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Inland Comprehensive Health Care

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Facilitation of community health information and ... Rural Regions of San Diego County Client Referral Patterns A Tale of Two Systems Managed Care and Care ... – PowerPoint PPT presentation

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Title: Inland Comprehensive Health Care


1
Inland Comprehensive Health Care
Community Care Management, Serving Unincorporated
Regions of San Diego County
2
Bruce L. Baumann Executive Director Inland
Comprehensive Health Care
3
Cindy Hasz Community Liaison Inland Comprehensive
Health Care
Cindy Hasz Community Liaison Inland
Comprehensive Health Care
4
Charles Fraley Health Care Consultant Inland
Comprehensive Health Care
5
Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
6
Senior Population Growth in the Unincorporated
Regions of San Diego County
Estimated Growth 2000 2030 185 2002 Seniors
14 2030 Seniors 33
Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
7
Looming Doctor Shortage in San Diego County
Estimated 1500 Vacant Nursing Positions in San
Diego County
Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
8
  • Vision
  • A Comprehensive, Integrated continuum of
    long-term care services.
  • A Matrix of Community Care Management (Wrap
    Around Services Safety Net)
  • Enables the elder patient to avoid nursing home
    placement and/or navigate the system in
    accordance with their changing needs.
  • Affordable Nurse Case Management offered on a
    sliding scale.
  • Nurse Case Management delivered in coordinated
    and therapeutic manner.
  • Increased access to existing services.
  • Increased availability of health care.
  • Increased information and education of health
    issues.
  • Improved quality of life!

Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
9
  • Directive
  • Contracted Providers using the socio-medical
    Community Care Management model.
  • Use of existing community providers to optimal
    levels.
  • Invitations to other providers to service
    underserved communities.
  • Facilitation of community health information and
    education.

Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
10
  • Scope
  • Serving the senior, frail and homebound
    population in the communities of Ramona and
    Julian at first, then expanding to the other
    rural underserved communities.
  • Long term plans to serve the larger population.

Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
Inland Comprehensive Health Care
11
  • Benefits
  •         Home and Community Based Care
  •         Individual consumer directed
  •         Increases access to/and options for care
  •         Improves outcomes and satisfaction
  •         Using resources more creatively and cost
    effectively
  •         Decreases ER visits/burden on overtaxed
    health care system.
  • Improved quality of life!

Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
12
Client Referral Patterns
13
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14
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15
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16
  • A Tale of Two Systems
  • Managed Care and Care Management

Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
17
LONG TERM CARE IN ACUTE SYSTEM
CHRONIC SYSTEM Starting Point
Vertical
Horizontal
Institution centered
Patient centered

Facility-Stationary
Residence-Mobile



Crisis based Maintains Normalcy
Method of Delivery
Single-system based Partnership
based
Managed Care
Care Management      
Insurance
Fee for service
Character of System
RIGID
DYNAMIC
Fixed-Slow-Inefficient
Flexible-Fast-Efficient Functional
Outcome Emergency
Resolved Homeostasis Maintained
Community Care Management Serving the
Unincorporated, Rural Regions of San Diego
Inland Comprehensive Health Care
18
ACUTE
Vertical Managed Care Institution
Centered Rigid Crisis Emergency
VARIABLE
Current Managed Care System
19
CHRONIC
Horizontal Care Management Patient
Centered Dynamic Homeostasis
STABLE
Community Care Management
20
ACUTE
CHRONIC
The Acute/Vertical and Chronic/Horizontal Cross
This Allows For The Best Utilization Of Both
Systems
21
Community Care Management Choice
Dignity Quality of Life.
Inland Comprehensive Health Care
Community Care Management, Serving the
Unincorporated, Rural Regions of San Diego County
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