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Brightpoint Health
Queens HCV Taskforce Presentation
November 30, 2016
Who We Are
• Integrated care provider in the business for over 25 years
• Federally Qualified Health Center providing services in an integrated care
model
• Behavioral Health, PC, Dental, Pediatrics, OB/GYN, Pain Management,
Podiatry, Geriatrics, Adolescent Medicine
• 766 Employees
• Serving all five boroughs of New York City
• Largest Health Home Care Management Program in New York State
• Two fully equipped mobile health centers for primary and dental care
• 40,000 patients and 130,000+ health care visits annually
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Where We Are: Locations
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ASAP Presentation
Our Locations
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Our locations continued…
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Sutphin Health Center
105-04 Sutphin Blvd,
Jamaica, Queens
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Bay Street Health Center Services
• Primary Care Services
• Behavioral Health Integration
• Infectious Diseases Specialist
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Our Outpatient Model:
Homeless FQHC Patient-Centered Medical Home
Outreach
Care Coordinator
(Transportation)
(Health Home)
Mental
Health
Dental Services
(Article 31/28)
Outpatient
Drug Treatment
(Article 822)
Nutrition/
Meal Service
Office-Based Opioid
Replacement Therapy
(Buprenorphine)
Patient
Primary Care
(Article 28)
Medical Case
Management
Pain Management
Primary Care Team
RN
Med Tech
Medical
Case
Manager
Behavioral
Health
Provider
Patient
Medical Provider
Care Manager
(Health Home)
HCV Patient Treatment Group
• 2013
 3.5% of patients started treatment (n = 7 out of 195 )
 2014
 24% of patients started treatment (n = 70 out of 292)
 586% improvement
 2015
 29% of patients started treatment (n = 146 out of 505)
 21% improvement
Substance Use &
Treatment
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
67%
56%
33%
44%
Substance Use Diagnosis
Under Care for Substance
Use *
Yes
No
Mental Health Diagnosis &
Treatment
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
70%
67%
Yes
No
30%
Mental Health
Diagnosis
33%
Under Care for
Mental Health
Barriers to Care and Treatment
• High-risk, primarily homeless population
• Active substance use
• Mental health issues
• Prior authorization denials
• Transportation
Lessons Learned
• Populations with co-morbid MH and SU disorders can be effectively
treated in CHCs
• Develop team based care with integrated Medical/BH, Case/Care
Management, Patient navigation with grant support to enhance the
ability of patients to complete course of treatment
• Develop close partnerships with pharmacies to provide provider and
patient support
• Provide transportation to appointments and meals at our clinics to
enhance retention
• Start prior authorization process early
– Provide clear communication with patient about potential length and
barriers of this process