Using CHC Client Demographic Data to Plan for Services and Improve - - PowerPoint PPT Presentation

Using CHC Client Demographic Data to Plan for Services and Improve Quality

Wangari Tharao, Program and Research Manager Women’s Health in Women’s Hands CHC Beyond Report: Using Demographic Data in Patient and Client Care Mount Sinai Hospital Forum March 11th, 2015

Presentation outline

• Mandate of WHIWH
• Client Demographics
• Data Linkage to Services:

– Issues being addressed

• Multiple co-morbidities –diabetes, mental health and HIV
• Poverty
• Increasing Access to Quality Care:Links to external research
• Advocacy
• Enhancing internal data through external research

– Questions

Mandate

 Feminist, Pro-choice, anti-racist, and multi-lingual health center for

women.

 Provision of primary healthcare services for black women and women of

colour from the African, Caribbean, Latin American and South Asian communities in Toronto and surrounding areas

 Immigrant, refugee and non status women  Diverse cultural and linguistic backgrounds  over the age of 16 across the lifespan  Women with disabilities

32% 2% 11% 6%

Active Clients (n=2448)

Client demographics:

Sex:

5 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00% Female Male Unknown

Caribbean 32% Black 24% African 15% Latin American 11% South Asian 6% Hispanic 4%

• 1. Top 5 Client Ethnicities

7 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% English Spanish; Castilian French Portuguese Swahili

Top 5 Spoken Languages:

Top 5 Places of Birth:

8 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% Saint Vincent and The Grenadines Canada Jamaica Saint Lucia Mexico

9 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% 18.00% 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+

Age Range:

Education Levels:

10 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 45.00% Post secondary or equivalent Secondary or equivalent (grades 9- 12) Primary or equivalent (grades 1-8) Do not know No formal education Other Too young for primary completion

Household Income:

11 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%

Utilization of Demographic Data for Client Care:

WHIWH 2013 Statistics

T

• p 10 Issues Addressed

Summary of Issues Demographics from Internal Data:

• Over 73% living in poverty
• 31% have mental health issues

– 6% experiencing serious mental health related issues

• 11% HIV/AIDS
• 10% Co-Morbidities of HIV/Diabetes/Mental Health
• 0.8% addictions
• 40%+ uninsured
• 27 % are women over 50 years
• 70% are in their reproductive years (15 – 49 years)

Focus on 3 Chronic Diseases:

• Current strategic plan is focusing on three Comorbidities - HIV; Mental

health; and Diabetes

– High quality; client centered; and evidence informed services

• Three (3) Interdisciplinary teams (IDTs) have been established

– Diabetes, Mental health and HIV/AIDS

• Aims of the IDTs

– Increase access to services – Increase capacity of staff to deliver effective and culturally appropriate services – Develop internal and external pathways of care and track them – Improve monitoring and evaluation of services provided and utilized by women – Support intervention development – Strengthen/Establish relevant partnerships to support identified aims

Addressing Poverty:

• Accessible housing – Partnership with Fred Victor:

– Housing worker comes once a week to work with women with housing issues

• Emergency Foodbank – partnership with the Daily Bread Food Bank:

– Food delivered twice a month

• Facilitating access to care and services for women living with HIV:

– Tokens and childcare to facilitate participation in community activities – Access to medication for women without legal status – Skills and capacity building support

• Support to file immigration claims for women without status – partnership with

a lawyer:

– Pro-bono services provided – lawyer comes to WHIWH once a month

Increasing Access to Quality Care:

• Uninsured Negotiations:
• Negotiations with specialists (OB) and hospitals for delivery
• Developing partnerships with midwifery practices
• Mental Health Shared Care – partnership with a psychiatrist

CAMH

• Reduced emergency department usage by approx. 50% from 2009 – 2012
• CBT Partnership with CCVT and Sherbourne Health Centre to

provide culturally specific CBT:

• Women from war torn countries with experiences of multiple traumas pre

and post migration

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Advocacy to support Equity:

• Raising the minimum wage:
• Cuts to IFH
• WHIWH has a local, national and international advocacy

plan

– AIM: to ensure equitable access and service delivery for immigrant, refugee and non status racialized women

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Macro Meso Micro

External Research

Primary Health Care: Access and Utilization of Primary Health Care for Black Women and Women of Colour

Knowledge Translation and Exchange Activities

QUESTIONS