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Reach Out of Montgomery County. By: Dr Sharon Sherlock, DHA, RN Executive Director Reach Out of Montgomery County Assistant Professor, Community Health Wright State Boonshoft School of Medicine. ACCESS for the medically uninsured/underserved.

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reach out of montgomery county

Reach Out of Montgomery County

By: Dr Sharon Sherlock, DHA, RN

Executive Director Reach Out of Montgomery County

Assistant Professor, Community Health

Wright State Boonshoft School of Medicine

ACCESS for the medically uninsured/underserved

slide2

Reach Out is a nonprofit health care organization that provides access to medical services for the medically uninsured in Montgomery County, with assistance from dedicated volunteer physicians, nurses, pharmacists, translators, medical students and other health professionals

It’s Our Mission

Eligibility

Montgomery County Resident

Income: Below: 250% FPL

Medically Uninsured

Rx’s: Formulary

slide3

Program Offerings

“After-Care”

Walk-In Clinics

Specialty Clinics

Pediatrics

Neurology

GYN

Podiatry

Charitable Pharmacy

PMAP Assistance

24 Hour nurse call line

Case Management

CLINICS & CHARITABLE PHARMACY facility located directly behind Miami Valley Hospital Apple St Garage,

52 Hours Monday-Friday

25 E. Foraker

Dayton, Ohio 45409

and to guide future doctors physician to medical student mentoring
…And to guide future doctorsPhysician to Medical Student Mentoring
  • Clinical Site for Health Professionals
  • PharmD
  • FM Residents
  • Certified NP
  • Nurses, RN, BSN, MSN, DNP
  • Medical Student
  • Pre-Med

Service learning; cultural diversity, health disparities

slide5

Helping People…

Medical & Pharmaceutical Services for Uninsured/Underserved

Since 1995 = 40,000 clinic visits performed

Since 2006 = 150,000 prescriptions filled

slide6

Employed

UNEMPLOYED

74%

Top Clinic Diagnoses 2011

  • Hypertension
  • Diabetes
  • Hyperlipidemia
  • Respiratory Infections
  • RACE listed for New Patients in 2011
  • Caucasian 42%
  • African American 40%
  • Hispanic 8%
  • Asian 2%
  • Other 8%

3,133 lab test

volunteers
Volunteers

Daytime and Evening Volunteers

Daytime & Evening Healthcare Students

#6 University Affiliations for Community Health

Physicians

Pharmacists

Nurses

Translators ….and more

450- Volunteers

slide8
Logic Model for Effective Access to Health CareSharon K. Hull, MD, MPHNortheast Ohio Medical University (NEOMED)
slide9

Strategies for DAYTON Safety-Net Task Force 2008

1.Strengthen and consolidate access to primary care.

2. Provide coverage for vulnerable populations under a managed care model.

3.Enhance outreach strategies to encourage eligible people to enroll in Medicaid.

4. Establish a community trust through a combination of new funding sources.

5. Investigate implementation of a community-wide electronic linkage between healthcare providers.

6. Enhance care coordination for vulnerable populations with chronic disease.

7.Explore U.S. Department of Health and Human Services demonstration projects.

8. Encourage and support volunteerism in the healthcare community to provide care to vulnerable populations in a variety of settings.

9. Request the Montgomery County Cost Council examine the cost structure of providing care to vulnerable populations. MCC

Enacted

slide10

EXPLORING the Changing Landscape of Medicaid or the UNINSURED

Scenarios ????

GAPS in service

Young invincible’s refuse coverage

Non-covered benefits

Lack of access to care (geographic)

Eligibility/Enrollment delays

Small Business without HC benefits

High Utilization of ER

Stale-Mate in Congress impacting ACA

Paying the Price of “Living Without”