1. Working and Educating Lifestyles for Living in Lansing, Michigan
WELL Center
Working and Educating Lifestyles for Living in Lansing, Michigan
Lansing, Michigan
Rebecca Dick, Julie Erickson, Amber Goetz,
Marijo Johnson, John Richardson
Ferris State University – Organizational Strategic Plan Project

2. Mission Statement
To provide education, preventative and wellness services
to community members including the underserved
to achieve optimal health of community
and conserve medical resources by providing
continuity of care and preventing hospital readmissions.

3. Philosophy WELL Center: Working and Educating Lifestyles for Living
The WELL Center is committed to providing services
to all community members with dignity and respect.
The philosophy is based on Relationship Based Care,
identifying that building trusting relationships with patients and families will assist in developing individual plans of care while eliminating barriers to improved optimal wellness and prevent rehospitalizations.

4. WELL Center Patients We Believe:
Access to care is critical regardless of income or ability to pay
All patients deserve to be treated with dignity and respect
Patients and families need to be active participants in identifying health care needs and developing a plan of care

5. WELL Center Nurses We Believe:
Education and prevention is key to maintaining wellness and preventing rehospitalizations.
Building relationships with patients and families
assists in identifying barriers and will increase compliance, improve optimal wellness and prevent rehospitalizations.
Holistic nursing care encompassing mind, body and soul.

6. WELL Center Nursing Practice
We Believe:
Nurses can provide education and preventative services
using evidence based practice to improve the health of the community.
Nurses can build relationships with patients and families to
identify individual barriers and develop plans to achieve optimal wellness.
Services provided will be based on evidence based practice.
Services provided will be within the scope of nursing practice
and ethical guidelines.
Nurses will collaborate with community providers and the medical
director as needed to ensure appropriate services are provided.

7. Lansing, Michigan Health Data
As the capital city of Michigan, Lansing’s population of 114,000 is served by 90 physicians per 100,000 population and 100 specialty physicians per 100,000 population (Tu, Ha, et al., 2011).
This population is served by two hospitals, Edward W. Sparrow Hospital and Ingham Regional Medical Center

8. Lansing Michigan Health Data
Data from the Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2008 was reviewed to gain an understanding of the health status of Lansing.
The percentage of obesity in the Lansing population was 58.9%. Adult smokers made up 18.9% of the population. Those who reported themselves to be in fair or poor health status were 10.9%.
Chronic conditions identified were asthma at 12.4% of the population, diabetes at 6.4% and angina or coronary heart disease at 3.9% of the population (Tu, Ha, et al., 2011).

9. United States Health Data
The center for Medicare and Medicaid Services states that in 2009 almost 18% of patients were readmitted within 30 days of hospital discharge with 13% of those were potentially avoidable (Atlantic Information Systems, 2008).
Quality improvement initiatives to prevent hospital readmissions for chronic conditions such as asthma, diabetes and heart disease will help to increase the quality of health care delivered, increase patient safety and save valuable healthcare dollars (Atlantic Information Systems, 2008).

10. WELL Center Commitment
Providing holistic care for prevention of hospital readmissions requires an interdisciplinary team approach within the acute care setting as well as the outpatient care setting.
The WELL Center is actively committed to participate with Lansing’s healthcare providers to reduce hospital readmissions by 5% in providing optimal wellness for patients and ensuring appropriate allocation of health care resources.

11. WELL Center Staff
The WELL Center clinic will be staffed with a mix of qualified personnel. This will include nurse practitioners (NP), bachelor prepared registered nurses (RN), medical assistants (MA), a secretary/scheduler and a billing/coding expert.
The WELL Center director will answer to a voluntary Board of Trustees appointed by the city council.

12. WELL Center Staff Organizational Chart
Board of Trustees
Case Manager/ RN
Medical Assistants
Receptionist
Biller/Coder
Medical Director
Nurse Practioners
WELL Center Director

13. Monday, Wednesday and Friday 8am – 5pm Tuesday and Thursday 11am – 8pm
Hours of Operation
Monday, Wednesday and Friday 8am – 5pm
Tuesday and Thursday 11am – 8pm
During the Hours of operation one NP, one RN, two MAs and a secretary/scheduler will be present.
The coder/biller will be present during the schedule as the work load allows assisting in covering the desk if needed.

14. Funding
The WELL Clinic has three basic sources of funding: Private pay/co-payments, insurance reimbursements and grants.
As an innovator in reducing the readmission to hospitals for our patient population we have three generous grants one from the City of Lansing for $50,000 annually, another from the United States Government through its community health center –section 330e program (Taylor) and the third from the common wealth fund matching the two government grants under their delivery system innovation and improvement grant program (The commonwealth).

15. Sources of Reimbursement
Budget
The WELL clinic’s total annual budget is $470,000 in reimbursements with total annual expenditures of $469,998. A two month cash budget is maintained at all times for the daily operational expenses.
Sources of Reimbursement
Health Insurance $243,000
Grants $200,000
Co-pays $27,000
Total $470,000

16. Annual Staffing Budget
Position Full Time Equivalency Cost
Nurse Practitioner $115,241
Registered Nurse $81,788
Medical Assistant $93,675
Secretary $26,484
Billing/Coding $17,810
Total $334,998

17. Annual Expenditures Staffing $334,998 Medical Supplies $36,000
Training/Education/Orientation $20,000
Office Supplies $12,000
Insurance $12,000
Rent $30,000
Utilities $4,800
Cleaning $5,200
Capital expenditures $15,000
Total $469,998

18. Summary
Proper allocation of financial resources combined with quality outcomes for complete and comprehensive care of patients in the Lansing area is congruent with the goals and objectives of the WELL Center clinic. We are excited and committed to this adventure and
it is our hope that you support and join us in this venture.

19. References
Tu, Ha, Anglin, Grace, Felland, Laurie E., Grossmand, Joy M., & Stark, Lucy B. Lansing's dominate hospital, health plan strengthen market positions. (2011, March). In Center for studying health
system change. Retrieved from
The common wealth fund. (2011). Delivery system innovation and improvement. Retrieved from
Taylor, J. (2004, August 24). The fundamentals of community centers. Retrieved from
Atlantic Information Systems Inc. CMS targets readmission through payment, audits; ‘coaching’ model reduces rates. (June 30, 2008). 17(24). Retrieved from: