Schoharie County Performance Hub
Schoharie County makes up 13.7% of Leatherstocking Collaborative Health Partner’s (LCHP) total attribution.
Champion | Project Manager |
---|---|
Bonnie Post, LCSW-R, CASAC | Swathi Gurjala, MHA |
Director of Community Services in Schoharie County | LCHP |
Measure: Potentially Preventable ED Visits for people with Behavioral Health diagnosis (PPV-BH)
Focus: Reduce PPV (BH) for residents of Schoharie County with 3 or more visits by 35% (68 visits) by June 30th, 2018. As of Feb 2016 claims data, 41 patients had 192 visits with above criteria.
Measure: Diabetes screening for people with anti-psychotic medications
Focus: Increase diabetes screening for patients with antipsychotic drugs in Schoharie County by 90% (36 patients) by June 30th, 2018. As of May 2016 claims data, 40 patients with antipsychotic medications had no diabetes screenings.
Social Determinant of Health: Transportation
Focus: Increase awareness of existing plethora of public transport services to case managers in Schoharie county who work with patients to schedule appointments/transportation for appointments