2. Laryn Phillips, Sarah Lutz, Stacey Klein & Jamie Kruger Ferris State University

3. Lake County Free Clinics mission is to serve the community of Lake County who are uninsured or under-insured and in need of compassionate health care at no cost. The clinic will create a supportive environment where the focus is promoting healthy living through prevention, treatment and education.

4. District Health Dept. #10/Tencon Health Plan MI Child/Healthy Kids Influenza/Pneumonia Clinics The Health Centers of Family Health Care

5. Poor community Above average living below the poverty line. (18%) Above average without health insurance No hospital located within the county One physician’s office complex to serve the entire county Seen as competition with existing medical office Volunteers may be hard to come by Affordable Care Act

6. To provide excellent health care to the uninsured of Lake County. Each patient is a unique individual with unique health care needs. In response to those needs, care will be tailored to each person. Every patient can expect moral and compassionate care delivered in an environment that is respectful to race, culture, and ability to pay. Each patient has a right -not a privilege- to health care regardless of ability to pay. Volunteer staff will conduct care with the utmost professionalism by maintaining credentials, license, and keeping up to date with evidence based practice. We will provide a clean, friendly, environment that promotes healing of the mind, body, and soul. We will provide a clean, friendly, environment that promotes healing of the mind, body, and soul.

7. A dashboard to determine if policies and services offered are supporting Lake County Free Clinic’s philosophy. Develop patient services with emphasis not only on treatment but wellness. Build healthy families through education, prevention, and treatment. Recruit motivated knowledgeable, skilled volunteers to create a dynamic workforce. Promote and market out services in the community by strengthening relationships through service. Obtain solid financial assistance in the form of grants or free monies to establish a solid financial base for operations.

8. Board of Directors Medical Director Registered Nurse Physician Pharmacist Office Manager Medical Assistant RN Care Manager/MSW Dietician Midlevel Provider Receptionist Grant Writer/ Fundraiser Medical Records Clerk CLIENTS Organizational Chart

9. Provides coordination and oversight for all clinic activities Develops service and program plans Provide direct patient care Board Certified in family practice A Resource to employees; provides education and policy review Member of the Board of Directors

10. Adheres to therapeutic standards Measures health outcomes against patient centered goals Follows nursing process and standards of care Assesses the needs of individuals, families Provides care to patients with acute and chronic health problems

11. Provide direct patient care Constructs and implements treatment plans for patients Follows up with abnormal findings Counsels patients on health and wellness issues

12. Dispenses medications as appropriate Monitors all orders for clarity and appropriateness Participates in creating therapeutic medication treatment regimens Provides education and counseling to patients regarding medications

13. 1. Market available volunteer and hired positions. 2. Conduct pre-employment screening including but not limited to interviews and background screening. 3. Ensure that all staff is up to date with their state licenses. 4. Create schedules for staff and make adjustments when needed. 5. Provide staff with description of their assignment 6. Keep track of staff’s yearly TB test and CPR certifications

14. Assist patients with finding resources in the community that could be beneficial to them. Perform psychosocial assessments and interviews on patients.

15. Medical Records Clerk Responsible for Initiating and maintaining patient files and statistics; responds to requests for medical records; performs clerical duties. Receptionist The receptionist is responsible for assisting the entire clinic by answering the telephone professional and pleasant. The receptionist should be able to perform basic clerical duties needed in a medical environment. Grant Writer The Grant Writer for this clinic is expected to be able to locate private and public resources to fund operations at the clinic. Medical Assistant The Medical Assistant is responsible for assisting other healthcare staff in providing direct care with the understanding of the assessment process of nursing.

16. RN position to run in the Cadillac News, AJN, local hospitals and local radio.

17. Full Time Equivalents:Operating expenses: Medical Director- $90,000 Physician- $75,000 Physician Assistant- $50,000 Registered Nurse- $30,000 Pharmacist- $55,000 Medical Records Clerk- $20,000 Receptionist- $15,000 Social Worker- $25,000 Medical Assistant- $16,000 Volunteer Coordinator/Office Manager- $18,000 Grant Writer- $150/hour for ten hours per week for three months which is $18,000 Facility Rent $12,000 Electricity $5,000 Heat $8,000 Water $4,000 Telephone/Fax/Copy $2,500 Cleaning Supplies and (Janitors) $11,000 Office Furniture $6,000 Exam Tables/Covers $12,000 Gloves $2,000 Office Supplies $8,000 Clinical Supplies $15,000 Blood Pressure Gauges $2,000 Waste Removal $2,000

18. References Access to health services. (2012). Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=1http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=1 Aegis Medical Systems. (2010). Clinic medical director job description. Retrieved from http://www.aegisuniversity.com/Flyers/Clinic_Managers/NMG1000_08- 11_Clinic_Medical_Director_Program_Physician.pdf Burney, A. (2012). The Importance of Business Philosophy. Huston Chronicle. Retrieved from http://smallbusiness.chron.com/importance-business-philosophy-37798.html City-Data.com. (2010). http://www.city-data.com/county/Lake_County-MI.htmlhttp://www.city-data.com/county/Lake_County-MI.html District Health Department #10. (2012). Retrieved from http://www.dhd10.org/http://www.dhd10.org/ Family Health Care. (2010). The health centers of family health care: Baldwin. Retrieved from http://www.familyhealthcare.org/LOCATIONS/baldwin.htmlhttp://www.familyhealthcare.org/LOCATIONS/baldwin.html Grants.gov. (2012). Rural Health Network Development Planning Program. Retrieved from http://www.grants.gov/search/search.do;jsessionid=QZTTQnpKQt1bSlpBqvTRM05pYjmNwpGrd4th2yJTdD9GhSq8zvv8!-861966415?oppId=192794&mode =VIEW Grants.gov. (2012). Service Area Competition. Retrieved from http://www.grants.gov/search/search.do;jsessionid=QZTTQnpKQt1bSlpBqvTRM05pYjmNwpGrd4th2yJTdD9GhSq8zvv8!-861966415?oppId=175038&mode =VIEW

19. TownNews.com. (2012). Cadillac news advertisement. Retrieved from https://secure.townnews.com/shared-content/adowl/front-end.https://secure.townnews.com/shared-content/adowl/front-end. php?domain=www4.cadillacnews.com&instance=Cadillac&ui=peekaboo&PHPSESSID=e501fdf306473612a68fc88389e684c7 United States Census Bureau. (September, 2001). Health insurance coverage: 2000 (Report No. P60-215). Retrieved from http://www.census.gov/prod/2001pubs/p60-215.pdfhttp://www.census.gov/prod/2001pubs/p60-215.pdf United States Census Bureau. (September, 2011). Income, poverty, and health insurance coverage in the United States: 2010 (Report No. P60-239). Retrieved from http://www.census.gov/prod/2011pubs/p60-239.pdfhttp://www.census.gov/prod/2011pubs/p60-239.pdf United States Census Bureau. (2010). Selected economic characteristics 2006-2010 American community survey 5-year estimates (Report No. DP03). Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_10_5YR_DP03&prodType=table Volunteer Match. (2012). Retrieved from volunteermatch.orgvolunteermatch.org Wolters Kluwer Health. (2012). 2013 rate card selector. Retrieved from http://lwwratecards.info/journal.php?journal=214&x=47&y=23#cerate