Open Forum

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hi Mary-An SIG for FQHCs would be great-thank you

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

I too would be interested in an FQHC sig.

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hi Mary

Please count me in for the FQHC sig as well. 

Hi Mary

Please count me in for the FQHC sig as well. 

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

We were told we can not bill 99211 as a billable FQHC visit?  Has this changed for 2024?

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Count me in! Thank you! Stephanie

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hello Mary, 

Has this materialized? Even though my center is not FQHC , our population is strictly underserved , charity care and medicaid, I am interested in this SIG 

Thank you, 

Janette 

Hello Mary, 

Has this materialized? Even though my center is not FQHC , our population is strictly underserved , charity care and medicaid, I am interested in this SIG 

Thank you, 

Janette 

Hello Mary, 

Has this materialized? Even though my center is not FQHC , our population is strictly underserved , charity care and medicaid, I am interested in this SIG 

Thank you, 

Janette 

Hello Mary, 

Has this materialized? Even though my center is not FQHC , our population is strictly underserved , charity care and medicaid, I am interested in this SIG 

Thank you, 

Janette 

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hello Mary, 

Has this materialized? Even though my center is not FQHC , our population is strictly underserved , charity care and medicaid, I am interested in this SIG 

Thank you, 

Janette 

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Please add me to the FQHC SIG when it gets off the ground

Please add me to the FQHC SIG when it gets off the ground

Please add me to the FQHC SIG when it gets off the ground

Please add me to the FQHC SIG when it gets off the ground

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

------------------------------
Mary Blankson DNP APRN FNP-C FAAN
Chief Nursing Officer
Community Health Center, Inc.
Middletown CT
(860)227-5432
------------------------------

Hello Mary,

I would love to be a part of the FQHC Sig.

------------------------------
Staci Adams, BSN, RN
Director of Clinical Services
Carolina Family Health Centers, Inc.
Wilson NC
------------------------------

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hi Mary,

I work at a FQHC so would love any and all additional information I could bring back. I would love to know how we could start billing for 99211 visits with RNs.

Thank you, 

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hi Mary,
I would also like to be included in the list for the FQHC sig.

Thank you,
Sarah

Hi Mary,
I would also like to be included in the list for the FQHC sig.

Thank you,
Sarah

Hi Mary,
I would also like to be included in the list for the FQHC sig.

Thank you,
Sarah

First off--hello! I am the CNO of a large FQHC in CT--always happy to see another FQHC partner on the community threads!

1) for nursing ratios---ours are 1 RN to every 2 provider panels for primary care support--then we have centralized nursing departments for triage and a few in our pop health department. This are in addition to the routine ratio. We are able to bill 99211 visits for our nurses, so this assists to cover the overhead of the nurses along with many value based contracts. 

2) I am putting together a request to add an FQHC sig for members...interested? I can add your name and contact to my list--once I get to 25, we will submit the final proposal to the board to have our SIG added!

3) shameless plug! I am the only candidate for board of directors from the FQHC world--would love to have your vote! we are a large voice and represent roughly 1400 clinics nation wide--so, really want to make sure the board has representation :)

Hope that helps!!

Mary Blankson, DNP, APRN, FNP-C, FAAN

mary@chc1.com

Hi,

If it isn't too late yet, will you please forward me the invite as well.

Hi,

If it isn't too late yet, will you please forward me the invite as well.

Hi,

If it isn't too late yet, will you please forward me the invite as well.

Hi,

If it isn't too late yet, will you please forward me the invite as well.

I would love to explore Nursing staffing ratios to provider panels that would include LPN (Panel Managers) as well as RN's who bill for services as well in the FQHC setting/primary care. Our 8 clinics range from 4,000 up to 9,000 clients serving the underserved, uninsured, underinsured and insured clients including the refugee clinic, HIV, family practice, internal medicine, pediatric and specialty practices. Our nurses serve a wide breath of care delivery including the call center. Therefore I am truly intrigued:)

Melissa,

Within the VHA, the RN Care Manager staffing model includes having 1 PCP (MD/DO, FNP or PAC) paired with 1.0 RN, 1.0 Clinical Associate (LPN, LVN, MA, HT or ICT) and 1.0 Clerical Associate for approximately 1200 patients. This staffing model was built to allow for continuity of care with team, same day access in fully staffed high functioning teams, and each role functioning at top of scope with clear role clarity. Suggest starting by developing a staffing methodology guidance document to show what you currently have and how that coverage has gaps paired with suggested solutions for the gaps to enhance efficiency, patient experience and patient outcomes. 

Melissa,

Within the VHA, the RN Care Manager staffing model includes having 1 PCP (MD/DO, FNP or PAC) paired with 1.0 RN, 1.0 Clinical Associate (LPN, LVN, MA, HT or ICT) and 1.0 Clerical Associate for approximately 1200 patients. This staffing model was built to allow for continuity of care with team, same day access in fully staffed high functioning teams, and each role functioning at top of scope with clear role clarity. Suggest starting by developing a staffing methodology guidance document to show what you currently have and how that coverage has gaps paired with suggested solutions for the gaps to enhance efficiency, patient experience and patient outcomes. 

Jami,

Where does nurse triage fit into your model? Is it a separate model or do your clinic RNs triage their providers patients? Thank you! 

Melissa,

Within the VHA, the RN Care Manager staffing model includes having 1 PCP (MD/DO, FNP or PAC) paired with 1.0 RN, 1.0 Clinical Associate (LPN, LVN, MA, HT or ICT) and 1.0 Clerical Associate for approximately 1200 patients. This staffing model was built to allow for continuity of care with team, same day access in fully staffed high functioning teams, and each role functioning at top of scope with clear role clarity. Suggest starting by developing a staffing methodology guidance document to show what you currently have and how that coverage has gaps paired with suggested solutions for the gaps to enhance efficiency, patient experience and patient outcomes. 

Good morning, happy to chat re: nurse provider ratio. Prior to Covid we had a great model in place- struggling to return there post-Covid. We are a five center FQHC system in PA and we had Clinical RN coordinators ( one per site except for the smaller sites then it was one per two sites). Additionally, we have RN Care Mgrs- one per team ( three full time providers/ team). We utilize LPNs as care navigators as well as to support med refills and direct clinical care. 

Right now though, I am the senior nurse and I supervise all clinical support with assistance of "lead MAs". I have one RN and one LPN in clinical with some PRN staff supporting med refills and patient call backs/ triage.  We are going to be identifying the LPN as a clinical nursing advisor to provide more direct CMA supervision. 

One RN in care mgmnt right now for our highest risk patients and an outsourced contractor ( Chartspan) to support the CCM efforts. 

This is not the best model- the one pre-Covid was way stronger. The ratios we had been using had been designed based on a team-based care model. 

Melissa Miranda,  RN CEO

Neighborhood Health Centers of the Lehigh Valley 

Hi All,

I am interested in this topic. I am the Director of Nursing for an FQHC in NY. We are working with consultants to improve our quality, efficiency, and productivity. Lots of discussion around MA and LPN roles; many who would boil their roles down to one can do shots and the other cannot.

B