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HEALTHCARE for the HOMELESS. West Central Cluster Summit “Moving Ahead With Spread” November 8-10,2004 Dallas, TX. Clinic Overview. The Healthcare for the Homeless Clinic (HCHC) operates out of a free standing clinic that was established in October 1988.

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West Central Cluster Summit

“Moving Ahead With Spread”

November 8-10,2004

Dallas, TX

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Clinic Overview

  • The Healthcare for the Homeless Clinic (HCHC) operates out of a free standing clinic that was established in October 1988.

  • The main clinic located near the Central Business District of New Orleans and also provides services at a second site located on the outskirts of the French Quarter Area.

  • The HCHC emphasizes a multi – disciplinary approach to delivering care to homeless persons in an urban setting.

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Team Members

  • Barbara Long –Team Leader

  • Florence Jones – Medical Director

  • Trenell Christmas Brown – Data Entry

  • Ione Preston – Adult Nurse Practitioner

  • Omika Joseph – LPN

  • Sandraella Bailey – Data Entry Clerk

  • Willie Mae Martin – Senior Leader

  • Eddie Bonin – Adolescent Nurse Practitioner

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Aim Statement

  • To redesign the system of care to provide improved care to our patients with chronic diseases ( diabetes and depression ). We will accomplish this by using the six components of the Care Model as evidenced by the changes in the following areas: diabetic flow sheet and tracking depression screening tool.

  • To spread to a different site that includes adolescents by 12/04.

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How it all Started

  • HCHP has been participating in the Health Disparities Collaborative since 1999. We have implemented a clinical information system, including a registry for tracking important lab values, and monitoring a patient’s progress.

  • Our disease specialty is Diabetes. In our population of focus there were 75 patients diagnosed with diabetes.

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Spreading the Collaborative Movement

  • HCHP has spread to another condition in depression.

  • The disease specialty of our spread is depression.

  • Our population of spread for depression is 337 which includes all diabetic and new patients.

  • We are also spreading to a different site, with a adolescent population.

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Best Practices

  • Making Tuesday and Thursday mornings diabetic days, where diabetics can see the provider, receive meds, patient education and self- management and get labs on the same day.

  • Healthcare providers perform routine foot exams with every visit and the podiatrist is available in the clinic on Tuesday to perform routine and complicated foot exams.

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Best Practices

  • Walk-in hours are available for eye exams two days a week at the Optical Clinic within walking distance of HCHP. This service also includes glasses as needed.

  • Screening all patients for depression using the screening tool.

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Lessons Learned

  • Having all diabetic patients come in on the same day, so they can receive all necessary services (dental, eye, foot, patient education ) in one day to help keep up patient compliance.

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Biggest Challenges/Barriers

  • Some of the biggest challenges or barriers we face are: patient compliance, appointment compliance, and having enough time for data entry.

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Next Steps

  • Provide orientation into the collaborative for new team member at new site.

  • Spreading to another population.

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Success Story to share

  • Success Story to share