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Improving Access to Care A Rural Model

BYN. NET. Improving Access to Care A Rural Model. Community. Public Health. State Hospitals. BYN. NET. St. Mary Chamber of Health Coalition. Office of Public Health, Region III. Leonard Chabert Medical Center LSU-University Medical Center. Social Service.

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Improving Access to Care A Rural Model

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  1. BYN NET Improving Access to CareA Rural Model

  2. Community Public Health State Hospitals BYN NET St. Mary Chamber of Health Coalition Office of Public Health, Region III Leonard Chabert Medical Center LSU-University Medical Center Social Service St. Mary Community Action Agency Rural Primary Care Clinics Rural Hospitals Chitimacha Health Clinic Iberia Comprehensive Community Health Center Teche Action Clinic Franklin Foundation Hospital Teche Regional Medical Center Network

  3. Chamber of Health St. Mary Parish HISTORY • 1997: First Meeting • 1998: Incorporated • 1999: Rural Network Development Grant • 2000: St. Mary Chamber of Health • -501C3, nonprofit status -Community Access Program Grant -Community Based and Rural Health -AHRQ -ORHP Outreach Grant

  4. Identification of Five Key Needs Chamber of Health Establishment of Respective Committees St. Mary Parish Why? • Partnership with LRHAP in 1999 • First Meeting in early 2000 • Community Forums & H.A.B.I.T.S • -Faith-Based • -Governmental • -Educational • -Health Care • -Social Service • Network’s First Strategic Plan

  5. BYN NET Chamber of Health Consumer Education Information & Help Center Telemedicine/ Education Community Outreach Library Help Center Medication Pharmaceutical Assistance Consumer Finance Information & Help Center H.E.L.P Primary/ Specialty Care LRHAP & SWLAHEC Physician Recruiter* Transportation Transportation Task Force

  6. BYN NET

  7. ByNet Board of Directors ByNet Executive Director Executive Assistant

  8. ByNet Board of Directors Chamber of Health ByNet Executive Director Finance Manager Franklin Pharmaceutical Coordinator Volunteer Coordinator Executive Asst Marketing Coordinator Help Center Operations Director Help Center Operations Director AARP-Pharmaceutical Coordinator Help Center Coordinator -Main Office Chitimacha Pharmaceutical Coordinator (PT) Help Center Coordinator -FFH Emergency Dept ICCHC-Pharmaceutical Coordinators (2) Outreach/DME Coordinator Community Volunteers Rx/Outreach/Help Center

  9. O Rx & H.C. Community Health Team Outreach Sites (Help Center) Extension Sites O O Rx H.C. MAIN SITE -Help Center -Rx -DME -Transportation H.C. Rx O O

  10. Non-Grant Funding • Program Revenue • Transportation Donations • Fundraising • Medicaid Enrollment • Administrative Consultation (ED & CFO) • AmeriCorps • Community Donations

  11. In-Kind Funding • Space, Phone, Internet, Maintenance, Utilities at Five Network Locations • Network CEO’s Time and Staff • Partners’ Time and Staff

  12. Local Government & Community • Community Volunteers • Community Understanding • “Provider-Issue” Vs. Community Problem with Community Solutions

  13. Volunteers • > 120 Hours/Month

  14. Program Implementation

  15. …assess what is in place? • Initially through creation of a hardcopy community resource directory • Creation of Database for Electronic Referral • Distribution of Newspaper Resource Directory

  16. Information & Help Center • ByNet’s Main Site • Franklin Foundation Hospital ED • St. Mary Parish Library Extension Site

  17. Don’t Miss the Opportunity

  18. EDUCATION Chronic Disease Management/ Prevention -Informative Packets -Support Groups -Community Classes Patient Responsibility -Fitness/Medication Compliance ENROLLMENT Health Plans -i.e. Medicaid, Medicare, QMB, LaChip, VA Assistance Programs-i.e. Food for Seniors, Utility Assistance, Care for the Caregiver BYN NET SCREENINGS/ VACCINATIONS -i.e. Blood Pressure Checks, Diabetes Testing, Flu Shots AWARENESS/ ADVOCACY -Community Involvement/Ownership, -State Partnerships, -Policy Change

  19. Basic Demographics

  20. Program Eligibility: Income…

  21. BYN NET Resource Directory • Bi-Annual Newspaper Directory • 44,000 Distributed end of 2nd Year • Program Service Update

  22. ED HELP CENTER • ED Referral • Client Triage • Eligibility for Medicaid, LaChip & Medicare Savings • Community Care Education • Social Service and Health Care Needs • Community Referrals • Tracking & Follow Up

  23. ED Help Center Survey

  24. Community Health Teams • Food, Education, Enrollment & Screenings

  25. BYN NET Community Donation DME Rx food State Insurance EDUCATION Health Equipment Loan ProgramH.E.L.P • Donations: $200,000 • Inspection & Repair

  26. Transportation • Coordination of Existing Services • Development of Transportation Task Force • Sharing of hardware, software, coordinator and driver • Triage and Referral

  27. BYN NET Transportation • Veteran (VA) • 62+ (Council on Aging) • Job Program/In-Parish Public Transit (CAA) • Disabled (BIMS) • Local Churches

  28. Physician Samples Local Social Service Organizations Discount FQHC Pharmacy Local Pharmacy Assistance Drug Manufacturers Discount Card Programs Drug Manufacturers’ PAP Programs Private Foundations Veterans Affairs

  29. …triage according to need and the most cost and time efficient means to obtain assistance. Other 2 Charity Hospitals FQHC (TAC) FQHC (ICCHC) Medicare Savings Share the Care 340b Drug Manufacturer’s Discount Card Programs & PAP St. Vincent de Paul (Free Pharmacy) Emergency Aid, Community Action Agency (Social Service) Faith Based Community

  30. OPH DHH Tulane CAH R. H. FQHC FQHC FQHC FQHC T.C. CHSL FQHC FQHC C.A.A FQHC FQHC FQHC LSU LSU C.H. LSU-HSC

  31. Documentation of In-Kind & ROI • In-Kind Monthly Reporting Procedures in Place • Finalizing Incorporation of Reports in Monthly Finance Report • Continued Focus on ROI • (i.e. Jan. 2003-Oct. 2004, ByNet’s Medication Assistance Program has procured an estimated $7,063,320 (Top 4 Meds + VIH Average)) • Annual In-Kind Donations: >$136,000/year • Top Four Medications Procured Total $1,166,685.30/Yr

  32. Physicians

  33. Health Access Barriers in the State

  34. Non Emergent ER Care

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