Hardin County Regional Health Center

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Hardin County Regional Health Center

• Southeast Cluster

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Hardin County Regional
Health Center

• Located in
• Southwest
• Tennessee
• Operating
• Two
• Sites

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Providers

• Providers William Conway, MD, ABIM
• Shadi M. Karabsheh, MD, ABIM
• Howard W. Thomas, MD
• Jo M. Jones, FNP

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Programs

• Currently serving approximately 4,500
• Roughly 20 of our current population has
  diabetes
• An additional 20 are currently at risk for
  developing DM
• HCRHC serves the residents of three area shelter
  as well as the county jail
• Population mix is 95 non-hispanic white, 4
  African-American, and 1 Hispanic

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HCRHCs Population

• Providing primary care services to the residents
  of the area
• Securing dental, mental, and specialty care for
  consumers of the center
• Serving area veterans through a contract with the
  Memphis VAMC
• Educating the community at large regarding health
  issues and information

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Team Members

• William Conway, MD, Clinical Director
• Priscilla Stricklin, LPN
• Cassie Ruddle, MT
• Sherry Davison, MT

Jo Jones, FNP

• Y. T. Janie McGinley, Executive Director
• Lisa Davis, IT

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AIM Statement

• HCRHC will redesign its system to teach patients
  independently how to self-manage the chronic
  condition of diabetes. We will accomplish this
  through the implementation of the Chronic Care
  Model. This will be determined by the following
  measures
• We will help patients sustain targets within
  limits of disease progression and treatment
  availability.

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AIM Statement, Cont.

• An average of HgbA1c less than 7.0.
• At least 90 of our patients receiving at least
  two (2) HgbA1c three (3) months apart within one
  year.
• At least 70 of our patients having documented
  self-management goals.
• At least 70 of our patients having a BP lt130/80.
• At least 70 having an LDL lt100.

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Population of Focus (POF)

• HCRHC began tracking patients in 2004
• HCRHC will begin the collaborative with the
  patients already in Dr. Conways diabetes
  practice at the East End site.
• This population will be expanded to include any
  new patients with the diagnosis of diabetes and
  any established patients with new onset of
  diabetes.

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Diabetes Key Measures
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Registry

• Original group already being tracked in a
  database consisting of 287 patients with
  diabetes.
• This data will be imported into PECS
• PCs in every exam room will make data entry as
  convenient as possible

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Key Partnerships

• Pharmaceutical Companies
• Some companies have already contributed funds
  for educational materials.
• Primary Care Association
• Technical and financial support is being given
  to collaborative participants
• Local Hospital
• Discounts on necessary lab tests are being
  provided

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Key Partnerships, Cont.

• Local Government
• Use of public facilities for training,
  education, and activities.
• Media
• Local TV station is sponsoring hour long
  educational programming regarding diabetes and
  related health issues.

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Pictures of Success
First Group August 2004
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Results