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HEALTHCARE for the HOMELESS. West Central Cluster Summit “Moving Ahead With Spread” November 8-10,2004 Dallas, TX. Clinic Overview. The Healthcare for the Homeless Clinic (HCHC) operates out of a free standing clinic that was established in October 1988.
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HEALTHCARE for the HOMELESS West Central Cluster Summit “Moving Ahead With Spread” November 8-10,2004 Dallas, TX
Clinic Overview • The Healthcare for the Homeless Clinic (HCHC) operates out of a free standing clinic that was established in October 1988. • The main clinic located near the Central Business District of New Orleans and also provides services at a second site located on the outskirts of the French Quarter Area. • The HCHC emphasizes a multi – disciplinary approach to delivering care to homeless persons in an urban setting.
Team Members • Barbara Long –Team Leader • Florence Jones – Medical Director • Trenell Christmas Brown – Data Entry • Ione Preston – Adult Nurse Practitioner • Omika Joseph – LPN • Sandraella Bailey – Data Entry Clerk • Willie Mae Martin – Senior Leader • Eddie Bonin – Adolescent Nurse Practitioner
Aim Statement • To redesign the system of care to provide improved care to our patients with chronic diseases ( diabetes and depression ). We will accomplish this by using the six components of the Care Model as evidenced by the changes in the following areas: diabetic flow sheet and tracking depression screening tool. • To spread to a different site that includes adolescents by 12/04.
How it all Started • HCHP has been participating in the Health Disparities Collaborative since 1999. We have implemented a clinical information system, including a registry for tracking important lab values, and monitoring a patient’s progress. • Our disease specialty is Diabetes. In our population of focus there were 75 patients diagnosed with diabetes.
Spreading the Collaborative Movement • HCHP has spread to another condition in depression. • The disease specialty of our spread is depression. • Our population of spread for depression is 337 which includes all diabetic and new patients. • We are also spreading to a different site, with a adolescent population.
Best Practices • Making Tuesday and Thursday mornings diabetic days, where diabetics can see the provider, receive meds, patient education and self- management and get labs on the same day. • Healthcare providers perform routine foot exams with every visit and the podiatrist is available in the clinic on Tuesday to perform routine and complicated foot exams.
Best Practices • Walk-in hours are available for eye exams two days a week at the Optical Clinic within walking distance of HCHP. This service also includes glasses as needed. • Screening all patients for depression using the screening tool.
Lessons Learned • Having all diabetic patients come in on the same day, so they can receive all necessary services (dental, eye, foot, patient education ) in one day to help keep up patient compliance.
Biggest Challenges/Barriers • Some of the biggest challenges or barriers we face are: patient compliance, appointment compliance, and having enough time for data entry.
Next Steps • Provide orientation into the collaborative for new team member at new site. • Spreading to another population.
Success Story to share • Success Story to share