Successful Hospital Partnerships

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Successful Hospital Partnerships

• Ohio Association of Free Clinics
• October 13, 2008

2
Free Clinic - Hospital Partnerships

• Brief NCHM History Hospital Partnership
• Lakewood Hospital Experience in last 5 years
• Impact of Medical Director at NCHM
• Utilizes hospital resources appropriately

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Free Clinic Hospital Partnership

• Improve access to affordable care for acute and
  chronic conditions for low-income uninsured
  individuals on the west side of Cleveland
• Helps clinic and hospital fulfill their missions
  in our community
• Patient needs first

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Missions

• Lakewood Hospital
• To be a provider of high quality patient-focused
  health care that is readily accessible, cost
  effective and meets the needs of the communities
  we serve.

• North Coast Health Ministry
• a faith based free clinic, provides health care
  services to low-income individuals in western
  Cuyahoga and eastern Lorain Counties.

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Roles NCHM/Hospitals

• North Coast
• Health Ministry
• Primary and Specialty Outpatient Care
• Prescription Assistance
• Financial Documentation
• HCAP Form Completion
• Follow up after acute care hospital intervention
• Train emergency room social workers to screen new
  NCHM patients
• Leverage hospital contribution for additional
  community dollars

• Lakewood Hospital
• Outpatient Testing
• Inpatient care
• Volunteer Support
• Program Support
• Access to lab results
• Establish financial guidelines for service
• Emergency room social workers complete screening
  of new uninsured patients

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Benefits

• North Coast
• Health Ministry
• Volunteer support
• Financial support
• Patients nor NCHM do not pay for hospital
  services
• NCHM does not have to raise additional dollars to
  pay for testing
• Leased employee (physician) has additional
  benefits
• NCHM saves on malpractice cost for medical
  director
• Donated supplies

• Lakewood Hospital
• Mitigating uncompensated care
• Saves emergency room visits
• Primary care provided prevents hospitalizations
• Improved compliance on HCAP forms
• Follow up after acute care hospital intervention
• Appropriately utilizes hospital resource

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Caring for the Community
North Coast Health Ministry
2007 Fast Facts
In 2007 Hospital contributed 54 (2M) of total
outpatient services hospitalizations 42 of
patients are Lakewood residents Hospital provides
Medical Director, social workers, nurses
Charity Care
City of Lakewood
Hospital Employees
1,625 Total Payroll
9.1 Million Total Direct Indirect Payroll
52 Million (Does not include other CCHS
employees who live in City of Lakewood)
Community Service Hours
2007 3,826 YTD
August 2008 1,668
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What wakes you up at night?

• Ongoing financial support
• Most alarming trend of the increase in severity
  of chronic disease
• How do we improve the relationship as we work
  through various care models