Article Figures & Data
Figures
- Figure 1.
The overall trend of Medicaid inpatient admissions at our clinic vs the statewide expected benchmark. Our admission rate decreased by 32.7% through all interventions from our starting point. Before interventions our clinic was 14.3% below expected. Following interventions Medicaid admissions were 40.2% below expected. The greatest drop was seen during phase 2, the walk-in clinic phase. A decrease was also seen after Phase 1, however, the improvement was not sustained.
- Figure 2.
The overall trend of potentially avoidable readmissions for our clinic compared with the statewide expected benchmark. The 3 M/L panel reporting software used to collect data were unable to do so accurately during the ICD-9 to ICD-10 conversion, however, we have data from before the conversion and after. There is an overall down trend in potentially avoidable readmissions. Our clinic rate dropped 41.8% from preintervention and is 53.8% below the statewide expected. The greatest drop was seen following Phase 2. Abbreviations: ICD-9, International Classification of Disease version 9; ICD-10, International Classification of Disease version 10 .
- Figure 3.
Our 18-patient home-visit panel of highest risk patients showing their use of the Emergency department (ED) and admission rate in the 12 months before and after enrollment in the home visit program. These patients were all covered either by Medicaid or with the combination of Medicare with Medicaid Secondary coverage. An 85.2% decrease in ED visits and 80.1% decrease in admissions was seen.
- Figure 4.
The increase in same day access for all patients shown in 2018 to 2019 after restructuring our process to accommodate a walk-in clinic, Monday to Friday, 8 am to 5 pm. The 2015 data were before our restructure and shows a much lower rate of completed same day visits per month.
- Figure 5.
The increase in lab order completion rate after April 2018, when the in-clinic phlebotomist started, compared with the previous months with use of the off-site lab. The increase in completion rate occurred quickly and has been sustained since the intervention was initiated.
