sacramento native american health center...there are indians in sacramento?there are indians in...

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SACRAMENTO NATIVE AMERICAN HEALTH CENTER An Urban Indian Health Program in Sacramento, CA

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Page 1: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

SACRAMENTO NATIVE AMERICAN HEALTH CENTERAn Urban Indian Health Program in Sacramento, CA

Page 2: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

There are Indians in Sacramento?There are Indians in Sacramento?

The history of the Sacramento area, and its people, is rich in heritage, culture and tradition. This area was and is still the tribal land of the Nisenan people (my side of the i ) l t d th h t th t l llriver) located throughout the central valley,

the Foothills and Southern Madiu people, and the Valley Miwok and Me-Wuk people, located on the east side of the American River known to tribal people as theRiver, known to tribal people as the “Moklolume” or Condor River.

To the west of the American River and the To the west of the American River and the south of the Sacramento River, are the Patwin people, the Wintun People and the Wintu people.

Sacramento was also a BIA relocation site in the 1950’s, and is still home to many out of state Indians, many who sought work on y gthe railroad, which was one of Sacramento’s major Industries.

Page 3: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

What is a community clinic?What is a community clinic?

We are a non-profit corporation governed by a Board of Directors

We are licensed as a community clinic by the state of California according to Title 22 of the gSocial Security Act

We are a federally qualified health center or We are a federally qualified health center or FQHC (designated by the federal government to provide services to Medically Underservedto provide services to Medically Underserved Area MUA/ populations MUP)

Page 4: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

The Board of DirectorsThe Board of Directors

Ricardo Torres, Ch i

Barbara Aragon, Mikela Jones Curtis Lorenda SanchezChair

gVice-Chair

Mikela Jones, Treasurer Notsinneh,

Secretary

Lorenda Sanchez, Member

Officer JasperAnno Nakai, Michelle Villegas, Chairwoman Mary Officer Jasper

Begay, MemberMember

g ,Member

yTarango, Member

Page 5: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

Healthcare Safety Nety

Hospitals/ Health Systems Kaiser

M / C th li H lth W t Mercy/ Catholic Health care West Sutter Memorial/ Sutter General UC Davis UC Davis

Sacramento County Broadway/ Stockton Primary CareBroadway/ Stockton Primary Care

Community ClinicsTh Eff t The Effort

Family and Community Medicine HALO Sacramento Native American Health Center

Page 6: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

Our StaffOur Staff

Page 7: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

So what is so special about theSo what is so special about the Sacramento Native American

Health Center?

Page 8: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

What we do…..What we do…..

M di l D t t Dental Department Medical Department• 4 providers/ MA’s Teams• 1 Dietician, CDE

Dental Department 4 providers/ 6 RDA’s Teams 2 Hygienists,

• Patient Care Coordinator• Chiropractor

yg

Home Visitation• 1 PHN/RN

Behavioral Health/Substance Abuse• 3 LCSW’s

2 CADAC’s

• 4 CHR’s/ MA’s Patient Services

• 4 Patient Services• 2 CADAC’s• 1 Case Manager• 1 Traditional Practitioner

• 4 Patient Services Representatives

• 3 Appointment Schedulers• 1 Medical Records Clerk

Community Services• 4 Health Educators/

• 1 Medical Records Clerk

And of Course…..• Administration

Prevention Specialists • Fiscal• Billing

Page 9: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

What does that mean?

In 2011, we had over 25,000 patient visits

Top 5 Billable Codes

1. Chronic Conditions: Hypertension, Diabetes, Asthma, Hep C, HIV2. Mental Health Disorders: Depression, Anxiety, Substance Abuse3. Prevention Immunization, Well Child, Well Woman, Physicals3. Prevention Immunization, Well Child, Well Woman, Physicals4. Treatment of Dental Carries5. Chronic Pain Disorders

Page 10: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

Patient Centered Medical Home Approachpp

Continuous healing relationshipsrelationships

Whole person orientation

Family and communityFamily and community context

Comprehensive care

Page 11: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

Patient Centered Medical Home in Action

Feature Story from Capitol Public Radio

http://www.youtube.com/watch?feature=player_embedded&v=13zmw-ZzCFI

Page 12: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

PCMH PrincipalsPCMH Principals

Health Information Technology•E prescribing•Population management

Practice Organization•Budget Forecasting•Staff Development •Population management

•Clinic practice guidelines•Telehealth participation

•Staff Development•Data Driven decision making•Continuous Quality Improvement

Patient ExperienceS D i t t (O

Quality MeasuresU f i t i•Same Day appointments (Open

Access)•Shared Goal SettingCultural relevance

•Use of registries•Benchmarking•Evidence Based RemindersCare Plans•Cultural relevance

•Providing treatment options•Care Plans

Community Medicine

Page 13: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

Continuity of Carey

We keep patients out of Emergency Rooms

Page 14: SACRAMENTO NATIVE AMERICAN HEALTH CENTER...There are Indians in Sacramento?There are Indians in Sacramento? The history of the Sacramento area, and its people, is rich in heritage,

Thank you!Thank you!

Questions?Questions?

Britta Guerrero CEOBritta Guerrero, [email protected]

916 341 0575916-341-0575 ext. 2205