Grant Workshop John Isfort, Director Project HOME Network Office - - PowerPoint PPT Presentation

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Grant Workshop John Isfort, Director Project HOME Network Office - - PowerPoint PPT Presentation

Apr 05, 2023 226 likes •444 views

Project HOME Netw ork Helpful Opportunities for Medical Care Enhancement Grant Workshop John Isfort, Director Project HOME Network Office of Rural Health Marcum & Wallace Policy Memorial Hospital 60 Mercy Ct Winchester, KY Irvine, KY

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John Isfort, Director Project HOME Network Marcum & Wallace Memorial Hospital 60 Mercy Ct Irvine, KY 40336

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Grant Workshop Office of Rural Health Policy Winchester, KY

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SLIDE 2
  • ORHP Network Planning Grant 2009
  • ORHP Rural Healthcare Outreach Grant 2012
  • $450,000 (3 Years/ 2012-2015)
  • Based on Collaboration with CAH & FQHC’s
  • Focused on Uninsured Overutilization of ED for Primary

Care

  • Transportation
  • Specialty Care
  • Lung Cancer Screening

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

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SLIDE 3 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Edmonson Daviess Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Logan Lyon McCracken Mccreary Mclean Madison Magoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe

Estill & Lee Counties Project HOME Network Lexington

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

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Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

14 Agencies in Network

  • Marcum & Wallace Hospital
  • White House Clinics
  • Juniper Healthcare, Inc
  • Foothills Mobile Clinic
  • Mercy Health Clinics
  • Team Health (MESA)
  • Kentucky Homeplace
  • Westcare
  • Estill Development Alliance
  • Lee Health Department
  • Estill Health Department
  • KRCC
  • Bluegrass.org
  • Hospice Care Plus
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ED Navigation Program Target 184 Seen 96 Navigated 51 Declined 43 Discharged 2 53% Navigated CT Screening Program Target 40 SDM 22 Screened 22 Percent Screened 55% Specialty Care/ Transportation Target 00 Specialty Care 04 Transportation 06 ACA Insurance Program Target 100 Contacted 246 Signed Up 246 Percent Signed up 246%

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Programs/Focus Areas

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SLIDE 6

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Emergency Department Health Care Navigation

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Jim Thacker

  • Health Care Navigator (HCN) for the ED
  • Lay Worker
  • Trained by Kentucky Homeplace
  • Database Provided by Kentucky Homeplace
  • Liaison to Network Clinical Partners
  • Works with Medicaid MCO’s
  • 40 hour week (Peak Hours)
  • Onsite in ED

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

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Criteria for Navigation

  • Uninsured
  • 6 or more ED visits in previous 12 months
  • No Primary Care Provider
  • Resident of Project HOME Network

Counties

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

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Project HOME Netw ork Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Cost Comparison for Navigated Patients (2013)

  • 96 Patients
  • 821 ED Visits
  • $2,660 Average ED cost per patient ($311 per visit)
  • $255,361 Total cost for ED visit
  • $134.50 Average cost of Clinic Visit
  • $110,424 Total Cost of ED visits if in Clinic
  • 187 ED visits after Navigation
  • 77% decrease in ED Visits after HCN contact
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SLIDE 10

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

ACA Enrollment

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SLIDE 11

Project HOME Netw ork

ACA Supplemental Funding

  • $25,000
  • Open Enrollment
  • Health Care Navigator
  • Target 100
  • Enrolled 246

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

100 246 50 100 150 200 250 300 Target Enrolled

ACA

Target Enrolled

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Project HOME Netw ork

Affordable Care Act Kynect Enrollment

Results

83% 4% 7% 1% 1% 1% 3% 0% 0%

ACA Total 246

Estill (205) Lee (10) Powell (17) Owsley (1) Jackson (2) Wolfe (1) Madison (8) Fayette (1) Clark (1) 100 246 50 100 150 200 250 300 Target Enrolled

ACA

Target Enrolled

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Project HOME Netw ork

Estill County

92% 8%

Uninsured/Enrolled

Uninsured Estill County (2351) Number Enrolled by HCN (205)

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Project HOME Netw ork

During the ACA Enrollment Period 52 Grantees enrolled 9,287 individuals. The average enrollment for each grantee w as 179 individuals. The HCN and Financial Counselor enrolled 246 individuals. This w as a 27% increase above the average enrollment

246 179 50 100 150 200 250 300

ACA Supplemental Grant Information

Enrolled by HCN Average enrolled by other grantees

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SLIDE 15

Project HOME Netw ork

ED Payor Mix

Results

1000 2000 3000 4000 5000 6000 Medicare Medicaid Commercial Self Pay 2012 2013 2014 Annualized

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SLIDE 16

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Community Lung Cancer CT Screening Program

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SLIDE 17

Project HOME Netw ork

Lung Cancer CT Scan Screening Program

  • Partnership with University of Kentucky Markey

Cancer Center

  • 40 Patients to be Screened (Uninsured)
  • Community Program (Screened Locally)
  • Treatment and Follow-up Provided by UK
  • Multi Disciplinary Team

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

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Lung Cancer CT Scan Screening Program

  • 22 - Patients screened
  • 2 - Positive
  • 8 - with 3-6 month follow-

up

  • 12 - Negative

2, 9% 12, 55% 8, 36%

Patients Lung Cancer Screening Results N = 22

Positive (2) Negative (12) Suspicious (8)

Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

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Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Summary of Accomplishments

  • Navigated 364 patients in all programs (18 months)
  • 77% reduction in ED visits after contact with HCN
  • ACA enrollment penetrated 8% of local uninsured

market

  • CT Lung Screening detected 2 early cancers
  • ED Navigator providing significant ROI
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Project HOME Netw ork

Helpful Opportunities for Medical Care Enhancement

Thank You Questions