CARING FOR THE UNINSURED AZHER QUADER, MD.

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CARING FOR THE UNINSUREDAZHER QUADER, MD.

• COMPASSIONATE CARE NETWORK(CCN)
• WWW.CCNCHICAGO.COM
• 773 775-3600

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TWO MODELS FOR AMBULATORY CARE

• THE CLINIC MODEL
• THE NETWORK MODEL

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CLINIC MODEL

• NEED LARGE FUNDS TO ESTABLISH
• NEED STAFF (MEDICAL ADM.)
• NEED LIABILITY COVERAGE
• SERVES LIMITED AREA

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NETWORK MODEL

• NEED SMALL BUDGET TO ESTABLISH
• MINIMAL STAFFING FOR ADMINISTERING
• NO EXTRA LIABILITY COVERAGE NEEDED
• SERVES A WIDE AREA

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What is a Network?

• TWO OR MORE PROVIDERS AGREEING TO PROVIDE
  SERVICES TO THE UNINSURED AT A CERTAIN DISCOUNTED
  FEE
• PROVIDERS STAY IN THEIR OWN OFFICE FACILITIES AND
  MAINTAIN REGULAR SCHEDULE
• PROVIDERS DECIDE ON THE NUMBER OF PATIENTS TO BE
  SEEN
• PATIENTS ARE ASSIGNED TO THEM BY THE NETWORK
• PATIENTS MAKE THEIR APPOINTMENTS AS AND WHEN
  NEEDED
• PATIENTS PAY FOR SERVICE AT TIME OF SERVICE

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NETWORK MODELTHE 5 STEP PROGRAM

• FREE HEALTH EDUCATION
• FREE HEALTH SCREENINGS
• ACCESS TO AFFORDABLE MEDICAL CARE IN ESTABLISHED
  OFFICE SETTINGS
• ACCESS TO AFFORDABLE LAB SERVICES XRAYS
• ACCESS TO AFFORDABLE PRESCRIPTION DRUGS

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STEP 1 FREE HEALTH EDUCATION

• DIET EXERCISE
• WEIGHT MANAGEMENT
• CORONARY ARTERY DISEASE
• HYPERTENSION
• DIABETES
• DRUG ABUSE
• CANCER SCREENINGS
• MENS HEALTH ISSUES
• WOMENS HEALTH ISSUES
• MENTAL HEALTH ISSUES
• CHILD HEALTH ISSUES IMMUNIZATIONS
• ASTHMA ALLERGY PROBLEMS
• INTERACTIVE DISCUSSIONS / NEWSLETTERS

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STEP 2 FREE HEALTH SCREENINGS

• BLOOD PRESSURE SCREENINGS
• DIABETES SCREENINGS
• OBESITY BODY FAT SCREENINGS
• HEART RISK SCREENINGS
• DENTAL HEALTH SCREENINGS
• GLAUCOMA CATARACT SCREENINGS
• PROSTATE CANCER SCREENINGS
• BREAST CANCER SCREENINGS
• COLON CANCER SCREENINGS
• OSTEOPOROSIS SCREENINGS

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SCREENINGS FREQUENCY

• ONCE PER 3 MONTHS AT EACH SITE
• DIFFERENT SITES IN TOWN

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SCREENING SITES

• ISLAMIC CENTERS
• CHURCHES
• COMMUNITY CENTERS
• HEALTH CLUBS

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STEP 3 ACCESS TO AFFORDABLE MEDICAL CARE

• PROVIDERS PHYSICIANS/ DENTISTS/ OPTOMETRISTS
• RECRUIT PCPS FIRST
• RECRUIT SPECIALISTS LATER
• DETERMINE PROVIDER FEES 25.00 PER VISIT?
• DETERMINE ENROLLMENT FEES 10.00 PER MONTH
  (INDIVIDUAL) 15.00 PER MONTH(FAMILY)?
• START WITH ONE ETHNIC GROUP
• EXPAND TO OTHER ETHNIC GROUPS
• PROVIDE DENTAL VISION CARE
• TAKE NO EMERGENCIES OR ACUTE PROBLEMS IN THE
  OFFICE
• TAKE NO PREGNANCY CARE
• ASSIGN PATIENTS ON THE BASIS OF LANGUAGE AND
  LOCATION
• KEEP ENROLLMENT OPEN TO EVERYONE

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STEP 4 ACCESS TO AFFORDABLE LABS X-RAYS

• NEGOTIATE FOR FEE DISCOUNTS
• NEGOTIATE WITH INDEPENDANT SERVICE PROVIDERS
• NEGOTIATE WITH HOSPITALS

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STEP 5 ACCESS TO AFFORDABLE PRESCRIPTION DRUGS

• UTILIZE DISCOUNT PHARMACY PROGRAMS
• 4 PER MONTH GENERIC PRESCRIPTION PROGRAM
• WALMART, K MART, TARGET PHARMACIES
• SET UP OFFICE DISPENSARIES
• UTILIZE GENERIC DRUGS
• UTILIZE DISCOUNT OFFERINGS FROM PHARMACEUTICAL
  COMPANIES

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ADMINISTRATIVE ISSUES

• START WITH 1-2 VOLUNTEERS
• OBTAIN SPACE FOR SCREENINGS
• RENT OFFICE SPACE WHEN FUNDS AVAILABLE
• RECRUIT OFFICE STAFF WHEN FUNDS AVAILABLE
• DO QUARTERLY PROVIDER MEETINGS TO DISCUSS
• COMMUNICATE WITH CLARITY

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ENROLLMENT ISSUES

• ENROLL AT SCREENINGS HEALTH FAIRS
• ENROLL THROUGH INSURANCE AGENTS PAY COMMISSION
• ENROLL AT PUBLIC EVENTS RALLIES
• ENROLL AT FRIDAY SUNDAY GATHERINGS

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LEGAL ISSUES

• INCORPORATE THE NETWORK
• OBTAIN TAX EXEMPT STATUS
• MAINTAIN PROVIDER AGREEMENTS
• TAKE PATIENT WAIVERS AT APPLICATION
• TAKE PATIENT WAIVERS AT SCREENINGS (OPTIONAL)
• REGISTER WITH STATE DEPT OF INSURANCE
• NO PATIENT CARE AT SCREENING SITES
• ALL PATIENT CARE IN PHYSICIAN OFFICES OR ER
• DOCUMENT RESULTS MAINTAIN RECORDS
• PHYSICIANS TO KEEP OWN LIABILITY INSURANCE
• COMMUNICATE WITH CLARITY COMPASSION

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THE CCN VISION

• We believe that access to affordable healthcare
  should be the right of every individual in a
  civil society.

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THE CCN MISSION

• To promote health awareness through health
  education.
• To assist in the early detection of Illnesses
  through community health screenings.
• To provide access to affordable healthcare for
  the uninsured.

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CCN STATS

• OVER 80 PHYSICIAN PROVIDERS
• 3 NETWORK LABS
• 10 IMAGING CENTERS
• 1 PART TIME PROGRAM COORDINATOR
• 10 SCREENING SITES
• 750 ENROLLEES

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CCN EXPERIENCE

• 20-50 PERSONS GET TESTED EACH TIME
• 20-25 ABNORMAL BLOOD SUGARS
• 15-20 ABNORMAL BLOOD PRESSURES
• OVER 50 OVER WEIGHT
• 10-15 OBESE
• OVER 75 ABNORMAL LIPID PROFILES
• 30-40 HAVE DENTAL HEALTH PROBLEMS

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CCN BUDGET

OFFICE SPACE 8,000/YR

PAYROLL 25,000/YR

OFFICE SUPPLIES 1,000

MEDICAL SUPPLIES 1,000

LAB FEES 1000

TELEPHONE 2,000

MARKETING 5,000

ANNUAL COST 43,000