Providing actionable healthcare analytics at scale: Understanding improvement measures
by providing the highest quality healthcare services · by providing the highest quality healthcare...
Transcript of by providing the highest quality healthcare services · by providing the highest quality healthcare...
OUR MISSION: To improve patient health outcomes by providing the highest quality healthcare services in a non-discriminatory & cost-effective manner targeting the most vulnerable and underserved with cultural sensitivity for our patients’ unique needs.
OUR VALUES: HEAL
Health
Excellence
Accountability
Leadership
OUR HISTORY• 2003: Unserved Need SEA population
• 2004: 2 Clinics
• 2008: 21335 Encounters
• 2011: Building Purchase
LOW INCOME HEALTH PROGRAM (LIHP)
• The Low Income Health Program (LIHP), also called "The Bridge to Reform", is a demonstration project under § 1115 of the Social Security Act (42 U.S.C. § 1315) that allows the counties to optionally expand primary medical coverage to certain uninsured, low-income adults, and mirror several components of the Patient Protection and Affordable Care Act (PPACA), informally referred to as ObamaCare.
Based on our presentation above, HALO is well prepared to address the increasing influx of patient under Affordable Care Act - LIHP Program!
2018Operated 6 clinic sites
30,000 medical roster lives
70,000 dental roster lives
127,055 encounters
45.3 FTE providers (60 providers)
Health And Life Organizationdba Sacramento Community Clinics
SCC-Southgate 7275 E. Southgate Drive, Suite 204-206 Sacramento, CA 95823 Clinic Phone: (916) 428-3788 Dental Phone: (916) 642-1869
SCC-Del Paso 2200 Del Paso Blvd. Sacramento, CA 95815 Clinic Phone: (916) 924-7988
SCC –DP Dental2138 Del Paso Blvd.Sacramento, CA 95815Dental Phone: (916) 642-1890
SCC-Assembly Court 5524 Assembly CourtSacramento, CA 95823 Clinic Phone: (916) 642-1867Dental Phone: (916) 642-1868
SCC-Explorer3030 Explorer DriveSacramento, CA 95827Clinic Phone: (916) 642-1867
SCC- Terri Burns3301 Fong Ranch RoadSacramento, CA 95834Clinic Phone: (916) 642-1867
• 127,055 encounters
• 169,584 appointments
• 25% no show rate
2018 UTILIZATIONgraph bar by site
2018 UTILIZATION by Provider
• 45.31 FTE Providers
• 60 Individual Providers (including specialists)
SCC-Del Paso
SCC-DP Dental
Lives Served 2018 UDS ReportMedical Benefits Payer Mix Lives Encounters Appointments❑ Medi-Cal Managed Care: 28990❑ Medicare Dual Eligibles: 2164❑ Medicare 2768❑ Non-insured and no GSB 3348❑ Private 792
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Subtotal: 35,898
Medical (PCP, OBG, Internal, Pediatrics) 25527 67754Dental 16709 43804Mental 1021 2778Specialists (Derm., Pod., Chiro. Acup.) 1102 4684Enabling 755 205
Subtotal 119775
Other Non-Billable Captured Encounters 7280
Total 127,055 169,584
2018 Patient CHECK-IN by InsuranceAccess Dental- 10%
Blue Cross RCMG- 17%HealthNet Dental- 23%HealthNet RCMG- 15%
Molina RCMG-3%Liberty Dental- 10%
National Gov’t Services- 6%
Noridian- 3%O/P Medi-Cal- 8%
Blue Cross Imperial- (2019)
Population Served by Visit
2008: 21335
2009: 30023
2010: 39594
2011: 47269
2012: 56715
2013: 83550
2014: 121433
2015: 130580
2016: 126497
2017: 122816
2018: 1270550
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DP Dental
Assembly CT
Explorer
Del Paso
TeriBurns
Southgate
TOTAL
FamilyDentalInternalOB/GYNPodiatryPediatricsHepatologyChiropracticAcupunctureDermatologyGastroenterologyBehavioral HealthPreventive Medicine
Medical Home Services
Family PACTGeriatric Support ServicesHepatitis B and ClinicDiabetes ClinicsNavigation Services-UCDAVISHealth Homes-RCMG-MolinaACADEMYCancer Screening ClinicsDental LabFutureOrthodontics 2020Optometry 2021
Medical Home Services
SCC-WATT AVE4988 Watt Ave
SCC-55th
7215 55th Street
Sacramento Community Clinics 2020
SCC-Southgate
SCC-Del Paso
www.halocares.org
SCC-Assembly Court
SCC-Del Paso Dental
SCC-Explorer
SCC-El Camino
SCC- 55th Street
SCC-Teri Burns (NUSD)
SCC-Watt Ave Dental
SCC-Southgate Dental
The 14,484sqft OSHPD3 Energy Efficient Health Care Facility will increase ADA access to
Medical, Dental, Mental Health, Specialty & Pharmacy Services.
SCC-El Camino Ave.
SCC EL CAMINO2016-2020 Expansion Site
SCC- El Camino965 El Camino Ave
SCC- El CaminoALTA Regional Partnership
CURRENT EXPANSION
2019- 4986 Watt Ave ≈ 6,500sqft
2019- 7215 55th Ave ≈ 8,500sqft
2020- El Camino Ave ≈15,000sqft
2024- Assembly Court II ≈20,000sqft
≈50,000sqft
NEGOTIATIONSNATOMAS UNIFIED SCHOOL DISTRICT
Natomas High School
Health And Life Organizationdba Sacramento Community Clinics
RECENT EXPANSION AUGUST 2019SCC-Southgate Dental ≈ 1,500sqft
SCC-Southgate 7275 E. Southgate Drive, Suite 204-206 Sacramento, CA 95823
SCC-Southgate Dental7275 E. Southgate Drive, Suite 106 Sacramento, CA 95823
SCC-Del Paso 2200 Del Paso Blvd.
SCC –DP Dental2138 Del Paso Blvd.
SCC-Assembly Court 5524 Assembly CourtSacramento, CA 95823
SCC- Explorer3030 Explorer DriveSacramento, CA 95827
SCC– Terri Burns3301 Fong Ranch RoadSacramento, CA 95834
Our Diverse Community Population (2018)
35,898 UsersFemales 60%, Males 40%;
24% Are 17 Or Younger68.3% Are 18-64 Years7.7% Are 65 Or Older
96% Are Below The 200% FPL(<100%) = 88%
(100-150%) = 8%(151-199%) < 1%
Diverse Racial And Ethnic Populations:White- 37%; Asian-28%; Blacks-20%;
Unreported-15%Hispanics-15%;
Multilingual Services For Our Diverse Community’s Growing Needs.Armenian Filipino Russian CambodianCantonese French Italian SpanishTagalog English Laotian ThaiKorean Punjabi Turkish HmongMandarin Mien Urdi Vietnamese
HALO OUTREACH
Member Services Call CenterScheduling
Multilingual Intake Messages ServicesConnecting Resources & Navigation
Health Plan Care CoordinationHealth Care Maintenance HEDIS
Hospital Discharge Follow-up
Member Care PortalMember Access to Care PortalCare Portal Integrated to EMR
Update Patient ProfileRx Refills
Review Care PlanEmail Messages to Provider
Educational Library
Navigation ServicesUC Davis HepB Research Supported