HomeMy WebLinkAbout2017 Targeted Clinical Health Services Performance Measures-PlannedJefferson County Public Health – Planned Performance Measures 2017
Community Health – Targeted Clinical Health Services Program
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PROGRAMS: Family Planning, School Based Health Clinics, Breast and Cervical Health, and Foot Care
MISSION: To provide targeted health services, health screenings and prevention services to specific populations with limited access to improve the health of the community.
Mission Statement for Family Planning Program: To provide accessible, high quality confidential reproductive health services in a safe, respectful environment.
Goals Objective Performance Indicator 2011 2012 2013 2014 2015
2016
Projected
2017
Planned
Goal 1:
Assure low cost Family
Planning Services are provided
and accessible for all women
Track Family Planning
usage pattern Number of annual unduplicated
clients served in Family Planning 1,170 1,027 1,125 917 903 905 975
Number of annual Family Planning
clients age 30-39 206 188 201 156 146 150 150
Number of annual Family Planning
Clients age 18-29 574 540 492 410 415 430 430
Goal 2:
Maintain low teen pregnancy
rate in Jefferson County
Provide access to Birth
Control Methods,
including LARCs and
Emergency
Contraception 5 days/
week with an
appointment scheduled
within a week
Annual number of clients under 19
served in Family Planning (from
Ahlers report)
419 373 424 356 382 375 400
Goal 3:
Decrease chlamydia and
gonorrhea infections in
Jefferson County
Provide access to
CT/NG screening,
diagnosis and treatment
for Jefferson County
residents and their
sexual partners.
# of female clients annually screened
for Chlamydia: <25yo 388 301 368 320 311 320 370
% of female clients screened for
Chlamydia: <25yo 62.2% 56.5% 60.4% 63.4% 60.3% 65% 65%
# of male clients annually screened
for Chlamydia 75 71 75 80
% of male clients annually screened
for Chlamydia 82.4% 89.9% 90% 90%
Jefferson County Public Health – Planned Performance Measures 2017
Community Health – Targeted Clinical Health Services Program
[2]
Goals Objective Performance Indicator 2011 2012 2013 2014 2015
2016
Projected
2017
Planned
Goal 4:
Improve access to health care
for high school students in
Jefferson County
Serve 40% of enrolled
students at Port
Townsend and
Chimacum High
Schools through the
School Based Clinics
Number of annual unduplicated
clients served in the Chimacum and
Port Townsend School Based Health
Clinics
313 297 287 287 283 350 350
Goal 5:
Support seniors’ independence
by maintaining walking
mobility
Maintain community
Foot Care program
Number of annual foot care clients in
community centers and home visits 2,635 2,312 1,946 1979 1760 2000 2000
SUMMARY OF KEY FUNDING/SERVICE ISSUES
JCPH staff launched an Electronic Medical Records (EMR) system in January 2013 to remain compliant with the Affordable Care Act (ACA). Throughout 2015 the EMR
improved efficiency and increased reimbursement levels as staff continued to become more proficient, as well as the EMR vendor continuing to make improvements on their
system. These efficiencies have continued into 2016. Electronic patient portal was installed the end of 2014 and an impressive number of our clients are actively connected to
the portal.
With the required change from ICD 9 to ICD 10 on October 1st, 2015, we anticipated delays in billing reimbursement, with providers and billers learning a new “language”;
however, this transition went smoothly, thanks to the thorough preparation and planning by our ICD 10 transition team.
Changes with recommended female exam schedules, such as frequency of required Pap smears, continue affecting our total number of visits when compared to previous years;
in addition, our increased use of Long-Acting Reversible Contraception (LARCs) methods has further decreased number of clinic visits for our clients.
In 2014 we noted a lower total number of unduplicated clients aged 30-39. The Family Planning team held a focus group of clients in this age group to gather information on
barriers to care and identifying strategies for better serving this population. Since the focus group discussion we have developed a plan to improve outreach to this population
and implementation began in 2016. JCPH has extended clinic hours by adding evening appointments, earlier morning appointments and lunchtime appointments, to increase
access for our clients, per recommendations from this focus group. Overall number of unduplicated clients receiving Family Planning services in 2015 is similar to 2014, with
increase in numbers of clients under the age of 40 years.
Family planning services continue in Quilcene twice a month, with a medical provider providing services once a month. Outreach continues to south county residents for
Family Planning services.
Jefferson County Public Health – Planned Performance Measures 2017
Community Health – Targeted Clinical Health Services Program
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JCPH continues our partnership with Jefferson Healthcare in operating two school clinics: Port Townsend High School and Chimacum High School. These clinics serve
enrolled students seeking Mental Health, Family Planning, and Primary Health Care services. Number of unduplicated students using School-Based Health Centers in 2015 is
similar to the past 3 years. These two clinics are currently the only operating School-Based Health Centers on the Olympic Peninsula; however, a community based group in
Clallam County has formed a coalition to actively pursue the operation of School-Based Health Centers in their county. JCPH is an important resource and has provided
guidance and expertise for this group.
State and federal funding for the Breast and Cervical Health Program (BCHP) has been reduced in 2015 and 2016. Most women who qualified for this program in the past
now qualify for free or reduced cost health insurance through the Affordable Care Act.
Foot Care: Jefferson County has an aging population; the median age of Jefferson County is 55.1 years, with the median age of WA State 37.8 years. The JCPH Foot Care
Program enables our older population to maintain independence and mobility by providing foot maintenance at community centers and in private homes.
July 21, 2016