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BYN. NET. Improving Access to Care A Rural Model. Community. Public Health. State Hospitals. BYN. NET. St. Mary Chamber of Health Coalition. Office of Public Health, Region III. Leonard Chabert Medical Center LSU-University Medical Center. Social Service. - PowerPoint PPT Presentation
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Improving Access to CareImproving Access to CareA Rural ModelA Rural Model
NetworkNetwork
Rural Hospitals
Franklin Foundation HospitalTeche Regional Medical Center
Rural Primary Care Clinics
Chitimacha Health ClinicIberia Comprehensive Community Health Center
Teche Action Clinic
State Hospitals
Leonard Chabert Medical CenterLSU-University Medical Center
Social Service
St. Mary Community Action Agency
Community
St. Mary Chamber of HealthCoalition
Public Health
Office of Public Health, Region III
HISTORYHISTORY
1997: 1997: First MeetingFirst Meeting1998: 1998: Incorporated Incorporated 1999: 1999: Rural Network Development GrantRural Network Development Grant 2000: 2000: St. Mary Chamber of HealthSt. Mary Chamber of Health
-501C3, nonprofit status-501C3, nonprofit status-Community Access Program Grant-Community Access Program Grant-Community Based and Rural Health-Community Based and Rural Health-AHRQ-AHRQ-ORHP Outreach Grant-ORHP Outreach Grant
Partnership with LRHAP in 1999Partnership with LRHAP in 1999First Meeting in early 2000First Meeting in early 2000Community Forums & H.A.B.I.T.SCommunity Forums & H.A.B.I.T.S -Faith-Based-Faith-Based -Governmental-Governmental -Educational -Educational -Health Care-Health Care -Social Service-Social Service
Network’s First Strategic PlanNetwork’s First Strategic Plan
Identification of Five Key Needs
Establishment of Respective Committees
Why?Why?
Transportation
LRHAP & SWLAHECPhysician Recruiter*
Information & Help Center
Telemedicine/Education
Pharmaceutical Assistance
Information & Help Center
H.E.L.P
Community Outreach
LibraryHelp Center
Transportation Task Force
Chamber of Health
Chamber of Health
Primary/Specialty Care
ConsumerFinance
Medication
ConsumerEducation
ByNet Executive Director
Executive Assistant
ByNet Board of Directors
ICCHC-Pharmaceutical Coordinators (2)
ByNet Board of Directors Chamber of Health
ByNet Executive Director
Help Center Operations
Director
Franklin Pharmaceutical
Coordinator
Volunteer Coordinator
Help Center Coordinator-Main Office
Marketing Coordinator
Community VolunteersRx/Outreach/Help Center
Executive Asst
Finance Manager
AARP-Pharmaceutical
Coordinator
Chitimacha Pharmaceutical Coordinator (PT)
Help Center Coordinator
-FFH Emergency Dept
Outreach/DME
Coordinator
Help Center Operations
Director
Community Health Team Outreach Sites (Help Center) Extension Sites
MAIN SITE
-Help Center
-Rx
-DME
-Transportation
Non-Grant FundingNon-Grant Funding
Program RevenueProgram Revenue
Transportation DonationsTransportation Donations
FundraisingFundraising
Medicaid EnrollmentMedicaid Enrollment
Administrative Consultation (ED & CFO)Administrative Consultation (ED & CFO)
AmeriCorpsAmeriCorps
Community DonationsCommunity Donations
In-Kind FundingIn-Kind Funding
Space, Phone, Internet, Maintenance, Space, Phone, Internet, Maintenance, Utilities at Five Network LocationsUtilities at Five Network Locations
Network CEO’s Time and Staff Network CEO’s Time and Staff
Partners’ Time and StaffPartners’ Time and Staff
Local Government & CommunityLocal Government & Community
Community VolunteersCommunity Volunteers
Community UnderstandingCommunity Understanding
““Provider-Issue” Vs. Community Problem with Provider-Issue” Vs. Community Problem with Community SolutionsCommunity Solutions
VolunteersVolunteers
> 120 Hours/Month> 120 Hours/Month
Program Program ImplementationImplementation
……assess what is in place?assess what is in place?
Initially Initially through through creation of a creation of a hardcopy hardcopy community community resource resource directorydirectory
Distribution of Distribution of Newspaper Newspaper Resource Resource DirectoryDirectory
Creation of Creation of Database Database for for Electronic Electronic ReferralReferral
Information & Help CenterInformation & Help Center
ByNet’s Main SiteByNet’s Main Site
Franklin Foundation Franklin Foundation
Hospital EDHospital ED
St. Mary Parish St. Mary Parish
Library Extension SiteLibrary Extension Site
Don’t Miss Don’t Miss
thethe
OpportunityOpportunity
EDUCATIONChronic Disease Management/ Prevention -Informative Packets -Support Groups -Community Classes
Patient Responsibility -Fitness/Medication Compliance
SCREENINGS/ VACCINATIONS
-i.e. Blood Pressure Checks, Diabetes Testing, Flu Shots
ENROLLMENTHealth Plans -i.e. Medicaid, Medicare, QMB, LaChip, VA
Assistance Programs -i.e. Food for Seniors, Utility Assistance, Care for the Caregiver
AWARENESS/ ADVOCACY
-Community Involvement/Ownership, -State Partnerships, -Policy Change
Basic Demographics
Program Eligibility: Income…
Resource DirectoryResource Directory
Bi-Annual Newspaper Directory44,000 Distributed end of 2nd Year
Program Service Update
ED HELP CENTER
ED ReferralED Referral
Client TriageClient Triage Eligibility for Medicaid, LaChip & Medicare Eligibility for Medicaid, LaChip & Medicare
SavingsSavings Community Care Community Care Education Education Social Service and Health Care NeedsSocial Service and Health Care Needs
Community ReferralsCommunity Referrals
Tracking & Follow UpTracking & Follow Up
ED Help Center Survey
Community Health TeamsCommunity Health Teams
Food, Education, Enrollment & ScreeningsFood, Education, Enrollment & Screenings
700
1800
2300
0
500
1000
1500
2000
2500
Jan of 2003 August Jan of 2004
Health Equipment Loan ProgramHealth Equipment Loan ProgramH.E.L.PH.E.L.P
Donations: $200,000
Inspection & Repair
Community Donation
RxState Insurance
food
EDUCATION
DME
TransportationTransportation
Coordination of Coordination of Existing ServicesExisting Services
Development of Development of Transportation Task Transportation Task ForceForce
Sharing of hardware, Sharing of hardware, software, coordinator software, coordinator and driverand driver
Triage and ReferralTriage and Referral
Transportation Transportation
Veteran (VA)Veteran (VA)
62+ (Council on Aging)62+ (Council on Aging)
Job Program/In-Parish Public Transit (CAA)Job Program/In-Parish Public Transit (CAA)
Disabled (BIMS)Disabled (BIMS)
Local ChurchesLocal Churches
VeteransAffairs
DiscountFQHC
PharmacyDrug
ManufacturersDiscount Card
Programs
Physician Samples
Private Foundations
Local Pharmacy Assistance
Local Social ServiceOrganizations
Drug Manufacturers’ PAP Programs
2 Charity Hospitals FQHC (TAC) FQHC (ICCHC)
Share the Care
340b
Other
Drug Manufacturer’s Discount Card Programs & PAP
Emergency Aid, Community Action Agency (Social Service)
St. Vincent de Paul (Free Pharmacy)
Medicare Savings
Faith Based Community
…triage according to need and the most cost and time efficient means to obtain assistance.
CAH
T.C.
OPH
LSU
R. H.
LSU
C.H.
C.A.A
FQHC
FQHC
FQHC FQHC FQHC
FQHC FQHC
FQHC
FQHC
CHSL
Tulane
LSU-HSC
DHH
Documentation of In-Kind & ROIDocumentation of In-Kind & ROI
In-Kind Monthly Reporting Procedures in PlaceIn-Kind Monthly Reporting Procedures in Place
Finalizing Incorporation of Reports in Monthly Finalizing Incorporation of Reports in Monthly Finance ReportFinance Report
Continued Focus on ROIContinued Focus on ROI (i.e. Jan. 2003-Oct. 2004, ByNet’s Medication (i.e. Jan. 2003-Oct. 2004, ByNet’s Medication
Assistance Program has procured an estimated Assistance Program has procured an estimated $7,063,320 (Top 4 Meds + VIH Average))$7,063,320 (Top 4 Meds + VIH Average))
Annual In-Kind Donations: >$136,000/yearAnnual In-Kind Donations: >$136,000/year Top Four Medications Procured Total $1,166,685.30/YrTop Four Medications Procured Total $1,166,685.30/Yr
PhysiciansPhysicians
0
20
40
60
80
100
120
Physician Participation Implementation
6 Months
To Date
Health Access Barriers in the StateHealth Access Barriers in the State
0%
5%
10%
15%
20%
25%
Claims of Rx Barrier
2000
2003
Non Emergent ER CareNon Emergent ER Care
% Primary Care Visitsat Franklin Foundation Hospital
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Jan03
Feb03
Mar03
Apr03
May03
Jun03
Jul03
Aug03
Sep03
Oct03
Nov03
Dec03
% PrimaryCare Visits