ALEXANDRIA NEIGHBORHOOD HEALTH SERVICE INC
Grant: $574,590 - Health Resources and Services Administration - Jun. 25, 2009
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Award Description: Alexandria Neighborhood Health Services, Inc. (ANHSI), located in Alexandria, Virginia, experienced a 30 percent increase in users and a 40 percent increase in encounters in 2008. The rate of increase in encounters for the first quarter in 2009 was 55%. Ninety-two percent of patients are below 200 percent of the federal poverty level; 94 percent of adults and 39 percent of children are uninsured. Sixty percent of adults presents with chronic illnesses. In spite of our expansion efforts, new adult patients still wait at least twelve weeks for an appointment. This situation is aggravated by the lack of sufficient space to accommodate more providers to meet the demand. We have already added evening and Saturday clinics to maximize the use of current space. ANHSI's CIP proposal includes four projects: two renovation projects, including IT and equipment; a Certified EHR purchase and implementation project; and an organization-wide IT and Equipment-only project. One of the renovation projects is based at the Behavioral Health Services Division, Drewry Center in Arlington County and the second renovation project will be at the Casey Health Center in Alexandria, both providing critical physical space for Health Center operations on a pro bono basis. The four projects are important organizational priorities and will contribute to meeting the objectives of ANHSI's mission and five year strategic plan. CIP funds allow our Health Center to accelerate its implementation time table, thereby meeting community needs, and patient outcomes and visits' goals at a faster and more desirable rate. All projects address other essential needs such as augmented information technology and equipment capacity that not only enhance quality of care, but also contribute to improving operational efficiencies and ultimately generate savings and revenue to support our mission. CIP funds are allowing ANHSI to implement two major service delivery projects -- an expansion of adult medicine services in partnership with the Alexandria Health Department and an expansion of integrated primary care and mental health services in partnership with Arlington County, both of whom are providing free space for our service expansion. Summary of Project Impact in Two Years: The two service delivery projects will have significant impact on job creation (5.01 FTE's), patients served (3,786) and the number of visits held (10,600) over the next two years.In addition, approximately 15 health care providers will be using the new Electronic Medical Record System and more than 14,000 patients will benefit from the new electronic system. Several features of the Electronic Medical Record will enhance patient care including drug compatibility alerts, medication histories, graphs of blood pressure readings, among other indicators. Providers will have additional useful information at their fingertips to help in mapping out health care plans. ANHSI welcomes this opportunity to obtain new and updated equipment to assist provider staff in patient care, especially in screening and diagnostic functions. Several of the requested equipment items address deficiencies that we have been able to manage but once overcome, will allow our Health Center providers to provide more accurate, comprehensive and efficient care.
Project Description: Project 01 This equipment-only project impacts All of the Health Center’s six sites. ANHSI welcomed the opportunity to obtain new and updated equipment to assist our physicians and nurses in patient care, especially in screening and diagnostic functions. Most of the equipment has been ordered. Project 02 ANHSI’s Arlington clinical site is now part of ANHSI’s scope of work. Renovation of ANHSI’s 512 sq ft of space, provided on a pro bono basis by Arlington County will start in November. A proposal to the Virginia Health Care Foundation to support a primary health care/mental health initiative was approved for $191,494. The grant covers .7FTE of a physician and a nurse. Recruitment starts in mid November with the goal to have both hired by mid January. Another proposal is pending for the remaining .3 FTEs for the physician and nurse and for a 1FTE medical assistant. Project 03 ANHSI’s proposed Casey Health Center clinical site is now part of ANHSI’s scope of work. Renovation of ANHSI’s 400 sq ft of space provided on a pro bono basis by the City of Alexandria and the Alexandria Health Department is underway. A team comprised of a .5FTE Internal Medicine Physician, Nurse and Medical Assistant will start providing the proposed adult medicine services in mid November. Project 04 Electronic Health Records: The focus of this project is the purchase and installation of a Certified Electronic Health Record which impacts All ANHSI Sites. Training of all health care providers and staff in the use of the electronic system is included. A teaching and hands-on training program was conducted in September. Our Pediatric Program went live on September 24; Adult Medicine and Women’s Health Program went live on October 1; Mental Health will go live on October 14. All new patients are being entered in the electronic system; established patients are entered as they come for another appointment. The Electronic Practice Management component is fully operational.
Jobs Summary: ANHSI's CIP proposal includes four projects: two renovation projects, including IT and equipment; a Certified EHR purchase and implementation project; and an organization-wide IT and Equipment-only project. One of the renovation projects is based at the Behavioral Health Services Division, Drewry Center in Arlington County and the second renovation project will be at the Casey Health Center in Alexandria, both providing critical physical space for Health Center operations on a pro bono basis. The four projects are important organizational priorities and will contribute to meeting the objectives of ANHSI's mission and five year strategic plan. Total Jobs Created and Retained through CIP Project: 5.01 FTEs. The equipment only project includes a .02 FTE of a Project Manager’s time to coordinate the purchase and installation of the equipment and furniture at ANHSI’s several sites. Building out and equipping the Arlington-based space for Health Center operations with CIP funds, will allow ANHSI to move forward with the collaborative primary care/mental health service delivery project. The renovation will result in the hiring of 3 new staff. A 0.6 FTE physician, a 0.6 FTE Psychiatric Nurse, and a 0.6 FTE Medical Assistant will be designated for the Arlington mental health service project supported by other sources of funding. .7 FTE Project Manager (retained) who provides oversight of the implementation of the IT requirements and equipment and furniture installation at the new Arlinton site. Fees are also included for the architects, Geier, Brown, Renfrow Architects, LLC, for the design and oversight of the construction process, over an estimated 3 weeks. Once the renovation of space designated for ANHSI at the Casey Health Center is completed, ANHSI will hire 3 new positions: Year 1: 0.5 FTE physician; 0.5 FTE RN; and a 0.5 FTE medical assistant. These positions will increase to 1.0 FTE for each in Year 2. .05FTE of a Project Manager is included to provide oversight of the implementation of the IT requirements at this location. Fees are also included to be paid to the architects, Geier, Brown, Renfrow Architects, LLC, including costs of the design and oversight of the construction process, over an estimated period of 3 weeks. The Electronic Health Record Project includes a Project Manager (0.19 FTE) for coordination of the purchase and installation of the equipment at ANHSI’s locations, and 1.04 FTE of temporary staff for scanning of paper medical records documents during the conversion to the Electronic Health Record system. (Total jobs reported: 0)
Project Status: Less Than 50% Completed
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