Methodist Healthcare Methodist Healthcare MinistriesMinistries

““Serving Humanity to Honor Serving Humanity to Honor God”God”

The Roles of Foundations andThe Roles of Foundations and

Not-for-Profit OrganizationsNot-for-Profit Organizations

in Building Coalitions, Advocacy and in Building Coalitions, Advocacy and Implementing Programs to Improve Implementing Programs to Improve

Oral Health in TexasOral Health in Texas

Presented by Kevin C. Moriarty, CEOPresented by Kevin C. Moriarty, CEOMethodist Healthcare Ministries of South Texas, Inc.Methodist Healthcare Ministries of South Texas, Inc.

San Antonio, TexasSan Antonio, Texas

Texas Oral Health Summit: Advocacy, Equity & Texas Oral Health Summit: Advocacy, Equity & AccessAccess

Austin, TexasAustin, Texas

September 9-10, 2004September 9-10, 2004

Building a Brighter Building a Brighter FutureFuture

At Methodist Healthcare Ministries (MHM), At Methodist Healthcare Ministries (MHM), we believe the best way to nurture the we believe the best way to nurture the youngest among us is to reach out to the youngest among us is to reach out to the communities they call home. That’s why communities they call home. That’s why we fund and operate clinics in under-served we fund and operate clinics in under-served neighborhoods and schools. It’s why we neighborhoods and schools. It’s why we offer programs designed to help parents offer programs designed to help parents influence their children’s lives in positive influence their children’s lives in positive ways. And it’s the reason we sponsor ways. And it’s the reason we sponsor Wesley Nurses, who act as health and Wesley Nurses, who act as health and wellness advocates for the communities. wellness advocates for the communities.

METHODIST HEALTHCARE MINISTRIESMETHODIST HEALTHCARE MINISTRIESMission and Key ObjectivesMission and Key Objectives

““Serving Humanity to Honor God”Serving Humanity to Honor God”

To serve by improving the physical, mental and spiritual health of those To serve by improving the physical, mental and spiritual health of those least served in the Southwest Texas Conference area of the United least served in the Southwest Texas Conference area of the United Methodist Church.Methodist Church.

KEY OBJECTIVES:KEY OBJECTIVES: Facilitate access to primary careFacilitate access to primary care Develop and deliver appropriate healthcare educationDevelop and deliver appropriate healthcare education Impact healthcare policy through advocacyImpact healthcare policy through advocacy Diversify and expand revenue sourcesDiversify and expand revenue sources Ensure a spiritually-based dimension in programmingEnsure a spiritually-based dimension in programming Develop parenting and family support programsDevelop parenting and family support programs Build appropriate partnerships, through facilitation, leadership, Build appropriate partnerships, through facilitation, leadership,

and/or collaborationand/or collaboration Preserve, enhance, strengthen, develop and integrate the Preserve, enhance, strengthen, develop and integrate the

Methodist Healthcare System as a part of Methodist Healthcare Methodist Healthcare System as a part of Methodist Healthcare Ministries’ charitable purpose and mission Ministries’ charitable purpose and mission

MHM Service AreaMHM Service Area

For under-served residents in For under-served residents in South Texas, MHM has truly South Texas, MHM has truly filled an important and under-filled an important and under-served need. Since its served need. Since its inception in 1995 as a faith-inception in 1995 as a faith-based organization, MHM has based organization, MHM has invested a total of $87 million invested a total of $87 million in our communities making us in our communities making us the largest non-public source the largest non-public source for community health care in for community health care in San Antonio and South Texas.San Antonio and South Texas.

““Serving Humanity to Honor Serving Humanity to Honor God”God”

With every new year, With every new year, we strive to touch we strive to touch even more lives. even more lives.

It all goes back to It all goes back to fulfilling our mission. fulfilling our mission. “Serving Humanity to “Serving Humanity to Honor God.”Honor God.”

That means offering That means offering help to those in need help to those in need even before they ask. even before they ask.

Methodist Healthcare Ministries

Methodist Healthcare Ministries - 72 County Programs/Partnerships

Brooks

Duval

Hidalgo

Jim Hogg

Jim Wells

Kenedy

Kleberg

Nueces

San Patricio

Starr

Webb

Willacy

Zapata

Atascosa

Bandera

Bexar

Comal

Dimmit

Edwards

Frio

Guadalupe

Hays

Karnes

Kendall

Kerr

Kinney

La Salle Live Oak

McMullen

Maverick

Medina

Real

Uvalde

Val Verde

Wilson

Zavala

Bastrop

Blanco

Burnet

Colorado

Concho

Fayette

Gillespie

Kimble

Lampasas

Llano

McCulloch

Mason

Menard

Mills

San Saba

Travis

Gonzales Lavaca

JacksonDeWitt

Victoria

Calhoun

Aransas

Goliad

RefugioBee

Coke Sterling

Tom GreenIrion

Reagan

CrockettSchliecher

Sutton

Wesley Nurse Sites

Volunteer Health Ministries

. (11)

56

10

3

2

2

MELD Parenting Sites

PHP Parenting Sites

Clinic Sites

School Based Clinic Sites

Cameron

Caldwell

(3)

Funded Organizations

MHM Dental Care MHM Dental Care 2004 Funding

MHM Dental Clinics $1,700,000

External $1,600,000

2005 Funding

MHM Clinics $1,850,000

External $2,050,000

2004 Client Visits (Estimate)

MHM 13,100

External 37,040

(inside Bexar County) 15,500

(outside Bexar County 21,540

Clinic ServicesClinic Services MHM owns and operates clinics MHM owns and operates clinics

at three locations in San at three locations in San Antonio. Services include Antonio. Services include medical care provided by board medical care provided by board certified family practice certified family practice physicians, dental services, physicians, dental services, provided by dentists and dental provided by dentists and dental hygienists, social services and hygienists, social services and case management provided by case management provided by licensed social workers and licensed social workers and pharmaceutical assistance. pharmaceutical assistance. Services are provided on a Services are provided on a sliding scale fee basis to low sliding scale fee basis to low income, underserved clients income, underserved clients who are not eligible for any who are not eligible for any medical assistance programs. medical assistance programs. Case management and social Case management and social services are provided free of services are provided free of charge. charge.

MHM and MHM and AdvocacyAdvocacy

ParticipatingParticipating

PartneringPartnering

Pro-activePro-active

MHM Future: big MHM Future: big picturepicture

Health connected to disparities Health connected to disparities in:in:

Education

Economic Development

Housing

MHM and CHIPMHM and CHIP

Committed to Restore CHIPCommitted to Restore CHIP Campaign long- termCampaign long- term Educating legislature and Educating legislature and

communitycommunity An economic tool An economic tool Maximize federal dollars Maximize federal dollars

MHM CHIP CampaignMHM CHIP Campaign

Share advocacy materialsShare advocacy materials Templates allow for Templates allow for organizational logo organizational logo Provide technical assistanceProvide technical assistance Unified messageUnified message Include religious groups and Include religious groups and othersothers

TEXAS IS ONE OF TEXAS IS ONE OF FEW SCHIP THAT FEW SCHIP THAT DOES NOT OFFER DOES NOT OFFER

DENTALDENTAL Texas experienced the largest SCHIP enrollment Texas experienced the largest SCHIP enrollment

decline indecline inthe nation between June 2003 and December 2003. the nation between June 2003 and December 2003.

500,000 children lost dental benefits in 2003.500,000 children lost dental benefits in 2003."Nationally, One-half of all CHIP enrollment declines"Nationally, One-half of all CHIP enrollment declines

occurred in Texas" occurred in Texas"

Source: Kaiser Foundation, July 2004Source: Kaiser Foundation, July 2004

Children’s Oral Health Children’s Oral Health Under MedicaidUnder Medicaid

States are States are requiredrequired to provide the to provide the EPSDT (Early Periodic Screening, EPSDT (Early Periodic Screening, Diagnosis and Treatment) benefit to all Diagnosis and Treatment) benefit to all Medicaid-eligible children. Medicaid-eligible children. (Source: Center for Policy (Source: Center for Policy Alternatives, 1999)Alternatives, 1999)

Nationally, only 20% of all eligible Nationally, only 20% of all eligible children receive this benefit each year. children receive this benefit each year.

(Source: Center for Policy Alternatives, 2003)(Source: Center for Policy Alternatives, 2003)

States with Best PracticesStates with Best Practices

Dental participation in MedicaidDental participation in Medicaid is a is a barrier nationwide (only 16% of dentists barrier nationwide (only 16% of dentists participate).participate).

Vermont has 77% participation due to Vermont has 77% participation due to streamlining of claims processingstreamlining of claims processing. .

Vermont also allocated additional funds to Vermont also allocated additional funds to increase Medicaidincrease Medicaid reimbursement ratesreimbursement rates for for participating dentists by 17%.participating dentists by 17%.

Source: National Conference of State LegislaturesSource: National Conference of State Legislatures

States with Best PracticesStates with Best Practices

A dental professional shortage is a A dental professional shortage is a barrier to care nationwide. barrier to care nationwide.

Several states recently enacted bills to Several states recently enacted bills to expand the scope of practice for dental expand the scope of practice for dental hygienists (including dental screenings hygienists (including dental screenings for children). for children).

These states include Nevada, These states include Nevada, Connecticut, New Hampshire, and Rhode Connecticut, New Hampshire, and Rhode Island.Island.

Source: National Conference of State LegislaturesSource: National Conference of State Legislatures

States with Best PracticesStates with Best Practices

Other strategies include creating Other strategies include creating school-based dental clinics and school-based dental clinics and forgiving loans for new dentists.forgiving loans for new dentists.

These and the other reforms listed These and the other reforms listed show the commitment and creativity show the commitment and creativity of the states in dealing with the of the states in dealing with the problem. problem.

Texas is not one of these states.Texas is not one of these states.

Source: National Conference of State LegislaturesSource: National Conference of State Legislatures

CHIP CAMPAIGN ACTIVITIESCHIP CAMPAIGN ACTIVITIES

15,000 POSTCARDS DELIVERED15,000 POSTCARDS DELIVERED • • representing representing 65% of Texas 65% of Texas

Counties Counties • • over 1,000 zip codes over 1,000 zip codes • • From urban, suburban and rural From urban, suburban and rural

counties counties

ALL TEXAS DENOMINATIONS SIGNED ALL TEXAS DENOMINATIONS SIGNED “RESTORE CHIP” RESOLUTION“RESTORE CHIP” RESOLUTION

MHM AND NEXT CHIP MHM AND NEXT CHIP ACTIVITIESACTIVITIES

Legislative Budget Board (LBB) Legislative Budget Board (LBB) to restore “dental, mental, and to restore “dental, mental, and vision” CHIP benefitsvision” CHIP benefits

Collecting letters/postcards to Collecting letters/postcards to deliver to LBB in October deliver to LBB in October

RESTORE CHIP NOW!

Dear Legislative Budget Board Member,

The 78th Legislature made many deep, painful cuts to programs that serve Texas’ poor, and among the worst were the reductions in the Children’s Health Insurance Program (CHIP).

• More than 24% of Texas children are uninsured. Texas ranks 50th, the worst nationally.

• There is OVER $500 million now that can be transferred to CHIP through a budget executive order by the Legislative Budget Board. They will meet in October.

• It would take $93 million to restore the state Legislative cuts from CHIP for the current biennium.

• Texas will forfeit more than $256 million in federal CHIP matching funds if the program is not restored.

I urge you to Restore CHIP now! Name_________________________________________________________Street_________________________________________________________City ______________________________ Zip_______________________

Phone____________________________ Email_____________________Signature______________________________________________________