Ronald McDonald Care Mobile Program

1. Ronald McDonald Care Mobile Program Presented by: Laurel SchummOctober 2006

2. Primary Example of RMHC’s Global Mission Caremobile_BKG_Plain_Bug.jpg

3. Worcester, MA (medical/dental) Pittsburgh, PA (all medical) Houston, TX (all medical) San Jose, CA (all dental) Billings, MT (medical/dental) Buenos Aires, Argentina (medical/dental) Philadelphia, PA (medical/dental) Hilton Head, SC (medical/dental) Springfield, MO (all dental) Spokane, WA (medical/dental) Madison, WI (medical/dental) Chattanooga, TN (medical/dental) Denver, CO (all dental) Denver, CO #2 (all dental) Odessa, TX (launch early 2007) El Salvador (launch early 2007) Istanbul, Turkey (launch 2007) Reno, NV (medical/dental) Washington, DC (all medical) Contra Costa County, CA (medical/dental) El Paso, TX (medical/dental) Jacksonville, FL (all medical) South Dakota (all dental) Chicago, IL (all dental) Collier County, FL (medical/dental) Las Vegas, NV (all dental) Omaha, NE (medical/dental) Tampa, FL (medical/dental) Warsaw, Poland (all medical) Lexington, KY (medical/dental) Albany, NY (all dental) Providence, RI (all dental) Orlando, FL (launch in 2007) Minneapolis, MN (launch in 2007) Active Programs

4. Who are our partners? • Academic medical centers • University of Chicago • University of Wisconsin Hospitals and Clinics • Texas Children’s Hospital/Baylor College of Medicine • Georgetown University Medical Center/MedStar Health • Dental schools • University of Kentucky • Public health systems/hospital districts • Santa Clara Valley Health and Hospital System (CA) • Ector County Hospital District (TX) • Private hospitals • Children’s Hospital of Pittsburgh • St. Mary’s Health System (NV) • Independent non-profit healthcare organizations • Collier Health Services (FL) • A Community Caring for Children (SC) • Delta Dental Plan of South Dakota NOTE: This is a sample of our partners…not an exhaustive list.

5. Program Success to Date Since August 2000, more than 500,000 children and their families have been served with clinical and educational programs through the Ronald McDonald Care Mobile program!

6. 3 Keys to Success • Planning • Planning • Planning

7. Program Goals • Improve health outcomes • Provide continuity of care • Identify, treat and refer children with chronic and/or untreated health conditions • Fill the gap between services needed and services offered in a community • Educate children and families about healthy lifestyles, disease prevention, etc. • Provide educational environment for medical, dental and nursing students • Provide environment for clinical research (with consent) • Serve as insurance enrollment point (if applicable)

8. Where do we provide service? • Academic sites • Preschools • Elementary schools • Secondary schools • Civic sites • County court houses • Police stations • Fire stations • Commercial sites • McDonald’s parking lots • Walgreens/CVS parking lots • Healthcare sites • Hospitals • Rural clinics • Community sites • Boys & Girls Clubs • YMCAs • Libraries • Special events • Health fairs • PTO meetings

9. Services Meet Needs of Community • Medical • Exams, screenings, sub-specialty care, prenatal care, immunizations, blood collection, tattoo removal, asthma education & treatment, ophthalmology • Dental • Diagnostic, preventive, restorative • Social Services • Family assistance, counseling • Mental Health • Screening, referral • Insurance enrollment • CHIP, Medicaid • In-school education programs/Events

10. Program Success to Date • Average program • 2500 - 8000 children/year • “On the road” 4 – 5 days/week • Extend between .5 and 300 miles from base of operations

11. Successful Program Model • Employ cross-trained staff • Paid core staff…nurse, nurse practitioner, dental hygienist, doctor, specialist, dentist, program manager • Provide service and/or attend special events 4 - 5 days/week • Treat 16 - 18 children/day (dental); 22 - 26 children/day (medical) • Visit a minimum of 3 unique sites/week • Provide significant breadth and depth of service including clinical and educational programs…and extend services outside of Ronald McDonald Care Mobile walls!

12. What Role Does RMHC Play? RMHC is not merely a source of funding… • Needs Assessment completion • Business plan development • Strategic alliance identification • Mission achievement • Mutual gain/Risk sharing • Financial planning • Performance measurement, management & improvement • Link to Ronald McDonald Care Mobile “family” for best-practice sharing

13. Budget & Funding • Expenses • Annual average operating and administrative budget = $209K - $598K • Salaries/benefits = 41% - 88% of budget • Revenues • “Legal” 3rd party (Medicaid) reimbursement = 0% - 52% of costs  • RMHC contribution • Foundation, corporation, ind’l support (keep in mind that non-profits are growing at twice the rate of for-profits…competition for $$$) • Clinical partner support • Limited local, state, federal grants

14. Outcomes Measurement • Performance matters… • Because mission matters • Because you are a steward • Because you can’t manage without measuring • Because you are competing • For dollars • For reputation • For people to serve • For staff and volunteers Brinckerhoff 2005

15. Outcomes Measurement • What can we measure • Management effectiveness • Financial sustainability • Community engagement • Program performance Kellogg School of Management 2005