ArticleJoint Commission journal on quality and patient safety2019
Federally Qualified Health Center Strategies for Integrating Care with Hospitals and Their Association with Measures of Communication.
Article in Joint Commission journal on quality and patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Determinants of When Community Behavioral Health Clinics Partner With Emergency Response Systems: The Role of Capacity in 911 Referral and Co-response Models.The Milbank quarterly · 2025Article
- Characterizing Crisis Services Offered by Certified Community Behavioral Health Clinics: Results From a National Survey.Psychiatric services (Washington, D.C.) · 2025Article
- FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality.Journal of general internal medicine · 2021Article
- Care integration within and outside health system boundaries.Health services research · 2020Article
- Association of Primary and Specialty Care Integration on Physician Communication and Cancer Screening in Safety-Net Clinics.Preventing chronic disease · 2020Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundFederally qualified health centers have aligned clinical services and systems with local hospitals, but little is known about the specific care integration strategies health centers use or their impact on care. A research team examined the use of strategies by health centers to integrate care with hospitals and emergency departments (EDs) and their association with performance on measures of health center-hospital communication.
methodsA Web-based survey was administered to health center medical directors in 12 states and Washington, DC, in 2017. The survey collected 10 self-reported measures of communication between health centers and hospitals/EDs and the extent to which health centers used different strategies to improve care integration. Health center and market characteristics that predict higher vs. lower integration activity were examined, and logistic regression was used to assess the relationship between integration activity and communication.
resultsBetween 56% and 81% of health centers participated in quality improvement projects, health promotion initiatives, guideline alignment, or executive meetings with hospitals; far fewer established notification agreements regarding hospital/ED utilization. Health centers that were larger, were located in rural areas or states with Accountable Care Organization programs, reported fewer staff shortages, and had fewer minority patients were associated with greater integration activity. Higher levels of integration activity were associated with better performance on most communication measures in both inpatient and ED settings (p < 0.05). Integration activity was not associated with health centers' receipt of notifications after patients' ED visits.
conclusionHealth centers differ in the use of strategies to integrate care with hospitals. Overall, integration activity is associated with better communication.
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