Update and Review of Kane County Health and Access

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							           What is KCHAIN?
Kane Community Health Access
 Integrated Network (KCHAIN) was
 awarded a federal Healthy Communities
 Access grant (HCAP) to build an
 integrated health provider network to serve
 the growing need for affordable health
 care to low-income residents.
             KCHAIN Partners

                   Hospitals



 Free
                                  FQHCs
 Clinics



                    KCHAIN



 Health                         Faith-Based
Coalitions                       Coalitions



                     Health
                   Department
          KCHAIN Mission
The mission of KCHAIN is to increase
 access to primary and specialty care,
 improve the quality of health care, and
 integrate key health system functions in
 order to leverage existing resources,
 including private sector specialty care, to
 produce cost savings that will be re-
 invested into the health safety net system.
      KCHAIN Program Goals
1.   Increase access to primary care for our
     target population through encouraging the
     establishment of a “medical home”.
2.   Increase access to Specialty Care by
     developing a centralized Specialty Care
     Referral Network.
3.   Increase pharmaceutical access for KCHAIN
     clients through a centralized Pharmaceutical
     Access Program.
4.   Create Management Information System (MIS)
     which allows KCHAIN partners to compile and
     share data
 Increasing Access to Primary Care
 KCHAIN leverages resources of the Federally
  Qualified Health Centers (PHS 330s) and other
  community-based health care clinics to provide
  sustainable, high-quality, culturally competent,
  primary care.
     A Federally Qualified Health Center (FQHC) is a
      non-profit provider of health care in a medically
      underserved area.
     Created by Congress and generally receive grant
      funds to provide care for the uninsured.
     Different from private practice by management
      structure and the broader, community based services
      they provide.
 Federally Qualified Health Centers
           in Kane County
Aunt Martha’s Healthcare Network
     Aurora
     Carpentersville
Greater Elgin Family Care Center
     Summit Health Center
     Seneca Health Center
Community Health Partnership of Illinois
     Serves all Kane County Migrant Farmers
Visiting Nurses Association of Fox Valley (VNA)
     VNA Health Center- Aurora East
     VNA Health Center- Aurora West
     VNA Health Center- Elgin
  Increasing Access to Specialty Care
                 Proposed Outcomes
 Establishment of a centralized referral system that will
  effectively fulfill 75% of the requests for specialty care
 Establishment of a provider network that will include
  70% of the specialty care providers in Kane County
 Establish a process of ongoing recruitment and
  retention of specialty care providers that allows the
  physicians to care for patients in the setting that they
  prefer
 Work with the community via IPLAN to strategize for the
  additional layer of specialty care delivery by means of
  the fixed specialty care clinic sites throughout Kane
  County.
                            Specialty Care Model
                                                                              PCP ref ers to
                                                                                KCHD




                                                                                     KCHD
                                                                                   Centralized
                                                                                    Ref erral
                                                                                    Source




                                                                                                                                                              Patient ref erred
 Specialist sees      Specialist sees    Specialist sees       Patient ref erred                 Patient ref erred    Patient ref erred   Patient ref erred
                                                                                                                                                                     to
patient in priv ate   patient in FQHC   patient in hospital-          to                                to                   to                  to
                                                                                                                                                               other 501C3
      of f ice             setting         based clinic          VA Setting                           DSCC           Catholic Charities        DPA
                                                                                                                                                                Free Model
  Increasing Pharmaceutical Access
 Provide Kane County residents with information regarding
  the discount pharmaceutical resources available.
      Meijer Free Antibiotic Program
      Walmart $4 Generic Program
      Target $4 Generic Program

 Function as a training resource for any Community
  Agency interested in assisting residents with the
  completion of Prescription Assistance Program
  Applications.
 Develop a Pharmaceutical Assistance Fund to:
      Bridge the 30-45 day gap that exists with most Pharmaceutical
       Assistance Programs sponsored by Pharmaceutical Companies
      Providing emergent medications such as antibiotics and pain
       medications
   KCHAIN Voucher Program
 Vouchers are redeemed at Kane County
  Jewel/Osco Pharmacies.
      10 Pharmacies in Kane County
      24 hour Pharmacy located in Aurora, St. Charles, and Elgin
 Vouchers have a 20% Co-pay
 Eligibility Requirements:
        Kane County Resident
        200% or below Federal Poverty Level
        No insurance coverage-Private or Medicaid
        Has a Primary Care Provider/Medical Home
 Program Rules:
      First time applying to KCHAIN for this medication in the past
       year
      Medication is less than or equal to $75.00
      PAP application completed and submitted for maintenance
       medications.
                    KCHAIN MIS
 The KCHAIN Management Information System will allow
  KCHAIN to compile data from all of the KCHAIN partners.
  It is important to note that this technology will allow Kane
  County to, for the first time, have a countywide effort to
  integrate and centralize health care information.
 The KCHAIN MIS will provide/manage the following health
  services:
      Provider referrals
      Customizable health information tracking tools
      Tracks client appointments and events
      Assures HIPAA Compliance
      Pharmaceutical Assistance Programs
      Benefit Linkage (using Real Benefits)
      Centralized database of client data
      Easy-to-use reporting mechanism
      Maintains patient history for audit purposes
                                                                                                       DATA
                             KCHAIN Centralized                                                       - ED data
                                                                                                      - ED Advocate Data
                                                                                                      - Future: patient referral
                                Data System                                                           or report data




                                                                                        No. Kane
    U of I                                                                              Hospitals
   Rockford                                                                                                   Mid-County
   DATA                                                                                                        Hospital
 - PAHA
                                     Kane County IT Server
 - UDS
                                                   Secure Gateway


                                                                                                       So Kane
                                                                                                       Hospitals
                                          Data                            Centralized
                                         Stored                              Data
                                         Locally

                                                    KCHAIN Tools
                                                   iReach/Real Benefits
                                                                                                       All
                                                                                                    “OTHER”
  DATA          No. FQHC                                                                            Partners
- PM info.
- UDS
                                                                                                    - Specialists
- PAHA
                                                                                                    - Pharmacies
- RX
                                                                                                    - Dental
- Eligibility                 So. FQHC                                                              - Health Dept.
- Referrals     Mid-County
                   Clinic
                                                                                                    - other PCPs
                                                                                                    - etc.
               1240 N. Highland Ave, Ste 24
               Aurora, IL 60506
               (630) 444-3084
               kchain@kanehealth.com




    Unlocking the Doors
to Health Care for Everyone

						
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