health care for the homeless co-applicant governing boardsubmission finalized ... urology ....

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WEDNESDAY, MARCH 15, 2017 11:00-12:30PM 597 CENTER AVENUE SUITE 150 MARTINEZ, CA Health Care for the Homeless Co-Applicant Governing Board

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Page 1: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

W E D N E S D A Y , M A R C H 1 5 , 2 0 1 7 1 1 : 0 0 - 1 2 : 3 0 P M

5 9 7 C E N T E R A V E N U E S U I T E 1 5 0

M A R T I N E Z , C A

Health Care for the Homeless Co-Applicant Governing Board

Page 2: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

ACTION ITEM:

A PPROVAL OF FEBRUA RY HCH CO-A PPLICANT BOA RD M EETING

M INUTES

Health Care for the Homeless Co-Applicant Governing Board

Page 3: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

DR. PREETI D’SOUZA H C H D E N T I S T

HCH Dental Presentation

Page 4: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

UDS RESULTS

Health Care for the Homeless Co-Applicant Governing Board

Page 5: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

UDS Who, What, Why

WHO: All Section 330 grantees of the Public Health Services Act are required to submit UDS reports annually.

WHAT: A detailed picture of our health center using: 12 tables which provide clinical, operational, financial data and

Health Information Technology (HIT). WHY: Comply with legislative & regulatory requirements Inform HRSA, Congress and the public of health center performance

& operations Identify trends overtime Identify & target effective programs, services and needed

interventions Permit comparison with national benchmarks

Page 6: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

Colorectal Cancer Screening

WHY: If patients receive appropriate colorectal

screening, then early intervention is possible & premature death can be averted.

NUMERATOR: Patients with one or more screenings for colorectal cancer.

DENOMINATOR: Patients who were aged 50-75 with a medical visit during the measurement period.

Page 7: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

Colorectal Cancer Screening

38.57

45.71

41.43

47.14 44.89

0

10

20

30

40

50

60

70

80

90

100

2012 2013 2014 2015 2016

PER

CE

NTA

GE

Performance Measure: Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer.

Performance Percentage

HCH Program Goal

Presenter
Presentation Notes
This measure has changed from 2015 Report. This performance measure has changed from “patients aged 51 through 75” to “patients aged 51 through 74”. This means we have increased the number of patients in the universe or denominator. Additionally, this number may be lower than the past year as we have always conducted a chart review of sample of 70 patients where as our 2016 report reflects all patients who fit the criteria. Therefore the sample size has increased resulting in a possible change in percentage. We continue to work on this measure and are currently offering incentives for those patients that are due for a FIT (Fecal Immunochemical Test) test and complete the test. This incentive includes a Safeway gift card given to the patient at their visit following the completion of the test.
Page 8: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

Preventive Care & Screening for Clinical Depression & Follow Up

WHY: If patients are routinely screened for depression & are provided with a follow up plan if they are screened positive, then they will be more likely to receive the needed treatment & less likely to suffer from the sequela of depression.

NUMERATOR: Patients screened for clinical depression on the date of the visit using an age appropriate standardized tool & screened positive for depression, for whom a follow up plan is documented on the date of the positive screen.

DENOMINATOR: Patients aged 12 years and older with at least one medical visit during the measurement year.

Page 9: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

Preventive Care & Screening for Clinical Depression & Follow Up

11.4

31.43

47.14

0

10

20

30

40

50

60

70

80

90

100

2014 2015 2016

PE

RC

EN

TA

GE

Performance Measure: Percentage of patients aged 12 years & older screened for clinical depression on the date of the visit using an age appropriate standardized depression screening tool, & if screening is positive, for whom a follow up plan is

documente

Performance Percentage

HCH Program Goal

Presenter
Presentation Notes
This measure started in 2014 and we as a system are now implementing the SBIRT (Screening, Brief Intervention and Referral to Treatment) or the Staying Healthy Assessments for all patients 18 years and older once a year. For those patients 12-18, a teen screen to assess for depression is being conducted once a year.
Page 10: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

UDS Submission Next Steps

Submission Date = February 15th, 2017

Review Period = February 15th – March 31st At this time we will work with the reviewer to update/address

any needed changes to the report.

Submission Finalized = March 31st All corrected submissions must be finalized and no further

changes can be made.

Presenter
Presentation Notes
After one revision request, we have recently received confirmation that our 2016 UDS Report has been completed and finalized.
Page 11: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

ACTION ITEM: R E Q U E S T F O R A P P R O V A L T O A D D C C H S S P E C I A L T Y

S E R V I C E S T O H C H P R O G R A M H R S A S C O P E O F S E R V I C E S

Health Care for the Homeless Co-Applicant Governing Board

Presenter
Presentation Notes
Currently, all homeless consumers have access to these services however they are not included within the HCH program scope of services with HRSA. We would like to request an approval for the addition of these services into the HCH Scope of services. As the unpredictable future comes before us we want to make sure that we are including these services on paper so that if there are any unforeseen changes in the near future we know that these services are included and counted for.
Page 12: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

Specialty Services

Audiology Cardiology Chiropractic Dermatology Ear, Nose and Throat Endocrinology Gastroenterology Hematology/Oncology Infectious Disease

Internal Medicine Nephrology Neurology Ophthalmology Orthopedics Pulmonary Disease Rheumatology Surgery Urology

Presenter
Presentation Notes
Currently, the specialty services that are included in are scope are podiatry and psychiatry we would like to make a change to our scope so that we include all the above services in addition to the original two. Optometry, Physical Therapy, Occupational Therapy, Dental and Mental Health are also already included in our scope but ae listed as “Additional Services” per HRSA.
Page 13: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

B O A R D I N T E R V I E W W I T H P E R S P E C T I V E M E M B E R J E N N I F E R M A C H A D O

Perspective Board Member Interview

Page 14: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

HCH Program Updates

HCH Co-Applicant Board Photos & Bios Review roster as this will be included on the website HCH Co-Applicant Board Members

HCH New Mobile Health Van has started working in the field with the HCH Team

Other ANNOUCEMENTS?

Presenter
Presentation Notes
For example, if you would like to add anything to your title, your organization or your credentials please let me know.
Page 15: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

Future Items to Discuss

HCH Budget Overview

HCH Patient Satisfaction/Needs Assessment Results

HCH Staff Position Discussion

Presenter
Presentation Notes
Now that we have confirmation from HRSA regarding 2016 UDS Report we can now start talking about our program budget.
Page 16: Health Care for the Homeless Co-Applicant Governing BoardSubmission Finalized ... Urology . Currently, the specialty services that are included in are scope are podiatry and psychiatry

HCH Co-Applicant Governing Board

Next Meeting Wednesday, April 19, 2017

11:00 – 12:30pm 597 Center Avenue

Martinez, CA Conference Room 120