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Home My WebLink About2016 Targeted Clinical Health ServicesJEFFERSON COUNTY PUBLIC HEALTH –Report PERFORMANCE MEASURES 2017 COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM [1] 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 Actual 2012 Actual 2013 Actual 2014 Actual 2015 Actual 2016 Projected 2016 Actual 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 1,125 917 903 905 826* Number of annual Family Planning clients age 30-39 206 188 201 156 146 150 149* Number of annual Family Planning Clients age 18-29 574 540 492 410 415 430 432* 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) 419 373 424 356 382 375 264* (not Ahlers) 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 388 301 368 320 311 320 284 % of female clients screened for Chlamydia: <25yo 62.2% 56.5% 60.4% 63.4% 60.3% 65% 82% # of male clients annually screened for Chlamydia 75 71 75 78 % of male clients annually screened for Chlamydia 82.4% 89.9% 90% 66% JEFFERSON COUNTY PUBLIC HEALTH –Report PERFORMANCE MEASURES 2017 COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM [2] 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 313 297 287 287 283 350 236 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 1738 SUMMARY OF KEY FUNDING / SERVICE ISSUES 2016: JCPH staff launched an Electronic Medical Records (EMR) system in January 2013 to remain compliant with the Affordable Care Act (ACA). Throughout 2016 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. Electronic patient portal was installed the end of 2014 and an impressive number of our clients are actively connected to the portal. At the end of 2016, management decided to have billing done by an outside vendor in Texas, which included a migration of our EHR system into the cloud. This went “live” in February 2017. Because of our high client population of confidential teens, ensuring confidentiality is maintained with external billing has been a critical focus of our 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. We have noted an increase in LARC method requests beginning 2017, with clients voicing concern regarding uncertainty of health care coverage in the future. Actual numbers of teens using Family Planning services is significantly lower than last year, however, this data was extracted from Ahlers data in past years, and was extracted from our EHR this year (by a ‘novice’), as no one is currently able to access data through Ahlers. I suspect the accurate number of clients under 19 is higher, based on numbers of teens that we have served. Training for Ahlers data is planned. JEFFERSON COUNTY PUBLIC HEALTH –Report PERFORMANCE MEASURES 2017 COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM [3] The significant change in % males screened for chlamydia is only a reflection of data gathering. In the past, these numbers were gathered from Ahlers, which would not have include male teens in school-based health centers (who come in for sports physicals, but not at risk for chlamydia due to history). 2016 data is gathered from our EHR, which includes all male teens, making the % screened, lower, however the actual number screened remains similar to previous years. 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, 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. Evening appointments were the most popular, and we have continued evening appointments each week. Family planning services continue in Quilcene twice a month. Outreach continues to south county residents for Family Planning services. 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 2016 is decreased compared to the past 3 years. Possible factors include decreasing enrollment in Chimacum, and Health Clinic at Port Townsend is located in a building that is now mostly housing administration, rather than classrooms. This is a change that makes the clinic much less accessible to students, and we are talking with school administration regarding these concerns. 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 and is presenting a plan, June 8, 2017, to start SBHC in Port Angeles High School in the fall of 2017! 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 2016 and 2017. 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. *Due to data-gathering through our EHR, the total numbers are less than actual numbers, as it does not include clients seen by providers that are no longer with the county. We are working on extracting complete numbers from our existing system and will give update when that occurs. May 31, 2017