Taxonomy II Part II (Outreach to Target Groups)

(27 May 2006 19:34)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

TAXONOMY SECTION II PART III

(Outreach to Target Groups)

NPCB P2 II.10.1 (SD II.2.10.1) Does your residency program do outreach in the community to find and enroll persons who are not presently in a system of care?  Yes __ No __If yes, describe:

Yes:

Dayton Community       (We will take a certain percentage of the persons identified in the “Reach Out” program, a community medicine grant that has us working with a population (a mix of Appalachian and Spanish-speaking in a neighborhood called the Twin Towers) that is skeptical of health care system.  This is done in concert with the East Dayton Community Health Center and the Mound Academy)

Miami Valley                (We have a program called “Reach Out”, which was started by Dr. Ted Wymyslo and Dr. Syed Ahmed.  He recruits residents from all of the programs in the area to two different community health centers.  For uninsured patients, there is a public “Reach Out” telephone number.  We see all comers.  We see acute illnesses, do some preventive health care, and try to match persons up with community resources.  We will recruit obstetrical patients for the Family Health Center.  Our social worker looks at where a patient lives and tries to link them with appropriate community resources)

Mercer                         (Through a pre-diabetic community-based research initiative)

Natividad                     (Residents do some outreach for education, but not enrollment)

Lehigh Valley                (The Caring Place and Casa are outreach sites that are linked to the residency; we also do outreach at health fairs)

Mercy Toledo              (We participate in FQHCs, and through them, help bring people into our system)

Tyler                            (We provide access for teenagers, through a youth ministry that houses 600-3000 teenagers year-round; we travel there every other week, bringing them to our center for inpatient services)

Fresno                          (our asthma program does outreach)

Glasgow                       (health fairs; screening for skin cancer, blood pressure, diabetes in community settings; program director review HEAL ultrasound results looking for osteoporosis)

OSHU Portland            (We are scheduled to open a free clinic two weeks from now)

Yes (Phase 2 Responses):

Sparrow                       (Through our Community Services Clinic, we provided medical services to the St Vincent home for orphaned and abused kids)

No:

Decatur

Klamath Falls

Kaiser LA                    (Kaiser Permanente does not seek to enroll persons that are not in systems of care)

Las Vegas

Springfield

Lexington

No (Phase 2 Responses):

Huntsville                      (It does happen)

*NPCB P2 II.2.10.1.1 (5NWCB) Does your residency program have, as part of its institutional mission, the goal to increase access for specific groups, such as migrant farm workers? Yes __ No __

*NPCB P2 II.2.101.2 If the answer to NPCB P2 II.2.10.1.1 is yes, please describe what your residency program does to achieve this goal:

Yes (Phase 2 Responses):

Ventura                        (Our target patient population is every uninsured and underinsured patient.  We have a year round growing season, so that, although our patient population includes farmworkers, they are not migrants)

McKeesport                 (Part of our institutional mission is to provide health care to all of our population)

Oahu                            (We are providers of rural health care; we promote access for Native Hawai’ians and Pacific Islanders)

Shadyside                     (Because Japan does not have family medicine residency programs, we take Japanese residents; we provide health services for the resident Japanese population, including those working for SONY)

Johnstown                    (We have a rural HIV clinic)

St Margaret

No (Phase 2 Responses):

Long Beach

U Penn

Crozer-Keystone

Jefferson

Altoona

Fairfax

*NPCB P2 II.2.10.1.3 (5NWCB) Does your residency program have the capacity to add additional persons beyond the number currently served?  Yes __ No __

Yes (Phase 2 Responses):

Ventura

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Shadyside

Johnstown                    (but not too many more)

St Margaret

Fairfax

No (Phase 2 Responses):

Long Beach

Altoona

*NPCB P2 II.2.10.1.4a (5NWCB) If the answer to NPCB P2 II.2.10.1.3 is yes, are there specific outreach programs in which your residency program participates, to enroll persons in the following categories?

a.      Medicaid patients? Yes __ No __

Yes (Phase 2 Responses):

Ventura

Jefferson

McKeesport                 (The hospital and family medicine center have outreach programs to enroll Medicaid recipients)

Shadyside

St Margaret                  (e.g., Adagio Health Plan; working relationship with county health department; work with local dentists)

No (Phase 2 Responses):

U Penn

Crozer-Keystone

Oahu

Johnstown

Fairfax

*NPCB P2 II.2.10.1.4b (5NWCB) If the answer to NPCB P2 II.2.10.1.3 is yes, are there specific outreach programs in which your residency program participates, to enroll persons in the following categories?

b.      Medicare patients? Yes __ No __

Yes (Phase 2 Responses):

Crozer-Keystone

Jefferson

McKeesport                 (Especially through the hospital discharge department)

Shadyside

St Margaret                  (e.g., Adagio Health Plan; working relationship with county health department; work with local dentists)

No (Phase 2 Responses):

Ventura

U Penn

Oahu

Johnstown

Fairfax

*NPCB P2 II.2.10.1.4c (5NWCB) If the answer to NPCB P2 II.2.10.1.3 is yes, are there specific outreach programs in which your residency program participates, to enroll persons in the following categories?

c.       Uninsured or underinsured patients? Yes __ No __

Yes (Phase 2 Responses):

Ventura

Jefferson

McKeesport                 (Our family planning program for married and unmarried women permits free care for patients)

Oahu

Shadyside

St Margaret                  (e.g., Adagio Health Plan; working relationship with county health department; work with local dentists)

No (Phase 2 Responses):

U Penn

Crozer-Keystone

Johnstown                    (Although we are not actively recruiting for new patients, we get many new patients)

Fairfax

NPCB P2 II.2.11 (SD II.2.11) Does you residency program set aside a certain number of slots for persons who request a “same day appointment”?

Yes __ No __

Yes:

Dayton Community       (Six slots are held each day)

Miami Valley                (We have an acute care doctor scheduled every afternoon.  No patients are scheduled for that doctor until that morning.)

Decatur

Mercer                         (We have a service for walk-in patients, and usually can see all who come in for acute care)

Natividad

Klamath Falls               (Our program is purely open access, so we see everyone on a same day basis)

Lehigh Valley

Mercy Toledo

Kaiser LA                    (We run on an “open access” model)

Tyler                            (We have an “ambulatory doc” who sees anyone who needs to come that day)

Las Vegas

Springfield

Glasgow

Lexington

OHSU Portland

Yes (Phase 2 Responses):

Sparrow                       (We have acute “work-in” spots)

No:

Fresno

No (Phase 2 Responses):

Huntsville                      (Not yet)

SD II.2.12 (SD II.2.10.2) Does your residency program offer clinics during “extended hours” (evenings and weekends)? Yes __ No __

Yes:

Miami Valley                (On Monday and Thursday evenings; we are considering doing Saturdays also)

Mercer                         (We are open until 7 pm M-F, resulting in a 55 hour week)

Klamath Falls

Lehigh Valley

Tyler                            (We hold our adolescent medicine clinics in the evening)

Fresno                          (At our Sequoia site)

Springfield                    (One evening per week)

No:

Dayton Community

Decatur

Natividad

Mercy Toledo

Kaiser LA                    (Not usually; we do have evening clinics at present, but they will end in the next month)

Las Vegas

Glasgow

Lexington

Question Not Asked:

OHSU Portland

SD II.2.13 (SD II.2.11) Does you residency program set aside a certain number of slots for persons who request a “same day appointment”? Yes __ No __

Yes:

Dayton Community       (Six slots are held each day)

Miami Valley                (We have an acute care doctor scheduled every afternoon.  No patients are scheduled for that doctor until that morning.)

Decatur

Mercer                         (We have a service for walk-in patients, and usually can see all who come in for acute care)

Natividad

Klamath Falls               (Our program is purely open access, so we see everyone on a same day basis)

Lehigh Valley

Mercy Toledo

Kaiser LA                    (We run on an “open access” model)

Tyler                            (We have an “ambulatory doc” who sees anyone who needs to come that day)

Las Vegas

Springfield

Glasgow

Lexington

OHSU Portland

No:

Fresno

Last Updated (27 May 2006 19:44)