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We learned the Model for Improvement and we applied it to the Chronic Care Model.The results we got in our community — we are in the Hunt’s Point community in the South Bronx, it’s probably one of the highest areas in terms of incidence and prevalence of asthma in the country. So when I looked at it, I said this really works and this I can do.As a community-based administrator, it’s real important.Running a community health center is tough, and being able to see the changes that you make is very gratifying. Your teams can’t work well unless there are strong leaders. I think you have to understand that the status quo is no longer acceptable. That the way you’re doing things is not working, and something has to change, and you have to be open to making those changes, and you have to be willing to commit resources to making those changes, and you have to believe deep down inside that what you’re doing is the right thing.She was an active member of ESMO’s Practicing Oncologists group (former Community Oncology Working Group) between 20.
We participated through our asthma work, and we became the star team of that cohort of health centers that went through the process.
There were no evidence-based, any standards, anything out there that could really guide us, so we kind of made it up.
Our outcome measure was that reports would be filed in the patients’ charts within 14 days of the appointment with the specialist.
So we called in for an appointment and we waited 18 days for a call back with an appointment date. When you look at it, especially with a hospital which we don’t have direct control of, it is just really phenomenal work.
As an administrator, you go to work, and you know you are committed to working for the community, you want to make change in the community, but it’s really hard to understand what change you’re really making. When I was involved with the Asthma Collaborative, it was very clear that we were making a difference.Creeds and schools in abeyance, Retiring back a while sufficed at what they are, but never forgotten, I harbor for good or bad, I permit to speak at every hazard, Nature without check with original energy.