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A Community Based Program Addressing Barriers to Healthcare

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

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A Community Based Program Addressing Barriers to Healthcare

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

  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. Partner agenciesService Agencies FQHCs Walk-in Referral

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

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

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

  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 • BrochuresVOHHA /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

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