La Familia Medical Center

PROVIDE EXCELLENT, ACCESSIBLE, FAMILY-CENTERED MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE.

LA FAMILIA MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING HIGH QUALITY, COMPREHENSIVE, MEDICAL, DENTAL, BEHAVIORAL HEALTH, OBSTETRICS, AND HEALTH EDUCATION SERVICES TO EVERYONE IN THE COMMUNITY, REGARDLESS OF ABILITY TO PAY. OVER 16,542 INDIVIDUAL PATIENTS WERE SERVED IN CALENDAR YEAR 2020 ACROSS ALL SERVICES. MORE THAN 71,000 PATIENT ENCOUNTERS IN 2020 INCLUDED OVER 52,000 IN-CLINIC AND VIRTUAL MEDICAL VISITS, 9,800 DENTAL VISITS AND OVER 5,000 IN CLINIC AND VIRTUAL BEHAVIORAL HEALTH VISITS. BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO ALL PATIENTS THROUGH INTERNAL PROVIDER REFERRALS AND ARE A REGULAR PART OF MANY PROGRAM PROTOCOLS. ALL SERVICES ARE OFFERED IN A MANNER THAT IS CULTURALLY SENSITIVE AND RESPECTFUL OF PATIENT RIGHTS, DIGNITY, AND PRIVACY. (CONTINUED ON SCHEDULE O)LA FAMILIA HAS ALSO BEEN RECOGNIZED IN RECENT YEARS AS AMONG THE TOP 30% OF FQHCS NATIONALLY BASED ON QUALITY SCORES. WITHIN THE SERVICE CATEGORIES LISTED ABOVE ARE SUPPORTING PROGRAMS TARGETED TO CARE FOR THE HOMELESS POPULATION IN SANTA FE, MEDICATION ASSISTED TREATMENT FOR INDIVIDUALS WITH A SUBSTANCE USE DISORDER, AND CASE MANAGEMENT AND NAVIGATION SERVICES FOR PATIENTS REQUIRING ASSISTANCE TO IDENTIFY AND ACCESS A RANGE OF SOCIAL SERVICES, ESTABLISH ELIGIBILITY FOR INSURANCE OR OTHER FUNDING SUPPORTS, AND MANAGE THE VARIOUS ELEMENTS OF THEIR CARE. IN ADDITION, LA FAMILIA PROVIDES VACCINES TO AT-RISK POPULATIONS UNDER SEVERAL PROGRAMS THAT ENSURE EVERYONE CAN GET THE VACCINES THEY NEED. INFLUENZA AND PNEUMONIA ARE AMONG THE MOST COMMONLY GIVEN TO PATIENTS. LA FAMILIA PARTICIPATES IN THE VACCINES FOR CHILDREN (VFC) PROGRAM, A TITLE X PROGRAM OFFERED THROUGH THE NEW MEXICO DEPARTMENT OF HEALTH. IN ADDITION TO VFC, TITLE X VACCINES COVER BOTH INFLUENZA AND PNEUMONIA FOR ADULTS, AS WELL AS DIRECT PURCHASE AND ADMINISTRATION SERVICES FOR FLU AND OTHER COMMONLY RECOMMENDED VACCINES FOR SCHOOL, ELDERLY PATIENTS, AND OTHERS.LA FAMILIA PHYSICIANS DELIVERED 137 BABIES. LA FAMILIA OB PATIENTS BENEFIT FROM PRE-NATAL CARE AND COUNSELING, POST-DELIVERY HOSPITAL VISITS (SUSPENDED DURING THE COVID PUBLIC HEALTH EMERGENCY), ACCESS TO BREAST FEEDING ASSISTANCE FROM CERTIFIED LACTATION COUNSELORS, AND THE OPPORTUNITY TO OBTAIN A CAR SEAT FOR THEIR INFANT AT NOMINAL COST, INCLUDING INSTRUCTION AND TRAINING IN ITS USE, THROUGH A CERTIFIED CAR SEAT SAFETY PROGRAM. RELATED WOMEN'S HEALTH SERVICES INCLUDE CONTRACEPTIVE COUNSELING AND SERVICES, INCLUDING ACCESS TO LARCS AT REDUCED COST, AND MEDICALLY INDICATED REFERRALS TO A CONTRACTED OB/GYN SPECIALIST SEVERAL TIMES A YEAR. MEDICATION ASSISTED TREATMENT IS OFFERED WITHIN THE CONTEXT OF A TRADITIONAL PRIMARY CARE PATIENT-PROVIDER RELATIONSHIP AND NOT AS A STAND-ALONE PROGRAM. PATIENTS SIGN A CONTRACT COMMITTING TO THE PLAN OF CARE AND AGREE TO A HIGHLY STRUCTURED SET OF REQUIREMENTS AND TREATMENT GOALS TO MANAGE THEIR SUBSTANCE USE CHALLENGES AND ACHIEVE AND MAINTAIN SOBRIETY. THE PROGRAM HAS SOLID FUNDING SUPPORT FROM FEDERAL, STATE, AND LOCAL GOVERNMENT RESOURCES. PROGRAM SUCCESS OVER THE NINE YEARS OF EXISTENCE INCLUDES NOT JUST THE PRIMARY PATIENT, BUT MAY EXTEND TO PARTNERS AND OTHER FAMILY MEMBERS. OF PARTICULAR NOTE ARE THE NUMEROUS OB PATIENTS WHO ENTER INTO THE PROGRAM TO ACHIEVE SOBRIETY FOR THEMSELVES BUT ALSO TO PREVENT HARM TO THEIR UNBORN CHILD. MANY WOMEN HAVE COME THROUGH THE PROGRAM WHOSE INFANTS HAVE AVOIDED NEONATAL ABSTINENCE SYNDROME BECAUSE THEY WERE SUCCESSFULLY MANAGING THEIR SUBSTANCE USE DISORDER. LA FAMILIA MEDICAL CENTER ALSO HAS AN ACTIVE SYRINGE EXCHANGE PROGRAM WITH FUNDING SUPPORT FROM THE STATE OF NEW MEXICO.DENTAL SERVICES GO WELL BEYOND THE PRIMARILY PREVENTIVE RANGE OF SERVICES REQUIRED OF ALL FQHCS. ADDITIONAL SERVICES INCLUDE FILLINGS, EXTRACTIONS, CROWNS, DENTURES, AND LIMITED ROOT CANALS. LA FAMILIA DENTAL CLINIC IS THE ONLY OPTION FOR MANY RESIDENTS OF SANTA FE COUNTY WHO ARE UNINSURED. THE LA FAMILIA DENTAL CLINIC IS A CODA-ACCREDITED RESIDENCY PROGRAM FOR NYU LANGONE SCHOOL OF DENTISTRY. PATIENT EDUCATION ON A VARIETY OF TOPICS PROVIDES TOOLS TO ASSIST AND TEACH PATIENTS TO MANAGE THEIR OWN CARE MORE EFFECTIVELY. THESE INCLUDE NUTRITION COUNSELING, FOOD SELECTION AND PREPARATION INSTRUCTION BY A LICENSED DIETITIAN, DIABETES MONITORING AND MANAGEMENT PROVIDED BY A CERTIFIED DIABETIC EDUCATOR WITH PHYSICIAN BACKUP AND ASSISTANCE, AND SUPPORT IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH THAT ARE BARRIERS TO BETTER OVERALL HEALTH STATUS. SINCE MARCH 2020, WHEN THE FIRST COVID-19 CASES WERE CONFIRMED IN NEW MEXICO, LA FAMILIA HAS BEEN IN THE FOREFRONT OF THE RESPONSE BY THE CITY OF SANTA FE AND THE MEDICAL COMMUNITY. AS THE LARGEST PRIMARY CARE PRACTICE IN SANTA FE IT WAS IMPORTANT FOR LA FAMILIA TO MAINTAIN SERVICES TO THE EXTENT RESOURCES WOULD PERMIT. IT DID SO BY:- ADDING TELEMEDICINE CAPABILITIES AND CAPACITY WITHIN THE FIRST SIX WEEKS TO ENABLE APPROXIMATELY 40% OF PATIENTS TO BE SEEN EITHER TELEPHONICALLY OR VIA TELEMEDICINE VIDEO VISITS.- SCREENING AND TEMPERATURE MONITORING OF ALL PATIENTS, STAFF, AND ANY OTHER VISITORS TO LA FAMILIA CLINIC SITES TO MINIMIZE THE CHANCE OF AN INFECTED INDIVIDUAL ENTERING ONE OF THE CLINICS.- SHIFTING A SIGNIFICANT PART OF THE WORKFORCE TO REMOTE WORK TO REDUCE THE NUMBER OF PEOPLE ROUTINELY IN THE CLINICS, INCLUDING NOTJUST ADMINISTRATIVE STAFF BUT SEVERAL MEDICAL ASSISTANTS.- TRAINING STAFF ON PROPER SAFETY PRECAUTIONS TO ENABLE WORKING WITH PATIENTS WHOSE CONDITIONS REQUIRED AN ON-SITE VISIT.- BUILDING UP A STOCKPILE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) OVER TIME.- ENSURING THAT EVERYONE WHO ENTERS A LA FAMILIA CLINIC SITE MUST BE MASKED AT ALL TIMES AND MAINTAIN APPROPRIATE DISTANCING FROM ALL OTHER PEOPLE.- IMPLEMENTING A PHARMACY CALL-IN NUMBER FOR PATIENTS TO CALL WHEN ARRIVING AT THE CLINIC SO THEIR PRESCRIPTION CAN BE BROUGHT OUT TO THEM AT THEIR CAR IN THE PARKING LOT. - STARTING DECEMBER 2020, PROVIDED VACCINATIONS TO EMPLOYEES AND PATIENTS. LA FAMILIA ADMINISTERED 13,422 COVID-19 VACCINES DECEMBER 2020 TO DECEMBER 2021.AS A RESULT, LA FAMILIA MAINTAINED 95% OR HIGHER OF ITS PRE-COVID PATIENT ENCOUNTERS AFTER THE FIRST TWO MONTHS AND CONTINUES TO MAINTAIN BUSY SCHEDULES EVEN AS THE RATE OF COVID INFECTIONS INCLUDING VARIANTS FLUCTUATES IN SANTA FE COUNTY. IN ADDITION, LA FAMILIA WORKED CLOSELY WITH THE CITY OF SANTA FE TO HELP DEVELOP A PLAN TO MOVE AS MANY HOMELESS PEOPLE AS POSSIBLE INTO TEMPORARY SHELTER TO REDUCE THEIR RISK, AND LA FAMILIA ADDED CLINIC OUTREACH SERVICES TO THESE TEMPORARY SITES TO ENSURE RESIDENTS AT THE SHELTERS COULD BE SCREENED REGULARLY AND HAVE A MEDICAL PROFESSIONAL AVAILABLE TO SPEAK TO ABOUT ANY HEALTH CONCERNS. IN SEPTEMBER,2020, LA FAMILIA OPENED A TEMPORARY DEDICATED TESTING SITE TO ENABLE TESTING AND SCREENING OF POTENTIALLY INFECTED PATIENTS OUTSIDE LA FAMILIA MEDICAL CENTER AND REDUCE THE CHANCE OF AN INFECTED INDIVIDUAL ENTERING THE SPACE WHERE NON-INFECTED PATIENTS ARE COMING FOR THEIR NON-COVID RELATED HEALTH CARE NEEDS. THIS SITE WAS ALSO USED IN COLLABORATION WITH THE NMDOH AS A PUBLIC COVID VACCINATION SITE IN MID-2021 AND WAS CLOSED IN THE FALL 2021.