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Jefferson County Public Health – Report Performance Measures 2012
TARGETED CLINICAL HEALTH SERVICES
PROGRAMS: Family Planning, School Based Health Clinics, Breast and Cervical Health, and Foot Care
MISSION statement for Targeted Community Health Service: to provide targeted health services, health
screenings and prevention services to specific populations with limited healthcare 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 FOR FY 2012:
1. Assure low cost Family Planning Services are provided and accessible for all women
2. Maintain low teen pregnancy rate in Jefferson County
3. Improve access to health care for high school student population in Jefferson County.
4. Insure access to breast and cervical health exams to women age 40 to 65 years old
5. Support seniors’ independence by maintaining their walking mobility
OBJECTIVES FOR FY 2012:
1. Track Family Planning usage patterns
2. Emergency contraception to be provided, 5 days per week, and expand community outreach and
clinical services
3. 40% of enrolled students at Port Townsend and Chimacum High Schools will be serviced by School
Based Clinics.
4. Maintain breast and cervical health screening program in Jefferson County
5. Maintain the current level of community foot care
PERFORMANCE INDICATORS: 2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Planned
2012
Actual
Number of unduplicated clients served in Family
Planning from Ahlers reports 1128 1202 1253 1170 1300 1027
Number of adolescents under 19 served in
Family Planning from Ahlers reports 300 345 447 419 440 373
Number of Chimacum and Port Townsend High
School Clinic Unduplicated Clients *
244 296 313 300 297
Number of FP clients aged 30-39* 224 227 206 185 188
Number of FP clients age 18-29* 624 611 574 630 540
Number of Breast & Cervical screening exams 110 84 99 76 90 80
Number of foot care contacts** 3131 3065 2786 2635 2400 2312
*from KIPHS annual report
** Foot Care Senior Center and Home Visits
Study/Analysis Results 2012:
JCPH Family Planning staff including Administration and Medical Records researched Electronic Medical
Records (EMR) systems to purchase to remain compliant with the Affordable Care Act. The new EMR
system was purchased Fall 2012 and staff received training December 2012. Over the next few months the
EMR will create better efficiencies and hopefully increase client numbers, but in the beginning of 2013 ther
may continue to be a decrease in client revenues and increase in staff hours.
JCPH continues the partnership with Jefferson Healthcare to provide two school clinics: one at the Port
Townsend High School, and one at the Chimacum High School. These clinics serve enrolled students, the
school and community through more students seeking MH services, FP, and primary care.
The reduction in client numbers for the year was due in part to changes in recommendations of how often
women need exams, and the decrease in the number of required paps. Throughout 2012 the team did
outreach at classrooms, flyers posted around town and ads in the paper. The team plans to continue outreach
with the Americorp employee and Health educator.
Family Planning services at the Quilcene Clinic, Wednesdays, 10 AM to 2 PM, was increased back to every
Wednesday starting September 2012. The Quilcene Walk-In Clinic usage is variable. Starting in October a
Nurse practitioner provides services one Wednesday a month at the Quilcene Family Planning clinics
increasing access for medical exams. A Family Planning RN provides services the other 3 Wednesday a
month providing Birth Control methods.
In 2012 the Breast and Cervical Health Program (BCHP) had level funding maintaining the number of clients
that could be signed up for BCHP at JCPH to 80. BCHP addresses the need for cancer screening and early
treatment to decrease deaths from breast and cervical cancer in Jefferson County. This service has been
decreased the last few years and will be eliminated in 2014 with the changes in federal health reform.
JCPH Foot Care program staff changed during 2012. With the changes, Foot Care Clinic services were
limited based on the availably of staff to provide the care. Starting in 2013 consistent Foot Care staff will
provide outreach. The Foot Care program helps seniors maintain independence and mobility by providing
foot maintenance at community centers and at clients’ homes.
March 29, 2013