The Palm Beach County Community Health Alliance Collaborating for Healthcare Access Paul Gionfriddo,

1
The Palm Beach County Community Health Alliance
Collaborating for Healthcare Access Paul
Gionfriddo, Executive Director paul_at_pbccha.org
2
Who/What is the PBCCHA?

• An Alliance of over 30 public and private safety
  net health and mental health providers and
  supporters who serve and support safety net
  populations and who are collaborating for
  healthcare access.

3
How PBCCHA Works
4
Goals Big Impact, Low Cost

• Value to members. Reduced cost or increased
  revenue for providers serving uninsured patients.
• Increased public awareness of and support for
  safety net providers.
• Improved care for all patients through more
  appropriate use of resources.
• without huge resource expenditures!

Common Eligibility
Care Expansion
Language Access
Project Access
All-Care EHR
5
Project Access Volunteer Physician Initiative

• Organized through the PBC Medical Society,
  Project Access facilitates private physician
  involvement in the safety net care system.
• Hundreds of Project Access physicians provide
  volunteer primary and specialty care services in
  their offices and in free clinics.

6
Project Access Enrollments
7
Shared Health Record

• Implementation of a county-wide shared electronic
  health record for uninsured patients through
  creation of Master Patient Index/Clinical Data
  Repository with health data from all existing
  safety net provider systems .
• Built via direct electronic interface to existing
  data systems no duplicate data entry required.
• Records accessed via the Web not just for data
  exchange, but for improved clinical care and
  disease management, reduction of duplicate
  tests/procedures, reduction of errors, and
  valuable aggregate data.

8
ALL-Care Shared Health Record Core Group

• Glades General Hospital (HCD)
• Health Dept Primary Care Clinics
• 3 free clinics (Caridad, Sam. Gardens, Carelink)
• 4 FAU College of Nursing Wellness Centers
• PBCMS Project Access Volunteer MDs
• 2 nonprofit hospitals (Jupiter, Bethesda)
• HCA hospitals (JFK et al)
• Tenet hospitals (St Marys et al)
• AHCA
• MH Centers, Nonprofit FQHC (2007)

9
Common Eligibility

• Rapid online tool for eligibility workers in
  clinical settings to screen simultaneously for
  eligibility for all programs.
• Enrollment tool(s) for use in Prosperity/HCAP
  centers.
• Coordinated pharmacy assistance program (PAP)
  screening for low income patients.

10
Medicaider Rapid Screening Eligibility (May 2006,
181 interviews)
11
Value of Free Drugs
12
The PBCCHA Sustainability Model

• Sufficient value to safety net providers that
  they will be able to sustain initiatives over
  time.
• Sufficient value to local taxing authorities that
  they will be able to invest in them long-term.
• Improved health care for all, building public
  support for new activities in the future.

13
Concluding Thoughts Stand Together or Fall Apart

• The PBCCHA reflects the best efforts of safety
  net providers and others to do all they can
  together to meet a growing communitys increasing
  health care needs.
• We all use safety net providers and they need
  the support of the entire community to meet our
  growing needs.

Thank you!