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WE CARE Jacksonville, Inc. WE CARE Jacksonville through the experience of a patient. Mr. K is a 52 year old male, unemployed with no medical insurance, seen at one of 11 free primary care clinics in Duval County
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WE CARE Jacksonville through the experience of a patient • Mr. K is a 52 year old male, unemployed with no medical insurance, seen at one of 11 free primary care clinics in Duval County • He receives social service support for behavioral health issues related to a family tragedy
Course of TreatmentCoordinated by WE CARE • GI referral initiated and colonoscopy performed at Borland-Groover clinic • Colon cancer diagnosed • CT scan at Baptist Beaches Hospital • No metastases • Operation scheduled and performed by North Florida Surgeon at Baptist Beaches Hospital
Outcome • Surgical outcome – curative resection • The patient is grateful, renewed spirit for life and anticipates looking for work and housing
Sources of Support for One Patient • IM Sulzbacher • Weaver Fund for preventive screening • Borland-Groover Clinic • Baptist Beaches- Diagnostic imaging • Baptist Beaches (anesthesiology, pathology, hospital stay) • North Florida Surgeons • Medications- City grant, Ranbaxy Pharmaceuticals
The Contrast • Random care path • No preventive care • Wait for symptoms to emerge • Emergency room visits that are repeated without follow-up • Emergent situation- obstruction, bleeding • Metastatic cancer, long hospital stay, adjunct cancer treatment, decreased survival, increased pain and suffering • Coordinated care path- “a system out of a non-system”
MISSIONWE CARE Jacksonville, Inc. To improve healthcare access by developing and coordinating a community-wide network of medical and healthcare volunteers who compassionately care for the uninsured and underserved.
WE CARE Jacksonville, Inc. • A model for volunteer health system of specialty care (increased services 2010) • “Specialty case management” • Transportation, cell phone, legal assistance, food, shelter • Not just a referral but the “human needs”
Beyond a volunteer system • A model for access to care • Primary care “medical homes” • FQHC (underfunded in Jacksonville) • Volunteer clinics • Volunteer primary care in private offices • Community wide specialty care “Volunteer plus private-government solution for health care reform and access”
A Model For Structure • Collaboration (through creative solutions) • Coordination • Communication
Our Future • Jacksonville, a compassionate community • We all have something to donate • Home health • Behavioral health • Supplies • Support • Volunteer time in offices/clinics • Phone calls to patients • Donations