Mark Masselli, Community Healthcare Center on building a world class healthcare center. Patients who consider CHC their health care home: 130,000
Health care visits: 450,000 per year
7. CHC Today
• Patients who consider CHC their health
care home: 130,000
• Health care visits: 450,000 per year
•Founding Year - 1972
•Primary Care Hubs – 13
•No. of Service Locations - 218
•Licensed /Total SBHC locations – 26/175
•Organization Staff - 600
9. Mantra
•Building a World Class Health care
system
•Committed to serving Special
Populations
•Focused in on improving patient
outcomes and cultivating Healthy
Communities.
11. Clinical Excellence
Care Organized Around Patient Needs
•Advanced Access
•Expanded Hours/24-hour Coverage
•Care Where You Are
•Patient Portals
•Language Line
•Integrated Behavioral Health
12. Clinical Excellence
Systems for Improvement and
Quality
•Pods and Huddles
•Electronic Health Records
•Health Information Exchange
•Clinical Dashboards
•PCMH and NCQA Level 3
20. A Medical Home and Planned Care
Model for Improving Diabetic
Retinopathy Screening Using
Telemedicine
Review of a telemedicine program
for diabetic retinopathy screenings
in a statewide health center
20
Current Research Projects
21. Improving Cancer Screening
Among Culturally Diverse Women
Qualitative study exploring
Hispanic women’s attitudes about
colon cancer screenings and
mammography
21
Current Research Projects
22. Project STEP-ing Out: Sharing Best
Practices in Pain Management Between
Community Health Center, Inc. and VA
Connecticut Healthcare System
First-ever collaboration between a FQHC
and a VA Health System. Study of the
adaptation of the VA Stepped Care Model
for Pain Management in a community
health center setting.
22
Current Research Projects
23. Implementation of an Electronic
Consultation Platform for Patients
with Limited Access to Specialty
Care
Study of the implementation of an
electronic consultation system that
gives underserved patients
specialty access
23
Current Research Projects
24. Change from the front lines
• “If you want to make true and lasting change, ask
the people who do the work how to go about it!”
• Microsystems include clinicians, support staff,
and patients
– Front line staff are the content experts
– They work at the level closest to the patients
– They know their job, it’s challenges and know
what would make it better
25. CHC QI Model Summary
• Clinical Microsystems harness the creativity and
expertise of frontline staff to make lasting
improvements
• CHC QI Department develops and “activates”
microsystem teams across the agency
• Trained coaches are critical
• Harvesting best practices and spreading leads to
measurable, agency-wide improvement
• Microsystems are a natural conduit for Lean
process implementation and spread
26. PCP submits electronic referral
Consult reviewed electronically by specialist
Includes all relevant clinical data from ECW
Referral
warrants a face
to face visit
PCP can
manage with
guidance
Appointment is
booked with
Specialist
Note in ECW
Pre-
referral
work-up
incomplete
Specialist sends
recommendations
More
Information
Requested
CHC eConsult Schematic