|Western Wayne Family Health Centers|
Inkster Health Center
Description & Cost
Western Wayne Family Health Centers (WWFHC) was established in 2006. The Federally Qualified Health Center serves the communities of Inkster, Taylor, and Romulus, and portions of the adjoining townships of Brownstown and Huron with two locations. Clinic-based services consist of primary medical, dental, and behavioral health care; health education; and women’s health services. Community outreach services include mobile dental sealants at local schools and Head Start programs, as well as education programs and health fairs. In collaboration with the National Kidney Foundation, self management classes and specialized exercise classes are offered for people with chronic conditions such as diabetes.
In response to identified needs for expanded services, WWFHC will move its Inkster location from 2500 Hamlin Court to 2700 Hamlin Court in early 2014. The new facility will provide four times more square footage to meet both current demand and future expansion. Space will be provided for 32 exam rooms for primary care, obstetrics/gynecology, and pediatrics; co-located behavioral health care as well as an advanced model of integrated care with behavioral health consultants embedded per 2-3 pods of 3 exam rooms; 6 dental operatories; 340B pharmacy; provider and staff work stations; WIC; medication storage; lab; patient waiting areas, registration and checkout areas; restrooms; financial counseling; medical records; administrative and business offices; employee lounge; mechanical space and storage; case management and community outreach; and leased space.
Meeting Community Need, Increasing Access, Expanding Services
Of the Inkster community’s population of 25,366, 13,712 (54%) are low-income. Today just 16% (2,230) receive Community Health Center services. This represents unmet needs to 11,482 people. A 50% increase in penetration would equate to an additional 5,741 unduplicated patients. Applying the Health Center’s 2012 average of 2.5 visits per patient, such an increase would generate 14,352 additional medical visits. At 3,054 visits per provider, this volume would require 4.7 FTE new medical providers. There is no room at the present Inkster Health Center to add either new providers or to expand services. The current facility serves 6,505 medical and dental unduplicated users in approximately 6,356 square feet of space. This building does not permit effective and efficient utilization of resources. With over 29,000 square feet of space, the new facility is designed to meet current and future needs. In addition to providing additional medical examination rooms, it will provide space for many needed services including pharmacy, mammography, patient education and group meetings, as well as space for full integration of behavioral health services. Expanded podiatry and ultrasound services are being explored, as are space leases with the National Kidney Foundation and Starfish Family Services.
Reaching Special Populations
Inkster has a shortage of health care providers who will serve low-income residents. Without access to care, the majority of people who live in the area are at greater-risk for poorer health status. They are more likely to become ill, and to die at younger ages. They are significantly more likely to have health risk factors that include smoking, being overweight, and a sedentary lifestyle. They have more disabilities and chronic illness. They receive less preventive care, such as immunizations and cancer screenings, and more hospitalizations for serious conditions that could have been avoided by receiving preventive, office-based care.
The expanded number of exam rooms will allow for additional providers and service expansion. A 340B pharmacy will improve patient access to needed medications and improve chronic disease management. Work process flow and interior spaces will be designed around Patient-Centered Medical Home principles and full integration of a best practice model of behavioral health. The improvements will make possible full application of EHR systems, which are integral to proper management of chronic disease patients, such as diabetics, for cardiovascular patient monitoring, and for optimal service delivery in an integrated model.
Program Innovation / Model of Delivery
Operating using Patient-Centered Medical Home principles and the complete integration of behavioral health into primary care are the next strides in progressing WWFHC’s care delivery model. Patient care areas will be designed around "work pods” to accommodate a multidisciplinary team—provider consultants, behavioral health consultants, and other clinical staff. Care Managers and Behavioral Health Consultants will have work space embedded in the medical corridors for improved access to both providers and patients. The building will be hard-wired for current and future uses of technology, such as tele-health. Space will allow for improvements in patient education offerings as both small group and large group meeting areas will be available. A demonstration kitchen is also planned to use in nutrition and disease management programs.
Community Collaboration / Service Integration
WWFHC is committed to actively collaborating with community partners and reaching out to those in need. Active partnerships have been formed with 14 community organizations/groups for direct patient care and wraparound services. The most significant is with Starfish Family Services (SFS). Already a partner, SFS was a key community agency that facilitated WWFHC receiving initial funding to open to serve families in the shared target area of Inkster. In the building at 2700 Hamlin Ct., SFS will lease almost one-fifth of the building to open an Inkster behavioral health services office. This co-location will offer smooth continuity of WWFHC patients to psychotherapy, psychiatric evaluations and testing, behavioral therapy for children and psychiatric care. The integrated behavioral health model in place at WWFHC has been developed in partnership with SFS, and the new facility takes WWFHC’s use of this benchmarking care model to a new level of innovation.
Innovation in Design
Construction will be completed using principles of LEED (Leadership in Energy and Environmental Design). Measures will be implemented to lessen the consumption of water, such as the use of low-flow wash basins. Landscape irrigation will be limited. The overall efficiency of this building will result in a significant lowering of energy consumption. Systems will be commissioned to establish a measurable usage of energy and effectively take steps to lessen consumption for the life-cycle of the building. Preference will be given to construction materials with high recycled content. An air quality management plan will be implemented.
Impact on Social Determinants of Health
The new facility will allow WWFHC to make an immediate, positive impact on the disparities caused by poverty and lack of access to needed health care services. The creation of a one-stop health care concept—primary care, pharmacy, behavioral health, dental, benefit enrollment specialists, care management, education, and exercise classes under one roof—will greatly improve access and quality of care received. Strong relationships with community partners such as Starfish Family Services, National Kidney Foundation, Authority Health, Wayne County Health Department, area health care systems and community care improvement collaborations will be taken to a totally new level of innovation and service delivery. Additional primary care providers and new health initiatives targeted to those with low incomes will enhance the safety net of health services for the poor and underinsured. New initiatives in education and support programs will improve self-management of cardiovascular disease and diabetes to improve mobility and mortality statistics for residents of Western Wayne County and surrounding areas.