From Today's Crain's:
NYC Health + Hospitals/Coney Island is requesting the state's permission to transfer the operating certificate for its ambulatory care clinic to its Cumberland Diagnostic and Treatment Center.
The move is part of a reorganization of the public health system's neighborhood ambulatory care clinics. More such requests for operating certificate changes are in the offing, an H+H spokesman said
"It's part of a broader systemic approach," he said. "We're moving all of these sites off of the hospital operating certificates."
H+H is reorganizing its neighborhood outpatient clinics so that they will be under the umbrella of Gotham Health NYC, a designated Federally Qualified Health Center Look-alike, which is operated by the public health system, according to its certificate-of-need application. Gotham Health serves more than 140,000 city residents annually through 39 sites, which include Cumberland and five other diagnostic and treatment centers, 19 extension clinics and 14 school-based clinics.
A FQHC Look-alike doesn't qualify for the same federal funding as a standard FQHC, but it does get enhanced Medicare and Medicaid reimbursement rates.
Besides saving the health system money, the FQHC model also allows for greater responsiveness to community needs, such as providing trauma-informed care, the H+H spokesman said.