An Orientation and Overview of the Lake County Health Department and Community Health Center

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An Orientation and Overview of theLake
CountyHealth Department andCommunity Health
Center
Presented By Irene Pierce, RN, MSN Director,
Primary Care Services

• Dale W. Galassie, M.A., M.S., Executive Director

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Department History

• 1956 Establishment of the Lake County Health
  Department (LCHD) by referendum to address
  pervasive health concerns of the county.
• 1970 LCHD assumed responsibility for episodic
  primary care and behavioral health services to
  the underserved in the County.
• 1995 Departmental reorganization LCHD
  underwent a fundamental change as its primary
  care services facilities were designated as a
  Federally Qualified Health Center (FQHC).
  LCHD/CHC (Community Health Center) is now a
  unique organization in that it has multiple
  roles providing comprehensive, coordinated and
  continuous care for patients who receive primary
  care through the Community Health Centers mental
  health and substance abuse services through
  Behavioral Health Services and responding to the
  functions of a local health department
  assessment, assurance and policy development.

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Conditions That InfluencedFQHC Pursuit

• Large number of underserved
• Few Medicaid providers
• No Medicaid managed care in Lake County
• Hospitals not interested in FQHC funding
• Strong support for the Health Department to be
  the provider of the underserved

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Board Composition

• Community Health Center Governing Council
• Consists of 11 members appointed by Council
  members
• Majority of members must be users of service
• Meets monthly
• Board of Health
• Consists of 12 members appointed by the Chairman
  of the County Board
• Membership must include
• 2 licensed physicians
• 1 dentist
• 2 members of the County Board
• 1 mental health professional
• Meets approximately every 6 weeks

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Mission StatementThe Lake County Health
Department and Community Health Center will
promote physical and emotional health, prevent
disease, injury and disability, and protect the
environment, through the assessment of needs, the
development of public policy, and the provision
of accessible quality services
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Health Center Locations
Zion
Midlakes
Waukegan
North Chicago
Highland Park
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Primary Care Services (FY2002)
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Primary Care Service Area

• Offers a broad spectrum of personal and community
  services directed at individuals and families of
  all races, genders and ages who are unable to
  access the private medical sector
• 280 Staff
• PROGRAMS
• General/Family Medicine and Pediatrics Medical
  care including prevention services, treatment for
  illness, school physicals and follow-up
• 59,036 visits
• Dental Services Preventative care and treatment
  at clinic locations as well as nursing homes
• 16,108 clinic visits
• 1,196 nursing home visits

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• Laboratory Services Supports Departments
  medical programs and may also be used by the
  public with a physician order
• 92,152 tests performed
• Women, Infants Children (WIC) Supplemental
  Nutrition Program Provides screening, referral,
  nutrition education,nutritious supplemental
  foods, smoking cessation and breast feeding
  support and training
• 47,965 client visits
• Case Management Transportation, pharmaceutical
  and specialty care referrals for uninsured,
  primary care patients who would otherwise lack
  access
• Source PCMS 2002 Data

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AccomplishmentsSince We Became an FQHC in 1995

• Number of unduplicated patients has increased by
  61.8 from 22,041 to 35,663 .
• Number of medical visits has increased by 61.9
  from 54,990 to 88,775.
• Number of lab visits has increased by 62.4 from
  57,541 to 92,152 .
• Number of dental visits has increased by 109.6
  from 10,428 to 21,848.
• Source PCMS 2002 Data

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Financial Impact

• Designation as FQHC Brings in Additional
  Resources
• Enhanced Public Aid reimbursement
• Section 330 grants
• Initial Investment to Develop Model of Care
• Developing 24hr on-call
• Admitting and managing hospital patients
• Case management for subspecialty care
• Tax Investment
• Taxes equaled 42 of the budget in FY96
• Taxes equaled 28 of the budget in FY02

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Projects

• Expansion of hours at all four clinic sites to
  four evenings per week and Saturday. This will
  expand services to 4300 additional users by the
  end of 2003. (Funded with an additional 519,225
  annually in Section 330 grant funds through
  Bureau of Primary Health Care for Expanded
  Medical Capacity.)
• Construction in 2003-04 of a new 10,000 sq. ft.
  facility in North Chicago replaces the current
  7,500 sq. ft. clinic. With this larger facility,
  we project an increase from 12,000 to 15,900
  medical visits, dental visits from 3,300 to 6,300
  and serving approximately 10,000 individual
  patients up from 6,000.

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• Construction in 2004 of a new MidLakes Clinic.
  By increasing from a 3,204 sq. ft. facility we
  will provide for additional program integration
  on site and increase medical visits by 4,200 for
  a total of 14,920 medical visits or 39 increase.
  Likewise dental will increase by 1,471 visits
  for a total of 3,677 or 67 increase.
• Establishment in 2003-04 of a new 8,000 sq. ft.
  clinic to serve the Highland Park/Highwood area.
  When fully operational this new site will provide
  approximately an additional 10,000 medical and
  2,500 dental visits.

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We welcome questions