Neighbors Caring for Neighbors Clinic

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Neighbors Caring for Neighbors Clinic
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Objectives
1. 2.
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NCNC General Information

• The Neighbors Caring for Neighbors Clinics are
  Nurse Practitioner run clinics providing needed
  medical care to low income persons who are
  without insurance.
• This model of a free clinic, in which the staff
  is hired, provides continuity of care for the
  patient enabling better health outcomes.

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Neighbors Caring for Neighbors Clinic
     The mission of the Neighbors
Caring for Neighbors Clinic (NCN Clinic) is to
provide primary health care services to persons
who are of low income, without insurance or
underinsured and reside in Macomb County. This
is done with respect and loving embracing care
for each person at each encounter.
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Background

• Opened February 4, 1998 through a
• 3 Year Emily George (Sisters of Mercy)
  Grant
• June 1998 Second site added in Romeo (Now
  Washington Township) through a
• 4 County Foundation Grant
• July 2000 operations fully funded by St. Josephs
  Mercy Hospital (Henry Ford Macomb Hospitals)

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Service Features

• Continuity of Care
• Eligibility
• gtUninsured persons of all ages
• gtMacomb County residents
• gtHousehold income less than
• 30,000
• 3 Days per week Mt. Clemens
• 1 Day per week -- Washington
• 2 Days per week -- Warren

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STATISTICS
 
Total patients served since the Clinics
opened In 1998 Mt. Clemens
12,600 Active about 1,860
Washington - 3,065
 
Generally about 33 new patients per week
 
Total Visits Mt. Clemens
Washington Twp. 2008 January to
June 2710 2009
January to June 3338
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Types of ServicesIn Collaboration with Assigned
Medical Director

• Family and Adult Nurse Practitioners provide the
  following medical and nursing care
• Management of acute and chronic medical problems
• Well person, employment and school physicals
• Education on diseases and healthy living

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Clinic Visits by Diagnoses 2006-2008
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Outcomes From the Diabetic ProjectChanges in
Hgb A1c

• 96 Patients had two or more Hgb A1c tests done in
  2008 showing an average drop of 1.4
• 40 Patients (42) lowered their A1c to
• less than 7
• 47 Patients (49 lowered their A1c by
• 1 or more

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NCN Clinic Cost Savings Tool
Neighbors Caring for Neighbors Clinics for the
Uninsured

• Piloted 2006-2007
• Revised to meet Clinic Needs
• CY 2008
• 892,880.00

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The Process of Cost Savings and Avoidance
Measurement

• NP completes Daily Sheet makes judgment re CS/A
• Daily Sheets entered into EXCEL spreadsheet
  quarterly
• Data reviewed and reported for HFHS Community
  Pillar report card and to other interested

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892,880
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REPLACE
Individual Diagnostic Group Worksheets
Worksheets were created for each Primary
Diagnosis. It is on these worksheets that
individual cost savings outcome data will be
inserted. Below is a sample view of the
worksheet tabs at the bottom of the spreadsheet.
Each tab represents a different primary
diagnosis.   In EXCEL, each TAB (summary, ADD,
CAR, DEN) is a worksheet. Data is only entered
on the worksheets, NOT the summary sheet.  
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Insert Tab Sheet - HTN
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Insert Tab Sheet - Diabetes
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USES OF COST SAVINGS/AVOIDANCE DATA

• Calculation of Cost Benefit -- NCNC CY 2008
  Benefit 1 Community Benefit Dollar to 2.5
  Cost Avoidance to Community!
• Recruitment of Community Partners
• Reporting of Community Benefit contacts and
  dollars
• Justification of philanthropy and operation
  dollars
• Evidence of benefit of clinics to community and
  health systems

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Hospital System of Choice DataShould be
collected and shared!

• Demonstrates who (which system) clients view as
  their source of support
• Helpful to request support/ collaboration and
  partnerships for clinics
• Demonstrates where clients are likely to go for
  hospitalization

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Thank You!Questions?