The Jamestown Health Department's agenda includes assessing current status, future goals, and challenges. It provides insights into patient demographics, revenue trends, and service expansions. The department aims to enhance wellness programs and policies.
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Where Are We Now? Jamestown Family Health Clinic OVERVIEW (October 2015 to June 2016) Total Patients in Epic: 12,000+ Individual Patients Seen YTD: 10,188 Total Visits: 37,009 Providers: MD/DO: 12 ARNP: 9 PA-C: 5 Counselor: 3 Pharmacist: 1
Where Are We Now? Population Demographics Payor Mix Commercial Medicaid Medicaid HMO Medicare Medicare HMO Other Govt Self-pay Worker's Comp % 35% 17% 1% 41% 4% 2% 0% 1% % 0% 1% 7% 7% 9% 15% 26% 22% 10% 3% 0% Age Sex 0-12 F 2 M 5 Total 7 13-17 68 81 149 18-29 583 415 998 30-39 652 442 1094 40-49 785 525 1310 50-59 1360 916 2276 60-69 2308 1561 3869 70-79 1805 1478 3283 80-89 847 709 1556 90-99 273 183 456 100+ 7 2 9 Total 8690 58% 6317 42% 15007
Where Are We Now? Revenue Payer Mix: significant increase in Medicaid revenue Currently have about 34% Medicaid; increased by 10%. Open to New Medicaid (Apple Health) and Medicare Patients Medicare and Medicaid Encounter Rates Medicaid: $360 Medicare: PPS Rate $160.60 EP $214.46 NP/AWV/W2M
Where Are We Now? Revenue Family Medicine 2% 1% 13% 33% Medicaid Medicare Commercial 51% Other Govt Self-Pay
Where Are We Now? Revenue Healthy Aging 3% 1% Medicaid Medicare 96% Commercial
Where Are We Now? Dental Received 300K Dental Foundation of Washington grant Added 4 new dental operatories Added Pediatric Dentist
Where Are We Now? Tribal Wellness YTD Home Services Foot and Nail Care Respite Care Clients Respite Care Hours Home Visits Transports Other Services Phone Calls Flu Shot Assistance
Where Are We Going? Operational Goals 1. Let s Improve the Lives of Our Patients 2. Let s Inspire and Develop Our People 3. Without a Margin, There is No Mission
Where Are We Going? Let s Improve the Lives of Our Patients Create Culture of Patient Centered Care Healthy Hearts Initiative Improve Patient Experience QA/Compliance
Where Are We Going? Let s Inspire and Develop Our People FLIP Frontline Leadership Initiative Program Give a WOW Program Create Happy and Dedicated Staff
Where Are We Going? Without a Margin, There is No Mission Communicate Goals and Targets Develop Lean Processes Increase and Protect Revenue Streams
Where Are We Going? Tribal Wellness Program New Diabetes Program New Community Health Re-design Better Communication of Programs Collaboration of Services
Where Are We Going? Government and Policy Active Participation o Northwest Portland Area Indian Health Board o American Indian Health Commission o Olympic Community of Health o Self-Governance Policy Tracking o Medicaid 1115 Waiver o BHO Waiver o Legal Utilization of Health Net Profit
Jamestown Health Department 3. Challenges Population Health Management Value-Based Reimbursement How Does a Tribal Health System Fit into Evolving National/State Plans
