Telehealth Applications in a
Community Health Center
Roland J. Gardner
Chief Executive Officer
Beaufort Jasper Hampton
Comprehensive Health Services, Inc.
July 17, 2015
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
BJHCHS
• Beaufort Jasper Hampton Comprehensive
Health Services, Inc. (BJHCHS) is a section 330
Federally Qualified Health Center (FQHC),
• Established in 1969 through a grant from OEO
to deliver comprehensive health services to
residents of the socially and economically
deprived residents of Beaufort & Jasper
Counties
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Our Mission
THE MISSION OF BEAUFORT JASPER HAMPTON
COMPREHENSIVE HEALTH SERVICES, INC.
IS TO PROVIDE QUALITY, AFFORDABLE,
ACCESSIBLE AND COMPREHENSIVE HEALTH
CARE SERVICESTO THE SOUTH CAROLINA
LOWCOUNTRY COMMUNITY.
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Our Vision
WE STRIVE TO PROVIDE THE MOST
COMPREHENSIVE HEALTHCARE DELIVERY
SYSTEM THAT WILL MEET THE NEEDS OF THE
LOWCOUNTRY COMMUNITY.
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
BJHCHS Scope of Services Today
• Family Practice – Immunizations, well and sick baby visits, sports
physicals, geriatric care, annual pelvic screenings
• Internal Medicine – Diabetes screenings & treatment, hypertension
screenings, comprehensive examinations, lab analysis
• Pediatrics – General pediatric care and follow-up, EPSDT, new born
routine care, school physicals, baby clinics for new mothers,
extended hours.
• OB/GYN – Annual screenings, prenatal maternal care, endometrial
biopsies, culposcopies, high risk prenatal care
• Dental Services – Preventive tooth and gum treatment, root canals,
tooth extractions, bridges, crowns, x- rays, dentures
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
BJHCHS Scope of Services Today
• Medical Social Work Services – Case Management, social
work home visits, and eligible assistance
• Pharmacy Services – Filling patient prescriptions Rx,
monitoring drug interactions, patient education, drug
information, Pfizer “Share the Care Program”
• Radiology Services – Routine X-rays, flouros, panorex for
dental, mammography, ultrasonography
• Home Health Nursing – Skilled nursing visits
• Community Services – Building maintenance, and security
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
BJHCHS Services Offered
• Ryan White Title III Aids/HIV Early Intervention Services
•
•
•
•
•
•
•
•
•
WIC – Women, infants and children supplemental food program
Diabetes Education & Collaborative
Perinatal Education & Collaborative
Mental Health Linkage
Migrant Health & Seasonal Farmworkers
Environmental Health Services
EPSDT – Early periodic screening diagnostic and treatment
School Based Health Instruction
Outreach workers for ACA
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Other Facilities
School Based Health Care Sites
Davis Elementary
Broad River Elementary
Ridgeland Middle School
Whale Branch Elementary School
Whale Branch Middle School
Whale Branch Early College High School
West Hardeeville Schools
Jasper County High School
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Other Facilities
School Based Health Care Sites
Hampton County School Districts I & II
Ben Hazel Primary Elementary School
Brunson Elementary School
Fennell Elementary School
Hampton Elementary School
Varnville Elementary School
Estill Elementary School
Estill Middle/High School
Assisted Living Facility
Ridgeland Nursing Center
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Serving Patients for more than 45 Years
•
Serving three counties Beaufort, Jasper, Hampton
•
Total Patients
17,133
• Children (ages 0-19)
5,054
• Adults (ages 20-64)
9,930
• Elderly (65 +)
2,149
• Female
• Male
11,051
6,082
•
Clinic visits
58,074
•
Dental visits
12,301
•
Home Health Visits
2,857
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Populations Served - BJHCHS
Users by Race/Ethnicity
Asian/Pacific Islander
2% 1%
Black/African American
22%
57%
18%
American Indian/Native
American
White
Hispanic or Latino
0%
Unreported
BJHCHS Patients 3rd Party Payment
Source
Uninsured
Medicaid
16%
11%
32%
Medicare
Private Insurance
41%
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Population by Age
Elderly (Ages 65+)
13%
Elderly (Ages 65+)
Children A (Ages 0-10)
Children B (Ages 11-17)
Adults (Ages
18-64)
58%
Children A
(Ages 0-10)
22%
Children B (Ages 11-17)
7%
Adults (Ages 18-64)
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Health Services Centers
Estill
Medical
Center
37
Elijah
Washington
Medical Center
(Sheldon)
44
47
27
37
Ruth P. Field
Medical
Center
(Chelsea)
15
Donald E. Gatch
Medical Center
(Hardeeville)
16
Hampton
Medical
Center
13
58
25
Leroy E. Browne
Medical Center
(St. Helena)
15
12
15
Ridgeland
Medical
Center
32
Port Royal
Medical
Center
(PRMC)
Research in Community Health Centers
Purpose of Community Health Centers:
We have constantly asked:
• What services and resources are required to
impact the health of the individual communities
we serve?
• Where will we obtain the resources we need?
• All community health centers ask the same
question.
Research in Community Health Centers
Why is this important?
• There are more than 1300 community health centers across
U.S. and its Territories.
• CHCs serve more than 23 million patients in more than
9,000 locations
• CHCs patients are typically underserved consisting primarily
of uninsured or underinsured, and low income individuals.
• CHCs will not turn anyone away because they cannot pay.
A sliding fee scale is available for those who do not have
the means to pay their bill.
• Yet, CHC’s are expected to provide high quality of services
Research in Community Health Centers
Federally Qualified Health Centers (FQHC)
receive funding and other resources from:
• Health Resources Services Administration
(HRSA) in accordance with section 330 of a
congressional mandate
• Revenue from patient encounters including:
Research in Community Health Centers
– Medicaid and Medicare
– Insurance payments
– And, private payments
– Additional funding and other supporting resources
are obtained by competing and winning
• Federal and state grant opportunities
• Private foundations, i.e. RWJF, Kresge Foundation, etc.
• Corporate grants, I.e. Caremark, AstraZeneca, etc.
7TH Nationally
Prostate Cancer
Public Health\Research Initiative
South Carolina Men Ages 20-79
Institute for Cancer Prevention
(Designated NCI Cancer Center)
Beaufort-Jasper-Hampton Comprehensive Health Services, Inc.
(Section 330 Community Health Center)
St. Helena
Center
Port Royal
Center
Chelsea
Center
Ridgeland
Center
Estill
Center
Hardeeville
Center
Hampton
Center
Sheldon
Center
Men ages 20-79 in Beaufort,
Jasper and Hampton Counties
in
South Carolina
Prostate
Cancer
Awareness
Institute for Cancer Prevention
(only designated Cancer Center devoted to
cancer prevention)
Dynamic relationship with:
National Cancer Institute
Other designated Cancer Center
Research Partner
and
Information Resource
Education Programs
Credible Resources
Research Programs
Prostate
Screening
Research
Participation
Beaufort-Jasper-Hampton
Comprehensive Health
Services, Inc.
The source for prostate cancer care and information
for men in Beaufort, Jasper, and Hampton Counties
Prostate Screening
and
Patient Care
Prostate Screening
Education Programs
Research Recruitment
Community
Urologist
Social
Organizations
Churches
Interaction
Scheme
Community
Social Groups
Beaufort-Jasper
Hampton Comprehensive
Health Services Staff
n
catio
Edu ing
Train
Community
Health Care Providers
Education
Training
Educa
tio
Progra n
ms
Interested Lay Public
Provide and Manage
Information about
Prostate Cancer
Public
Libraries
Data to Information Management
SCPHCA
Data from
Health Dept,
CHC,
Universities,
Bureau,
Etc.
Data
Warehouse
Repository for data
from variety of sources
Some translation to informaton
Morehouse
Turn data into
information
Identify opportunities to
define, develop and manage
information sources
BJHCHS
Information
for
Plannning
Process
Evaluation
Application of information
for patient encounters and
management
Program
Planning
Information
for
Patient care
Patient
Encounter
Support
Community
Hospitals
Provider
Information
Management
Consults
LabCorp
Pharmacies
Other Sources
for Data and
Inforomation
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Context - Health Centers in South Carolina
• Providing care for 340,737 patients/year
• Through 21 incorporated Community Health
Centers, with 142 Delivery Sites in 43 % of 46
Counties
• Serving a patient population that is
predominantly Medicaid, Uninsured,
Medicare, Special needs
Beaufort Jasper Hampton Comprehensive
Health Services Inc.
Context - Health Centers Nationally
• Provide care for >23.5 million patients/year
• Through >1,300 Community Health Centers
• With 9,200 sites
• In all 50 states and territories in the United
States