The American Academy of Nursing selected the Durham Homeless Care Transitions as one of their 2022 Models of Care within the Edge Runners Initiative.
The initiative “recognizes evidence-based nurse-designed models of care and interventions that impact cost, improve healthcare quality, and enhance consumer satisfaction. Through its Edge Runners program, the Academy recognizes the nursing profession’s contributions to new, innovative ideas the transform the health system. The stories that accompany these incredible designs underscore the leadership, ingenuity, and determination of nurses. Edge Runners represent the powerful connection nurses have to the healthcare system, the public, and society as they mark the essence of the profession – science and compassion.”
AccessHealth of the Carolinas created this infographic to share our impact 2021.
AccessHealth of the Carolinas supports 30 networks of care providing access to primary and specialty care providers, care coordination, and case management services to chronically ill low income, uninsured individuals to improve health outcomes and reduce avoidable hospital utilization and costs.
The Need in Durham County
More than 12,218 low-income adults in Durham County live without health insurance. Project Access of Durham County is a specialty care network that coordinates access to specialty care for low income residents. By ensuring timely, affordable, high-quality care, the network gets underserved patients to the right care in the right place at the right time. To do this, Project Access of Durham County works closely with safety net providers, such as free clinics, community health centers, and hospitals. (Network metrics reflect 2021 data.)
Project Access of Durham County connects low-income patients who only have a primary care medical home to available donated specialty medical care and prescription medications. The network also provides patient navigation and case management services. 1 County service area, 29 Community partners, 8 Person team, enrollment/referral specialists, case managers, community health workers, 7,850 Annual primary care visits, 5,237 Annual specialty care visits.
About 2,003 patients are enrolled in Project Access of Durham County. To maximize impact, the network prioritizes case management services for higher risk patients with poorly controlled diabetes. 13,303 patients enrolled since program inception, 2,430 prescriptions filled, 1,022 instances of donated care such as labs and diagnostics, 62% reduction in avoidable ED visits in the 12 months following enrollment, 63% reduction in avoidable inpatient admissions in the 12 months following enrollment, 4-in-5 diabetic enrollees has controlled diabetes.
Network Return on Investment
(ROI calculated by combining estimated dollar value of services donated and hospital costs avoided before subtracting and dividing by the network annual operating budget.) = $19 for every one dollar invested.
We celebrated 10 years of service (2008–2018) with an event at the Sarah P. Duke Gardens on April 3, 2019.
Thank you to our 10th Anniversary Event Sponsors:
Duke University Health System, Durham County, Gene Dauchert, Dr. David Attarian, Dr. Howard & Beth Eisenson, Dr. John Paat, Gina Upchurch, Ambetter of North Carolina, Inc., & Sally Wilson
In honor of Dr. Franc “Andy” Barada, Jr., Dr. Gary Greenberg, & Mr. Bill Gable
Thank you to the 10th Anniversary Event Committee:
Anne Drennan, Ann Stickel, Emily McCoy, & Bebe Guill