Community Health Visioning 2017 Primary Care Alternatives Dr. Frank Mazzeo, Jr., Meg Geltner and Sally Jackson

Primary Care Alternatives Convene stakeholders to develop a comprehensive, community-based system of primary care alternatives to the Emergency Room, targeting areas of greatest need. (Key elements may include neighborhood centers/clinics, mobile units, 24/7 access, service for under/uninsured, and possible roles for retired physicians and major employers.) Develop a method for educating non-emergent patients to use the appropriate care settings.

Key Accomplishments ARRA funded renovation/expansion of Family Health Centers’ downtown campus which will result in the addition of 5 new adult and pediatric medical providers serving an estimated 6,400 new patients annually… Establishment of the first ever Florida AEGD residency program in partnership with the Lutheran Medical Center of Brooklyn, NY resulting in 4 new dentists being placed on staff at the Downtown Fort Myers Center… Moving and expansion of our Broadway Adult Medicine Office to the DTFM Center resulting in it serving more patients at a location in and nearer to the 33916, 33905, and 33901 zip codes… Hiring of a registered nurse to launch a disease management outreach office at the Renaissance Preserve Community Center at the Fort Myers Housing Authority beginning June 28th… Assignment of FHC staff member Mr. Ismael Hernandez to assist the Health Committee of the 21st Century Collaboration with their work to improve health outcomes of the residents of the 33916, 33905 and 33901 zip codes.

Key Accomplishments Undertaking a study of the effectiveness of the ASK ME 3 and ASK ME/ME health literacy program on the health outcomes of Family Health Centers’ patients diagnosed with hypertension and diabetes… Participation in the Lee Mental Health’s Telemedicine Project integrating primary care and behavioral health services… Initiation of enhanced dental services for children at schools in Lee County beginning this fall… Launching of a Pharmacy Collaborative Study with HRSA… Expansion of the Coumadin Monitoring Initiative… Offering of autism screenings in the Ronald McDonald care mobile at Family Health Centers’ pediatric offices… Provision of child safety instruction/car seat monitoring at Family Health Centers’ pediatric sites by the Kohl's Center for Child Safety… Continued expansion of breast and cervical cancer screenings for uninsured low-income women under the Healthy Body-Healthy Soul Program.

Presenting Illness Percentages Primary Care Clinic Presenting Illness Percentages

Presenting Illness Percentages Medical Respite Unit Presenting Illness Percentages

Medical Outreach Services February – May 2011 Results 61 Clients had their Blood Pressure Taken 44 Clients had their Blood Sugar Taken 29 Clients received Medical Education 100+ Clients utilize the Shower Service Monthly

Key Accomplishments Lee Physician Group Dunbar United Way House Opened May 16, 2011 $1.5 million LIP Grant (ER Diversion for Primary Care) Adult Primary Care Chronic Disease Management (Asthma, COPD, CHF, Diabetes, Sickle cell, Hypertension) Diagnostic testing Sliding Scale payment options Lee Physician Group North Fort Myers United Way House – projected opening September 2011 Possible other locations –TBD

Barriers/Challenges Cuts to Medicaid/Medicare Reimbursement Growth in Underinsured Continued Unemployment 81,722 ER Patients for Primary Care

Opportunities United Way LPG Clinic Model Expansion Seek Additional Federal Resources Possible 2nd Year $1.5 million LIP Grant 10 10 10 10

Community-based Health Ambulatory, Ancillary & Complementary Context: Connecting Health And Human Services Community-based Health & Human Services Circles reflect relative reach of services 22% of a population routinely seen in core; 28% either not Seen or without need Human services programs Usually designed for poor and/or well Ambulatory, Ancillary & Complementary Physician & Hospital Services LMHS & Physicians

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