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!