HomeMy WebLinkAbout2018 Targeted Clinical Health ServicesJEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018
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 2012
Actual
2013
Actual
2014
Actual
2015
Actual
2016
Actual
2017
Projected
2018
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 1,027 1,125 917 903 826 900 900
Number of annual Family Planning
clients age 30-39 188 201 156 146 151 150 150
Number of annual Family Planning
Clients age 18-29 540 492 410 415 432 430 430
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)
373 424 356 382 274 300 300
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 301 368 320 311 284 300 300
% of female clients screened for
Chlamydia: <25yo 56.5% 60.4% 63.4% 60.3% 68% 65% 65%
# of male clients annually screened
for Chlamydia 75 71 78 75 75
% of male clients annually screened
for Chlamydia 82.4% 89.9% 86% 85% 85%
JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018
COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM
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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
297 287 287 283 236 250 250
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 2,312 1,946 1979 1760 1738 1750 1750
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 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.
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
JEFFERSON COUNTY PUBLIC HEALTH – PLANNED PERFORMANCE MEASURES 2018
COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM
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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, Port Angeles
School Board voted in June 2017 to start School-Based Health Center in Fall 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.
August 31, 2017