HEALTH CARE FOR THE HOMELESS CO-APPLICANT BOARD
HHS|HRSA ndash PINELLAS COUNTY BOARD OF COUNTY COMMISSIONERS HEALTH CARE FOR THE HOMELESS GRANT | H80CS00024
MEETING AGENDA
MARCH 12 2019 | 300 PM ndash 500 PM JUVENILE WELFARE BOARD 14155 58TH STREET N CLEARWATER FL 33760
CONFERENCE CALL-IN DIAL 1-727-582-2255 PASSCODE 718007
1 Chairmanrsquos Report i) Declaration of Conflicts of Interest ii) Approval of Minutes February 12 2018 ActionVote iii) Co-Applicant Board ndash New MembersRecruitment ActionVote iv) Medical Executive Committee Minutes ActionVote v) Unfinished BusinessFollow-Up
2 GovernanceOperations i) HCH Dashboard ndash Lisa Freeman Informational ii) National Health Service Corp Agreement ndash Karen Yatchum Informational iii) Patient Centered Medical Home Update - Karen Yatchum Informational
bull Predominant Conditions Review bull Patient Visits wClinician Goal
iv) Policy Manual Updates ndash Karen Yatchum ActionVote v) StaffingVacancies ndash Jennifer Black Informational vi) MMUBayside Health Clinic Calendar ndash Jennifer Black Informational vii) Client Satisfaction Survey Results ndash Jennifer Black Informational
3 Fiscal i) Notice of Awards ndash Elisa DeGregorio ActionVote
bull CARE Update (Capital Hurricane Project) ndash Elisa DeGregorio Informational ii) New Funding Opportunities ndash Elisa DeGregorio ActionVote
4 Clinical i) Discussion Addressing Diabetes in HCH population ndash Karen Yatchum Discussion ii) HCH Client Trend Reports ndash Jennifer Black Informational
bull Medical bull No-Show Rates bull Dental
5 Other Updates i) HCH Monthly Email UpdateNewsletter Informational ii) New Business Informational
Adjournment
Next Meeting Tuesday April 9 2019 300 pm Juvenile Welfare Board 14155 58th Street N Clearwater FL 33760
TAB 1 ndash CHAIRMANrsquoS REPORT
bull MEETING MINUTES bull MEDICAL EXECUTIVE COMMITTEE MINUTES
Minutes of the Monthly Meeting of the Health Care for the Homeless (HCH) Co-Applicant Board
February 12 2019 | 300 pm Location of Meeting Juvenile Welfare Board 14155 58th Street North Clearwater FL 33760 Present at Meeting Valerie Leonard Sandra Grosvenor Jennifer Post (phone) Theresa White (phone) Lt Zach Haisch Helen Rhymes and Sandnes Boulanger2 Staff and community members present Karen Yatchum Elisa DeGregorio Jennifer Black Rhonda OrsquoBrien (phone) and Meghan Lomas (1Consumer 2Alternate) The regular meeting of the HCH Co-Applicant Board was called to order at 309 pm
I Chairmanrsquos Report i Conflicts of Interest Board members were requested to review the agenda for any items that may
contain potential conflicts of interest No conflicts declared
ii Approval of Minutes A motion to approve the January meeting minutes was made by Helen Rhymes and seconded by Sandra Grosvenor The Board unanimously approved the minutes
iii Co-Applicant Board ndash New MembersRecruitment The new recruitment flyer with Karenrsquos information is included in the packet Consumer participation is key to have their voice included Safe Harbor discusses the Board and opportunity for participation in groups and interactions residents have with social workers Sandra may have some idea for individuals to participate from Pinellas Hope
Valerie inquired about what would happen without consumers represented Elisa discussed the importance of having consumers participate in the Board even though the Health Center has a waiver from HRSA regarding the consumer participation the voice of the consumer is key Karen discussed upcoming focus groups which are to occur by May at the latest They will touch on van sites ie North County Karen shared her concern on not having consumer representation on the Board
Jennifer inquired about family members of consumers and participation on the Board Elisa indicated family advocates are more than welcome to come and participate but would not count towards the consumer representation
iv Medical Executive Committee Minutes The Medical Executive Committee reviewed the documentation provided for 3 DOH staff (2 reappointments and 1 new member) and the Directions for Living attestations All recommendations were approved by the Committee Lt Zach Haisch made a motion to accept the Medical Executive Committeersquos recommendationsapprovals which was seconded by Helen Rhymes The Board voted unanimously to approve the motion
v Unfinished BusinessFollow-Up
bull Safe Harbor PCSO BAA Follow Up The Sheriff has declined to sign the BAA at this time Bayside will not be sharing appointment data with Safe Harbor This item will be removed from future follow up
II GovernanceOperations i UDS Reporting due 215 The UDS report final draft was included in the packet The Health Center
will report 2839 unduplicated patients in 2018 which is within 5 of the goal Elisa discussed the UDS report required by HRSA ndash the funder Items reported on include locations of patients demographics insurance coverage staffing break downs (which are very particular in how they are reported These items may not completely reflect all staff working with HCH patients as contractual agreements on a fee for service basis do not count towards staff) diagnoses and quality of care measures (also included on the Dashboard) and program costs This reporting is required by HRSA Elisa pointed out pharmacy which is the largest cost category for the program This report is due annually by February 15th
ii StaffingVacancies Update Jennifer Black the new program manager shared that she is setting up interviews this week to fill the eligibility position She indicated that DOH does on-boarding once a month and the next opportunity she will have for this position is March 22nd She is currently looking to fill positions for eligibility medical assistant and an LPN at Bayside She inquired about a clerk position that she lacks space for This to be discussed offline with Karen Karen did note that PCHS has been providing an eligibility specialist that is currently there Wednesday Thursday and Friday to support DOH staff
iii Policy Manual Updates Included in the packet are specific Policy sections with track changes to identify areas that are proposed for the Boardrsquos approval Many of the proposed updates align with changes that are identified as staff work on the PCMH renewal process Policies are being updates to align with current standards and to reflect operational changesupdates identified through the process
The packet appears to not be in page order from the manual Note updated on the top of the pages include references to the new PCMH standards Updates include Appointment Access updated from five days to two weeks Mental HealthSubstance Abuse Referrals updated regarding the operational process After Hours has been updated to include call backs for messages received during business hours Legislative Mandates were updated from the yellow highlights to what is in the green Medical Home Responsibilities was updated to reflect the correct phone number Continuity of Care was updated to reflect instances when a client does not choose a PCP the Sliding Fee Discount program was updated to reflect 2019 Federal Poverty guidelines Specialty Care and Tracking was updated to align with operations Workforce Development was updated to reflect PCMH language
Karen and Elisa told the Board to anticipate more policy updates as the Health Center continues reviewing PCMH standards for re-recognition in the coming months
Lt Zach Haisch made a motion to accept the policy updates presented to the Board which was seconded by Helen Rhymes The Board unanimously approved the motion
iv MMUBayside Clinic Calendar Jennifer reviewed the February calendar The changes include adjustments to accommodate Provider training The trainings are necessary for the PCMH recognition process Staff are working to coordinate these with minimal impact to services
v Patient Satisfaction Survey ResultsBenchmarks Rhonda walked the Board through the survey results included in the packet There were 25 responses for established patients and 12 responses for first time clients
III Fiscal i Notice of Awards
a Elisa shared four separate NOAs
i 01-02 dated 011619 applied conditions to the grant based on the proposed changes
ii 01-03 dated 020819 lifts the first conditions from the Capital grant from prior to proposed trainings
iii 16-13 dated 011819 ends the previous 3 year project period and de-obligates the unobligated balance of ~$36k
iv 18-00 dated 012319 approves the health centerrsquos new three year funding period based upon the SAC application Awards HCH $1456M starting March 1 2019
Helen Rhymes made a motion to accept all four notices of awards which was seconded by Lt Zach Haisch The Board voted unanimously to approve the motion
ii New Funding Opportunities
a New Access Point (NAP) ndash Elisa shared this is an application for brand new sites The NOFO was reviewed by staff and partners and at this point in time feasibility of implementing a new site in the HRSA required 120 days is in question Staff propose to pass on this specific funding opportunity Staff will take this opportunity to incorporate ideas into the development of our strategic plan to provide preparations and planning prior to new opportunities in the future A NAP would increase our target Helen noted she likes to do what we do well Lt Zach Haisch made a motion to pass on this funding opportunity which was seconded by Helen Rhymes The Board unanimously approved the motion
IV Clinical
i Discussion Addressing Diabetes in the HCH Population Lt Haisch stated be spoke to the chef at Metropolitan Ministries (Safe Harborrsquos majority food purveyor) and they indicated they do what they can keeping in mind dietary restrictions ndash heart healthy etc Nothing specific to diabetes is available at Safe Harbor Karen told the Board we spoke to the HRSA Project Officer regarding the initiatives we have begun implementing She also indicated through the PCMH process we are looking at diabetes Staff are working on an Action Plan template for submission to HRSA They draft will be brought to the QI Team and shared with the Board when complete We are looking to develop Care Plans for diabetic patients
ii HCH Client Trend Reports Rhonda presented the trend reports
Medical Rhonda noted there was a holiday in January which resulted in lower numbers for HEP
No-Show Rates The no-show rates are rather consistent
Dental 190 HCH clients received dental service visits in January
V Other Updates i HCH Monthly Email UpdateNewsletter The newsletter was sent out and is included in the
packet There are upcoming webinars included in the communication addressing women experiencing homelessness please feel free to share these Vision Screening events are scheduled and flyers were attached to the communication
ii New Business None at this time
The meeting was adjourned at 422 pm The next meeting will be held at 300 pm on Tuesday March 12 2019 at JWB
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
TAB 1 ndash CHAIRMANrsquoS REPORT
bull MEETING MINUTES bull MEDICAL EXECUTIVE COMMITTEE MINUTES
Minutes of the Monthly Meeting of the Health Care for the Homeless (HCH) Co-Applicant Board
February 12 2019 | 300 pm Location of Meeting Juvenile Welfare Board 14155 58th Street North Clearwater FL 33760 Present at Meeting Valerie Leonard Sandra Grosvenor Jennifer Post (phone) Theresa White (phone) Lt Zach Haisch Helen Rhymes and Sandnes Boulanger2 Staff and community members present Karen Yatchum Elisa DeGregorio Jennifer Black Rhonda OrsquoBrien (phone) and Meghan Lomas (1Consumer 2Alternate) The regular meeting of the HCH Co-Applicant Board was called to order at 309 pm
I Chairmanrsquos Report i Conflicts of Interest Board members were requested to review the agenda for any items that may
contain potential conflicts of interest No conflicts declared
ii Approval of Minutes A motion to approve the January meeting minutes was made by Helen Rhymes and seconded by Sandra Grosvenor The Board unanimously approved the minutes
iii Co-Applicant Board ndash New MembersRecruitment The new recruitment flyer with Karenrsquos information is included in the packet Consumer participation is key to have their voice included Safe Harbor discusses the Board and opportunity for participation in groups and interactions residents have with social workers Sandra may have some idea for individuals to participate from Pinellas Hope
Valerie inquired about what would happen without consumers represented Elisa discussed the importance of having consumers participate in the Board even though the Health Center has a waiver from HRSA regarding the consumer participation the voice of the consumer is key Karen discussed upcoming focus groups which are to occur by May at the latest They will touch on van sites ie North County Karen shared her concern on not having consumer representation on the Board
Jennifer inquired about family members of consumers and participation on the Board Elisa indicated family advocates are more than welcome to come and participate but would not count towards the consumer representation
iv Medical Executive Committee Minutes The Medical Executive Committee reviewed the documentation provided for 3 DOH staff (2 reappointments and 1 new member) and the Directions for Living attestations All recommendations were approved by the Committee Lt Zach Haisch made a motion to accept the Medical Executive Committeersquos recommendationsapprovals which was seconded by Helen Rhymes The Board voted unanimously to approve the motion
v Unfinished BusinessFollow-Up
bull Safe Harbor PCSO BAA Follow Up The Sheriff has declined to sign the BAA at this time Bayside will not be sharing appointment data with Safe Harbor This item will be removed from future follow up
II GovernanceOperations i UDS Reporting due 215 The UDS report final draft was included in the packet The Health Center
will report 2839 unduplicated patients in 2018 which is within 5 of the goal Elisa discussed the UDS report required by HRSA ndash the funder Items reported on include locations of patients demographics insurance coverage staffing break downs (which are very particular in how they are reported These items may not completely reflect all staff working with HCH patients as contractual agreements on a fee for service basis do not count towards staff) diagnoses and quality of care measures (also included on the Dashboard) and program costs This reporting is required by HRSA Elisa pointed out pharmacy which is the largest cost category for the program This report is due annually by February 15th
ii StaffingVacancies Update Jennifer Black the new program manager shared that she is setting up interviews this week to fill the eligibility position She indicated that DOH does on-boarding once a month and the next opportunity she will have for this position is March 22nd She is currently looking to fill positions for eligibility medical assistant and an LPN at Bayside She inquired about a clerk position that she lacks space for This to be discussed offline with Karen Karen did note that PCHS has been providing an eligibility specialist that is currently there Wednesday Thursday and Friday to support DOH staff
iii Policy Manual Updates Included in the packet are specific Policy sections with track changes to identify areas that are proposed for the Boardrsquos approval Many of the proposed updates align with changes that are identified as staff work on the PCMH renewal process Policies are being updates to align with current standards and to reflect operational changesupdates identified through the process
The packet appears to not be in page order from the manual Note updated on the top of the pages include references to the new PCMH standards Updates include Appointment Access updated from five days to two weeks Mental HealthSubstance Abuse Referrals updated regarding the operational process After Hours has been updated to include call backs for messages received during business hours Legislative Mandates were updated from the yellow highlights to what is in the green Medical Home Responsibilities was updated to reflect the correct phone number Continuity of Care was updated to reflect instances when a client does not choose a PCP the Sliding Fee Discount program was updated to reflect 2019 Federal Poverty guidelines Specialty Care and Tracking was updated to align with operations Workforce Development was updated to reflect PCMH language
Karen and Elisa told the Board to anticipate more policy updates as the Health Center continues reviewing PCMH standards for re-recognition in the coming months
Lt Zach Haisch made a motion to accept the policy updates presented to the Board which was seconded by Helen Rhymes The Board unanimously approved the motion
iv MMUBayside Clinic Calendar Jennifer reviewed the February calendar The changes include adjustments to accommodate Provider training The trainings are necessary for the PCMH recognition process Staff are working to coordinate these with minimal impact to services
v Patient Satisfaction Survey ResultsBenchmarks Rhonda walked the Board through the survey results included in the packet There were 25 responses for established patients and 12 responses for first time clients
III Fiscal i Notice of Awards
a Elisa shared four separate NOAs
i 01-02 dated 011619 applied conditions to the grant based on the proposed changes
ii 01-03 dated 020819 lifts the first conditions from the Capital grant from prior to proposed trainings
iii 16-13 dated 011819 ends the previous 3 year project period and de-obligates the unobligated balance of ~$36k
iv 18-00 dated 012319 approves the health centerrsquos new three year funding period based upon the SAC application Awards HCH $1456M starting March 1 2019
Helen Rhymes made a motion to accept all four notices of awards which was seconded by Lt Zach Haisch The Board voted unanimously to approve the motion
ii New Funding Opportunities
a New Access Point (NAP) ndash Elisa shared this is an application for brand new sites The NOFO was reviewed by staff and partners and at this point in time feasibility of implementing a new site in the HRSA required 120 days is in question Staff propose to pass on this specific funding opportunity Staff will take this opportunity to incorporate ideas into the development of our strategic plan to provide preparations and planning prior to new opportunities in the future A NAP would increase our target Helen noted she likes to do what we do well Lt Zach Haisch made a motion to pass on this funding opportunity which was seconded by Helen Rhymes The Board unanimously approved the motion
IV Clinical
i Discussion Addressing Diabetes in the HCH Population Lt Haisch stated be spoke to the chef at Metropolitan Ministries (Safe Harborrsquos majority food purveyor) and they indicated they do what they can keeping in mind dietary restrictions ndash heart healthy etc Nothing specific to diabetes is available at Safe Harbor Karen told the Board we spoke to the HRSA Project Officer regarding the initiatives we have begun implementing She also indicated through the PCMH process we are looking at diabetes Staff are working on an Action Plan template for submission to HRSA They draft will be brought to the QI Team and shared with the Board when complete We are looking to develop Care Plans for diabetic patients
ii HCH Client Trend Reports Rhonda presented the trend reports
Medical Rhonda noted there was a holiday in January which resulted in lower numbers for HEP
No-Show Rates The no-show rates are rather consistent
Dental 190 HCH clients received dental service visits in January
V Other Updates i HCH Monthly Email UpdateNewsletter The newsletter was sent out and is included in the
packet There are upcoming webinars included in the communication addressing women experiencing homelessness please feel free to share these Vision Screening events are scheduled and flyers were attached to the communication
ii New Business None at this time
The meeting was adjourned at 422 pm The next meeting will be held at 300 pm on Tuesday March 12 2019 at JWB
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Minutes of the Monthly Meeting of the Health Care for the Homeless (HCH) Co-Applicant Board
February 12 2019 | 300 pm Location of Meeting Juvenile Welfare Board 14155 58th Street North Clearwater FL 33760 Present at Meeting Valerie Leonard Sandra Grosvenor Jennifer Post (phone) Theresa White (phone) Lt Zach Haisch Helen Rhymes and Sandnes Boulanger2 Staff and community members present Karen Yatchum Elisa DeGregorio Jennifer Black Rhonda OrsquoBrien (phone) and Meghan Lomas (1Consumer 2Alternate) The regular meeting of the HCH Co-Applicant Board was called to order at 309 pm
I Chairmanrsquos Report i Conflicts of Interest Board members were requested to review the agenda for any items that may
contain potential conflicts of interest No conflicts declared
ii Approval of Minutes A motion to approve the January meeting minutes was made by Helen Rhymes and seconded by Sandra Grosvenor The Board unanimously approved the minutes
iii Co-Applicant Board ndash New MembersRecruitment The new recruitment flyer with Karenrsquos information is included in the packet Consumer participation is key to have their voice included Safe Harbor discusses the Board and opportunity for participation in groups and interactions residents have with social workers Sandra may have some idea for individuals to participate from Pinellas Hope
Valerie inquired about what would happen without consumers represented Elisa discussed the importance of having consumers participate in the Board even though the Health Center has a waiver from HRSA regarding the consumer participation the voice of the consumer is key Karen discussed upcoming focus groups which are to occur by May at the latest They will touch on van sites ie North County Karen shared her concern on not having consumer representation on the Board
Jennifer inquired about family members of consumers and participation on the Board Elisa indicated family advocates are more than welcome to come and participate but would not count towards the consumer representation
iv Medical Executive Committee Minutes The Medical Executive Committee reviewed the documentation provided for 3 DOH staff (2 reappointments and 1 new member) and the Directions for Living attestations All recommendations were approved by the Committee Lt Zach Haisch made a motion to accept the Medical Executive Committeersquos recommendationsapprovals which was seconded by Helen Rhymes The Board voted unanimously to approve the motion
v Unfinished BusinessFollow-Up
bull Safe Harbor PCSO BAA Follow Up The Sheriff has declined to sign the BAA at this time Bayside will not be sharing appointment data with Safe Harbor This item will be removed from future follow up
II GovernanceOperations i UDS Reporting due 215 The UDS report final draft was included in the packet The Health Center
will report 2839 unduplicated patients in 2018 which is within 5 of the goal Elisa discussed the UDS report required by HRSA ndash the funder Items reported on include locations of patients demographics insurance coverage staffing break downs (which are very particular in how they are reported These items may not completely reflect all staff working with HCH patients as contractual agreements on a fee for service basis do not count towards staff) diagnoses and quality of care measures (also included on the Dashboard) and program costs This reporting is required by HRSA Elisa pointed out pharmacy which is the largest cost category for the program This report is due annually by February 15th
ii StaffingVacancies Update Jennifer Black the new program manager shared that she is setting up interviews this week to fill the eligibility position She indicated that DOH does on-boarding once a month and the next opportunity she will have for this position is March 22nd She is currently looking to fill positions for eligibility medical assistant and an LPN at Bayside She inquired about a clerk position that she lacks space for This to be discussed offline with Karen Karen did note that PCHS has been providing an eligibility specialist that is currently there Wednesday Thursday and Friday to support DOH staff
iii Policy Manual Updates Included in the packet are specific Policy sections with track changes to identify areas that are proposed for the Boardrsquos approval Many of the proposed updates align with changes that are identified as staff work on the PCMH renewal process Policies are being updates to align with current standards and to reflect operational changesupdates identified through the process
The packet appears to not be in page order from the manual Note updated on the top of the pages include references to the new PCMH standards Updates include Appointment Access updated from five days to two weeks Mental HealthSubstance Abuse Referrals updated regarding the operational process After Hours has been updated to include call backs for messages received during business hours Legislative Mandates were updated from the yellow highlights to what is in the green Medical Home Responsibilities was updated to reflect the correct phone number Continuity of Care was updated to reflect instances when a client does not choose a PCP the Sliding Fee Discount program was updated to reflect 2019 Federal Poverty guidelines Specialty Care and Tracking was updated to align with operations Workforce Development was updated to reflect PCMH language
Karen and Elisa told the Board to anticipate more policy updates as the Health Center continues reviewing PCMH standards for re-recognition in the coming months
Lt Zach Haisch made a motion to accept the policy updates presented to the Board which was seconded by Helen Rhymes The Board unanimously approved the motion
iv MMUBayside Clinic Calendar Jennifer reviewed the February calendar The changes include adjustments to accommodate Provider training The trainings are necessary for the PCMH recognition process Staff are working to coordinate these with minimal impact to services
v Patient Satisfaction Survey ResultsBenchmarks Rhonda walked the Board through the survey results included in the packet There were 25 responses for established patients and 12 responses for first time clients
III Fiscal i Notice of Awards
a Elisa shared four separate NOAs
i 01-02 dated 011619 applied conditions to the grant based on the proposed changes
ii 01-03 dated 020819 lifts the first conditions from the Capital grant from prior to proposed trainings
iii 16-13 dated 011819 ends the previous 3 year project period and de-obligates the unobligated balance of ~$36k
iv 18-00 dated 012319 approves the health centerrsquos new three year funding period based upon the SAC application Awards HCH $1456M starting March 1 2019
Helen Rhymes made a motion to accept all four notices of awards which was seconded by Lt Zach Haisch The Board voted unanimously to approve the motion
ii New Funding Opportunities
a New Access Point (NAP) ndash Elisa shared this is an application for brand new sites The NOFO was reviewed by staff and partners and at this point in time feasibility of implementing a new site in the HRSA required 120 days is in question Staff propose to pass on this specific funding opportunity Staff will take this opportunity to incorporate ideas into the development of our strategic plan to provide preparations and planning prior to new opportunities in the future A NAP would increase our target Helen noted she likes to do what we do well Lt Zach Haisch made a motion to pass on this funding opportunity which was seconded by Helen Rhymes The Board unanimously approved the motion
IV Clinical
i Discussion Addressing Diabetes in the HCH Population Lt Haisch stated be spoke to the chef at Metropolitan Ministries (Safe Harborrsquos majority food purveyor) and they indicated they do what they can keeping in mind dietary restrictions ndash heart healthy etc Nothing specific to diabetes is available at Safe Harbor Karen told the Board we spoke to the HRSA Project Officer regarding the initiatives we have begun implementing She also indicated through the PCMH process we are looking at diabetes Staff are working on an Action Plan template for submission to HRSA They draft will be brought to the QI Team and shared with the Board when complete We are looking to develop Care Plans for diabetic patients
ii HCH Client Trend Reports Rhonda presented the trend reports
Medical Rhonda noted there was a holiday in January which resulted in lower numbers for HEP
No-Show Rates The no-show rates are rather consistent
Dental 190 HCH clients received dental service visits in January
V Other Updates i HCH Monthly Email UpdateNewsletter The newsletter was sent out and is included in the
packet There are upcoming webinars included in the communication addressing women experiencing homelessness please feel free to share these Vision Screening events are scheduled and flyers were attached to the communication
ii New Business None at this time
The meeting was adjourned at 422 pm The next meeting will be held at 300 pm on Tuesday March 12 2019 at JWB
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
bull Safe Harbor PCSO BAA Follow Up The Sheriff has declined to sign the BAA at this time Bayside will not be sharing appointment data with Safe Harbor This item will be removed from future follow up
II GovernanceOperations i UDS Reporting due 215 The UDS report final draft was included in the packet The Health Center
will report 2839 unduplicated patients in 2018 which is within 5 of the goal Elisa discussed the UDS report required by HRSA ndash the funder Items reported on include locations of patients demographics insurance coverage staffing break downs (which are very particular in how they are reported These items may not completely reflect all staff working with HCH patients as contractual agreements on a fee for service basis do not count towards staff) diagnoses and quality of care measures (also included on the Dashboard) and program costs This reporting is required by HRSA Elisa pointed out pharmacy which is the largest cost category for the program This report is due annually by February 15th
ii StaffingVacancies Update Jennifer Black the new program manager shared that she is setting up interviews this week to fill the eligibility position She indicated that DOH does on-boarding once a month and the next opportunity she will have for this position is March 22nd She is currently looking to fill positions for eligibility medical assistant and an LPN at Bayside She inquired about a clerk position that she lacks space for This to be discussed offline with Karen Karen did note that PCHS has been providing an eligibility specialist that is currently there Wednesday Thursday and Friday to support DOH staff
iii Policy Manual Updates Included in the packet are specific Policy sections with track changes to identify areas that are proposed for the Boardrsquos approval Many of the proposed updates align with changes that are identified as staff work on the PCMH renewal process Policies are being updates to align with current standards and to reflect operational changesupdates identified through the process
The packet appears to not be in page order from the manual Note updated on the top of the pages include references to the new PCMH standards Updates include Appointment Access updated from five days to two weeks Mental HealthSubstance Abuse Referrals updated regarding the operational process After Hours has been updated to include call backs for messages received during business hours Legislative Mandates were updated from the yellow highlights to what is in the green Medical Home Responsibilities was updated to reflect the correct phone number Continuity of Care was updated to reflect instances when a client does not choose a PCP the Sliding Fee Discount program was updated to reflect 2019 Federal Poverty guidelines Specialty Care and Tracking was updated to align with operations Workforce Development was updated to reflect PCMH language
Karen and Elisa told the Board to anticipate more policy updates as the Health Center continues reviewing PCMH standards for re-recognition in the coming months
Lt Zach Haisch made a motion to accept the policy updates presented to the Board which was seconded by Helen Rhymes The Board unanimously approved the motion
iv MMUBayside Clinic Calendar Jennifer reviewed the February calendar The changes include adjustments to accommodate Provider training The trainings are necessary for the PCMH recognition process Staff are working to coordinate these with minimal impact to services
v Patient Satisfaction Survey ResultsBenchmarks Rhonda walked the Board through the survey results included in the packet There were 25 responses for established patients and 12 responses for first time clients
III Fiscal i Notice of Awards
a Elisa shared four separate NOAs
i 01-02 dated 011619 applied conditions to the grant based on the proposed changes
ii 01-03 dated 020819 lifts the first conditions from the Capital grant from prior to proposed trainings
iii 16-13 dated 011819 ends the previous 3 year project period and de-obligates the unobligated balance of ~$36k
iv 18-00 dated 012319 approves the health centerrsquos new three year funding period based upon the SAC application Awards HCH $1456M starting March 1 2019
Helen Rhymes made a motion to accept all four notices of awards which was seconded by Lt Zach Haisch The Board voted unanimously to approve the motion
ii New Funding Opportunities
a New Access Point (NAP) ndash Elisa shared this is an application for brand new sites The NOFO was reviewed by staff and partners and at this point in time feasibility of implementing a new site in the HRSA required 120 days is in question Staff propose to pass on this specific funding opportunity Staff will take this opportunity to incorporate ideas into the development of our strategic plan to provide preparations and planning prior to new opportunities in the future A NAP would increase our target Helen noted she likes to do what we do well Lt Zach Haisch made a motion to pass on this funding opportunity which was seconded by Helen Rhymes The Board unanimously approved the motion
IV Clinical
i Discussion Addressing Diabetes in the HCH Population Lt Haisch stated be spoke to the chef at Metropolitan Ministries (Safe Harborrsquos majority food purveyor) and they indicated they do what they can keeping in mind dietary restrictions ndash heart healthy etc Nothing specific to diabetes is available at Safe Harbor Karen told the Board we spoke to the HRSA Project Officer regarding the initiatives we have begun implementing She also indicated through the PCMH process we are looking at diabetes Staff are working on an Action Plan template for submission to HRSA They draft will be brought to the QI Team and shared with the Board when complete We are looking to develop Care Plans for diabetic patients
ii HCH Client Trend Reports Rhonda presented the trend reports
Medical Rhonda noted there was a holiday in January which resulted in lower numbers for HEP
No-Show Rates The no-show rates are rather consistent
Dental 190 HCH clients received dental service visits in January
V Other Updates i HCH Monthly Email UpdateNewsletter The newsletter was sent out and is included in the
packet There are upcoming webinars included in the communication addressing women experiencing homelessness please feel free to share these Vision Screening events are scheduled and flyers were attached to the communication
ii New Business None at this time
The meeting was adjourned at 422 pm The next meeting will be held at 300 pm on Tuesday March 12 2019 at JWB
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
v Patient Satisfaction Survey ResultsBenchmarks Rhonda walked the Board through the survey results included in the packet There were 25 responses for established patients and 12 responses for first time clients
III Fiscal i Notice of Awards
a Elisa shared four separate NOAs
i 01-02 dated 011619 applied conditions to the grant based on the proposed changes
ii 01-03 dated 020819 lifts the first conditions from the Capital grant from prior to proposed trainings
iii 16-13 dated 011819 ends the previous 3 year project period and de-obligates the unobligated balance of ~$36k
iv 18-00 dated 012319 approves the health centerrsquos new three year funding period based upon the SAC application Awards HCH $1456M starting March 1 2019
Helen Rhymes made a motion to accept all four notices of awards which was seconded by Lt Zach Haisch The Board voted unanimously to approve the motion
ii New Funding Opportunities
a New Access Point (NAP) ndash Elisa shared this is an application for brand new sites The NOFO was reviewed by staff and partners and at this point in time feasibility of implementing a new site in the HRSA required 120 days is in question Staff propose to pass on this specific funding opportunity Staff will take this opportunity to incorporate ideas into the development of our strategic plan to provide preparations and planning prior to new opportunities in the future A NAP would increase our target Helen noted she likes to do what we do well Lt Zach Haisch made a motion to pass on this funding opportunity which was seconded by Helen Rhymes The Board unanimously approved the motion
IV Clinical
i Discussion Addressing Diabetes in the HCH Population Lt Haisch stated be spoke to the chef at Metropolitan Ministries (Safe Harborrsquos majority food purveyor) and they indicated they do what they can keeping in mind dietary restrictions ndash heart healthy etc Nothing specific to diabetes is available at Safe Harbor Karen told the Board we spoke to the HRSA Project Officer regarding the initiatives we have begun implementing She also indicated through the PCMH process we are looking at diabetes Staff are working on an Action Plan template for submission to HRSA They draft will be brought to the QI Team and shared with the Board when complete We are looking to develop Care Plans for diabetic patients
ii HCH Client Trend Reports Rhonda presented the trend reports
Medical Rhonda noted there was a holiday in January which resulted in lower numbers for HEP
No-Show Rates The no-show rates are rather consistent
Dental 190 HCH clients received dental service visits in January
V Other Updates i HCH Monthly Email UpdateNewsletter The newsletter was sent out and is included in the
packet There are upcoming webinars included in the communication addressing women experiencing homelessness please feel free to share these Vision Screening events are scheduled and flyers were attached to the communication
ii New Business None at this time
The meeting was adjourned at 422 pm The next meeting will be held at 300 pm on Tuesday March 12 2019 at JWB
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
V Other Updates i HCH Monthly Email UpdateNewsletter The newsletter was sent out and is included in the
packet There are upcoming webinars included in the communication addressing women experiencing homelessness please feel free to share these Vision Screening events are scheduled and flyers were attached to the communication
ii New Business None at this time
The meeting was adjourned at 422 pm The next meeting will be held at 300 pm on Tuesday March 12 2019 at JWB
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Health Care for the Homeless Program Medical Executive Committee Notes for March 2019
1
Team Member participation
Dr Raju Mungara MD Senior Physician FL DOH in Pinellas County
Rhonda OrsquoBrien MSN APRN Quality Assurance Coordinator County Medical Services FL DOH in Pinellas County Dr Chitra Ravindra MD MPH MBA FAAFP County Medical Director FL DOH in Pinellas County
Elizabeth Smith MSN RN Executive Community Health Nursing Director Community Health amp Performance Management Director Dr Ioana Stoici Senior Dentist FL DOH in Pinellas County Dr Stoici is on leave
Melissa VanBruggen Clinical Health Services Director FL DOH in Pinellas County
Karen Yatchum Health Administrator Pinellas County Human Services
Notes The team members were emailed the Credentialing amp Privileging Request for Clinical Privileges Form for Roberta Lamp RN They were asked to review the request and to respond via email to approve or disapprove All team members responded via email and agreed to approve Roberta Lamp RN for Credentialing amp Privileging
The next scheduled meeting will be April 30 2019 from 1-130 PM EST
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
TAB 2 ndash GOVERNANCEOPERATIONS
bull HCH Dashboard bull National Health Services Corp bull PCMH Update bull Policy Manual Updates bull Monthly Calendar bull Client Satisfaction Survey Results
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 Cover
11
Healthcare for the Homeless Mobile Medical Unit and Bayside Health Clinic
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 Total Enrolled Clients and Appointment Data
11
Appointment Data January-December 2018
Kept Appt 64 Cancelled or RS 4
No Show 32
Kept Appt Cancelled or RS No Show
Total Enrolled HCH Clients January-December 2018
0K
2K
4K
6K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
315 283 309 259 261 282 387 388 353 404 345 258
3715 3711 3653 3778 3778 3775 3836 3859 38104056 4066 4046
3715
64045115
43845928
4167
4831
5648
6160
3908
4610
5401
New Clients Total Enrolled Clients Cumulative Clients
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 ExistingNew Patient Satisfaction Survey
11
HCH Exisiting Patient Satisfaction Survey January-December 2018
0
20
40
60
80
100
Staff ListenCarefully
StaffInformed ofSpecialist
Care
How OftenTalk of
PersonalProblems
How OftenStaff TalkedAbout Goals
Frequencyof Useful
Information
Frequencyof Overall
Satisfaction
Follow Upon TestResults
DrExplaination
EasilyUnderstood
Appt AsSoon asNeeded
AfterhoursAnswers -Medical
Questions
882769
636734 747
823 838 889
703604
79136 145 142 162 124 96 80
203 20671 104
34 19 08
880
590
900
380
870790
860
680 720560
Always Usually Sometimes Never Benchmark
HCH First Time Patient Satisfaction Survey March-December 2018
0
20
40
60
80
100
Appt As Soon asNeeded
Dr ExplainationEasily
Understood
Staff ListenCarefully
Staff TalkedAbout Goals
Talk of PersonalProblems
Were yousatisfied
920992 993
923 883993
8008 07
77 11707
Yes No
SourceDOH-First Time Patient
Surveys Included Until 318
Source DOH
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 Unique Medical Clients and Encounters
11
Number of Unique Medical Clients Seen (Goal 2980 for 2018)
0
100
200
300
400
500
1000
1500
2000
2500
3000
2018January
2018February
2018March
2018April
2018 May 2018June
2018July
2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
187
114 9367 78 59 52
8964 71 50 44
374
225189
150 146 131108
135108 96
561
28701980
2572
1182
1797
23662730
1592
2194
Number of Unique MMU Clients Number of Unique Bayside Clients Monthly Unique Cumulative
Medical Encounters
0
200
400
600
800
1000
0K
2K
4K
6K
8K
2018January
2018February
2018March
2018April
2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018Novemhellip
2018Decemhellip
216 235 225 220 238 226 233286
228 255196 200
463 427 462 446 440 471 450 471384
448367 346
679
7933
4752 6824
2028
61217387
1341
3372
5509
MMU Medical Encounters Bayside Medical Encounters Monthly Encounter Cumulative
Source DOH
Source DOH
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 Unique Dental Clients and Encounters
11
Unique Number of Dental Clients Seen (Goal of 300 for 2018)
0
200
400
600
800
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
15385 76 55 61 62 45 66 66 54 35 40
153
798537
369
723
314
492
669758
238
430
603
Unique Dental Clients Cumulative Dental Clients
Dental Encounters
0K
1K
2K
3K
2018January
2018February
2018March
2018 April 2018 May 2018June
2018 July 2018August
2018Septemhellip
2018October
2018November
2018December
224 238 258 250 284 253 206 304 291 309 204 205224
30261713
970
2617
720
1507
2308
2821
1254
2017
Dental Encounters Cumulative Dental Encounters
Source DOH
Source DOH
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 MAT and Mental Health Clients and Encounters
11
MAT Treatment
0
50
100
150
2017 Q4 2018 Q1 2018 Q2 2018 Q3 2018 Q4
9 10 11 11 8
3950
58 63 69
4 6 7 3 2
123146
74
118
93
of Clients Recing Buprenorphine Tx
of Clients Recing Methadone Tx
of Clients Recing Vivitrol
Cumulative Clients
Source Operation PAR
Mental Health Clients
0
200
400
600
800
1000
1200
2016 2017 2018
602
923
1077
Mental Health Ecounters
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2016 2017 2018
1447
41633892
Source Operation PAR Directions Baycare (Baycare ended 618)
Source Operation PAR Directions Baycare (Baycare Ended 618)
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 Financial Data
11
Total Cost Per Year
$00M $05M $10M $15M $20M
2016
2017
2018
$605760
$939029
$619211
$245785
$371530
$290681 $592940
$85184
$364934
$390200
$1509089
$1491417
$2171742
$200467
$335425
$186097
$394608
$523062
$454603
Medical Care Services
Dental
Mental Health
Substance Abuse
Pharmaceuticals (Admin and RX)
Enabling amp Other Services
Facility amp Non-Clinical Support Services
Health Center Grant Cost Per Patient (Goal $41170)
$0
$200
$400
$600
2014 2015 2016 2017 2018
$41170
$43337
$63146
$26532
$52531
$35407
Medical Cost Per Medical Visit (Goal $9492)
$0
$50
$100
2014 2015 2016 2017 2018
$9492
$7860
$11134$10741
$9916$9380
Total Cost Per Patient (Goal $71509)
$0
$500
$1000
$1500
$2000
2014 2015 2016 2017 2018
$71509
$43387
$138218
$168443
$146615
$90630
Source UDS Report
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019 Clinical Performance Measures
11
Preventive Health Screenings and Goals
0
20
40
60
80
100
2016 2017 2018
49
50
49
100
97
99
25
23 30
90
88 93
Cervical Cancer (Goal 50)
Tobacco Use (Goal 98)
Colorectal Cancer (Goal 25)
Adult Weight (Goal 80)
Chronic Disease Management and Goals
0
20
40
60
80
100
2016 2017 2018
91
86 90
91 77
82
69
84
77
67
62
64
44
46
45
57
75
69
Asthma Treatment (Goal 80)
Coronary Artery Disease (Goal 76)
Ischemic Vascular Disease (Goal 75)
Blood Pressure Control(Goal 76)
Diabetes Control (Goal Not Established)
Depression Screening (Goal 50)
Source UDS Report
Source UDS Report
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
HEALTH
SERVICE CORPS ($
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
National Health Service Corps SITE AGREEMENT
National Health Service Corps (NHSC) approved sites must meet all requirements stated below at the time of application and must continue to meet the requirements in order to maintain status as an NHSC-approved site
1 Is located in and treats patients from a federally designated Health Professional Shortage Area (HPSA)
2 Does not discriminate in the provision of services to an individual (i) because the individual is unable to pay (ii) because payment for those services would be made under Medicare Medicaid or the Childrenrsquos Health Insurance Program (CHIP) or (iii) based upon the individualrsquos race color sex national origin disability religion age sexual orientation or gender identity [May or may not be applicable to ITUs free clinics or correctional facilities]
a Uses a schedule of fees or payments for services consistent with locally prevailing rates or charges an d designed to cover the sitersquos reasonable costs of operation (May or may not be applicable to ITUs free cl inics or correctional facilities)
b Uses a discountedsliding fee schedule to ensure that no one who is unable to pay will be denied access to services and t he discount must be applicable to all individuals and families with annual incomes at or below 200 percent of the most current FPG The sliding fee schedule must also provide a full discount for individuals and families with annual incomes at or below 100 percent of the FPG with allowance for a nominal charge only consistent with sitersquos policy Must adjust fees (partial sliding fee discount) based on family s ize and income for individuals and families with incomes above 100 percent and at or below 200 percent of the FPG and Must not offer sliding fee discounts for individuals and families with annual incomes above 200 of the FPG (May or may not be applicable to ITUs free clinics or correctional facilities)
c Makes every reasonable effort to secure payment in accordance with the schedule of fees or schedule of discounts from the patient andor any other third party (May or may not be applicable to ITUs free cl inics or correctional facilities)
1
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
d Accepts assignment for Medicare beneficiaries and has entered into an appropriate agreement with the applicable state agency for Medicaid and CHIP beneficiaries (May or may not be applicable to ITUs free clinics or correctional facilities)
e Prominently displays a statement in common areas and on sitersquos website (if one exists) that explicitly states that (i) no one will be denied access to services due to inability to pay and (ii) there is a discountedsliding fee schedule available When applicable this statement should be translated into the appropriate languagedialect (May or may not be applicable to free clinics or correctional facilities)
3 Provides culturally competent comprehensive primary care services ( medical dental a ndor
behavioral) which correspond to the designated HPSA type For a detailed description of culturally and linguistically appropriate services in health visit the Office of Minority Health
4 Uses a credentialing process which at a minimum includes reference review licensure verification and a query of the National Practitioner Data Bank (NPDB) of those clinicians for whom the NPDB maintains data
5 Functions as part of a system of care that either offers or assures access to ancillary inpatient and specialty referrals
6 Adheres to sound fiscal management policies and adopts clinician recruitment and retention policies to help the patient population the site and the community obtain maximum benefits
7 Maintains a clinician recruitment and retention plan keeps a current copy of the plan onsite for review and adopts recruitment policies to maintain clinical staffing levels needed to appropriately serve the community
8 Does not reduce the salary of NHSC clinicians because they receive or have received benefits under the NHSC Loan Repayment or Scholarship programs
9 Allows NHSC clinicians to maintain a primary care clinical practice (full-time or half-time) as indicated in their contract with NHSC and described in part below The site administrator must review and know the clinicianrsquos specific NHSC service requirements Time spent on call will not count toward a clinicianrsquos NHSC work hours Participants do not receive service credit hours worked over the required hours per week and excess hours cannot be applied to any other work week Clinicians must apply for a suspension if their absences per year are greater than those allowed by NHSC If a suspension is requested and approved the participantrsquos service obligation end date will be extended accordingly For a more detailed explanation of the full-time and half-time clinical practice requirements including requirements for participants working in CAHs and IHS Hospitals please refer to the NHSC website and review the respective NHSC Loan Repayment Program Students to Service Loan Repayment Program andor Scholarship Program Application and Program Guidances please visit the NHSC website
10 Communicates to the NHSC any change in site or clinician employment status for full-time and half-time including moving an NHSC clinician to a satellite site for any or all of their hour work week termination etc
11 Supports clinicians with funding and arrangements including clinical coverage for their time away from the site to attend NHSC-sponsored meetings webinars and other continuing education programs
2
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
APPENDIX A
National Health Service Corps Site Reference Guide
US Department of Health and Human Services Health Resources and Services Administration
12 Maintains and makes available for review by NHSC representatives all personnel and practice records associated with an NHSC clinician including documentation that contains such information that the Department may need to determine if the individual andor site has complied with NHSC requirements
13 Completes and submits NHSC Site Data Tables (requires six months of data) to NHSC at time of site ap plication recertification and NHSC site visits The following eligible Auto-Approved NHSC Sites ARE NOT required to submit the NHSC Site Data Tables 1) FQHCs and 2) FQHC Look-Alikes The standard HRSABPHC Uniform Data System (UDS) report will be reviewed in place of the data tables The following eligible Auto-Approved NHSC sites ARE required to complete the NHSC Site Data Tables specifically the General Site Information and Table 4 1) ITUs 2) Federal Prisons 3) State Prisons and 4) ICE Health Service Corps sites
14 Complies with requests for a site visit from NHSC or the state Primary Care Office with adherence to all NHSC requirements
By signing below you hereby affirm your compliance with the NHSC Site Agreement and that the information submitted is true and accurate You further understand that this information is subject to verification by the NHSC
Name of Site (Print)
Site Officialrsquos Name (Print)
Site Officialrsquos Name (Signature)
Site Officialrsquos Title
Date
3
Barry A Burton
County Administrator
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
DEPARTMENT OF HEALTH amp HUMAN SERVICES Health Resources and Services Administration _____________________________________________________________________________________________________________________
March 1 2019 Linda Kahle Site Representative Karen Yatchum Site Representative Pinellas County Board of County Commissioners Homeless Program 14808 49th St N Clearwater FL 33762 Re Confirmation of National Health Service Corps Site Visit Dear Ms Kahle and Ms Yatchum I would like to confirm the upcoming National Health Service Corps (NHSC) site visit with Pinellas County Board of County Commissioners Homeless Program ndash Bayside Health Clinic in Clearwater Florida and Mobile Medical Unit in St Petersburg Florida on Wednesday March 27 2019 at 100 PM NHSC is committed to recruiting and retaining providers focused on serving the underserved and uninsured populations To support this goal we will verify adherence to NHSC requirements by reviewingcollecting data about your site and by meeting personally with the site administrators and NHSC providers Apart from supporting retention and assuring compliance the site visit will also be a forum to voice your questions or concerns and to identify any technical assistance needs I have enclosed a proposed agenda and a list of documents to be reviewed If you would like to send any of the documents electronically prior to the visit please feel free to do so Otherwise I will review them onsite As we discussed previously the NHSC site visit will consist of a meeting with the sitersquos NHSC point of contact to review NHSC program-related documents policies and practices We would also like a brief facility tour These activities can take place the order that works best for your site and that minimizes impact on workflow I look forward to our upcoming visit If you have any questions or concerns about the logistics or content of the visit please feel free to contact me at 404-562-7493 or tmasonhrsagov Sincerely Tonjus Mason MPH BSN RN Captain US Public Health Service HRSArsquos Bureau of Clinical Recruitment and Services Atlanta Regional Office Division of Regional Operations
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
2
Enclosures List of documents for review
Proposed NHSC site visit agenda Documents for review
1) Discountedsliding fee schedule (SFS) and accompanying SFS application 2) Signage a) Stating that no one will be denied access to services due to inability to pay and b)
Advertising the availability of a discountedsliding fee schedule 3) Current Recruitment amp Retention Plan 4) Personnel files of all NHSC Clinicians or applicants including the National Practitioner Data
Bank (httpwwwnpdb-hipdbhrsagov) query reports if available 5) NHSC Site Profile (httpnhschrsagovcommunitiessiteprofileformpdf) ndash This document is
required once the site is approved The site is unable to complete before NHSC site approval 6) Policies regarding
a Non-discrimination of patients based upon race color sex national origin disability religion age or sexual orientation
b Acceptance of Medicare Medicaid and Childrenrsquos Health Insurance Program 7) Proof of Practice (ie commercial lease agreement state facilities license accreditation
certificate from the Joint Commission or the Accreditation Association of Ambulatory Health Care articles of incorporation or business license)
8) Proof of Referrals for ancillary specialty and inpatient care (eg MOU letter from specialty care facilityprovider proof of hospital admitting privileges)
9) Site Statistics (The site will receive four electronic tables to complete)
For Private Practice Applicants 1) Patient Billing History for past 12 months from Medicare Medicaid and CHIP 2) Current Copy of Applicants Curriculum Vitae amp License to Practice
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3
Proposed NHSC Site Visit Agenda
Time
Topic
Discussants
100- 115 Introduction Site Staff amp
DRO Specialist
115- 130
NHSC Practice Site Brief Overview (include brief program history target populations
servicescommunityresources) Site Lead
130- 230 Practice Site Discussion
DRO Specialist Key Site Program
Staff 230- 200
Site Visit Wrap-Up De-Brief
NHSC Site Staff amp DRO Specialist
Thank you for partnering with NHSC
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
1
Team Member attendance
Jennifer Black FL DOH Pinellas Dr Ravindra FL DOH Pinellas Elisa DeGregorio HHS Stephanie Reed HHS Jodi Groth HHS Daisy Rodriguez HHS Karen Hodge FL DOH Pinellas Chukwudi Ufondu FL DOH Pinellas Bhavani Kolla FL DOH Pinellas Melissa VanBruggen FL DOH Pinellas Nelson Lopes OTI HHS Andrew ldquoAndyrdquo Verrett FL DOH Pinellas Meghan Lomas HHS Dale Williams HHS Dr Raju Mungara FL DOH Pinellas Karen Yatchum HHS Rhonda OrsquoBrien FL DOH Pinellas
Agenda-Minutes Welcomed Team
The meeting was dedicated entirely to the PCMH Recognition The PCMH reports reviewed today are saved in the county shared Nextgenroot folder and in the DOH MMU-QI folder 1 KM 02 Comprehensive Health Assessment
Rhonda presented screenshots from NextGen electronic health record showing a documented History Action item completed Diet History was added and the check box below was clicked to determine how the social history would appear in the patientrsquos note and the note was generated amp attached
Attachment 1- Comprehensive Health Assessment Screenshots updated to include Diet History as requested by team Attachment 2- Copy of NextGen document with Social History as requested by team (Tester patient)
The BH Assessment including the Self-Care Skills is currently being used as well to include Self Care skills
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
2
The PCMH Demo_Social_Determinants_KM07_KM08 report was reviewed Marital Status was populated for most of the 913 patients The Contact method and Activity level was populated for some patients Primary Residence was populated for 1 patient and Birth Place was populated for 1 patient The team needs to confirm the origin of the data entry Action item Jennifer will sit with one of the clericalintake staff and one of the nurses to observe and document data items collected for a patient
2 KM 06 Predominant Conditions PCMH report was reviewed specifically the top 5 Hypertension Depression Obesity Tobacco Use and Anxiety The UDS CQMrsquos include all but Anxiety Strategies addressing Obesity and Tobacco Use are well established and exceeding goal for CY18 Diabetes and Depression will also be addressed in the agenda item 11- CM 01 Action item Stephanie is working on an action plan for Diabetics
Karen stated that that Behavioral health conditions appeared low Dr Ravindra stated that improvements are being made by the providers to document these in the AP and that they are being assessed via the paper BH Assessment and Scoring sheets Action item Dr Ravindra will continue to monitor the diagnoses of the BH conditions in the PCMH Predominant Conditions report and upcoming UDS reports and compare these to the Scores in the Depressions Screening and Other BH screening reports to ensure appropriate diagnoses are being made by providers
3 KM 08 Patient Materials-the team reviewed the patient demographics and communication needs Based on the current data and access to Health Wise Educational Materials What is the patientrsquos reading level and what is the reading level of Health Wise Action item Dale will identify the reading grade level for Health Wise and reach out to NextGen to ask if a report is available to show Educational materials printed from Nextgen
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
3
Action item The county will hold patient focus groups to determine if the current educational materials in Health Wise is readable for patients They will use the educational materials Rhonda sent for Diabetes education and Oral Health
4 KM 09 and 10-Diversity and Language PCH reports were reviewed
Race Totals Total Patients with Visits 913
American IndianAlaska Native 5 055
Asian 3 033
BlackAfrican American 159 1742
More Than One Race 30 329
Other Pacific Islander 3 033
UnreportedRefused 4 044
White 709 7766
Ethnicity Totals Total Patients with Visits 913 HispanicLatino 46 504 Non-HispanicNon-Latino 841 9211 UnreportedRefused 26 285
Language Totals Total Patients with Visits 913
Total Patients Needing Interpreter 0 000
Arabic 3 033
English 901 9869
French 1 011
Spanish 8 088
Educational materials are available in English and Spanish which is sufficient
5 KM 12 Proactive Reminders The PCMH Report for Care Guidelines was reviewed Specific guidelines action dates and due dates were reviewed and discussed ie Diabetics with A1c action date and next due date Strategies will include using Everbridge and the Patient Portal for reminders Action item DaleNelson will determine why the phone number isnrsquot in the report
6 KM 20 Clinical Decision Support Action item completed Karen sent the screenshot to Rhonda and Dr Ravindra during the meeting Action item Rhonda and Dr Ravindra will review and give an update to the workgroup
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Health Care for the Homeless Program Quality Improvement Team Meeting Minutes
DateTime Friday March 8 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd floor Conference room 2-109A
4
7 KM 26 Community Resource List (current) was provided for team members Attached
Action item Jennifer will give to the staff so they can distribute to the patients especially during enrollment andor the initial visit for new patients
8 AC 04 amp 05 Timely Clinical Advice during office hours and after-hours Action item 1 example of each is still needed
9 AC 11 Patient Visits with Clinical Team report was reviewed Reports show 5 patients selecting Dr Daud as their PCP Dr Daud is a fill-in so he should not be selected Action item The team recommends a goal of 40 to the board Action item HCHP staff will change the PCP for Dr Daudrsquos 5 patients
10 AC 13 Panel Size Review and Management The team reviewed the report and recommends the following panel size
bull No more than 2000 patients for each physician bull No more than 1500 patients for each mid-level provider ie PA and APRN
11 CM 01 Identifying patients for Care Management An excel spreadsheet showing how DOH identified high-
risk patients-All DM Patients (277) with or without Depression and with or without Hospital Visits The team agreed that the 36 patients with all 3 of these criteria are the highest risk patients of the entire patient population The MMU PampP manual was edited to reflect his decision Attached These reports include confidential patient information and therefore will not be attached to these minutes The reports were sent to the county via encrypted email and are saved in the MMU-QI folder Action item Dr Ravindra will attend the workgroup meeting at Bayside which will include a review of CM in NextGen to determine if any modifications are needed in the health record to accommodate the new criteria
12 QI 01-16 Performance Measurement and Quality Improvement (QI) was not started due to time constraints This will be added to one of the upcoming weekly workgroup meetings
Announcements including recognizing specific individuals for specific outstanding QI projects Due to time constraints this was not done during the meeting In future meetings beginning in April this will be done at the beginning of the meeting to ensure that individuals are recognized for their outstanding QI Projects After the meeting Andy Verrett was recognized by Dr Ravindra for his outstanding work on the Excel Spreadsheet presented for CM01 The CY18 data was compiled from the PCMH Predominant Condition Report NextGen Practice Management Reports UDS Reports and Hospital Visits report Andy will be recognized for this during the April meeting as well
The next (monthly recurring) QI Team meeting is
DateTime April 12 2019 from 1-3 PM EST Location St Petersburg Health Center 205 Dr MLK Jr St N 2nd Floor Conference room 2-109A
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Asthma225
791
Predominant Conditions amp Health Concerns
Pinellas County Health ProgramPractice Totals Hypertension Diabetes Dyslipidemia Tobacco Heart Disease Obesity Alcohol Substance
26 3 120 203109 974 2121 6926 320 5062 823
STITotal Patients with Visits 2843 884 277 603 1969 91 1439 234 246 799 1072
Depression Anxiety HIV Hep B Hep C
STIPCP Agyekum PA-C Festus
Depression Anxiety HIV Hep B Hep C
422 070
Details Patient ID Last Name First Name DOB Hypertension Diabetes Dyslipidemia Asthma Tobacco Heart Disease Obesity Alcohol Substance
865 2810 3771 091 011
3708 077 010 397 087407 4879 687 523 27783291 987 2023 707 7096383 8 1 41 942 504 71 54 287340 102 209 73 733Total Patients with Visits 1033
PCP Mungara MD Raju
3622 105 008 535 057308 5235 1005 964 34283015 1029 2269 972 6783447 13 1 66 738 646 124 119 423372 127 280 120 837Total Patients with Visits 1234
PCP Thykeo-Hicks Lynn
4201 087 017 226 069191 5017 677 1267 15452986 833 1979 556 6927242 5 1 13 411 289 39 73 89172 48 114 32 399Total Patients with Visits 576
copy NextGen Inc 2018Version 80 272019 80212 AM
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
9462538
Patient First Name PCP
Patient First Name PCP
Patient First Name PCP
Total patients with a visit but not with their PCP 63 610Total patients with at least one PCP visit 970 9390Total patients with visits 1033
Encounter Date Rendering ProviderPCP Agyekum PA-C Festus
Total patients with at least one PCP visit 2690Total patients with a visit but not with their PCP 153
Patient ID Patient Last Name
Continuity of Care
Practice Pinellas County Health Program
Practice TotalsTotal patients with visits 2843
At least one PCP visit No PCP visits
Total patients with a visit but not with their PCP 61 494Total patients with at least one PCP visit 1173 9506
PCP Mungara MD RajuTotal patients with visits 1234
Patient ID Patient Last Name Encounter Date Rendering Provider
At least one PCP visit
Total patients with a visit but not with their PCP 29 503Total patients with at least one PCP visit 547 9497
PCP Thykeo-Hicks LynnTotal patients with visits 576
Patient ID Patient Last Name Encounter Date Rendering ProviderNo PCP visits
At least one PCP visit No PCP visits
Version 80 272019 83830 AM copy NextGen Inc 2018
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 37
Clinical staff may deviate from nationalconsensus guidelines and standards where clinically applicable reasons for such deviation should be documented in the chart Such reasons may include but not be limited to allergies or intolerances to certain medicines contraindication to certain modes of treatment etc
Up-To-Date is an evidence based peer reviewed information resource with a faculty of more than 4000 leading physicians peer reviewers and editors The topic reviews include a synthesis of the literature the latest evidence and specific recommendations for client care The HCHP physician and backup clinicians have annual subscriptions to this online reference
COVERED AND NON COVERED SERVICES Pinellas County has developed a list of Covered and Non-Covered Services for clients enrolled in the program The list of covered services is reviewed every two years by the Pinellas County Medical Director Any recommended changes may be brought to the County Management Staff for review and approval See Appendix D PCHP Covered amp Non Covered Services
CARE MANAGEMENT
IDENTIFYING CARE MANAGED PATIENTS (2017 Care Management amp Support CM01 Core)
It is the policy of the HCHP to identify clients who may benefit from care management High risk clients are identified based upon behavioral health conditions high cost services and complex conditions
It is the policy of the HCHP that clients can be identified for care management by diagnosis or condition but the emphasis of care must be on the whole person over time and on managing all of the care needs of the client The HCHP adopts evidence-based guidelines and uses them to plan and manage client care It is the policy of the HCHP to establish criteria and a process to identify clients who may benefit from care management
PROCEDURE The HCHP has specific criteria and a process to identify clients who would benefit from whole-person care planning and management All clients with an existing Diagnosis of Type 1 or 2 Diabetes Mellitus and Depression and Hospital admissions andor Emergency Department visits during the calendar year will benefit from Care Management
The HCHP identifies these clients on a daily basis The schedule is looked at each day by the Nurse or Medical Assistant and members of the care team to identify scheduled clients the following business day who have an existing diagnosis of Type 1 or 2 Diabetes Mellitus The Nurse or Medical Assistant will be in charge of populating those high-risk clients in the care management registry spreadsheet The care management spreadsheet will be the tool used to manually keep track of these clients The Provider will make the final decision to populate the client in the care management registry
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 38
CARE PLAN DEVELOPMENT For patients identified for care management the practice consistently uses patient information and collaborates with patientsfamiliescaregivers to develop a care plan that addresses barriers and incorporates patient preference and lifestyle goals documented in the patientrsquos chart (CMO4) The care plan incorporates the following areas
bull Problem List (CM04) bull Expected outcomeprognosis (CM04) bull Treatment goals medication management (CM04) bull CommunitySocial Services (CM04) bull FunctionalLifestyle goals (CM06) bull Barriers to Goals (CM07) bull Self Management Tools (CM08)
The health center also establishes a schedule to review the plan at relevant visits A relevant visit addresses an aspect of care that could affect progress toward meeting existing goals or require modification of an existing goal (CM05) A copy of the care plan is provided to the patientfamilycaregiver The care plan may need modification based on a patientrsquos health literacy and language preferences (CM09) When possible and with patient permission the health center will share the care plan across external care settings that address the patientrsquos care needs
Clients are eventually taken off the care management registry spreadsheet when they are no-longer considered high-risk if they leave the HCHP or become deceased
QUALITY ASSURANCE The HCHP monitors the Care Management policy and procedure in the following manner
Quarterly monitoring of high risk clients is conducted The HCHP determines the number of clients who would benefit from care management in its population using the care management registry spreadsheet
Annual monitoring of care plans among the care team to include the clientrsquos provider A summary report is provided annually to the Chief Medical Officer for his or her review
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Pinellas County HCHP Policy amp Procedure Manual | Approved by HCH Co-Applicant Board ndash July 2 2015 (rev 02-13-2019) Page 52
XI PHARMACY Pharmacy services are provided at no cost to PCHPHCHP clients through a County contract with a Pharmacy Benefits Manager and through a Prescription Assistance Program
CONTROLLED SUBSTANCE PRESCRIBING The Florida Controlled Substance law went into effect July 1 2018 and addresses opioid abuse by establishing prescribing limits requiring continuing education on controlled substance prescribing and expanding required use of Floridarsquos Prescription Drug Monitoring Program (PDMP) EFORCSE and more
Starting July 1 2018 each prescriber must review E-FORCSE ( httpsfloridapmpawarenetlogin) for all controlled substances (except schedule V non-opioids) before the prescription is given to a client In addition providers are required to document in the Assessment and Plan that the provider checked E-FORCSE and note the purpose as follows
bull For ldquoAcute Painrdquo (limit to a 3 day or less supply) bull For ldquoAcute Pain with exceptionrdquo (exceed the 3 day limit but no more than a 7 day supply and
document the exception) bull For ldquoNon Acute Painrdquo (no exception documentation is needed but you are certifying the patient falls
into one of the following categories cancer terminal condition pain treated with palliative care traumatic injury with injury severity score of 9 or higher) Opioid antagonist must be co-prescribed if a Schedule II Opioid is prescribed for pain related to a traumatic injury with a severity score of 9 or greater
Providers can register and obtain more information here httpwwwflhealthsourcegovFloridaTakeControl
All prescribing practitioners with a DEA license and authorized to prescribe controlled substances must complete the continuing education course by January 31 2019 The course is two hours long an available via the link above
Below is a link to the list of controlled substances httpwwwlegstateflusStatutesindexcfmApp_mode=Display_StatuteampURL=0800-08990893Sections089303html
MEDNET PRESCRIPTION ASSISTANCE PROGRAM MedNetcopy was created in 2000 to increase access to prescription drug services for uninsured and medically needy residents with chronic health conditions MedNetcopy uses specially-trained Navigators to secure free prescription medications from ldquocompassionate userdquo programs offered by pharmaceutical manufacturers The Medical Home provider is responsible for referring new and current HCHP clients to the MedNet Navigators to be enrolled in the MedNet for eligible prescriptions not covered by the PCHP Pharmacy Formulary (eg brand name) See link below for more information
httpsuncoasthealthcouncilorgcurrent-programsmednet-prescription-assistance-program
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
1
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
5
95
72 72 72 72
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
1 How often did you get an appointment as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
18
0 0
2
5
9
2
0 0 00
2
4
6
8
10
12
14
16
18
20
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 How often did you get an appointment as soon as you needed
NA Never Sometimes Usually Always
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
2
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
8
33
5859 59 59 59
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7
0 0
2
0
3
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0 0 0
1
0 0 0 0
4
0 0 0
2
1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 If you phoned after normal business hours how often did you get an answer to your medical question as soon as you needed
NA Never Sometimes Usually Always
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
3
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
17
8387 87 87 87
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
3 How often did the doctor explain things in a way that was easy to understand
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1
0
2
0 0 0 0
15
0 0
1
4
7
3
0 0 00
2
4
6
8
10
12
14
16
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 How often did the doctor explain things in a way that was easy to understand
NA Never Sometimes Usually Always
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
4
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8488 88 88 88
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
4 How often did staff listen to you carefully and show respect for what you had to say
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 How often did staff listen to you carefully and show respect for what you had to say
NA Never Sometimes Usually Always
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
5
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
25
7579 79 79 79
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1 1 1
0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
4
0 0
1 1
0
2
0 0 0
12
0 0 0
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 If you had a blood test x-ray or other test how often did someone follow up to give you the results
NA Never Sometimes Usually Always
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
6
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0
9
27
6468 68 68 68
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got from the specialist
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
8
0 0
1 1
4
2
0 0 00 0 0 0 0 0 0 0 0 0
1
0 0
1
0 0 0 0 0 0
3
0 0 0
1 1 1
0 0 0
7
0 0 0
3
4
0 0 0 00
1
2
3
4
5
6
7
8
9
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 If you were referred to a specialist for a particular health problem how often did the staff seem informed and up-to-date about the care you got
from the specialist
NA Never Sometimes Usually Always
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
7
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
11 11 11
68
56 56 56 56
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
7 How often did someone talk to you about specific goals for your health
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 0
2
0 0 0
1 1
0 0 0 0
2
0 0
1
0 0
1
0 0 0
2
0 0 0
1
0
1
0 0 0
13
0 0
1
3
8
1
0 0 00
2
4
6
8
10
12
14
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
7 How often did someone talk to you about specific goals for your health
NA Never Sometimes Usually Always
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
8
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
6 6
25
63
38 38 38 38
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
3
0 0
1
0
1 1
0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
4
0 0
1 1 1 1
0 0 0
10
0 0 0
3
7
0 0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
8 How often did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
NA Never Sometimes Usually Always
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
9
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
7 7
20
67
86 86 86 86
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
9 How frequently do you find useful the information provided to you by staff about available Community Resources
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
4
0 0
1
0
3
0 0 0 0
1
0 0 0
1
0 0 0 0 0
1
0 0 0 0 0
1
0 0 0
3
0 0
1 1
0
1
0 0 0
10
0 0 0
3
6
1
0 0 00
2
4
6
8
10
12
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
9 How frequently do you find useful the information provided to you by staff about available Community Resources
NA Never Sometimes Usually Always
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
10
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0
16
8490 90 90 90
0
10
20
30
40
50
60
70
80
90
100
Never Sometimes Usually Always
10 How often have you been satisfied with the overall services received
Established Patient Satisfaction SurveysFebruary 2019 Total Surveys= 19
0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
3
0 0
1 1
0
1
0 0 0
16
0 0
1
4
9
2
0 0 00
2
4
6
8
10
12
14
16
18
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
10 How often have you been satisfied with the overall services received
NA Never Sometimes Usually Always
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
11
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4 4
0 0 0
1
2
1
0 0 0
1 1
0
2
00
05
1
15
2
25
3
35
4
45Total Responses
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
1 Did you get an appointment as soon as you needed
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
12
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
1 Did you get an appointment as soon as you needed
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
10
20
30
40
50
60
70
80
90
100
Yes No
2 Did the doctor explain things in a way that was easy to understand today
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
13
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
2 Did the doctor explain things in a way that was easy to understand today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
3 Did staff listen to you carefully and show respect for what you had to say today
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
14
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
3 Did staff listen to you carefully and show respect for what you had to say today
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
4 Did someone talk to you about specific goals for your health
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
15
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
4 Did someone talk to you about specific goals for your health
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
16
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
5 Did someone talk with you about a personal problem family problem alcohol use drug use or a mental or emotional illness
Yes No
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
100
00
20
40
60
80
100
120
Yes No
6 Were you satisfied with the overall services received
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
3112019
17
First Time Patient Satisfaction SurveysFebruary 2019 Total Surveys= 4
4
0 0 0
1 1
0
2
0 00 0 0 0 0 0 0 0 0 00
05
1
15
2
25
3
35
4
45
Total Answers SVDP St Pete SVDP Clearwater SA 1 - Stop SA ARC Bayside Pinellas Hope HEP Tarpon No Answer
6 Were you satisfied with the overall services received
Yes No
Client Satisfaction Survey Comments ndash Feb 2019Bayside ClinicFirst Time Patientsbull Overall ldquoAwesome care ndash Thank you so very muchrdquo
Established Patientsbull Q2 ndash Usually ldquoIf Clay answers Clay always doesrdquo
bull Two Comments Q2 ndash NA ldquoGo Inrdquo and Q8 ndash NA ldquoDonrsquot Drinkrdquo
MMU Sites ndash No Comments in Feb 2019 SurveysFirst Time Patients
Established Patients
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
TAB 3 - FISCAL
bull Notice of Award(s) bull Funding Opportunities
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
TAB 4 ndash CLINICAL
bull PATIENT TREND REPORT The medical trend report for February 2019 is attached bull NO SHOW REPORT The No Show report for February 2019 is attached bull DENTAL TREND REPORT The dental trend report for February 2019 is attached
The 2020 patient target for unduplicated patients is 2980
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Data source NextGen PM 03-01-19 804 AM and 2018 Trend Reports CY18 UDS report for unduplicated patient count =2839 (adjusted to satisfy criteria for unduplicated patient count)
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic
January 182 372 554 561February 109 203 866 900
March 866 1182April 866 1399May 866 1592June 866 1797July 866 1980
August 866 2194September 866 2366
October 866 2572November 866 2730December
Total for year 291 575
2018 Totals
Monthly increase all sites except Bayside
Bayside ONLY monthly increase
Monthly cumulative including Bayside
Monthly cumulative including expanded
clinic January 261 421 682 679
February 202 322 1206 1341March 1206 2028April 1206 2694May 1206 3372June 1206 4069July 1206 4752
August 1206 5509September 1206 6121
October 1206 6824November 1206 7387December
Total for year 463 743
HCHP Trend Report for Unduplicated Patients amp Qualified Medical Encounters by RM OBrien
1206
Calendar Month
Calendar Month
2019Totals (Goal is 9895)
2019 Totals (Goal is 2979)
866
Unduplicated Patients
Qualified Medical Encounters
2870
7933
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
HCHP Unduplicated Patients report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
Unduplicated Patient Count
Percentage of Total
Unduplicated Patient Count
Pinellas Hope 68 8Bayside 575 66Salvation Army (ARC) 73 8Salvation Army 1-Stop (St Petersburg) 50 6St Vincent DePaul (Clearwater) 26 3St Vincent DePaul (St Petersburg) 64 7Homeless Emergency Project (HEP) 10 1Totals (866) 866 100
LocationSite
2019Totals
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
HCHP Qualified Medical Encounter report for CY 2019 by RM OBrien Data source NextGen PM on 030119 804 AM
New 99201-99205
Established 99211-99215
Total of New amp
Established 99201-99215
Percentage of Total New
and Established
Pinellas Hope 11 100 111 9Bayside 163 580 743 62Salvation Army ARC 19 106 125 10Salvation Army 1-Stop (St Petersburg) 18 73 91 8St Vincent DePaul (Clearwater) 7 26 33 3St Vincent DePaul (St Petersburg) 15 70 85 7Homeless Emergency Project (HEP) 3 15 18 1Totals (1206) 236 970 1206 100
2019 Totals Qualified Medical Encounters
LocationSite
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
HCHP No Show Rate February 2019ResourceNextGen PM report 03-01-19 900 AM
LocationSite Scheduled Kept Appointments
Cancelled or Rescheduled
Number of No Shows
Percentage of No Shows
Bayside 704 417 31 256 36Homeless Emergency Project (HEP) 11 10 0 1 9Pinellas Hope 54 47 3 4 7Salvation Army (ARC) 70 63 3 4 6Salvation Army 1-Stop (St Petersburg) 60 46 2 12 20St Vincent DePaul (St Petersburg) 59 44 1 14 24St Vincent DePaul (Clearwater) 25 23 0 2 8Totals 983 650 40 293 30
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for MMU Dental Clients - Report ID - 3101 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_For_MMU_Dental_Clients
Trend Report For MMU Dental Clients
For Date the Range of 112019 Thru 2282019
Service Site Number of Patients Service Encounters
ST PETE HEALTH CENTER-SPECIALTY CARE 2 2
BAYSIDE CLINIC-MOBILE MEDICAL UNIT 2 192 426
ST PETE HEALTH CENTER - DENTAL 23 33
PINELLAS PARK HEALTH CENTER - DENTAL 35 77
MID COUNTY HEALTH CENTER - DENTAL 1 1
CLEARWATER HEALTH CENTER - DENTAL 7 9
All Sites 250 548
The sum of the patients at each service site will not equal the total unduplicated number of patients any time a patient receives treatment at more than one service site
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
Florida Department of Health in Pinellas CountyHMS Reports Pointing to Server DIT00VHMS52S Namespace HMS52 - 2019100 VerrettAR
LOGI Print Menu Button Name - Trend Report for Bayside Dental Clinics - Report ID - 3100 Saved By DOHUSERSVerrettAR Date FileSaved2017-08-09T083103 LOGI Engine VER122116-SP4
Server Namechd52vsdblogi01 File Name CountyMedicalMMUTrend_Report_for_Bayside_Dental_Clinic
Trend Report for Bayside Dental Clinic
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental ClinicFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 144 6 3 153 153
February 2018 78 7 0 85 238
March 2018 64 5 7 76 314
April 2018 48 5 2 55 369
May 2018 52 5 4 61 430
June 2018 61 1 0 62 492
July 2018 41 2 2 45 537
August 2018 54 11 1 66 603
September 2018 57 7 2 66 669
October 2018 48 4 2 54 723
November 2018 30 5 0 35 758
December 2018 37 3 0 40 798
Totals for YearPercentages
7148947
61764
23288 798
Unduplicated MMUSafe Harbor Dental Patients at all PCMH Dental Clinics including the Bayside Dental Clinic
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 144 17 0 161 161
February 2019 44 11 1 56 217
Totals for YearPercentages
1888664
281290
1046 217
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2018 213 7 4 224 224
February 2018 224 13 1 238 462
March 2018 241 9 8 258 720
April 2018 237 9 4 250 970
May 2018 257 21 6 284 1254
June 2018 240 8 5 253 1507
July 2018 199 4 3 206 1713
August 2018 279 22 3 304 2017
September 2018 242 44 5 291 2308
October 2018 270 33 6 309 2617
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
November 2018 182 22 0 204 2821
December 2018 186 21 0 207 3028
Totals for YearPercentages
27709148
213703
45149 3028
Dental EncountersFrom 112018 to 2282019
Calendar Month MMUBaySide PCHP NoMedHome Monthly Increase Cumulative
January 2019 230 29 0 259 259
February 2019 190 32 2 224 483
Totals for YearPercentages
4208696
611263
2041 483
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
TAB 5 ndash OTHER UPDATES
bull HCH E-Newsletter March 2019
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
From DeGregorio Elisa NTo DeGregorio Elisa NSubject Pinellas County Health Care for the Homeless E-News - March 2019Date Thursday February 28 2019 42019 PMAttachments March 2019 MMU and Bayside Calendarpdf
DOH Clearwater Screening flyerpdfDOH Mid County Largo Screening flyerpdfDOH MLK Screening flyerpdfDOH Pinellas Park Screening flyerpdfDOH Tarpon Springs Screening flyerpdfSPA DOH MLK Screening flyerpdfSPA DOH Clearwater Screening flyerpdfHCH Board Recruitment Flyerpdf
HEALTH CARE FOR THE HOMELESS PROGRAM MOBILE MEDICAL UNIT amp BAYSIDE HEALTH CLINIC
MARCH 2019 Welcome to the Pinellas Countyrsquos Health Care for the Homeless Program Monthly Update Thismonthly publication will deliver the monthly calendar announcements and upcoming events for theHealth Care for the Homeless program The Pinellas County Human Services Department and ourpartners at the Florida Department of Health are committed to providing quality care for ourCountyrsquos homeless residents Please pass this on to those in your organization who will benefit from the information If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line
Monthly Calendar
The March Calendar (link is updated on 1st of the month) for the Mobile Medical Unit and BaysideHealth Clinic is attached After Hours Help Clients have access to an on-call physician or nurse after regular businesshours through the Florida Department of Health by calling the clinicrsquos main phone 727-453-7866
Announcementstrade Hepatitis A on the Rise ndash The number of reported hepatitis A cases in Florida steadily
increased each month since April 2018 and has remained at or above the previous 5-yearaverage all year So far this year 33 new cases have been reported while In 2018 113 casesof Hepatitis A have been reported in Pinellas County Hepatitis A is a contagious liver diseasethat results from infection with the hepatitis A virus (HAV) It can range in severity from amild illness lasting a few weeks to a severe illness lasting several months See the attachedflyer for vaccination information and learn more from the Florida Department of Health
trade Vision Screening Events Thanks to Preserve Vision Florida adults who are patients enrolled
March 2019 Mobile Medical Unit Calendar
Monday Tuesday Wednesday Thursday Friday
1 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
4 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP NO SERVICES
Provider Training 100pm ndash 500pm
5 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
6 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
7 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
8 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
11 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
12 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
HCH Co-Applicant Board Meeting
JWB 14155 58th Street N Clearwater 33760 300pm ndash 500pm
13 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
14 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
15 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
18 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP
1051 Holt Ave Clearwater FL 33755 100pm ndash 500pm
19 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
20 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
21 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
22 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
25 Clearwater
SVDP Soup Kitchen 1340 Pierce Street
Clearwater FL 33756 830am ndash 1130am
HEP 1051 Holt Ave
Clearwater FL 33755 100pm ndash 500pm
28 St Petersburg
SVDP Center of Hope 401 15th St North
St Petersburg FL 33713 830am ndash 430pm
27 Clearwater
Pinellas Hope 5726 126th Ave North Clearwater FL 33760 830am ndash 500pm
28 St Petersburg
Salvation Army ARC 5885 66th St North
St Petersburg FL 33709 830am ndash 430pm
29 St Petersburg
Salvation Army One Stop 1400 4th St South
St Petersburg FL 33701 830am ndash 400pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
March 2019 Bayside Health Clinic Calendar
14808 49th Street North Clearwater FL 33762
Monday Tuesday Wednesday Thursday Friday Saturday
1 800am to 800pm
2 800am ndash 1200pm
4 800am to 300pm amp
530pm -800pm
NO SERVICES Provider Training 300pm to 530pm
Hepatitis Outreach
830am to 1030am
5 800am to 800pm
6 800am to 800pm
7 800am to 800pm
8 800am to 500pm
9 800am ndash 1200pm
11 800am to 800pm
12 800am to 800pm
HCH Co-Applicant Board
Meeting JWB 14155 58th Street N
Clearwater 33760 300pm ndash 500pm
13 800am to 800pm
14 800am to 800pm
Bay Area Legal
1200pm to 200pm
15 800am to 500pm
16 800am ndash 1200pm
18 800am to 800pm
Hepatitis Outreach 830am to 1030am
19 800am to 800pm
20 800am to 800pm
21 800am to 800pm
22 800am to 500pm
23 800am ndash 1200pm
25 800am to 800pm
26 800am to 800pm
27 800am to 800pm
28 800am to 800pm
29 800am to 500pm
30 800am ndash 1200pm
No Appointment Necessary Last appointment 30 minutes before closing time wwwpinellascountyorghumanservices 727-453-7866
wwwpvflaorg (813) 874-2020
Free Vision
Screening
Upcoming Dates December 10 2018 January 14 2019 February 11 2019
March 11 2019
Time 9ammdash12pm
Location Pinellas County Health Department
310 N Myrtle Avenue Clearwater FL 33755
Our Mission is Your Vision
Open to adults who are patients enrolled in the Pinellas County Health Program (PLEASE BRING BLUE CARD)
Assistance provided for glasses and exams to those who qualify
wwwpvflaorg (813) 874-2020
Free Vision
Screening
Upcoming 2019 Dates
January 28 February 25
March 25
Time 9ammdash12pm
Location Pinellas County Health Department-Mid County
8751 Ulmerton RD Largo FL 33771
Our Mission is Your Vision
Open to adults who are patients enrolled in the Pinellas County Health Program (PLEASE BRING BLUE CARD)
Assistance provided for glasses and exams to those who qualify
wwwpvflaorg (813) 874-2020
Free Vision
Screening
Upcoming Dates December 3 2018 January 7 2019 February 4 2019
March 4 2019
Time 9ammdash12pm
Location Pinellas County Health Department
205 Dr MLK Jr St N St Petersburg FL 33701
Our Mission is Your Vision
Open to adults who are patients enrolled in the Pinellas County Health Program (PLEASE BRING BLUE CARD)
Assistance provided for glasses and exams to those who qualify
wwwpvflaorg (813) 874-2020
Free Vision
Screening
Upcoming Dates December 4 2018 January 8 2019 February 5 2019
March 5 2019
Time 9ammdash12pm
Location Pinellas County Health Department
6350 76th Ave N Pinellas Park FL 33781
Our Mission is Your Vision
Open to adults who are patients enrolled in the Pinellas County Health Program (PLEASE BRING BLUE CARD)
Assistance provided for glasses and exams to those who qualify
wwwpvflaorg (813) 874-2020
Free Vision
Screening
Upcoming 2019 Dates
January 29 February 26
March 26
Time 9ammdash12pm
Location Pinellas County Health Department
301 S Disston Avenue Tarpon Springs FL 34689
Our Mission is Your Vision
Open to adults who are patients enrolled in the Pinellas County Health Program (PLEASE BRING BLUE CARD)
Assistance provided for glasses and exams to those who qualify
wwwpvflaorg (813) 874-2020
Evaluacioacuten de la vista
gratis
Fechas Diciembre 3
Enero 7 Febrero 4 Marzo 4
Horas 9ammdash12pm
Localizaciones Pinellas County Health Department
205 Dr MLK Jr St N St Petersburg FL 33701
Our Mission is Your Vision
Abierto para adultos que son pacientes del Departamento de Salud de el condado de Pinellas de bajos recursos econoacutemicos y no tienen ninguacuten otro seguro de salud ES NECESARIO TRAER LA TARJETA AZUL
Se les ofreceraacute el examen de la vision con un doctor y los anteojos totalmen-
te gratis
wwwpvflaorg (813) 874-2020
Evaluacioacuten de la vista
gratis
Fechas Diciembre 10
Enero 14 Febrero 11 Marzo 11
Horas 9ammdash12pm
Localizaciones Pinellas County Health Department
310 N Myrtle Avenue Clearwater FL 33755
Our Mission is Your Vision
Abierto para adultos que son pacientes del Departamento de Salud de el condado de Pinellas de bajos recursos econoacutemicos y no tienen ninguacuten otro seguro de salud ES NECESARIO TRAER LA TARJETA AZUL
Se les ofreceraacute el examen de la vision con un doctor y los anteojos totalmen-
te gratis
The Health Care for the Homeless (HCH) Co-Applicant Board is a patient ndash community advisory board that sets policy for the operations of the Mobile Medical Unit (MMU) and Bayside Health ClinicMeetings are held once per monthWHEN
bull Second Tuesday of each month from 300 to 430 pmWHERE
bull Juvenile Welfare Board 14155 58th St N Clearwater 33760 bull Transportation is provided for your participation on the HCH Co-Applicant Board if needed bull Light Refreshments are provided
TO LEARN HOW TO PARTICIPATE bull Karen Yatchum 727-464-5045 or kyatchumpinellascountyorg
More information about the HCH Co-Applicant Board is available at wwwpinellascountyorghumanservicesadvisory-councilhtm
Your Input MattersYou are invited to join the Health Care for the Homeless Co-Applicant Board
Pinellas County complies with the Americans with Disabilities Act To obtain accessible formats of this document please call (727) 464-4062 (VTDD) If you are a person with a disability who needs any accommodation in order to participate in this proceeding you are entitled at no cost to you to the provision of certain assistance At least seven days prior to the meeting contact the Office of Human Rights 400 S Fort Harrison Ave Suite 500 Clearwater FL 33756 (727) 464-4062 (VTDD) Produced in cooperation with the Pinellas County Communications Department
The Pinellas County Health Care for the Homeless Program is funded in part by the US Department of Health amp Human Services Health Resources and Services Administration In 2017 the total program costs were $47 million with $742621 (16) received in federal grant revenue and $3972090 (84) coming from non-federal grants and local revenue
in the Pinellas County Health Program (please bring blue card to receive services) can receivea vision screening at no cost as well as assistance for glasses and exams to those whoqualify Preserve Vision Florida will also be providing free vision screening for children Tothose referrals who qualify assistance will be provided for glasses and exams See thecalendar below and attached flyers for dates and locations
trade Her Health Her Housing Improving Services for Women Experiencing Homelessness TheNational Health Care for the Homeless Council is offering free 2019 Spring Virtual TrainingHer Health Her Housing Improving Services for Women Experiencing Homelessness fromMarch 6-28 Women and families are the fastest-growing segments of the Americanhomeless population Whether on the streets doubled-up or temporarily sheltered womenwithout homes face complex challenges such as increased risk of sexual assault lack ofaccess to preventive and prenatal care and all-too-prevalent trauma Learn how you canimprove services for women experiencing homelessness through trauma-informed qualitycare in our eight free CME-accredited webinars Featuring national experts our sessions willexplore the impact of violence sex work and racism on women without homes as well asbest practices for medical respite care cervical cancer screening prenatal services andmore Learn more and register here
trade Health Personnel can Enhance Preparedness Skills on April 18 The Atlantic Hurricaneseason doesnrsquot begin until June 1 but for health-care facilities emergency preparedness is ayear-round task The Tampa Bay area health community can enhance their lifesaving skills inplanning for and responding to hazards at a one-day conference coming to Pasco The 2019Hazards amp Healthcare Conference is slated for 8 am to 5 pm on Thursday April 18 atPasco-Hernando State College 2727 Mansfield Blvd Wesley Chapel The location is thecollegersquos Porter campus at Wiregrass Professionals such as nursing-home administratorshealth-care emergency planners and other responders are invited to attend as are doctorsnurses and other health personnel The conferencersquos theme is ldquoBack to Basicsrdquo and sessiontopics include creating robust emergency plans and planning for the special challenges athealth-care facilities in the Tampa Bay region Pasco County Emergency Management ishosting the event The cost until Feb 3 is $100 after that date the registration increases to$120Register online at httpshazardsandhealthcareticketspicecom2019-hazards-and-healthcare-conference For information about DOH-Pinellas go to (727) 824-6900 or followus on Twitter HealthyPinellas
trade Pinellas Residents Invited to Join Other Tampa Bay Communities for a Community HealthNeeds Assessment To better understand and address the health needs of communities inthe Tampa Bay area the Florida Department of Health in Hillsborough Pasco Pinellas andPolk counties and local area hospitals are partnering on a comprehensive survey The 2019Community Health Needs Assessment (CHNA) surveys residents on nutrition physicalactivity access to care and mental health To take the survey visithttpbitlyhealthsurvey2019 before April 21 Survey partners include Advent HealthBayCare Johns Hopkins All Childrenrsquos Hospital Lakeland Regional Health Moffitt CancerCenter Tampa General Hospital and other area health organizations in the four-county areaAlthough county health departments developed their own surveys in the past this is an
opportunity for counties in the region to work together on a more comprehensive regionalsurvey Data collected from the CHNA survey will help local health departments andhealthcare providers better understand the needs of the community The survey will be usedto develop a community health improvement plan which will address the issues residentsare most concerned about For information on past community surveys with Pinellas datafrom 2012 to 2018 visit httppinellasfloridahealthgovprograms-and-servicescommunity-health-planning-andstatisticsdata-and-reportsindexhtml
trade Flu Season in Full Swing ndash Flu Vaccine Available at BaysideMMU and all DOH locations With this yearrsquos flu season in full swing it is critical that all Floridians get the flu vaccine toprotect against infection and help prevent the spread of seasonal flu to others It is nevertoo late to get your flu shot The annual flu vaccine is safe and is the most effective way toprotect yourself and your loved ones The vaccine is recommended for everyone six monthsand older including pregnant women Floridians who are at high risk of flu-relatedcomplications include young children pregnant women people with certain chronic healthconditions like asthma diabetes heart disease or lung disease and people aged 65 yearsand older It takes approximately two weeks after vaccination for your body to developprotection against the flu The Centers for Disease Control and Prevention (CDC) recommendgetting a flu vaccine every year because flu viruses evolve quickly and last yearrsquos vaccinemay not protect against the current yearrsquos flu strain Even if the flu vaccine does not fullyprotect against the flu it may reduce the severity of symptoms and the risk ofcomplications It is also essential to practice good hygiene by properly and frequentlywashing your hands to help prevent the spread of seasonal flu Make it a habit to clean anddisinfect commonly used surfaces in your home school or office You can take additionalsteps to ward off the flu by coughing or sneezing into a tissue or your elbow and avoidingtouching your face
trade Bay Area Legal Services Representative Available at Bayside Health Clinic - March 14 2019from 1200 pm ndash 200 pm Bay Area Legal Services will co-locate at Bayside Health Clinic thethird Thursday each month from 12pm ndash 2pm to provide screenings and referrals for legalservices The partnership will assist clients of Bayside Health Clinic who are seeking supporton issues such as domestic violence foreclosure senior advocacy family law publicbenefits housing and tax assistance
trade OPIOID RESOURCES ndash With the declaration of the opioid epidemic as a public healthemergency the US Dept of Health Health Resources and Services Administration (HRSA)continues to support health centers to enhance access to primary care-based SUD servicesincluding medication assisted treatment (MAT) as well as pain management and otherprevention services In addition HRSA is collaborating across HHS and other governmentagencies to help address issues that affect health centersrsquo delivery of SUD services such asreimbursement policies regulations and research Please visit HRSArsquos brand new opioidwebpage that highlights the various ways in which the agency is addressing the opioidcrisis
trade Suicide and Homelessness The National HCH Council has released a new fact sheet ldquoSuicideand Homelessness Data Trends in Suicide and Mental Health Among Homeless Populationsldquo
Given the conditions that we know increase the likelihood of suicide in the generalpopulation compounding factors faced when experiencing homelessness place thosewithout homes at much higher risk As part of a series related to emerging issues in the HCHfield the HCH Cliniciansrsquo Network identified and prioritized the need for a renewedframework and public awareness of suicidality and disparities among homeless populations This fact sheet details common risk factors for suicidal behaviors mental health and clinicalutilization trends of HCH grantees reported in the 2016 Uniform Data System dataset andcircumstantial data reported in the National Violent Death Reporting System Read the FactSheet
Upcoming Eventstrade Tues March 4 2019 | 9am ndash 12 pm | Preserve Vision Screening Event DOH St
Petersburg 205 Dr MLK St N St Petetrade Thurs March 5 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Pinellas
Park 5360 76th Ave N Pinellas Parktrade Mon March 11 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Clearwater
310 N Myrtle Ave Clearwatertrade Tues March 12 2019 |3pm ndash 5pm | HCH Co-Applicant Board Meeting Juvenile Welfare
Boardtrade Thurs March 14 2019 | 12pm ndash 2pm | Bay Area Legal Services Representative Bayside
Health Clinictrade Mon March 25 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Largo 8751
Ulmerton Rd Largotrade Tues March 26 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Tarpon
Springs 301 S Disston Ave Tarpon Springs
HCH Co-Applicant Boardtrade NEXT MEETING ndash March 12 2019 300 pm
The Next Meeting of the HCH Co-Applicant Board will be Tuesday January 8 2019 300pm Juvenile Welfare Board | Current Agenda-Meeting MinutesSupporting DocumentsThe HCH Co-Applicant Board is the governing board for the Health Care for the HomelessProgram Community feedback and consumer participation is key to the success of theprogramhellipcome join the discussion Meetings are held the first Tuesday of every month at300 pm at the Juvenile Welfare Board office We are currently seeking new membershellipifyou know a patient who wants to have input into the program please contact KarenYatchum for more information
If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line Elisa N DeGregorioGrants Manager Planning amp Contracts Services
- Health care for the homeless co-applicant board
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- February 2019 HCHP Trend Reportpdf
-
- 2018 amp 2019
- Undup by Site
- Encounters by Site
-
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- HCHP February 2019 No Show Reportpdf
-
- Sheet1
-
- Blank Page
-
in the Pinellas County Health Program (please bring blue card to receive services) can receivea vision screening at no cost as well as assistance for glasses and exams to those whoqualify Preserve Vision Florida will also be providing free vision screening for children Tothose referrals who qualify assistance will be provided for glasses and exams See thecalendar below and attached flyers for dates and locations
trade Her Health Her Housing Improving Services for Women Experiencing Homelessness TheNational Health Care for the Homeless Council is offering free 2019 Spring Virtual TrainingHer Health Her Housing Improving Services for Women Experiencing Homelessness fromMarch 6-28 Women and families are the fastest-growing segments of the Americanhomeless population Whether on the streets doubled-up or temporarily sheltered womenwithout homes face complex challenges such as increased risk of sexual assault lack ofaccess to preventive and prenatal care and all-too-prevalent trauma Learn how you canimprove services for women experiencing homelessness through trauma-informed qualitycare in our eight free CME-accredited webinars Featuring national experts our sessions willexplore the impact of violence sex work and racism on women without homes as well asbest practices for medical respite care cervical cancer screening prenatal services andmore Learn more and register here
trade Health Personnel can Enhance Preparedness Skills on April 18 The Atlantic Hurricaneseason doesnrsquot begin until June 1 but for health-care facilities emergency preparedness is ayear-round task The Tampa Bay area health community can enhance their lifesaving skills inplanning for and responding to hazards at a one-day conference coming to Pasco The 2019Hazards amp Healthcare Conference is slated for 8 am to 5 pm on Thursday April 18 atPasco-Hernando State College 2727 Mansfield Blvd Wesley Chapel The location is thecollegersquos Porter campus at Wiregrass Professionals such as nursing-home administratorshealth-care emergency planners and other responders are invited to attend as are doctorsnurses and other health personnel The conferencersquos theme is ldquoBack to Basicsrdquo and sessiontopics include creating robust emergency plans and planning for the special challenges athealth-care facilities in the Tampa Bay region Pasco County Emergency Management ishosting the event The cost until Feb 3 is $100 after that date the registration increases to$120Register online at httpshazardsandhealthcareticketspicecom2019-hazards-and-healthcare-conference For information about DOH-Pinellas go to (727) 824-6900 or followus on Twitter HealthyPinellas
trade Pinellas Residents Invited to Join Other Tampa Bay Communities for a Community HealthNeeds Assessment To better understand and address the health needs of communities inthe Tampa Bay area the Florida Department of Health in Hillsborough Pasco Pinellas andPolk counties and local area hospitals are partnering on a comprehensive survey The 2019Community Health Needs Assessment (CHNA) surveys residents on nutrition physicalactivity access to care and mental health To take the survey visithttpbitlyhealthsurvey2019 before April 21 Survey partners include Advent HealthBayCare Johns Hopkins All Childrenrsquos Hospital Lakeland Regional Health Moffitt CancerCenter Tampa General Hospital and other area health organizations in the four-county areaAlthough county health departments developed their own surveys in the past this is an
opportunity for counties in the region to work together on a more comprehensive regionalsurvey Data collected from the CHNA survey will help local health departments andhealthcare providers better understand the needs of the community The survey will be usedto develop a community health improvement plan which will address the issues residentsare most concerned about For information on past community surveys with Pinellas datafrom 2012 to 2018 visit httppinellasfloridahealthgovprograms-and-servicescommunity-health-planning-andstatisticsdata-and-reportsindexhtml
trade Flu Season in Full Swing ndash Flu Vaccine Available at BaysideMMU and all DOH locations With this yearrsquos flu season in full swing it is critical that all Floridians get the flu vaccine toprotect against infection and help prevent the spread of seasonal flu to others It is nevertoo late to get your flu shot The annual flu vaccine is safe and is the most effective way toprotect yourself and your loved ones The vaccine is recommended for everyone six monthsand older including pregnant women Floridians who are at high risk of flu-relatedcomplications include young children pregnant women people with certain chronic healthconditions like asthma diabetes heart disease or lung disease and people aged 65 yearsand older It takes approximately two weeks after vaccination for your body to developprotection against the flu The Centers for Disease Control and Prevention (CDC) recommendgetting a flu vaccine every year because flu viruses evolve quickly and last yearrsquos vaccinemay not protect against the current yearrsquos flu strain Even if the flu vaccine does not fullyprotect against the flu it may reduce the severity of symptoms and the risk ofcomplications It is also essential to practice good hygiene by properly and frequentlywashing your hands to help prevent the spread of seasonal flu Make it a habit to clean anddisinfect commonly used surfaces in your home school or office You can take additionalsteps to ward off the flu by coughing or sneezing into a tissue or your elbow and avoidingtouching your face
trade Bay Area Legal Services Representative Available at Bayside Health Clinic - March 14 2019from 1200 pm ndash 200 pm Bay Area Legal Services will co-locate at Bayside Health Clinic thethird Thursday each month from 12pm ndash 2pm to provide screenings and referrals for legalservices The partnership will assist clients of Bayside Health Clinic who are seeking supporton issues such as domestic violence foreclosure senior advocacy family law publicbenefits housing and tax assistance
trade OPIOID RESOURCES ndash With the declaration of the opioid epidemic as a public healthemergency the US Dept of Health Health Resources and Services Administration (HRSA)continues to support health centers to enhance access to primary care-based SUD servicesincluding medication assisted treatment (MAT) as well as pain management and otherprevention services In addition HRSA is collaborating across HHS and other governmentagencies to help address issues that affect health centersrsquo delivery of SUD services such asreimbursement policies regulations and research Please visit HRSArsquos brand new opioidwebpage that highlights the various ways in which the agency is addressing the opioidcrisis
trade Suicide and Homelessness The National HCH Council has released a new fact sheet ldquoSuicideand Homelessness Data Trends in Suicide and Mental Health Among Homeless Populationsldquo
Given the conditions that we know increase the likelihood of suicide in the generalpopulation compounding factors faced when experiencing homelessness place thosewithout homes at much higher risk As part of a series related to emerging issues in the HCHfield the HCH Cliniciansrsquo Network identified and prioritized the need for a renewedframework and public awareness of suicidality and disparities among homeless populations This fact sheet details common risk factors for suicidal behaviors mental health and clinicalutilization trends of HCH grantees reported in the 2016 Uniform Data System dataset andcircumstantial data reported in the National Violent Death Reporting System Read the FactSheet
Upcoming Eventstrade Tues March 4 2019 | 9am ndash 12 pm | Preserve Vision Screening Event DOH St
Petersburg 205 Dr MLK St N St Petetrade Thurs March 5 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Pinellas
Park 5360 76th Ave N Pinellas Parktrade Mon March 11 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Clearwater
310 N Myrtle Ave Clearwatertrade Tues March 12 2019 |3pm ndash 5pm | HCH Co-Applicant Board Meeting Juvenile Welfare
Boardtrade Thurs March 14 2019 | 12pm ndash 2pm | Bay Area Legal Services Representative Bayside
Health Clinictrade Mon March 25 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Largo 8751
Ulmerton Rd Largotrade Tues March 26 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Tarpon
Springs 301 S Disston Ave Tarpon Springs
HCH Co-Applicant Boardtrade NEXT MEETING ndash March 12 2019 300 pm
The Next Meeting of the HCH Co-Applicant Board will be Tuesday January 8 2019 300pm Juvenile Welfare Board | Current Agenda-Meeting MinutesSupporting DocumentsThe HCH Co-Applicant Board is the governing board for the Health Care for the HomelessProgram Community feedback and consumer participation is key to the success of theprogramhellipcome join the discussion Meetings are held the first Tuesday of every month at300 pm at the Juvenile Welfare Board office We are currently seeking new membershellipifyou know a patient who wants to have input into the program please contact KarenYatchum for more information
If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line Elisa N DeGregorioGrants Manager Planning amp Contracts Services
- Health care for the homeless co-applicant board
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- February 2019 HCHP Trend Reportpdf
-
- 2018 amp 2019
- Undup by Site
- Encounters by Site
-
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- HCHP February 2019 No Show Reportpdf
-
- Sheet1
-
- Blank Page
-
opportunity for counties in the region to work together on a more comprehensive regionalsurvey Data collected from the CHNA survey will help local health departments andhealthcare providers better understand the needs of the community The survey will be usedto develop a community health improvement plan which will address the issues residentsare most concerned about For information on past community surveys with Pinellas datafrom 2012 to 2018 visit httppinellasfloridahealthgovprograms-and-servicescommunity-health-planning-andstatisticsdata-and-reportsindexhtml
trade Flu Season in Full Swing ndash Flu Vaccine Available at BaysideMMU and all DOH locations With this yearrsquos flu season in full swing it is critical that all Floridians get the flu vaccine toprotect against infection and help prevent the spread of seasonal flu to others It is nevertoo late to get your flu shot The annual flu vaccine is safe and is the most effective way toprotect yourself and your loved ones The vaccine is recommended for everyone six monthsand older including pregnant women Floridians who are at high risk of flu-relatedcomplications include young children pregnant women people with certain chronic healthconditions like asthma diabetes heart disease or lung disease and people aged 65 yearsand older It takes approximately two weeks after vaccination for your body to developprotection against the flu The Centers for Disease Control and Prevention (CDC) recommendgetting a flu vaccine every year because flu viruses evolve quickly and last yearrsquos vaccinemay not protect against the current yearrsquos flu strain Even if the flu vaccine does not fullyprotect against the flu it may reduce the severity of symptoms and the risk ofcomplications It is also essential to practice good hygiene by properly and frequentlywashing your hands to help prevent the spread of seasonal flu Make it a habit to clean anddisinfect commonly used surfaces in your home school or office You can take additionalsteps to ward off the flu by coughing or sneezing into a tissue or your elbow and avoidingtouching your face
trade Bay Area Legal Services Representative Available at Bayside Health Clinic - March 14 2019from 1200 pm ndash 200 pm Bay Area Legal Services will co-locate at Bayside Health Clinic thethird Thursday each month from 12pm ndash 2pm to provide screenings and referrals for legalservices The partnership will assist clients of Bayside Health Clinic who are seeking supporton issues such as domestic violence foreclosure senior advocacy family law publicbenefits housing and tax assistance
trade OPIOID RESOURCES ndash With the declaration of the opioid epidemic as a public healthemergency the US Dept of Health Health Resources and Services Administration (HRSA)continues to support health centers to enhance access to primary care-based SUD servicesincluding medication assisted treatment (MAT) as well as pain management and otherprevention services In addition HRSA is collaborating across HHS and other governmentagencies to help address issues that affect health centersrsquo delivery of SUD services such asreimbursement policies regulations and research Please visit HRSArsquos brand new opioidwebpage that highlights the various ways in which the agency is addressing the opioidcrisis
trade Suicide and Homelessness The National HCH Council has released a new fact sheet ldquoSuicideand Homelessness Data Trends in Suicide and Mental Health Among Homeless Populationsldquo
Given the conditions that we know increase the likelihood of suicide in the generalpopulation compounding factors faced when experiencing homelessness place thosewithout homes at much higher risk As part of a series related to emerging issues in the HCHfield the HCH Cliniciansrsquo Network identified and prioritized the need for a renewedframework and public awareness of suicidality and disparities among homeless populations This fact sheet details common risk factors for suicidal behaviors mental health and clinicalutilization trends of HCH grantees reported in the 2016 Uniform Data System dataset andcircumstantial data reported in the National Violent Death Reporting System Read the FactSheet
Upcoming Eventstrade Tues March 4 2019 | 9am ndash 12 pm | Preserve Vision Screening Event DOH St
Petersburg 205 Dr MLK St N St Petetrade Thurs March 5 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Pinellas
Park 5360 76th Ave N Pinellas Parktrade Mon March 11 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Clearwater
310 N Myrtle Ave Clearwatertrade Tues March 12 2019 |3pm ndash 5pm | HCH Co-Applicant Board Meeting Juvenile Welfare
Boardtrade Thurs March 14 2019 | 12pm ndash 2pm | Bay Area Legal Services Representative Bayside
Health Clinictrade Mon March 25 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Largo 8751
Ulmerton Rd Largotrade Tues March 26 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Tarpon
Springs 301 S Disston Ave Tarpon Springs
HCH Co-Applicant Boardtrade NEXT MEETING ndash March 12 2019 300 pm
The Next Meeting of the HCH Co-Applicant Board will be Tuesday January 8 2019 300pm Juvenile Welfare Board | Current Agenda-Meeting MinutesSupporting DocumentsThe HCH Co-Applicant Board is the governing board for the Health Care for the HomelessProgram Community feedback and consumer participation is key to the success of theprogramhellipcome join the discussion Meetings are held the first Tuesday of every month at300 pm at the Juvenile Welfare Board office We are currently seeking new membershellipifyou know a patient who wants to have input into the program please contact KarenYatchum for more information
If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line Elisa N DeGregorioGrants Manager Planning amp Contracts Services
- Health care for the homeless co-applicant board
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- February 2019 HCHP Trend Reportpdf
-
- 2018 amp 2019
- Undup by Site
- Encounters by Site
-
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- HCHP February 2019 No Show Reportpdf
-
- Sheet1
-
- Blank Page
-
Given the conditions that we know increase the likelihood of suicide in the generalpopulation compounding factors faced when experiencing homelessness place thosewithout homes at much higher risk As part of a series related to emerging issues in the HCHfield the HCH Cliniciansrsquo Network identified and prioritized the need for a renewedframework and public awareness of suicidality and disparities among homeless populations This fact sheet details common risk factors for suicidal behaviors mental health and clinicalutilization trends of HCH grantees reported in the 2016 Uniform Data System dataset andcircumstantial data reported in the National Violent Death Reporting System Read the FactSheet
Upcoming Eventstrade Tues March 4 2019 | 9am ndash 12 pm | Preserve Vision Screening Event DOH St
Petersburg 205 Dr MLK St N St Petetrade Thurs March 5 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Pinellas
Park 5360 76th Ave N Pinellas Parktrade Mon March 11 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Clearwater
310 N Myrtle Ave Clearwatertrade Tues March 12 2019 |3pm ndash 5pm | HCH Co-Applicant Board Meeting Juvenile Welfare
Boardtrade Thurs March 14 2019 | 12pm ndash 2pm | Bay Area Legal Services Representative Bayside
Health Clinictrade Mon March 25 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Largo 8751
Ulmerton Rd Largotrade Tues March 26 2019 | 9am ndash 12pm | Preserve Vision Screening Event DOH Tarpon
Springs 301 S Disston Ave Tarpon Springs
HCH Co-Applicant Boardtrade NEXT MEETING ndash March 12 2019 300 pm
The Next Meeting of the HCH Co-Applicant Board will be Tuesday January 8 2019 300pm Juvenile Welfare Board | Current Agenda-Meeting MinutesSupporting DocumentsThe HCH Co-Applicant Board is the governing board for the Health Care for the HomelessProgram Community feedback and consumer participation is key to the success of theprogramhellipcome join the discussion Meetings are held the first Tuesday of every month at300 pm at the Juvenile Welfare Board office We are currently seeking new membershellipifyou know a patient who wants to have input into the program please contact KarenYatchum for more information
If you were forwarded this email by a friend subscribe hereIf you wish to be removed from this list please reply with the word ldquoRemoverdquo in the subject line Elisa N DeGregorioGrants Manager Planning amp Contracts Services
- Health care for the homeless co-applicant board
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- CY18 Predominant_Conditions_KM06pdf
-
- Predominant_Conditions_KM06
-
- February 2019 HCHP Trend Reportpdf
-
- 2018 amp 2019
- Undup by Site
- Encounters by Site
-
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- Blank Page
- HCHP February 2019 No Show Reportpdf
-
- Sheet1
-
- Blank Page
-