Dr. Amy Russell of MAHEC shares information on regional healthcare issues and the innovative strategies being implemented regionally by MAHEC to address the issues.
2. Regional Health Care
Issues
• Increasing age of population
• Increasing rates of chronic disease
o Obesity
o Diabetes
o Lung Disease
o Liver disease
• Access to a primary care provider
3. Disease Prevalence
57
52.2
20.2
39.4
24.3
12.6
31.4
32
40
9.6
34.3
10.1
0 10 20 30 40 50 60
DM
High
Cholesterol
High BP
Percent
US
NC
WNC
65+
4. Place Matters
High quality schools
College / Community College Access
Opportunities for good jobs
Safe Streets, sidewalks & housing
Clean environment
Parks & Bike paths
Accessible, safe public transportation
Affordable, high quality early child support
Healthy food in neighborhoods/schools
Opportunities to participate in community life
Affordable, high quality health care
5. Physicians wish
they could
write
prescriptions
to help patients
with
social needs
6. MAHEC at a Glance
• 110,000 visits per year
• 9 practices
• 46% Medicaid
• High risk OB, Active Inpatient Family medicine service,
dental care to underserved and McDowell County
• 35% of FM is Medicare
Your Doctor
• OB, 2 Family medicine, dental residencies
• Fellowships- geriatrics, palliative care, sports medicine,
FM OB
• UNC School of Medicine Branch Campus
• UNC Pharmacy Branch Campus
• Rural Scholarship Program
• Undergrad Internship Program
• CME, CE Programs
Your Teacher
• Community Engagement
• Faculty advocacy
• ACO development
• Work force
Your Advocate
7. New Regional Strategies
• Engage in Accountable Care
o Improve Quality
o Increase value
o Improve patient experience
• Build capacity to improve access to care
• Support Regional practices to improve quality and
access
• Focus on the health care team
o Behavioral Health
o Pharmacy
• Support workforce development
Editor's Notes
To achieve "health equity“ requires that we recognize what happens upstream….outside clinic walls.
It requires us to tackle factors such as income, education, nutritious food, safe housing, affordable and reliable public transit, culturally sensitive health care professionals, health insurance, and clean water and air . . .social determinants of health
Physicians in this survey reported that if they had the power to write prescriptions to address social needs, such prescriptions would represent approximately 1 out of every 7 prescriptions they write** — or an average
of 26 additional prescriptions per week.
Some of the top social needs they would write prescriptions for include:
Fitness program 75%
Nutritional food 64%
Transportation assistance 47%
Additionally, physicians whose patients are mostly urban and low-income wish they could write prescriptions for:
Employment assistance 52%
Adult education 49%
Housing assistance 43%