CHSRF PHC SYMPOSIUM September 19, 2006

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CHSRF PHC SYMPOSIUMSeptember 19, 2006

• Ted Bruce
• Executive Director
• Population Health

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Overview of Presentation
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Collaboratives

• Register
• Flow Sheets
• Bonuses
• Quality Improvement Activities
• Agreed to measures
• Monitor performance
• Shared learning events
• Clinical Supports

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Collaborative Approach
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Collaborative Approach
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Care Coordination

• Built on evidence on self care education
• Hospital and specialist based
• CHF and COPD
• Follow-up to home

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Care Coordination
   
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Care Coordination
LOS at 6 Months Pre-and Post-Enrollment (Number
of Patients 35)
   
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Self-Management Data

• Scores on EHFScBS improved from an average of 39
  points at baseline to 18 points at 5 months
• 96 improvement

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Models
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South Birthing Project

• Physicians, Midwifes, Doulas, CHNs
• Low risk pregnant women
• Improve health
• Underserved area
• Community-based
• Women-centered

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Caesarean Section Rate
                               
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Type of Feeding Rates
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Patient Centered Care

• Same day appointments
• Email
• Call backs
• Registries
• EMRs
• Prompt referral and results
• Patient surveys
• Information on quality of care

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MDs and Patient Centered Care

• Primary Care MDs Support
• Teamwork 87
• Access to records 83
• Challenges and Barriers
• Education/knowledge 63
• Cost 84

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