Agenda - 12-12-2006-5f - Laserfiche WebLink

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Orange County Health Department 8 With funding received in December 2006, we anticipate, following recruitment of personnel, to start primary care services in January 2007. We will market the service through brochures, word of mouth, and possibly print media. We will expend the funds from January through May 2007. The program will undoubtedly start modestly but continue to grow, such that by June 30, 2007, we will have served 80 clients with 128 primary care services. In FY 07-08, we anticipate the program will grow such that we. will serve 176 clients with 282 primary care encounters. IV Sustainability (1 page) 10 points With the success of the expansion of primary care services to Southern Human Services Center, we would hope to have the opportunity to apply for continuation grant funds, if available. We also will be seeking support from our Board of Health and Board of County Commissioners for the cost of a full year of primary care services in Chapel Hill. This will include personnel costs {.5 FNP, .5 Lab Tech, 1.0 PHN, .5 NA, and .5 Management Support position), operating costs (medical supplies, pharmaceuticals, lab services, office supplies, interpreters, and training) and equipment costs. A budget with offsetting earned revenue will be developed and presented. V Collaboration (1 page) 25 points UNC Health Care has worked in conjunction with OCHD in the development of primary care services in Orange County. LJNC HealthLink has entered into acost-effective contract with OCHD to provide after hours coverage for providers. LJNC Family Practice, with whom OCHD has a contract for Medical Director services, has agreed to admit OCHD primary care clients to UNC Hospitals for care. In addition, OCHD is working with UNC Healthcare, Piedmont Health Services, private medical providers and other agencies to implement the Central Carolina Health Network (a Community Care Network) to provide cost-effective and efficient case management of the Medicaid population. Additionally, efforts are underway through this Network to develop the community infrastructure to manage and coordinate services to the uninsured population. OCHD's primary care services are a vital safety net link in a community effort to increase access to health services and to address the growing indigent population. VI After-Hours Patient Care (1-2 paragraphs) OS points As noted above, OCHD has entered into. a contract with UNC Health Link to provide after-hours consultation and triage of patient concerns. Primary Care clients are advised to call HealthLink with after-hours concerns and to follow the guidance provided, which may range from implementing home remedies to seeing their medical provider the following day, or going immediately to the Hospital ED in emergent situations. OCHD practitioners are on second call and available.to HealthLink nurses should patient consultation be necessary. Admissions to IJNC Hospitals are arranged through L1NC Family Practice. VII Project Evaluation (1 page) 10 points We will use 4 measures to evaluate the expansion of primary care services to the Chapel Hill clinic: 1) Recruit and employ temporary personnel to begin primary care services at SHSC: Baseline = no temporary personnel; Target by 6-30-07 = .4 FNP, .5 PHN, .5 Lab Tech, .4 NA, .5 Mngmt Supt. 2) Increase Primary Care clients at SHSC from 0 to 80: Baseline = 0; Target by 6-30-07 = 80 8