NEWARK COMMUNITY HEALTH CENTERS, INC. We Care. Your Health Comes First With Us.

Transcription

1 NEWARK COMMUNITY HEALTH CENTERS, INC. We Care. Your Health Comes First With Us. FQHC Response to Health Care Reform Dr. Pamela Clarke, PhD, MBA President and Chief Executive Officer Newark Community Health Center 1

2 FQHC HISTORY - Started in 1965 in Massachusetts and Mississippi - Funded and qualified by the federal government, specifically Sections 330/329 of the United States Public Health Service - Adhere to the HRSA Compliance Manual - NJ has 24 Community Health Centers and 134 satellite sites

3 NCHC History Federally Qualified Health Center with over 31 years of service to the Essex County Community One of the largest providers of comprehensive primary care services for uninsured and medically underserved populations in the country s most densely populated cities Approximately 46,083+ annual visits Level 3 Patient Centered Medical Home Designations 3

4 Mission Our mission is to provide affordable, quality health care for our patients. CARE we define care as compassion, appreciation, respect and excellence. 4

5 NCHC Services Healthcare Adult and Family Medicine OB/GYN Pediatrics Podiatry ENT Optometry Dental Services HIV outreach, counseling, testing and referrals On-Site laboratory services Ancillary Care Affordable Care Enrollment (Obama Healthcare) New Jersey Family Care, Medicaid Behavioral Health Family Planning Nutrition and Dietary Counselling Pre and Post-natal counseling and education (Healthy Start) Pre-employment Screening Remote Patient Portal Access 5

6 NCHC Locations Newark Community Health Center 751 Broadway Newark, NJ Newark Community Health Center, Inc. Corporate Office 741 Broadway Newark, NJ Newark Community Health Center 101 Ludlow Street Newark, NJ Newark Community Health Center 92 Ferry Street Newark, NJ Orange Community Health Center 37 North Day Street, 3rd Floor Orange, NJ Irvington Community Health Center Springfield Ave. Irvington, NJ East Orange Primary Care Center 444 William Street East Orange, NJ 07017

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8 Hospital Relationships Because of competitive considerations, their payor mix, and reimbursement from public sources, six area hospitals have shuttered their doors: - United Hospital (1997) - Hospital Center at Orange (2004) - Irvington General Hospital (2006) - St. James Hospital (2008) - Columbus Hospital (2008)

9 Hospital Partners Newark Beth Israel Medical Center, Newark University Hospital, Newark St Michael Hospital, Newark Clara Maass Medical Center, Belleville St Barnabas Medical Center, Irvington

10 Greater Newark Healthcare Expanded Care Coordination Challenge Need for collaborative approach to regional planning, care coordination, and the utilization of resources.

11 NBIMC ED Express Care Challenge 1 in 3 ER visits were for primary care sensitive conditions 1 1 in 5 adults in Newark HRR lack a usual source of care 2 1 ED Expresscare Toolkit, HRET, Commonwealth Fund Scorecare on Local Hospital System Performance, 2012

12 NCHC and NBIMC Partnerships ØPatient Care (2004) ØED Diversion Project (2008) ØSickle Cell Disease Program (2010) ØInpatient Adult Medicine Care (2011) ØPrimary Care Residency Program (2012) ØInpatient care for Ob/GYN (2012) ØInpatient care for Pediatrics (2013)with Maternal Fetal Medicine (2014)

13 Strategic Goals Enhance the Customer Experience Achieve Operational Excellence Increase Access To Healthcare 13

14 2017 Patient Summary TOTAL MEDICAID (FAMILY CARE INCLUDED) TOTAL MEDICARE TOTAL UNINSURED ALL OTHER TOTALS Patients Served 27,223 1,517 11,293 6,050 46,083 Visits 129,221 9,980 4,563 23, ,789

15 Provider Recruitment Challenge Newark is designated a primary care shortage area by HRSA. 1 Estimated PCPs needed in NJ to meet demand. 2 PCP residency staff report need for quality clinical training sites. 1 HRSA HPSA finder, Hofer, A.N., Abraham, J.M., Moscovice, I (2011). Expansion of coverage under the Patient Protection and Affordable Care Act and Primary Care Utilization. Milbank Quarterly, 89 (1),

16 Why NCHC Services Make A Difference? Improve the health of people in the community- The patient s healthcare always comes first and a partnership is established with you to ensure you live a long, continuous and healthy life. Access to a dedicated health team that coordinates care across physicians, specialist, nurse, pharmacist, nutritionist, behavioral health and support personnel. 16

17 NCHC Services (cont.) Offer a sliding fee scale so all patients are seen regardless of their ability to pay for service Provide discount drug program for patients Easy access to on-site affordable laboratory service 17

18 Benefits of Coming to NCHC... Quality Services Service Brand for Customer service, medical services lines and other ancillary healthcare offerings Convenient locations with access to Mass Public Transportation and Free Patient Parking, with operational hours 7 days per week and late hours. We are a Multi-linguistics Health Center Diverse Staff Long standing tenure in the community Appointment priority for your staff with Walk-in accommodations Full accessibility for the Disabled 18

19 Healthcare Priorities 19

20 Population Health Outcomes The health outcomes of a group of individuals, including the distribution of such outcomes within the group. Physical Social Mental Genetic 20

21 Determinants of Health q q Social and economic environment Physical environment q q q Education Social support networks Culture q q Individual characteristics and behaviors Occupation q q q Genetics Health services Gender q Income and social status 21

22 Interventions Undertaken by NCHC to Impact Selected Determinants of Health (Patient Centered Medical Model) Social Service Programs Access Based Programs Advocacy Community Referrals Social Work Case Management In- Outreach/ reach Welfare Referrals NJ Health Insurance Marketplace NJ Family Care Presumptive Eligibility LOA Enrollment 22

23 Interventions undertaken by NCHC to Impact Selected Determinants of Health (Patient Centered Medical Model) Preventive (In-house) Specialists (Referrals) Family Planning Cardiology STDs Screening Infectious Disease Cancer Screening Diagnostic Radiology Psych0-social Screening Psychiatric Services Diabetes & Hypertension Screening 23 Podiatry

24 Success Will Be Measured Healthcare Outcomes, Patient Satisfaction Reduce Healthcare Disparities Sustain Access to Care and Center s Financial Viability 24

25 Outcomes Reduction of healthcare disparities for uncontrolled chronic illnesses Increased community awareness for proactive health Better environment with healthier children and adults Good Health is Your Reward 25

26 Questions Thank you! 26