Medically Underserved

Geography Income Insurance Status Culture Language

Demographics of the Underserved Community

Enterprise Area Population◦ 20% Uninsured◦ 25% Ethnic Minority◦ 23% Living Below Poverty Guidelines◦ 36% Without a Medical Home

Shifting Patterns of Employer Sponsored Insurance◦ Higher Deductibles, Co-Pays, Premiums◦ Increase in Low Wage Service Industry and

Construction Positions

Health Care Organizations

PublicGovernment owned

and operated

Federal

State

Local

Private

For Profit

Not-for-profit

Sectarian

Non-sectarian

Federal 330 Funding (CHCs)

Federal funding is provided to subsidize services,

Health care is provided regardless of ability to pay,

A full range of primary care services including oral health care, mental health care and treatment for acute and chronic illnesses,

The Board of Directors must have a consumer majority,

Community health centers are covered under federal malpractice liability insurance.

CHCs

1,000 organizations, 5,000 sites, 15 million people, Located in every state and Puerto Rico,

Guam, the District of Columbian and the Virgin Islands.

Portrait of a Midtown Patient

• 81% uninsured

• 65% non-English speaking

• 71% ethnic minority

• Supports family of four on less than $18,850/yr

• Working poor

Services Provided by Midtown

26,963 primary care visits

330 babies delivered

4,484 dental visits

671 mental health visits

2,000 charity medication applications

Operating Financial Requirements

Midtown Community Health Center: $3.5M

1,300,000, 44%

1,300,000, 44%

53,500, 2%

300,000, 10%

Federal Funding Patient Revenue

In- kind Donations Annual Fundraising

Health Access Team

Coordination of medical services for the underserved residents of Ogden City◦ Case Management

◦ Volunteer Provider Network

◦ Prescription Assistance

◦ Health Education

◦ Peer Education/Community Involvement

◦ Public Assistance Enrollment

2003-2004

Case Management- 282

Rx Assistance- 721

Health Education- 457

Specialty Care- 27

Charity Meds-$715,008

In-Kind Medical $571,159

Volunteer Providers- 165

Specialty Types- 20

Operating Financial Requirements

Health Access Team: $1.4M

400,000

1,000,000

Federal Funding In- kind Donations

$400,000 balance to be raised annually to replace federal funding beginning September 2006

Public and CHC Issues

The role of volunteerism in health care provision,

The right to access, Service provision, Scope of services.