* Herkimer County Performance Hub

Herkimer County Performance Hub

Herkimer County makes up 22.4% of Leatherstocking Collaborative Health Partners’ total attribution.

Champion Project Manager
Heidi Camardello Wendy Kiuber
VP for Clinical Operations

Community Health Center, Johnstown

LCHP
Measure: Potentially Preventable ED Visits for people with Behavioral Health diagnosis (PPV-BH)

Focus: Reduce PPV-BH for all Herkimer County residents with 2 or more ED visits by 30% by June 30, 2018. As of Feb 2017, 36 patients make up 129 visits. The following approaches were identified: 

  • Establish 1 patient making up 16 visits with a PCP closer to their residence 
  • Enroll 22 patients making up 58 visits with Medicaid Health Home
  • Enroll 13 children making up 36 visits with Children’s Medicaid Heath Home.
Social Determinants of Health:

Focus: Identify and provide needed transportation, food and housing services for patients with many emergency room visits (7+ED visits) by expanding navigator presence in the emergency department.