Welcome

Antelope Valley Overview• 2,000 square miles-Larger than the States of Delaware or

Rhode Island• Overall population 440,000• Due to affordable housing in the 90’s 50% increase in

Housing 1990-2000 & 17% last 5 years• Currently One of the Highest foreclose rates in the State• Medium Household income $44,277• Unemployment Rate 10.7• Medium Age 31• 78% have High School Degree• Poverty level 25% & 15% Uninsured• Estimated # of Uninsured 65,000-75,000 & Growing

Health Indicators Antelope Valley vs. LA County

Antelope Valley “Leads” the County of Los Angeles with the poorest health indicators:

• Diabetes• Children & Adults with Asthma• Infant Mortality• Obesity• Smoking• ADD/ADHD• Heart Disease• Drug Related Deaths• Emphysema • Chlamydia• Children with Special Needs• Children Exposed to Tobacco at Home• Tobacco Use by Adults• Motor Vehicle Deaths• Alzheimer’s Disease• Suicides• Teen Births• Late or no Prenatal Care and• Overall Mortality

Current Health Care Delivery System• Antelope Valley Hospital 440 bed at capacity. ER

110,000 visits/year. One of the busiest in US.• 40% of the visits are non-urgent and 60% of those have

no insurance• High Desert Health Systems-Closed County Hospital 5

years ago. Budget constraints on out-patient services • Palmdale Hospital closed 10 years ago.• Lancaster Community Hospital-117 beds-Building new

Hospital in Palmdale- Currently no Medi-Cal contract

Logo VNA UW AVC

Creation of AVCC•Late 2005, Antelope Valley Partners for Health (AVPH) completed a Community Needs Assessment funded by Kaiser Permanente. It concluded that there was a critical need for expansion of primary care, prevention and education services for the uninsured and underinsured.

•Antelope Valley Community Clinic Advisory Board was created. Committee members included major providers, organizations & Community members: AV Hospital, Lancaster Community Hospital, High Desert Medical Group, Kaiser Permanente, County of Los Angeles and the Cities of Lancaster and (c) (3) was formed. The Board is 51% users of service & FQHC Compliant

•In August 07 we received a start-up grant from Kaiser Permanent for $250,000

•In March 08 we acquired Care-A-Van Mobile Clinic from VNCS/PICF

•In August 08 we received $500,000 grant from LA Care.

•In March 09 we acquired Clinic in Palmdale. License pending.

•In April 09 we began construction on Phase 1 clinic in Lancaster. License in June 09

•In August 09 we opened the Lancaster Clinic

•In March 10 we will begin construction on Health and Wellness Clinic

Clinic Services• Currently operate 2 Mobile Clinics and two fixed clinic one in Palmdale and

one in Lancaster. • All will be staffed by physicians and mid-level Nurse Practitioners.

• Family, internal and pediatric medicine, obstetrics and gynecology. OB Clinic from AV Hospital is sub-letting at proposed Phase 2

• Diagnostic laboratory and imaging services on-site and through AV Hospital and Lancaster Community Hospital in-kind support.

• Preventative health services including prenatal and perinatal services. Black Infant Health, Healthy Births, Save A Smile etc. through Antelope Valley Partners for Health

• Screening for breast and cervical cancer, well-child services, immunizations, disease management for diabetes, asthma and hypertension.

• Adult and Children's’ Dental program

Care-A-Van Mobile Health Clinic in service since 1996. Sees 3,200 patients every year at 16 sites throughout the Antelope Valley

Care-A-Van Mobile Clinic II. Donated by County of Los Angeles. License pending. Plan is to convert to full-service Dental Clinic in 2010

Primary Clinics in Lancaster & Palmdale• Palmdale- 2,800 sf opened March 1, 2009. Acquired from

local physician. Primarily Women and Children but have expanded to adult medicine. Temp space until we find larger clinic in Palmdale. Seeing about 750 patients a month.

• Lancaster-Arbor Grove 2,800 sf. Opened in August 2009. 7 Exam rooms. Will see pediatrics & adult medicine. About 600 patient per month. When larger Health and Wellness Center opens we will maintain this space for older adults and or prevention and disease management care such as our new Diabetes Education & Treatment program.

Phase 1 2,800 sf open June 2009 Round area on

Antelope Valley Community Clinic-Palmdale 2,800 sf 6 exam rooms acquired March 1, 2009 Seeing 600 patients per month. License in June 2009

New Community Health and Wellness Center

• We have signed a lease on a 15,000 sf building in Lancaster in a very high area of need that will serve as a “Community Health and Wellness Center”.

• We will have additional clinic and meeting /conference space adding at least 20 more exam rooms and expanding our primary care, pediatrics, OB, Dental and specialty care clinics.

Funds Committed • High Desert Medical Group 2008 $50,000

• AV Hospital $100,000- General operations

• AVPH Fundraiser $50,000

• Ahmanson Foundation $350,000-Construction

• LA Care $500,000 for Operations August 2008

• Kaiser $250,000 start up 8.1.07

• Ralph M Parson’s Foundation $150,000 for construction 2010

• LA County $350,000 for construction & $850,000 for patient care. 2010

• California Wellness Foundation for $150,000 general ops 2010

Requests pending

• Weingart Foundation $350,000• S. Mark Taper Foundation $200,000• Help II-State $200,000-$750,000 loan after FQHC• CPCA- $350,000 Bridge loan after FQHC• Federal Stimulus- After we receive FQHC-Amount not

known for Construction. Operational grants are $650,000

Sustainability• FQHC- or 330 Look-Alike-Letter of Intent submitted April 2009

Full FQHC Application to be submitted in September 2009 - FQHC allows significantly enhanced reimbursement on all

Medi-Cal and Medicare patients- FQHC Competitive Grants also provide $600,000

• Other sources of funding- Medi-Cal, CHDP, CDP, Family Pact, Healthy Families,

Healthy Way LA, EAPC, PPP, Medicare, LA Care & other HMO’s

- Foundation Support-Current: Kaiser, United Way, Blue Shield, Komen, Avon Foundations, Ahmanson, Boeing

- Potential: The Weingert, Annenberg, California Community Foundation and The California Endowment.

ConstructionStart-Up Funding

$500,000$250,000

$40,000 $100,000 $100,000

The Ahmanson Foundation $350,000The Ralph M. Parson’s Foundation $150,000

The California WellnessFoundation $150,000

Operational Support

The California Wellness Foundation

AVCC Expansion Plans• AV Health and Wellness Center Open: Sept 2009• Lake Los Angeles & Littlerock- Currently operated by County

of Los Angeles Acquire: 2010???• Lancaster- “Arbor Grove” Temporary Clinic adjacent to large

AV Health & Wellness Center project

Open: June 2009 • Palmdale- Physician Clinic acquisition

Acquire: March 2009• Mojave- Kern County Currently underserved area with little or

no access to primary care. No projected opening date.• Operate 2 Mobile Clinics-One to be converted to Dental • Geriatric Assessment Center in Arbor Grove- PACE

Program????

Thank You.