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% and workload by 29% over the next 15 years. – The Massachusetts experience: ? 97% coverage ? Patients wait months for appointments ? 40% of family physicians are not accepting new patients ? Record use of ER for nonemergencies Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Rising Costs Will Drive the Need to Transform the Model of Primary Care ? Growing evidence shows that primary care is effective in reducing costs, improving health outes and eliminating disparities ? Employers, insurers and policymakers are looking to primary care as the new paradigm. ? A new model of care is necessary, however, to achieve these objectives. ? Innovations in practice have been afoot for years (practice redesign, evidencebased clinical protocols, etc.) ? Now these are integrated into the concept of the PatientCentered Medical Home (PCMH) Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 PCDC: Offering Strategies for Primary Care Expansion and Transformation ? Nonprofit anization founded in 1993 to address lack of primary care access in underserved munities ? Premier publicprivate partnership focused on needs of safety providers munity health centers, hospitals, special needs providers ? Three areas of expertise – Capital Financing – Performance Improvement – Policy Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 3. PCDC: Strategies for Expanding Primary Care Expansion Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 PCDC Primary Care Expansion Strategy Problem: – Lack of capital constrains growth of longstanding, dedicated providers of care to the underserved。 further hampered by credit crisis Strategy: – Use public funds to leverage private investment – Provide favorableterm loans to catalyze construction of new, expanded and renovated sites, modernized facilities – Provide: ? Technical assistance for facility development ? Provide strong oversight to ensure successful project pletion and longterm sustainability Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Results ? Total investments of $245 million for 78 capital projects in New York State ? Created capacity for 550,000 new patients/ visits annually ? Leverage more than 5:1 private:public investment ? Cornerstone of local economic development: 2,200 permanent jobs created。 4,400 with munity multipliers ? Facilities operating successfully, no defaults ?PCDC Capital Projects (partial list) Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Joseph P. Addabbo Family Health Center Queens, NY Before After $ million for 22,000 SF new facility。 increased patient visits by 40% Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 CallenLorde Community Health Center Chelsea Before After $ million for relocation amp。 expansion Increased patient v