Transcript Health Disparities Collaboratives

April 15, 2009
7/17/2015
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Community Health Centers (CHCs)
are community owned and operated,
non-profit businesses that provide
access to quality primary and
preventive health care that is
affordable to everyone.
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 Community
Health Services
 Community Economic
Development
 Community Participation
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 19
CHC Corporate Grantees
 134
service sites
 Served
2008
 252
290,000 + medical patients in
provider FTEs
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THE MISSION
◦ The mission of the South Carolina Primary Health Care
Association is to provide a coordinating structure to assure
access to community based primary, behavioral and other
health care services to every community in South Carolina.
◦ Direct Services to Migrant Health
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Care Model
Community
Health System
Health Care Organization
Resources and
Policies
SelfManagement
Support
Delivery
System
Design
Decision
Support
Clinical
Information
Systems
Productive Interactions
Informed,
Empowered
Patient & Family
PatientCentered
Timely and
Efficient
Coordinated
Evidenced-based
And safe
Prepared,
Proactive
Practice Team
Improved Outcomes
Why National, State, and Local
Measures?
“How will we know that a change is an improvement?”
Established
Best Practices
 Allowed
organizations to determine the
effectiveness and/or need for change
 Increased
Quality Improvement
In essence, measures focus on quality:
Evaluation, Evaluation, Evaluation
National and Local Faculty developed a
set of measures to:
Address major aspects of care for
patients with chronic illnesses.
Translate evidenced-based guidelines
into clinical practice.
Measure
health.
Create
aspects of individual patient care and
summary reports and graphs
Goal
Measures
Average HbA1c
<7.0
Patients with 2 HbA1c’s in the last year (at least 3 months
apart)
>90%
Documentation of self-management goal setting
>70%
Cardiac Risk Reduction (choose ONE)
Patients on Statins
Patients on ACE inhibitors or ARB medication
Patients on Aspirin or other antithrombotic agent
>60%
>75%
>80%
Patients with Blood Pressure <130/80
>40%
Patients with LDL <100
>70%
For clinic systems with an integrated dental clinic, the following
measure is required:
Dental exam in the past year
>70%
DM/CVD conditions
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Patients who are current smokers
Patients with Dilated eye exam in the past year
Patients with Comprehensive foot exam in the
past year
Patients with Microalbuminuria screening in the
past year
Patients with Influenza vaccination
Patients with One pneumococcal vaccine
Patients with dental exam in the past year
Patients with Depression screening
Patients with documented exercise rate
Patients with weight reduction