Queen Emma Clinics and QUEST Flashcards

1
Q

What is the mission of the Queen Emma Clinics?

A
  • Provide quality health care to Native HIs/people of HI

- Provide clinical teaching site for students of UH programs

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2
Q

Are emergent cases seen at the Queen Emma Clinics?

A

NO, sent to ER

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3
Q

What credentials are requested if you make at appt?

A
  • Valid picture ID
  • Ins card (if available)
  • Prior health records
  • Meds list
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4
Q

Who works in the QEC?

A
  • MDs (attending, resident, student)
  • NPs/RNs, MAs
  • Social workers, Patient educators
  • Pharmacists
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5
Q

What are the main QEC services (non-specialty clinic)?

A
  • Primary care (adult, peds, family health)
  • OBGYN
  • Psychiatry
  • Surgery
  • Orthopedics
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6
Q

What forms of insurance does QEC accept?

A

-Medicare, QUEST (medicaid), HMSA, most other private ins

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7
Q

What is the minimum charge if you have no ins?

A

$15

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8
Q

What are some similar community-health centers?

A
  • Bayanihan Clinic Without Walls
  • Waikiki Health Center
  • North Shore Community Health Center (Kahuku)
  • Salvation Army Medical Clinic (Kona)
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9
Q

What does QUEST stand for?

A
Quality care
Universal access
Efficient utilization
Stabilizing costs
Transforming the way health care is provided to QUEST members
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10
Q

Who runs the QUEST program?

A

Department of Human Services (DHS)

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11
Q

What two federal programs does it include?

A
  • Medicaid

- Children’s Health Insurance Program (CHIP)

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12
Q

What is the maximum income level for QUEST eligibility (children, preggers, parents)?

A

Children - 308% of FPL
Preggers - 191% of FPL
Parents - 133% of FPL

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13
Q

What are the other requirements for QUEST eligibility?

A
  • Hawaii resident
  • US national, citizen, or alien in need of health care
  • Not be 65yo+ or blind/disabled
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14
Q

Who is eligible for Medicare?

A
  • 65yo or older
  • Disabled
  • End stage renal disease
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15
Q

Who runs Medicare? What funds it?

A
  • Federal program administered by Health Care Finance Authority
  • Funded by payroll tax
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16
Q

Who runs Medicaid?

A

Joint Fed-State program under Title XIX of Social Security Act

17
Q

Are there premium payments required for Medicare? Medicaid?

A
  • Medicare: only for parts B (MD office) and C (private ins equivalent)
  • Medicaid: no deductible, premium, or co-payment
18
Q

What is the main form of payment from QUEST to healthcare provider?

A

Fee-for-Service

-Created as small incentive for pro bono care to those in need

19
Q

Current health ins plans under QUEST-integration?

A
  • Aloha Care
  • Ohana Health Plan
  • Kaiser
  • HMSA
  • United Healthcare Community plan (UHC)
20
Q

What are the main categories of services provided by QUEST?

A
  • Primary and Acute services
  • Behavioral health services
  • Long term services and support
21
Q

Does QUEST cover dental services too?

A

YES

22
Q

Who operates the Queen Emma Clinics?

A

Queens Medical Center and UH-College of Health Sciences