The performance of an fqhc and its impact on the public s health
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"The Performance of an FQHC and Its Impact on the Public's Health". PALOMA HERNANDEZ Planning Committee State Hospital Review and Planning Council JUNE 18, 2010. Overview - Urban Health Plan. Founded in 1974 by Dr. Richard Izquierdo Became FQHC in 1999

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The performance of an fqhc and its impact on the public s health

"The Performance of an FQHC and Its Impact on the Public's Health"

PALOMA HERNANDEZ

Planning Committee

State Hospital Review and Planning Council

JUNE 18, 2010


Overview urban health plan
Overview - Urban Health Plan Health"

  • Founded in 1974 by Dr. Richard Izquierdo

  • Became FQHC in 1999

  • 4 practice sites in the South Bronx and Queens

  • 5 School Sites 4 Off Sites

  • 2 Administrative Sites

  • Fully implemented EHR System since 2006

  • Largest Employer in our Zip Code: 480

  • 2007 National Exemplary Award, US EPA

  • 2009 Selected as one of the top performing Health Centers in the US by HRSA

  • 2009 Nicholas E. Davies Award by HIMSS

  • 2009 PCMH Level 3 Certification

  • 2009 Actual Volume: 231,000

    Users: 38,000

  • 2010 Volume Projections: 260,000

    Projected Users: 45,000


Community profile south bronx source nycdohmh community health profiles 2005 per 100 000
Community Profile – South Bronx Health"Source: NYCDOHMH Community Health Profiles 2005* per 100,000


Community Profile – 16 Health"th Congressional DistrictSource: US Census Bureau 2006-2008 American Community Survey 3-Year Estimates

  • 59 percent of people 25 years and over have at least graduated from high school and 10 percent had a bachelor's degree or higher.

  • 41 percent were dropouts; they were not enrolled in school and had not graduated from high school.

  • The median income of households was $23,270.

  • 19 percent of the households received Social Security. The average income from Social Security was $10,116.

  • 40 percent of people live in poverty.

  • 53 percent of children under 18 live in poverty.

  • 37 percent of people 65 years old and over live in poverty.


Urban health plan s performance
URBAN HEALTH PLAN’S Health"PERFORMANCE





Childhood obesity source nycdohmh
CHILDHOOD OBESITY the past 24 monthsSource: NYCDOHMH


Percent of patients ages 18 with sexual history documented source nycdohmh pcip
Percent of Patients Ages 18+ with Sexual History Documented the past 24 monthsSource: NYCDOHMH PCIP





Percent of CSD Patients with a 50% Reduction in PHQ Score ChlamydiaSource: HRSA Health Disparities Reporting Website


Percent of Depression Patients with a Chlamydia6 month ReassessmentSource: HRSA Health Disparities Reporting Website



Percent of diabetic patients ages 40 on statins source hrsa health disparities reporting website
Percent of Diabetic Patients Ages 40 + on Statins A1cSource: HRSA Health Disparities Reporting Website


Percent of diabetic patients 40 on aspirin source hrsa health disparities reporting website
Percent of Diabetic Patients 40+ on Aspirin A1cSource: HRSA Health Disparities Reporting Website




Percent of Asthma Patients with a Severity Assessment A1cSource: HRSA Health Disparities Reporting Website


Percent of Persistent Patients on Anti-Inflammatory MedicationSource: HRSA Health Disparities Reporting Website


Percent of Asthmatic Patients with a Documented Self Management GoalSource: HRSA Health Disparities Reporting Website


Hunts Point/Mott Haven Management GoalComparison of Asthma Hospitalization Rates in Children Aged 0-14, 1997 to 2005Source: NYCDOHMH

58% Decrease

HP 2010 goal

2.25/1,000

1997

2005


Hunts Point-Mott Haven NYC Management GoalComparison of Asthma Emergency Room Visits 2003 to 2008

Source: NYCDOHMH PCIP

55% Decrease

2003

2008


Business case affinity health plan pmpm comparative data of uhp v all affinity network 2006 2007
Business Case Management GoalAffinity Health Plan PMPM Comparative Dataof UHP v. All Affinity Network 2006-2007







Urban health plan s health care delivery system
URBAN HEALTH PLAN’S the past 2 yearsHEALTH CARE DELIVERY SYSTEM

  • Culture of Performance Management and Improvement

    • Supported by a Learning Center for Professional Development

    • Supported by Use of Data

  • Fully implemented Electronic Health Record System

    - Supported by a Provider Incentive Program

  • Care Coordination

    - Supported by Health Education and Care Managers

  • Innovative Programs

    - Project HOPE

    - Health and Wellness Program in collaboration with the

    Canyon Ranch Institute


Potential impact on emergency room growth
Potential Impact on Emergency Room Growth the past 2 years

  • Realistic goal of increasing FQHCs in NYS …..remembering that a DTC is not an FQHC

  • Upgraded Diagnostic and Treatment Center

  • Utilize FQHCs HPSA scores to open sites near ERs

  • Mandate linkages between ERs and FQHCs (RWJ –Urgent Matters Project)

  • Encourage change in Reimbursement Models so that we are properly compensated for the level of service that we provide


Contact information
CONTACT INFORMATION the past 2 years

Paloma Hernandez

Urban Health Plan

1065 Southern Boulevard

Bronx, New York 10459

(718) 991-4833

[email protected]


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