{"id":68776,"date":"2023-03-03T08:35:48","date_gmt":"2023-03-03T15:35:48","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=68776"},"modified":"2023-03-14T09:46:20","modified_gmt":"2023-03-14T15:46:20","slug":"what-is-a-facility-fee","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/what-is-a-facility-fee\/","title":{"rendered":"What is a facility fee?"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_68878\" aria-describedby=\"caption-attachment-68878\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-68878\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/03\/06110117\/UCHealth-nurse-patient-care-web.webp\" alt=\"Facility fees pay for people who care for patients, from nurses to lab and X-ray technicians to parking attendants, security, pharmacy staff members and front desk personnel. Photo: UCHealth\" width=\"640\" height=\"427\" \/><figcaption id=\"caption-attachment-68878\" class=\"wp-caption-text\">Facility fees pay for people who care for patients, from nurses to lab and X-ray technicians to parking attendants, security, pharmacy staff members and front desk personnel. Photo: UCHealth<\/figcaption><\/figure>\n<p>Health care expenses are complex, and one of the least understood costs is what\u2019s known as a \u201cfacility fee.\u201d<\/p>\n<p>When you think of a facility fee, you might think of a building. But facility fees are actually \u201cpeople fees.\u201d They cover the expenses for all of the people who make clinics run, from nurses to lab and X-ray technicians to parking attendants, security and pharmacy staff members. The facility fee pays for the people who care for patients. (For more information about facility fees, <a href=\"https:\/\/www.uchealth.org\/what-is-the-hospital-facility-fee-and-why-is-it-important-to-you\/\">click here<\/a>.)<\/p>\n<p>Proposed legislation in the Colorado legislature, <a href=\"https:\/\/leg.colorado.gov\/bills\/hb23-1215\">House Bill 23-1215<\/a>, would bar facility fees. If successful, the bill would imperil countless clinics and health care jobs throughout the state. Those clinics would have no funding to pay for the dedicated staff members who care for patients, and many would be forced to close.<\/p>\n<p>To help you understand what facility fees are and how they work, we consulted with Angela Zurun, the operations manager for <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-plastic-and-reconstructive-surgery-colorado-springs\/\">UCHealth Plastic and Reconstructive Surgery \u2013 Colorado Springs<\/a>, exactly the type of clinic that could be impacted without funding from facility fees.<\/p>\n<figure id=\"attachment_68873\" aria-describedby=\"caption-attachment-68873\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-68873\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/03\/06102110\/angleazurunatfrontdeskeee.webp\" alt=\"Angela Zurun\" width=\"400\" height=\"300\" \/><figcaption id=\"caption-attachment-68873\" class=\"wp-caption-text\">Angela Zurun works as the operations manager for <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-plastic-and-reconstructive-surgery-colorado-springs\/\">UCHealth Plastic and Reconstructive Surgery \u2013 Colorado Springs<\/a>, exactly the type of clinic that could be impacted without funding from facility fees. Photo: UCHealth.<\/figcaption><\/figure>\n<p>In addition to threatening vital clinics like the one Zurun manages, attacks on facility fees also could undermine valuable programs and people including:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.uchealth.org\/today\/homeless-find-path-to-housing-and-better-health-in-denver\/\">Social workers and care coordinators who help reduce homelessness and keep unhoused people healthier<\/a>.<\/li>\n<li>Behavioral health specialists who are <a href=\"https:\/\/www.uchealth.org\/today\/mental-health-crisis-uchealth-pumps-150-million-into-behavioral-health-care\/\">working to combat Colorado\u2019s growing mental health crisis<\/a>. Health systems fund a variety of behavioral health programs from new psychiatric beds for people in crisis to embedded therapists in primary care clinics.<\/li>\n<li>Security staffers who keep patients and staff safe from growing threats of crime and violence.<\/li>\n<li>Workforce development experts who are working to train future nurses, social workers, lab techs, nursing assistants and others who keep all of us healthy.<\/li>\n<\/ul>\n<p>Zurun works with three highly skilled physicians who restore vital function for people who have suffered severe trauma or cancer.<\/p>\n<p>When a patient goes in for an appointment in a clinic, there\u2019s a big team of people taking care of the patient, not just the doctor. For certain types of clinics known as hospital-based clinics, the provider\u2019s bill must, by law, be separate from the bill for the rest of the patient\u2019s care team.<\/p>\n<p>So, when you get a bill from your provider, that bill only covers the time that the doctor or advanced practice provider spends with the patient. The facility fee covers everyone else: nurses, nursing assistants, behavioral health therapists, social workers, care managers, pharmacists, housekeeping, security officers, front desk staff, supplies, equipment and more.<\/p>\n<p>In Zurun\u2019s clinic, the work is not about cosmetics but helping people heal from malformation or devastating injuries, such as gunshot wounds to the face or reconstructive breast surgery after a double mastectomy.<\/p>\n<p>The three surgeons in this sophisticated medical clinic are supported by nine additional employees: three physician assistants, four medical assistants and two administrative employees at the front desk.<\/p>\n<p>\u201cThat\u2019s probably a minimum amount to run a clinic for three surgeons,\u2019\u2019 said Zurun, who has worked in health care for more than 25 years, including for two decades in the Air Force.<\/p>\n<figure id=\"attachment_68874\" aria-describedby=\"caption-attachment-68874\" style=\"width: 400px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-68874\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/03\/06102208\/brittneygreencroppedeee.webp\" alt=\"\" width=\"400\" height=\"252\" \/><figcaption id=\"caption-attachment-68874\" class=\"wp-caption-text\">Brittney Green, a medical assistant at UCHealth Plastics and Reconstructive Surgery clinic, plays a vital role in patient care and also schedules surgeries for the clinic. Facility fees pay for the work that she does. Photo: UCHealth.<\/figcaption><\/figure>\n<p>The facility fee covers the salaries of these employees, and each plays a vital role in patient care.<\/p>\n<p>In this clinic, physician assistants assist surgeons in the operating room. They visit patients in the hospital and see patients during follow-up visits in the clinic. Patients are not charged for follow-up visits within what is called the \u201cglobal period,\u2019\u2019 90 days after surgery. Physician assistants also place orders in the computer during surgery, answer in-basket messages from medical assistants and patients who communicate through My Health Connection, UCHealth\u2019s online patient portal.<\/p>\n<p>\u201cThe physician assistant\u2019s job is to make sure that the surgeons are able to spend more time in the operating room,\u2019\u2019 Zurun said.<\/p>\n<figure id=\"attachment_68866\" aria-describedby=\"caption-attachment-68866\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-68866\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/03\/03104004\/Housekeepiereee.webp\" alt=\"A housekeeper washes her hands.\" width=\"400\" height=\"269\" \/><figcaption id=\"caption-attachment-68866\" class=\"wp-caption-text\">Facility fees help to pay for housekeepers who keep clinics clean. Photo: UCHealth.<\/figcaption><\/figure>\n<p>Medical assistants also support patients. For instance, in clinics, they assist with wound care, staple removal, drain removal and more. Before reconstructive breast surgery, for instance, a medical assistant helps with tissue expansion. Medical assistants also schedule surgeries, review and request medical records (along with the physician) and answer any patient questions that they can. All other questions are sent to the physician assistant.<\/p>\n<p>Employees at the front desk schedule all patient clinic appointments, manage templates for providers and check patients in and out of the clinic.<\/p>\n<p>Facility fees also cover supplies such as ointments, bandages and dressings.<\/p>\n<p>\u201cWe use a lot of supplies for patient care. Many of our patients walk out of the clinic perhaps with two or three Ace bandages. You can see when they leave the room that it\u2019s filled with empty packages of supplies that have been used,\u2019\u2019 Zurun said.<\/p>\n<p>In addition, the facility fee covers clinical engineers who check machines to make sure they\u2019re working properly; information technology experts update software for the medical records system and medical assistants uses materials to sterilize instruments used in the clinic setting. Lab work is also essential.<\/p>\n<p>\u201cIt takes a lot of work and people to run a department, to make sure the patient is seen, scheduled, has surgery, and comes back for follow up. It\u2019s lots of work and that is for one patient,\u2019\u2019 Zurun said.<\/p>\n<p>Colorado lawmakers are considering legislation that would prohibit facility fees. The proposed law, <a href=\"https:\/\/leg.colorado.gov\/bills\/hb23-1215\">House Bill 23-1215<\/a>, would undermine care that patients receive in clinics where patient safety and quality are top priorities.<\/p>\n<p>Eliminating facility fees also could cost Colorado jobs and reduce federal funds that help cover care for patients with Medicaid coverage.<\/p>\n<p>The goal of health care is to keep patients healthy, and providing excellent, preventive care in outpatient clinics has helped Colorado reduce health care costs. The <a href=\"https:\/\/interactives.commonwealthfund.org\/2022\/state-scorecard\/Colorado.pdf\">Commonwealth Fund<\/a> currently ranks Colorado No. 2 in the country for the lowest percent of household income spent on hospital care, and third best state for avoidable hospital use and cost.<\/p>\n<figure id=\"attachment_68875\" aria-describedby=\"caption-attachment-68875\" style=\"width: 400px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-68875\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/03\/06102405\/instruments2eee.webp\" alt=\"\" width=\"400\" height=\"300\" \/><figcaption id=\"caption-attachment-68875\" class=\"wp-caption-text\">Facility fees pay for the sterilization of medical equipment. Photo: UCHealth.<\/figcaption><\/figure>\n<p>Prohibiting facility fees will cause patients to lose access to their clinics and providers, resulting in increased emergency room visits and higher costs for all.<\/p>\n<p>For more information on the facility fee bill and this legislative session, please visit the\u00a0<a href=\"https:\/\/cha.com\/policy-advocacy\/facility-fees\/\">Colorado Hospital Association<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health care expenses are complex, and one of the least understood costs is what\u2019s known as a \u201cfacility fee.\u201d When you think of a facility fee, you might think of a building. But facility fees are actually \u201cpeople fees.\u201d They cover the expenses for all of the people who make clinics run, from nurses to [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":68878,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[],"class_list":["post-68776","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast 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