1. Mobile Health Clinic OSP group 4 project Erin Tomlinson-Brower, Stacey Swartzendruber, Jacqueline Swanton, Sueann Unger, & Kim Weigel

2. Mobile Health Clinic of Grand Traverse County

3. Mobile Health Clinic Growing number of uninsured, homeless, and aging population. Barriers to adequate health care exist due to lack of transportation. ER cost avoided + Value of QALYs Saved /Cost of Mobile clinic = ROI

4. Services glucose blood pressure Wellness screening Cholesterol screening Vision screening immunizations weight education Depression screening

5. Mobile Health Philosophy We believe  In making healthcare available to the community we serve by removing geographic, transportation, financial and cultural barriers to service.  Lack of insurance or inability to pay should not be a barrier to obtaining screenings, immunizations, wellness checks or general medical care.  Chronic diseases can be prevented with available low or no- cost screenings.  Collaboration with Munson Healthcare will provide for seamless patient care with technology, resources, referrals and diagnostic services for our clients.  All nursing staff shall practice according to standards of practice using evidenced based care and while advocating for patient health and wellness. Mission Statement

6. MOBILE HEALTH Organizational Goals "Organizational goals are desired states of affairs or preferred results that organizations attempt to realize and achieve" (ETZIONI, 1961, p. 366)

7. MOBILE HEALTH Goals To reach underserved people in the Grand Traverse County area by delivering proven cost- effective prevention activities helping to control healthcare costs and reduce health disparities. Deliver healthcare services with a well- equipped mobile health clinic, decreasing logistical and financial barriers to healthcare. Promote, advocate, and educate about health and wellness in a confidential and consistent setting using evidenced based nursing practice. Nonbiased care provided by professionals without discrimination in collaboration with existing community services. Providing committed and consistent service with long-term solutions for a healthier community. Objectives To develop a mobile health clinic to serve the residents of Grand Traverse County by January 1, 2013. To foster community involvement in healthcare; with appropriate referrals and follow-up appointments for every patient. To deliver culturally respected and linguistically sensitive health promotion, disease management, and health education with comprehensive care plans for every patient. To provide healthcare services to every patient regardless of insurance or ability to pay. To be fully operational interacting with people at convenient locations with a full patient load by March 1, 2013.

8. Organizational Chart

9. Job Descriptions Jobs

10. Advertisement Mobile Medical Clinic of Grand Traverse County is seeking applicants for a Registered Nurse The candidate will provide nursing assessment, referrals for clients, work effectively and efficiently with tight deadlines, high volumes and multiple interruptions. Effective written and verbal communication skills required with ability to make quality, independent decisions. Certifications required: ACLS, BLS BSN/Registered Nurse in the State of Michigan Unrestricted Drivers License Send resume and cover letter to: Munson Healthcare, Human Resource Dept. Box 234, Traverse City, MI 48903 (231) 444-4000 or email: janedoe@century.com

11. Budget

12. Reference Aboul-Enein, F. (n.d.). A Mobile Clinic's Financial Model. Retrieved from advanceweb.com/Arthttp://nurse-practitioners-and-physician- assistants.icle/A- Mobile-Clinics-Financial-Model.aspx advanceweb.com/Arthttp://nurse-practitioners-and-physician- assistants.icle/A- Mobile-Clinics-Financial-Model.aspx American Journal of Nursing [AJN]. (2012). Retrieved from ://www.nursingworld.org/careercenter/ ://www.nursingworld.org/careercenter/ American Nurses Association (ANA). Nurses Career Center. (2012). Retrieved from http://www.nursingworld.org/careercenter/ http://www.nursingworld.org/careercenter/ Colorado Childrens Healthcare Access Program [CCHAP]. (2007). Compare: Reimbursement for Medicaid Versus Commercial Health Insurance Versus Office Expenses. Retrieved from http://www.cchap.org/storage/newsletter-three- files/article%201.pdfhttp://www.cchap.org/storage/newsletter-three- files/article%201.pdf Etzioni, A. 1961 (p. 366).A Comparative Analysis of Complex Organizations: On Power, Involvement, and Their Correlates. Contributors. Free Press. New York, NY. Retreived from http://www.introduction-to- management.24xls.com/en131

13. Reference Grand County Health Department. (2012). Health. Retrieved from http://www.co.grand-traverse.mi.us/departments/health.htm http://www.co.grand-traverse.mi.us/departments/health.htm Hill, C., Zurakowski, D., Bennet, J., Walker-White, R., Osman, J. L., Quarles, A. and Oriol, N. (2012). Knowledgeable neighbors: A mobile clinic model for disease prevention and screening in underserved communities. American Journal of Public Health, 102 (3), 406-410. doi: 10.2105/AJPH.2011.300472 Michigan Department of Community Health [MDCH]. (2012). MDCH - Practitioner and Medical Clinic Database. Retrieved from http://www.michigan.gov/documents/mdch/Practitioner- _October_2012_399102_7.pdf http://www.michigan.gov/documents/mdch/Practitioner- _October_2012_399102_7.pdf Michigan Primary Care Association. (n.d.). Primary health care profile of Michigan. Retrieved from http://www.mpca.net/Client/MPCA/Files/Grand%20Traverse%20County.pdf http://www.mpca.net/Client/MPCA/Files/Grand%20Traverse%20County.pdf

14. Mobile Health Clinics Association [MHCA]. (2012). Commercial vehicle insurance. Retrieved from http://mobilehealthclinicsnetwork.org/v-insurance.htmlhttp://mobilehealthclinicsnetwork.org/v-insurance.html Munson Community Health Department. (2008). 2008 Community Health Assessment Project Final Report. Retrieved from http://www.munsonhealthcare.org/upload/docs/Community%20Resources/commu nity_health_assessment_2008.pdf http://www.munsonhealthcare.org/upload/docs/Community%20Resources/commu nity_health_assessment_2008.pdf Nurse.com. (2012). Rate card for Heartland/Midwest a Gannett healthcare company. Retrieved from http://www.gannetthg.com/mediakit/PDFs/2012/disp/RN_2012_RateC_HL-6X- SG.pdf http://www.gannetthg.com/mediakit/PDFs/2012/disp/RN_2012_RateC_HL-6X- SG.pdf Nursing jobs.org. (2012). Retrieved from http://www2.nursingjobs.org/r/jobs/post/index.cfm?site_id=179 http://www2.nursingjobs.org/r/jobs/post/index.cfm?site_id=179 Post, P. (2007). Mobile Health Care for Homeless People: Using Vehicles to Extend Care. Retrieved from http://www.nhchc.org/wp- content/uploads/2012/02/mobilehealth.pdfhttp://www.nhchc.org/wp- content/uploads/2012/02/mobilehealth.pdf

15. Reference Salary.com. (2012). Retrieved from http://swz.salary.com/SalaryWizard/Nurse- Practitioner-Salary-Details-Saginaw-MI.aspxhttp://swz.salary.com/SalaryWizard/Nurse- Practitioner-Salary-Details-Saginaw-MI.aspx Simplyhired.com. (2012). Retrieved from http://www.simplyhired.com/a/salary/search/q-nurse+practitioner/l- traverse+city%2C+mi http://www.simplyhired.com/a/salary/search/q-nurse+practitioner/l- traverse+city%2C+mi Trans Lease. (2009). Advantages and benefits of leasing. Retrieved from http://www.transleaseinc.com/leasing.php http://www.transleaseinc.com/leasing.php Traverse City Record-Eagle. (2012). Classified advertisement. Retrieved from https://classadz.vdata.com/traverseCity/UserType.aspx https://classadz.vdata.com/traverseCity/UserType.aspx Traverse Health Clinic. (2012). Services and programs. Retrieved from http://www.traversehealthclinic.org/programsservices/tp://www.traversehealthclinic.org/programsservices/ Health Care Program. Retrieved from http://www.universalservice.org/rhc/about/getting-started/default.aspx http://www.universalservice.org/rhc/about/getting-started/default.aspx

16. Reference United States Census Bureau [USCB]. (2009). Grand Traverse County. Retrieved from http://www.census.gov/hhes/www/hlthins/data/acs/138pov/Table2.xlshttp://www.census.gov/hhes/www/hlthins/data/acs/138pov/Table2.xls United States Census Bureau [USCB]. (2012) Grand Traverse County. Retrieved from http://quickfacts.census.gov/qfd/states/26/26055.htmlhttp://quickfacts.census.gov/qfd/states/26/26055.html United States Department of Health and Human Services [HHS]. (2012). Service Area Competition. Retrieved from http://apply07.grants.gov/apply/opportunities/instructions/oppHRSA-13-227- cfda93.224-cid5503-instructions.pdf http://apply07.grants.gov/apply/opportunities/instructions/oppHRSA-13-227- cfda93.224-cid5503-instructions.pdf Universal Service Administrative Company [USAC]. (2012). Rural Health Care Program. Retrieved from http://www.universalservice.org/rhc/about/getting- started/default.aspxhttp://www.universalservice.org/rhc/about/getting- started/default.aspx