Medically Underserved  Geography  Income  Insurance Status  Culture  Language

Demographics of the Underserved Community  Enterprise Area Population ◦ 20% Uninsured ◦ 25% Ethnic Minority ◦ 23% Living Below Poverty Guidelines ◦ 36% Without a Medical Home  Shifting Patterns of Employer Sponsored Insurance ◦ Higher Deductibles, Co-Pays, Premiums ◦ Increase in Low Wage Service Industry and Construction Positions

Health Care Organizations  Public Government owned and operated Federal State Local  Private For Profit Not-for-profit Sectarian Non-sectarian

Federal 330 Funding (CHCs)  Federal funding is provided to subsidize services,  Health care is provided regardless of ability to pay,  A full range of primary care services including oral health care, mental health care and treatment for acute and chronic illnesses,  The Board of Directors must have a consumer majority,  Community health centers are covered under federal malpractice liability insurance.

CHCs  1,000 organizations,  5,000 sites,  15 million people,  Located in every state and Puerto Rico, Guam, the District of Columbian and the Virgin Islands.

Portrait of a Midtown Patient 81% uninsured 65% non-English speaking 71% ethnic minority Supports family of four on less than $18,850/yr Working poor

Services Provided by Midtown  26,963 primary care visits  330 babies delivered  4,484 dental visits  671 mental health visits  2,000 charity medication applications

Operating Financial Requirements  Midtown Community Health Center: $3.5M

Health Access Team  Coordination of medical services for the underserved residents of Ogden City ◦ Case Management ◦ Volunteer Provider Network ◦ Prescription Assistance ◦ Health Education ◦ Peer Education/Community Involvement ◦ Public Assistance Enrollment Case Management- 282 Rx Assistance- 721 Health Education- 457 Specialty Care- 27 Charity Meds-$715,008 In-Kind Medical $571,159 Volunteer Providers- 165 Specialty Types- 20

Operating Financial Requirements  Health Access Team: $1.4M $400,000 balance to be raised annually to replace federal funding beginning September 2006

Public and CHC Issues  The role of volunteerism in health care provision,  The right to access,  Service provision,  Scope of services.