Telehealth Applications in a Community Health Center

Roland J. GardnerChief Executive Officer

Beaufort Jasper Hampton Comprehensive Health Services, Inc.

July 17, 2015

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Beaufort Jasper Hampton Comprehensive Health Services, Inc. (BJHCHS) is a section 330 Federally Qualified Health Center (FQHC),

• Established in 1969 through a grant from OEO to deliver comprehensive health services to residents of the socially and economically deprived residents of Beaufort & Jasper Counties

BJHCHS

Beaufort Jasper Hampton Comprehensive Health Services Inc.

THE MISSION OF BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.IS TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE AND COMPREHENSIVE HEALTH CARE SERVICESTO THE SOUTH CAROLINA LOWCOUNTRY COMMUNITY.

Our Mission

Beaufort Jasper Hampton Comprehensive Health Services Inc.

WE STRIVE TO PROVIDE THE MOST COMPREHENSIVE HEALTHCARE DELIVERY

SYSTEM THAT WILL MEET THE NEEDS OF THE LOWCOUNTRY COMMUNITY.

Our Vision

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Family Practice – Immunizations, well and sick baby visits, sports physicals, geriatric care, annual pelvic screenings

• Internal Medicine – Diabetes screenings & treatment, hypertension screenings, comprehensive examinations, lab analysis

• Pediatrics – General pediatric care and follow-up, EPSDT, new born routine care, school physicals, baby clinics for new mothers, extended hours.

• OB/GYN – Annual screenings, prenatal maternal care, endometrial biopsies, culposcopies, high risk prenatal care

• Dental Services – Preventive tooth and gum treatment, root canals, tooth extractions, bridges, crowns, x- rays, dentures

BJHCHS Scope of Services Today

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Medical Social Work Services – Case Management, social work home visits, and eligible assistance

• Pharmacy Services – Filling patient prescriptions Rx, monitoring drug interactions, patient education, drug information, Pfizer “Share the Care Program”

• Radiology Services – Routine X-rays, flouros, panorex for dental, mammography, ultrasonography

• Home Health Nursing – Skilled nursing visits

• Community Services – Building maintenance, and security

BJHCHS Scope of Services Today

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Ryan White Title III Aids/HIV Early Intervention Services• WIC – Women, infants and children supplemental food program• Diabetes Education & Collaborative• Perinatal Education & Collaborative• Mental Health Linkage• Migrant Health & Seasonal Farmworkers• Environmental Health Services• EPSDT – Early periodic screening diagnostic and treatment• School Based Health Instruction• Outreach workers for ACA

BJHCHS Services Offered

Beaufort Jasper Hampton Comprehensive Health Services Inc.

School Based Health Care Sites

Davis ElementaryBroad River ElementaryRidgeland Middle SchoolWhale Branch Elementary SchoolWhale Branch Middle SchoolWhale Branch Early College High SchoolWest Hardeeville SchoolsJasper County High School

Other Facilities

Beaufort Jasper Hampton Comprehensive Health Services Inc.

School Based Health Care Sites

Hampton County School Districts I & II

Ben Hazel Primary Elementary SchoolBrunson Elementary SchoolFennell Elementary SchoolHampton Elementary SchoolVarnville Elementary SchoolEstill Elementary SchoolEstill Middle/High School

Assisted Living FacilityRidgeland Nursing Center

Other Facilities

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Serving three counties Beaufort, Jasper, Hampton

• Total Patients 17,133

• Children (ages 0-19) 5,054

• Adults (ages 20-64) 9,930

• Elderly (65 +) 2,149

• Female 11,051

• Male 6,082

• Clinic visits 58,074

• Dental visits 12,301

• Home Health Visits 2,857

Serving Patients for more than 45 Years

Beaufort Jasper Hampton Comprehensive Health Services Inc.

Populations Served - BJHCHS

1%

57%

0%

18%

22%

2%

Users by Race/Ethnicity

Asian/Pacific Islander

Black/African American

American Indian/Native American

White

Hispanic or Latino

Unreported

41%

32%

11%16%

BJHCHS Patients 3rd Party Payment Source

Uninsured Medicaid Medicare Private Insurance

Beaufort Jasper Hampton Comprehensive Health Services Inc.

Population by Age

Elderly (Ages 65+)13%

Children A (Ages 0-10)

22%

Children B (Ages 11-17)7%

Adults (Ages 18-64)58%

Elderly (Ages 65+)

Children A (Ages 0-10)

Children B (Ages 11-17)

Adults (Ages 18-64)

Beaufort Jasper Hampton Comprehensive Health Services Inc.

Health Services Centers

Elijah Washington

Medical Center (Sheldon)

Ruth P. Field Medical Center

(Chelsea)

Estill Medical Center Hampton

Medical Center

Leroy E. Browne Medical Center

(St. Helena)

Port Royal Medical Center

(PRMC)

Ridgeland Medical Center

Donald E. Gatch Medical Center (Hardeeville)

15 16

15

27 44

47

25

58

12

32

15

37

37 13

Research in Community Health Centers

Purpose of Community Health Centers:

We have constantly asked:

• What services and resources are required to impact the health of the individual communities we serve?

• Where will we obtain the resources we need? • All community health centers ask the same question.

Research in Community Health Centers

Why is this important?

• There are more than 1300 community health centers across U.S. and its Territories.

• CHCs serve more than 23 million patients in more than 9,000 locations

• CHCs patients are typically underserved consisting primarily of uninsured or underinsured, and low income individuals.

• CHCs will not turn anyone away because they cannot pay. A sliding fee scale is available for those who do not have the means to pay their bill.

• Yet, CHC’s are expected to provide high quality of services

Research in Community Health Centers

Federally Qualified Health Centers (FQHC) receive funding and other resources from:

• Health Resources Services Administration (HRSA) in accordance with section 330 of a congressional mandate

• Revenue from patient encounters including:

Research in Community Health Centers

– Medicaid and Medicare– Insurance payments– And, private payments– Additional funding and other supporting resources

are obtained by competing and winning • Federal and state grant opportunities• Private foundations, i.e. RWJF, Kresge Foundation, etc.• Corporate grants, I.e. Caremark, AstraZeneca, etc.

7TH NationallyProstate Cancer

Public Health\Research InitiativeSouth Carolina Men Ages 20-79

Beaufort-Jasper-Hampton Comprehensive Health Services, Inc.(Section 330 Community Health Center)

St. HelenaCenter

EstillCenter

Port RoyalCenter

ChelseaCenter

RidgelandCenter

HardeevilleCenter

HamptonCenter

SheldonCenter

Institute for Cancer Prevention(Designated NCI Cancer Center)

Beaufort-Jasper-HamptonComprehensive Health

Services, Inc.

The source for prostate cancer care and informationfor men in Beaufort, Jasper, and Hampton Counties

Men ages 20-79 in Beaufort,Jasper and Hampton Counties

inSouth Carolina

ResearchParticipation

ProstateCancer

Awareness

ProstateScreening

Institute for Cancer Prevention(only designated Cancer Center devoted to

cancer prevention)

Dynamic relationship with:National Cancer Institute

Other designated Cancer Center

Education Programs

Research Programs

Credible Resources

CommunityUrologist

Prostate Screeningand

Patient Care

SocialOrganizations

ChurchesCommunity

Social Groups

Prostate ScreeningEducation Programs

Research Recruitment

PublicLibraries

Provide and ManageInformation aboutProstate Cancer

Beaufort-JasperHampton Comprehensive

Health Services Staff

CommunityHealth Care Providers

Interested Lay Public

Research Partnerand

Information Resource

InteractionScheme

Turn data intoinformation

DataWarehouse

Data fromHealth Dept,

CHC,Universities,

Bureau,Etc.

Informationfor

Plannning

Informationfor

Patient care

ProcessEvaluation

ProgramPlanning

PatientEncounter

Support

ProviderInformation

Management

CommunityHospitals

Data to Information Management

LabCorp

SCPHCARepository for datafrom variety of sourcesSome translation to informaton

MorehouseIdentify opportunities todefine, develop and manageinformation sources

BJHCHSApplication of informationfor patient encounters andmanagement

PharmaciesConsults

Other Sourcesfor Data andInforomation

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Providing care for 340,737 patients/year

• Through 21 incorporated Community Health Centers, with 142 Delivery Sites in 43 % of 46 Counties

• Serving a patient population that is predominantly Medicaid, Uninsured, Medicare, Special needs

Context - Health Centers in South Carolina

Beaufort Jasper Hampton Comprehensive Health Services Inc.

• Provide care for >23.5 million patients/year

• Through >1,300 Community Health Centers

• With 9,200 sites

• In all 50 states and territories in the United States

Context - Health Centers Nationally