Mobile Health Clinic

Mobile Health ClinicOSP group 4 projectErin Tomlinson-Brower, Stacey Swartzendruber, Jacqueline Swanton, Sueann Unger, & Kim Weigel

Leadership 440 OSP group 4 proposes the development of a Mobile Heath Clinic for Grand Traverse County to Provide access to medical services for the underserved people of Grand Traverse County regardless of ability to pay.1Mobile Health Clinic of Grand Traverse County

An increasing elderly population, economic downturn, financial, and geographic barriers create challenges to obtaining essential healthcare for citizens of Grand Traverse County. Implementing a mobile service that travels around the county offering basic health screenings, wellness checks, immunizations, and chronic health management services will lead to fewer emergency room visits and a healthier community. Working with Munson Medical Center, Munson Healthcare, and Munson Regional Foundation health services will be offered in a creative way supporting Munsons mission of a healthier community. Decreasing barriers to service and providing nurse based care that is coordinated with Munson will offer a cost effective way to access to service.

2Mobile Health ClinicER cost avoided + Value of QALYs Saved = Return On Investment Cost of Mobile clinicQuality Adjusted Life Years (QALY)MHCN (2011)

Examining mobile clinics that are offered around the country Jon Muir offers a intriguing view of cost benefit available when mobile health services are provided to underserved populations. The return on investment of a mobile clinic is impacted by emergency room costs that are avoided and quality of life that improves with access to appropriate health care services.

Mobile Health Clinic Networks (2011) looks at the value of quality/adjusted life years explaining that ER costs avoided + value of quality adjusted life years / cost of clinic = return on investment, addressing the social return on the investment. It is difficult to include or define value of service that decreases barriers to access. Malone (2010) reports that treatment at the mobile clinic costs $117.00 verses a typical ER visit is $923. Further benefit is screening for health issues enabling treatment to begin early. Based on this research we feel Grand Traverse County would benefit from a mobile health clinic to serve the community.3ServicesWellness screeningCholesterol screeningVision screeningImmunizationsWeight checks

Depression screeningEducationGlucoseBlood PressureThe clinic would provide an array of services including but not limited to immunizations, well checks, screenings, and basic health care. Care will be provided by a Nurse Practitioner, RN, and LPN. 4

Mobile Health ClinicOur Mission is to provide access to quality patient focused healthcare for the underserved of Grand Traverse County.

Read the slide5Mobile Health ClinicPhilosophyWe believeIn making healthcare available to the community we serve by removing geographic, transportation, financial and cultural barriers to service.Lack of insurance or inability to pay should not be a barrier to obtaining screenings, immunizations, wellness checks or general medical care.Chronic diseases can be prevented with available low or no-cost screenings.Collaboration with Munson Healthcare will provide for seamless patient care with technology, resources, referrals and diagnostic services for our clients.All nursing staff shall practice according to standards of practice using evidenced based care and while advocating for patient health and wellness.

Our philosophy statement supports the vision we share to increase the coverage of healthcare available to our community. The five statements promote our values and beliefs along with guiding our nursing practice. 6GOALSTo reach underserved people in the Grand Traverse County area by delivering proven cost-effective prevention activities helping to control healthcare costs and reduce health disparities.

Deliver healthcare services with a well-equipped mobile health clinic, decreasing logistical and financial barriers to healthcare.

Promote, advocate, and educate about health and wellness in a confidential and consistent setting using evidenced based nursing practice.

Nonbiased care provided by professionals without discrimination in collaboration with existing community services.

Providing committed and consistent service with long-term solutions for a healthier community.

?narration? Read the slide7To develop a mobile health clinic to serve the residents of Grand Traverse County by January 1, 2013.

To foster community involvement in healthcare; with appropriate referrals and follow-up appointments for every patient.

To deliver culturally respected and linguistically sensitive health promotion, disease management, and health education with comprehensive care plans for every patient.

To provide healthcare services to every patient regardless of insurance or ability to pay.

To be fully operational interacting with people at convenient locations with a full patient load by March 1, 2013.

Objectives

Read the slide/add comments to as necessary8Nurse PractitionerRegistered NurseLicensed Practical NurseNursing AssistantSecretary/Manager

The mobile health clinic will have a variety of different roles to fill, the First being the Nurse Practitioner who will run the clinic and oversee the medical aspects of care. The second being the Secretary that serve as coordinator for expenses/ supplies and serve as acting manager. The registered nurse will provided education and assessments as need to client base. The LPN and Medical Assistant will provide basic assessments and help aid the RN with coordination of care. Organizational Chart

Narration, hit the high spots10AdvertisementMobile Medical Clinic of Grand Traverse Countyis seeking applicants for a Registered Nurse The candidate will provide nursing assessment, referrals for clients, work effectively and efficiently with tight deadlines, high volumes and multiple interruptions. Effective written and verbal communication skills required with ability to make quality, independent decisions.

Certifications required: ACLS, BLSBSN/Registered Nurse in the State of MichiganUnrestricted Drivers License

Send resume and cover letter to: Munson Healthcare, Human Resource Dept. Box 234, Traverse City, MI 48903 (231) 444-4000 or email: janedoe@century.com

This block advertisement will be placed in the Traverse City Record-Eagle and the American Journal of Nursing. This will give us local coverage in our target area and national coverage in a premier nursing journal. Utilizing our relationship with Munson allows us use of their logo along with posting on their internet site. Using classifieds, nursing internet sites and Nursing Spectrum magazine we can broaden our search for an experienced mobile clinic nurse.

11REVENUE Medicaid reimbursement$16,715.16Medicare reimbursement$16,940.00Private insurance reimbursement$26,100.00Private pay$11,550.00

Service area grant$220,000.00 Rural healthcare grant$5,000.00

Donations$80,000.00 Total Revenue$376,305.16

Comment on the grants to cover payment of the vehicle12SALARIES Salaries- Management$113,000.00 Salaries- RN$45,760.00 Salaries- LPN$28,288.00 Holiday/vacation/sick$2,848.00 Casual staff$3,000.00 Total Salaries$192,896.00

Important points ( reference the ppr) Budget does not support LPN at this time. NP and Secretary/manager or salaried. Casual staff covers vacation/sick13Advertising$500.00 Vehicle cost$100,000.00 Repairs/maintenance$5,000.00 Vehicle Insurance$10,000.00 Liability Insurance$10,000.00 Staff Continuing Ed$400.00 Gas/Fuel$6,000.00EXPENSES

TOTAL EXPENSES $373,432.00Pharmacy$1,000.00 Point of Care Testing$50.00 Linen$120.00 Personal protective equipment$1,000.00 Lab/vascular$935.00 Wound care/dressings$966.00 Office/forms/paper products $1,900.00 Informatics/telecommunications$5,000.00

Telecommunication includes start up for technology, grant assisted? Check he ppr. Put officce and ppr products together bc space was tight.15BudgetRevenue$376,305.16

Salaries$192,896.00Benefits $37,490.00Total Supplies$143,046.00

TOTAL REVENUE$376,305.16 -TOTAL EXPENSES$373,432.00

PROFIT $2,873.10

Adjusted if not awarded grants will seek lease for vehicle and addl support from Munson Healthcare.16The Mobile Health Clinic offers a stable business platform through its partnership with Munson Healthcarewill reach underserved populations by providing free and low cost medical carewill focus on preventive care improving the overall community health will reduce overall ER visits

Nurses striving to meet the needs and improve the health of Grand Traverse County.

The mobile health clinic will serve the community through providing free/ low cost health care that will result in improve community health and reduction of preventable ER visits. It is through the visions and partnership with Munson Health that clinic is possible. Malone, S. (August 11, 2010). Mobile clinics seen as a way to cut U. S. health bill. Reuters. Retrieved from http://www.reuters.com/article/2010/08/11/us-usa-health-mobile-idUSTRE67A4C020100811

Mobile Health Clinics Networks [MHCN] (2011) Strategic plan: John Muir Health, making the case for mobile health. Retrieved from http://www.mobilehealthclinicsnetwork.org/pdf/John_Muir_Health_2011.pdf

Munson Community Health Department [Munson Healthcare] (2008) Summary table of community health assessment indicators. Community Health Assessment Project Final Report. Page 8. Retrieved from http://munsonhealthcare.org

Malone, S. (August 11, 2010). Mobile clinics seen as a way to cut U. S. health bill. Reuters. Retrieved from http://www.reuters.com/article/2010/08/11/us-usa-health-mobile-idUSTRE67A4C020100811

Mobile Health Clinics Networks [MHCN] (2011) Strategic plan: John Muir Health, making the case for mobile health. Retrieved from http://www.mobilehealthclinicsnetwork.org/pdf/John_Muir_Health_2011.pdf

Munson Community Health Department [Munson Healthcare] (2008) Summary table of community health assessment indicators. Community Health Assessment Project Final Report. Page 8. Retrieved from http://munsonhealthcare.org

18Chart116.512.4% of total population age >6515.815.2% of adults reporting poor health1412.7% of adults who could not get health care due to cost in the last year22.914.5% of adults without health care coverage

RegionMichiganColumn1Summary of External AssessmentMunson Healthcare (2008)

Sheet1RegionMichiganColumn1% of total population age >6516.512.4% of adults reporting poor health15.815.2% of adults who could not get health care due to cost in the last year1412.7% of adults without health care coverage22.914.5To resize chart data range, drag lower right corner of range.