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Over past 25 years, only State with worsening Age-adjusted Death Rates. Tulsa and Oklahoma. Oklahoma: Last in the US in health system performance. Only state with worsening death rate. Last in US in physicians per capita. Tulsa - 14 year difference in life expectancy.

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Over past 25 years, only State with worsening Age-adjusted Death Rates

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Over past 25 years only state with worsening age adjusted death rates

Over past 25 years, only

State with worsening

Age-adjusted Death Rates

Tulsa and

Oklahoma

  • Oklahoma:

  • Last in the US in health system performance.

  • Only state with worsening death rate.

  • Last in US in physicians per capita.

  • Tulsa - 14 year difference in life expectancy.

  • Upper quarter of health care spending.

  • Innovative health system and insurance expansions.

    OU School of Community Medicine:

  • Nation’s first School of Community Medicine

  • Serves as the region’s platform for change

  • Goal – Improve health of entire communities;

  • Recruit for and maintain altruism – MDs, PAs, Nurse Practitioners – using clinical experiences, scholarship and loan payback efforts to motivate.

  • Curriculum – add public health, systems engineering, student run clinical services.

  • Expansive network of innovative primary care, specialty care programs out in neighborhoods most in need - e.g. 19 school based clinics.

  • Patient Centered Medical Home – for uninsured and Medicaid populations implemented.

  • Partners with OU social work, early childhood education, school systems, urban planners etc.

  • Health Information Technologies – patient to doctor, doctor to doctor: reduced need for face to face visits by 52%. Consortia in place for Health Information Exchange and Health Information Coordination.

US

Death Rate

14 year difference

In life expectancy

between North and

South Tulsa


Advanced medical home 2011

Advanced Medical Home 2011

Diagnostic Testing & Imaging

Specialty Dx/Rx Services

Surgical & Intensive Services

EMR & HIE

Web-based Communication Portals

Decision Support

Team Based - Primary Care

Health Information Integration / Coordination

Urgent Care Services

HEALTH CARE SYSTEM

Wellness & Fitness Clubs

Pharmacy & Health Foods

Chronic Disease Service


Getting organized tulsa health black established blue in development or proposed

Getting Organized - “Tulsa Health” (black = established, blue = in development or proposed)

Front Doors to Care

Primary Care Clinics and Medical Homes

Intensive Outpatient Programs

  • Emergency Rooms:

  • Saint Francis Hospital

  • St. John Medical Center

  • Hillcrest Medical Center

  • OSU Medical Center

I

N

S

U

R

E

O

K

L

A

H

O

M

A

--

MEDICAID

  • OU Bedlam Longitudinal Clinic – PCMH Model

  • 6 sessions / week

  • OU School-based Clinic = 19 sites – PCMH Model

  • OU Housing Authority Clinics = 2 – PCMH Model

  • OU Micro-clinics – Day Center for the Homeless – 5 days

  • per week

  • Neighbor for Neighbor, Neighbors Along the Line,

  • OU Physicians Clinics – Hillcrest – PCMH

  • Schusterman Center - PCMH

  • OSU Physicians Clinics – SW Boulevard, Houston Park

  • OSU Physicians – Country Club Gardens

  • Morton Clinics – FQHC – Lansing Park, East Tulsa

  • Community Health Connections – FQHC - East Tulsa,

  • 3rd and Lewis.

  • Patient Centered Medical Home Patient Portal with IBM

  • Greater Tulsa Health Access Network – Greater THAN –

  • Health Information Exchange and Care Coordination

  • PACT Teams – Severe mental illness

  • COPES Team – Emergency Psychiatry

  • ER Frequent Flyer Team –

  • Multiple medical illnesses

  • Acute – Walk In Care:

  • OU Bedlam Evening Clinics

  • OU Bedlam Evening Pharmacy

  • OU Bedlam Evening Clinics

  • Case Management and Referral

  • Programs

  • Good Samaritan Clinics

Specialty Care

  • MAP / Voucher Specialty Care Network

  • Northland Imaging Center

  • OU Physicians Clinics at St. John, Saint Francis

  • and Hillcrest Medical Centers,

  • OU Schusterman Center Clinics

  • OSU Physicians Clinics at OSU MC,

  • Houston Park, SW Boulevard

  • OU OB Outreach – e.g. Margaret Hudson.

  • Porter, Community Health Connections

  • OU Xavier Breast Health Clinic

  • OU Bedlam Specialty Clinics – Derm, HIV,

  • Gynecology, Hep C

  • Heart Intervention Project

  • OU Diabetes Center

  • OU Cancer Institute

  • OU Tisdale Specialty Health Center

  • Doc 2 Doc e-consultations between primary care

  • and specialists

Safety Net Clinics

  • ER Diversion Programs:

  • OU Tisdale Health Center

  • Urgent Care Clinic

  • OU ER Diversion and

  • Follow Up Clinic

  • OSU / St. John Program

Pharmacy Services

  • Tulsa County Pharmacy

  • OU STEP Pharmacy

  • OU Bedlam Pharmacist Program and

  • 5 community pharmacies

Prevention Initiatives

  • 211 Line

  • Baby Line

  • OU Nursing Prenatal Care

  • Harvard Project - Cycle

  • of Poverty

  • PENN Project – Anchor

  • Community Schools

Clancy 8 / 2009


Our organization s enthusiasm levels a project lifecycle

Announcement

Implementation

Successful

Progress/Projects

ENERGY / SUPPORT

Planning

Culture

Crisis

TIMELINE

Our Organization’s Enthusiasm Levels: A Project Lifecycle

Mar ‘09

Sept ‘08


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