1. April 15, 2009 11/23/20151

2. 2 Community Health Centers (CHCs) are community owned and operated, non-profit businesses that provide access to quality primary and preventive health care that is affordable to everyone.

3.  Community Health Services  Community Economic Development  Community Participation 11/23/20153

4.  19 CHC Corporate Grantees  134 service sites  Served 290,000 + medical patients in 2008  252 provider FTEs 11/23/20154

5. 5

6.  THE MISSION ◦ The mission of the South Carolina Primary Health Care Association is to provide a coordinating structure to assure access to community based primary, behavioral and other health care services to every community in South Carolina. ◦ Direct Services to Migrant Health 11/23/20156

7. Informed, Empowered Patient & Family Patient- Centered Prepared, Proactive Practice Team Improved Outcomes Delivery System Design Decision Support Clinical Information Systems Self- Management Support Health System Resources and Policies Community Health Care Organization Care Model Productive Interactions Coordinated Timely and Efficient Evidenced-based And safe

8. Why National, State, and Local Measures? “How will we know that a change is an improvement?”

9.  Established Best Practices  Allowed organizations to determine the effectiveness and/or need for change  Increased Quality Improvement  In essence, measures focus on quality:  Evaluation, Evaluation, Evaluation

10.  National and Local Faculty developed a set of measures to:  Address major aspects of care for patients with chronic illnesses.  Translate evidenced-based guidelines into clinical practice.

11.  Measure aspects of individual patient care and health.  Create summary reports and graphs

13. Measures Goal Average HbA1c <7.0 Patients with 2 HbA1c’s in the last year (at least 3 months apart) >90% Documentation of self-management goal setting>70% Cardiac Risk Reduction (choose ONE) Patients on Statins Patients on ACE inhibitors or ARB medication Patients on Aspirin or other antithrombotic agent >60% >75% >80% Patients with Blood Pressure <130/80 >40% Patients with LDL <100 >70% For clinic systems with an integrated dental clinic, the following measure is required: Dental exam in the past year >70%

14.  Patients who are current smokers  Patients with Dilated eye exam in the past year  Patients with Comprehensive foot exam in the past year  Patients with Microalbuminuria screening in the past year  Patients with Influenza vaccination  Patients with One pneumococcal vaccine  Patients with dental exam in the past year  Patients with Depression screening  Patients with documented exercise rate  Patients with weight reduction DM/CVD conditions