Hidalgo Medical Services

“Business relationship: board members magdaleno manzanarez, katy estrada, frank chaires, and pam archibald have a business relationship.”

“The following significant changes were made to the by laws: the mission of hms is: hidalgo medical services positively impacts the health, well-being and quality of life for those we serve by providing comprehensive, integrated, affordable healthcare and education of patients and healthcare professionals. This mission is carried out by conforming to the following specific purposes: 1. To improve the health and well-being of the people of southwestern new mexico and regionally by implementing health care service to individuals regardless of their ability to pay for them; 2. To offer health education, promotion and disease prevention services to at-risk populations in our service area; 3. To operate as effectively and efficiently as possible in order to assure that the highest quality of services is provided; 4. To coordinate effectively with other providers in southwestern new mexico and regionally to assure that our clients have access to services that they need; 5. To conduct outreach and planning activities with local, state and federal programs as well as, other community providers to assure comprehensive health, social, community and economic development services are provided in southwestern new mexico and regionally. 6. To charge for all services rendered as required by hrsa regulations and to make reasonable and timely efforts to collect for services. Functions of the board: - adopting policies for financial management practices, including a system to assure accountability for clinic resources and assets, approval of the annual projected operating and capital budgets (including the use of federal grant and nongrant funds), all contracts obtained on behalf of the corporation, the annual project plan, clinic priorities, eligibility for services including fee schedules and criteria for partial payment schedules (the sliding fee discount program), billing and collection policies, and long range financial planning; and - approving the selection of an independent auditor, reviewing and officially accepting the annual audit report; and - approving the annual federal grant application, as well as other grant applications and requests to federal, state, and local agencies related to the federal scope of project, including but not limited to change in scope requests submitted to hrsa; and - adopting personnel policies and procedures, including selection and dismissal procedures, salary and benefit scales, employee grievance procedures, equal opportunity practices, and codes of conduct; and - developing plans for the long-range viability of the organization by engaging in strategic planning, ongoing review of the organization's mission and by-laws, evaluating patient satisfaction, monitoring organization assets and performance and establishing general policies for the health center. Dissolution: upon the dissolution of the corporation, the board of directors shall, after paying or making provision for the payment of all of the liabilities of the corporation, dispose of all of the assets of the corporation exclusively for the purposes of the corporation, in such a manner, or to such organization or organizations organized and operated exclusively for charitable, educational, religious, or scientific purposes as shall at the time qualify as an exempt organization or organizations under section 501(c)(3) of the internal revenue code of 1954 (or the corresponding provision of any future united states internal revenue law), as the board of directors shall determine. Any of such assets not so disposed shall be disposed of by the district court of the county in which the principal office of the corporat1on is then located, exclusively for such purposes or to such organization or organizations as said court shall determine which are organized and operated exclusively for such purposes.”

“Form 990 review process: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by management. The form 990 is reviewed by the cfo and then provided to the board of directors at a board meeting before filing with the irs.”

“Monitoring compliance with conflict of interest policy: policies and procedures will be prepared in hms's functional departments, including personnel, compliance, financial, quality improvement, clinical, and operational. Particular attention will be given to areas of potential risk identified in the results of an audit or relevant risk areas identified by the department of health and human services, office of inspector general and other federal and state government agencies. The compliance coordinator, members of senior management, and/or employees, working in the relevant department may be involved in drafting, reviewing, or otherwise, with respect to the proposed policy and procedure. Once a draft or revision is complete, the compliance coordinator will review the draft to ensure that the policy complies with all applicable laws and regulations. The compliance coordinator will distribute copies of the proposed policy and procedure to the quality improvement "qi" committee. The policy and procedure will be reviewed and approved by the qi committee, and then the policy changes will be presented to the hms board of directors, for review and/or approval. After the review and approval of the proposed policy and procedure, a final draft, indicating approval of the policy and the effective date, will be prepared. Newly approved policies and procedures will be distributed to all affected hms affiliates, and incorporated into hms's education and training efforts. The compliance coordinator will promptly distribute the new/revised policy and procedure to the relevant individuals and require attestation from each recipient.”

“Compensation review: the board of directors used comparative state data to approve a revised salary matrix for the entire organization on 12/21/2017.”

“Document disclosure: the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“Significant changes to program services: 1) carelink nm is a new program that is intended to enhance integration and coordination of primary, acute, behavioral health, and long-term care services and supports for persons with chronic conditions across their lifespan. It is for patients who suffer from a chronic medical and serious mental health condition. This is a patient-centered approach where care coordination will occur at the community level and is for medicaid patients only. 2) hms assumed operations of four senior centers in grant county.”

“Primary health care services: hms employs board-eligible and certified family practice physicians, certified physicians assistants and family nurse practitioners to serve our patients. Hms also provides the following ancillary services: laboratory services - laboratory services are regulated by medicare through the clinical laboratory improvement act (clia). At rural locations, hms offers clia waived lab services which are a limited and defined set of lab services that can be din-house. For other tests, hms provides moderate complexity lab services at its clinic in silver city. The majority of lab services can be provided within hms, which can speed up the results process and provide better patient care. Lab specimens are sent daily via grant county's corre caminos public transportation system which is funded, in part, by hms. Some insurance companies require that certain labs be sent to certain laboratories in albuquerque or elsewhere, for which hms will make arrangements. Hms also partners with gila regional medical center (grmc) in silver city for more complicated lab processes. X-ray services - basic x-ray services are provided at hms locations in silver city and lordsburg. All other radiologic or other procedures such as magnetic resonance imaging (mri) are typically referred to grmc. Patient choice is always a consideration. Pharmacy - there are three ways that hms can assist patients with pharmacy services beyond the simple prescription. 1. Medication assistance program: many pharmaceutical companies offer free medications typically to chronically ill patients who qualify financially. The hms family support program assists all people who qualify with this service, whether they are hms patients or not. The family support medication assistance program (map) is also supported by a number of community volunteers. 2. 340b prescriptions: hms has access to a limited number of prescriptions through the 340b program and the walgreens pharmacy in silver city. The program allows hms to purchase medications at federal drug prices, reducing the patient's cost. The patient must be a patient of hms, referred only by hms providers and be eligible to the hms sliding scale program. 3. Emergency coverage in hidalgo county: hms collaborates with the hidalgo county ambulance service for after hours coverage. The clinic in lordsburg will see minor emergencies, e.g. Sutures (stitches and breaks). For patients in hidalgo county who travel to silver city and grmc for a medical emergency, the hms physician or call team physician on-call, will provide admission services. For grant county patients, hms utilizes local ambulance services for emergencies. Hms physicians share after hours call with other local physicians in a call team and are able to attend patients that are required to go the hospital er in silver city.”

“Mental health services: integrated behavioral health care: mental health professionals are available to assist primary care providers identify and appropriately respond to emotional, behavioral and mental factors that impact the medical care of patients. This allows mental health providers to see patients in the exam room in order to make a quick assessment and provide a brief, supportive intervention or a referral to counseling or psychotherapy services, either within hms or to one of the other agencies providing a different level of care within the community. Qualified mental health providers (e.g. Psychiatric nurse practitioners) may also consult with primary care providers on appropriate medications for the presenting concerns. The goal of the behavioral health care consult are both to ensure the proper, culturally competent strategy for health care is agreed upon between provider and patient, and to help the patient identify and change aspects of their life which may interfere with maintaining their health and quality of life. Psychotherapy services: hms mental health professionals provide short-term and medium-term individual and group counseling and psychotherapy services to hms patients. Such services are principally designed for moderate to medium level difficulties in living encountered by patients. Those dealing with severe or chronic mental health challenges would most likely be referred to other agencies in the region for a more appropriate level of care. Hms employs strength-based psychotherapeutic strategies that are validated empirically for the populations served. Hms maintains an unyielding commitment to the highest ethical and professional standards in the delivery of these services. Preventive care: hms mental health professionals recognize that mental health problems are frequently symptoms of less than healthy standards of living within a given community. Thus hms is committed to working with others dedicated to improving the conditions of life in our communities by participating in health fairs, conducting workshops and speaking to community groups on issues related to the mental and emotional well being of the community. Further, hms is also committed to contributing to community response plans to events and conditions which are recognized as risk factors for emotional and mental well-being.”

“Dental services: in addition to preventive dental services, hms dentists provide diagnostic and restorative dental care and can meet most oral surgery needs of patients, include fillings, extractions, and partial or full prosthetics. Panorex (panorama) x-ray services are available at both locations.”

“Other program services: hidalgo medical services provides supportive services through our family support services department. Supportive services include a registered dietitian and certified diabetes educator; and assisting patients in accessing resources to address social determinants of health (i.e. Transportation, food, housing), insurance enrollment, sliding fee enrollment, and outreach and education. We support the needs of our senior population as the provider of senior services in southwest new mexico, overseeing five senior centers that provide congregate meals, home delivered meals, and transportation. Hms also provides the following services: - medicaid/medicare enrollment - chronic disease prevention and management classes - smoking cessation assistance - free or low cost medications”