1. Caremobile_BKG.jpg Ronald McDonald Care Mobile Ronald McDonald House Charities-Global Ronald McDonald House Charities of Madison

2. Caremobile_BKG.jpg Toni Ellingson, ND, FNP -Nurse Practitioner and Manager (Truck Driver, Mechanic, Heating and Cooling Expert, Data Entry Specialist, Dental Equipment Problem Solver, Outreach Registration Representative, Spanish Translator, Janitor, You Name It, I Do IT…) Rockford Memorial Hospital Ronald McDonald Care Mobile (815) 971-5810 aellingson@rhsnet.org -Nurse Practitioner and Manager (Truck Driver, Mechanic, Heating and Cooling Expert, Data Entry Specialist, Dental Equipment Problem Solver, Outreach Registration Representative, Spanish Translator, Janitor, You Name It, I Do IT…) Rockford Memorial Hospital Ronald McDonald Care Mobile (815) 971-5810 aellingson@rhsnet.org

3. Caremobile_BKG.jpg Program Mission Uninsured and under-served children living in North Central Illinois children living in North Central Illinois To provide medical and dental services to the To provide medical and dental services to the

4. The solution

5. Caremobile_BKG.jpg Population Needs Assessment Improve health outcomes Provide continuity of care Identify, treat and refer children with chronic and / or untreated health conditions Identify, treat and refer children with chronic and / or untreated health conditions Educate children and families Serve as an insurance enrollment point Identify Program Goals

6. Caremobile_BKG.jpg Proposed Service Area What is your target geographic service area? Has the area been declared as an economically distressed county/community? What percent of the population is living at or below poverty level?

7. Caremobile_BKG.jpg Currently Available Services What services are already available in your proposed service area? -Pediatric, Internal Medicine, and Family Practice -Oral Health Services -Inpatient Services (number of hospitals/health clinics) -Sub-specialty Services -Emergency Care -School-Based Clinics -Health Education Programs -Other Mobile Healthcare Programs -Pediatric, Internal Medicine, and Family Practice -Oral Health Services -Inpatient Services (number of hospitals/health clinics) -Sub-specialty Services -Emergency Care -School-Based Clinics -Health Education Programs -Other Mobile Healthcare Programs

8. Caremobile_BKG.jpg What are the reasons for not receiving proper health care in your community? Low provider/patient ratios Lack of transportation to providers Cost of care and/or lack of insurance Language and/or cultural barriers Population specific barriers Little education/knowledge of health care Lack of providers Fear of illegal resident status Distrust of healthcare system Low provider/patient ratios Lack of transportation to providers Cost of care and/or lack of insurance Language and/or cultural barriers Population specific barriers Little education/knowledge of health care Lack of providers Fear of illegal resident status Distrust of healthcare system

9. Caremobile_BKG.jpg -What are the medical/dental needs in your community for your target population? -What percent of the target population visits a doctor when needed? -What percent of the target population visits a dentist every six months? -What are the immunization rates in your community? -What is the rate of infant mortality? -What is the rate of low birth weight children? -What are the medical/dental needs in your community for your target population? -What percent of the target population visits a doctor when needed? -What percent of the target population visits a dentist every six months? -What are the immunization rates in your community? -What is the rate of infant mortality? -What is the rate of low birth weight children? What are the key health statistics in your community?

10. Caremobile_BKG.jpg What are the key health statistics in your community? -What other needs does the community have? (i.e.; mental health services) -What is the incidence of chronic disease? -What is the rate of no-shows? -What is the average distance to a hospital for community members? -What is the employment rate? -What is the homeless rate? -What is the number of single-parent families? -What is the median household income? -What is the teen pregnancy rate? -What is the high school dropout rate? -What are the most common ER diagnoses? -What other needs does the community have? (i.e.; mental health services) -What is the incidence of chronic disease? -What is the rate of no-shows? -What is the average distance to a hospital for community members? -What is the employment rate? -What is the homeless rate? -What is the number of single-parent families? -What is the median household income? -What is the teen pregnancy rate? -What is the high school dropout rate? -What are the most common ER diagnoses?

11. Caremobile_BKG.jpg Program Partnerships Who will you develop partnerships with? -Schools-Health Agencies -Churches-Social Service Agencies -Food Pantries-Homeless Shelters -Health Departments-Local Businesses Who will you develop partnerships with? -Schools-Health Agencies -Churches-Social Service Agencies -Food Pantries-Homeless Shelters -Health Departments-Local Businesses Why did you select these groups and how do you intend to utilize the partnership?

12. Caremobile_BKG.jpg Potential Funding Sources -Medicaid Reimbursement -Private Insurance Reimbursement -Federal, State and/or Local Government Funding -Private Foundations -Individual Donations -Fees for Services Provided -Medicaid Reimbursement -Private Insurance Reimbursement -Federal, State and/or Local Government Funding -Private Foundations -Individual Donations -Fees for Services Provided

13. Caremobile_BKG.jpg Additional Questions to Ask -Is a mobile unit more appropriate than a fixed site, satellite program, or a transportation service for patients to existing resources? -What population do you intend to serve? (i.e.; Homeless, Migrant, Urban, Rural, Adults, Children) -How many days do you intend to be on the road? -What services do you intend to offer? -How do you plan to promote the program? -Where will your clinic sites be located? -What additional resources do you need at your sites? -How will your program be staffed? -Is a mobile unit more appropriate than a fixed site, satellite program, or a transportation service for patients to existing resources? -What population do you intend to serve? (i.e.; Homeless, Migrant, Urban, Rural, Adults, Children) -How many days do you intend to be on the road? -What services do you intend to offer? -How do you plan to promote the program? -Where will your clinic sites be located? -What additional resources do you need at your sites? -How will your program be staffed?

14. Caremobile_BKG.jpg Data Collection and Outcomes Measurement Why is it important? -Demonstrates worth of program to financial supporters and community members -Allows for analysis to improve services, cost- effectiveness and quality of care provided -Improves trust in community partnerships -Demonstrates worth of program to financial supporters and community members -Allows for analysis to improve services, cost- effectiveness and quality of care provided -Improves trust in community partnerships

15. Caremobile_BKG.jpg How do you collect the information? Develop a COMPREHENSIVE Patient Registration Form Develop a COMPREHENSIVE Patient Registration Form

16. Caremobile_BKG.jpg Data Collection Considerations -Will you have the use of a portable laptop for registration and data collection? -If not, a single registration sheet that contains space for outcome information in addition to demographics will minimize paperwork and ease data entry at a later time -Where will you store and manage your data? Do you have an IT person who will help or knowledge of a database program such as Microsoft Access? -Will you have the use of a portable laptop for registration and data collection? -If not, a single registration sheet that contains space for outcome information in addition to demographics will minimize paperwork and ease data entry at a later time -Where will you store and manage your data? Do you have an IT person who will help or knowledge of a database program such as Microsoft Access?

17. Caremobile_BKG.jpg Our Patient Registration Form Includes: Encounter Information Date, Time, Type of Visit, Location, Service Provider, Outreach Worker, First Visit to Mobile Unit? Patient Demographics -Name- DOB -Gender-SSN (?) -Address-Phone Number -Emergency Contact-Guardian Info -Primary Language- Race/Ethnicity - Insurance Coverage -All Kids Enrollment - Employment Status-Primary Care/Dentist Info -Name- DOB -Gender-SSN (?) -Address-Phone Number -Emergency Contact-Guardian Info -Primary Language- Race/Ethnicity - Insurance Coverage -All Kids Enrollment - Employment Status-Primary Care/Dentist Info

18. Caremobile_BKG.jpg Care Mobile Registration Form, cont’d Care Mobile Registration Form, cont’d -Reasons for Visit -Patient reason for visit: What brings you here today? -How did you find out about the Care Mobile? -Why did you choose the Care Mobile for service? -When was your last visit to a primary care provider or dentist? (0-6 mo, 6-12 mo, 1-2 yrs, over 2 yrs, never) -If the Care Mobile were not available, where would you seek care?* (Avoided ER visit?) -Patient reason for visit: What brings you here today? -How did you find out about the Care Mobile? -Why did you choose the Care Mobile for service? -When was your last visit to a primary care provider or dentist? (0-6 mo, 6-12 mo, 1-2 yrs, over 2 yrs, never) -If the Care Mobile were not available, where would you seek care?* (Avoided ER visit?)

19. Caremobile_BKG.jpg Care Mobile Registration Form, cont’d Clinical Assessment and Outcomes -Medical Visit: Acute (Emergent/Non-Emergent) Chronic (Emergent/Non-Emergent) Well Care Physical Exam Immunization Lab Work -Dental Visit:Preventative (exam, cleaning, fluoride, x-ray, sealants) Restorative (filling, extraction, pulp, etc) Emergency (abscess, etc) -Medical Visit: Acute (Emergent/Non-Emergent) Chronic (Emergent/Non-Emergent) Well Care Physical Exam Immunization Lab Work -Dental Visit:Preventative (exam, cleaning, fluoride, x-ray, sealants) Restorative (filling, extraction, pulp, etc) Emergency (abscess, etc)

20. Caremobile_BKG.jpg Care Mobile Registration Form, cont’d Clinical Assessment and Outcomes -Did this visit avoid an Emergency Room encounter? -Was the patient referred for follow-up care? -Where referred and date of appointment? -Did this visit avoid an Emergency Room encounter? -Was the patient referred for follow-up care? -Where referred and date of appointment?

21. Caremobile_BKG.jpg Outcomes Measurment Key Outcomes to Measure -General Patient Demographics -Statistics of Care Given -Cost of Services Provided -Avoided Emergency Room Visits -Site Specific Statistics -***Patient Satisfaction *** -Single sheet completed after visit and put in a drop box or mailed back later -General Patient Demographics -Statistics of Care Given -Cost of Services Provided -Avoided Emergency Room Visits -Site Specific Statistics -***Patient Satisfaction *** -Single sheet completed after visit and put in a drop box or mailed back later

22. Caremobile_BKG.jpg The Ronald McDonald Care Mobile does not replace the office of either the doctor or the dentist. The Ronald McDonald Care Mobile does not replace the office of either the doctor or the dentist. Rather …..

23. Caremobile_BKG.jpg Ronald McDonald Care Mobile Ronald McDonald House Charities-Global Ronald McDonald House Charities of Madison