HomeMy WebLinkAboutTargeted Clinical Health Services (PDF)JEFFERSON COUNTY PUBLIC HEALTH –PERFORMANCE MEASURES 2015 REPORT
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 in order 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 2010
Actual
2011
Actual
2012
Actual
2013
Actual
2014
Actual
2015
Planned
2015
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 1,253 1,170 1,027 1,125 917 1,112 903
Number of annual Family Planning
clients age 30-39 227 206 188 201 156 182 146
Number of annual Family Planning
Clients age 18-29 644 574 540 492 410 525 415
Goal 2:
Maintain low teen pregnancy
rate in Jefferson County
Provide access to
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)
447 419 373 424 356 468 382
Goal 3:
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
296 313 297 287 287 300 283
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 2786 2,635 2,312 1,946 1979 2000 1760
JEFFERSON COUNTY PUBLIC HEALTH –PERFORMANCE MEASURES 2015 REPORT
COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM
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Study/Analysis 2015 Results:
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. 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.
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. Changes with recommended female exam schedules, such as frequency of required Pap smears, continue to affect 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 with clients in this age group to gather information on barriers to care and identify strategies for better
serving this population. Since the focus group discussion, we have developed a plan to improve outreach to this population; in 2016 JCPH will be
evaluating the feasibility of extending clinic hours into the evening one day per week at our main clinic per recommendations from this focus
group.
Family planning services continued in Quilcene twice a month, with a medical provider providing services once 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. The number of
unduplicated students using School-Based Health Centers in 2015 is similar to the past 3 years.
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 Program: 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. Although still a critical need, the Foot Care Program has seen a decrease in clients.
March 8, 2016