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| Name of Practice | Client Description | Number of Total Visits in 2004; and Client Payer Source | Type of Services | Partnerships with Practice Funding Source(s) and Financial Arrangement |
|---|---|---|---|---|
| Glide Health Services
|
Inner city homeless and/or marginally housed adults, with or without employment. Clients have significant co-morbidities including substance abuse and mental illness. | -8000 total visits; 2426 unduplicated clients, includes
1706 new clients -80% uninsured, 65.1% homeless (No reimbursement from any client payer source to date) |
Primary care, urgent care, diabetes interdisciplinary collaborative care, mental health services, complementary healing services; and HIV rapid testing, counseling and referral. | -Glide United Memorial
Methodist Church
(glide.org) and
Catholic Healthcare West. -Department and agency service agreement for hourly contribution
|
| Nursing Faculty Practice at Progress Foundation | Clients with psychiatric disabilities who have been diverted from acute and long-term care mental health institutional settings. Many clients are homeless or marginally housed with co-morbidities including substance use and other chronic diseases. | -2100 client visits -No direct reimbursement from clients/payers. Services are contracted with Progress Foundation. |
Integrated psychiatric and primary care services; health promotion and psycho-education groups for clients. Staff education and consultation. | Progress Foundation (progressfoundation.org)
and San Francisco Department of
Public Health - Mental Health System - Department and agency service agreement for hourly contribution |
| UCSF Ambulatory Care Clinics, Division of Internal Medicine | Adults with diverse socioeconomic and cultural backgrounds with complex, multi-system medical problems presenting for primary care. | -728 NP client visits -26% Self-pay, 22% Capitation (e.g., Brown & Toland), 1% Commercial, 13% Contract (e.g., Blue Cross), 8% Medicaid, 29% Medicare, and 1% Other |
Full service primary care | -Not applicable -Yearly contract between departments for per-cent of service |
| UCSF Ambulatory Care Clinics, Division of Pulmonary Medicine | Care of adult patients with lung diseases. | -200-300
NP client Visits -35% Medicare and Medicaid, 18% MediCal only, 2% Medicare only, 17% Captitation, 15% Contract, and 13% Other |
Clinical management of adults with lung diseases, and clinical research | -Not applicable -Private practice contractual arrangement (Ratio of the NP faculty annual billings to the total billings times the chest faculty net share) |
| UCSF Positive Health Program | HIV infected patients, ~75% diagnosed with AIDS or disabling HIV. Patients have multiple co-morbidities and are low income. | -2200 unduplicated visits -60% MediCal, 2.5 % Medicare -30 % other public insurance -5% private insurance. |
Primary HIV/AIDS care, onsite specialty care, psychiatric care, case management, care coordination, Women's clinic | HRSA, Bureau of Health Professions, Div. of Nursing, HIV Advanced Practice Nurse Training Grant. Support for faculty at PHP. |
| Comfort Care & Palliative Care Service Consultation | Patients hospitalized at UCSF on the Palliative Care
Services team. Referrals initiated by any member of the team, the patient or the patient's family. |
8 consultations/year | Integrated Guided Imagery and/or Healing Touch | Contractual agreement with the Palliative Care Service |