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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.

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Reach Out of Montgomery County

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  1. 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

  2. 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

  3. 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

  4. …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

  5. Helping People… Medical & Pharmaceutical Services for Uninsured/Underserved Since 1995 = 40,000 clinic visits performed Since 2006 = 150,000 prescriptions filled

  6. 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

  7. Volunteers Daytime and Evening Volunteers Daytime & Evening Healthcare Students #6 University Affiliations for Community Health Physicians Pharmacists Nurses Translators ….and more 450- Volunteers

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

  9. 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

  10. 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”

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