Yavapai County Community Health Services Adoption of 2009 FDA Food Code.
Enhancing Immunization Services Yavapai County Community Health Services December 2007.
-
Upload
colton-youngs -
Category
Documents
-
view
216 -
download
1
Transcript of Enhancing Immunization Services Yavapai County Community Health Services December 2007.
![Page 1: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/1.jpg)
Enhancing Immunization Services
Yavapai County Community Health Services
December 2007
![Page 2: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/2.jpg)
![Page 3: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/3.jpg)
Yavapai CountyCommunity
Health Services(YCCHS)
Community Health Center
Public Health Department
![Page 4: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/4.jpg)
Immunization DataJan-Nov 2007 Total vaccines given = 13,666 Given to under 18 year olds = 9,809 Given to adults = 3,857 Number of vaccines available = 29
Add Influenza – OVER 20,000/shots/year
![Page 5: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/5.jpg)
The Problem
Travel Immunization Clinic Currently administered by the Community
Health Center A non-traditional (CHC) service – a logical
experiment gone wrong Only provider in Yavapai County A money loser – due to health insurance
contracts with fixed ceilings for reimbursement County indirectly subsidizes travelers
![Page 6: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/6.jpg)
The Solution
Public Health Department Cash up front for travel immunizations Patients deal directly with insurance
companies so no billing woes for department Patients are supplied with detailed insurance-
ready receipts The Health Department is paid in full up front Patients don’t need to travel to Phoenix The program is self-sufficient
![Page 7: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/7.jpg)
The Variables
The (mostly) unknowns Patients’ reactions to having to deal directly
with insurance companies Market variables
Supply and demand Outbreaks/Panics Price swings New vaccines Pharmaceutical industry/Patents
Associated effects on revenue projections
![Page 8: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/8.jpg)
Zostarvax (Shingles)
-100
-50
0
50
100
150
200
$
Cost Billed Paid RealLoss
Opp.Loss
TotalLoss
![Page 9: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/9.jpg)
Recommendations
Transfer all non-CHC immunization functions from the Community Health Center to Public Health
Create a stand-alone, cash-only, travel clinic Round up all vaccine costs to the nearest dollar Adopt the following fee schedule:
Vaccine cost = purchase price plus $10.00 Administration fee = $20.00/shot Consultation Fee = $40.00/planning visit
Effective February 1, 2008
![Page 10: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/10.jpg)
Pros Prices are set at a reasonable market rate Price changes – up or down – are automatic
without constant approvals by the Board of Supervisors
Travel immunizations will be self-sufficient Fewer transactions with insurance companies Clinic patients will still be covered for
immunizations Full indirect costs collected Continued service and convenience to the
community Very comparably priced
![Page 11: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/11.jpg)
Cons
Numerous variables Projection assumptions may be flawed Paying up front for services may not be
agreeable to all
![Page 12: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/12.jpg)
Endorsements
Health Resources And Services Administration
Prescott Free Clinic Board of Directors YCCHS Administration Yavapai Board of Health
![Page 13: Enhancing Immunization Services Yavapai County Community Health Services December 2007.](https://reader036.fdocuments.us/reader036/viewer/2022062417/551b2816550346cf5a8b5c00/html5/thumbnails/13.jpg)
Recommendations
Transfer all non-CHC immunization functions from the Community Health Center to Public Health
Create a stand-alone, cash-only, travel clinic Round up all vaccine costs to the nearest dollar Adopt the following fee schedule:
Vaccine cost = purchase price plus $10.00 Administration fee = $20.00 Consultation Fee = $40.00
Effective February 1, 2008