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Guide to Understanding Florida's FQHCs and 330 Expansion ...

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Table 9: Florida FQHC Provider Productivity<br />

Type of Provider FTE Yearly Patient<br />

Encounters<br />

Family Practitioners 108.71 4761<br />

General Practitioners 15.86 4204<br />

Internists 43.47 4099<br />

OB GYN 31.93 3806<br />

Pediatricians 80.76 4501<br />

Other Specialists 1.31 4043<br />

Nurse Practitioners 87.83 3083<br />

Physicians Assistants 25.22 3342<br />

Certified Nurse Midwives 26.66 2613<br />

Nurses 360.97 463.9<br />

Dentists 59.43 2856<br />

Dental Hygienist 26.38 1349<br />

Psychiatrists 7.36 4041<br />

Other Licensed Mental Health Providers 16 1339<br />

Source: BPHC Section <strong>330</strong> Grantees Uniform Data System (UDS) 2004<br />

Recruiting physicians <strong>and</strong> other clinicians is an on-going challenge for healthcare agencies<br />

throughout Florida. To remain competitive <strong>FQHCs</strong> must offer attractive salary <strong>and</strong> benefits<br />

packages while choosing compassionate providers who want <strong>to</strong> be a part of the CHC mission.<br />

What Is The Difference Between A Community Health Center (CHC) And A County Health<br />

Department (CHD)<br />

Community Health Centers are sometimes confused with County Health Departments (CHDs) that<br />

are located in each of Florida’s 67 counties. CHDs are funded by the State of Florida <strong>to</strong> maintain<br />

public health <strong>and</strong> safety by promoting healthy lifestyles <strong>and</strong> moni<strong>to</strong>ring <strong>and</strong> preventing health risks<br />

including the spread of disease. Many Florida CHDs offer primary healthcare services in addition <strong>to</strong><br />

their “public” health role. The provision of primary health care does not mean CHDs are CHCs, a<br />

designation that can only be granted by the federal government. There are however, five <strong>FQHCs</strong> in<br />

Florida that are part of a CHD. These “hybrid” organizations must comply with the same federal<br />

expectations as all other <strong>FQHCs</strong>, including the governance requirement stipulating that the health<br />

center must be run by a community Board of Direc<strong>to</strong>rs, 51% of whom must be patients of the health<br />

center’s services. CHDs must also comply with state requirements for CHDs. Table 10 lists the<br />

<strong>FQHCs</strong> in Florida that are part of CHDs.<br />

<strong>Underst<strong>and</strong>ing</strong> Florida <strong>FQHCs</strong> Copyright 2006 Page 13 ©

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