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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. 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"

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  1. "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

  2. Overview - Urban Health Plan • 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

  3. Community Profile – South BronxSource: NYCDOHMH Community Health Profiles 2005* per 100,000

  4. Community Profile – 16th 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.

  5. URBAN HEALTH PLAN’S PERFORMANCE

  6. Percent of Patients Ages 18+ with Smoking History DocumentedSource: NYCDOHMH PCIP

  7. Percent of Patients ages 18+ screened for Alcohol UseSource: NYCDOHMH PCIP

  8. Percent of Patients Ages 18+ with a Documented BMI within the past 24 months

  9. CHILDHOOD OBESITYSource: NYCDOHMH

  10. Percent of Patients Ages 18+ with Sexual History DocumentedSource: NYCDOHMH PCIP

  11. Percent of Sexually Active Patients Ages 16-26 tested for ChlamydiaSource: NYCDOHMH PCIP

  12. Percent of Patients Ages 50+ with an Influenza Vaccine

  13. Percent of Patients Ages 18+ Screened for DepressionSource: NYCDOHMH PCIP

  14. Percent of CSD Patients with a 50% Reduction in PHQ ScoreSource: HRSA Health Disparities Reporting Website

  15. Percent of Depression Patients with a 6 month ReassessmentSource: HRSA Health Disparities Reporting Website

  16. Percent of Diabetic Patients Ages 18-75 with a Documented A1cSource: NYCDOHMH PCIP

  17. Percent of Diabetic Patients Ages 40 + on StatinsSource: HRSA Health Disparities Reporting Website

  18. Percent of Diabetic Patients 40+ on AspirinSource: HRSA Health Disparities Reporting Website

  19. UHP Asthma Registry Size

  20. Average Symptom Free Days (out of last 14)

  21. Percent of Asthma Patients with a Severity AssessmentSource: HRSA Health Disparities Reporting Website

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

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

  24. Hunts Point/Mott Haven Comparison of Asthma Hospitalization Rates in Children Aged 0-14, 1997 to 2005Source: NYCDOHMH 58% Decrease HP 2010 goal 2.25/1,000 1997 2005

  25. Hunts Point-Mott Haven NYCComparison of Asthma Emergency Room Visits 2003 to 2008 Source: NYCDOHMH PCIP 55% Decrease 2003 2008

  26. Business CaseAffinity Health Plan PMPM Comparative Dataof UHP v. All Affinity Network 2006-2007

  27. Geriatric Comparative Outcomes

  28. Percent of Patients with an Influenza Vaccine

  29. Percent of Geriatric Patients with a Physical in the past 18 months

  30. Percent of Geriatric Patients with a Pneumoccal Vaccine

  31. Percent of Geriatric Female Patients with a Mammogram within the past 2 years

  32. URBAN HEALTH PLAN’S HEALTH 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

  33. Potential Impact on Emergency Room Growth • 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

  34. CONTACT INFORMATION Paloma Hernandez Urban Health Plan 1065 Southern Boulevard Bronx, New York 10459 (718) 991-4833 paloma.hernandez@urbanhealthplan.org

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