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Creating World Class Delivery System to Improve the Health of Vulnerable Populations Transforming Primary Care at the Community Health Center

Creating World Class Delivery System to Improve the Health of Vulnerable Populations

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Creating World Class Delivery System to Improve

the Health of Vulnerable Populations

Transforming Primary Care at the Community Health Center

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Our Vision:Health Care is a Right not a Privilege

Our MissionCHC is building a world class primary health care system, that is committed to caring for special populations, and that is focused on improving health outcomes for our patients as well as building healthy communities.

Our ToolboxOur PeopleOur Partners Our InfrastructureOur Innovations

Our Vision, Mission, and Toolbox

Community Health Center, Inc.Middletown, CT

Cartoon Video

Hynes, Aldon
Start off by showing the video, talking about how CHC started as a local effort by people with a shared concern about a local problem

CHC’s Background

The best of…• Local and University Activism• Nationally, The Free Clinic Movement • Internationally, The Community Health Center

Movement

Hynes, Aldon
Then talk about how the local activists gathered ideas from thought leaders around the world.

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Locally, CHC grew out of the student and community activism in Middletown. Key aspects of this activism include social entrepreneurialism working together for social justice.

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The Student and Community Activism In Middletown

Origins of the National Free Clinic Movement

The Free Clinic Movement began in the 1960s in San Francisco when Dr. David Smith founded the Haight Ashbury Free Clinics during the summer of love in the Haight Ashbury district.

Free clinics quickly spread to other California cities and the rest of the United States. In 1972 a meeting was held in Washington DC where clinic staff from around the country gathered and listened to speakers including Dr. Smith. At this meeting the slogan “Health Care is a Right Not a Privilege” emerged as a theme.

Origins of the International Community Health Center

MovementMedical students Sidney Kark and Emily Jaspan, found the Society of Medical Conditions and create the “Pholela Health Unit” which integrates individual clinical care with health promotion.

The Karks developed a social theory of medicine with the Pholela unit as a model which includes education for self help, recruiting and training community workers, and creates multi disciplinary teams.

Jack Geiger secures a Rockefeller Foundation fellowship to go to South Africa to learn about community oriented primary care the Karks. Based on this, he writes a proposal for a comprehensive, contemporary community health center in the United States.

Community Health Centers Today

• CHCs serve the primary healthcare needs of 23 million patients in over 9,000 locations across America

• Affordable health services for millions of uninsured, the working poor and newly jobless Americans   

• Each health center takes a tailored approach to meet the unique needs of the people in its surrounding community.

• $24 billion in annual savings to the healthcare system

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CHC has taken the entrepreneurial and activist passion from the local community, principles and ideals of the National Free Clinic Movement and combined them with advances in primary care growing out of the international community health center movement. We continue to work at making top quality integrated care accessible to underserved populations across Connecticut.

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Our Waiting Rooms, Then and Now

1972 2015

Since 1972, Community Health Center, Inc. has been building a world-class primary health care system committed to caring for underserved and uninsured populations and focused on improving health outcomes, as well as building healthy communities.

Three Foundational Pillars • Clinical Excellence • Research & Development • Training the Next Generation

CHC Inc. Profile:• Founding Year - 1972• Primary Care Hubs – 13 • No. of Service Locations –

251• Licensed /Total SBHC

locations – 21 comprehensive/28 behavioral health only/189 mobile dental

• Organization Staff - 605

Cole, Eliza
Inserted new locations mapNo. of Service locations - I would say over 200 and not use 218.Organizational Staff is 605

Care Delivery

Medical Care & Ancillary Services

Dental Care

Behavioral Health Care

Prenatal Services

Top Chronic Diseases

Cardiovascular Disease

Obesity/Overweight

Diabetes Chronic Pain

Asthma Depression

• Patients who consider CHC their health care home: 130,000

• Health care visits: 500,000 per year

CHC Patient Profile

0%

25%

50%

75%

100%90.80%

22%

64.8%

42%

6%

65%

CHC Patient Demographics

Cole, Eliza
Visits are 430,000 per year

CHC Model Of Primary Care• Patient-centered healthcare home

– (Level 3 NCQA Recognition, Joint Commission Gold Seal)

• Comprehensive care, integrating primary medical care, dentistry and behavioral health on teams

• Care wherever you are (W.Y.A)• Timely efficient care, advanced access scheduling,

expanded hours• Transparent data driven; outcome focused using clinical

microsystem approach• Planned care and chronic care model

– Clinical Excellence– Research and Development– Training the next generation of healthcare providers

to this model of care

Team-Based Care

Key Innovations

Fully Integrated EHR Behavioral Health Warm Handoffs

Key Innovations

Hynes, Aldon
updated EHR picture

Quality Improvement Infrastructure

Data Driven Care

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Linking Specialists with Primary Care via eConsults

Patient’s EHR

Select private practice groups

Web-BasedeConsult Platform

Web Based Platform

Building National Models of Care

Building National Models of Care

Building National Models of Care

Community Health Center, Inc. © 2015

Building National Models of Care

CHC’s Educational, Technical & Innovation Projects

Hynes, Aldon
Updated Innovations map

Contacts

Mark MasselliPresident/CEOph: 860.347.6971 x3620email: [email protected]

Margaret Flinter, APRN, PhDSenior Vice President/Clinical Directorph: 860.347.6971 x3622email: [email protected]

Tim Kearney, PhDChief Behavioral Health Officerph: 860.347.6971 x3507email: [email protected]

Daren Anderson, MDVice President/Chief Quality Officerph: 860.347.6971 x3740email: [email protected]  

Heather Crockett-Washington, DDS, MPHChief Dental Officerph: 860.347.6971 x3059email: [email protected]

Mary Blankson, APRNChief Nursing Officerph: 860.347.6971 x3008email: [email protected]

Veena Channamsetty, MDChief Medical Officerph: 860.347.6971 x3009email: [email protected]