Detroit Central City Community Health
Detroit Central City Community Mental Health, Inc. is a non-profit 501(c)(3) community mental health organization which has been awarded a new access point grant to operate a Federally Qualified Health Center (FQHC) based in Midtown Detroit, to provide services to individuals and families who reside in the surrounding neighborhoods, which may be residents of public housing or may be homeless. Detroit Central City’s mission is to achieve wellness in the community by improving an integrated array of behavioral and physical health care, housing and substance abuse services with dignity and respect. Services consist of primary medical care, preventive dental services, behavioral health care, health education, and pharmacy services for children and adults. It is projected that Detroit Central City Community Health Center will provide services to 3,367 patients by the end of the second year of operations.
- Location: 10 Peterboro, Detroit, MI 48201
- Contact: Irva Faber-Bermudez, President & CEO | 313.813.3160
- Project Cost: $725,000
- Size: 4,973 sq. ft.; 1 floor
- Start Date: March 6, 2014
Meeting Community Need, Increasing Access, Expanding Services
The Midtown Detroit area is federally designated as a high poverty area within a city that has experienced severe economic stress for the past two decades. The service area census tracts have a population of 13,422, with approximately 3,944 homeless individuals living in shelters, temporary housing, or on the streets. There are three homeless shelters located within the service area, along with 3,500 residents of public housing. There are three other FQHCs located within a three-mile radius, yet the penetration of existing Health Centers in the low-income population is 10.51% according to the UDS Mapper. Detroit Central City Community Health Center’s location, on a main bus line and within walking distance of the majority of public housing units in Midtown, will offer services which are easily accessible to this underserved community.
Reaching Special Populations
The target population is DCC consumers diagnosed with severe and persistent mental illness, individuals whose income is less than 200% Federal Poverty Level, the uninsured/underinsured, women, children, domestic violence victims, veterans, the homeless, individuals living in public housing, and other at-risk populations. The most critical need for these special populations is expanded access to affordable primary care, behavioral health care, dental services, and enabling services.
Expansion of the facility space to accommodate six exam rooms and the addition of the offices for the Access department will support the integration of primary care, behavioral health care, and substance abuse treatment, providing increased opportunities for collaboration among the different health care disciplines. The addition of a small group room will allow for patient education programs to be offered within the Health Center. Patient monitoring and education will focus on improvements in individual and population health status. Detroit Central City Community Health Center will monitor key clinical performance indicators, including cancer screenings, prenatal care for pregnant women, infant birth weights, pediatric immunizations, oral health, cardiovascular disease including hypertension, smoking cessation, diabetes and obesity, and depression, utilizing the benchmarks established for Healthy People 2020 and the Health Resources and Services Administration’s health disparity program to achieve the goals of improving the health status of the individuals. A comprehensive Quality Assessment program has been designed to insure ongoing evaluation and provide recommendations for service improvements.
Program Innovation / Model of Delivery
The Detroit Central City Community Health Center will provide comprehensive integrated primary care and supportive services utilizing a nurse managed clinic delivery model. The integrated care model will include an interdisciplinary team of health and social service providers including family nurse practitioners, behavioral health specialists, a health educator, medical assistants, a peer support specialist, a collaborating physician and psychiatrist. The Community Health Center will provide primary medical and behavioral health services on site. Preventive dental services will be provided. Laboratory services will be available through contract with accredited labs. Pharmacy services including 340B medications will be provided through contractual arrangement with PharMor Pharmacy, located directly across the street from the Health Center.
Community Collaboration / Service Integration
Detroit Central City has a strong reputation for successful collaborations with other organizations to provide a comprehensive array of services designed to meet the multiple and complex needs of the people that it serves. Examples of organizations with whom Detroit Central City regularly collaborates include the Detroit Wayne Mental Health Authority, Wayne State University, Michigan State University College of Osteopathic Medicine, Homeless Action Network of Detroit (HAND), Corporation for Supportive Housing (CSH), Michigan Department of Community Health for the Projects for Assistance in Transition from Homeless (PATH Program) and the Diversion Council, Wayne County Circuit Court, the Salvation Army for residential substance abuse treatment, Coalition on Temporary Shelter (COTS), Detroit Medical Center, and the Waller Clinic. The Detroit Central City Care Coordination approach provides outreach, eligibility and enrollment services, translation services, case management, care management, housing assistance, community reentry, substance abuse and behavioral health screening and treatment, and transportation assistance.
Innovation in Design
As the practice of medicine constantly changes, the design trends for primary care facilities place more emphasis on overall wellness. Patient, community orientation, convenient access, and providing the latest technologies are at a premium in health care, specifically in health care facilities. As a Health Center, the design of the facility focuses on the surrounding demographics and contributes to the practice design characteristics, settings, and practice goals.
The reception area avoids the generic "cold clinic” design theme and focuses on hospitality or home-like imagery, with the use of comfortable furnishings and materials. The perimeter circulation allows staff to move easily throughout the facility, providing access to all the staff support spaces and patient interaction areas.
Computer use is integrated into the design throughout the facility. For example, all of the exam rooms are wired for computer use and there are multiple locations for the staff to perform their operational duties and communication within the Health Center.
Emphasis is placed on using the latest in green technologies and construction techniques. Energy efficient lighting and the integration of natural light helps obtain a well-lit environment. The finish materials throughout the facility will focus on durability. The easily maintained flooring, wall surfaces, and countertop materials reduce future replacement costs. The installation of water-conserving plumbing fixtures will assist with overall water usage. Low/No VOC paints, primers, and adhesives will be specified, decreasing the harmful effects caused by VOCs and mixture of VOC products. In addition, products that are composed of 25% post–consumer recycled content or at least 50% post-industrial recycled content will be specified. All of these items reflect a shift from the typical delivery system model of a community health facility to a patient-focused environment that promotes wellness, efficiency, durability, and flexibility.
Impact on Social Determinants of Health
According to the Michigan Coalition for the Homeless, the 48201 Zip code has the highest concentration of homeless in the City of Detroit, with three homeless shelters within walking distance of the Detroit Central City Community Health Center location. In addition, 47% of the service area residents live below the poverty level, in public or substandard housing, and 27.1% of the population within the service area is uninsured. Detroit Central City Community Mental Health, the parent company of the Community Health Center, owns 94 permanent housing units, is HUD funded for 96 low-income supported housing units, is a certified PATH Program responsible for providing outreach services to homeless individuals including screening and referrals for treatment, and is a participant in a pilot housing initiative to transition individuals with severe mental illness from adult foster care homes into independent living situations. Establishing a primary health care home for these target populations will reduce the strain on local hospital emergency departments, improve the management of chronic health conditions, and will have a positive impact on the health disparities caused by lack of access to appropriate health services. Detroit Central City has an established eligibility system in place for the Health Center for identifying and screening individuals eligible for Michigan Medicaid. This system will be expanded as a result of the Affordable Care Act and Healthy Michigan Plan.
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