Community Health Centers and the Health Disparities Collaborative

1
Community Health Centers and the Health
Disparities Collaborative

• April 15, 2009

2
What Are Community Health Centers?

• Community Health Centers (CHCs) are community
  owned and operated, non-profit businesses that
  provide access to quality primary and preventive
  health care that is affordable to everyone.

3
Three Elements of the Health Center Model

• Community Health Services
• Community Economic Development
• Community Participation

4
South Carolina Community Health Centers

• 19 CHC Corporate Grantees
• 134 service sites
• Served 290,000 medical patients in 2008
• 252 provider FTEs

5
(No Transcript)
6
South Carolina Primary Health Care Association
(SCPHCA)

• THE MISSION
• The mission of the South Carolina Primary Health
  Care Association is to provide a coordinating
  structure to assure access to community based
  primary, behavioral and other health care
  services to every community in South Carolina.
• Direct Services to Migrant Health

7
Care Model
Health System
Community
Health Care Organization
Resources and Policies
ClinicalInformationSystems
DeliverySystem Design
Self-Management Support
Decision Support
Productive Interactions
Patient- Centered
Informed, Empowered Patient Family
Prepared, Proactive Practice Team
Coordinated
Evidenced-based And safe
Timely and Efficient
Improved Outcomes
8
Why National, State, and Local Measures? How
will we know that a change is an improvement?
9
How the evidence guided the HDC Collaboratives

• Established Best Practices
• Allowed organizations to determine the
  effectiveness and/or need for change
• Increased Quality Improvement
• In essence, measures focus on quality
• Evaluation, Evaluation, Evaluation

10
Background on Measures developed for HDC

• National and Local Faculty developed a set of
  measures to
• Address major aspects of care for patients with
  chronic illnesses.
• Translate evidenced-based guidelines into
  clinical practice.

11
Enables Teams to..

• Measure aspects of individual patient care and
  health.
• Create summary reports and graphs

12
2007 DM/CVD Measures A Closer Look
13
Core National DM/CVD Measures
Measures Goal
Average HbA1c lt7.0
Patients with 2 HbA1cs in the last year (at least 3 months apart) gt90
Documentation of self-management goal setting gt70
Cardiac Risk Reduction (choose ONE) Patients on Statins Patients on ACE inhibitors or ARB medication Patients on Aspirin or other antithrombotic agent gt60 gt75 gt80
Patients with Blood Pressure lt130/80 gt40
Patients with LDL lt100 gt70
For clinic systems with an integrated dental clinic, the following measure is required Dental exam in the past year gt70

14
Additional DM/CVD Measures
DM/CVD conditions

• Patients who are current smokers
• Patients with Dilated eye exam in the past year
• Patients with Comprehensive foot exam in the past
  year
• Patients with Microalbuminuria screening in the
  past year
• Patients with Influenza vaccination
• Patients with One pneumococcal vaccine
• Patients with dental exam in the past year
• Patients with Depression screening
• Patients with documented exercise rate
• Patients with weight reduction