Patient Care Intervention Center

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Strengthening the health system in Texas

Mr. Timmy

Published On: December 2016 in Episcopal Health Foundation. Read the story here.

He was sitting in his old wheelchair with his phone in his hand. He was grey, had difficulty breathing and was very confused. We immediately called 911.

Timmy was on the outside of the health system looking in. And it almost cost him his life.

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Camden health-care coalition gets grant for national program

The Camden Coalition of Healthcare Providers, led by MacArthur Fellow and primary-care physician Jeffrey Brenner, has won renown for its efforts to address the complex needs of Camden's sickest residents.

Now, on the heels of establishing the National Center for Complex Health & Social Needs this year, the Camden Coalition has won a grant of up to $1.65 million over three years from Aetna Foundation to develop a curriculum that will help other cities adopt the data-driven approach Brenner has used in Camden.

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Welcoming our newest PCIC care coordinator!

Dear Friends and Supporters of PCIC:

We'd like to welcome our newest PCIC care coordinator, Chris Dammel. Chris is a firefighter with the Houston Fire Department, and has served his community for ten years. He heard about PCIC from current care coordinators, Eric Lobpries and Karen Dupont. Although he's only been with us for a month, he has some great insight about our organization's vision and goals with the clients.

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PCIC Updates - Phase 1 Conclusion

Dear friends and supporters of PCIC:

We wanted to share with you our news as we conclude Phase I. The project is moving into Phase II thanks to YOU, our collaborators, stakeholders and funders.

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Stakeholder meeting held on April 30th 2014

Stakeholder meeting held on April 30th 2014

The Patient Care Intervention Center had its stakeholder meeting on September 2nd 2014 , to discuss progress made on the project. We had representation from City of Houston, County Budget Office, County Jail, Greater Houston Healthconnect, Harris Health System, Healthcare for the Homeless-Houston, Houston Recovery Center, and Mental Health and Mental Retardation Authority.

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PCIC Kickoff!

PCIC Kickoff!

The Patient Care Intervention Center had its kickoff meeting on April 29, 2014. The PCIC board and staff members were joined by representatives of the City of Houston, Harris County Budget Office, Harris County Jail, Harris Health, Healthcare for the Homeless – Houston, Houston Recovery Center, Memorial Hermann Hospital, and Mental Health Mental Retardation Authority.

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Repeat ER patients costing millions

Houston-area emergency rooms are packed and the taxpayer price tag is climbing. But one doctor's idea could not only shorten ER waits and save money, but could dramatically improve the health of Houston's most vulnerable patients...

Read the complete article on the ClickToHouston here.

Published On: Jun 17 2014 in KPRC.

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Reduced ER trips

Houston health innovation center reduces ER trips

A new program of identifying patients who most frequently go to Houston-area emergency rooms and then coordinating their medical care has reduced ER visits by 85% in just three months, according to preliminary findings released today by the Primary Care Innovation Center (PCIC).

PCIC research is based on patients identified as "superutilizers" – patients who use emergency rooms across Houston more than 10 times in one year. During the three months before the PCIC program, eight of those patients visited an ER a total of 65 times.

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Extreme Users

High utilization by intensive users

Intensive users of medical services account for 21% of the Medicaid budget in Texas. Four patients used emergency rooms at 19 different Houston hospitals a total of 179 times last year, according to Primary Care Innovation Center, a Houston nonprofit. One patient had a total of 56 visits to 10 different emergency rooms. These intensive users of medical services - in the jargon, "super-utilizers" - account for 21 percent of the Medicaid budget in Texas, according to Primary Care Innovation Center.

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Our Mission

Humanize health equity by integrating clinical, behavioral, and social determinants of health into serviceable insights that our partners use to drive action, putting each individual on a path toward achievable health and well-being.

We Envision

Creating a new reality of integrated effective care that will transform the lives of all people, especially vulnerable populations – a beacon for True Health Equity.

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