lower shore clinic One Sto p Sho p Our notion was that a patient - - PowerPoint PPT Presentation

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lower shore clinic One Sto p Sho p Our notion was that a patient - - PowerPoint PPT Presentation

Cre ating a One -Sto p He althc are Sho p The expansion and augmentation of services at The expansion and augmentation of services at lower shore clinic One Sto p Sho p Our notion was that a patient should be able to receive all


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Cre ating a One -Sto p He althc are Sho p

The expansion and augmentation of services at The expansion and augmentation of services at

lower shore clinic

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One Sto p Sho p

 Our notion was that a patient should

be able to receive all clinical services under the same roof.

Primary Care

Behavioral Health Care

Pharmacy

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Why?

 E

nc o urag e pre ve ntio n rathe r than E R use

 Re duc e he alth disparitie s  Re duc e c hro nic c o mo rbid c o nditio ns  Re duc e pre mature de ath  I

mpro ve me dic atio n adhe re nc e

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Why?

I mpro ve ac c e ss to c are

Re duc e transpo rtatio n barrie rs

Capitalize o n e stablishe d re latio nships

Same day ac c e ss

I nte g rate be havio ral and primary c are

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One Sto p Sho p

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One Sto p Sho p

Co llabo ratio n ve rsus I

nte g ratio n

Co llabo ratio n is a pro c e ss thro ugh

whic h re latio nships are de ve lo pe d amo ng he althc are pro fe ssio nals to e ffe c tive ly inte rac t and wo rk to ge the r fo r the mutual go al o f safe and quality patie nt c are .

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One Sto p Sho p

Co llabo ratio n ve rsus I

nte g ratio n

I nte gratio n is a pro c e ss o f bringing to ge the r pro vide rs and se rvic e s ac ro ss disc ipline s and se ttings to fo c us o n partic ular c o nditio ns o r c are e piso de s. (Ko vne r & Knic kman, 2011)

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One Sto p Sho p

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One Sto p Sho p

“Co nc e rn has be e n g ro wing that

traditio nal c are is o fte n to o frag me nte d, unc o o rdinate d, and ine ffic ie nt, le ading to unde sirable patie nt e xpe rie nc e s, subo ptimal

  • utc o me s, and unne c e ssarily hig h

c o sts” (Sc ho e n e t al, 2006).

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One Sto p Sho p

“Pro fe ssio nal e xpe rtise and

kno wle dg e are o fte n lo c ate d in dispe rse d c e nte rs … and thus disc o nne c te d fro m the lo c al he althc are e nviro nme nt o f patie nts” (Hanne mann, 2011).

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Case lo ad Gro wth

200 400 600 800 1000 1200 F Y10 F Y11 F Y12 F Y13 F Y14 F Y15 F Y16

Primary Care o nly Primary Care - inte g rate d Outpatie nt Me ntal He alth Clinic

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how?

 same space, same governance  weekly team meetings 

Mondays difficult cases, QA, admin staff

Wednesdays liaison with outreach/PRP

 warm transfer, augmentation of services  opened an on-site pharmacy

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what?

48.5% re duc tio n in E

R visits fo r no n-urg e nt c are

90% o f patie nts with c hro nic so matic c o nditio ns

are c o mpliant with pre ve ntive c are

I

nc re ase d the amo unt o f patie nts re c e iving a physic al in a ye ar, pro je c te d 360 – ac tual 434

De ve lo pe d and maintain He althy L

iving g ro up fo r

Dual Diag no se d patie nts within PRP.

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One Sto p Sho p

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(1,000,000)

  • 1,000,000

2,000,000 3,000,000 4,000,000 5,000,000 2009 2010 2011 2012 2013 2014 2015

L

  • we r Sho re Clinic financ e s 2009 -- 2015

F F S re ve nue g ra nts pharmac y

  • the r

to tal re ve nue pro g ra m se rvic e s manag e me nt and g e ne ral to tal e xpe nse varianc e