Creators of Life: A Holistic Women's Health Clinic - Empowering Women's Health

CREATORS OF LIFE: CREATORS OF LIFE: A HOLISTIC WOMEN S A HOLISTIC WOMEN S HEALTH HEALTH CLINIC CLINIC MAJESTIC NURSES: Liza Bauzo-Nieves, RN Jyamalia Givans, RN Viktoriya Gorelik, RN Elizabeth Lutale, RN Elizabeth Scantlebury, RN Tuesday May 11, 2016 Tuesday May 11, 2016

Patient Patient- -Centered Medical Home Centered Medical Home Women s Health Clinic Creators of Life: A Holistic Women s Clinic Mission To provide women of all races and religions with easily accessible, culturally sensitive services and education from a holistic viewpoint

Creators of Life: Purpose Creators of Life: Purpose Purpose: Meeting Healthy People 2020 Objectives To improve pregnancy planning and spacing, and prevent unintended pregnancy Improve access to comprehensive, quality health care services Provide comprehensive and specialized care for women s health issues

Creators of Life: Philosophy Creators of Life: Philosophy Philosophy: Remember your vowels A Advocacy E Empowerment I Integrity O Options U Understanding Y Y?

Creators of Life: Objectives Clinical Objectives Increase awareness of women s health issues Increase cultural sensitivity Increase funding of women s health services for low- income families and the uninsured

Creators of Life: Providers Creators of Life: Providers Providers Nurse midwives, OB/GYNs, and registered nurses Nutritionist, lactation consultant, social worker, and psychologist Radiologist, radiology techs, medical assistants, and insurance coordinators

Health Care Services Routine women s health exams Immunization for HPV, Tdap, and influenza Pregnancy testing and contraception BP monitoring and insurance assistance Psychological support for women affected by violence, rape, mental and other physical abuse

Health Care Services Health Care Services Pregnancy care Prenatal care and screenings: GTT, vitamins, sonograms, birthing/Lamaze classes, nutrition visit, CVS (chorionic villus sampling), and contraction and non-stress tests Postnatal lactation classes and referrals for home care visits

Brownsville Brooklyn, NY Brownsville Brooklyn, NY

Brownsville Brooklyn, NY Brownsville Brooklyn, NY

Brownsville Brooklyn, NY Brownsville Brooklyn, NY

Data Collection Data Collection Creators of Life will specifically address the needs of Brownsville through strategic marketing designs based on results from: Convenience Sampling Voluntary surveys Billing diagnoses Care will be coordinated according to trends and quality indicators

Marketing Marketing Flyers strategically placed in train stations, bus stops & in schools Brochures in libraries, as part of community outreach, Girls Club, YWCA, fitness studios, spas, nail salons Website: CreatorsOfLife.org Social media such as: Facebook, Instagram, Linkedin Zocdoc for ease of appointment scheduling Monthly educational health fairs

Marketing Marketing Community outreach tables placed on high traffic blocks Newspapers advertisements in free newspapers such as AM New York Television commercials Word of mouth throughout the community Bulletin boards placed just off of highways Insurance provider directories

Coordination of Care Coordination of Care Scenario 1 Scenario 1: : 15 y/o female, suspected pregnancy 15 y/o female, suspected pregnancy Clerk Clerk RN RN (patient questionnaires) (assessment, lmp, labs, vitals) OB/GYN OB/GYN Radiology Radiology (consultation, vaginal exam, referrals) (sonogram) Social Worker Social Worker Nutritionist Nutritionist (assessment, paperwork, referrals) Clerk Clerk (assessment, education) RN RN (follow up appointments) (assessment, labs, vitals)

Coordination of Care Coordination of Care Scenario 2: Scenario 2: 19 y/o female, s/s vaginal itching, burning, foul 19 y/o female, s/s vaginal itching, burning, foul smelling yellow discharge smelling yellow discharge Clerk Clerk RN RN (paperwork/questionnaires) (paperwork/questionnaires) (assessment, history, vital signs) (assessment, history, vital signs) Social Worker Social Worker OB/GYN OB/GYN (internal and external vaginal exams) (internal and external vaginal exams) ( (assessment, referrals) , referrals)

Coordination of Care Coordination of Care Scenario 3: Scenario 3: 50 y/o female for annual screening 50 y/o female for annual screening Clerk Clerk RN RN (patient questionnaire) (patient questionnaire) (assessment, height, weight, vitals) (assessment, height, weight, vitals) Radiology Radiology OB/GYN OB/GYN (pap smear, referrals) (pap smear, referrals) (mammography) (mammography) Clerk Clerk OB/GYN OB/GYN ( (s schedule follow up) chedule follow up) (results, teaching) (results, teaching)

Provider Communication Provider Communication All communication should be clear and concise, with respect for others Methods Face to face Email Telephone Computer Central, privately owned, and operated solely by the clinic Each user has a unique username and passcode to access patient s health information

Quality Indicators to Monitor Quality Indicators to Monitor Family Planning Decrease in the adolescent pregnancy rate Increase in contraceptive usage Decrease in infertility rate Decrease Sexually Transmitted Infections Decrease in the STD rate

Quality Indicators to Monitor Quality Indicators to Monitor Maternal Health Increase in prenatal care Increase in early identification of high risk pregnancies Nutrition Monitor public assistance programs such as WIC (women, infant & children) and EBT (electronic benefit transfer) for access

Structural Organization Structural Organization President Nursing Supervisors Vice President Clients Director of Services Director of Clinicians

Structural Organization Structural Organization RNs Nurse Midwives & OB/GYNs Clerk & Insurance Coordinators Clients Radiologists, Technicians, Medical Assistants Psychologists & Social Workers Nutritionists & Lactation Consultants

Creators of Life: Budget Creators of Life: Budget RN s Average Daily Census = 50 Ratio = 1:5 Shift = 8hrs 50/5 = 10 RN s X 7.5 = 75/50 = NCH 1.5 X 3 shifts = 4.5 RN s needed to staff unit 10 X 3 shifts = 30 RN s PTO = 1.6 X 30 RN s = 48

Creators of Life: Budget Creators of Life: Budget Patient Care Technicians ADC = 50 Ratio = 1:10 Shifts = 8 hours 50/10 = 5 PCT s X 7.5 = 37.5/50 = NCH 0.7 X 3 shifts = 2.1 PCT S needed to staff unit 5 X 3 shifts = 15 PTO = 1.6 X 15 = 24 Total NCHPPD = 6.6

Creators of Life: Budget Creators of Life: Budget Unit Clerk 1 Unit Clerk X 3 shifts = 3 PTO = 1.6 X 3 = 4.8 PTO Salary Total Salary Registered Nurses (RN) 48 $86,000 $4,128,000 Patient Care Technicians (PCT) 24 $44,000 $1,056,000 Unit Clerks 4.8 $28,000 $134,400 Total of Unit s Yearly Salary $5,318,400

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