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Understanding Clients of Free Health Center CCCHC in Champaign County

Explore demographics and service utilization of clients at CCCHC. Learn about challenges in healthcare access and the overuse of EDs.

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Understanding Clients of Free Health Center CCCHC in Champaign County

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  1. Characteristics of Clients Using a Free Health Center

  2. About the CCCHC “Champaign County Christian Health Center is a not for profit health center founded in 2003. Our mission is to show and share the love of Jesus Christ to our neighbors of Champaign County by providing holistic, free, and quality health care services.” 507 S. Second St.Suite 2EChampaign, IL 61820ccchc2003@yahoo.com  http://www.ccchc2003.org

  3. About the CCCHC Provides: primary care immunizations physicals screenings educational events prayer and support

  4. Problem & Objectives • Problem • A large population of uninsured and underinsured • Limited access to healthcare • Over-utilization of Emergency Department (ED) • Objectives • Assess the clients of the Champaign County Christian Health Center • Demographic Characteristics • Health Service Utilization

  5. Methodology • Self-reported client surveys completed before receiving services from the Champaign County Christian Health Center (CCCHC) • Ten optional questions that included demographic information and health service utilization • English and Spanish translations provided • 970 cases reviewed • Secondary data analysis using (SPSS) Statistical Package for the Social Sciences

  6. Scholarly literature review of free health clinic clientele Williams, David R and Jackson, Pamela Braboy Social Sources of Racial Disparities in Health, (2005, March/April), Health Affairs Vol. 24(2) Nadkarni, M. M. & Philbrick, J. T. (2005). Free clinics: A national survey. American Journal of the Medical Sciences, 330(1), 25-31. • 75% of patients uninsured • Over half lived within 200% of federal poverty level • Minorities make up 60% of the uninsured American population • Minority populations face: • lower quality of health care • lack access to care

  7. http://quickfacts.census.gov/gfd/states/17/17019.html

  8. http://quickfacts.census.gov/gfd/states/17/17019.html

  9. * * http://quickfacts.census.gov/gfd/states/17/17019.html

  10. Average National Emergency Department Utilization Statistics • In 2005, 115.3 million visits to ED’s (39.6 visits per 100 people). • An average of 30,000 visits per ED, a 31% increase from 1995. • 41.9 million injury-related ED visits (14.4 visits per 100 people) Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  11. Costs of ED Visits • In 2003, average expenditure for an ED visit was $560 • Average of $121 for an office-based visit • Highest average ED expense for ages 45–64 at $832 • ED expenses were slightly higher for males than for females

  12. Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  13. Scholarly literature findings on emergency department utilization among uninsured Hong, Rick, Baumann, Brigitte M. and Boudreaux, Edwin D ( 2007) The emergency department for routine healthcare: Race/ethnicity, socioeconomic status, and perceptual factors [Electronic Version] Journal of Emergency Medicine Vol. 32, Issue 2, pp 149-158 • 25% patients visiting ED’s as primary source of health care • 15-25% using ED as only source of care • Strongest indicator of ED use is insurance status

  14. Top Patient Reasons for Emergency Department Visit Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  15. Urgency of ED Conditions: National vs. CCCHC *** Unknown Urgent Urgent Non-urgent Non-urgent ***p<.001 Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  16. Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  17. *N/A *N/A *N/A Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  18. Nawar EW, Niska RW, Xu J ( 2007) National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; no. 386. National Center for Health Statistics http://www.cdc.gov/nchs/data/ad/ad396.pdf

  19. Limitations • Self-reported data • Difficulties in interpretation • Surveys were not completed by all clients • Surveys were collected over a two year period without date-stamping

  20. Conclusions • High rate of minority, female head of household, and patients ages 25-64 using the free clinic • CCCHC patients followed national ED utilization trends among uninsured • Implications for ED overcrowding

  21. 1.) Cardarelli, R. & Chiapa, A. (2007). Educating primary care clinicians about health disparities. Osteopathic Medicine and Primary Care, 1(5). Retrieved June 9, 2008 from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1808470. 2.) Cheong, P. H., Feeley, T. H. & Servoss, T. (2007). Understanding health inequalities for uninsured Americans: A population-wide survey. Journal of Health Communication, 12(3), 285-300. 3.) Davidson, R. A., Guancola, A., Gast, A., Ho, J. & Waddell, R. (2003).  Evaluation of access, a primary care program for indigent patients: Inpatient and emergency room utilization.  Journal of Community Health, 28, 59-64. 4.) Diesburg-Stanwood, A., Scott, J., Oman, K. & Whitehill, C. (2004).Nonemergent ED patients referred to community resources after medical screening examination: Characteristics, medical condition after 72 hours, and use of follow-up services. Journal of Emergency Nursing, 30(4), 312-317. 5.) Hong, R., Baumann, B. M. & Boudreaux, E. D. (2007). The emergency department for routine healthcare: Race/ethnicity, socioeconomic status, and perceptual factors. Journal of Emergency Medicine, 32(2), 149 158. 6.) Machlin, S. R. (2006). Expenses for a hospital emergency room visit. Agency for Healthcare Research and Quality, 111. Retrieved June 11, 2008 from http://www.meps.ahrq.gov/mepsweb/data_files/publications/st111/stat111.pdf. 7.) Mayer, G. G., Villaire, M. & Connell, J. (2005). Ten recommendations for reducing unnecessary emergency department visits. Journal of Nursing Administration, 35(10), 428-430. 8.) Nadkarni, M. M. & Philbrick, J. T. (2005). Free clinics: A national survey. American Journal of the Medical Sciences, 330(1), 25-31. 9.) Nawar, E. W., Niska, R.W. & Xu, J. (2007). National hospital ambulatory medical care survey: 2005 emergency department summary advance data from vital and health statistics. National Center for Health Statistics, 386.Retrieved June 11, 2008 from http://www.cdc.gov/NCHS/data/ad/ad386.pdf. 10.) Oster, A. & Bindman, A. B. (2003). Emergency department visits for ambulatory care sensitive conditions: Insights into preventable hospitalizations. Medical Care, 41(2), 198-207. 11.) SoRelle, R. (2006). Medicaid cuts could burden ED's with more uninsured patients. Emergency Medicine News, 28(5), 133-134.1 12.) Williams, D. R. & Jackson, P. B. (2005). Social sources of racial disparities in health. Health Affairs, 24, 325-334. 13.) Zlotnick, C. (2006). Community-versus individual-level indicators to identify pediatric health care needs. Journal of Urban Health, 84, 45-59. 14.) Champaign County Census Data from US Census Buraeu http://quickfacts.census.gov/qfd/states/17/17019.html References

  22. Compiled by Jennifer Byelick (2008)

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