Good Samaritan Free Clinic at Talbot House Ministries. Judy Snow, DNP, ARNP May 19, 2017

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1 Good Samaritan Free Clinic at Talbot House Ministries Judy Snow, DNP, ARNP May 19, 2017

2 Services Provided Primary Care Dental Care Well Woman Care Podiatry Services Diabetic Clinic STI/Hepatitis/HIV testing in conjunction with Polk County Health Department (PCHD) Medications Supplies Flu shots Health Classes All services, medications and supplies are free 2

3 Population Served Black 31% White 65% Hispanic 1% Other or unreported 3% Male 60% Female 40% Homeless 65% Self Reported Income 87% declared no income All clients must be uninsured, Polk County residents with income <200% FPL Documented Need 24% of Polk County residents under age 65 have no medical insurance 17% live in poverty 51% fall below the ALICE threshold 20% of adults were unable to see a doctor in the past year because of cost 3

4 Service Quantity FY 14/15 FY 15/16 FY 16/17 (Qtr 1) Medical Patients 886 1, Medical Visits 2,867 3, Medical Services 5 4,161 2,067 Dental Patients Included in Medical Pts Included in Medical Pts 92 Dental Visits Dental Services 1,239 1,

5 Service Value $Value of Svcs (State Report) Contracted Amt (Not to Exceed) FY 14/15 FY 15/16 FY 16/17 $1,980,558 $2,231,876 $592,477 $140,000 $140,000 $140,000 County Paid YTD $106,943 $133,993 $33,971 Return on Investment (ROI) $18 $16 $16 5

6 Measures of Quality 67% of diabetic patients with two measured A1C s had A1C<9.0 73% had their A1C measured twice yearly 65% of patients have BP<140/90 62% of patients have LDL< % of patients requesting dental care are seen within 30 days (average 10.3 days) All patients with psychiatric diagnoses are given information about Peace River These measures are from evidence based guidelines: American Diabetes Association Guidelines for Clinical Practice National Cholesterol Education Program (from National Institutes of Health) Joint National Committee (JNC 8) from the American Medical Association Centers for Disease Control and Prevention 6

7 Mission Alignment Polk County Indigent Health Care Ensuring the integrity and service quality of indigent healthcare in Polk County through responsible stewardship of public funds. Talbot House/Good Samaritan Free Clinic Through the love of God, Talbot House Ministries provides those in need with immediate basic services and opportunities for life renewal. 7

8 Professional Standards and Accreditations Licensed Staff 8 Physicians, with various specialties including internal medicine, emergency medicine, pulmonology and nephrology 1 dentist 1 dental hygienist 1 podiatrist 5 ARNPs 1 Registered Nurse on staff, multiple RNs as volunteers 2 Certified Diabetic Educators BCLS certification all clinic employees ACLS certification clinic RN and all clinic ARNPs Clinic RN Certification to do HIV counseling & testing Facility Certifications Healthcare Clinic Establishment registration from State of Florida HIV/AIDS section Certificate of Registration to conduct HIV Prevention Counseling, Testing and Linkage Services from Florida DOH CLIA waiver from Centers for Medicare & Medicaid Services Biomedical Waste Operating Permit from Florida DOH Dental Facility Radiation Machine Registration from Florida DOH 8

9 Collaboration Polk County Health Department Peace River We Care FACT Team FICM Team Winter Haven Hospital SCCT Team (Behavioral Health) Multiple educational institutions Polk State, Florida Southern, University of South Florida, Traviss, Keiser Polk County Free Clinics Florida Association of Free and Charitable Clinics Walgreen s LRH and other area hospitals VISTE 9

10 Customer Satisfaction 85% of our clients preferred walk-in appointments 10

11 Program Viability Clinic Specific Funding Florida Association of Free and Charitable Clinics United Way Organizationally Shared Funding Publix Aetna Blue Foundation Local Churches Matching Funds/In-Kind Donations Volunteer Time Medications and Supplies 11

12 Outreach Clinic services available for anyone who meets qualifications Services available to general Talbot House Community Flu Shots STI/HIV/Hepatitis Testing 12

13 Risk Assessments/Potential Risks Loss of Ability to Provide Medications to Patients Currently a broad formulary, with availability of many medications from Patient Assistance Programs and Americares Subject to availability and whims of pharmaceutical companies Mitigation/Contingency Plan Write prescriptions from free/$4 lists Encourage patient use of services like Good Rx Loss of Funding for Clinic Staff and Supplies Non-Profit income always uncertain Mitigation/Contingency Plan Talbot House has a Director of Development who is actively engaged every day in finding funding for the clinic as well as the general organization, recently applied for a dental grant and several micro-grants We receive multiple hours of volunteer time for the clinic, which we foster through our relationships with local educational institutions Lakeland s Downtown Gentrification TH sits on desirable property, ongoing development in our area Mitigation/Contingency Plan Ongoing conversations with Lakeland Community Redevelopment Agency Partnership with Lakeland Police Department 13