Community Health Centers’ Role in Delivering Care to the Nation’s Underserved Populations During the Coronavirus Pandemic

Bradley Corallo, Jennifer Tolbert, Sara Rosenbaum, Jessica Sharac, Peter Shin, and Charmi Trivedi
Published: Dec 23, 2020

Appendix Table 1: Health Centers’ Capacity to Provide COVID-19 Diagnostic Testing to All Patients Who Need Tests
Among member health centers providing COVID-19 diagnostic tests, are health centers generally able to provide tests for all patients who need them? (14 Responses)
Yes	7
No	6
Don’t Know	1
NOTE: Figure based on 14 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 596 federally-funded health center organizations (43% of all health center organizations) across 14 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

Appendix Table 2: Barriers to Adequate COVID-19 Diagnostic Testing Provided by Health Centers
Please identify all applicable barriers to adequate COVID-19 diagnostic testing provided by health centers, if any, that member health centers are reporting. (15 Responses)
Member health centers have not reported any barriers to adequate diagnostic testing at their health centers (if selected, please do not check another type of barrier)	0
Member health centers have not reported any barriers because other providers in the community provide adequate COVID-19 testing	1
Long waiting times for test results	14
Shortage of testing supplies and equipment	13
Shortage of personal protective equipment (PPE) to protect staff	13
Shortage of staff	10
Inability to provide tests to all patients who need a test	9
Inability to coverall all of the community locations where patients need to get their tests	7
Lack of space to conduct testing	7
Lack of clarity/communication regarding who should receive testing	7
Initial HRSA funding to provide testing has run out	4
Other barrier to adequate testing	7
NOTE: Figure based on 15 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 694 federally-funded health center organizations (50% of all health center organizations) across 18 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

Appendix Table 3: Share of All Health Center Visits That Were Virtual Before March 1, 2020
Before March 1, 2020, approximately what share of all visits at your member health centers were virtual visits (e.g., telehealth/telephonic)? Please consider all virtual visits regardless of service type (e.g., medical, dental, behavioral health, etc.), but do not include calls to patients for such things as appointment confirmations or pharmacy reminders. (15 Responses)
Few or none	5
1%-5%	5
6%-10%	2
11%-15%	0
16%-20%	2
Greater than 20%	0
Don’t know	1
NOTE: Figure based on 15 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 694 federally-funded health center organizations (50% of all health center organizations) across 18 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

Appendix Table 4: Health Center Services with the Greatest Declines in Visits Currently Compared to Visit Levels Before March 1, 2020
Thinking about your member health centers overall, which services, if any, are currently experiencing the greatest declines in visits compared to visit levels before March 1, 2020? Please select up to but no more than 3 services. (15 Responses)
No services are currently experiencing a decline in visits compared to visit levels before March 1, 2020 (if checked, please do not select another type of service)	0
Preventive services for adults (such as routine exams and immunizations	12
Dental services	12
Well-child services	7
Chronic conditions management (e.g., diabetes, hypertension-related visits, etc.)	6
Child immunizations	5
Cancer screenings (such as cervical cancer screenings, colorectal cancer screenings, and mammograms)	1
Prenatal care services	1
Family planning services	0
Mental health services	0
Substance use disorder services	0
Vision services	0
Pharmacy services	0
Services for patients receiving in-home care	0
NOTE: Figure based on 15 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 694 federally-funded health center organizations (50% of all health center organizations) across 18 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

Appendix Table 5: Share of Health Center Staff Laid Off or Furloughed Since March 1, 2020 and Not Returned or Rehired
Thinking about your member health centers overall, approximately what percentage of the following staff have been laid off or furloughed since March 1, 2020 and have not since returned to work or been rehired? (15 Responses)
	Administrative Staff	Clinical Staff	Enabling Services Staff
None or very few	5	6	5
10% or less	8	5	6
11%-25%	0	1	0
26%-50%	0	0	0
More than 50%	0	0	0
Don’t know	2	3	3
NOTE: Figure based on 15 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 694 federally-funded health center organizations (50% of all health center organizations) across 18 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

Appendix Table 6: Changes in Health Centers’ Operating Costs Since March 1, 2020
Thinking about your member health centers overall, have operating costs generally increased, decreased, or stayed about the same since March 1, 2020? (15 Responses)
Operating costs have increased	10
Operating costs have stayed about the same	1
Operating costs have decreased	1
Don’t know	3
NOTE: Figure based on 15 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 694 federally-funded health center organizations (50% of all health center organizations) across 18 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

Appendix Table 7: Changes in Health Centers’ Patient Revenue Since March 1, 2020
Thinking about your member health centers overall, roughly how much has current patient revenue (i.e., insurance reimbursement and self-pay revenue) changed for your member health centers as a whole compared to patient revenue before March 1, 2020? (15 Responses)
Patient revenue is roughly the same or greater compared to patient revenue before March 1, 2020	0
Patient revenue has decreased by 1-25%	8
Patient revenue has decreased by 26%-50%	6
Patient revenue has decreased by more than 50%	0
Don’t know	1
NOTE: Figure based on 15 responses to a supplemental questionnaire from PCAs that participated in focus group discussions. In total, the PCAs responding to this question represent 694 federally-funded health center organizations (50% of all health center organizations) across 18 states. SOURCE: KFF and Geiger Gibson/RCHN Community Health Foundation Study of Primary Care Associations on Community Health Centers’ Response to the COVID-19 Pandemic.

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