1. A Community Based Program Addressing Barriers to Healthcare Janis E. Winters OD Medical Director Vision of Hope Health Alliance jwinters@ico.edu

2. Presenter Disclosures Janis E. Winters OD (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose

3. Barriers Eye Care General Medical Care

4. Barriers health insurance, cost language barrier employment status socioeconomic status education community culture marital status

5. What can I do? What should we do? Recognize barriers

6. Vision of Hope Health Alliance (VOHHA) Through 3 years, 3121 uninsured, low- income adults received eye care and eye glasses/other materials at no cost If patients have no PCP, refer to partner FQHCs 273 made and 182 kept appointments for primary medical care

7. Referral Partner agencies Service Agencies FQHCs Walk-in

8. Unique Optometry as the entry point for general medical care. Service agency and Walk-in Opportunity for education/referral.

9. Barriers health insurance, cost language barrier employment status socioeconomic status education community culture marital status

10. Sherry I will go into debt to get new eye glasses.

11. Sherry Update Referral to FQHC Diagnosed with DM Lost 45 pounds BS control Routine Eye/Medical Care

12. Employment status Elba I can see the rain!

13. No hablo Ingles. Why am I suppose to go back to the doctor???? Interpretation services provided (295)

14. I take care of Sick husband Easter 60 year old Grandkids Clara 6 children and 8 grandchildren

15. In my culture,………… Homeopathic “That’s what Grandma did, and my mom does and that’s what I do too.” Determining the Pharmacological Activity of Physalis peruviana Fruit Juice on Rabbit Eyes and Fibroblast Primary Cultures IOVS July 2008

16. Not excuses Barriers

17. Educate

18. The Take Away Barriers affect health care choices Need for eye glasses can be prioritized before health care Make referrals Drs/programs address barriers

19. For more information about VOHHA Video http://iei.ico.edu/community_outreach/vision_of_hope.html Brochures VOHHA /Medicare and Eyecare Benefits Contact me

20. Thanks to our funders!!! Washington Square Health Foundation Robert Wood Johnson Foundation Alcon Laboratories Field Foundation of Illinois, Lloyd Fry Foundation Bowman Lingle Trust Polk Brothers Foundation, Michael Reese Health Trust W.P. & H.B. White Foundation VNA Foundation Individual Donors