The Alaska FESC Consortium was funded by the HRSA Office of Rural Health Policy under three consecutive one-year cooperative agreements. The current cooperative agreement is funded through August 31, 2007. As the lead agency, SouthEast Alaska Regional Health Consortium (SEARHC) has subcontracted with Iliuliuk Family and Health Services, Cross Road Medical Center, and Inter Island Medical Center to fund actual demonstration sites for the FESC model. Besides acting as the lead agency for the FESC Consortium, SEARHC manages two demonstration sites in southeast Alaska; at the Alicia Roberts Medical Center in Klawock, and the Haines Health Center. The Native Village of Eyak is not actually testing the model, but is participating in the planning and evaluation process. Each of the five demonstration sites have increased their staffing and upgraded facilities and equipment to meet the challenges of providing quality FESC services.

• Year One Report to the Office of Rural Health Policy. (Adobe PDF)
• Year Two Report to the Office of Rural Health Policy. (Adobe PDF)
• Poster presentation to the National Rural Health Association Annual Conference in May 2006. (Adobe PDF)

The Alaska Center for Rural Health, located at the University of Alaska Anchorage, is conducting the evaluation of the project. The evaluation will assess the impact of FESC in four areas: staffing, services, clinical outcomes, and financial.

• Download a sample of the web-based Outcome Log. (Adobe PDF)
• Download a copy of the PowerPoint presentation on the first year of data collection. (Microsoft PowerPoint).
• Download a copy of the ACRH Report on Frontier Extended Stay Clinics - Year One Data and Analysis. (Adobe PDF)
• Download a copy of the FESC Literature Review, completed by Sheps Center for Health Services Research. (Adobe PDF)

Preliminary financial models were developed by Stroudwater Associates and David Mather and Associates. Their analyses on the first year of data collected, in PowerPoint format, are included below:

• Download a copy of the Year One Financial Analyis - Tribal Site. (PowerPoint).
• Download a copy of the Year One Financial Analysis - Non-Tribal Sites. (PowerPoint).

The Alaska FESC Consortium Provider Workgroup, composed of doctors, nurses, physician assistants, community health aides, and other health care providers who are experienced at providing FESC services is responsible for the following activities:

• Create FESC Vision
• Define Minimum Standards
• Guide Evaluation Process
• Discuss Quality of Care
• Describe Scope of Practice
• Identify Hazards/Risks/Criticisms

The Alaska FESC Consortium Steering Committee, composed of one administrative and one clinical representative from each site, meets monthly by teleconference and quarterly in a face-to-face meeting. The Steering Committee provides oversight and direction for the entire project.