1. International Patient Services Outreach to Mexico Barbara Swanson Felix, Coordinator Adolfo Felix, M.D., Liaison

2. Mexico Outreach The Mexico Outreach Program is based on the premise, that through collaborative efforts between UMC and the various components of the Mexican healthcare system, it is possible to provide enhanced continuity of care at a lower cost to the patient while being more efficient in the use of UMC resources.

3. IMPACT ON ARIZONA HOSPITALS Injured and acutely ill people from Mexico rely heavily on the U.S. for medical attention. These individuals are not eligible for financial assistance programs in Arizona. Hospitalizations are often long and follow-up care is difficult to arrange.

4. ISSUES Time lapse prior to receiving adequate medical attention. Continuity of care. Cultural and linguistic barriers. Inefficient use of limited resources.

5. Principal Strategies Developed Physician and Hospital Network Back Transports of the Medically Stable Patient

6. Nogales Emergency Medical and Treatment Unit Bi-National Cross-Border Health “Summit” Opened first trauma bay in General Hospital in Nogales, Sonora, Mexico Awarded USAID - $365,000

7. PARTICIPANTSLocalCommunitySupportOrganization Public and Private Healthcare Providers in Arizona Sonoran Public Health System Bi-National Advisory Board

8. ResourcesMEXICO Medical facility and staff Supplies and equipment Local community support support MEXICO/U.S. Supplies and medication Transportation Continuing medical education U.S Dollar $$$ Equipment and supplies Maintenance of equipment Bi-National Advisory Board

9. COLLABORATING ORGANIZATIONS University Medical Center and Foundation Holy Cross Hospital Tucson Medical Center Arizona Department of Health Services Arizona-Mexico Commission, Health Services Committee Arizona Delegation to U.S. Mexico Border Health Commission U.S. Agency for International Development Hospital General de Nogales, Sonora Hospital General del Estado de Sonora Hospital Infantil del Estado de Sonora Secretaria de Salud del Estado de Sonora Comision Sonora-Arizona, Comite de Salud Sonora Delegation to U.S. Mexico Border Health Commission

10. Continuation Maintain and monitor the Nogales facility Further cultivate relationship with USAID-MEXICO Replicate the Trauma Stabilization model in Agua Prieta Provide oversight of CME in Mexico Maintain relationships - UMC and Secretary of Health/Mexican physicians - Chairman, Sonora Arizona Commission-Comite de Salud