FDOH-Escambia 2020 Clinical Health

Clinical Health

Clinical health programs link people to the personal health services they need either by directly providing those services or by making referrals to other community resources. Programs include a medical clinic providing primary care for children and adults, family planning services, immunizations, and sexuallytransmitted disease (STD) testing and treatment.

Family Health Clinic

The Family Health Clinic provides primary care for children and adults. Services include sick and well child exams, adult annual check-ups, management of chronic diseases, such as high blood pressure and type 2 diabetes, and lead testing. Appointments for preschool and school entrance physicals are also available.

2,216 CLINIC VISITS FROM 1,177 CLIENTS

Immunizations Clinic

The Immunizations Clinic provides vaccines for children, adolescents, and adults. Prior to entry into Florida child care facilities or attending school (kindergarten through 12th grade), each child is required to have a Florida Certificate of Immunizations, or DH 680 form, on file documenting age-appropriate immunizations. Immunizations for adolescents include shots required for entering 7th grade and college. The FDOH- Escambia Immunization Clinic is also a designated travel center, providing consultations and immunizations to travelers. Immunization records may also be obtained for students transferring out of state, child care, or school enrollment.

18,236 IMMUNIZATIONS WERE GIVEN TO 4,630 CLIENTS

2-Year-Old Immunization Rates

Goal 90.0%

Escambia 94.2%

Florida 90.0%

Florida Department of Health, Bureau of Immunizations

Labs Processed by Clinical Laboratory

Adult Health 1,227

Family Planning 3,693

Hepatitis 18

HIV 1,008

Refugee Health 75

STD Clinic 2,985

Tuberculosis 651

FDOH-Escambia Recognized as Vaccines for Children Platinum Level Provider

On March 31, 2020, the Department’s Immunization Section recognized FDOH- Escambia as a Vaccines for Children Program Platinum Provider for exemplary immunization coverage rates in the 2-yearold vaccine series. FDOH-Escambia’s practice completed the 2-year-old series (4 DTaP, 3 Polio, 1 MMR, 3 Hib, 3 Hep B, 1 Varicella, and 4 PCV) for 99.1 percent of eligible patients as of October 1, 2019. The achievement outlines FDOH-Escambia’s dedication to protecting children in the community from vaccine-preventable diseases while helping Florida reach statewide immunization goals.

Sexually-Transmitted Disease (STD) Clinic

The STD Clinic provides testing and treatment for individuals exposed to sexually-transmitted diseases, such as syphilis, HIV, chlamydia, and gonorrhea. Registered nurses and clinicians also provide prevention education and counseling in a confidential setting. The clinic has two credentialed STD nurse clinicians to facilitate fast-track services when needed.

1,327 CLINIC VISITS FROM 996 CLIENTS

91% OF CLIENTS WITH STDS WERE TREATED WITHIN 14 DAYS

FDOH-Escambia’s Immunization Section recognized as a Vaccines for Children Program Platinum Provider From left to right: Dr. John Lanza, Christy Brantley, Leigh Willoughby, Beate Bolton, Peggy Abbott, Linda Kent, Suzanne Jeffers.

Florida Breast and Cervical Cancer Early Detection Program (FBCCEDP)

The Florida Breast and Cervical Cancer Early Detection Program (FBCCEDP) provides education on breast and cervical cancer, the importance of getting regular breast and cervical cancer screening exams, and the Human Papillomavirus (HPV) vaccination. Services offered include referrals for screening and diagnostic mammograms, pap smears, and assistance with medical insurance across three counties.

607 REFERRAL SERVICES PROVIDED FOR WOMEN IN ESCAMBIA, OKALOOSA, AND SANTA ROSA COUNTIES

49 OF THOSE REFERRALS PROVIDED BY OUR CLINICIANS

We Care Referral

The We Care Referral program was founded by the Escambia County Medical Society Foundation to address the specialty medical needs of uninsured residents. The program helps meet a critical gap in health care access to those who otherwise would not receive care or would seek care in emergency departments and further contribute to the current health care burden of hospitals and their communities. Potential clients are screened for residency and income. If eligible, clients are referred to a participating physician or hospital to receive care. In 2020, 52 physicians participated in the We Care network.

112 INDIVIDUALS REFERRED FOR ASSISTANCE

Family Planning Clinic

The Family Planning Clinic offers a variety of modern birth control methods, annual women’s health exams, counseling, and referrals. Abstinence counseling and information about Natural Family Planning is also provided. Clinical exams, including a pelvic exam and pap test (if due), are provided to screen for cervical cancer. Available birth control methods include condoms, birth control pills or shots, and long-acting reversible contraceptives (LARC).

2,310 CLINIC VISITS FROM 1,141 CLIENTS

Improved Pregnancy Outcome Program (IPOP)

IPOP links pregnant women to medical care and other services in the community. Nurses screen women for potential problems or risks and provide education to promote healthy behaviors during pregnancy. Staff assist women with Medicaid applications for Presumptive Eligibility for Pregnant Women (PEPW), provide referrals to the Women, Infants and Children (WIC) program, and assistance in establishing regular prenatal care with a local physician or clinic. Longacting reversible contraceptives (LARC).

207 CLIENTS SERVED

148 CLIENTS QUALIFIED FOR PEPW

WiseWoman/ FL Healthy Woman

FDOH-Escambia administers the CDC’s WiseWoman Program, named FL Healthy Woman. This program serves low income, uninsured women aged 40-64 in Escambia

County, Florida. WISEWOMAN aims to improve cardiovascular health within our community by helping women make longstanding lifestyle changes. We continue to overcome common barriers to health including health literacy, lack of motivation and physical or financial limitations – even in the midst of the COVID-19 pandemic. 2020 saw enrollment in the Escambia County WISEWOMAN program increase by 80 new participants!

Healthy Behavior Support Systems (HBSS) providers have demonstrated their creativity and flexibility in assuring that healthy lifestyle change support is available to our targeted population. Clinical Nursing and CHEN (Communications, Health Education and Nutrition) staff have worked together to deliver the CDC’s National Diabetes Prevention Program (DPP) virtually. This has been of paramount importance in keeping our clients safe while still delivering necessary services during COVID. The Million Hearts class curriculum (formerly Healthy University) has evolved into individual health coaching for support to clients who participate in self-monitored blood pressure. Health coaching is conducted both in person and telephonically. We have also partnered with the Taking Off Pounds Sensibly Group and the YMCA who offer virtual meetings, outdoor exercise, and additional guidance to support and reinforce our WISEWOMAN participants.

The long-term success of WISEWOMAN participants is showcased with follow-up assessments conducted between 6-9 and 12-18 months after initial enrollment. Of those follow-up assessments, we found that nearly everyone had reduced at least one risk factor for cardiovascular disease

and/or stroke i.e.; lowered blood pressure, reduction in BMI, medication compliance with cardiovascular medication, increased exercise, closely monitored caloric intake, etc. FDOH-Escambia is shaping a healthier community of women through the WISEWOMAN program.

WISEWOMAN Program Champion Initiative

In 2020, FDOH-Escambia launched the WISEWOMAN Program Champion Initiative. Modeled after the CDC’s Prevent Type 2 Diabetes Program Champion Initiative, the WISEWOMAN Program Champion strategy is designed to support recruitment and outreach activities of the WISEWOMAN program. This designation recognizes and shows appreciation for the hard work and accomplishments of our WISEWOMAN participants. It serves to keep them engaged in the healthy lifestyle changes they have learned and adopted through WISEWOMAN.

Mary Nell Adams was recognized as FDOH-Escambia’s first WISEWOMAN Program Champion. Through her hard work and participation in the program, Mary significantly reduced her BMI while addressing other health objectives to sustain her long-term wellness. Mary participates in the online Diabetes Prevention Program where she continues to share her experiences and support other women.

Mary Nell Adams was recognized as FDOH-Escambia’s first WISEWOMAN Program Champion. Pictured from left to right: Denielle Satterfield and Mary Nell Adams