Family Health / La Clinica Migrant Mobile Health Yurany Ninco, Outreach Coordinator Ted Kay, President & CEO June 17, 2011 LULAC Conference - Pewaukee, WI
Feb 07, 2016
Family Health / La Clinica Migrant Mobile Health
Yurany Ninco, Outreach CoordinatorTed Kay, President & CEO
June 17, 2011LULAC Conference - Pewaukee, WI
MISSION
Develop and deliver primary health care services and programs to meet community health needs…(communities can be defined in terms of special populations and/or geographic areas).
Make these accessible to all people in communities we serve
Break down barriers to care for underserved and vulnerable people, especially Wisconsin’s migrant and seasonal farmworkers
Service Area – Mobile Unit / Other “Sites”PINK
Mobile Unit
BarronColumbiaDodgeFond du LacGreen LakeJacksonJeffersonOcontoOutagamieOzaukeePortageSt CroixWalworth
YELLOWWautoma
WausharaPortageWaupacaOutagamieWinnebagoGreen LakeMarquetteAdams
MaustonDental Center(SA not shown)
AdamsJuneau
Mobile Unit – Services Provided
Health screenings Treatment of acute illness Medical visits Immunizations Mammograms (Marshfield
Mobile Mammogram Unit limited sites)
Laboratory services Medications Health Education Referrals Voucher program Bilingual staff
Mobile Unit – Patients 2010
Total = 737 Patients
475 men (64%)
262 women (36%)
440 (60%) age 50 or older
337 (46%) were returning patients
Preventive CarePriority Areas:
Alcohol Consumption Smoking Cessation Screening
Diabetes High Blood Pressure High Cholesterol Colon Cancer Protate Cancer Cervical Cancer Breast Cancer HIV testing
Immunizations: Hepatitis B Tdap Pneumonia
Preventive Care - Results Alcohol Consumption
Patient’s alcohol consumption was determined and for risky behavior, education and recommendations were given by health aides
Smoking Status
Current smokers received health education on risks and information including QUIT LINE referral and information and QUIT LINE Program card.
Preventive Care - Results (cont.) Screening for Chronic Conditions
NEWLY DIAGNOSED PATIENTS
Diabetics: 11 patients
Hypertensive: 5 patients(High Blood Pressure)
High Cholesterol: 7 patients
Preventive Care - Results (cont.)Cancer Screening Colon Cancer
Target group: Patients age 50 and older – 440 pts (60%) were eligible
Intervention: Educate & Inform about importance of screening
Screening Test 13 patients (9.4%) received Ifob Kits (blood stool test)
Prostate Cancer
Target Group: Male patients 50 and older – 283 pts (60%) were eligible
Intervention: Educate & Inform about importance of screening
Screening Test: 28 patients (9.9%) received Prostate Specific Antigen test
Preventive Care – Results (cont.) Cervical Cancer Screening
Target group Women ages 21 to 65 236 women (90%) were eligible
Screening Tests Available Pap smear and HPV
Results 43 women (18%) had a pap smear 30 women (13%) were tested for HPV 2 pts required further exam
(colposcopy) 1 exam completed in Wisconsin 1 exam completed in Texas
Preventive Care - Results (cont.)Breast Cancer Screening
Target group Women ages 40 to 64 174 women (74%) were eligible
Screening Test Mammogram
Results 60 (34%) completed mammogram 3 underwent follow-up biopsy 1 diagnosed with breast cancer 1 diagnosed with hyperplasia 1 pathology was benign These were enrolled in the CAN
TRACK Program
Preventive Care - Results (cont.)HIV and Immunizations
HIV:118 patients tested - All negative
Hepatitis B:61 pts received 3rd dose (done)341 pts received 1st dose
Tdap:218 patients received
Pneumovax :123 diabetic pts received10 asthma pts received
Chronic CareDiabetes Standard of Care Labs
HbA1c (once a season) Lipid Profile (once a season) Microalbumin (once a season) Blood Glucose (every visit)
Evaluations Complete Physical Exam
(once a season) Foot Exam (once a season) Blood Pressure Check
(every visit)
Immunizations Pneumovax Tdap Hepatitis B
Medications Can dispense up to 3 mos.
worth of medication Can give prescription for up
to 1 year of medication
Health Education Written info on diet and
exercise
Chronic CareDiabetes - Results 2010 Season
169 patients (23%) had diabetes
1.8% increase from 2009
97 (57.4%) were returning patients
CDC Surveillance System shows incidence in the US population of 7.1%
Cambria Returning Diabetic patients Comparison A1c 2009 vs 2010
02468
101214
Patien
t 1
Patien
t 2
Patien
t 3
Patien
t 4
Patien
t 5
Patien
t 6
Patien
t 7
Patien
t 8
Patien
t 9
Patient
Hb
A1
c le
ve
l
2009
2010
Belgium Returning Diabetic Patients Comparison A1c 2009 vs 2010
0
5
10
15
patient
Hb
A1
c L
ev
el
2009
2010
Chronic CareHypertension Standard of Care Labs
Blood Glucose (once a season)
Blood tests as needed
Evaluations Complete Physical Exam
(once a season) Blood Pressure Check
(every visit)
Immunizations Tdap Hepatitis B
Medications Can dispense up to 3 mos. of
medication Can write prescription for up
to one year of medication
Health Education Written information about diet
and exercise
Chronic Care – Hypertension Results 2010 Season
279 patients (38%) had High Blood Pressure
2% increase from 2009
169 patients (61%) were returning patients
Incidence in US population 28%
Belgium Returning Hypertensive Patients Systolic Pressure Comparison 2009 vs 2010
0
50
100
150
200
250
Patient 1 Patient 2 Patient 3 Patient 4 Patient 5
PatientS
ys
tolic
Pre
ss
ure
Re
ad
ing
2009
2010
Cambria Returning Hypertensive Patients Systolic Pressure Comparison 2009 vs 2010
0
50
100
150
200
Patient
Sy
sto
lic
Pre
ss
ure
Re
ad
ing
2009
2010
Chronic CareHigh Cholesterol Standard of Care Labs
Lipid Profile (once a season) Blood Glucose (once a season) Blood Tests as needed
Evaluations Complete Physical Exam
(once a season) Blood Pressure Check
(every visit) Immunizations
Tdap Hepatitis B
Medications Can dispense up to 6 mos. of
medication Can write prescription for up
to 1 year of medication
Health Education Written information about diet
and exercise
Chronic CareHigh Cholesterol - Results
2010 Season182 patients (25%) had High Cholesterol
3% increase from 2009
57% were returning patients
Incidence in US pop. is 36%
Cambria Returning Patients with Hyperlipidemia Non-HDL Comparison 2009 vs
2010
0
50
100
150
200
Patient 1 Patient 2 Patient 3
Patient
No
n-H
DL
Le
ve
l
2009
2010
Fairwater Returning Patients w ith Hyperlipidemia Non-HDL Comparison 2009 vs 2010
050
100150200250
Patient1
Patient2
Patient3
Patient4
Patient5
Patient6
Patient7
Patient
No
n-
HD
L L
evel
2009
2010
Challenges
Mental Health
Tuberculosis
Continuity of Care
Health Education
Thank You!
Questions?
CONTACT
Yurany Vanessa Ninco Sanchez
Outreach Coordinator
400 S. Townline Rd.
P.O Box 1440
Wautoma, WI 54982
Phone 920-787-5514 Ext 207