Category Archives: Profile Blog

Community Pharmacists Working to Improve Patient Medication Adherence  

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Community pharmacists are on the front lines of patient care and play a key role in helping people who rely on their medications to stay healthy and out of the hospital.

They know their community members, many of whom have complex medical conditions and will come through their doors ten times in a month. They educate patients about taking their medications correctly, make sure they are following through on physician recommendations, guide them to preventive services, and more.

Community pharmacists who serve on BPHC’s Pharmacy Workgroup are looking at the challenges pharmacies face in serving our patients and helping to develop solutions that align with DSRIP goals. Recently, the Workgroup collaborated with BPHC to educate patients who are on antipsychotic medication on the importance of A1C testing.

Medication adherence has been identified as an issue that pharmacies across the board seek to improve. Antidepressant medication management for the “acute” and “continuation” phases of treatment are also priority measures for our PPS.

In April, several pharmacies began a pilot to identify and follow up with patients in these two phases of their antidepressant medication treatment and measure patient compliance with filling their prescriptions pre- and post-intervention.

Participating pharmacies are: E Jerome Pharmacy, J&N Pharmacy, Jolin Pharmacy, Mount Carmel Pharmacy, and Total Care Pharmacy.

We look forward to reporting on their results.


Published June 1, 2017

Community Behavioral Health Collaborative Launches


Thirteen leading agencies joined with BPHC to launch our Community Behavioral Health Collaborative (CBHC) focused on improving the screening and coordination of care for people in the Bronx receiving behavioral health services.

The goals of this two-year collaborative are to connect behavioral health providers to each other through their ability to share information using technology and data sharing, and to put in place uniform processes for screening, referral and follow-up.

Key outcomes include implementing standardized tools and processes to screen patients for depression, substance use disorder, tobacco use, linkage with primary care, and health home eligibility and enrollment. CBHC members are also addressing two special areas of focus: diabetes screening and monitoring for people with schizophrenia, and improved management of ADHD medications in children.

“Our participating agencies bring expert clinical knowledge and experience in delivering culturally competent care,” said Amy Button, Director of Community Programs. “They are central to BPHC’s efforts to create community-driven, clinically integrated delivery systems, and we are very excited to be working with them.”

CBHC agencies include: ACMH, Astor Services for Children & Families, Comunilife, Jewish Board of Family and Children’s Services, Leake and Watts, Odyssey House, Osborne Association, Riverdale Mental Health Association, Samaritan Daytop Village, Services for the Underserved, TRI Center, VIP Community Services, and Visiting Nurse Service of New York.

We look forward to keeping you updated on their work. For more information, contact Amy Button.


Published May 19, 2017

How a Diabetes Workshop Changed a Life


Simply put – it works.

That’s what Loretta Fleming says about a workshop for people with Type 2 Diabetes that has changed her life.

Five years ago, Loretta, who has Type 2 Diabetes, weighed 378 pounds and had an A1C level of 12.4% (the normal level is 5.7% or below).

She learned about a free program offered by Health People, located in the south Bronx, that helps community members learn more about their Diabetes and manage the physical and psychological effects of the disease.

The program is called the Diabetes Self-Management Program (DSMP), a curriculum developed by the Stanford Patient Education Research Center. Loretta enrolled in the seven-week course that was led by two “Peer Leaders,” local residents who also live with Type 2 Diabetes and have been trained and certified to be instructors for the DSMP.

“The Diabetes mortality rate in the Bronx is 50% higher than the state’s rate,” said Chris Norwood, Executive Director, Health People. “Community-based programs like this help people stay healthy and prevent the need for hospital care.”

Once a week, Loretta and about a dozen other people met to learn, share experiences and make weekly action plans such as eating better, measuring their glucose levels, staying active, advocating for themselves and handling the emotions that might drive bad health choices.

Four months after starting the program, Loretta lost 28 pounds and her A1C level went down to 7.8%. She was so excited with her progress that she enrolled her mother who participated in the workshop and lost 42 pounds. “

“Think about it – your doctor can’t spend two-and-a-half hours every week talking to you about your lifestyle, your feelings, whether you read labels on food,” says Loretta. “The program supplies manuals that we read together, nutritious snacks and an atmosphere to learn, really talk and share what’s going on in your life. The group experience makes a big difference.”

Today, Loretta has lost over 130 pounds and has become a certified as a DSMP Peer Leader. She’s led five DSMP workshops and has personally recruited more than 60 people to take the course.

“Many people have come back and told me the program has changed their lives,” she says. “They are surprised, but I’m not because it changed mine. I told them when they walked in the door – the program works.”

To learn more about DSMP workshops, contact Chris Norwood at    


Published April 12, 2017

Making Healthy Connections!

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Bronx Partners for Health Communities is pleased to launch our Resource Directory, an online searchable platform featuring our BPHC member organizations and the range of health and community services we offer to the Bronx community.

The BPHC Resource Directory is accessible through our website ( and the URL Users can conduct searches by name of organization, location, services offered and more.

Throughout the year, organizational profiles will be updated to ensure that information contained in the Resource Directory is timely and relevant.

For questions about the Resource Directory, contact Albert Alvarez at



 [Published March 30, 2017]