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Family Health / La Clinica Migrant Mobile Health

Family Health / La Clinica Migrant Mobile Health. Yurany Ninco, Outreach Coordinator Ted Kay, President & CEO June 17, 2011 LULAC Conference - Pewaukee, WI. MISSION.

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Family Health / La Clinica Migrant Mobile Health

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  1. Family Health / La Clinica Migrant Mobile Health Yurany Ninco, Outreach Coordinator Ted Kay, President & CEO June 17, 2011 LULAC Conference - Pewaukee, WI

  2. MISSION • Develop and deliver primary health care services and programs to meet community health needs…(communities can be defined in terms of special populations and/or geographic areas). • Make these accessible to all people in communities we serve • Break down barriers to care for underserved and vulnerable people, especially Wisconsin’s migrant and seasonal farmworkers

  3. Service Area – Mobile Unit / Other “Sites” YELLOW Wautoma Waushara Portage Waupaca Outagamie Winnebago Green Lake Marquette Adams Mauston Dental Center (SA not shown) Adams Juneau PINK Mobile Unit Barron Columbia Dodge Fond du Lac Green Lake Jackson Jefferson Oconto Outagamie Ozaukee Portage St Croix Walworth

  4. Mobile Unit – Services Provided • Health screenings • Treatment of acute illness • Medical visits • Immunizations • Mammograms (Marshfield Mobile Mammogram Unit limited sites) • Laboratory services • Medications • Health Education • Referrals • Voucher program • Bilingual staff

  5. Mobile Unit – Patients 2010 • Total = 737 Patients • 475 men (64%) • 262 women (36%) • 440 (60%) age 50 or older • 337 (46%) were returning patients

  6. PreventiveCare Priority Areas: • Alcohol Consumption • Smoking Cessation • Screening • Diabetes • High Blood Pressure • High Cholesterol • Colon Cancer • Protate Cancer • Cervical Cancer • Breast Cancer • HIV testing • Immunizations: • Hepatitis B • Tdap • Pneumonia

  7. Preventive Care - Results • Alcohol Consumption • Patient’s alcohol consumption was determined and for risky behavior, education and recommendations were given by health aides • Smoking Status • Current smokers received health education on risks and information including QUIT LINE referral and information and QUIT LINE Program card.

  8. Preventive Care - Results (cont.) Screening for Chronic Conditions NEWLY DIAGNOSED PATIENTS • Diabetics: 11 patients • Hypertensive: 5 patients (High Blood Pressure) • High Cholesterol: 7 patients

  9. Preventive Care - Results (cont.)Cancer Screening • Colon Cancer • Target group: Patients age 50 and older – 440 pts (60%) were eligible • Intervention: Educate & Inform about importance of screening • Screening Test 13 patients (9.4%) received Ifob Kits (blood stool test) • Prostate Cancer • Target Group: Male patients 50 and older – 283 pts (60%) were eligible • Intervention: Educate & Inform about importance of screening • Screening Test: 28 patients (9.9%) received Prostate Specific Antigen test

  10. Preventive Care – Results (cont.) Cervical Cancer Screening • Target group • Women ages 21 to 65 • 236 women (90%) were eligible • Screening Tests Available • Pap smear and HPV • Results • 43 women (18%) had a pap smear • 30 women (13%) were tested for HPV • 2 pts required further exam (colposcopy) • 1 exam completed in Wisconsin • 1 exam completed in Texas

  11. Preventive Care - Results (cont.)Breast Cancer Screening • Target group • Women ages 40 to 64 • 174 women (74%) were eligible • Screening Test • Mammogram • Results • 60 (34%) completed mammogram • 3 underwent follow-up biopsy • 1 diagnosed with breast cancer • 1 diagnosed with hyperplasia • 1 pathology was benign • These were enrolled in the CAN TRACK Program

  12. Preventive Care - Results (cont.)HIV and Immunizations • HIV:118 patients tested - All negative • Hepatitis B:61 pts received 3rd dose (done)341 pts received 1st dose • Tdap:218 patients received • Pneumovax :123 diabetic pts received10 asthma pts received

  13. Labs HbA1c (once a season) Lipid Profile (once a season) Microalbumin (once a season) Blood Glucose (every visit) Evaluations Complete Physical Exam (once a season) Foot Exam (once a season) Blood Pressure Check (every visit) Immunizations Pneumovax Tdap Hepatitis B Medications Can dispense up to 3 mos. worth of medication Can give prescription for up to 1 year of medication Health Education Written info on diet and exercise Chronic CareDiabetes Standard of Care

  14. Chronic CareDiabetes - Results • 2010 Season 169 patients (23%) had diabetes • 1.8% increase from 2009 • 97 (57.4%) were returning patients • CDC Surveillance System shows incidence in the US population of 7.1%

  15. Labs Blood Glucose (once a season) Blood tests as needed Evaluations Complete Physical Exam (once a season) Blood Pressure Check (every visit) Immunizations Tdap Hepatitis B Medications Can dispense up to 3 mos. of medication Can write prescription for up to one year of medication Health Education Written information about diet and exercise Chronic CareHypertension Standard of Care

  16. Chronic Care – Hypertension Results • 2010 Season 279 patients (38%) had High Blood Pressure • 2% increase from 2009 • 169 patients (61%) were returning patients • Incidence in US population 28%

  17. Labs Lipid Profile (once a season) Blood Glucose(once a season) Blood Tests as needed Evaluations Complete Physical Exam (once a season) Blood Pressure Check (every visit) Immunizations Tdap Hepatitis B Medications Can dispense up to 6 mos. of medication Can write prescription for up to 1 year of medication Health Education Written information about diet and exercise Chronic CareHigh Cholesterol Standard of Care

  18. Chronic CareHigh Cholesterol - Results • 2010 Season182 patients (25%) had High Cholesterol • 3% increase from 2009 • 57% were returning patients • Incidence in US pop. is 36%

  19. Challenges • Mental Health • Tuberculosis • Continuity of Care • Health Education

  20. Thank You!Questions?

  21. CONTACT Yurany Vanessa Ninco Sanchez Outreach Coordinator 400 S. Townline Rd. P.O Box 1440 Wautoma, WI 54982 Phone 920-787-5514 Ext 207 yurany@famhealth.com

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