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RAISING HOPE. GIVING HEALTH. TOGETHER, WE MAKE A DIFFERENCE

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Title: EMPLOYEE GIVING CAMPAIGN Author: preddy01 Last modified by: kalvar03 Created Date: 1/30/2012 7:13:50 PM Document presentation format: On-screen Show (4:3) – PowerPoint PPT presentation

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Title: RAISING HOPE. GIVING HEALTH. TOGETHER, WE MAKE A DIFFERENCE


1
RAISING HOPE. GIVING HEALTH. TOGETHER, WE MAKE A
DIFFERENCE
  • 2012-2013
  • YORK HOSPITAL COMMUNITY HEALTH CENTER

2
YHCHC MISSION STATEMENT
  • The York Hospital Community Health Center meets
    the medical needs of the underserved by
  • Providing excellent healthcare
  • Educating the healthcare providers of the future
  • Working to improve the health of the community

3
LORETTA CLAIBORNE BUILDING
4
YHCHC VALUES
  • Innovation We will try anything within our
    means to improve the care of our patients
  • Effectiveness We make clinical and operational
    decisions based on the best information
    available, including capitalizing on
    opportunities to provide preventative care

5
YHCHC VALUES
  • Respect We treat our patients and each other as
    we would want to be treated
  • Wear name tag at all times while working
  • Personal communication is made or received while
    not in the presence of a patient
  • Patients are given our undivided attention
  • Patients are asked how they prefer to be
    addressed?
  • Health education is provided but the patients
    right to make an independent choice is respected

6
YHCHC VALUES
  • Compassion We provide care that we are proud to
    provide and would be proud to receive
  • Assist patients and their families with
    directions if they are confused or lost
  • Make sure our body language and our words
    communicate kindness and respect.
  • Timeliness We provide care when our patients
    want and need to receive care

7
RAISING HOPE
8
OUR PATIENT POPULATION
  • Young, primarily single females
  • Poor Income of lt/21,780 annually
  • 25 Latino/Hispanic25Caucasian24 non-White,
    non-African-American14 African-American
  • 12 Spanish-only speakers
  • Many access care by walking to our facility

9
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10
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11
GIVING HEALTH
12
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13
OB/GYN RESIDENT PHYSICIANS
14
OB/GYN RESIDENT PHYSICIANS
15
SERVING THE UNDERSERVED FY 2010-2011
  • 21,778 patient visits, lab services,
    immunizations and other clinical services
  • 2,664 patients served
  • 655 obstetrical deliveries
  • 157 outpatient surgeries performed

16
CERVICAL CANCER PREVENTION
  • Cervical cancer is caused by the human papilloma
    virus (HPV)
  • HPV is sexually transmitted and often produces no
    symptoms
  • The prevalence of HPV in the reproductive age
    population is very high 75 of sexually active
    adults
  • The pap smear screens for pre-cancerous cells
    caused by the HPV virus

17
CERVICAL CANCER PREVENTION
  • Virtually all cervical cancers are preventable
  • The key to prevention is screening with a pap
    smear
  • Women with abnormal pap smears are recommended to
    undergo colposcopy

18
CERVICAL CANCER PREVENTION INITIATIVE
  • Role of colposcopy
  • What is colposcopy?
  • Where is it done?
  • Who does the procedure?
  • How long does it take?
  • When are results available?

19
CERVICAL CANCER PREVENTION INITIATIVE
  • Patients with severely pre-cancerous cells on pap
    smear screening were referred for evaluation
  • Many patients fail to follow through with these
    appointments
  • By offering comprehensive services on site, we
    anticipate better patient compliance and a
    reduction in cervical cancer

20
COLPOSCOPE
21
TREATMENT OF PRE-CANCEROUS CELLS
  • LEEP procedure (Loop electrosurgical excision
    procedure)
  • Removes pre-cancerous cells
  • Currently cannot be performed in our office due
    to lack of equipmentpatients are referred to Gyn
    Oncology
  • Non-compliance rates for evaluation and treatment
    of pre-cancerous cells are high

22
LEEP MACHINE
23
LEEP ELECTRODES
24
CERVICAL CANCER PREVENTION INITIATIVE
  • By providing comprehensive screening services to
    the greatest number of women in our patient
    population
  • In evaluating and treating these women with
    pre-cancerous conditions in a familiar setting
    with a health care team they are comfortable
    with, cervical cancers can be preventedallowing
    women to better care for their families

25
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26
CASE STUDY- AH
  • 22 year old woman presented to YHCHC with
    abdominal pain for 24 hours
  • Her pregnancy test was found to be positive
  • The physical exam was inconclusive
  • An ultrasound showed a fetus in her fallopian
    tube and an empty uterus

27
CASE STUDY-AH (CONTD)
  • She was referred for immediate surgery at York
    Hospital
  • The patient underwent surgical removal of the
    fallopian tube and was discharged within 24 hours
  • This was a life-saving procedure
  • Her other tube appeared normal and her chance of
    a future successful pregnancy is good

28
OB AND GYN ULTRASOUND SCREENING
  • Pregnant patients in our population are often
    uncertain about when they conceived
  • Knowledge of their gestational age is key to
    determining when to screen for various conditions
    in pregnancy

29
OB/GYN ULTRASOUND SCREENING
  • Approximately one in five pregnant women have
    threatened miscarriages or ectopic gestations
  • Ectopic pregnancy can be a life threatening
    condition
  • A distinction between a viable vs. non-viable
    pregnancy can be made by ultrasound

30
ECTOPIC PREGNANCY
  • Can be life threatening and is one of the most
    frequent causes of maternal mortality
  • Often underdiagnosed and patient can present with
    tubal rupture
  • Due to the demographics of our patient
    population, they often only seek care when the
    situation is emergent

31
ECTOPIC PREGNANCY
  • Can be diagnosed with an early ultrasound and lab
    studies
  • Surgery can be avoided in some cases
  • Early treatment can preserve future fertility and
    prevent emergency surgical intervention

32
PRENATAL COMPLICATIONS
  • Preterm birth and fetal growth restriction are
    increased in the underserved population
  • It is imperative to have an accurate assessment
    of the patients due date
  • This is determined by a first trimester ultrasound

33
FETAL ULTRASOUND
34
CASE STUDY RH
  • 29 year old female who presented to the emergency
    department by ambulance, complaining of abdominal
    pain and delivering a preterm fetus at 18 weeks
    gestation
  • She required admission to the hospital and
    underwent surgical evacuation of a retained
    placenta

35
CASE STUDY RH (CONTD)
  • Patient found to have multiple uterine fibroid
    tumors as the cause for her pregnancy loss
  • Within several months of her loss, she was
    treated with Depo-Lupron, a medication which
    temporarily shrinks the fibroids
  • On 2/16/11, she underwent surgical removal of the
    fibroids

36
CASE STUDY RH (CONTD)
  • Patient presented to YHCHC on 11/23/11 and was
    found to be 10 weeks pregnant
  • She is undergoing serial ultrasounds to check
    cervical length due to her history of preterm
    labor
  • She is undergoing careful follow-up for
    gestational diabetes
  • She currently is doing very well at 25 weeks
    gestation

37
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38
ULTRASOUND AT YHCHC
  • Current machine is unable to discern far fields,
    requiring referral to another site for accurate
    assessment in high risk cases
  • Patients may not undergo recommended follow-up
    ultrasound studies due to transportation and
    other barriers
  • This can lead to delays in diagnosis and
    unncessary emergency dept visits and patient
    emergencies

39
TOGETHER, WITH YOUR SUPPORT, WE CAN MAKE A
DIFFERENCE
40
QUESTIONS?
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