JACKSON%20HEALTH%20SYSTEM

1

• JACKSON HEALTH SYSTEM
• HEALTH PROMOTION INITIATIVES
• MIRIAM FRANCHI ALFARO MBA-HA
• ASSISTANT DIRECTOR FOR COMMUNITY HEALTH SERVICES
• OCTOBER, 2002

2
Jackson Health System
3
Jackson Health System

• Second largest hospital in United States
• Only public hospital in Miami-Dade County,
  Florida
• Largest teaching hospital in Florida
• Provides 400 million dollars in uncompensated
  charity care annually

4
Jackson Health SystemMission

• To provide health care of a single high standard
  of quality and service regardless of patients
  ability to pay

5
JACKSON HEALTH SYSTEMHISTORY

• 1917- Jackson Memorial Hospital opened its doors
  
• 1972- Dade County Board of County Commissioners
  established Jackson as the Public Health Trust,
  the only hospital in the County funded to serve
  the indigent

6
JACKSON HEALTH SYSTEMHISTORY

• 1992- County Commission gave JHS the
  responsibility to plan for the health of all
  Miami-Dade County residents and
• Health services previously operated by County
  Government were transferred to JHS
• Residents voted for ½ cent sales tax to fund for
  services to the indigent at JHS

7
REDIRECTED JHS ROLE

• FROM PROVINDING MEDICAL CARE IN A HOSPITAL
  CENTER JHS NOW BECAME A COMPREHENSIVE HEALTH
  CARE NETWORK WITH RESPONSIBILITIES FOR HEALTH
  PLANNING AND HEALTH PROMOTION

8
Funding Sources FY 2001-2002Total
1,191,224,000
9
Patient Requirements to Receive Reduced Cost or
Free Health Care

• Patients must prove.
• they reside in Miami-Dade County
• level of income meets federal poverty guidelines
  or fee for service standards

10
Jackson Memorial Hospital

• Ryder Trauma Center
• Burn Center
• Jackson Childrens Hospital
• Mental Health Institute
• Orthopedic Rehabilitation Center
• Transplant Services
• Womens Services

1,567 licensed beds with 67,000 admissions
annually
11
Jackson Memorial Hospital

• Ambulatory Care Center
• 300 general and specialty clinics
• 260,000 annual visits

12
Emergency Services

• 173,400 Annual Visits
• Services
• Trauma
• General
• Pediatric
• Mental Health
• Obstetrics Gynecology
• Jackson South Community

Ryder Trauma Center
13
Maternity Services

• 8,300 deliveries annually

14
Correctional Health Services

• 6 Correctional Health Facilities
• 421,000 visits by inmates with health care needs

15
Long Term Care Facilities

• 114,000 patient days
• Perdue Medical Center
• Human Resources Health Center
• Gold Seal Award Winner 2002
• Home Health Agency

16
Jackson North Maternity Center
3,000 births annually
17
Jackson SouthCommunity Hospital

• Full Service Community Hospital
• Emergency Care
• Outpatient Surgery
• Mental Health
• Intensive Care
• Maternity
• Medical / Surgical Inpatient

18
School Based Clinics

• Four clinics in two high schools and two middle
  schools 5000 children
• Services
• Screenings
• Primary Care
• Education
• Social Services
• Immunizations

19
JMH Health Plan

• HEALTH
• MAINTENANCE
• ORGANIZATION
• SERVING 33,000
• MEMBERS

20
PARTNERSHIPS AND AFFILIATIONS

• UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• VETERANS MEDICAL CENTER
• BASCOM PALMER EYE INSTITUTE
• UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
• MIAMI-DADE DEPARTMENT OF HEALTH
• COMMUNITY- BASED ORGANIZATIONS (INCLUDING
  FEDERALLY FUNDED HEALTH CENTERS)
• CHURCHES
• PUBLIC SCHOOLS
• LOCAL AND STATE AND FEDERAL AGENCIES
• COMMUNITY ADVISORY BOARDS
• LOCAL CULTURAL ARTS GROUPS

21
Population 2,253,362 persons
22
Miami Dade County

• Governors Estimate of Underinsured or Not
  Insured 450,000

23
Miami Dade County Distribution of Uninsured
Patients
24
Statement of Problem

• In Miami-Dade County - approximately 10 of the
  population is uninsured and do not seek either
  preventive or acute care

25
Community Outreach Goal

• To make Miami-Dade County a healthier community
  by increasing access to healthcare and promoting
  preventive health to the medically underserved.

26
Approaches to Outreach

• Focus on Geographic Areas
• Manage or acquire Community Primary Care Centers
• Increase access for South Miami-Dade population
• Focus on Special Populations
• Children, Deaf, Homeless, Refugees, etc.

27
Approaches to Outreach

• Focus on Disease Entities
• Diabetes, cancer, asthma, etc
• Information to General Population Through
  Presentations
• Churches
• Community Centers
• Street Fairs
• Media

28
HIV/AIDS Community Outreach Strategies

• Target
• Hialeah Hispanic Population
• South Miami Dade Migrant Population
• Street Workers Prostitutes
• Families of Infected/Affected Individuals
• Non-Compliant patients Adherence Program

29
HIV/AIDS Community Outreach Strategies

• Outreach Minority Population thru local churches,
  bars, barbershops, pool halls
• Outreach among inmates of correctional
  institutions
• Neighborhood Canvassing Campaigns
• Free confidential HIV testing
• Special events for Youth Teenagers
• Testing Homeless population

30
Children Community Outreach Strategies

• Offering school physicals year round at all
  primary care centers
• Pre-school marathons for school physicals and
  immunizations
• Free Vaccinations for children
• Childrens Fairs
• Enrollment into Kid Care program
• 4 School Based Clinics
• Pediatric Mobile Van

31
Community Outreach Activities

• 12 Primary Care Centers
• HIV/AIDS Network
• Homeless Health Center
• Vaccines for Children
• 4 School Based Clinics

• School Physicals
• C.A.P. Grants
• Community Dialogs for accessing JHS
• Trust Care
• Health Fairs, Cultural Events, Street Fairs

32
Community Outreach Activities

• Funding for 20 Community Based Organizations
• Vaccines for Adults
• Home Visits
• Community Disease Screenings
• Trilingual Events and Education

• Mobile Mammogram Van
• Mobile Pediatric Van

33
ACCOMPLISHMENTS

• Increased access to primary care
• Increased involvement of community agencies
• All informational pamphlets are published in
  three languages (English, Spanish and Creole)
• Increased services to the community
• JHS staff have been sensitized to the language
  and cultural needs of our diverse community
• JHS staff and management has been sensitized to
  the needs of the immigrant and undocumented
  populations
• Encounter fees (10.00) for the poor were
  eliminated
• Performance Improvement, patient and employee
  satisfaction surveys, outcome measures monitoring
  have been implemented or improved

34
MONITORING

• All Primary Care Centers are monitored quarterly
  on 35 standards developed by JHS based on Healthy
  Communities 2010, such as
• Percent accessing pre-natal care within first
  trimester
• Timely vaccinations for children and adults
• Education on healthy lifestyles
• Reports are reviewed and strategies are
  developed to improve outcomes

35
Future Strategies

• Continue Community Outreach to all Miami Dade
  County residents to increase access to the
  medically underserved
• Continue providing high quality health care at
  JHS facilities
• Increase access to secondary care
• Continue to identify and develop community
  partnerships
• Improved efficiencies and systems