Patient Centered Medical Homes (PCMH) Standards
In May, the Aspire Health Center achieved recertification status for the 2011 Patient Centered Medical Home (PCMH)standards. We are currently preparing to submit for certification based on the 2014 Standards. The 2014 Standards will raise the bar of quality for the Health Center even higher than previously. PCMH is a way of organizing primary care that emphasizes care coordination and communication amongst providers. It is a way to transform health care into what patients want it to be. Patient Centered Medical Homes can lead to higher quality and lower costs and are designed to improve patient experiences of their care and help to cultivate better experiences between patients and their providers. Evidence has shown that PCMH models deliver
high-quality care that can lead to lower costs and provide better health outcomes.
Dr. Cowan Trains Ethiopian Residents
Dr. Richard Cowan recently traveled to Ethiopia as part of an educational expedition with a team of Psychiatrists to train Ethiopian Psychiatry residents. The four-week program, called TAAPP (Toronto Addis Ababa Psychiatry Project), included attending rounds and participating in patient evaluations. TAAPP was formed in 2003, and Dr. Cowan and his wife were honored to be the first non-Canadian Psychiatrists to participate in training 22 Ethiopian residents. Dr. Cowan reports that in the past, Ethiopians with mental illnesses were treated by priests using “Holy Water”.
Now, because of TAAPP, the local priests are more open to allowing current treatments for mental illnesses. A motto of TAAPP is: Think Big, Act Small, Start Now. Join us in offering Dr. Cowan the highest praise for lending his expertise to such an important project and helping to serve those in need!
This year, the Aspire Health Center will submit data on Meaningful Use (MU). Meaningful Use is a structure designed to create improved efficiency of electronic medical records through a model which also:
• Improves quality and safety and reduces health disparities among patient groups.
• Encourages patients, their families, and/or caregivers to engage more with their health care providers.
• Improves care coordination.
• Maintains privacy and security of patient health information.
Meaningful Use is designed to educate and empower patients to become better consumers of health care.
Accountable Care Organization
As part of the Affordable Care Act, there has been an emergence of many patient care models which are designed to provide care to patients in a way that embraces a higher level of quality. These models also stress the importance of patients having access to healthcare and to a broader array of services as well as more structured clinical follow up. An Accountable Care Organization (ACO) is a group of health care providers who come together voluntarily to give coordinated high-quality care to patients. Coordinated Care ensures that patients, especially the chronically ill, get the right care at the right time while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds in both delivering highquality care and spending health care dollars more wisely, it shares any savings it achieves in the Medicare program. ACOs will be an important part of the healthcare landscape in the future.
Dr. Margaret A. Libby began her medical career after earning her Master of Science in Occupational Therapy from Columbia University. A few years later, she continued her education and earned a Doctor of Medicine at the State University of New York at Buffalo, earning the Petrino Award for Humanity in Medicine. Prior to joining Aspire of WNY’s Health Center, Dr. Libby has served as the Primary Physician for grades K through 12 for the Barker Central School District. In addition to her work at Aspire of WNY Health Center, Dr. Libby has a rural family practice in Barker, NY.
Dr. Libby is an avid reader and enjoys attending the
theater and movies. In her off time, Dr. Libby enjoys fitness activities such as swimming
and running, and also volunteers as a ringside physician for inner-city adolescents
during amateur youth boxing and mixed martial arts matches.
Hollie Bojarski, MS,ANP-BC, RN
Hollie Bojarski MS, ANP-BC, RN has been treating individuals at the Aspire of WNY Health Center
since 2012. She earned her Master of Science Adult Nurse Practitioner Degree from Daemen College
in May of 2012 and completed over 500 hours of clinical training in family medicine and cardiology at several local care facilities. Prior to becoming a Board Certified Nurse Practitioner, Holly had earned her B.S. in Nursing from SUNY at Buffalo in 2003.
The Aspire of WNY Health Center is fortunate to have Ms. Bojarski and her 14+ years of experience in direct patient care. She has a proven track record in providing the highest levels of quality care and excellent assessment skills. In addition to her excellent clinical credentials, Hollie has extensive experience in the utilization and implementation of electronic medical records. Throughout the Health Center, she is known for cultivating positive attitudes among patients, families, and staff.
Congratulations to Jane Blake, NP on her 17th anniversary with Aspire.
Jane has been a valued member of the Aspire Health Center medical team, providing quality health care and service to our patients with a strong commitment to Aspire’s Mission.
Occupational Therapy Team
Zoë Martinez, Occupational Therapy Supervisor at the Aspire of WNY Healthcare Clinic, has initiated an outreach to various agencies in the Buffalo Niagara region who support individuals with developmental disabilities. She is informing other agencies about ways the Aspire Clinic can enhance individual’s independence, function, and integration within their community. Earlier this year, representatives from the Therapy departments held meetings across the region to introduce agencies to the rehabilitation services at the Aspire Healthcare Clinic. These included Occupational, Physical, and Speech Therapy, and Mental Health Counseling. The benefits of Aspire’s Assistive Technology Network were also explained.
Speech Therapy Team
The ATN team of pediatric OTs, PTs, and SLPs have been working closely with Aspire’s Technology Today staff to provide Assistive Technology evaluations and services within Western New York school districts. Together, they are making recommendations for Augmentative communication systems, software applications for improving linguistic and perceptual skills, and vocational skill development. These evaluations also include potential environmental modifications for students to promote physical functioning, access to technology and learning optimization; and the utilization of switches and interfaces for improved access to specialized technology.
Physical Therapy Team
The Physical and Occupational Therapy Departments at Aspire of WNY provide services for individuals 18 years of age and older. For individuals with physical and mobility limitations, it is important to monitor them for the development of pressure wounds (bed sores). Recently, the PT and OT departments submitted a grant proposal to obtain a pressure mapping system designed to alert clinicians as to where potential skin integrity issues exist. This system allows for proactive approaches towards positioning an individual that distributes pressure more evenly and reduce the potential for pressure wounds.
Our nursing staff recently completed two online courses in case management to prepare for our Patient Centered Medical Home (PCMH) ramp up. Case management and care coordination are two important features of both of these new primary care delivery system models. They are designed to provide better clinical support for patients as well as deliver education and service coordination in an ever-increasingly complex health care landscape.