Missouri

1
Missouri

• Linda L. Powell
• Heart Disease and Stroke Prevention Program
• 573-522-2865
• Powell_at_dhss.mo.gov

2
Health Center Partners

• Big Springs Medical Asso., Inc.
• Central Ozarks Medical Center
• Cross Trails Medical Center
• Family Care Health Center
• Family Health Center
• Grace Hill Neighborhood Health Centers, Inc.

3
Health Center PartnersContinued

• Jordan Valley Community Health Center
• Missouri Ozarks Community Health
• Myrtle Hilliard Davis Comprehensive Health
  Center, Inc.
• Northeast Missouri Health Council
• Northwest Health Services, Inc.
• Peoples Health Centers, Inc.

4
Health Center PartnersContinued

• Samuel U. Rodgers Health Center
• Southeast Missouri Health Network
• Swope Health Services
• Names in italic are new in 2005

5
Your Overall Role With Teams and the
Collaborative Process

• General activities that have been involved in
• - Listserv
• - Monthly conference calls
• - Learning sessions
• - State learning session for all FQHCs who
  have
• participated in a collaborative
• - Provide technical assistance/materials,
  resources and
• linkages to other resources/partners/fundin
  g
• - Site visits with MPCA representative

6
Your Overall Role With Teams and the
Collaborative Processcontinued

• - Report to MPCA Board of Governors
• feedback on reporting and meeting required
  
• measures.
• - Funding
• - New team orientation
• - Presentations to entire center personnel
  about
• the collaborative.

7
Clinical Information Systems

• Technical Support
• Participated in site visits
• Discussed ideas for spread of registry
• Follow-up phone conver-
• sations/email regarding
• progress of registry
• Reviewed provided feedback on monthly report
• Provided summary of data over time for key
  measures for centers and contracts

• Resources
• Provided computer equipment and/or funding to
  support information systems with health centers

• Linkages
• Facilitated linkage with PCA coordinator, IH
  support, and team members who were new or having
  difficulty with data/reports

8
Self Management

• Technical Support
• Provided CVD and diabetes tools for goal setting
  in the areas of proper nutrition, physical
  activity, smoking cessation and blood pressure
  control in both English and Spanish.
• Provided weight control guidelines, portion
  control, ways to prepare vegetables.
• Provided physician prescription tool for
  exercise.
• Provided pedometers, guides and logs for walking
  groups.

• Resources
• Sent bulletin board materials for Foot Health
  Month focused on diabetes and heart month
  materials for February.
• Provided multilingual materials for resource
  libraries and for patient use including internet
  directory of resources.
• Provided Media Kit for local press releases and
  radio spots.
• Provided sources for waiting room videos.

• Linkages
• Provided linkages to ADA NDEP MDPCP for
  physical activity and nutrition materials.

9
Community

• Technical Support
• Reviewed teams presentations for Learning
  Sessions and provided feedback.
• Provided model for community assessment of
  church-based program and technical assistance
  with review of results.

• Resources
• Coordinated state learning session with teams to
  provide info and materials.
• Publicized FQHC efforts via press releases to
  local media and local public health agencies
• Financial support for Community Policy
  Environmental Changes

• Linkages
• Linkage to agency for community gardens
• Partner with St. Louis Dept of Health on
  increasing community chronic disease prevention,
  screening.
• Governors council on physical activity for
  printed
• information

10
Delivery System Design

• Technical Support
• Participated in monthly team meeting via
  conference call
• Facilitated sharing between Missouri teams
  regarding how cluster visits, patients
  satisfaction surveys and other improvement
  processes have been used.
• Encourage teams leaders to keep senior leaders
  informed of barriers.

• Resources
• Provided annual learning session for Missouri
  teams to facilitate further sharing of
  information about available resources and teams
  activities.

• Linkages
• Coordinated additional assistance by PCA
  coordinator with teams having specific problems
  when made aware of them via calls to FQHCs.

11
Decision Support

• Technical Support
• Discussed standing patient care protocols and
  strategies
• Consulted team regarding barriers in teams
  functioning and obtained additional assistance of
  Cluster Coordinator and states PCA clinical
  coordinator
• Discussed data from monthly report

• Resources
• Provided clinical care guidelines to FQHCs for
  all physicians and providers
• Provided copies of LEAP video to sites for teams
  spread to other sites or providers
• Invite FQHCs to trainings throughout state
  related to CVD and Diabetes standards of care

• Linkages
• State Immunization Program provide Resource
  Handbook
• Diabetes Management in the School Setting manual
  provided

12
Organization of Healthcare

• Technical Support
• Obtained contact person for FQHC regarding
  questions about coverage under State Medicaid
  program.
• Featured FQHCs in news article for American
  Diabetes Month, personalized for each local area
  with quotes from FQHC staff about Collaborataive
  participation and efforts
• Presentation to Mo Legislatiave Black Caucus
  Foundation regarding FQHCs collaborative efforts

• Resources
• Provided funding for 1 person from each FQHC to
  attend the Region VII CVD Regional Conference
• Provided non-contractual funding to 4 FQHCs to
  provide computer equipment improvement efforts
  regarding physical activity and self management

• Linkages
• To states CVD and Diabetes advisory boards to
  share collaborative experience
• To other funding opportunities