February 24, 2015 Public Hearing
Transition Washington County out of direct clinical 1. services (family planning/immunization/STD). Use $500,000/year for five years of County general 2. fund to support local safety net and FQHC(s) to expand access to primary care and preventive screening services for unin insure red l low-in income Washington County residents. Share the Hillsboro clinic space with community 3. partners to increase access to health services Reinvest remaining County GF within HHS/ Public 4. Health.
Everyone should have access to healthcare regardless of their insurance status ◦ A comprehensive medical home is the most effective model of care ◦ Access to preventive services Care must be: ◦ Affordable ◦ Accessible ◦ Culturally appropriate
TB/Communicable Disease and STD investigation and control (epidemiology) Outbreak investigation, management and control Community Health Needs Assessment and Health Improvement Planning Chronic Disease Prevention Maternal and Child Health services Environmental Health service Assurance role – help people connect to services
Washington County clinic Washington County Latino and HHS staff Leadership Network Public Health Advisory Consumers of our clinical Council services FQHCs: Virginia Garcia & CHIP work groups (access Neighborhood Health to care and chronic disease prevention) Southwest Community Health Center Oregon Health Equity Alliance Planned Parenthood DAVS Advisory Board Health care systems Local elected officials Oregon Latino Health Coalition Tuality Health Western Farm Workers Project Access NOW Association Local city representatives
Number of f Perce cent o of commen ments Theme me commen ments Quote f e from m comme mments with ithin in theme mentio ionin ing men entioning t them eme theme me Low income/low cost 23 35% “This will affect us because here they provide a lot of help to families with low income” Good treatment/ 19 29% “We like the friendly and attentive way we friendly clinic staff and are treated by those who work here” providers Women’s health (birth 18 28% “I came to the clinic to seek help finding control, family the appropriate methods of birth control planning, STDs, cancer in order to protect myself from STDs and screening, etc) the possibility of an accidental pregnancy” No health insurance 17 26% “There are a lot of people like me who do not qualify for medical insurance and can’t afford to pay a monthly cost for insurance” No where else to go/ 13 20% “Where are we going to go if the Public services being Health Clinic closes? Who is going to eliminated entirely accept the large amount of people who get care at the clinic?”
Support the Improve and sustain healthcare System public health $500,000 to safety net HHS/public health providers/year for five years reinvestment Assessment & data analysis $293,000 (90%) Title X funds Quality improvement Policy Shared use of Hillsboro clinic Communicable disease site Prevention (MCH - focused) Technical assistance and Reproductive health collaboration
No o cos cost or t or low low cos cost p t prim rimary h healt lth ca care e for or 3,50 500-4,00 000 0 uninsured o Virginia Garcia o Neighborhood Health Center Wome omen’s h healt lth exams ams a and f family amily planning (b (bir irth c con ontrol) ol) serv rvice ices f for 3,0 or 3,000+ 00+ o Planned Parenthood o Neighborhood Health Center o Southwest Community Health Center
Prov rovide p pre reventio ion s service ices to to 2,1 2,100 00 u unin insured • Immuni nizations ns o School-based Health Centers • Special event clinics (Kaiser, Tuality, Southwest • Community Health Center) Increase participation in Vaccine for Children Program • STD scree eening and nd tr trea eatm tment Neighborhood Health Center • Planned Parenthood •
Clinic Locations
Quarterly contract monitoring ◦ Counts of uninsured patients and services provided Community Health Needs Assessment ◦ Population level indicators (e.g., teen pregnancy & births, STD infections, HIV, immunization rates) Monitor access to care in Washington County ◦ Stakeholder and consumer focus groups/interviews ◦ Adults and children with insurance who report a usual source of care and unable to access care related to cost ◦ Demographics of the uninsured ◦ Ratio of primary care providers to population
• Request proposals from stakeholders • Contract negotiations with performance metrics • Communication with consumers and public • Long-term monitoring of access to care/clinical prevention services
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