Incorporating a Community Referral Coordinator in the Emergency Department Improves Community Health Center Follow-Up for Discharged Patients

2013 ◽  
Vol 62 (4) ◽  
pp. S74
Author(s):  
C. Nall ◽  
R. Poirier
Keyword(s):  
Emergency Department ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Discharged Patients

scholarly journals Longitudinal Observation of Outcomes and Patient Access to Integrated Care Following Point-of-Care Glycemic Screening in Community Health Center Dental Safety Net Clinics

2021 ◽  
Vol 2 ◽  
Author(s):  
Ingrid Glurich ◽  
Richard Berg ◽  
Aloksagar Panny ◽  
Neel Shimpi ◽  
Annie Steinmetz ◽  
...  
Keyword(s):  
At Risk ◽  
Community Health ◽  
Health Center ◽  
Integrated Care ◽  
Point Of Care ◽  
Community Health Center ◽  
Safety Net ◽  
Risk Patients ◽  
Dental Appointments

Introduction: Rates of diabetes/prediabetes continue to increase, with disparity populations disproportionately affected. Previous field trials promoted point-of-care (POC) glycemic screening in dental settings as an additional primary care setting to identify potentially at-risk individuals requiring integrated care intervention. The present study observed outcomes of POC hemoglobin A1c (HbA1c) screening at community health center (CHC) dental clinics (DC) and compliance with longitudinal integrated care management among at-risk patients attending dental appointments.Materials and Methods: POC HbA1c screening utilizing Food and Drug Administration (FDA)-approved instrumentation in DC settings and periodontal evaluation of at-risk dental patients with no prior diagnosis of diabetes/prediabetes and no glycemic testing in the preceding 6 months were undertaken. Screening of patients attending dental appointments from October 24, 2017, through September 24, 2018, was implemented at four Wisconsin CHC-DCs serving populations with a high representation of disparity. Subjects meeting at-risk profiles underwent POC HbA1c screening. Individuals with measures in the diabetic/prediabetic ranges were advised to seek further medical evaluation and were re-contacted after 3 months to document compliance. Longitudinal capture of glycemic measures in electronic health records for up to 2 years was undertaken for a subset (n = 44) of subjects with available clinical, medical, and dental data. Longitudinal glycemic status and frequency of medical and dental access for follow-up care were monitored.Results: Risk assessment identified 224/915 (24.5%) patients who met inclusion criteria following two levels of risk screening, with 127/224 (57%) qualifying for POC HbA1c screening. Among those tested, 62/127 (49%) exhibited hyperglycemic measures: 55 in the prediabetic range and seven in the diabetic range. Moderate-to-severe periodontitis was more prevalent in patients with prediabetes/diabetes than in individuals with measures in the normal range. Participant follow-up compliance at 3 months was 90%. Longitudinal follow-up documented high rates of consistent access (100 and 89%, respectively), to the integrated medical/DC environment over 24 months for individuals with hyperglycemic screening measures.Conclusion: POC glycemic screening revealed elevated HbA1c measures in nearly half of at-risk CHC-DC patients. Strong compliance with integrated medical/dental management over a 24-month interval was observed, documenting good patient receptivity to POC screening in the dental setting and compliance with integrated care follow-up by at-risk patients.

scholarly journals Presence of a Community Health Center and Uninsured Emergency Department Visit Rates in Rural Counties

2009 ◽  
Vol 25 (1) ◽  
pp. 8-16 ◽  
Author(s):  
George Rust ◽  
Peter Baltrus ◽  
Jiali Ye ◽  
Elvan Daniels ◽  
Alexander Quarshie ◽  
...  
Keyword(s):  
Emergency Department ◽  
Community Health ◽  
Health Center ◽  
Emergency Department Visit ◽  
Community Health Center ◽  
Rural Counties

scholarly journals Retention of pediatric patients in care: a study of the Kibera Community Health Center HIV/AIDS Program

2021 ◽  
Vol 21 (1) ◽  
pp. 39-43
Author(s):  
Sara K Muli-Kinagwi ◽  
Meshack Ndirangu ◽  
Onesmus Gachuno ◽  
Samuel Muhula
Keyword(s):  
Community Health ◽  
Health Center ◽  
Pediatric Patients ◽  
Retention Rate ◽  
Community Health Center ◽  
P Value ◽  
Loss To Follow Up ◽  
Hiv Exposed ◽  
Hiv Aids

Background: In 2011, 3.4 million children were living with HIV worldwide1. Objectives: Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up. Methods: The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV pro- gram in the facility between January 2012 and March 2013. The data was analyzed using SPSS. Results: Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respec- tively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026). Conclusion: The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program. Keyword: Pediatric patients in care; Kibera community health center; HIV/AIDS.

scholarly journals Retention of pediatric patients in care: a study of the Kibera Community Health Center HIV/AIDS Program

2021 ◽  
Vol 21 ◽  
pp. 39-43
Author(s):  
Sara K Muli-Kinagwi ◽  
Meshack Ndirangu ◽  
Onesmus Gachuno ◽  
Samuel Muhula
Keyword(s):  
Community Health ◽  
Health Center ◽  
Pediatric Patients ◽  
Retention Rate ◽  
Community Health Center ◽  
P Value ◽  
Loss To Follow Up ◽  
Hiv Exposed ◽  
Hiv Aids

Background: In 2011, 3.4 million children were living with HIV worldwide1. Objectives: Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up. Methods: The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV pro- gram in the facility between January 2012 and March 2013. The data was analyzed using SPSS. Results: Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respec- tively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026). Conclusion: The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program. Keyword: Pediatric patients in care; Kibera community health center; HIV/AIDS.

Analisys of the Implementation of Non-Communicable Disease Control Programs in Posbindu PTM Puskesmas Rokan IV Koto I Districs Rokan Hulu

2020 ◽  
Vol 6 (2) ◽  
pp. 135-146
Author(s):  
Kholida Hosni ◽  
Dedi Afandi ◽  
Jasrida Yunita ◽  
Doni Jepisah ◽  
Ahmad Hanafi
Keyword(s):  
Disease Control ◽  
Community Health ◽  
Health Center ◽  
Communicable Disease ◽  
Community Health Center ◽  
Control Program ◽  
Communicable Disease Control ◽  
Disease Control Program ◽  
Non Communicable Disease

The implementation of the Non-Communicable Disease Control Program carried out in Posbindu PTM is a concrete manifestation of community participation in implementing early detection, monitoring and early follow-up of Non-Communicable Disease risk factors independently and continuously. Rokan IV Koto I Community Health Center has implemented PTM control in an integrated manner but the scope of Non-Communicable Disease prevention and eradication efforts is still low at 53,9%. The purpose of the study was to determine the implementation of the control program for non-communicable diseases in Posbindu PTM Rokan IV Koto I Community Health Center seen from input indicators and processes of the Non-Communicable Disease Control Program. This type of research is qualitative. 8 informants consisted of midwives midwives in charge of posbindu, mobilizing midwives, monitoring midwives, counselor doctors, recording cadres, Head of Sub-Division of Administration, community leaders, BPJS. The tringulation used is source tringulation, methods and data. The results of the study show that inputs (human resources, incentives, facilities and facilities) have been done well even though the use of Posbindu PTM facilities and equipment is not yet available in every village. The process (identification of potential PTM problems, implementation of activities and program innovations, recording and reporting, early risk follow-up and referral of PTM) has gone well. BASMI PELAKOR 1 innovation was able to increase the coverage of community visits to Posbindu PTM to 57,4% which previously had been in 2018 at 53,92%. Suggestion for Community Health Center to facilitate the formation of partnerships in each village through CSR (Corporate Social Responsibility) to buy their own tools, deliberation with the community to determine the Posbindu PTM schedule that is mutually agreed upon, involve community participation in implementing BASMI PELAKOR. Keywords : Implementaon of PTM Control Program, Input of PTM program implementaon. PTM program implementaon process.

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