How Can Health Care Organizations Become More Health Literate? Workshop Summary (2012) / Chapter Skim
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3 Reaction Panel 1
3 Reaction Panel 1
Pages 21-30
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Annually, HHC has about 1 million emergency department visits, 5 million clinic visits, and 25,000 babies delivered. About 70 percent of the behavioral health population being cared for in New York City is cared for at HHC.
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In 2007 HHC presi dent Alan Aviles wrote an article explaining why HHC publishes patient outcomes and patient satisfaction results on its website -- it is part of becoming a transparent organization, to which HHC is fully commit ted. Furthermore, all of the ambulatory care sites are approved by the National Committee for Quality Assurance at Level 3, the highest level of approval, as patient-centered medical homes, delivering high-quality primary care.
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The aim of the assessment is to be sure that staff members are being used most effectively. It will be important to include all staff in this effort -- physicians, nurses, other health care disciplines, volunteers, and peer coaches.
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.2 The FQHC model has existed for 45 years in the United States. It is a model designed to provide access to health care services for low-income, uninsured, and underinsured people.
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Its vision is to be a model primary health care organization, to eliminate health disparities in the community, and to become the medical home of choice in Loudon County. To accomplish its mission and vision the center provides whatever enabling services are needed to overcome barriers to obtaining services.
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The challenge in implementing 3 "Section 340B of the Public Health Service Act (created under Section 602 of the Veter ans Health Care Act of 1992) , which requires pharmaceutical manufacturers participating in the Medicaid program to enter into a second agreement with the Secretary under which the manufacturer agrees to provide discounts on covered outpatient drugs purchased by specified government-supported facilities, called ‘covered entities,' that serve the nation's most vulnerable patient populations." http://www.cjaonline.net/events/SustSeries/Calls/ Call20080918/OverviewSection340B2.pdf (accessed December 16, 2011)
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Other challenges include resources, manpower, expertise, and money. The federal budget for community health centers was cut earlier this year by $330 million.
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However, sometimes that means that the information that reaches the organization has been screened. Therefore, in an effort to reach out to the communities themselves, many of the facilities have begun holding patient forums and including patients in root cause analysis4 and on patient safety rounds.
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Other organizations, Schillinger continued, are not explicitly safety-net organizations and may have more leeway in discretionary decision making. Isham said that the entire health care system is at a challenging point.
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