Post on 20-Mar-2018
Andrea Brooks HIV Services Administrator & PCMH Coordinator
Camillus Health Concern, Inc.
Creating a Patient Centered Medical Home for Persons Experiencing Homelessness in Miami
How We Got To Be Who We Are Now
Overview
Next Steps
About Camillus Health Concern
Our PCMH Process
Our Patients ✓
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q Following the teachings and example of Jesus Christ, the mission of Camillus Health Concern is to provide Chris;an hospitality and respect for life through direct services of health care, outreach, counseling and case management to the poor and homeless of South Florida.
Camillus’ Mission Statement
q Healthcare for the Homeless 330(h) since 1989 and was designated as a Federally Qualified Health Center (FQHC) in 1996
q Only free-‐standing, comprehensive Healthcare for the Homeless funded provider in Miami-‐Dade County
q Only agency in the county that exclusively provides healthcare for persons who are homeless.
Who We Are
Services We Provide
q Adult Primary Care q Pediatric Health q Women’s Preven;ve q Oral Health q Medical Outreach
q HIV/AIDS Services q Behavioral Health q Case Management q Dental/Podiatry q Enabling Services
Who We Serve
65%
18%
3% 15%
Miami's General Popula7on
Hispanic
Black
Asian/Other
White/Non-‐Hispanic
60% 23%
4% 13%
Miami's Homeless Popula7on
Hispanic
Black
Asian/Other
White/Non-‐Hispanic
Who We Serve
q CHC’s Patients by the Numbers § 28,000+ encounters to 4,000+ Patients
M 75%
F 25%
Gender <18 5%
18+ 95%
Age
B 40%
O 10%
H 40%
W 10%
Race/Ethnicity
q Talked to other CHC’s within Network § Seven (7) Florida Centers were “thinking about it”
q Conducted Self Assessment: NCQA has 6 Standards, 27 Elements, 149 Factors § Outcome: CHC was already compliant with most of the requirements
q EMR “Go Live” in February 2010
Patient Centered Medical Home Process
q Some preliminary work was done through par;cipa;on in AETC’s Na;onal Center for HIV Care in Minority Communi;es (NCHCMC) HIV in Primary Care Project (March 2011) ü Empanelment ü 3rd Next Available Appointment ü Open Access ü Pa;ent Care Team Development (disease specific only)
Patient Centered Medical Home Process
PCMH Project Coordinator Andrea Brooks Chief Medical Officer Ross Collazo, DO Director of Primary Care Services Javier Hiriart , MD
Clinical Services Administrator
Barbara Casero Pa7ent Services Administrator Jackie McBean Care Management Service Director (HCN) Jennifer Lamothe
Patient Centered Medical Home Process q Established Prac;ce Transforma;on Team
q Weekly mee;ngs amongst Transforma;on Team q Shared folder for PCMH Documents q Monthly updates with all Staff q Departmental Mee;ngs q Staff & Pa;ent Surveys/Interviews
§ Formal and Informal
Patient Centered Medical Home Process
q BPHC Supplemental Funding for PCMH Expansion § 2011-‐2012: PCMH Applica;on Process § Focused on Standard #1: Enhance Access & Con;nuity
o Access During Office Hours o Electronic Access (for Pa;ents)
q BPHC Supplemental Funding for PCMH Expansion § 2012-‐2013: Cervical Cancer Focus § Expansion of Women’s Health Program § Develop Self Care/Management Tools
Additional Steps
Next Steps for Camillus Health
Develop Pa;ent Materials
Pa;ent Care Teams
Open Access
Schedule
Andrea Brooks HIV Services Administrator & PCMH Coordinator
Camillus Health Concern, Inc. 336 NW 5th Street Miami, FL 33128
305.577.4840 x 415
abrooks@hcnetwork.org www.camillus.org
Thank You!