This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported License
Health centers, both Federally Qualified Health Centers, which receive Federal funding, and Federally Qualified Health Center Look-A-likes, which do not, must meet a strict set of requirements. Included in these requirements are a set of clinical expectations that guide both the types of services offered as well as the quality of those services. While the intent of these requirements is to assure quality service to health center patients, many clinics struggle to understand how to design and manage their site to meet the requirements.
The Migrant Clinicians Network is an excellent resource to new, potential and existing grantees wanting additional assistance or information about the clinical requirements of 330 funding. In this section of our website you will find information about developing a health care plan, the very latest information on clinical performance measures, as well as many other resources to help you better manage your clinic.
If you do not find what you need on this page, you may contact MCN’s Director of Performance Improvement, Candace Kugel, CRNP, CNM, MS  for further guidance.
If you are associated with a Migrant/Community Health Center (M/CHC) funded by the Health Resources and Services Administration (HRSA), you may be developing some familiarity with the performance measures introduced in 2008 by the Bureau of Primary Health Care (BPHC). Grantees are now expected to report on a set of clinical and financial performance measures in an effort to collect data that will allow for the evaluation of individual and collective performance trends over time. The required measures are listed below.
For additional information about the required measures contact:
National Health Service Corps, Nursing Education Loan Repayment Program, Nursing Scholarship Program, Faculty Loan Repayment Program information CallCenter@hrsa.gov 
1-800-221-9393 (TTY: 1-877-897-9910), 9 am to 5:30 pm ET, weekdays (except Federal holidays)
BPHC encourages grantees that receive funding for special populations (migrant, homeless, public housing) to include supplemental measures in their health care plans that allow them to monitor the health status or outcomes of services for those populations. Likewise, many health centers that serve large migrant populations have expressed an interest in developing supplemental measures that effectively reflect the unique features of both the migrant population itself and the service delivery modalities used by Migrant Health Centers. The Migrant Clinicians Network (MCN) was asked by BPHC to coordinate a work group to respond to this need and has developed a set of migrant-specific performance measures. The conclusions of that work are presented here.
The process of developing migrant-specific measures included consideration of the following questions
Selected measures are as follows:
This measure would monitor the effectiveness of enabling services by documenting the identification of patients outside of the clinic setting with uncontrolled hypertension who are entered into care. “Successfully referred” = referred and clinic visit documented.
Calculation: Farmworker patients seen outside of the clinic setting with documented BP of ≥140/90 who are 1) referred for care and 2) are seen by a provider/Total farmworker patients seen outside of the clinic setting with documented BP of ≥140/90.
This measure would document how many farmworker patients receive education regarding the prevention of pesticide exposure, such as the use of personal protective equipment (PPE), proper storage and handling of pesticides, etc.
Calculation: Farmworker patients with documented pesticide prevention education/Total registered farmworker patients.
This cost measure would provide a basis to value each enabling service individually and/or in total, allowing each grantee to determine the baseline, trends, and goals for their program. Increases in service levels per patient may result in increased “average cost per patient”, while increases in the total number of patients served within the same staffing and cost structure will result in lower “average cost per patient” indicating improved efficiency.
Calculation: Total Cost for Enabling Services / Unduplicated Enabling Patient
(or - Average Hours per Patient X Average Cost per Hour)
The migrant-specific performance measures discussed here are not meant to replace the BPHC required core measures, and will not be required for MHCs. They are intended only as suggested supplemental measures for MHCs.