expanding health center enabling services: health leads bphc grantee enrichment call april 12, 2012
TRANSCRIPT
Expanding Health Center Enabling Services:
Health Leads
BPHC Grantee Enrichment CallApril 12, 2012
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1960s photograph of Delta Health Center in Mississippi Delta
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1995 Photograph of exterior of Boston Medical Center
Robert Wood Johnson Promise Story
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Health Leads’ Model
Trends in Healthcare
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1. Risk Sharing
2. Patient-Centered Medical Home
3. Primary Care Workforce Shortage
Institute for Healthcare Improvement Triple Aim
Healthcare Workforce and LeadershipQuality= Improve the health of the population
Patient Experience= Enhance the patient experience of careCost of Care= Reduce, or at least control, the per capita cost of care
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Quality Patient
Experience Cost of Care
Improve the health of the population
Enhance the patient experience of care
Reduce, or at least control, the per
capita cost of care
Healthcare Workforce & LeadershipHealthcare Workforce & Leadership
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Patient Centered Medical Home Standards
Partnerships with Federally Qualified Health Centers
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• Chicago Family Health Center– Warren Brodine, Chief Executive Officer
• Dimock Health Center, Roxbury, MA
– Dr. Myechia Minter-Jordan, Chief Medical Officer
– Rachel Bowers, Social Worker- Clinical Pediatrics
• Baltimore Medical Systems at St. Agnes
• Codman Square Health Center, Dorchester, MA
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Grantees:Myechia Minter-Jordan Rachel Bowers
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Health Leads Station
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• Brought to us by community organizations– Had seen positive impact of Health Leads at University of Chicago– Desire to expand Health Leads into a predominately Latino health
center– Funded first year
• CFHC agreed to pilot the program– Required that volunteers accept referrals from all 5 CFHC sites
• Tested Health Leads’ first “remote” referral process
Health Leads at Chicago Family
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• Connections to social services
• Volunteers work closely with Social Work Program- Provide support to CFHC's 1.0 FTE Social Worker
• Available resource to medical, dental and behavioral health providers when patients identify social determinants of health issues
How CFHC views Health Leads
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• Health Leads' volunteers handle two types of cases for the most part– Rapid Resources referrals – pre-packaged client support referrals
that save time in the exam room and of the CFHC Social Worker– Needs that require detailed intake and follow up
• Multiple client contacts to connect to housing, employment, insurance coverage
• After detailed review of year 1 outcomes, CFHC agreed to share costs of Health Leads
Health Leads as a Core Program at CFHC
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• Year 1 Totals– 48 Volunteers– 532 Clients Served
• 912 presenting resource needs
• Year 2 to date (Program Year start September 1)– 50 Volunteers– 314 Clients Served
• 647 Presenting Needs
• Top Three Presenting Needs in FY11– Employment (26%)– Income/Benefits (25%)– Housing (19%)
Health Leads Impact
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• Providers are willing to ask patients questions about their social determinants of health issues– Before Health Leads, providers were “afraid” to ask questions that might uncover issues
of housing, food insecurity, etc., because they had very few resources to help them
• Provider engagement is the key– The program works best when providers make the referral to Health Leads’ volunteers
• Can’t help everybody– Needs in the community are so deep, an army of volunteers can only scratch the surface
What We’ve Learned
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Grantees:Myechia Minter-Jordan Rachel Bowers
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Our Mission
At Dimock, we believe every life is precious. We commit to enhance the quality of life of each individual we serve, of the people we employ, and the communities in which we live by providing accessible, comprehensive, innovative, culturally competent health and human services.
Our Vision
Our Vision is a healthy community where we make a difference in every life.
Our Leadership
Ruth Ellen Fitch, President & CEO
Mission and Vision
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• Health and Community Services– Health Leads
• Community Care (HIV/AIDS) Services
• Child & Family Development Services
• Behavioral Health Services
• Adult Education Programs
Services & Programs
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2010-11 numbers:
• 13,433 patients• Over 40,000 visits/yr• 55% Black, 45% Hispanic• 70% Medicaid
Clinics/Services
• Adult Medicine• OBGYN• Optometry• Dental• HIV services• 340B Pharmacy• Pediatrics - 8700 visits in
the last year
Our Health Center at a Glance
Our Health Center at a Glance
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Grantees:Myechia Minter-Jordan Rachel Bowers