State and Community-Based Nonprofit Corporations

Delaware HealthNet
Quality Infrastructure Development
Delaware HealthNet is a network of community health centers that offer services to the underserved in the state of Delaware. MSCG developed and implemented a quality improvement infrastructure for the network to advance electronic medical record reporting of their clinical measures as required by their national, state and local initiatives. MSCG focused on quality measures targeted as priority areas of the network’s members and national standards, such as NCQA Medical Home recognition and the CMS Meaningful Use measures. This enabled our client to be eligible for some of the beneficial government incentive programs, such as the Patient Centered Medical Home recognition program and the CMS Medicare and Medicaid EHR Incentive Programs, which provide financial incentive for the "meaningful use" of certified Electronic Health Record (EHR) technology to achieve health and efficiency goals.

Additionally MSCG assisted the client in putting a quality improvement infrastructure in place that would be sustainable beyond the contract in the ever changing landscape in healthcare and quality improvement

Primary Care Associations and National Cooperative Agreements
In partnership with Integrated Work Strategies, MSCG provided skills building, organizational development, quality improvement and technical assistance services to state and regional primary care associations (PCAs) and national cooperative agreements (NCAs). The various Learning Teams provided a forum for sharing best practices in the delivery of primary care services and enhance the PCAs and National Organizations’ capabilities to assist community health centers and other HRSA grantees with measuring and improving clinical quality, increasing cost efficiency and financial solvency, and enhancing operational performance.

State of Florida, Florida Department of Health - Osceola County Health Department
MSCG provides ongoing management support for the Osceola County Health Department (OCHD), which provides public health services and operates a network of Federally Qualified Heath Centers (FQHCs) for the uninsured and underserved citizens in the County. MSCG initially assisted OCHD with analysis of clinical operations and financial performance to identify opportunities to improve operating and cost efficiency in order to close the budget deficit and establish cash reserves, as required by the State. MSCG completed a comprehensive financial and operational assessment, reviewed management systems and reporting, assisted with development of budgetary forecasts, and conducted training for key management staff on budget forecasting; and operational and financial performance metrics to monitor operational and cost efficiency. As a result OCHD was able to meet and exceed State budgetary and cash reserve goals, while sustaining and increasing primary care services.

OCHD is in the process of implementing the Governor’s initiative to separate primary care services from the county public health department system. MSCG is providing strategic management support for the OCHD management team in the development and implementation of the transition plan. The transition plan will guide separation of the FQHC operations from the public health department and establish the FQHC system as an independent non-profit corporation. Thereby retaining critical primary care grant funding from the Health Center Program for FQHCs, as well as, assuring the continuation of high quality primary care services in the communities served.

Access Community Health Network – Chicago, IL
MSCG provides ongoing financial and operational management support for Access Community Health Network (Access). Access is a large Federally Qualified Health Center (FQHC) system, providing comprehensive primary care services at 45 site locations across Chicago, Illinois. MSCG provides a variety of services for Access, including mentoring and consultation services for the Vice President of Finance/Chief Financial Officer and other members of the financial management team; assisting with recruitment and screening of applicants for key financial management positions such as Revenue Cycle Director and Controller; conducting a comprehensive financial and operational analysis each year covering 68 measures trended and compared to national and state benchmarks; reviewing the annual uniform data system (UDS) report to assure accuracy in reporting and identifying any key operational trends; completing analytical reviews on selected areas of operation, such as accounts receivable valuation, obstetric services, and staff support ratios; conducting training on a variety of financial topics, including revenue cycle management and Health Center Program requirements; assisting in development of management and operational reports, such as a monthly financial scorecard, provider productivity (access to care) report, and revenue cycle dash board; reviewing and updating selected policies and procedures; and providing consultation for other members of the executive management staff as requested, including the President/Chief Executive Officer, Vice President of Strategy, Planning, and External Affairs, Vice President of Operations, Chief Medical Officer, Chief Operating Officer, Corporate Compliance Officer, and Director of Government Affairs. Access has been able to improve clinical efficiency, financial performance, cash position, financial and operational reporting, and knowledge of key staff through the services provided by MSCG.

Esperanza Health Center – Chicago, IL
Esperanza Health Center (EHC) is a Federally Qualified Health Center (FQHC) system located in Chicago Illinois and provides comprehensive primary care services for uninsured and underserved citizen in its surrounding neighborhoods. MSCG provided training and mentoring services for the new Chief Financial Officer (CFO), as well as other members of the financial management team, which included orientation to the Health Center Program and related program requirements. MSCG also assisted the Chief Executive Officer (CEO) with recruitment and screening of applicants for the CFO position. Other services included an analysis of patient revenue and accounts receivable data from the practice management system/electronic health record (PMS/EHR) to identify processing issues impacting financial accounting and valuation of accounts receivable, developed solutions, and conducted training for the financial management team on patient revenue accounting and revenue cycle management. MSCG also completed an analysis of financial performance and financial position and provided recommendations for the CEO and CFO to improve operational efficiency and financial results. EHC has been able to improve revenue cycle reporting, financial accounting and reporting, financial performance, and knowledge of the financial management staff on operating and FQHC through the services provided by MSCG.

Neighborhood Health Centers of the Lehigh Valley – Allentown, PA
MSCG provides ongoing management support for Neighborhood Health Centers of the Lehigh Valley (NHCLV), which is a Federally Qualified Health Center (FQHC) system located in Allentown Pennsylvania. MSCG conducting a comprehensive assessment of the clinical operations, accounting, and financial management systems to assist the Chief Executive Officer (CEO) of this relatively new FQHC system with improving clinical efficiency, accounting and financial management systems, compliance with Health Center Program requirements, and overall operational and financial performance. MSCG assisted the CEO in developing a comprehensive strategic work plan, as a result of the assessment, along with an implementation framework. Other services included training for the CFO and other financial and operational staff on the Health Center Program and related requirements, financial management and accounting, revenue cycle management, financial reporting in accordance with generally accepted accounting principles (GAAP), operational and financial performance metrics, and the sliding fee discount policy considerations. MSCG also assisted the CEO with recruitment and screening of applicants for the CFO position. As a result of MSCG assistance, NHCLV was able to implement key operational and management systems necessary to improve oversight, operational performance, and financial reporting; while being able to sustain and increase health care services in the Allentown and Bethlehem areas.

Alivio Medical Center – Chicago, IL
MSCG provided financial and operational management support for Alivio Medical Center (AMC), which is a Federally Qualified Health Center (FQHC) system located in Chicago Illinois, operating three primary care delivery site locations, along with health care clinics in four schools. MSCG completed a comprehensive analysis of financial and operational performance to identify opportunities to improve the financial performance and financial position of the health center system. MSCG worked with the executive management team in the development and implementation of a comprehensive Financial Recovery Plan (FRP), to effect the financial turn-around of the organization. MSCG also provided guidance to improve accounting and financial management. As a result of MSCG’s assistance, AMC was able to cut costs and improve operating efficiency, thereby improving overall financial performance and financial position.

Kentucky Primary Care Association
MSCG provided analytical and training services for the Kentucky Primary Care Association (KPCA), which is a state-wide association of primary care providers in Kentucky, including Federally Qualified Health Centers (FQHCs), rural health centers, public health departments, and other safety net organizations. MSCG conducted a comprehensive financial and operational performance analysis for any KPCA member organization choosing to participate in the analysis. A multi-year trend analysis was completed across 68 financial and operational performance metrics, along with a comparative analysis to national and state benchmarks. Participants received a comprehensive report; a one-on-one consultation session on the analysis results for their health center system with executive management staff and board members, including highlights of findings and recommendations for performance improvement; and a full-day presentation and training session on the overall findings, how to compute the measures, what the measures mean, and how to utilize the information. KPCA was able utilize the analysis findings as part of the annual membership needs assessment for training, as well as, in support of the annual application for Health Resources and Services Administration (HRSA) funding under a cooperative agreement. MSCG also provided two training sessions, resulting from the analysis; including a session on developing the fee schedule in compliance with Health Center Program requirements and a session on financial and business planning.

State of Florida, Florida Department of Health – Finance Department
MSCG conducted a webinar for the Florida Department of Health – Finance Department on measuring financial and operational performance for primary care services. The session included review of data elements needed to calculate key performance measures; how to calculate the measures; what the measures mean; and how to utilize the information. National benchmarks for financial and operational measures for Federally Qualified Health Centers (FQHCs) were also shared including utilization ratios, provider productivity measures, provide to patient ratios, support staff rations, overhead ratios, collection rates, unit costs, etc. As a result of this webinar, the Finance Department staff obtained increased knowledge of measuring financial and operational performance for primary care services; which also provided a foundation for updating data reporting systems for primary care, as well as, other services provided through the county public health department system.

American Public Health Association – Financial Roundtable
MSCG co-presented with staff from the Health Resources and Services Administration (HRSA) at the Annual Meeting of the American Public Health Association, Financial Roundtable on the Uniform Data System (UDS) report. The UDS report is required to be filed annually by all Federally Qualified Health Centers (FQHCs) and Federally Qualified Health Center Look-alikes (FQHC-LALs) and includes demographic, utilization, clinical and financial data. The presentation covered the data elements included in the UDS report, as well as, the use of these data elements in computing financial and operational performance metrics such as, utilization rates, productivity, staffing ratios, collection rates, unit costs, etc.; and hoe to utilize this information to identify opportunities for performance improvement.

Mid-Atlantic Association of Community Health Centers
MSCG provided consulting services to Mid-Atlantic Association of Community Health Centers (MACHC) on developing the association’s clinical capacity building infrastructure by engaging medical directors and other senior clinical staff in quality improvement activities via the development of a Clinical Strategic Plan and Clinical Advisory Board who were responsible for leading the organization’s Quality Improvement efforts.