IEC Ibn Sina Medical Clinic 2009 Alijani MD Executive Director

1. IEC Ibn Sina Medical Clinic2009Alijani MD Executive Director

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3. What is the IEC? • IEC is the Islamic Education Center • IEC went through 3 phases of growth: • In 1981 IEC was inaugurated • In mid eighties IEC built the 3rd floor for use by the Muslim Community Center • In mid nineties IEC built the office complex • In 2007 IEC helped launch Ibn Sina Clinic

4. The 3 Phases of IEC Growth 2nd Phase 3rd Phase 1st Phase

5. The Vision by Dr. Ross • Vision for a clinic carried out by Dr Ross • Dr Ross was joined by 10 others in 1997, and the group formed Ibn Sina clinic • December 1997 the Articles of Incorporation were registered by Dr. Tabibi • Dr. Alijani joined in 1998 • It took several years before it joined MobileMed • Thus the clinic remained dormant till 3-23-2007 when it officially started to see the first patient

6. The Founding Fathers Alijani Joined next year

7. Basics of Starting a Clinic • The Medical Clinic opens 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

8. The Nucleus Right: Dr. Ross Middle: Dr. Alijani Left: Dr. Tabibi

9. 2. Political factor 3. Functional factor 1. Social factor 5. Timing factor 4. Economic factor For Planning Methodology Consider:(According to Akram Al-Attar) Consider All above factors are to be considered and weighed for every decision

10. Components of Decision-Making 1. Analysis 2. Design 5. Monitoring 3. Evaluation 4. Implementation

11. Role of IEC • At first there was no physical place for Ibn Sina Clinic to start its mission • Maulana Bahraini made IEC available • The space provided was deemed sufficient • Arrangement with MobileMed was made • Provided were 3 rooms: • One for the nurse • The other two for the physicians

12. Chronology • Clinic opened on March 26, 2007 • Seeing patients on every Monday basis: 6pm to 8pm, • Office hours often extended to 10pm or beyond • Two family physicians, as well as one internist are in charge • Number of patients increased progressively • One nurse practitioner is employed • Nurse practitioner is employee of MobileMed

13. Finance: Ibn Sina Clinic • An optional fee of $0.00-25.00 per visit • If patient cannot afford, he/she is taken free of charge • Medicines and tests are free to the patient • Lab tests are done by NIH, Suburban or Shady Grove Hospitals • All procedures necessary are done by NIH or Suburban and Shady Grove Hospitals • Procedures are free to the patient

14. Collaboration with MobileMed • MobileMed has a good many similar clinics in Greater Washington area • Has been in existence for over 40 years • Is supported mainly by Federal and Local government • Interchangeability of patients: • A patient who needs medical help on days not available in his clinic, such patient can be seen by another but similar clinic • Appointments and referral of patients are done by MobileMed • Computerized Administration of the clinics are done by MobileMed

15. MobileMed and IEC Celebrating Ibn Sina clinic

16. Select Services Rendered Two services deserve mention: • Collaboration with Red Cross to collect blood • Conducted once a year • Blood Mobile carries an average of 40-50 units • The Flu Immunization Drive • Flu Vaccine is bought in volume by Ibn Sina Clinic • The drive to immunize is repeatedly announced • Flu shots are given free to all

17. Growth of Patient Load • At first a few patients per day: averaging 5-6 • Steady but slow growth: now averaging 15 • Though patients are supposed to come by appointment, many just drop in • The referral to NIH and/or Suburban, Shady Grove Hospitals worked smoothly • The clinic consists of 3 rooms • One for the nurse • The other 2 for the two physicians to check the patients

18. Liability • Malpractice: Each physician with his personal malpractice insurance is covered • Stark Program:Stark Program is Federal Coverage for this kind of clinic: • Apply, and fill the necessary documents • It is sponsored by the Federal Government and offered completely free to participants • Covers everyone in the clinic free

19. 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

20. Staff of Ibn Sina Clinic

21. Ibn Sina Clinic Dr. Rahimian, Dr. Rahmani, nurse Leila Abedi and patient

22. Available Medical Specialties • Cardiology • Internal Medicine • Gynecology • Gastroenterology • Psychiatry • Ophthalmology • Immunology • Family Medicine • Pulmonary Medicine • Social Services • Orthopedics

23. IEC: Ibn Sina Services Provided • Services by way of MobileMed, and through NIH and Suburban and Shady Grove Hospitals are provided: • EKG • Echocardiography • Sonography • 24 Hr. BP Monitoring • Pulmonary Function Testing • 24 Hr. Holter Monitoring • Pharmacy • Complete Blood Work • Among many others

24. Comparative Growth Based on ICD-9 Diagnosis

25. Growth, Patient Load: 2007-2008

26. One Year Common Diagnosis Based on ICD-9 Diagnosis

27. Patient Age Distribution

28. For New Initiatives: You Need: • A Good Leader (preferably a physician) • To Recruit Physicians • To Recruit Staff • To Update Space as needed • Specialty Care Network • Procuring Free Medications • Women’s Health Care Services • Health Education Funding • Identify and pursue other funding sources

29. In conclusion • Ibn Sina Clinic, MobileMed and IEC formed Collaborative Effort: • It is for patients with no insurance • Grew fast, beyond expectation • Tests and medicines are given free • All who qualify can be served • It can be emulated in your own mosque or center. • Try to start such a clinic in you Center

30. With best wishes May Allah Bless you all