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Transforming Health Systems for 100% Access and Better Health Outcomes

AccessHealth SC is dedicated to fostering sustainable health system changes that ensure 100% access to safe, timely, effective, efficient, equitable, and patient-centered care. Our collaborative network connects providers and patients through comprehensive care navigation and coordination, overcoming barriers to healthcare. We emphasize partnerships, evaluation, and innovative rural interventions to enhance health outcomes, including significant reductions in emergency and inpatient utilization. Our programs advocate for patients while supporting providers with valuable resources, facilitating the delivery of the right care at the right time.

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Transforming Health Systems for 100% Access and Better Health Outcomes

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  1. accesshealth sc

  2. vision • Spark sustainable health system change that results in better health outcomes and 100% access to care that is: • Safe • Timely • Effective • Efficient • Equitable • Patient-centered

  3. ahsc networks • Collaboration of providers • Serves as advocate for patients and providers • Linkage to medical homes • Support for providers • Linked through care navigation and care coordination that work in conjunction with medical home to overcome barriers • Right care, right place, right time

  4. Program Model Grey = Processes (barriers) Yellow = Impact Measures Blue = Outcome Measures Health Quality of Life Patient with Medical Home and Primary Care Team Logistics of Care Provider Availability Transportation Cost of Care Prevention & Education Emergent Hospital Meds Specialty Provider Culture Non Emergent Hospital Behavioral Dental Marketing & Outreach Patient Activation Appropriate Utilization

  5. counties implementing ahsc networks

  6. rural* counties with ahsc networks * Office of Rural Health Policy – Rural-Urban Commuting Area

  7. what are they doing? • Health navigation • Care coordination • Case management

  8. sample rural interventions • Mountain Lakes Access Health • Connecting to resources; individual assessments and care plans to arrange social and medical appointments; disease education and management • Dental initiative • Georgetown Community Care Network • Comprehensive inventory of free/low cost services; linkage to services; individual assessments and care plans • Transportation (inventory, gap analysis, fill gaps)

  9. outcomes • Partnerships • Numbers Served • 11,300 participants • 10,000 referrals and 30,000 primary and specialty visits • ED and IP Utilization • 36% reduction in IP • 33% reduction in ED • Health Improvements • 26% decrease in HbA1c to 7.56 (Richland) • 26% decrease in systolic BP (Kershaw) • 18% decrease in diastolic BP (Kershaw)

  10. overall themes • Leadership is the backbone • Partnerships are essential (communication) • Evaluation drives sustainability

  11. Melanie Matney Executive Director, AccessHealth SC 1000 Center Point Road Columbia, SC 29210 P: 803-744-3556 mmatney@scha.org www.accesshealth.net

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