CareSouth Carolina Lauded
on National Stage for Quality Health Care

CareSouth Carolina was recently
ushered into the national spotlight as one of the
very best at providing quality health care. In
fact, of the more than 1,900 community health
centers in the nation, CareSouth Carolina was one of
only three asked to present its story at a national
conference focused on showcasing those that have
achieved and sustained improved health outcomes for
patients.
The “Harvest of Driver
Insights” conference was jointly sponsored by the
Health Resources Services Administration (HRSA) and
the National Institute of Health (NIH) National
Center on Minority Health and Health Disparities.
Ann Lewis, CEO at CareSouth
Carolina, presented the organization’s focus on
achieving some of the best health outcomes in the
nation for patients to an audience of some of the
most influential policy makers in the nation,
including Mary Wakefield, the new administrator for
HRSA, as well as senior leaders and project officers
from a broad representation of those in the federal
government currently involved in the dialogue on
health care reform.
“It was really quite an honor”
said Lewis, “but I didn’t realize how much of an
honor until I was up on stage presenting. When
they started giving me continual ovations for some
of the outcomes we have achieved at CareSouth, I was
really kind of stunned. Truth is, we have embedded
quality into everything we do. It’s the way we do
business. And, I’ve presented it so many times, I
think I sometimes forget how remarkable our story
really is.”
In short, CareSouth Carolina
provides care to about 35,000 people living in the
Pee Dee region of South Carolina. Those with
diabetes, asthma, depression and high blood pressure
have health outcomes such as blood pressure control,
diabetes control, depression severity and others
that exceed and surpass national standards. More to
the point, CareSouth patients are healthier than
most people in most places, including those most
affluent, in the world. And, the care being
provided by CareSouth Carolina is more cost
effective. For example, according to a study
conducted by the SC Office of Research and
Statistics, a diabetic receiving care at CareSouth
Carolina only costs the system $343 compared with an
average of $1,591 a year at a comparable provider in
South Carolina.
“I won’t lie. The work has not
been easy,” Lewis said. “Change is never easy.
This is a continual process. But, I am also very
proud of our organization. It’s sometimes hard for
us to say, but CareSouth is a national leader –
right here in South Carolina, right here in the Pee
Region. I really wish all the staff at CareSouth
could have been there. It really has been their
work that has accomplished this success.”
Lewis began her presentation by
first inviting the audience to move to South
Carolina. She touched on the natural beauty of the
coast and graciousness of the people, but she then
provided them with those dismal health statistics
that continue to plague South Carolina – the
likelihood of having and dying from heart disease,
stroke and diabetes is about as high as it gets.
The good news, she said, is if you live in the Pee
Dee region of South Carolina, you can choose to be a
patient at CareSouth Carolina.
“And, if you are a patient of
CareSouth Carolina, you will be one of the
healthiest people in the nation, no matter what
chronic condition you have, your race, or your
income.”
CareSouth Carolina, over the
past decade, reorganized its entire system into
teams that care for specific panels of patients that
the patients actually choose themselves; supplied
these teams and the patient with care managers; gave
each patient the knowledge, confidence and ability
to be responsible and take control of his or her
health; proactively began planning, in partnership
with the patient, care for individuals instead of
waiting for things to happen; provided the patient
with access to integrated behavioral health
providers that provide mental health counseling at
every CareSouth center; developed a patient registry
through which the organization can measure and
improve performance by individual patient and by
populations of patients; and standardized its
processes to improve reliability. By
reliability, Lewis emphasizes the importance of
care, and all the processes that go into the
delivery of that care, being provided via
evidenced-based standards in the same manner across
the board. In the same way that major companies
ensure the making of quality products or the
delivery of quality services, CareSouth Carolina,
she says, is making sure that health care is being
provided at its best.
“It really has been a
transformation,” Lewis said. “Also, I think it’s
important to note that we are a safety net
organization, providing care to the most vulnerable,
with some of the poorest socio-economic indicators
in the nation, in a rural area of the nation with
some of the poorest health outcomes. In some ways,
the fact that we are achieving the results we are
proves that it can be done, and done well.”
“I only hope that those
discussing health care reform don’t forget about
community health centers, and don’t forget to make
quality the key to any real meaningful reform of the
system.”