A confluence of factors has dramatically increased the demands on primary care providers, particularly on those at community clinics providing care for the underserved. Among the factors: The Affordable Care Act’s focus on prevention and the creation of medical homes increased the demand for primary care services, even as the primary care workforce continues to shrink. In addition, an aging population, growing economic disparities and electronic health records have all increased the amount of time primary care clinics spend managing patients with chronic conditions and co-morbidities across settings.
Too often the result has been overburdened clinical teams and less satisfied patients. To prevent that from occurring at La Clínica de La Raza, in August 2017 the Community Health Fund (CHF) awarded La Clínica a $214,758 grant to implement the first year of its two-year plan aimed at improving workforce engagement and patient satisfaction, increasing patient access and staff productivity, making clinical quality improvements and helping to relieve increased demands on primary care physicians. The program, which builds on the CHF-supported Contra Costa Nursing Care Expansion initiative, focuses on improving communication among clinical teams, streamlining workflows and enabling each team member to work to the top of their training, license and abilities.
In year one, La Clínica:
For year two, the CHF has provided $173,513 to help La Clínica maximize the skills, abilities and performance of its clinical care teams. To that end, the organization will: