Health Care Center for the Homeless

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Health Care Center for the Homeless

• Southeast Health Disparities Collaborative

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Health Care Center for the Homeless101
South Westmoreland DriveOrlando Florida 32805

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Health Care Center For the Homeless Improvement
Team Members

• Mr. Bakari Burns, CEO
• Senior Leader
• Dr. Gabriel Nuriel, Medical Director
• Physician Champion
• Mr. Willie Gainey, Director of Operations
• Clinical/Technical Expert
• Mr. Victor Blanco, Registered Medical Assistant
• Day-to-day Leader
• Ms. Linda Howell, Registered Medical Assistant
• Team Member
• Mary-Ann Andrew
• Team Member, Dental Services Manager

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Aim

• The Health Care Center For The Homeless will
  redesign its clinic setting to provide improved
  care for our patients with diabetes. We will
  accomplish this through the implementing the
  chronic care model in our clinic setting. This
  will be shown through.
• 70 of our uncontrolled diabetics will have a
  decrease in HgA1c of 2 points
• 90 of our patients will have at least 2 HgA1C
  drawn per year
• 70 of our diabetic patients will have
  documented self management goals in their chart.
• 90 of our diabetic patients will have
  documented diets initiated in their charts as per
  ADA guidelines

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Population of Focus

• The Population of Focus for the Health Care
  Center for the Homeless are all the patients in
  Dr. Nuriels Practice at the 101 South
  Westmoreland Drive site. The initial size of our
  Population of Focus is 150 patients identified
  with diabetes. New patients identified with
  diabetes will be added to the population of focus
  as they are diagnosed. We chose this population
  because would provide a variety of patients from
  different backgrounds and sub-groups. The
  diversity of these patients would provide a
  greater range of data.

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Key Diabetes Measures
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Optional Measures

• 70 of our diabetic patients will either be on
  ACE or ARB medication.
• 70 of our diabetic patients will have a
  documented annual foot exam.

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Registry

• Patient information was retrieved from
  organizations practice management system and
  transcribed to PECS.
• Team members were assigned to do data entry from
  the primary care chart to PECS as time was
  available.
• Physician will complete PECS encounter form.
• MAs will complete the computer data entry.
• We currently have 50 Patients entered to the
  registry.
• We will have at least 75 patients in our registry
  by June 2005

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Key Partnerships

• Homeless Services Network
• Orange County Specialty Services
• Department of Health Volunteer Healthcare
  Provider Program
• Heart of Florida United Way
• State of Florida Health Department
• City of Orlando
• BPHC
• City View Pharmacy
• Health Choice Network
• Community Churches
• Florida Hospital
• Orlando Regional Medical Center

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DEMOGRAPHICS

• Health Care Center for the Homeless has a total
  of 5369 registered patients
• 389 of those patients are Diagnosed with Diabetes
• 162 of the Patients diagnosed with Diabetes are
  Homeless
• 113 Males,
• 49 Females
• Female Black 22
• Female Hispanic 5
• Female White 22
• Male Black 47
• Male Hispanic 20
• Male white 46

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Graphs
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Graphs
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Graphs
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Graphs
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SERVICES

• Primary Medical Care
• Dental Services
• Case Management Services
• TB Shelter
• HOPE Outreach Team
• Substance Abuse and Mental Health Counseling
• Pediatric Outreach Services
• Patient Assistance Program
• Optometry

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Value Statement

• Health Care Center for the Homeless, Inc. is
  committed and obligated to provide the highest
  quality of care to all community residents in an
  atmosphere of caring attitude. We will always be
  aware of the changing of the community and strive
  to be responsive to those needs. We will promote
  policies and procedures that uphold a continuum
  of care for all. We embrace human differences as
  bonds not barriers and believe that quality
  health care should be universally accessible.

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History of HCCH

• Founded in May of 1993 by Dr. Rick Baxley a
  volunteer physician who recognized the need to
  render quality health care services to the
  homeless population in Orlando.
• In 1995 the center began rendering Dental
  Services
• Also in 1995 HCCH received a three year grant
  from the Robert Wood Johnson Foundation aimed at
  providing primary health care to the Tri-County
  area of Orange, Osceola, and Seminole
• In 2202 HCCH was granted Section 330h funding
  from the Health Resources and Services
  Administration, Bureau of Primary Health Care to
  increase the centers capacity and financially
  support the provision or primary and preventative
  health care services.

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STAFFING

• .5 Nurse Practitioner Pia Valvassori
• 1 Medical Director, Dr. Gabriel Nuriel
• 1 Physician, Primary Care, Dr. Olga Molina
• 4 Family Practice Volunteers Physicians
• Volunteer Optometrist
• Dr. Mike Allen, Dental Director
• .5 Dentist, Dr. Herb Gentry
• 14 Volunteer Dentists
• .25 Dental Hygienist, Sue Dashtaki