Queen Emma Clinics and QUEST Flashcards
What is the mission of the Queen Emma Clinics?
- Provide quality health care to Native HIs/people of HI
- Provide clinical teaching site for students of UH programs
Are emergent cases seen at the Queen Emma Clinics?
NO, sent to ER
What credentials are requested if you make at appt?
- Valid picture ID
- Ins card (if available)
- Prior health records
- Meds list
Who works in the QEC?
- MDs (attending, resident, student)
- NPs/RNs, MAs
- Social workers, Patient educators
- Pharmacists
What are the main QEC services (non-specialty clinic)?
- Primary care (adult, peds, family health)
- OBGYN
- Psychiatry
- Surgery
- Orthopedics
What forms of insurance does QEC accept?
-Medicare, QUEST (medicaid), HMSA, most other private ins
What is the minimum charge if you have no ins?
$15
What are some similar community-health centers?
- Bayanihan Clinic Without Walls
- Waikiki Health Center
- North Shore Community Health Center (Kahuku)
- Salvation Army Medical Clinic (Kona)
What does QUEST stand for?
Quality care Universal access Efficient utilization Stabilizing costs Transforming the way health care is provided to QUEST members
Who runs the QUEST program?
Department of Human Services (DHS)
What two federal programs does it include?
- Medicaid
- Children’s Health Insurance Program (CHIP)
What is the maximum income level for QUEST eligibility (children, preggers, parents)?
Children - 308% of FPL
Preggers - 191% of FPL
Parents - 133% of FPL
What are the other requirements for QUEST eligibility?
- Hawaii resident
- US national, citizen, or alien in need of health care
- Not be 65yo+ or blind/disabled
Who is eligible for Medicare?
- 65yo or older
- Disabled
- End stage renal disease
Who runs Medicare? What funds it?
- Federal program administered by Health Care Finance Authority
- Funded by payroll tax
Who runs Medicaid?
Joint Fed-State program under Title XIX of Social Security Act
Are there premium payments required for Medicare? Medicaid?
- Medicare: only for parts B (MD office) and C (private ins equivalent)
- Medicaid: no deductible, premium, or co-payment
What is the main form of payment from QUEST to healthcare provider?
Fee-for-Service
-Created as small incentive for pro bono care to those in need
Current health ins plans under QUEST-integration?
- Aloha Care
- Ohana Health Plan
- Kaiser
- HMSA
- United Healthcare Community plan (UHC)
What are the main categories of services provided by QUEST?
- Primary and Acute services
- Behavioral health services
- Long term services and support
Does QUEST cover dental services too?
YES
Who operates the Queen Emma Clinics?
Queens Medical Center and UH-College of Health Sciences
