Over past 25 years, only

1
Over past 25 years, only State with worsening
Age-adjusted Death Rates
Tulsa and Oklahoma

• Oklahoma
• Last in the US in health system performance.
• Only state with worsening death rate.
• Last in US in physicians per capita.
• Tulsa - 14 year difference in life expectancy.
• Upper quarter of health care spending.
• Innovative health system and insurance
  expansions.
• OU School of Community Medicine
• Nations first School of Community Medicine
• Serves as the regions platform for change
• Goal Improve health of entire communities
• Recruit for and maintain altruism MDs, PAs,
  Nurse Practitioners using clinical experiences,
  scholarship and loan payback efforts to motivate.
  
• Curriculum add public health, systems
  engineering, student run clinical services.
• Expansive network of innovative primary care,
  specialty care programs out in neighborhoods most
  in need - e.g. 19 school based clinics.
• Patient Centered Medical Home for uninsured and
  Medicaid populations implemented.
• Partners with OU social work, early childhood
  education, school systems, urban planners etc.
• Health Information Technologies patient to
  doctor, doctor to doctor reduced need for face
  to face visits by 52. Consortia in place for
  Health Information Exchange and Health
  Information Coordination.

US
Death Rate
14 year difference In life expectancy between
North and South Tulsa
2
Advanced Medical Home 2011
Specialty Dx/Rx Services
Surgical Intensive Services
Diagnostic Testing Imaging
EMR HIE Web-based Communication
Portals Decision Support
Team Based - Primary Care Health Information
Integration / Coordination
Urgent Care Services
HEALTH CARE SYSTEM
Pharmacy Health Foods
Chronic Disease Service
Wellness Fitness Clubs
3
Getting Organized - Tulsa Health (black
established, blue in development or proposed)
Front Doors to Care
Primary Care Clinics and Medical Homes
Intensive Outpatient Programs

• Emergency Rooms
• Saint Francis Hospital
• St. John Medical Center
• Hillcrest Medical Center
• OSU Medical Center

I N S U R E O K L A H O M A -- MEDICAID

• OU Bedlam Longitudinal Clinic PCMH Model
• 6 sessions / week
• OU School-based Clinic 19 sites PCMH Model
• OU Housing Authority Clinics 2 PCMH Model
• OU Micro-clinics Day Center for the Homeless
  5 days
• per week
• Neighbor for Neighbor, Neighbors Along the
  Line,
• OU Physicians Clinics Hillcrest PCMH
• Schusterman Center - PCMH
• OSU Physicians Clinics SW Boulevard, Houston
  Park
• OSU Physicians Country Club Gardens
• Morton Clinics FQHC Lansing Park, East Tulsa
• Community Health Connections FQHC - East
  Tulsa,
• 3rd and Lewis.
• Patient Centered Medical Home Patient Portal
  with IBM
• Greater Tulsa Health Access Network Greater
  THAN
• Health Information Exchange and Care
  Coordination

• PACT Teams Severe mental illness
• COPES Team Emergency Psychiatry
• ER Frequent Flyer Team
• Multiple medical illnesses

• Acute Walk In Care
• OU Bedlam Evening Clinics
• OU Bedlam Evening Pharmacy
• OU Bedlam Evening Clinics
• Case Management and Referral
• Programs
• Good Samaritan Clinics

Specialty Care

• MAP / Voucher Specialty Care Network
• Northland Imaging Center
• OU Physicians Clinics at St. John, Saint Francis
• and Hillcrest Medical Centers,
• OU Schusterman Center Clinics
• OSU Physicians Clinics at OSU MC,
• Houston Park, SW Boulevard
• OU OB Outreach e.g. Margaret Hudson.
• Porter, Community Health Connections
• OU Xavier Breast Health Clinic
• OU Bedlam Specialty Clinics Derm, HIV,
• Gynecology, Hep C
• Heart Intervention Project
• OU Diabetes Center
• OU Cancer Institute
• OU Tisdale Specialty Health Center
• Doc 2 Doc e-consultations between primary care
• and specialists

Safety Net Clinics

• ER Diversion Programs
• OU Tisdale Health Center
• Urgent Care Clinic
• OU ER Diversion and
• Follow Up Clinic
• OSU / St. John Program

Pharmacy Services

• Tulsa County Pharmacy
• OU STEP Pharmacy
• OU Bedlam Pharmacist Program and
• 5 community pharmacies

Prevention Initiatives

• 211 Line
• Baby Line
• OU Nursing Prenatal Care
• Harvard Project - Cycle
• of Poverty
• PENN Project Anchor
• Community Schools

Clancy 8 / 2009
4
Our Organizations Enthusiasm Levels A Project
Lifecycle
Sept 08
Mar 09