MCC MEDICAL CLINIC As of 2010 Asif Qadri MD Medical Director MCC Medical Clinic

1. MCC MEDICAL CLINICAs of 2010Asif Qadri MD Medical DirectorMCC Medical Clinic

2. martes, 30 de septiembre de 2014 ;03:02 hrs. Con avance automático y audio

3. 2nd Phase 3rd Phase 1st Phase The 3 Phases of MCC Construction

4. The Vision by Dr. Asif Qadri • Vision for a medical clinic was carried out by one physician • After attempting to convince the administration of MCC over 10 years’ period • Many factors were considered • Once the clinic was started, there was no stopping • The growth over 7 years has been substantial

5. Dr. Asif Qadri and wife

6. Basics of starting a Clinic • A Medical Clinic open for patients irrespective of: • Race • Nationality • Religion • Immigration Status, or • Locality in the State of Maryland • Open only to patients who do not have any Medical Insurance

7. 2. Political factor 3. Functional factor 1. Social factor 5. Timing factor 4. Economic factor To consider any PlanAccording to Akram Al-Attar Components All above factors are to be considered and weighed for every decision

8. Engine of a Decision-Making 1. Analysis 2. Design 5. Monitoring Decision Making 3. Evaluation 4. Implementation

9. Chronology • Clinic opened on January 2003 • Started with one doctor and two volunteers for 6 months’ period of trial • Seeing patients on one day a week basis (Sunday) • Attracted an increasing number of patients progressively • Necessitated an increase in space • Necessitated an increasing number of doctors and staff

10. Finance • A co-payment fee of $15.00 per visit for Montgomery County residents and $35.00 for others. • If patients cannot afford it they have to apply for Zakat or Sadaqah Funds • Lab tests are 70-90% discounted by Quest Diagnostic Labs • Reduced rate of the following tests: • X-Ray, Cat scans, or MRI • Various kinds of Scans • Reduced cost of procedures by Catholic Charities and Project Access • Patients unable to provide for lab and other services are helped through Zakat Fund.

11. Growth of Administration • Volunteer Physicians: • Steady growth of participating physicians: • As of 2010, 15 participating physicians • Volunteer Staff: • Steady growth of administrative staff: • As of 2010, 80 volunteer staff • Paid Staff: • Two receptionists • One Coordinator • Three Physicians • One Patient Navigator • Nurse practitioner • Accountant

12. Growth of Patient Load • At first a few patients per week • Steady but slow growth • County executive saw the workings of the clinic • Gave $80,000.00 per year for two years for infrastructure if: • The Clinic takes Montgomery County patients • To Join Primary Care Coalition • Have to totally computerize to be health-linked with other health organization in the County • Clinic had to hire someone to program the computerization • When finalized, the County will pay the Clinic $62.00 per patient

13. Liability • Liability: Need Liability Insurance for the Mosque and premises, cost: • $4,000.00 for 1-3 million coverage • Malpractice: • Covered by Montgomery Care, • with additional malpractice insurance by Medical Mutual

14. To start a similar clinic • Persuade your local mosque to initiate a clinic • Zoning Permit to open a clinic in the County • Present a Blueprint and fill Application Form • Premise to be checked and inspected by the County • Once occupancy permit is given, you can start • Advertise it to the congregation of the mosque • Persistence and giving quality care will broadcast your effort

15. Paid and Volunteer Staff

16. MCC Medical Specialties • Cardiology • Internal Medicine • Gynecology • Gastroenterology • Psychiatry • Ophthalmology • Nephrology • Dermatology • Physical Therapy

17. MCC Services Provided On Site • Internal Medicine • Family Practice • Women's Health • EKG • Echocardiography • Sonography • 24 Hr. BP Monitoring • Pulmonary Function Testing • 24 Hr. Holter Monitoring • Pharmacy

18. Reduced Off-Site Testing • Colonoscopy $500 / Egd $500 Facility Fee, Procedure free • Thallium Stress Test ($400 Isotope Fee) Procedure Free • Radiology Dr. Buckley 50% Discount • Quest Lab 50% to 90 % Discount

19. For New Initiatives • New Leadership • Recruiting Physicians • Recruiting Staff • Updating Space • Specialty Care Network • Procuring Free Medications • Women’s Health Care Services • Health Education Funding • Identify and pursue other funding sources

20. Growth, Patient Load: 2003-2010

21. Number of MCC Patients Total # Unduplicated MCC Patients, Jan.-Dec. 2010 County versus non-county

22. Most Common MCC Diagnosis Based on ICD-9 Diagnosis

23. Patient Age Distribution

24. MCC Physician HoursTotal # Physician Hours per month

25. MCC Monthly ExpenseTotal Expenses: $52,100.00/month

26. MCC Accomplishments 2010 • Chart Review 1000+ Migrated into CHL System. • Federal Tort Coverage effective Sept. 2006. • Clinic Open 5 days a week • Developed Website : mccclinic.org • Computerized Appointment Systems. • Computerized Finance data/swipe card/real time entry. • Echo Machine. • Sono Machine. • Clinic staffed by receptionist 5 days a week. • Decreased no show rate with automated telephone system

27. Patient Demographics • African American: 43% • Asian: 40% • Others: 17% • Males: 33% • Females: 67%

28. Funding • State of Maryland • Montgomery County • Kaiser Permanente • Komen Foundation • Health Initiative Foundation

29. For the Future Needs • Expansion of space • Anticipated growth to continue • If a new structure is built at the site: • Three floors, the 1st and 2nd are for the Clinic use. • Facilities for minor surgeries (Colonoscopy, etc.) • Rooms for test equipment needed • Many unforeseen demands on the space • The 3rd Floor is for Masjid use and Islamic Weekend classrooms. • Structure to be connected to Masjid and the nearby structure.

30. The Secretary Room

31. Waiting room

32. Pharmacy Room

33. Accounting Room

34. With best wishes May Allah Bless you all