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BUILDING A WORLD CLASS
PRIMARY HEALTH CARE
SYSTEM
BUILDING A WORLD CLASS
PRIMARY HEALTH CARE
SYSTEM
BUILDING A WORLD CLASS
PRIMARY HEALTH CARE
SYSTEM
BUILDING A WORLD CLASS
PRIMARY HEALTH CARE
SYSTEM
CHC at 635 Main St
CHC Today
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
CHC Today
Mantra
•Building a World Class Health care
system
•Committed to serving Special
Populations
•Focused in on improving patient
outcomes and cultivating Healthy
Communities.
Three Foundational Pillars
•Clinical Excellence
•Research & Development
•Training the Next Generation
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
Clinical Excellence
Systems for Improvement and
Quality
•Pods and Huddles
•Electronic Health Records
•Health Information Exchange
•Clinical Dashboards
•PCMH and NCQA Level 3
Pods and Huddles
Electronic Health Records
Clinical Dashboards
Opioid Dashboard
17
Missed opportunities report
18
19
Weitzman Center
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
Improving Cancer Screening
Among Culturally Diverse Women
Qualitative study exploring
Hispanic women’s attitudes about
colon cancer screenings and
mammography
21
Current Research Projects
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
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
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
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
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
P
R
O
J
E
C
T
E C H O
28
Organizations Replicating the CHC NP
Residency Model
Business Huddles
31
What’s Next?
32
Contacts
Mark Masselli
President/CEO
ph: 860.347.6971
x3620
email:
mark@chc1.com
Margaret Flinter, APRN, PhD
Senior Vice President/Clinical
Director
ph: 860.347.6971 x3622
email: margaret@chc1.com
Nwando Olayiwola, MD,
MPH
Chief Medical Officer
ph: 860.347.6971 x3728
email: nwando@chc1.com
Tim Kearney, PhD
Chief Behavioral Health
Officer
ph: 860.347.6971 x3507
email: kearnetr@chc1.com
Daren Anderson, MD
Vice President/Chief Quality
Officer
ph: 860.347.6971 x3740
email: andersd@chc1.com
Margaret Drozdowski Maule, DMD,
MBA
Chief Dental Officer
ph: 860.347.6971 x5167
email: drozdom@chc1.com

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Building a World Class Primary Healthcare Center, Mark Masselli

  • 1. BUILDING A WORLD CLASS PRIMARY HEALTH CARE SYSTEM
  • 2. BUILDING A WORLD CLASS PRIMARY HEALTH CARE SYSTEM
  • 3. BUILDING A WORLD CLASS PRIMARY HEALTH CARE SYSTEM
  • 4. BUILDING A WORLD CLASS PRIMARY HEALTH CARE SYSTEM
  • 5. CHC at 635 Main St
  • 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.
  • 10. Three Foundational Pillars •Clinical Excellence •Research & Development •Training the Next Generation
  • 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
  • 17. 17
  • 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
  • 28. 28
  • 29. Organizations Replicating the CHC NP Residency Model
  • 32. 32 Contacts Mark Masselli President/CEO ph: 860.347.6971 x3620 email: mark@chc1.com Margaret Flinter, APRN, PhD Senior Vice President/Clinical Director ph: 860.347.6971 x3622 email: margaret@chc1.com Nwando Olayiwola, MD, MPH Chief Medical Officer ph: 860.347.6971 x3728 email: nwando@chc1.com Tim Kearney, PhD Chief Behavioral Health Officer ph: 860.347.6971 x3507 email: kearnetr@chc1.com Daren Anderson, MD Vice President/Chief Quality Officer ph: 860.347.6971 x3740 email: andersd@chc1.com Margaret Drozdowski Maule, DMD, MBA Chief Dental Officer ph: 860.347.6971 x5167 email: drozdom@chc1.com