Community Conversation: Eastern Travis County Service ... · Manor FastMed Urgent Care Center Level 2 Facility Location: 14008 Shadow Glen Blvd. #100, Manor Scope of Services: Digital

Community Conversation: Eastern Travis County Service Expansion May 14, 2018 Ted Burton, Vice President of Communications

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Expanding Health Care Services in Eastern Travis County

Agenda

1.  Welcome

2.  Eastern Travis County Service Expansion

Overview (video)

3.  Eastern Travis County Collaboration

-Service challenges, criteria, options

-“Hub & Spoke” model

-Current projects & timeline

4.  Partner Panel Discussion

5.  How to Get Involved

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Population Growth/Data Collaboration in Eastern Travis County JP Eichmiller, Director of Strategic Communications

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Poverty by the Numbers

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$12,228 Income threshold for an individual living in poverty $24,563 Income threshold for a family of four living in poverty 144,605 Travis County residents below the poverty level 33,061 Travis County families living below the poverty level 67,121 Central Health-funded patients living below the poverty level

Provider Network/Patient Homes

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Families—2017

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Changes in Families 2017-2022

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Projected Concentrations of Poverty

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Identify Focus Areas

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Focus Area Analysis

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North Central Austin Colony Park/Hornsby Bend

Focus Area Demographics

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Race/Ethnicity

Age

Gender

Focus Area Demographics

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Transportation— Households without vehicles

Affordable Housing— Units to families in poverty

Eastern Crescent

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Eastern Travis County Service Expansion

Larry Wallace, Enterprise Chief Administrative Officer

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Expanding Health Care Services in Eastern Travis County

Agenda

1.  Challenges

2.  Service Delivery Options

3.  Hub and Spoke Model

4.  Current Projects & Prospective Timeline

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Eastern Travis County Health & Wellness Collaboration

Coalition of community-based health care and service providers convened by Central Health Through strategic collaborations: •  Address health care challenges faced by Eastern

Travis County residents using innovative prevention and wellness programs.

•  Address social determinants of health and improve health outcomes

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Eastern Travis County Health & Wellness Collaboration Partners

•  Central Health •  Community Care Collaborative •  CommUnityCare •  Travis County Health and

Human Services •  City of Austin Public Health •  Integral Care •  UT Dell Medical School •  Seton Healthcare Family

•  Austin Community College •  Huston-Tillotson University •  People’s Community Clinic •  Planned Parenthood •  Capital Metro •  YMCA •  UT School of Nursing •  School Districts

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Health Care Delivery Challenges

•  Funding models •  Vast geographic regions •  Rapid population growth; shifting trends •  Transportation •  Lack of infrastructure •  Social determinants of health •  Benchmarking for populations with low income •  Provider availability

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Expansion Strategy Criteria

•  Needs assessment

•  Community input

•  Health disparities data

•  Social determinants of health (i.e. housing & transportation)

•  Existing available resources/infrastructure

•  Population density + future growth projections

•  Diversity

•  Funding, capital and operating expenses

•  Central Health covered population

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Service Delivery Options •  Travis County Community Centers •  Travis County Fire Stations •  City of Austin Facilities •  Mobile (i.e. clinics, teams, dental, mammography) •  Modular •  Pre-fabricated buildings •  Permanent building (“bricks & mortar”) •  Schools •  Faith-based facilities •  Co-location of clinical and non-clinical services •  Telehealth (i.e. mobile applications, telemedicine) •  Transportation Solution Initiatives (i.e. CommUnityCare pilot, Capital

Metro Van program, Central Health, Capital Metro & Travis County Transportation additional routes)

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Hub and Spoke Model

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Level 1 Regional Health Center

Level 2

Level 2

Level 2 Level 2

Level 3

Level 3

Level 3

Level 3

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Projects Update

Level 1 Facility Scope of services: Family medicine, pediatrics, internal medicine, dental, women's health services, specialty care, on-site laboratory, integrated behavioral health, health care navigation, social services, wellness programs, case management, possible on‐site retail pharmacy

Examples: Central Health Southeast Health & Wellness Center; CommUnityCare’s North Central Health Center

Hours of Operation

Square Footage

# of Exam Rooms

Special/Minor Procedure Rooms

# of Providers

# of Support Staff

Actual Patient Visits

Mon‐Friday 8 – 5 pm Evening & Weekend Possible

> 20,000 24 or Greater

Yes 8 or more 45 or more 32,000 or more

Capital Cost

Operating Expense

Total Gross Revenue

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Level 1 Facility

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Level 2 Facility Scope of services: Family medicine, behavioral health, health care navigation, social services, wellness programs, case management. Could include dispensing pharmacy.

Examples: Sandra Joy Anderson Health & Wellness Center at Huston-Tillotson; East Austin Health Center

Hours of Operation

Square Footage

# of Exam Rooms

Special/Minor Procedure Rooms

# of Providers

# of Support Staff

Actual Patient Visits

Mon‐Friday 8 – 5 pm Evening & Weekend Possible

5,000 to 19,999

Between 8 - 20

Yes Between 3 – 7

15 to 44 Between 12,600 to 29,400

Capital Cost

Operating Expense

Total Gross Revenue

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Level 2 Facility

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Level 3 Facility Scope of services: Family medicine, behavioral health care, insurance eligibility support, pharmaceutical assistance support

Examples: Del Valle Health Center; Manor Health Center

Hours of Operation

Square Footage

# of Exam Rooms

Special/Minor Procedure Rooms

# of Providers

# of Support Staff

Actual Patient Visits

40 hours per week or less

Less than 5,000

Less than 8

No 1 to 2 8 – 10 3,700 to 7,200

Capital Cost

Operating Expense

Total Gross Revenue

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Level 3 Facility

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Travis County Projects

•  Del Valle •  Austin’s Colony •  Hornsby Bend •  Creedmoor •  Elroy •  Manor •  Pflugerville

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Del Valle

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Del Valle Health Center (Open) Level 3 Facility Location: 3518 FM 973, Del Valle Scope of services: Family medicine, integrated behavioral health Hour of Operation: Monday-Tuesday 8 a.m. – 7 p.m.

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Del Valle Travis County Community Health Center (In Development) Level 2 Facility

Location: Next to existing Travis County Health Center on FM 973 Phase I: Currently in under development for WIC services Phase II: 5,600 SF with potential for multiple floors Projected Date of Completion: 2020

Scope of Services: Family medicine, dental, behavioral health, eligibility services. Other health and social services by Travis County may include Emergency Assistance Programs, case management, basic needs application assistance Partners: CommUnityCare, Integral Care, Central Health

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Austin’s Colony & Hornsby Bend

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Austin’s Colony & Hornsby Bend Level 2 or 3 Facility

Location: Travis County Fire Station ESD 4. 2,000 square foot modular building Scope of Services: Family medicine, social services. Mobile services could include prevention, dental care, specialty services such as mammography and behavioral health, diabetes community fit program First Advisory Committee: May 2, 2018

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Elroy

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Elroy Level 2 Facility Location: Travis County Fire Station, 9019 Elroy Rd., Del Valle. 5,000 square feet. Phase I: Family medicine by August 2018 Phase II: Integrated behavioral health, dental services by December 2018 Scope of Services: Expanding UT School of Nursing services at Children’s Wellness Clinic near Del Valle Elementary School. Currently only sees people up to 21 years of age. The new health center will serve children and adults.

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Creedmoor

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Creedmoor Level To Be Determined Location: Travis County ESD 4 Fire Station, 14312 Hunters Bend Rd. Scope of Services: To be determined

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Northeast Travis County

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Northeast Health Resource Center Level 3 Facility Location: Volma Overton Elementary School, 7201 Colony Loop Dr., Austin Scope of Services: Eligibility, health screenings, diabetes education, WIC, basic needs assistance Days/Hours: M-Thu. 3:30 – 8 p.m.; Sat. 9 a.m. – 2 p.m. CommUnityCare currently provides services once a week at the Turner Roberts Recreation Center. Plan to move these services to the Resource by June 2018 Partners: AISD, Central Health, CommUnityCare, City of Austin Public Health, Travis County Health and Human Services

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Community First! Village Mobile Loaves and Fishes Level 1 Facility

Location: Hog Eye Road, 10,000 square foot development. Scope of Services: Health care, social services, recuperative care Partners: Central Health, CommUnityCare, Integral Care, City of Austin Public Health, Travis County Health and Human Services, Austin Community College.

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Northeast Health & Wellness Center City of Austin/ Colony Park Master Plan Development Level 1 Facility Location: Loyola Lane between Johnny Morris Road and Decker Lane Scope of Services: Eligibility services, family medicine, dental; integrated behavioral health services Partners: Central Health, CommUnityCare, Integral Care, City of Austin Public Health, Travis County Health and Human Services 46

Manor Health Center Level 2 Facility Location: 600 W. Carrie Manor St., Manor Scope of Services: Primary health care, internal medicine. Travis County facility

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Manor FastMed Urgent Care Center Level 2 Facility Location: 14008 Shadow Glen Blvd. #100, Manor Scope of Services: Digital x-rays, EKG, sutures/stiches, labs & X-rays, physicals, vaccination & immunizations

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Manor Mustang Health Center Level 2 Facility Location: 10323 U.S. Hwy. 290 E Scope of Services: Primary health care, family planning, health/nutrition education, behavioral health Partners: People’s Community Clinic, Integral Care

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Pflugerville Health Center Level 2 Facility Location: 15822 Foothill Farms Loop #D, Pflugerville Scope of Services: Family medicine, women’s health, maternity care, telepsychiatry. Travis County Facility

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Rosewood Zaragosa

Location: 2802 Webberville Rd., Austin Services: Community resource center could include clinical services. Council Member Houston and Council Member Renteria have endorsed new service delivery model. Partners: Central Health, CommUnityCare, City of Austin Refugee Clinic, Integral Care, Asian American Resource Center Community Navigators, Alliance for African American Health in Central Texas, Mama Sana, Austin Center for Health Empowerment

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Eastern Travis County Service Expansion Panel Discussion

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Panel Discussion: Partner Q&A

1.  Sherri Fleming – County Executive, Travis County Health & Human Services

2.  Jaeson Fournier – CEO, CommUnityCare Health Centers

3.  Stephanie Hayden – Director, Austin Public Health

4.  Dr. Stephanie Morgan – Professor of Clinical Nursing, UT School of Nursing

5.  Michelle Meaux – Regional Coordination Mgr., Capital Metro

6.  Hugh Simmons – Director of Practice Management, Integral Care

7.  Larry Wallace – CAO, Central Health

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Eastern Travis County Service Community Involvement

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Iván Davila, Communications & Community Engagement Manager

Closing

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Mike Geeslin, President & Chief Executive Officer

512-978-8000 www.centralhealth.net @centralhealthtx