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Healthcare Reform

June 10, 2009

At QueensCare and its partner, QueensCare Family Clinics (QFC), our focus is on health promotion, disease prevention, health education and empowerment in conjunction with primary care. We stand apart from other healthcare organizations because we invest in health as opposed to illness. We are a visible and trusted part of the Los Angeles community. Our health professionals and program staff educate individuals, families, groups, and communities about how to protect and maintain their good health. We screen thousands of people for health problems including obesity, hypertension, diabetes, and cancer. When we find something that may result in a problematic health outcome, we follow-up with individualized education, services, and care. QFC has developed a successful model to effectively manage chronic disease, providing high quality care at lower overall costs.

According to the 2005 County of Los Angeles Public Health Department’s Key Indicators of Health, QFC’s service area has an uninsured rate that is 20% higher for children and 33% for adults than the average for L.A. County. The rates of diabetes, cardiovascular disease and childhood obesity are higher in QFC’s service area than across L.A. County. As the largest provider for L.A. County's Department of Health Services Public/Private Partnership Program, QFC has developed a model addressing the most pertinent health issues affecting our patient population.

 

Health Information Technology (HIT) / Health Information Exchange (HIE)

  • Consistent with President Obama’s vision that HIT and HIE are critical components to not only improving our nation’s health but also in reducing overall costs of healthcare, QFC was an early adopter of Electronic Health Record (EHR).
  • QFC is part of the 5% of community clinics nationwide to have a fully implemented EHR.

Outcomes and Successes

    • EHR provides a unified view of a patient from multiple sources of data and information;
    • Allows providers to coordinate care and create continuity;
    • Offers evidence-based guidance and coaching, personalized by access to a person’s health data as it changes;
    • Collects, for analysis and reporting, quality and performance measures as the routine by-product of its normal daily use;
    • Creates a care plan for each individual and then monitors the progress of each patient and provider in meeting the goals of that plan.

 

Chronic Disease Care

  • At least 60% of the people QueensCare serves have chronic diseases.
  • During the past year, QFC saw more diabetics than 99% of the community clinics across the nation. Yet, QFC has a lower cost ($101 per medical encounter compared to $129 in US urban clinics) and higher productivity – at the same time, improving patient outcomes.
  • Chronic disease patients need lots of care managing various prescriptions, numerous tests and screenings, and detailed advice on diet and exercise. Our patients receive this help through case management programs in the Clinics and trained Community Health Workers. They monitor vital signs, provide education on lifestyle choices and medications, and follow the patient to maintain continuity of care.

 

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