Safety NetMillions of Americans rely on safety net facilities - federally qualified health centers (FQHCs), rural health clinics (RHCs), community mental health centers (CMHCs), family planning clinics, public hospitals, and critical access hospitals (CAHs) - for vital health care services. The need is growing along with the number of unemployed Americans, many of whom cannot afford private health insurance and rely on Medicaid or go uninsured. The Affordable Care Act (ACA) supports broader eligibility for Medicaid coverage in states that chose to expand coverage and provides stipends to purchase insurance for uninsured, low-income people, further increasing the demand for services provided by federally qualified health centers, public hospitals and other safety net facilities.
For more than three decades, JSI has been dedicated to providing comprehensive technical expertise to improve all aspects of safety net health care. JSI offers a broad range of services, including needs assessment; grant writing; strategic planning; operations improvement; and technology assessment and implementation.
JSI continues its extensive experience working with staff from Title X family planning centers, helping them provide high-quality and cost-effective family planning and related preventive health services for low-income women and men.
In collaboration with HRSA, the Center will optimize health centers’ use of electronic health records to achieve improved health outcomes.
JSI conducted an assessment in San Jose, California, that identified food access resources and needs for two target populations: homeless individuals and low-income seniors.
JSI examined the opportunities/challenges of increased coordination between the delivery of health, behavioral health, substance abuse, and social services to provide “whole-person care” while addressing the population’s health and socioeconomic needs.
JSI and partners are conducting case studies on four emerging ACOs serving safety-net populations in MA, MN, CA, to generate relevant information for those interested in improving care for vulnerable populations and reducing health disparities.
Safety net hospitals, which serve the nation's most vulnerable populations, have high rates of avoidable Medicaid readmissions. To reduce costs and improve care, JSI will adapt and test current best practices for improving care transitions.
JSI is facilitating discussions among FQHCs and mental health centers in Denver to maximize current parnerships and identify shared service integration strategies that would be of benefit in the emerging health care environment.
JSI is helping the Colorado Department of Health Care Policy and Financing develop a payment methodology for federally qualified health centers and rural health clinics, with the goal of improving health outcomes while containing costs.
JSI assessed the delivery of health care to the medically-underserved and indigent population in the Nashville and Davidson County area, and recommended a more cost-effective model for the safety net system in the area.