Brevard Health Alliance

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Brevard Health Alliance (BHA) is Brevard County’s only Federally Qualified Health Center. BHA operates eight fixed sites and a mobile clinic by offering primary medical, behavioral health, dental services, medication assistance, resource management services, and referral services.

Shaun Garcia, MD, MS, and Chief Quality Officer at BHA, discusses community health initiatives requiring effective care coordination solutions and integrating operations, clinical, and data.

Primary Care

Brevard Health Alliance is a Federally Qualified Health Center offering primary healthcare services to residents of Brevard County regardless of their ability to pay. They offer medical, behavioral health, limited dental care services, pharmacy services, resource management, and specialty referrals such as Hepatitis C/HIV treatment, extended hours for pediatric walk-in clinics, as well as women’s health and obstetrics care services.

Brevard Health Alliance serves approximately 64,000 patients annually on Florida’s east coast in Brevard County, an hour east of Orlando. Their primary medical care services are delivered by board-certified family practice physicians, internal medicine doctors, advanced registered nurse practitioners and physician assistants, and chronic disease management for conditions like hypertension and diabetes.

Their team-based approach to patient care helps ensure that social determinants of health (SDOH), such as language barriers, transportation limitations, and care costs, do not hinder patients from accessing quality healthcare. For this reason, they partner with various community organizations in providing services for those who might otherwise not have them.

Brevard Health Alliance utilizes an integrative behavioral health approach to enhance their patients’ experience. This enables medical and behavioral healthcare providers to collaborate closely to provide holistic care. In addition, Brevard offers telemedicine services so patients can access care wherever they may be.

Additionally, the organization uses technology to streamline processes and enhance patient outcomes. They employ various tools such as risk stratification, patient panel tracking, targeted outreach (for instance, sending magnets explaining when it’s best to call emergency rooms versus visit primary care clinics), etc.

As a leader in healthcare delivery and outcomes improvement, Brevard Health Alliance employs innovative strategies to improve healthcare and increase outcomes. They partner with Audacious Inquiry, A PointClickCare Company, to utilize its Encounter Notification Service (ENS). ENS notifies all team members instantly when an admission, transfer, or discharge occurs from the hospital, ensuring all are informed with up-to-date information regarding each patient care team member and patient status.

Dental

BHA provides comprehensive primary health care services through Certified Family Practice Physicians, Internal Medicine Physicians, and Pediatricians. These providers’ Direct health services include regular office visits for well visits, sick visits, physicals, and chronic disease management for conditions such as hypertension and diabetes. In addition, established patients are offered dental services, while medication assistance programs provide low-cost or free medications through BHA’s sliding fee scale system.

Brevard Health Alliance Palm Bay Clinic is open seven days a week and accepts multiple insurance policies, including Medicare. In Palm Bay city center, they provide dental, behavioral health, and health education for the community – serving over 50,000 individuals each year as a non-profit company.

Brevard Health Alliance provides primary healthcare services to Brevard County’s most vulnerable populations. Their healthcare professionals are committed to improving the quality of life for those in need while considering social determinants of health, such as language barriers, lack of transportation, and cost of care as they provide care.

BHA collaborates with an extensive network of community partners to help Brevard County citizens access expanded primary health care and dental and mental health services. Their six fixed-site locations – Cocoa, Palm Bay, Melbourne, Rockledge Titusville – and mobile health unit enable the organization to reach people throughout Brevard County; additionally, they offer on-site primary care at transitional housing facilities, homeless shelters, and soup kitchens within Brevard County as well as providing on-site primary care at transitional housing facilities and homeless shelters and soup kitchens within Brevard County as well as prisons within Brevard to provide healthcare to inmates within.

Behavioral Health

Behavioral health services encompass an array of therapies designed to assist people in managing medical conditions and dealing with stressors in their lives. Examples of such services are cognitive-behavioral therapy (which focuses on how one’s thoughts and beliefs impact behaviors and moods), systems desensitization (using classical conditioning techniques to alter fear responses to phobias) as well as various methods used for anxiety disorders, depression, self-harming behaviors, substance abuse issues, and bipolar disorders.

BHA provides licensed clinical social workers (LCSWs) and psychologists available to offer counseling, assessments, and brief therapeutic services for its patients. Furthermore, in the future, the organization plans to implement an integrated model of behavioral healthcare that unifies medical and psychiatric clinicians within one office to offer “whole-person care.”

As a Federally Qualified Health Center, Brevard Health Alliance offers nonprofit healthcare services to all its constituents regardless of their ability to pay. BHA accepts Medicare, Medicaid, Aetna Blue Cross Blue Shield Florida Kid Care, Health First health insurance plans, private pay, and a sliding fee scale option for those without health coverage. BHA serves 64,000 patients annually, including many children and the elderly. Through community outreach programs designed to reach populations who would otherwise go unnoticed – like prisoners in Brevard County and those suffering from mental illness – they strive to ensure that social determinants such as language barriers, transportation costs, and costs of care do not prevent people who require high-quality healthcare from accessing it.

Specialty Care

Brevard Health Alliance is a Federally Qualified Health Center providing community-based healthcare to Brevard County as needed, treating insured and uninsured patients on a sliding fee scale. Services provided include primary care, behavioral health counseling, dental services, pharmacy support services, Hepatitis C treatment services, women’s health issues, and limited specialty services.

The Alliance is recruiting an Ambulatory OB/GYN to join their team in Melbourne, FL. This role involves outpatient prenatal and GYN care, scheduled L&D (labor & delivery) two to four times monthly at one hospital, and rotational on-call coverage for the backup of Laborists. In addition, this OB/GYN will conduct routine Gynecological office visits and minor surgical procedures.

Shaun Garcia, MD, MS of Brevard Health Alliance in Florida, partnered with Audacious Inquiry from PointClickCare and provided his insight on current community healthcare initiatives that use technology to make an impactful difference for patients.

He discussed how community health centers utilize the entire care team to meet patient needs, addressing barriers preventing someone from accessing care, like language barriers or lack of transportation. Their ultimate goal is to deliver high-quality healthcare without leaving anyone behind, ensure social determinants don’t interfere with its delivery, and ensure everyone can benefit equally from treatment.

Garcia noted that community health centers can leverage health information technology (HIT) solutions for better care coordination and value-based care delivery. For example, they could utilize health data from an HIE to risk stratify patients based on their history of emergency department (ED) visits, then create patient panels and assign coordinators specifically targeting these ED-sensitive patients with outreach efforts.

This approach helps decrease emergency department admissions and associated costs while improving long-term health outcomes and patient satisfaction with their care. A recent study concluded that those receiving coordinated care from community health centers experienced more significant improvements in their chronic diseases than those without such support.