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Community Primary Care

This informative session features experts William L. Vazquez, Marta Silverberg, and Rich Heimbuch discussing the critical role of the medical home model in primary care. The presentation emphasizes the availability of care providers, insurance coverage, cultural barriers, and the implications for community health, including ED utilization, patient compliance, and wait times. By presenting data and ongoing community partnership projects, the session explores innovative strategies to enhance primary care access and improve health outcomes amidst challenges such as immigration status and literacy.

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Community Primary Care

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Presentation Transcript

  1. Community Primary Care “The Importance of a Medical Home” Presented by: William L Vazquez , Marta Silverberg & Rich Heimbuch

  2. Availability of Care Providers Cost Insurance Coverage Immigration Status Cultural Barriers Location Literacy Access to Primary Care

  3. Impact • ED Utilization • Continuity • Compliance • Perception • Prevention • Morbidity/Mortality • Wait Times • Cost • LWOBS • Crowding

  4. Community Partnership Project

  5. Community Partnership Project • Deficit Reduction Act of 2005 provides $50 Million in grant funding to states for the establishment of alternative non-emergency service providers • Partnership created between NJ Department of Human Services , Division of Medical Assistance and Health Services , NJHA, HRET and NJPCA • Two demonstration projects were selected after a competitive bid process • Goal is to develop most appropriate , efficient and cost effective program

  6. ED Impact Project Director APN - PCA IT infrastructure IS infrastructure Transportation FQHC Primary Care Physician Case Manager Care Coordinator Data Analyst PCA Nursing Hours Monmouth Community Partnership

  7. Community Project Focus: • Express Primary Care Services • Patient Education • Access • Primary Care Capacity • Outcome Evaluation

  8. Patient Throughput Process APN Assessment, Treatment, Schedule Appt., Transportation Evaluated Patient Registration ED Triage EDIM- Power Chart data Primary Care Team at MFHC Engages Patient Appointment at MFHC, Follow Up Care, Patient Education Case Management Follow Up / Education

  9. Medical Home – Core Elements • Personal Physician • Physician Directed Care • Whole Person Orientation • Coordinated and Integrated • Quality and Safety • Enhanced Access and Communication • Patient Tracking and Registry Function • Care Management • Referral Tracking • Patient Self Management Support • Performance Reporting and Improvement • Care Coordination Through a Multi-Disciplinary Team • Patient or Family Education for Patients with Chronic Diseases • Home Based Services • Culturally and Linguistically Appropriate Care

  10. Project Data

  11. Case Management Electronic Information Sharing Hospital-FQHC Communication Patient Education on Medical Home Cultural and Linguistic Sensitivity Physician Specialty Access Patient Compliance Key Observations

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