1. The Third Annual Latino Health Promotion Summit February 16, 2013

2. Our Mission A unique community health center dedicated to serving those who are uninsured and underserved. Responding to all persons with respect and dignity, without regard to race, religion, national origin, age, physical or mental challenge.

3. History  51 st year of continuous service – 1961  Bishop Green invites Victory Noll Sisters and community physicians to help the uninsured and poor  Started with a unique volunteer provider concept

4. History  Primary Medical care, dental care; expanded to integrated behavioral medicine; outreach education and nutrition (WIC)  1980’s/1990’s, growth and expansion in facilities/volunteers/services  More than ONE MILLION Patient visits in the past 50 years!

5. History and CHANGE  2010 lost 40% of funding from demise of AZ Primary Care  Impact of SB 1070  Reduced capacity for care/dramatic reduction in staff/services

6. Today  More than 25,000 patient visits annually  Nearly100 volunteer physician/dental providers  Strong network for referral of services at no cost/ discounted prices  Provider for Medicaid Mercy Care Plan and University Family Plan  Faith-based with support of Diocese and local churches and parishes

7. Services  Sliding fee scale for-  Medical  Dental  Health services  Focus on-  Prevention of disease  Education for healthy living  Treatment to optimize health  Often a place of last resort

8. Community Partnerships  College of Medicine/University Medical Center OB intern/resident program Opthamalogy clinic Telemedicine program  Research in neurology, diabetes, telemedicine  Carondelet, Tucson Medical Center  Pima Community College, Pima Medical Institute  San Miguel High School and parish schools

9. Services Provided  Medical, 22,293 visits  Dental, 80-100 patients, weekly

10. Services Provided  OB clinics, 150-200 births annually  Well Women Health Checks, 5952 visits  Breast Cancer Services through Komen; over 1000 mammograms screens referred

11. Services Provided  Integrated behavioral health, 1050 visits  Helped 680 people receive prescription medications  Outreach health education/nutrition, 10 health fairs and 950 classes reaching 17,000 people  WIC, 7957 women and children visits

12. Demographic Features  Average age, 46 years; 60% Female, 40% Male  40% Hispanic or Latino  30% Employed, 30% Unemployed, 30% retired, children, disabled or students  86% fall within two lowest categories of the federal poverty guidelines based on family income and size % employed

13.  Innovative model of care to make St. Elizabeth’s the patient’s “Medical home”  Collaborative relationship between patients and providers to increase the patient involvement in decision making  Better health, fewer complications, less pain, fewer trip to the emergency room or urgent care and lower cost to our community New Patient Centered Medical Home

14. Patient Centered Medical Home  CHALLENGES:  Low-income population have other priorities  Only focus on health when too serious to avoid  More difficult to keep in touch  More difficult to motivate healthy living

15. Impact of Health Care Reform  May have a positive impact on low income families and primary care centers.  St. Elizabeth’s has physical capacity to expand volume of patients served  Strong reputation for volunteerism for health care professional, working and retired and students  Bring new value through the PCMH model  Long, positive reputation in community  Excellent Providers and Volunteers!  Network of referrals with hospitals/providers/others  Serve Everyone

16. Impact on Mission and Value  Opportunities to enhance partnerships with other faith-based organizations; community health care providers, universities and schools  Opportunities for volunteerism with an underserved population  Opportunity to impact the health of our community