Our Vision: A Northwest Missouri that grows stronger with every patient encounter.

WHERE WE SERVE Each location directly serves populations with healthcare access needs. ST. JOSEPH Population 76,422 Medical – Five medical locations including a clinic serving St. Joseph’s homeless population. Dental – A dental clinic serving a high population of Medicaid and St. Joseph’s homeless population. Behavioral –One dedicated behavioral health clinic. Each clinic integrates behavioral health into their service ensuring complete healthcare options for our patients. In addition we have 5 school based LCSW’s. Pharmacy located within two of the medical clinics.

WHERE WE SERVE cont. RURAL NORTHWEST MISSOURI Northwest Health has 7 medical clinics in our rural counties. LCSW’s are on site with psychiatry available by telehealth in all rural clinics with dental in Savannah and Mound City. Our rural pharmacies are located in Hamilton and Gower. We have 4 LCSW’s that provide counseling in 10 of our area schools.

Community Needs Assessment Transportation was found to be a major socioeconomic factor in accessing care. Evaluation of transportation resources: St Joe Transit OATS Faith Community Taxi Challenges: Inconvenient pick up times The cost Pick up locations are inaccessible to disabled Limited or no transportation on the weekends

Action Plan Northwest Health Service CEO made a solution to transportation a priority. We collaborated with MRHA to partner with HealthTran to provide transportation to Buchanan and Andrew county in April of 2019. Within a few months we branched out into our rural areas. Existing staff were utilized for the initial implementation. It was apparent we needed a part time dedicated staff member. In November of 2018 we hired a transportation coordinator.

Barriers Getting staff to trust the transportation Recruiting volunteer drivers Capturing supporting data

Outcomes Since Jan 2019 102 Unique Members 492 Trip Legs 15% Cancelation rate 2% No Show rate

Demographics

Demographics cont.

Demographics cont.

Demographic cont. 92% of our riders are 200% or less of the federal poverty level 11% have identified as being homeless

Name Results Change Numerator Denominator Exclusion Diabetes A1c <8 (NQF 0059 modified) 37.5% 17.0% 6 16 Diabetes A1c >9 or Untested (NQF 0059) 1.1% Diabetes BP <140/90 81.3% 17.7% 13 Hypertension Controlling High Blood Pressure (NQF 0018) 76.5% 23.2% 17 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.0% 2.3% 21 1 Cervical Cancer Screening (NQF 0032) 28.6% 8.9% 15 Colorectal Cancer Screening (NQF 0034) 54.7% 5.7% 29 53

Funding Grant Funding MRHA/Mo Dept of Transportation SUDS Grant Community Health Worker Program Tracking revenue from visits

Future Recruit additional drivers Develop a driver recognition program NHS staff Continue to gather health outcomes

Health Tran Staff and Drivers Life is Short Do Stuff That Matters “Labor of Love”

Northwest Health Services | 2303 Village Drive Eva Cook, PCHH Manager evacook@nwhealth-services.org Northwest Health Services | 2303 Village Drive St. Joseph, MO 64506 | (816) 271-8261 www.nwhealth-services.org