1. CREATORS OF LIFE: A HOLISTIC WOMEN’S HEALTH CLINIC
MAJESTIC NURSES:
Liza Bauzo-Nieves, RN Jyamalia Givans, RN
Viktoriya Gorelik, RN Elizabeth Lutale, RN
Elizabeth Scantlebury, RN
Tuesday May 11, 2016

2. Patient-Centered Medical Home
Women’s Health Clinic
Creators of Life: A Holistic Women’s Clinic
Mission
To provide women of all races and religions with easily accessible, culturally sensitive services and education from a holistic viewpoint

3. Creators of Life: Purpose
Purpose: Meeting Healthy People 2020 Objectives
To improve pregnancy planning and spacing, and prevent unintended pregnancy
Improve access to comprehensive, quality health care services
Provide comprehensive and specialized care for women’s health issues

4. Creators of Life: Philosophy
Philosophy: Remember your vowels
Advocacy
Empowerment
Integrity
Options
Understanding Y?

5. Creators of Life: Objectives
Clinical Objectives
Increase awareness of women’s health issues
Increase cultural sensitivity
Increase funding of women’s health services for low- income families and the uninsured

6. Creators of Life: Providers
Nurse midwives, OB/GYNs, and registered nurses
Nutritionist, lactation consultant, social worker, and psychologist
Radiologist, radiology techs, medical assistants, and insurance coordinators

7. Health Care Services
Routine women’s health exams
Immunization for HPV, Tdap, and influenza
Pregnancy testing and contraception
BP monitoring and insurance assistance
Psychological support for women affected by violence, rape, mental and other physical abuse

8. Health Care Services Pregnancy care
Prenatal care and screenings: GTT, vitamins, sonograms, birthing/Lamaze classes, nutrition visit, CVS (chorionic villus sampling), and contraction and non-stress tests
Postnatal lactation classes and referrals for home care visits

9. Brownsville Brooklyn, NY

10. Brownsville Brooklyn, NY

11. Brownsville Brooklyn, NY

12. Data Collection
Creators of Life will specifically address the needs of Brownsville through strategic marketing designs based on results from:
Convenience Sampling
Voluntary surveys
Billing diagnoses
Care will be coordinated according to trends and quality
indicators

13. Marketing
Flyers strategically placed in train stations, bus stops & in schools
Brochures in libraries, as part of community outreach, Girls Club, YWCA, fitness studios, spas, nail salons
Website: CreatorsOfLife.org
Social media such as: Facebook, Instagram, Linkedin
Zocdoc for ease of appointment scheduling
Monthly educational health fairs

14. Marketing Community outreach tables placed on high traffic blocks
Newspapers advertisements in free newspapers such as AM New York
Television commercials
Word of mouth throughout the community
Bulletin boards placed just off of highways
Insurance provider directories

15. Coordination of Care Scenario 1: 15 y/o female, suspected pregnancy
Clerk  RN 
(patient questionnaires) (assessment, lmp, labs, vitals)
OB/GYN  Radiology 
(consultation, vaginal exam, referrals) (sonogram)
Social Worker  Nutritionist 
(assessment, paperwork, referrals) (assessment, education) Clerk  RN
(follow up appointments) (assessment, labs, vitals)

16. Coordination of Care
Scenario 2: 19 y/o female, s/s vaginal itching, burning, foul
smelling yellow discharge
Clerk  RN 
(paperwork/questionnaires) (assessment, history, vital signs)
OB/GYN  Social Worker 
(internal and external vaginal exams) (assessment, referrals)

17. Coordination of Care
Scenario 3: 50 y/o female for annual screening Clerk  RN  (patient questionnaire) (assessment, height, weight, vitals) OB/GYN  Radiology (pap smear, referrals) (mammography) Clerk  OB/GYN (schedule follow up) (results, teaching)

18. Provider Communication
All communication should be clear and concise, with respect for others
Methods
Face to face
Telephone
Computer
Central, privately owned, and operated solely by the clinic
Each user has a unique username and passcode to access patient’s health information

19. Quality Indicators to Monitor
Family Planning
Decrease in the adolescent pregnancy rate
Increase in contraceptive usage
Decrease in infertility rate
Decrease Sexually Transmitted Infections
Decrease in the STD rate

20. Quality Indicators to Monitor
Maternal Health
Increase in prenatal care
Increase in early identification of high risk pregnancies
Nutrition
Monitor public assistance programs such as WIC (women, infant & children) and EBT (electronic benefit transfer) for access

21. Structural Organization
President
Vice President
Director of Clinicians
Director of Services
Nursing Supervisors
Clients

22. Structural Organization
Clients
RNs
Nurse Midwives & OB/GYNs
Psychologists & Social Workers
Nutritionists & Lactation Consultants
Radiologists, Technicians, Medical Assistants
Clerk & Insurance Coordinators

23. Creators of Life: Budget
RN’s
Average Daily Census = 50
Ratio = 1:5
Shift = 8hrs
50/5 = 10 RN’s X 7.5 = 75/50 = NCH
1.5 X 3 shifts = 4.5
RN’s needed to staff unit
10 X 3 shifts = 30 RN’s
PTO = 1.6 X 30 RN’s = 48

24. Creators of Life: Budget
Patient Care Technicians
ADC = 50
Ratio = 1:10
Shifts = 8 hours
50/10 = 5 PCT’s X 7.5 = 37.5/50 = NCH
0.7 X 3 shifts = 2.1
PCT’S needed to staff unit 5 X 3 shifts = 15
PTO = 1.6 X 15 = 24
  Total NCHPPD = 6.6

25. Creators of Life: Budget
Unit Clerk
1 Unit Clerk X 3 shifts = 3
PTO = 1.6 X 3 = 4.8
PTO
Salary
Total Salary
Registered Nurses (RN) 48
$86,000
$4,128,000
Patient Care Technicians (PCT) 24
$44,000
$1,056,000
Unit Clerks
4.8
$28,000
$134,400
Total of Unit’s Yearly Salary
$5,318,400

26. THE END