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

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Belgium Returning Diabetic Patients Comparison A1c 2009 vs 2010

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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

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Cambria Returning Hypertensive Patients Systolic Pressure Comparison 2009 vs 2010

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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

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Fairwater Returning Patients w ith Hyperlipidemia Non-HDL Comparison 2009 vs 2010

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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

yurany@famhealth.com