Integration of Hepatitis C Treatment in a Primary care Federally Qualified Health Center; Philadelphia, Pennsylvania, 2015-2017

Hepatitis C virus (HCV) infection remains a pressing public health issue. Identification of long term infection in primary care settings and community health centers can facilitate patients’ access to appropriate care. Given the increase in HCV prevalence in the United States, improving the HCV care continuum and expanding medication access to disproportionately affected populations can help reduce disease burden, health care system costs, and transmission. Innovative treatment programs developed in the primary care setting are needed to deliver quality care to meet the demand of those engaging in treatment. This article describes an HCV treatment program developed within a primary care federally qualified health center (FQHC) using physician assistants (PAs) and nurse practitioners (NPs) to address the high number of HCV positive patients identified at the clinic. An interdisciplinary care team was established to optimize patient experience around HCV care and treatment, using on-site primary care behavioral health consultants, an HCV treatment coordinator, and a 340B contracted specialty pharmacy. From January 2015 to April 2017, the Public Health Management Corporation (PHMC) Care Clinic medical providers referred 189 patients for HCV treatment. Of those referred, 102 patients successfully obtained a sustained virologic response (SVR), representing a 53.7% success rate from referral to cure. This treatment program successfully integrated HCV treatment in a patient population heavily affected by substance use and mental illness. Support and adoption of similar programs in primary care community health centers testing for HCV can help meet the clinical/behavioral needs of these marginalized populations.

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EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT SYSTEM OF PUSKESMAS IN CIANJUR DISTRICT

Journal of Public Health for Tropical and Coastal Region ◽

10.14710/jphtcr.v2i2.6187 ◽

2020 ◽

Vol 2 (2) ◽

pp. 20-32

Author(s):

Edo Muhammad ◽

Tri Joko ◽

Nurjazuli Nurjazuli

Keyword(s):

Public Health ◽

Waste Management ◽

Community Health ◽

Health Center ◽

Community Health Centers ◽

Community Health Center ◽

Medical Waste ◽

Health Centers ◽

Public Health Center ◽

Medical Waste Management

Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.

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Erratum

Public Health Reports ◽

10.1177/0033354917754075 ◽

2018 ◽

Vol 133 (1) ◽

pp. NP2-NP2

Keyword(s):

Public Health ◽

Primary Care ◽

Community Health ◽

Community Health Centers ◽

Health Centers ◽

Correct Table

Mayer KH, Loo S, Crawford PM, et al. Excess clinical comorbidity among HIV-infected patients accessing primary care in US community health centers. Public Health Rep. 2018;133:109-118. (Original DOI: 10.1177/0033354917748670) In the above referenced article, Table 3 was published with duplicate information in the initial OnlineFirst version. The correct Table 3 is given below. The article, as published in volume 133, issue 1, reflects the corrected table. [Table: see text]

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Public Health Center (Puskesmas) Efficiency Level In Semarang Regency Year 2014

Economics Development Analysis Journal ◽

10.15294/edaj.v6i3.22273 ◽

2018 ◽

Vol 6 (3) ◽

pp. 306-312

Author(s):

Eko Setiawan ◽

Y. Titik Haryati

Keyword(s):

Public Health ◽

Health Services ◽

Community Health ◽

Health Center ◽

Community Health Centers ◽

Medical Personnel ◽

Health Department ◽

Health Centers ◽

Local Health Department ◽

Local Health

Public health centers is a technical implementation unit of Local Health Department which is responsible for conducting health efforts forh the whole society and as a first-rate health services that directly reach the whole community to achieve a healthy and prosperous society.The purpose of this study is to determine the ability of Community Health Center in managing the resources and how wide the coverage range of the Community Health Centre in district of Semarang.This study using vaariable input and output.The input which is used is consisting of four variables, they are: the number of medical personnel, the number of non-medical personnel, financing sourced from regional government budget and the number of integrated service post.. While the outputvariables are the health services towards toddlers, the immunization coverage, the number of outpatient visits and coverage of births assisted by health personnel The data used was secondary data obtained from Local Health Department in district of Semarang, Central Bureau of Statistics and other sources.From the calculation of DEA, the results are, in 18 Community Health Centers are technically efficient and 8 Community Health Centers are technically inefficient.Unit public health centers that have efficient will be comparison for puskesmas that not efficient. For public health centers inefficient technically can improve efficiency value by raising output based on the calculation on DEA. Suggested the results of the efficiency with the dea can be used as an alternative to assess the efficiency of public health centers in kabupaten semarang regularly and as one input to assess, monitor and improved performance public health centers.

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“I was not able to keep myself away from tending to her immediate needs”: Primary Care Physicians’ Perspectives of Serious Illness Conversations at Community Health Centers

Journal of General Internal Medicine ◽

10.1007/s11606-021-06921-3 ◽

2021 ◽

Author(s):

Deborah Swiderski ◽

Annette Georgia ◽

Elizabeth Chuang ◽

Allison Stark ◽

Justin Sanders ◽

...

Keyword(s):

Primary Care ◽

Community Health ◽

Primary Care Physicians ◽

Community Health Centers ◽

Health Centers ◽

Serious Illness

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Methodological Challenges of Measuring Primary Care Delivery to Pediatric Medicaid Beneficiaries Who Use Community Health Centers

American Journal of Public Health ◽

10.2105/ajph.2012.300884 ◽

2013 ◽

Vol 103 (2) ◽

pp. 273-275 ◽

Cited By ~ 2

Author(s):

Karen R. Tyo ◽

Deborah Gurewich ◽

Donald S. Shepard

Keyword(s):

Primary Care ◽

Community Health ◽

Community Health Centers ◽

Care Delivery ◽

Health Centers ◽

Methodological Challenges ◽

Primary Care Delivery ◽

Medicaid Beneficiaries

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Capturing Relevant Patient Data in Clinical Encounters Through Integration of an Electronic Patient-Reported Outcome System Into Routine Primary Care in a Boston Community Health Center: Development and Implementation Study (Preprint)

10.2196/preprints.16778 ◽

2019 ◽

Author(s):

Stephanie Loo ◽

Chris Grasso ◽

Jessica Glushkina ◽

Justin McReynolds ◽

William Lober ◽

...

Keyword(s):

Primary Care ◽

Community Health ◽

Health Center ◽

Community Health Centers ◽

Community Health Center ◽

Improve Patient Care ◽

Patient Reported Outcome ◽

Patient Reported ◽

Patient Provider Communication ◽

Improve Patient

BACKGROUND Electronic patient-reported outcome (ePRO) systems can improve health outcomes by detecting health issues or risk behaviors that may be missed when relying on provider elicitation. OBJECTIVE This study aimed to implement an ePRO system that administers key health questionnaires in an urban community health center in Boston, Massachusetts. METHODS An ePRO system that administers key health questionnaires was implemented in an urban community health center in Boston, Massachusetts. The system was integrated with the electronic health record so that medical providers could review and adjudicate patient responses in real-time during the course of the patient visit. This implementation project was accomplished through careful examination of clinical workflows and a graduated rollout process that was mindful of patient and clinical staff time and burden. Patients responded to questionnaires using a tablet at the beginning of their visit. RESULTS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model in terms of applying technological innovation to streamline clinical processes and improve patient care. CONCLUSIONS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model for application of technological innovation to streamline clinical processes and improve patient care.

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Deployment of Analytics into the Healthcare Safety Net: Lessons Learned

Online Journal of Public Health Informatics ◽

10.5210/ojphi.v8i3.7000 ◽

2016 ◽

Vol 8 (3) ◽

Cited By ~ 3

Author(s):

David Hartzband ◽

Feygele Jacobs

Keyword(s):

Data Quality ◽

Community Health ◽

Health Center ◽

Community Health Centers ◽

Health Resources ◽

Population Level ◽

Safety Net ◽

Lessons Learned ◽

Health Centers ◽

Effective Manner

To better understand existing capacity and help organizations plan for the strategic and expanded uses of data, a project was initiated that deployed contemporary, Hadoop-based, analytic technology into several multi-site community health centers (CHCs) and a primary care association (PCA). An initial data quality exercise was carried out after deployment, in which a number of analytic queries were executed using both the existing electronic health record (EHR) applications and in parallel, the analytic stack. Each organization carried out the EHR analysis using the definitions typically applied for routine reporting. The analysis using the analytic stack was carried out using those common definitions established for the Uniform Data System (UDS) by the Health Resources and Service Administration. In addition, interviews with health center leadership and staff were completed to understand the context for the findings.The analysis uncovered many challenges and inconsistencies with respect to the definition of core terms (patient, encounter, etc.), data formatting, and missing, incorrect and unavailable data. At a population level, apparent underreporting of a number of diagnoses, specifically obesity and heart disease, was also evident in the results of the data quality exercise, for both the EHR-derived and stack analytic results.Data awareness, that is, an appreciation of the importance of data integrity, data hygiene and the potential uses of data, needs to be prioritized and developed by health centers and other healthcare organizations if analytics are to be used in an effective manner to support strategic objectives. While this analysis was conducted exclusively with community health center organizations, its conclusions and recommendations may be more broadly applicable.

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