telehealth applications in a community health center roland j. gardner chief executive officer...
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Telehealth Applications in a Community Health Center
Roland J. GardnerChief Executive Officer
Beaufort Jasper Hampton Comprehensive Health Services, Inc.
July 17, 2015
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Beaufort Jasper Hampton Comprehensive Health Services, Inc. (BJHCHS) is a section 330 Federally Qualified Health Center (FQHC),
• Established in 1969 through a grant from OEO to deliver comprehensive health services to residents of the socially and economically deprived residents of Beaufort & Jasper Counties
BJHCHS
Beaufort Jasper Hampton Comprehensive Health Services Inc.
THE MISSION OF BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.IS TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE AND COMPREHENSIVE HEALTH CARE SERVICESTO THE SOUTH CAROLINA LOWCOUNTRY COMMUNITY.
Our Mission
Beaufort Jasper Hampton Comprehensive Health Services Inc.
WE STRIVE TO PROVIDE THE MOST COMPREHENSIVE HEALTHCARE DELIVERY
SYSTEM THAT WILL MEET THE NEEDS OF THE LOWCOUNTRY COMMUNITY.
Our Vision
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Family Practice – Immunizations, well and sick baby visits, sports physicals, geriatric care, annual pelvic screenings
• Internal Medicine – Diabetes screenings & treatment, hypertension screenings, comprehensive examinations, lab analysis
• Pediatrics – General pediatric care and follow-up, EPSDT, new born routine care, school physicals, baby clinics for new mothers, extended hours.
• OB/GYN – Annual screenings, prenatal maternal care, endometrial biopsies, culposcopies, high risk prenatal care
• Dental Services – Preventive tooth and gum treatment, root canals, tooth extractions, bridges, crowns, x- rays, dentures
BJHCHS Scope of Services Today
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Medical Social Work Services – Case Management, social work home visits, and eligible assistance
• Pharmacy Services – Filling patient prescriptions Rx, monitoring drug interactions, patient education, drug information, Pfizer “Share the Care Program”
• Radiology Services – Routine X-rays, flouros, panorex for dental, mammography, ultrasonography
• Home Health Nursing – Skilled nursing visits
• Community Services – Building maintenance, and security
BJHCHS Scope of Services Today
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Ryan White Title III Aids/HIV Early Intervention Services• WIC – Women, infants and children supplemental food program• Diabetes Education & Collaborative• Perinatal Education & Collaborative• Mental Health Linkage• Migrant Health & Seasonal Farmworkers• Environmental Health Services• EPSDT – Early periodic screening diagnostic and treatment• School Based Health Instruction• Outreach workers for ACA
BJHCHS Services Offered
Beaufort Jasper Hampton Comprehensive Health Services Inc.
School Based Health Care Sites
Davis ElementaryBroad River ElementaryRidgeland Middle SchoolWhale Branch Elementary SchoolWhale Branch Middle SchoolWhale Branch Early College High SchoolWest Hardeeville SchoolsJasper County High School
Other Facilities
Beaufort Jasper Hampton Comprehensive Health Services Inc.
School Based Health Care Sites
Hampton County School Districts I & II
Ben Hazel Primary Elementary SchoolBrunson Elementary SchoolFennell Elementary SchoolHampton Elementary SchoolVarnville Elementary SchoolEstill Elementary SchoolEstill Middle/High School
Assisted Living FacilityRidgeland Nursing Center
Other Facilities
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Serving three counties Beaufort, Jasper, Hampton
• Total Patients 17,133
• Children (ages 0-19) 5,054
• Adults (ages 20-64) 9,930
• Elderly (65 +) 2,149
• Female 11,051
• Male 6,082
• Clinic visits 58,074
• Dental visits 12,301
• Home Health Visits 2,857
Serving Patients for more than 45 Years
Beaufort Jasper Hampton Comprehensive Health Services Inc.
Populations Served - BJHCHS
1%
57%
0%
18%
22%
2%
Users by Race/Ethnicity
Asian/Pacific Islander
Black/African American
American Indian/Native American
White
Hispanic or Latino
Unreported
41%
32%
11%16%
BJHCHS Patients 3rd Party Payment Source
Uninsured Medicaid Medicare Private Insurance
Beaufort Jasper Hampton Comprehensive Health Services Inc.
Population by Age
Elderly (Ages 65+)13%
Children A (Ages 0-10)
22%
Children B (Ages 11-17)7%
Adults (Ages 18-64)58%
Elderly (Ages 65+)
Children A (Ages 0-10)
Children B (Ages 11-17)
Adults (Ages 18-64)
Beaufort Jasper Hampton Comprehensive Health Services Inc.
Health Services Centers
Elijah Washington
Medical Center (Sheldon)
Ruth P. Field Medical Center
(Chelsea)
Estill Medical Center Hampton
Medical Center
Leroy E. Browne Medical Center
(St. Helena)
Port Royal Medical Center
(PRMC)
Ridgeland Medical Center
Donald E. Gatch Medical Center (Hardeeville)
15 16
15
27 44
47
25
58
12
32
15
37
37 13
Research in Community Health Centers
Purpose of Community Health Centers:
We have constantly asked:
• What services and resources are required to impact the health of the individual communities we serve?
• Where will we obtain the resources we need? • All community health centers ask the same question.
Research in Community Health Centers
Why is this important?
• There are more than 1300 community health centers across U.S. and its Territories.
• CHCs serve more than 23 million patients in more than 9,000 locations
• CHCs patients are typically underserved consisting primarily of uninsured or underinsured, and low income individuals.
• CHCs will not turn anyone away because they cannot pay. A sliding fee scale is available for those who do not have the means to pay their bill.
• Yet, CHC’s are expected to provide high quality of services
Research in Community Health Centers
Federally Qualified Health Centers (FQHC) receive funding and other resources from:
• Health Resources Services Administration (HRSA) in accordance with section 330 of a congressional mandate
• Revenue from patient encounters including:
Research in Community Health Centers
– Medicaid and Medicare– Insurance payments– And, private payments– Additional funding and other supporting resources
are obtained by competing and winning • Federal and state grant opportunities• Private foundations, i.e. RWJF, Kresge Foundation, etc.• Corporate grants, I.e. Caremark, AstraZeneca, etc.
7TH NationallyProstate Cancer
Public Health\Research InitiativeSouth Carolina Men Ages 20-79
Beaufort-Jasper-Hampton Comprehensive Health Services, Inc.(Section 330 Community Health Center)
St. HelenaCenter
EstillCenter
Port RoyalCenter
ChelseaCenter
RidgelandCenter
HardeevilleCenter
HamptonCenter
SheldonCenter
Institute for Cancer Prevention(Designated NCI Cancer Center)
Beaufort-Jasper-HamptonComprehensive Health
Services, Inc.
The source for prostate cancer care and informationfor men in Beaufort, Jasper, and Hampton Counties
Men ages 20-79 in Beaufort,Jasper and Hampton Counties
inSouth Carolina
ResearchParticipation
ProstateCancer
Awareness
ProstateScreening
Institute for Cancer Prevention(only designated Cancer Center devoted to
cancer prevention)
Dynamic relationship with:National Cancer Institute
Other designated Cancer Center
Education Programs
Research Programs
Credible Resources
CommunityUrologist
Prostate Screeningand
Patient Care
SocialOrganizations
ChurchesCommunity
Social Groups
Prostate ScreeningEducation Programs
Research Recruitment
PublicLibraries
Provide and ManageInformation aboutProstate Cancer
Beaufort-JasperHampton Comprehensive
Health Services Staff
CommunityHealth Care Providers
Interested Lay Public
Research Partnerand
Information Resource
InteractionScheme
Turn data intoinformation
DataWarehouse
Data fromHealth Dept,
CHC,Universities,
Bureau,Etc.
Informationfor
Plannning
Informationfor
Patient care
ProcessEvaluation
ProgramPlanning
PatientEncounter
Support
ProviderInformation
Management
CommunityHospitals
Data to Information Management
LabCorp
SCPHCARepository for datafrom variety of sourcesSome translation to informaton
MorehouseIdentify opportunities todefine, develop and manageinformation sources
BJHCHSApplication of informationfor patient encounters andmanagement
PharmaciesConsults
Other Sourcesfor Data andInforomation
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Providing care for 340,737 patients/year
• Through 21 incorporated Community Health Centers, with 142 Delivery Sites in 43 % of 46 Counties
• Serving a patient population that is predominantly Medicaid, Uninsured, Medicare, Special needs
Context - Health Centers in South Carolina
Beaufort Jasper Hampton Comprehensive Health Services Inc.
• Provide care for >23.5 million patients/year
• Through >1,300 Community Health Centers
• With 9,200 sites
• In all 50 states and territories in the United States
Context - Health Centers Nationally