United Medical Associates Pc

Programs: United medical associates, pc(uma)performs medical services, education and research activities in a variety of settings, adding to the benefit of the community and enhancing the health status of its patients. Uma, pc provides a wide range of professional services in the primary and specialty care area. Uma physicians support twenty-two family practices, five internal medicine clinics, five pediatrics clinics, two school based health clinics, and five walk-in centers located throughout a multi-county service area. The specialty care centers include general surgery, breast surgery, urology, vascular surgery, ob/gyn, cardiology, cardiothoracic, chiropractic, concussion center, diabetes management, nephrology, physical medicine, plastic surgery, wound care, **see schedule o for continuation** otolaryngology, rhuematology, podiatry, pathology, emergency room services, dermatology, orthopedics, sleep/neurodiagnostic center, neuro critical care, geriatric medicine, hospitalists, infectious disease, pulmonology, womens' (gyn) services, radiation oncology, gastroenterology, medical oncology, neurosurgery, and pain management. Total patient serviced by uma physicians at year end 2017 totaled 823,161. These services assist uma in fulfilling its exempt purpose under the irs code 501(c)(3). Uma is involved in community service by being part of the following activities: (1) uma is involved in the southern tier healthy living partnership which is a unique collaboration of government and community based systems that promote healthy living through outreach education and access to services for the purpose of reducing the risk of chronic disease. The new york state department of health and centers for disease control and prevention (cdc) provides funding for local community health care practitioners to provide clinical breast exams, mammograms, pap tests, colorectal screening, and limited follow-up. These screening procedures are for the income eligible women who are uninsured or under insured. (2) uma provides for the health maintenance of the elderly population by participating in lectures to the uhs hospitals members free of charge. (3) uma provides health maintenance by physician participation in lecture series for the stay healthy programs at uhs hospitals. For example, information in minimally invasive hip replacement surgery, pediatrics, podiatry screening, foot/ankle/knee clinic. (4) uma providers staff the article 28a clinics operated by united health services hospitals, chenango memorial hospital, and delaware valley hospital. These facilities provide health care services to a large medicaid population. (5) uhs hospitals, uhs chenango memorial, and uma have implemented a patient-centered medical home program. The overall goal is to increase the quality and improve health outcomes for persons enrolled in ny medicaid. The patient-centered medical home is a proactive model of care that seeks to strengthen the physician-patient relationship by replacing reactive, episodic care based on illness and patient complaints with coordinated care and a long-term healing relationship. Uma physicians currently staff twenty-four level 3 medical home sites that have received ncqa patient centered medical home recognition. (6) uhs hospitals has been designated a medicaid health home by new york state. Uma uses medical home principals with enhanced care coordination and its infrastructure to care for the most complex and expensive medicaid patients. (7) uma providers serve on various boards of health and as directors for emergency service agencies including ambulance squads as well as various camp programs. (8) uma providers promote community education through a local television station in a "docs on call" series. (9) uma providers are involved with professional education which takes the form of organizing a hematology/hemapathology teaching day. This involves uma and other local and regional staff, physician extenders and physicians. This program is held in march and brings together local, regional, and national medical providers to learn about pertinent issues related to that field of practice and care. (10) uma providers are involved with professional education which takes the form of organizing a chronic kidney disease conference targeting healthcare professionals (physicians, nurse practitioners, physician assistants, nurses, dieticians, social workers, and dialysis technicians). The conference is held annually in september; local and national speakers participate in educating the healthcare community in recognition and management of chronic kidney disease and end-stage renal disease. This program is coordinated by the providers and staff of the nephrology department. (11) uma was chosen by the cdc and ny state doh as the national test site for the steadi program. This is a program done jointly by uma, the broome county health dept, and new york state dept of health and overseen by the cdc to assess the impact of fall risk assessment and a community based intervention program on prevention of falls and injuries in our patients greater than 65 years old. This program has been implemented to date at all our family practice and internal medicine sites in broome, tioga, and chenango counties. The rate of hospitalizations for fall related injuries is steadily declining in broome county. The cdc is preparing to publish these findings. (12) uma providers are actively engaged in improving the health of our patients. To facilitate this, we have a director of population health position and have added wellness coordinators or social workers at each of our sites. Care management pathways have been developed to assist in diabetes and hypertension management and to increase the number of patients getting breast and colon cancer screening. The value services provided to the community can be catalogued as follows: (1) uma providers are very much involved in medical and pharmaceutical research activities, which enhance the field of knowledge in medical disciplines. These programs are also able to offer care to patients who may be unable to receive care under normal circumstances. This research also helps physicians to keep up to date with new developments within their disciplines and offers increased opportunities for cross-education activities for them. (2) uma providers staff community benefit programs in the form of educating student interns from broome community college, other local teaching institutions and the albany college of pharmacy. These individuals are placed within the practice setting to receive their practicum experience along side physicians and other like professionals in the discipline they are seeking. (3) uma physicians participate in the hands-on training offered to physician extenders such as nurse practitioners and/or physician assistants. Students typically are identified from programs within a 100 mile radius of binghamton, new york. Financially measured community services, in addition to the above benefits, uma provided the following benefits to the community: (1) accepted assignments from the medicare program (value of the difference between established charge and fee schedule) $20,264,314 (2) accepted assignment from the medicaid program (value of the difference between established charge and fee schedule) $2,308,800 (3) wrote off the balances for the uncompensated patient care $787,237 (4) real estate tax payments made $80,263. Total community benefit was $23,440,614.