ventura c i t y c o u n c i l october 18, 2010 ventura county health care agency
TRANSCRIPT
VENTURA VENTURA C I T Y C O U N C I LC I T Y C O U N C I L
October 18, 2010
Ventura County Ventura County Health Care AgencyHealth Care Agency
V I S I O NV I S I O NSetting the standard
inhealth care excellence.
Healthy people in healthy
communities throughout
Ventura County.
M I S S I O NM I S S I O NProvide comprehensive,
compassionate, cost effective,
healthcare for our diverse community
especially those facing barriers
through an exceptional workforce,
education, and forward thinking leadership.
HCA DEPARTMENTS INTEGRATIONHCA DEPARTMENTS INTEGRATION
● VCMC Regional Health System:
2 Hospitals: VCMC & Santa Paula Hospital
14 Community Clinics
16 Specialty Clinics
● Public Health: 5 Clinics
● Behavioral Health: 23 Clinics
● Health Care Plan/ HMO
● Medical Examiner
SCOPE OF SERVICESSCOPE OF SERVICES
● 1.7 Million Client Contacts
● Over 63 Clinics And Service
Locations● Over 3,000 Staff; Over 300
Physicians
● $482 Million Of Services
● 7% Net County Cost
V C M C & SPHV C M C & SPH ● In-house Physician Services (over 300)
● Trauma Services
● Emergency Department
● Critical Care
● OB/Gyn
● Medical Surgery
● Neonatal Intensive Care Unit● Inpatient Pediatric Unit
● Inpatient Psychiatric Unit
M E D I C A L H O M EM E D I C A L H O M E
● Link to physician
● Link to coverage
● Preventive care– Routine check-ups– Immunizations– Early detection and management of
chronic illness– Pre-natal care
TEACHING INSTITUTIONTEACHING INSTITUTION ● Family Medicine Residency
– Affiliated with UCLA– 42 Residents– Largest in the State– OB Fellowship– Training Local
Physicians– Meet Shortage
TEACHING INSTITUTIONTEACHING INSTITUTION(continued)
● Nurse Training Program
● Nurse Practitioner/ Physician Assistant Training
● Psychology Internships
● Summer Student Shadow Program
● Ventura Unified School District Transitional Partnership Program
SPECIALTY SERVICES NETWORKSPECIALTY SERVICES NETWORK
● Diabetes
● Oncology
● Cardiology
● Pulmonology
● Rheumatology
● Neurology
● Neurosurgery
● Orthopedics
● Urology
● Obstetrical/ Gynecology
● Ophthalmology
● ENT
COMPREHENSIVE PEDIATRIC COMPREHENSIVE PEDIATRIC SERVICESSERVICES
• PEDIATRICS• SUBSPECIALTIES• DEDICATED
PEDIATRIC UNIT• PEDIATRIC
ONLOCLOGY• PEDIATRIC INTENSIVE
CARE UNIT
(Coming soon)
SPECIALTY PEDIATRIC SPECIALTY PEDIATRIC SERVICESSERVICES
• SURGERY
• ORTHO
• GASTRO
• HEMATOLOGY
• OPHTHALMOLOGY
• NEUROLOGY
• PULMONOLGY
• CARDIOLOGY
• ENDOCRINOLOGY
• ONCOLOGY
• NEPHROLOGY
• GENERAL PEDIATRICS
• CLEFT/ LIP – PLASTICS
PREVENTIVE CARE MODELPREVENTIVE CARE MODEL
● Improve Outcomes By Treating Diseases Earlier
● Decrease ER Visits And Hospitalizations
● Reduce Costs= Effective In Providing Total Care
To Patients At Risk
● Outpatient Visits: 527,312 (FY 2010-11)
QUALITY OF CAREQUALITY OF CARE
● Quality: Single standard of care
– Board Certified Physicians
– Facilities
– Joint Commission
Accredited
– VCHCP
– Quality Measures
– Not A Typical “County Hospital”
– Staff = Pride
HEALTH CARE SERVICES HEALTH CARE SERVICES IN VENTURAIN VENTURA
(1ST District )
● 298,106 Patient Visits 2009
● Over $225 Million Dollars Worth
of Services In the City
● 70% uninsured and underinsured,
Medi-Cal, ACE, Self-Pay
WEST VENTURA MEDICAL CLINICWEST VENTURA MEDICAL CLINICUrgent Care
● Dr. Ramsey Ulrich, Medical Director
● Kristina Navarro, Clinic Manager
● Services: Family Medicine; Pediatrics; Internal Medicine; Obstetrical Care; Lab; Dexa scan
FAMILY MEDICINE RESIDENCY FAMILY MEDICINE RESIDENCY & &
SPECIALTY CARE CENTERSPECIALTY CARE CENTER
• Floor 1: Residency Program and Urgent Care• Floor 2: Academic Family Medicine Center• Floor 3: Pediatric Diagnostic Clinic and
Pediatric Oncology• Floor 4: Anacapa Surgical Associates, Urology
and Women’s Health• Floor 5: Adult Hematology/Oncology, Adult
Diabetic Clinic and Medicine Specialties.
FAMILY MEDICINE RESIDENCY FAMILY MEDICINE RESIDENCY & &
SPECIALTY CARE CENTERSPECIALTY CARE CENTER
● Trauma System – Implemented Countywide
● VCMC – West County Level II Trauma Designation
(June 2010)
● Quality: Mortality rates > 70% of designated trauma centers
TRAUMATRAUMA
BEHAVIORAL HEALTH DEPARTMENTBEHAVIORAL HEALTH DEPARTMENT
• Mental Health Services: Youth & Family, Transitional-Aged Youth, Adults, and Older Adult Programs
• Alcohol and Drug Services: Prevention, Treatment, and Driving Under the Influence (DUI) Programs
– 23 Behavioral Health Outpatient Centers County-wide– Over 500,000 service contacts annually at regional
clinics– MHSA Funds--Full Continuum of Care beginning with
Prevention and Early Intervention
BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH SERVICES IN VENTURAIN VENTURA
● Adults Services VENTURA CLINIC4258 Telegraph Road
● Youth & Family Services VENTURA CLINIC
5740 Ralston
● Alcohol & Drug Programs Ventura Center- 24 E. Main Street
- Quick Start Assessment Ctr. ( 800 S. Victoria Ave.)
● Specialty Services - Criminal Justice Services Driving Under the Influence Program
5850 Thille Street, #205
● CAL WORKS JOB & CAREER CENTER
4651 Telephone Road, Suite 200
PUBLIC HEALTH SERVICES IN VENTURAPUBLIC HEALTH SERVICES IN VENTURA
● Immunization Program● WIC Nutrition Program● Health Care for Kids Program● Emergency Medical Services● Family Planning● Adolescent Family Life Program ● Community Nursing & Education● Public Health Laboratory● Tuberculosis Testing & Treatment● HIV/AIDS Testing
3147 Loma Vista Road
ONE STOP CENTER ONE STOP CENTER FOR THE HOMELESSFOR THE HOMELESS
● Opened January 2008; Kate Mills, Manager
● Hours: Tuesdays, 10am- 1pm
● Services Provided: Walk in Assistance for: BEHAVIORAL HEALTH ASSESSMENT & COUNSELING CASE MANAGEMENT RISK ASSESSMENT FOR SUBSTANCE ABUSE & DOMESTIC VIOLENCE VETERAN ASSISTANCE HOMELESS SERVICES LUNCHES
MEDICAL CLINIC INCLUDING TREATMENT, DENTAL & VISION REFERRALS, MEDICATIONSAPPLICATION ASSISTANCE FOR GENERAL RELIEF & FOOD STAMPS, MEDI-CAL ASSISTANCE IN OBTAINING & SUBSIDY OF CA IDs, CA DRIVER LICENSES, BIRTH CERTIFICATES
ONE STOP CENTER ONE STOP CENTER FOR THE HOMELESSFOR THE HOMELESS
● Referral to City of Origin
- referral to county medical clinic
● Ventura County-wide Discharge Planning Group
- hospitals and agencies
- discharge planning policy
- resources by community
● Ventura Social Services Task Force
INCREASED DEMAND FOR INCREASED DEMAND FOR SAFETY NET SERVICESSAFETY NET SERVICES
• 2010-11 Increase from 2007-08 23.6% Clinic Services 2.2% Hospital
• Economic Downturn: 28% Growth in Uninsured Statewide 2007-2009 (based on UCLA Center for Health Policy Research)
- 32% Increase In Uninsured Patients
“In one week alone, we saw four new cancer patients arrive at our hospital in need of continued chemotherapy treatment. All four had lost their jobs and their insurance along with it.”
Chief of Oncology, Ventura County Medical Center
February 2009
IMPACT ON PATIENTSIMPACT ON PATIENTS
INNOVATIVE PROGRAMSINNOVATIVE PROGRAMS
● ACE Coverage for the Uninsured
● Mobile Mammography
● Chronic Disease Management
● Specialty Referral Center
● Integrated Dual Diagnosis Treatment
● Integration of Medical & Mental Health Services
WHAT’S NEW IN VENTURA?WHAT’S NEW IN VENTURA? ● Mobile Medical Clinic
● More Convenient Access to Specialty Care Locally
● Evening Hours for Pediatrics
● Ventura Police Department
covering VCMC ● Sheridan Way School Projects - ON SITE HEALTH CLINIC AND OUTREACH - COMMUNITY GARDEN - EXPAND TO OTHER SCHOOL SITES VIA THE MOBILE CLINIC
FUTUREFUTURE
● Increased Demand– Short term: Economy– Long term: Health Reform
● Countywide Expansion of Primary care & Specialty Services:– Oxnard – Simi– Camarillo– Thousand Oaks
FUTUREFUTURE(continued)(continued)
●Electronic Health Record
●Planning for Replacement Hospital Wing
●Medi-Cal Managed Care
●Continued Integration of Services
COMMENTS RE: SYSTEMCOMMENTS RE: SYSTEM
“In a healthcare system in desperate need of fixes, state leaders and outside evaluators say ACE …...is part of the answer…..”
- Tom Kisken (April 30, 2010)
“The counties that are participating in this program have made tremendous progress in building networks that did not exist,”
“I think Ventura may be the best example of that.”
- Gerald Kominski, PhD, Director, Health Economics & Evaluation Research Program at UCLA Center for Health Policy Research
( Ventura County Star: Kisken, Tom, April 30, 2010)
HEALTH CARE AGENCYHEALTH CARE AGENCY
● Safety Net System Second To None● Our Strength Is Our People● Passion For The Mission
Thank you for your partnership.