Kentucky Mountain Health Alliance, Inc.

1. Kentucky Mountain Health Alliance, Inc. Hazard, Kentucky

2. Is it any different? Rural Homelessness

3. Sources of Funding • HRSA – BPHC Health Care for the Homeless • United Way • Good Samaritan Foundation • Steele Reese Foundation • Rotary Civic Club • Donations

4. About the Agency • 13 Employees • Created in 2005 • Serves about 2,500 people each year • Perry & Harlan Counties • Four Sites • Serves homeless people in the region with primary care, mental health & substance abuse services, preventive care, disease management and enabling services.

6. Agreements with Collaborating Partners • Clover Fork Clinics • Primary Care Centers of Eastern Kentucky • Hazard Clinic • Quantum Healthcare • Kentucky and Cumberland River Community Care • Appalachian Regional Healthcare • Dentists PCCEK (Greg Baker, DMD-Ellie Campbell, DMD), James Jolly, DMD, Harlan Dental Clinic (Matt Nunez, DMD), Vicco Dental Center, Clover fork Dental, Mia Sellars, DMD • Department of Employment and Community Based Services • Community Action Agencies • County/City Schools and Community Colleges • District Health Departments • Police Departments • Housing Development organizations

7. Agreements with Collaborating Partners • Hazard Perry County Community Ministries, Masters Lamb Ministries, Family First Ministries • LKLP Spouse Abuse Center, Hope Center • Homeless Shelters (Christ Hands, Corner Haven) • Southeast Area Health Education Center • Churches • Civic Clubs (Lions and Rotary) • ROTARY FREE CLINIC WITHOUT WALLS (Rotary Civic Club)

8. Rotary Free Clinic Without Walls History: • A group of individuals concerned about the difficulties individuals face accessing health care had a conversation over a luncheon. From this luncheon emerged Rotary Free Clinic • Rotary Free Clinic Board was incorporated in 1999 and it is primarily sponsored by Rotary Civic Club

9. Rotary Free Clinic Without Walls How it works: • The Rotary Free Clinic Board of Directors and KMHA staff actively recruit providers • It provides an opportunity for physicians to see a designated number of physicians each month. • Providers are enrolled by completing enrollment packet • Patients can be screened and referred from KMHA or Little Flower Clinic • Patients are given a voucher (pink slip) • Number of referrals, visits and visit outcomes are tracked through logs • Additional referrals are made if necessary and medication are obtained • Reports are provided to referring providers with follow-up instructions

10. Rotary Free Clinic Without Walls Handouts: • Rotary Free Clinic • Fact Sheet • Physician Participation Agreement • Patient Participation Agreement • Patient Intake Form • Instruction Form • Intake Form • Release • Draft Notice of Privacy Practices

11. Rotary Free Clinic Without Walls • Volunteers Providing Over 200 Visits Annually: • Dentists • Optometrists • Gastroenterologists • Pulmonologist s • Ophthalmologist • Urologists • Rheumatologists • Nephrologists • Otolaryngologist • Pediatricians • Surgeons • Gynecologists

12. 2010 In-kind Contributions • Rotary Providers and on-site medical volunteers-$ 56,273 • IDP-$ 804,307

13. Contact Information: Kentucky Mountain Health Alliance Phone: 606-487-9505 Contact Person: Ruth Woolum rosie@kymha.org