Medical Volunteering in the Community

1. Medical Volunteering inthe Community G. Paul Doxey, M.D. St. George, Utah

2. DOCTORS’ VOLUNTEER CLINIC OF SAINT GEORGE (Formerly the Doctors’ Free Clinic)

3. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE I

4. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE Presentation by: G. Paul Doxey, M.D., Chairman of the Board of Trustees Gary Lambert, M.D., Medical Director Deanne Staheli, R.N., Clinic Director

5. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • non-governmental privately funded Medical Clinic • targets patients without health insurance, which means if patients have Medicaid (welfare), Medicare, or other insurance, we don’t see them • low operating budget • mostly staffed by retired volunteer doctors, dentists, and therapists • Short term medical, dental and mental health issues • supported by many organizations including the United Way, IHC Charities, private donations, etc

6. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • History: 1. founded by the Washington County Medical Association and Medical Alliance in 1999 to address the problem of the uninsured 2. housed at the Dixie Care and Share from 1999-2002 3. moved to the present site at 1036 Riverside Drive in 2002 at Trailhead for city jogging path

7. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • History (cont) 4. land (valued at $500,000) for building by a local family 5. building was mostly donated materials and labor by the SUHBA 6. City of St. George bought part of the land from DVC for Trailhead and now “shares” parking lot

8. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • Current operational status of DVC 1. One fulltime employee, two part time 2. Approximately 34 volunteers: 7 doctors, 5 dentists, 6 nurses, 3 psychologists, 3 nurse practitioners, and 10 secretarial helpers 3. $100,000/ year operational expenses 4. Clinic will supply needed medications , arrange for free or reduced cost medicines, or pay for them ourselves

9. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • How many patients/year and whom do we see? 1. 2003: 4,058 patient visits 2004: 4,272 patient visits 2005: 6,329 patient visits 2006: 6,867 patient visits, of which 1,511 (22%) were for mental health encounters. This includes emotional disorders plus alcohol and drug detoxification. 2007: At the present rate, we will see approximately 8,800 patients this year.

10. DOCTORS’ VOLUNTEER CLINICOFSAINT GEORGE • 2006: • 98.1% of our patients were from Washington County • 95% were United States Citizens • 17% were children • 65% of adults were employed • 15% were Hispanic

11. DOCTORS’ VOLUNTEER CLINICOFSAINT GEORGE • 1. Criteria for eligibility is 150% of the poverty level ($1,226/year for family of 1, or 4,321 for family of 8) • 2. 60% of our patients are employed • 3. 50% are High School or College graduates • 4. We averaged 35 patient visits/day last year

12. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • Board of Directors – 11 members from our community • Finances are monitored by a CPA • 501c3 organization • 2002 Award for Rural Clinic of the Year

13. DOCTORS’ VOLUNTEER CLINICOFSAINT GEORGE • How do we interact with you? • Follow-up from the ED, Instacare and hospitalized patients including behavioral medicine will be able to be seen within one week of discharge for ongoing care and help with the cost of medications. • This includes medical and pediatric outpatient care, non-surgical gyn patients, orthopedic to include undisplaced fracture care, minor trauma care, dental care, and mental heath access to counseling and psychiatry. • We also are a referral resource for patients who want to detox from alcohol or substance abuse. • Limited access to subspecialty consultation utilizing the physician referral program which allows our patients one free or discounted consult. • STD testing and women’s health.

14. DOCTOR’S VOLUNTEER CLINICOFSAINT GEORGE • We do not: • Offer a continuous supply of sample medications. • Have the equipment or time to do elective minor sterile surgical procedures • Prescribe narcotics for chronic pain problems.

15. DOCTORS’ VOLUNTEER CLINICOFSAINT GEORGE • Relationship to DRMC • Routine x-rays, ultrasounds, labs are graciously donated, with no cost to the patient or clinic. • IHC has donated each year to our general fund. • Physicians, nurses, physical therapists, pharmacists, , IT, allied health professionals, and administrators have volunteered their time to the patients we see.

16. DOCTORS’ FREE CLINICOFSAINT GEORGE • Why do I Volunteer? • Medicine as it should be • Patients are universally appreciative • Good feeling at the clinic • Treating the patient and not protecting yourself from liability • Satisfaction at the end of the day

17. Video Presentation

18. DOCTORS’ VOLUNTEER CLINICOF SAINT GEORGE • Private (non-governmental) effort by a community to address a community problem • Reduces inappropriate visits to the local ED at Dixie Regional • Access to medical, dental and psycho-logical care by the people caught “in the middle” between welfare and private insurance • Questions?