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Amy Russell, MD
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
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+
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
Physicians wish 
they could 
write 
prescriptions 
to help patients 
with 
social needs
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
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

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Healthcare - MAHEC - LEAD:WNC 2014

  • 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

  1. 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
  2. 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%