South Cove Community Health Center The Premier Asian Community Health Center of Massachusetts Serving with Passion since 1972 Eugene Welch, Executive Director Our Mission… South Cove Community Health Center is dedicated to improving the health and wellbeing of all medically underserved in Massachusetts, with a special focus on Asian Americans. This mission is accomplished by providing high quality, community-based health care and programs, which are accessible, affordable, as well as linguistically and culturally competent for these populations. 華人醫務中心以改善未 能得到完善或足夠醫療 服務的麻州居民的健康 與福利為宗旨,並特別 重視麻州亞裔人仕的保 健。 本中心提供高品質 的社區健康服務和保健 活動,讓麻州居民普遍 享有切合其語言和文化 的服務。 2 A Little History… South Cove Community Health Center was founded by the Chinatown community with a mission to serve the medically under-served Asian population. 1972 - We started in a small building on Harrison Avenue in Chinatown where we provided outreach and referral services. 1976 - South Cove opened its first Medical Clinic at 885 Washington Street as part of the Josiah Quincy Community Center 1994 – South Cove expanded services to 145 South Street, Boston. 1996 – Joint venture with Beth Israel, South Cove opened a clinic at 275 Hancock St, Quincy. 2006 – Relocated from 275 Hancock Street to 435 Hancock Street, Quincy. 2012 – Opened new site at 88 Holmes Street, Quincy. 3 Today We Operate Four Clinic Locations Boston Campus: 885 Washington Street 145 South Street Quincy Campus 435 Hancock Street 88 Holmes Street 4 Who Are We? 240 Staff Adult Medicine 11 Bilingual Internists 1 Bilingual Nurse Practitioner 5 Bilingual Nurses Optometry Pharmacy Pediatrics 4 Bilingual Pediatricians 3 Bilingual Nurses Dental 9 Bilingual Dentists 2 Bilingual Hygienists 3 Bilingual Obstetricians 2 English Only Obstetricians 1 Bilingual Nurse Midwife 6 Bilingual Nurses 2 Bilingual Pharmacists, Quincy 340b Contracted Bilingual Pharmacy, Boston BIDMC Interpreters 11 Interpreters located at BIDMC BIDMC Cancer Navigator OB/Gyn 3 Bilingual Optometrists 1 Cancer Navigator located at BIDMC Other Services Behavioral Health Mammography Bone Density Laboratory Family Planning 3 Bilingual Psychiatrists 1 Bilingual Psychologists WIC 2 Bilingual LICSWs Early Intervention 5 Who Are Our Patients? 96% Asian 62% Cantonese Speaking 30% Mandarin Speaking 75% are below 200% of the Poverty Level 56% Female 44% Male Medical Coverage 65% Masshealth 13% Medicare (inc. SCO) 5% Health Safety Net 17% Other 6 Accomplishments of Last 12 Months… 30,320 Patients 176,000 Visits Opened 340B Pharmacy in Quincy Joint Commission Certified (5th Time) Meaningful Use Certified Level 3 Medical Home Certified Projected Patients / Year 35000 29,538 30000 30,320 31,230 32,166 33,131 34,125 28,245 22,126 19,803 20000 15000 23,068 23,958 18,448 14,684 15,632 16,607 10000 5000 0 20 02 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10 20 11 20 12 20 13 20 14 20 15 20 16 20 17 20 18 Patients 26,511 25,292 25000 Year 7 Provider Multi-Services: Internal Medicine, OB/Gyn, Pediatrics, Behavioral Health, Dental, Behavioral Health, WIC Services, Nutritional Services, Mammography Screening, Bone Densitometry. We also deliver approximately 360 babies per year. 8 We are open 7 days/week… On call Nurses during closed hours that speak English, Cantonese, Mandarin and Vietnamese South Cove Patients are rated top in low Emergency Department Utilizations in State 60/1000 preventable ED visits compared with 438/1000 preventable ED visits for other health centers South Cove Patients are rated top for lowest cost for Massheath 60% lower than other health center patients. 9 Our Total Monthly Volume… Approximately 14,000 Visits/month Our slowest Month is February – Chinese New Year!!! Monthly Review 18000 16000 Encounters 14000 12000 10000 8000 6000 16,940 15,218 15,337 57 14 19 675 24 20 1 638 54 13,825 1,106 1,129 22 19 2 12,756 532 35 1,334 1,403 896 40 22 7 568 1,261 956 2,117 2,054 1,110 1,900 1,868 2,283 2,297 2,040 1,875 7,641 7,689 7,118 6,310 15,958 27 29 65 562 1,184 1,485 2,162 2,308 8,136 15,397 15,771 30 22 61 629 1,175 33 2 53 28 718 1,050 1,521 1,402 1,968 14,376 14,133 1 73 11 31 702 25 36 2 68 565 1,104 1,060 1,404 1,257 1,806 1,886 2,021 2,208 22 32 733 52 1,145 1,717 13,742 2,247 37 33 591 893 1,464 2,713 1,757 2,127 2,561 2,108 8,002 7,223 7,026 15,363 34 35 22 671 1,054 1,674 1,896 2,373 2,438 7,678 8,279 7,604 6,529 4000 2000 0 January February 2014 2014 March 2014 April 2014 May 2014 June 2014 July 2014 August September October November December 2014 2014 2014 2014 2014 Month 10 Nutrition Podiatry Neurology None Behavioral Optometry Ob/Gyn Dental Pediatrics Adult Accountable Care Act (ACA) As part of the ACA rollout, South Cove files applications for coverage under the new ACA guidelines (since the online system is in English and Spanish only). We files approximately 25,000 applications over the last 12 months. We have 11 Full Time Certified Application Counselors on-site everyday to help our patients. We provide translational services throughout the application process which includes picking an insurance plan after ACA approval and then choosing a PCP. The entire application process can take 2-3 visits per applicant. 11 Patient Referrals Each month our patients need 2,500 referrals to outside services such as Hospital, Specialist, Imaging. South Cove has 5 Full Time Referral Specialists that will obtain insurance approval and schedule the appointment for patients. If the patient needs interpretation services during the appointment, our partner hospitals will also schedule an interpreter to meet with the patient at the time of the appointment. Each patient will receive a letter with instructions for their appointment written in their own language. 12 Hospital Interpreters South Cove employs 12 Full Time Asian Interpreters at Beth Israel Deaconess Medical Center that meet with Asian speaking patients for interpretation during their appointments. Interpreters can speak Cantonese, Mandarin, Vietnamese and other languages. Last year our interpreters translated for over 26,000 patient visits at BIDMC. Tufts Medical Center also provides interpretation for Asian patients during their appointments. These are assigned internally by the hospital. 13 Labor/Baby Delivery Interpreters South Cove employs three full time interpreters/navigators that help women during their labor and baby delivery. These staff are paged immediately when one of South Cove’s patients is admitted to the hospital for delivery. The provide interpretation and assist the patient with all their ancillary needs during the delivery process. 14 Cancer Navigators South Cove’s Foundation sponsors two Cancer Navigators at partner hospitals – BIDMC and Tufts. These Navigators will meet with Asian patients diagnosed with Cancer and in addition to providing interpreter services, help them understand the entire treatment process and also help them with additional services related to their diagnosis and treatment program. Last year at Beth Israel Deaconess Medical Center, our navigator helped 175 Asian patients navigate the treatment process. 15 Thank You for Giving us the Opportunity to Share Our Health Center with You. If you have any questions We are happy to answer them.