Improving Access to Care A Rural Model

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Improving Access to CareA Rural Model

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Network
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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

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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
• Networks First Strategic Plan

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Chamber of Health
Information Help Center
Telemedicine/ Education
Community Outreach
Library Help Center
Consumer Education
Pharmaceutical Assistance
Medication
Information Help Center
H.E.L.P
Consumer Finance
LRHAP SWLAHEC Physician Recruiter
Primary/ Specialty Care
Transportation
Transportation Task Force
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ByNet Board of Directors
ByNet Executive Director
Executive Assistant
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ByNet Board of Directors
Chamber of Health
ByNet Executive Director
Finance Manager
Franklin Pharmaceutical Coordinator
Volunteer Coordinator
Marketing Coordinator
Executive Asst
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
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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
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Non-Grant Funding

• Program Revenue
• Transportation Donations
• Fundraising
• Medicaid Enrollment
• Administrative Consultation (ED CFO)
• AmeriCorps
• Community Donations

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In-Kind Funding

• Space, Phone, Internet, Maintenance, Utilities at
  Five Network Locations
• Network CEOs Time and Staff
• Partners Time and Staff

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Local Government Community

• Community Volunteers
• Community Understanding
• Provider-Issue Vs. Community Problem with
  Community Solutions

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Volunteers

• gt 120 Hours/Month

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Program Implementation
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assess what is in place?

• Distribution of Newspaper Resource Directory

• Creation of Database for Electronic Referral

• Initially through creation of a hardcopy
  community resource directory

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Information Help Center

• ByNets Main Site
• Franklin
  Foundation
• Hospital ED
• St. Mary Parish
• Library Extension Site

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• Dont Miss
• the
• Opportunity

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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
SCREENINGS/ VACCINATIONS -i.e. Blood Pressure
Checks, Diabetes Testing, Flu Shots
AWARENESS/ ADVOCACY -Community
Involvement/Ownership, -State
Partnerships,
-Policy Change
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Basic Demographics
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Program Eligibility Income
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Resource Directory

• Bi-Annual Newspaper Directory
• 44,000 Distributed end of 2nd Year
• Program Service Update

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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

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ED Help Center Survey
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Community Health Teams

• Food, Education, Enrollment Screenings

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Health Equipment Loan ProgramH.E.L.P

• Donations 200,000
• Inspection Repair

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Transportation

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

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Transportation

• Veteran (VA)
• 62 (Council on Aging)
• Job Program/In-Parish Public Transit (CAA)
• Disabled (BIMS)
• Local Churches

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triage according to need and the most cost and
time efficient means to obtain assistance.
2 Charity Hospitals
FQHC (TAC)
FQHC (ICCHC)
Other
Medicare Savings
Share the Care
340b
Drug Manufacturers Discount Card Programs PAP
St. Vincent de Paul (Free Pharmacy)
Emergency Aid, Community Action Agency (Social
Service)
Faith Based Community
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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
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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, ByNets Medication
  Assistance Program has procured an estimated
  7,063,320 (Top 4 Meds VIH Average))
• Annual In-Kind Donations gt136,000/year
• Top Four Medications Procured Total
  1,166,685.30/Yr

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Physicians
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Health Access Barriers in the State
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Non Emergent ER Care