April 15, 2009

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Community Health Centers (CHCs) are community owned

and operated, non-profit businesses that provide access

to quality primary and preventive health care that is

affordable to everyone.

Community Health Services

Community Economic Development

Community Participation

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19 CHC Corporate Grantees

134 service sites

Served 290,000 + medical patients in 2008

252 provider FTEs04/20/23 4

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THE MISSION◦ The mission of the South Carolina Primary

Health Care Association is to provide a coordinating structure to assure access to community based primary, behavioral and other health care services to every community in South Carolina.

◦ Direct Services to Migrant Health

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Informed,Empowered Patient & Family

Patient-Centered Prepared,

ProactivePractice Team

Improved Outcomes

Delivery

SystemDesign

Decision

Support

ClinicalInformatio

nSystems

Self-Managemen

t Support

Health System

Resources and Policies

Community Health Care Organization

Care Model

Productive Interactions

Coordinated

Timely andEfficient

Evidenced-basedAnd safe

Why National, State, and Local Measures?

“How will we know that a change is an improvement?”

Established Best Practices

Allowed organizations to determine the effectiveness and/or need for change

Increased Quality ImprovementIn essence, measures focus on quality:Evaluation, Evaluation, Evaluation

National and Local Faculty developed a set of measures to:

Address major aspects of care for patients with chronic illnesses.

Translate evidenced-based guidelines into clinical practice.

Measure aspects of individual patient care and health.

Create summary reports and graphs

Measures Goal

Average HbA1c <7.0

Patients with 2 HbA1c’s in the last year (at least 3 months apart)

>90%

Documentation of self-management goal setting >70%

Cardiac Risk Reduction (choose ONE)Patients on StatinsPatients on ACE inhibitors or ARB medicationPatients on Aspirin or other antithrombotic agent

>60%

>75%

>80%

Patients with Blood Pressure <130/80 >40%

Patients with LDL <100 >70%

For clinic systems with an integrated dental clinic, the following measure is required:Dental exam in the past year

>70%

Patients who are current smokers Patients with Dilated eye exam in the past

year Patients with Comprehensive foot exam in the

past year Patients with Microalbuminuria screening in

the past year Patients with Influenza vaccination Patients with One pneumococcal vaccine Patients with dental exam in the past year Patients with Depression screening Patients with documented exercise rate Patients with weight reduction

DM/CVD conditions