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Facilities <br />Orange County.Health Department <br />November 13, 2007 <br />The Orange County Health Department (OCHD) provides services from four primary ,locations in the <br />county: Carr Building, Carr Mill Mall, Southern Human Services Center and the Whiffed Human <br />Services Center. <br />Statistics and Projections for Orange County <br />• Orange County has a "medium-high" poverty rate compared to similar US communities. <br />• Extrapolating for modest population growth, estimate the number of patients served by medical <br />services to yield another 41% increase in visits by 2020. <br />• Currently serve 2% of total population for dental services, and estimate serving 49% of total <br />uninsured population (based on serving those at 80% or below of sliding scale.) <br />• 3-6 month delay for regular recall visits for dental patients. <br />• Average of 165 patients per year referred for simple endodontic services (root canals or crowns) <br />because providing the service limits the total number of patients that can be seen. <br />Facility Limitations <br />• Carr Mill (Dental) <br />o Inadequately sized waiting room, patients at times must wait in the hall <br />o Patient check in and check out is in the waiting room, with little.patient privacy <br />o No space for pre and post visit consultation with dentist, must be done chairside <br />o Double operatories are not adequate for patient privacy <br />o Insufficient number of operatories to maximize staff <br />o Supply and record storage inadequate <br />• Whined (Dental and Medical) <br />o Inadequately sized waiting room for facility, dental has too small interior waiting <br />o Well and sick patients must wait together <br />o No exterior entrance directly to an exam room for potentially infectious patient <br />o Poor patient flow with dental patients traipsing through the medical area <br />o Only one shared office space for all dental staff, no consultation room for dentist <br />o Inadequate number of operatories for number of providers and patients per day <br />o Inadequate patient protection for privacy issues <br />o No negative pressure rooms in medical clinic (external HEPA fan in one room) <br />o Long wait for scheduled patients (average of 45 minutes) before exam interview room clears <br />o Laboratory very small without separate blood draw area <br />o Interview and exam rooms too small for patient, families, interpreter, & provider <br />o .Inadequate handicapped entrances to clinic space <br />o No clinical space for ancillary services (nutrition, clinical social work, health education) <br />o Inadequate storage for medical supplies <br />• SHSC (Medical) <br />o Well & sick patients wait together in waiting room with other residents seeing social services <br />o No exterior entrance directly to an exam room for potentially infectious patient <br />o Only one negative pressure interview room that is too small for interpreter, patient, and <br />provider or multiple family members <br />o No clinical space for ancillary services (nutrition, clinical social work, health education) <br />o No work room for clinical staff conferences on individual patients <br />o Medical record room at maximum capacity <br />