Kelly Berthoud, Jennifer Held & Melissa Scholtens Grade: 100/100 “We’ve Got Your Beat” Kelly Berthoud, Jennifer Held & Melissa Scholtens

What is “We’ve Got Your Beat?” A mobile cardiac evaluation and teaching clinic, offering blood pressure, weight measurement, and other vital sign monitoring We work with clients to create an individualized plan that can be shared with physician upon request We offer ongoing support to clients through online and telephone education and support, linking the clients to the nurses from the service

Our Mission Statement “We’ve Got Your Beat” is a non-profit organization that promotes heart health within the community by partnering with patients through individualized, nurse-led mobile screening and education.

Philosophy We believe that cardiac health is essential to a person’s overall well-being. We partner with our clients to develop individualized, realistic interventions and goals necessary for optimal cardiac outcomes. We do this through education and evaluation of vital signs, risk factors, and symptoms.

Our Focus We’ve Got Your Beat will aim to decrease hospital readmissions and increase patient outcomes by focusing disease management and prevention in the local communities A patient’s risk for readmission is “influenced by the quality of inpatient and outpatient care, the availability and use of effective disease management programs, and the bed capacity of the local healthcare system” (AHRQ, 2013).

Organizational Goals Provide education and support for clients by empowering them to make good choices to help them maintain optimal cardiac health in rural areas. Provide each client with a take home education tool so they can continue working towards their individualized goals and share it with their physicians. Work with hospitals, to decrease readmission rates through monitoring and educating clients in rural areas.

Objectives Clients will be able to identify and have a realistic plan to reduce risk factors for cardiovascular disease in the first 30 days. At least, 50 clients will utilize the our service in the next 6 months 75% of clients will report satisfaction in the form of a written survey with in 60 days after consulting with us. Less than 10% of clients will be readmitted to an acute care hospital within 30 days after collaborating with us.

Why choose “We’ve Got Your Beat?” The delivery of education and monitoring of vital signs for those who might not be otherwise reached Partner with hospitals to keep low readmission rates by offering outpatient follow up care Closer access to healthcare in rural areas where the closest facilities are more than 45 minutes away via car Cardiac health is essential to overall well-being and everyone should have access to tools to help them achieve optimal cardiac health

Where is “We’ve Got Your Beat?” We are a mobile clinic that is able to reach clients outside traditional healthcare settings, currently at two location in Bellaire, Michigan. The Village of Bellaire has a population of 1086 and is 45 minutes away from the nearest acute care hospital, which makes routine monitoring of cardiac health difficult at traditional places difficult, especially in the winter. Antrim County Senior Center 308 E. Cayuga Street Every Thursday 12 pm to 6 pm Meadowbrook Medical Care Facility 4543 S. M-88 Every Monday 12 pm to 6 pm

Who benefits? Clients with stable cardiac conditions who need on going monitoring and live in a rural area Clients with risk factors needing education about cardiac health and disease prevention prevention Everyone can benefit from education and monitoring for optimal cardiac health, we will focus on disease management as well as preventive care

Finances The total cost for supplies is $4500.09, this includes vital sign monitoring machines, computers for documentation, and office supplies Supervising Coordinator salary is set at $55,000 a year Registered nurse is an hourly position paying $22/hr working on average 12 hours a week costing $13,728 a year Total Cost for the year excluding restock of supplies and insurance benefit for Supervising Coordinator will be $72,509.09 This number may decrease as we begin to get reimbursed by insurance companies after start up

Reimbursement and Fees Services with no out of pocket fees to clients, but insurances will be billed if available. Billing will participate with all major insurances and work to be covered under preventive health Additional funding for the program to be obtained from grants and medical offices who contract with “We’ve got your beat.”

Return on Investment Calculation The relative value of mobile health clinic services = annual projected emergency department costs avoided + value of potential life years saved from the services provided. Return on investment ratio = the relative value of the mobile health clinic services/annual cost to run the mobile health clinic. (Oriol, Coty, Vavasis, Bennett, DeLorenzo, Blanc & Kohane, 2009)

$6 and $37 for every $1 invested Return Of Investment Research indicates a rate of return on investment of between $6 and $37 for every $1 invested in mobile healthcare delivery. (Morphew, Scott, Li, Galant, Wong, Garcia...Jones, 2013)

Employees Supervising coordinator Paid RN Volunteer RN provides leadership, organization of delivery for service, advocates for funding and support Paid RN assessment, documentation and education for clients Volunteer RN

Organizational Structure Designed as a service line structure which allows expedited decision making and clarity of purpose (Yoder-Wise, 2014)

How Can We Help You? Reduce readmission rates related to cardiac diseases Decrease Emergency department use (Kaiser, 2013) Improve patient outcomes following discharge from your facility Reinforce patient education Serve as liaison between health care provider and patient

Please Contact If you are interested in having “We’ve Got Your Beat” at a location near you, please contact George Clooney, Supervising Coordinator at 231-555-1234 or at georgelovesjenn@onlydreaming.com

References Department of Health and Human Services Agency for Healthcare Research and Quality (AHRQ). (2013) National quality measures clearinghouse. Retrieved from http://www.qualitymeasures.ahrq.gov/content.aspx?id=46499 Kaiser Health News (2013, January). Research roundup: Effectiveness of mobile clinics; can more alternative medicine coverage save money? Retrieved from: http://kaiserhealthnews.org/morning-breakout/research-roundup-67/ Morphew, T., Scott, L., Li, M., Galant, S., Wong, W., Garcia, M., ...Jones, C. (2013). Mobile health care operations and return on investment in predominantly underserved children with asthma: the breathmobile program. Population Health Management, 16,4. doi: 10.1089/pop.2012.0060 Oriol, N., Cody, P., Vavasis, N., Bennett, J., DeLorenzo, D., Blanc, P. & Cohane, I. (2009). Calculating the Return on Investment of Mobile Healthcare. BMC Medicine 2009, 7:27. doi:10.1186/1741-7015-7-27 Yoder-Wise, P. (2014). Leading and managing in nursing (5th ed.). St. Louis, MO. Elsevier Mosby.