1 / 10

Monterey County Health Department: Clinic Services Bureau

Monterey County Health Department: Clinic Services Bureau. Patient Centered Medical Home Caroline Kennedy, M.D. Medical Director Salinas, CA. Monterey County Community Clinics: Who are we?. Federally Qualified Health Center Look-Alike Bureau of the Monterey County Health Department

orea
Download Presentation

Monterey County Health Department: Clinic Services Bureau

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Monterey County Health Department: Clinic Services Bureau Patient Centered Medical Home Caroline Kennedy, M.D. Medical Director Salinas, CA

  2. Monterey County Community Clinics:Who are we? • Federally Qualified Health Center Look-Alike • Bureau of the Monterey County Health Department • 160,000 patient visits per year • 7 Clinics: • 5 in Salinas; 2 on the Monterey Peninsula • 4 Family Practice • 1 Pediatrics • 1 Internal Medicine • 1 OB/GYN

  3. Patient Visits (303% growth)

  4. Teaming up with Specialty Care • Bring specialty care into the clinics • Easier for patients to get to their appointments • Translation services available at our clinics • Providers of specialty care are not available to our patients in our community • Provides specialty care to those uninsured on a sliding scale • Notes are immediately available for primary care physician review • Specialists bring with them a knowledge base that can be tapped by the primary care and OB providers; facilitating the curb side consult • Patients in need are referred to us by the specialist that they encounter in the ER or hospital

  5. Current Specialty Care at the Clinics • OB/GYN: • Perinatologist as part of high risk OB clinic • OB/GYN for Colposcopy at Seaside Family Health Center • Pediatrics: • Nephrology – University of California, San Francisco • Urology – University of California, San Francisco • Pulmonology – Stanford University • Cardiology • Psychiatry • Internal Medicine/Family Practice: • Adult Cardiology • Adult Pulmonologist (none in Monterey County taking Medi-Cal) • Adult Rheumatology • Adult Dermatology • Adult Endocrinology (none in Monterey County taking Medi-Cal) • Adult Psychiatry (Nurse Practitioner, Physician Assistant, and Physician)

  6. Other Essential Team Members • Psychiatric Social Worker (Licensed Clinical Social Worker) • Team of Public Health Nurses • Stationed in clinics for visit on same day as provider • Home visits, including team of nurses, nutritionists, and social workers • Emphasis on asthma, obesity, and diabetes • ER follow-up access is in the design process, with implementation later in 2011

  7. Residency Clinic • University of California, San Francisco Affiliated Family Practice Residency • 24 Residents (8 per year) • 16,402 visits per year • Physician recruitment opportunity • Clinic located in Natividad Medical Center where residents provide inpatient care

  8. What we have done so far • Residents work in teams with: • 1 faculty member • 5 residents • Shared inbox for labs and refills (EHR = Epic) • Each resident has a panel balanced in • # of Diabetics • # of Hypertensives • # of patients over 50 and 65 years old • # of OB patients • # of Chronic Pain patients on Schedule 2 • Matched on English/Spanish language 90% of the time

  9. Contact Information Caroline Kennedy, MD Medical Director e-mail: kennedyci@co.monterey.ca.us cell: (831) 998-3337

  10. Questions

More Related