Syrian American Medical Society Foundation A Glance at SAMS’s Impact in 2015

SAMS Foundation Relief Structure Medical Relief Committees 1.Turkey Committee Homs, Hama, Idlib, Lattakia, Aleppo, and Turkey. Medical Relief and Advocacy. 2.Jordan Relief Committee Rif Damascus, Dera’a, Quneitra, and Jordan. 3.Lebanon Relief Committee 4.SAMS Global Relief Committee

SAMS Foundation Medical Subcommittees ICU Nephrology Mental Health Dental GI Primary Care Ophthalmology Cardiology Committees are vital for ensuring quality of care and highly specialized medical care.

Capacity building: expand staff and training. Expand Programs: beneficiaries, projects, specialty care like ICU, tertiary care centers. Diversify and expand funding: UN, European, others. Tele-medicine and Tele-training. Medical training and medical education. Underground medical facilities. Collaborations with other NGOs: SNGOs and INGOs. Quality assurance. Staff and members driven.

Primary Health Care: 659,115 OBGYN: 164,741 FH: 634,906 Deliveries: 24,318 Dialysis: 1,802 Tele-ICU: 25,000 Mobile Clinics: 91,137 Containers: 426,276 Mobile Dermatology: 3,954 Gender-Based Violence Training: 27 Dental: 62,499 Psychosocial: 14,149 Major Surgeries: 35,323 Minor Surgeries: 97,539 Madaya Fund: 1500 Winterization in Aleppo: 5,656 Polio Vaccination: 30,000 Blood Banks: 4,470 Nursing School: 105 2,151,278

Nursing School 105 students enrolled in Course Topics include Nursing Ethics, Medical Science, Public Health, and Nutrition. GI Endoscopy Clinic established in Idlib. Physical Therapy 5,792 beneficiaries in Psychosocial Care for Urban Refugees 8,610 beneficiaries in Madaya Fund 1,500 beneficiaries from initial shipments in December. Began supporting medical clinic in January 2016.

Underground Facilities: 2 Partially Underground Facilities: 4

Private donations: $7,092,047 Grants: $7,219,299 Total budget: $14,311,346 Beneficiaries: 1,334,813 Private donations: $8,185,317 Grants: $16,409,862 Total budget: $24,595,179 Beneficiaries: 2,631,310

Attacks on healthcare Crises within the crisis Funding Registration Qualified Staff Security Banking Limited capacity Data Analysis Quality Assurance

Expansion and capacity building Dealing with crises Funding sources Specialty care, ICU, and Nephrology Tele-medicine Educational Projects in Syria Medical Missions Safer Facilities

Quality assurance Data analysis Lebanon programs Adequate activism of members in medical relief

Be the primary provider for healthcare for most of the displaced Syrians - reach 3.5 million Syrians in Position SAMS to be a direct grantee from international humanitarian programs for Syria. Initiate and expand the SAMS Global Relief Committee to reach refugees in Europe and to organize and lead medical missions to areas hit by natural and manmade disasters. Improve and prioritize quality of care. Expand services of medical missions to Jordan and Lebanon to include CME courses. Expand specialized care for Syrians inside Syria and in refugee-host countries into areas such as ophthalmology, ENT surgeries, endoscopy, and diagnostic and interventional cardiac angiography. Identify highly accomplished medical students who were forced to interrupt their studies and help them receive their diplomas from alternative medical schools.

Private Sectors 28% Federal Governments 25% State 21% Veterans 17-18%

Americans without insurance Before ObamaCare: 47 millions 2016: 31 millions

Total cost: 2.9 trillion (2013) Average cost of health care In US $ per person in 2011 In Europe $ per person in 2011

Lack of health insurance is associated with 40% increase death rates, Harvard researcher study. Lack of health insurance is associated with increase bankruptcy (in 2007; 62% of all US bankruptcy were related to medical bills) If all US citizens were provided health insurance by single provider, medial expenses related bankruptcy will decrease The presence of health insurance promotes more business for nation especially if it is supported by the government

Medicare, TMP plan HMO plan (BC, BS, Tufts HP) Medicare: 50% fee for SERVICE 50% fee for PERFORMANCE Reimbursement is based on quality of service Multiple measures have to be met

Better Care Improve the patient’s experience Lower Cost To achieve the above mentioned goals TECHCNOLOGY was introduced to the medical system In addition, preventative medicine is playing a key role in health care system

Technology was introduced in the form of electronic health records such as:  ECW electronic health records for out-patients  Meditech electronic health records for in-patients This electronic health records are used widely in both in and out patient sectors Use of electronic health records by physicians is becoming mandatory Examples:

Health Care System is becoming so regulated by the government and the private health insurance sectors These regulations carry a lot of positive impact on patient’s health Many challenges remain in place including:  High cost  The presence of multiple electronic health records that don’t communicate with each other

All new regulations are placing the primary care physicians in the driver’s seat where they are responsible for caring and coordinating patient care as the need arises. Despite all the challenges in implementing electronic health record, new regulations by health insurance and shift from fee for service to fee for performance, practicing medicine remains a rewarding and noble profession.

Physicians will continue saving lives while risking their owns in times of wars, with very limited resources as done by SAMS in Syria, as well as in times of prosperity as we experience in the US.

United States Census Bureau, "Income, Poverty, and Health Insurance Coverage in the United States: 2012," census.gov, Sep. 2013census.gov White House Council of Economic Advisers, "Economic Report of the President: 2013," whitehouse.gov, Mar David H. Howard, Lisa C. Richardson, and Kenneth E. Thorpe, "Cancer Screening and Age in the United States and Europe," Health Affairs, 2009whitehouse.gov David U. Himmelstein, MD, Deborah Thorne, PhD, Elizabeth Warren, JD, and Steffie Woolhandler, MD, MPH, "Medical Bankruptcy in the United States, 2007: Results of a National Study," American Journal of Medicine, Aug Patient Protection and Affordable Care Act (HR 3590), gpo.gov, Mar. 23, 2010gpo.gov Organisation for Economic Co-operation and Development (OECD), "Health at a Glance 2013: OECD Indicators," oecd.org, 2013oecd.org Illinois State Medical Society, "Resolutions Passed at the 70th Annual Meeting of the Illinois State Medical Society," Illinois Medical Journal, July-Dec Rachel Nardin, Leah Zallman, Danny McCormick, Steffie Woolhandler, and David Himmelstein, "The Uninsured after Implementation of the Affordable Care Act: A Demographic and Geographic Analysis," healthaffairs.org, June 6, 2013healthaffairs.org

The World Bank, "GDP Per Capita (Current US$)," data.worldbank.org (accessed Jan. 27, 2014)data.worldbank.org Organisation for Economic Co-Operation and Development (OECD), "OECD Health Data 2013," June 27, 2013 Andrew P. Wilper, Steffie Woolhandler, Karen E. Lasser, and Danny McCormick, et al., "Health Insurance and Mortality in US Adults," American Journal of Public Health, Dec Henry J. Kaiser Family Foundation, "Health Security Watch," kff.org, June 2012kff.org Business Coalition for Single-Payer Healthcare, "Business Benefits of a Single-Payer Medicare-For-All System," healthcare-now.org (accessed June 4, 2014) healthcare-now.org Commonwealth Fund, "Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally," commonweathfund.org, June 18, 2014commonweathfund.org healthcare.procon.org

Thank You Wishing you success