2. Discovering Life: Community Wellness Center Molina Allen, Timothy Carlson, Jennifer Discher, & Jennifer Housel Ferris State University Figure 1. Center (SimCity, 2013)

3. Introduction Health disparities continue to grow within the community and the city of Detroit, Michigan would benefit from a wellness center targeting vulnerable populations such as the homeless and uninsured. An environmental scan provides strong evidence to support the community wanting and needing access to health promotion services. Figure 2. Homeless(Michigan Radio, 2014)

4. Mission Statement To provide homeless citizens and other vulnerable populations the opportunity to receive safe and professional health services while helping to promote self-responsibility and enable individuals to gain control over their own health and wellbeing. Figure 3. Mission (Central Oregon Association of Realtors, 2014)

5. Philosophy Providing access to necessary tools Maintaining health and decreasing morbidity and mortality rates Offering physical, emotional, and spiritual care Meeting provisions for basic needs Delivering a safe and positive work environment for our staff Continuing to evolve as a company Recognizing and encourage leaders Informing policy makers and community leaders Figure 4. Possible (Start of Happiness, 2015)

6. Organizational Goals To form a wellness clinic To allow access to wellness resources To Increase access to public health services To Increase the awareness of community members

7. Organizational Objectives ObjectivesActivitiesTime Frame To increase the availability of health care to the homeless population via a mobile care network. 1. Research local shelters that would most benefit from mobile care service. 2. Develop staffing and equipment budget. 3. Obtain a vehicle that is able to transport staff and equipment to established locations. 4. Travel to residential homeless shelters in the community and provide free health screenings to at risk populations. 1. August 2015 2. March 2015 3. August 2015 4. September 2015

8. Organizational Objectives Continued… ObjectivesActivitiesTime Frame To educate and identify risk factors for cardiovascular disease and provide wellness services to the homeless population on the first visit to the shelter. 1. Conduct patient screenings to identify at risk factors for cardiovascular disease. 2. Develop educational pamphlets on common health conditions and wellness activities. 3. Provide educational classes directed toward prevention and management of cardiovascular disease at the clinic. 1. May 2015 2. May 2015 3. July 2015

9. Organizational Objectives Continued… ObjectivesActivitiesTime Frame To increase the percentage of the homeless population in the community returning for a scheduled follow-up visit to the clinic by 25%. 1. Establish consistent dates that mobile care will be available in the selected areas. 2. Provide clinic hours that are convenient for community members to return for health care services. 3. Establish reminder services through homeless shelters in the community for follow-up visits. 4. Place flyers throughout the community advertising the center hours and future mobile care dates and times. 1. August 2015 2. May 2015 3. June 2015 4. July 2015

10. Organizational Objectives Continued… ObjectivesActivitiesTime Frame To recruit five volunteer workers to assist with the wellness center and increase community involvement. 1. Place advertisements in local newspapers and develop flyers to disperse through the community for volunteer services. 2. Contact local nursing and medical schools for potential students requiring completion of community service hours. 3. Interview applicable candidates for volunteer positions. 4. Hire five volunteer candidates to assist with wellness services. 1. March 2015 2. March 2015 3. April 2015 4. May 2015

11. Organizational Objectives Continued… ObjectivesActivitiesTime Frame To secure financial support from five local corporations to aid in the sustainability of the project. 1. Hold an informational conference and fundraiser to raise community support and awareness. 2. Send corporate employees to established businesses for promoting and gathering of financial support. 1. June 2015 2. June 2015

12. Organizational Chart President Marketing Coordinator Volunteer Coordinator Community Volunteers Students Operations Coordinator Medical Personnel Nurses Nurse Practitioners Physicians Case Manager Finance Coordinator Figure 6. Team (EOI, n.d.)

13. Job Descriptions President: Creates, changes, and maintains functions Oversees financial condition, policy development, and hiring of staff Ensures compliance with state and federal guidelines Directs the vision Finance Coordinator: Maintaining the annual financial budget Monthly financial reports Coordinate donations

14. Job Descriptions Continued… Operations Coordinator: Handles logistics, interviews, and supervises employees Ensuring competency of personnel Facilitate donations of medical supplies Coordinating daily procedures Marketing Coordinator: Planning, development, and implementation of marketing and public relations activities Ensuring employees maintain competency in job performance Developing and maintaining educational materials Planning and securing fundraising

15. Job Descriptions Continued… Registered Nurses (RN): Variety of duties Develop educational materials Overseeing the nursing student’s involvement Nurse Practitioners (NP): In charge of onsite operations at our mobile unit Responsibilities Follow up with the community Physicians: In charge of the onsite building operations Responsibilities Maintain follow-ups, monitoring, and documentation of all patient visits Direct and guide the volunteer medical students

16. Job Descriptions Continued… Case Manager: Services to assist families Identify goals, needs, and resources Follow up with patients Addressing health disparities Students (Nurses and Physicians): Greet patients and families Assist nurses and physicians Community Volunteers: Provide services to help patients, visitors, and employees

17. Job Advertisement Opportunity for volunteer RN position that gives back to the community. By joining Discovering Life, a nurse is not only giving back to the community and developing a standard of care that will make a life- long impact on those in need, but also fulfilling the idea and vision of what nursing was founded upon. Requirements: Associate or Bachelors degree in Nursing with licensure to practice in the State of Michigan. Minimum 2 years of clinical experience. Specialties preferred. For inquiries or to apply, please call Tim Carlson at (555) 555-5555 or in person at: Discovering Life Community Wellness Center: 5151 Healthy Hwy, Detroit MI, 48201 Duties include : Assures quality of care by adhering to therapeutic standards. Conducts patient assessments, administers medications, documents in a timely and accurate manner, and provides follow-up care. Measures health outcomes against patient care goals and standards; makes or recommends necessary adjustments. Follows the community center and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Promotes patient independence by establishing patient care goals. Teaches patient and family to understand their condition, medications, self-care skills, and answers all follow-up questions.

18. Budget Proposal

19. Conclusion Vulnerable populations, such as the homeless, experience significant disparities in access to and the use of healthcare services, life expectancy, morbidity, and mortality (Martins, 2013). Investing in the vision of Discover Life Community Wellness Center will create a new hope in the city of Detroit for health services. The proposed plan for the community center is attainable and sustainable with the help of investors funding. The proposed plan figures in needed health services, revenue resources, and a budget realistic to garnered support. A community that comes together, thrives together.

20. References American Nurses Association. (2015). 2015 TAN advertising rates/product card rate. Retrieved from http://www.nursingworld.org/Functional MenuCategories/AboutANA/AdvertisingMediakit/tanrate5784.html Bharel, M., Creaven, B., Morris, G., Robertshaw, D., Uduhiri, K., Valvassori, P., Wismer, B., Meinbresse, M., & Sergeant, P. (Eds.). (2011). Health care delivery strategies: Addressing key preventive health measures in homeless health care settings. Retrieved from http://www.nhchc.org/wp-content/uploads/2012/02/KeyPrevHealth Meas_FINAL.pdf Central Association of Oregon Realtors. (2014). Mission[Electronic Image]. Retrieved from http://www.centraloregonrealtors.com/ about/missionstatement Craigslist. (2015). Post to classifieds. Retrieved from https://post.craigslist.org/k/Sn7eyn7d5BGaPFr6f7X8_A/fpdFD?s=type Henwood, B., Cabassa, L., Craig, C., & Padgett, D.K. (2013). Permanent supportive housing: Addressing homelessness and health disparities. American Journal of Public Health, 103(2), 188-192. doi: 10. 2105/AJPH.2013.301490 Hwang, S.W., & Henderson, M.J. (2010). Health care utilization in homeless people: Translating research into policy and practice. Retrieved from http://meps.ahrq.gov/mepsweb/data_files/publications/workingpapers/w p_10002.pdf

21. References Martins, D.C. (2013). Experiences of homeless people in the health care delivery system: A descriptive phenomenological study. Public Health Nursing, 25(5), 420-430. doi: 10.1111/j.1525-1446.2008.00726.x Michigan Radio (2014). Homeless[Electronic Image]. Retrieved from http://michiganradio.org/post/how-successful-was-war-poverty Monster. (2015). Monster standard ad job. Retrieved from http://hiring.monster.com/recruitment/Job- Postings.aspx?intcid=BUY_JP:PHPG1 SimCity(2013). Center[Electronic Image]. Retrieved from http://simcity2013wiki.com/wiki/Wellness_Center The Start of Happiness. (2015). Possible[Electronic Image]. Retrieved from http://www.startofhappiness.com/why-95-of-goals-are-not-achieved- and-how-you-can-join-the-5/ United States Census Bureau. (2015). State and county quick facts. Retrieved from http://quickfacts.census.gov/qfd/states/26/2622000.html Yellow Pages. (2015). YP marketing solutions. Retrieved from: http://adsolutions.yp.com/free-scan?utm_campaign=YPR_ (direct)&utm _medium=YPR_(none)&utm _term=YPR_&utm_source=YPR_(direct)_home_main_1063