by providing the highest quality healthcare services · by providing the highest quality healthcare...

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Transcript of by providing the highest quality healthcare services · by providing the highest quality healthcare...

Page 1: by providing the highest quality healthcare services · by providing the highest quality healthcare services ... Based on our presentation above, HALO is well prepared to address
Page 2: by providing the highest quality healthcare services · by providing the highest quality healthcare services ... Based on our presentation above, HALO is well prepared to address

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

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OUR HISTORY• 2003: Unserved Need SEA population

• 2004: 2 Clinics

• 2008: 21335 Encounters

• 2011: Building Purchase

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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!

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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

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• 127,055 encounters

• 169,584 appointments

• 25% no show rate

2018 UTILIZATIONgraph bar by site

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2018 UTILIZATION by Provider

• 45.31 FTE Providers

• 60 Individual Providers (including specialists)

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SCC-Del Paso

SCC-DP Dental

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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

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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)

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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

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FamilyDentalInternalOB/GYNPodiatryPediatricsHepatologyChiropracticAcupunctureDermatologyGastroenterologyBehavioral HealthPreventive Medicine

Medical Home Services

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Family PACTGeriatric Support ServicesHepatitis B and ClinicDiabetes ClinicsNavigation Services-UCDAVISHealth Homes-RCMG-MolinaACADEMYCancer Screening ClinicsDental LabFutureOrthodontics 2020Optometry 2021

Medical Home Services

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SCC-WATT AVE4988 Watt Ave

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SCC-55th

7215 55th Street

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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

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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.

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SCC EL CAMINO2016-2020 Expansion Site

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SCC- El Camino965 El Camino Ave

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SCC- El CaminoALTA Regional Partnership

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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

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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

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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

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