lake Arthur
Health Clinic (RHC),
Elton Rural Health Clinic
(RHC)
Hartner Medical Clinic
(RHC), La Salle Family
Medical Clinic (RHC),
Riverpark Medical Clinic
– Jonesville (RHC), The
Medical Center at Sicily
Island (FQHC)
Primary Health Services
Center, Family First
Medicine (RHC)
Outpatient Medical
Center, David Raines
Community Health
Center, Christus
Choushatta Rural Health
Clinic
Morehouse Community
Medical Centers (FQHC),
Delhi Community Health
Center, Community
Medical Clinic (RHC),
Oak Grove Medical Clinic
(RHC)
22
Summary
By providing high quality, affordable primary care to medically underserved
communities, Louisiana’s health centers are improving the health of our citizens,
especially those need it most. By providing well-paying jobs, purchasing goods and
services from other local businesses, and engaging in capital development projects, our
health centers also strengthen the economies of the communities they serve. Over the
past decade increased federal funding and state appropriations have allowed us to
almost double our impact throughout the state. Recent federal funding opportunities,
such as those from the American Recovery and Reinvestment Act and the Affordable
Care Act have bolstered this growth. Though cuts to annual federal funding have
lessened the expected impact of these opportunities, Louisiana’s health centers are
expanding their impact further, with plans over the next five years that would enable us
to serve over 400,000 Louisianans annually. These plans involve expanding into
parishes that don’t currently have an FQHC, and providing additional services at their
existing sites, such as behavioral health, dental, and pharmacy. Some of our health
centers are already poised to act upon these plans by preparing for the expected New
Access Point funding opportunity from HRSA this fiscal year. In addition, the Primary
Care Capacity Project will support the expansion plans of those FQHCs located in and
around the seven coastal parishes most affected by the BP Oil Spill. However, even
with all of these efforts underway, there are still eleven parishes in Louisiana that are
medically underserved and without an FQHC. As always, the LPCA stands ready to
help these communities decide if an FQHC is right for them, as we also continue to
prove that FQHCs are right for Louisiana.
23
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24
Shin, P., Rosenbaum, S., & Paradise, J. (2013). Community Health Centers: The
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