(PCAN) Margaret Brennan, PCAN Board Chair Rebecca Sayago, PCAN - - PowerPoint PPT Presentation

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(PCAN) Margaret Brennan, PCAN Board Chair Rebecca Sayago, PCAN - - PowerPoint PPT Presentation

Mar 10, 2023 305 likes •461 views

Primary Care Access Network (PCAN) Margaret Brennan, PCAN Board Chair Rebecca Sayago, PCAN Executive Director PCAN The PCAN network consists of 20 safety net providers whose mission is to provide access to health care services available to

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Primary Care Access Network (PCAN)

Margaret Brennan, PCAN Board Chair Rebecca Sayago, PCAN Executive Director

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PCAN

The PCAN network consists of 20 safety net providers whose mission is to provide access to health care services available to the uninsured and underinsured residents of Orange County, FL.

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1999: The Perfect Storm

  • Closings

 Princeton Hospital  Lucerne ED  Health Dept. –Primary care services

  • 175,000 Uninsured
  • Mayor’s work group
  • Goals

 Create integrated system of care  Leverage existing resources

  • Convening of full Safety Net
  • Formation of Primary Care Access Network (PCAN)

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PCAN Safety Net Partners

  • Orange Co. Government
  • Aspire Health Partners
  • FQHC medical homes (CHC, OBFH & True Health)
  • Health Department
  • Health Planning Council & Foundations
  • Healthy Start Coalition
  • Hospitals (3 systems)
  • OCMC Specialty Care
  • Respite Care (Pathways)
  • Volunteer acute care clinics (Community Medicine Clinic

& Shepherd’s Hope)

  • Volunteer Health & Dental (OCMC, DCAF, Grace

Medical)

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Comprehensive System of Care

  • Integrated Medical Home Model

 Primary care, OB-GYN, Pediatrics, x-ray, lab, pharmacy and dental Medical Case Management Behavioral Health

  • Specialty and Tertiary Care
  • Intensive Behavioral Health Care

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Outcomes

  • 24 Medical Homes – from 2
  • 295,000 active patients – from 5,000
  • 6 free Urgent Acute Care clinics – from 1
  • 1 free Chronic Care medical home – from 0
  • 1 free Secondary Care Clinic – from 0
  • 11,000 active patients – from 0
  • 1 SNF – from 0

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PCAN Clinic Sites

Primary Care Access Network

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Outcomes: Volunteerism

  • Volunteers – 1,600
  • Physician Volunteers – 600+
  • Value of Service

Dental Care Access Foundation Grace Medical Home Health Department Shepherd’s Hope Special Care (Medical Society & County Government)

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One-Stop Partnerships

  • Orange County Medical Clinic (OCMC)

Specialty Care – Volunteer (SpecialCare) and Paid CHF – Trina Hidalgo Clinic-Florida Hospital Internal Medicine Residency Clinic-Orlando Health Outlook Clinic – Florida Hospital & Mental Health Association Outreach (ED) Navigators-Health Central/FHEO Shepherd’s Hope - Volunteer

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Evaluation

  • Enrollment in medical homes/volumes

5,000 > 295,000 patients annually

  • Health status improvement
  • ED impact (non urgent, self pay)

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Funding Sources

  • County General Revenue - $11.8M (primary care, in-kind

space for FQHCs)

  • Inter Governmental Transfer (IGT)
  • Hospitals donated inpatient care – $3.4M
  • Medicaid & Medicare
  • Third-party payers
  • Self pay (sliding scale) – patient fees
  • Federal, state & local grants

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Lessons Learned: Sustainability

  • Focus on Mission
  • Decision-makers on Board
  • “Stone Soup” approach
  • Consensus, not compromise
  • Volunteers are crucial
  • Grants & awards

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In Closing

After 16 years the PCAN Board is committed to continue working together to ensure Orange County Residents who are uninsured or underinsured have access to affordable health care.

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