Cost-Effective Service Delivery. CLAUSE 3.2 ............................................... 7
Cost-Effective Service Delivery. These principles and practices will remain in place during the life of this agreement unless amendments to the SA Local Government Act, or other State / Federal legislation require Council to implement alternative arrangements. Any changes which require the principles or process contained within this clause to vary shall result in the clause being redeveloped in consultation with the SBU.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. Shared staff and shared services may work well in 2017 if the surrounding counties do not have access to reproductive health services on a daily basis. We do have staff who could travel to other agencies to help provide services if requested or if other agencies wanted to send there clients to us for timely service they certainly could. If we used the VAPS system in the future, we could connect with other NP in other clinics to provide assessment and direction for health care. Having one electronic recording system like LYTEC will allow new staff to familiar with other clinic’s operating procedures. All FP programs use the same FP guidelines and collect the same data. This is cost effect in the terms of training staff to do work in the Reproductive Health clinics throughout the state.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. Due to tight budgets in public health, as well as knowing that it is effectively important with a small staff, the Xxxxx County Health Department is very mindful of maximizing resources. Within our health department, we have one full-time public health nurse (who is also the main family planning nurse), one part-time nurse (who does PNCC and MCH work along with public health duties), our director (who is also a public health nurse), one part-time clerical staff and one part-time financial person. Having such a limited staff and carrying out public health duties along with family planning means that all staff are cross trained and able to fill in for various programs including family planning. On any given day, the main FP nurse could perform several public health tasks in between client visits. Having ‘many hats’ to wear makes efficiency a top priority. We do have a NP contracted through Eau Claire City County Health Department that visits us one half day per month and is available for consult as needed. It is worth mentioning, that although we are very limited on staff, we continue to grow our program and increase outreach and education in the community. It is quite remarkable to see what committed, passionate staff can do when they put their minds to it!
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. Currently, we do not utilize VAPS but may consider incorporating the technology into our practice in the future. Two other nurses at the Health Department are trained to provide dual protection supplies (condoms and emergency contraception) to clients. One nurse is trained to complete the annual health assessment and STD testing. Although our main clinic office is run out of Greenwood, WI, services and supplies are offered at the Health Department in Neillsville, WI; as needed, to better accommodate clients.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. KCDOH utilizes several cost-effective approaches to service delivery with all three sites being co-located with additional services (i.e. the city Job Center/Human Services Building, WIC Office, and county Human Services Building). In addition, most of our staff are cross-trained, including Trauma Informed Care. It is our goal to have all staff cross trained in multiple capacities.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. PCRH services are offered primarily at the PCHD River Falls location, but are also available at the main health office in Xxxxxxxxx. Services provided in Xxxxxxxxx are mostly conducted by Public Health Nurses rather than Reproductive Health Nurses. All locations offer services such as WIC and PNCC, and clientele are able to see a nurse upon request to begin RH services or obtain supplies. At the 3rd trimester Prenatal Care Coordination visit, dual protection supplies are dispensed and a post-partum contraceptive plan is discussed. RH Nurses also taking on more of a role with annual health assessments for those under 21, and for those clients over 21 who are not due for a physical exam and Pap smear. In that case, the annual health assessment visit is conducted by RH RNs rather than using the time of the NP. Those in need of a Pap, wet prep, or other symptoms continue to see an NP.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. We currently do not use VAPS but will consider ways on how to implement such services in the future. We have 2 other RN’s who are trained to assist clients in need of dual protection supplies, emergency contraception, and STI screenings. At this time we do not have an alternative location to obtain services.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. The reproductive health program is located within the Iron County Health Department. There are 3 RN’s cross-trained to provide contraceptive education and supplies to patients. This makes it convenient and cost effective for patients to walk- in to the program and receive contraceptive services anytime during business hours. Appointments are also available after-hours. The office space is also located within the health department and we are able share exam rooms and thus the cost of delivering services. The program recently changed 340b pharmaceutical suppliers which allows for cost savings for the program. This supplier allows the program to keep smaller amounts of contraceptive supplies on hand because of free, overnight shipping.
Cost-Effective Service Delivery. Reference: “Sustainable service delivery designs and approaches while maintaining the integrity of the standards of practice and overarching principles” Relevant issues: Innovative approaches: Video Assisted Patient Services (VAPS); co-located/shared services; shared staffing (Page 126) Describe the keys ways in which this Essential Performance Area (EPA) is organized and conducted. Describe any steps to increase or enhance performance in this EPA, including the use of VAPS, shared (or cross-trained) staffing, and co-located services. VAPS capability is currently available as a full- service, reproductive health clinic for neighboring dual protection clinics to align with.
