December 8, 2006December 8, 2006

New Hanover CountyNew Hanover County

Cape Fear HealthNetCape Fear HealthNetCFHNCFHN

Mission Mission Create a coordinated system of Create a coordinated system of

healthcare for the uninsured in healthcare for the uninsured in Brunswick and New Hanover counties.Brunswick and New Hanover counties.

Increase the capacity of healthcare safety net Increase the capacity of healthcare safety net providers to ensure that low income residents providers to ensure that low income residents have access to a medical home, receive have access to a medical home, receive preventive services, avoid unnecessary health preventive services, avoid unnecessary health complications, and enjoy a better, healthier complications, and enjoy a better, healthier quality of life.quality of life.

HistoryHistory

Rebirth of Cape Fear Healthy CaroliniansRebirth of Cape Fear Healthy Carolinians Community Assessment SurveysCommunity Assessment Surveys Community Issues IdentifiedCommunity Issues Identified

Chronic DiseaseChronic Disease Injury PreventionInjury Prevention Access to HealthcareAccess to Healthcare

Former Name… Former Name… “The Access Subcommittee”“The Access Subcommittee”

Proposed Target PopulationProposed Target Population Adults-Adults- 200% Federal Poverty Level 200% Federal Poverty Level

(FPL)(FPL) Children- 250% FPLChildren- 250% FPL

AdultsAdults Children Children TotalTotal BrunswickBrunswick 7,179 7,179342342 7,521 7,521 New Hanover 14,298New Hanover 14,298 624624 14,922 14,922

Tileston Outreach ClinicTileston Outreach Clinic Location: 320 S. 5Location: 320 S. 5thth

St. WilmingtonSt. Wilmington Free ClinicFree Clinic <=150% FPL<=150% FPL Serve UninsuredServe Uninsured Moving to New Moving to New

LocationLocation New Patients- New Patients-

Wednesdays OnlyWednesdays Only

Good Shepherd MinistriesGood Shepherd Ministries

Location: 811 Martin Location: 811 Martin St. WilmingtonSt. Wilmington

Free ClinicFree Clinic Serve Homeless, Serve Homeless,

UninsuredUninsured Nurse Clinic - Nurse Clinic -

20 hours/week20 hours/week

New Hanover Community Health New Hanover Community Health CenterCenter

Location: 925 4Location: 925 4thth St. St. WilmingtonWilmington

<=200% FPL <=200% FPL Sliding Fee ScaleSliding Fee Scale Serve Insured and Serve Insured and

UninsuredUninsured Capacity for New Capacity for New

PatientsPatients

Wilmington Health Access for Wilmington Health Access for TeensTeens

Location: 4005 Location: 4005 Oleander Drive Oleander Drive WilmingtonWilmington

1,200 Uninsured 1,200 Uninsured Teens Teens

Serve Insured and Serve Insured and Uninsured Uninsured

Capacity for New Capacity for New Patients Patients

New Hanover Health DepartmentNew Hanover Health Department

Location: 4005 Oleander Dr. WilmingtonLocation: 4005 Oleander Dr. Wilmington <=250% FPL<=250% FPL Sliding Fee ScaleSliding Fee Scale Serve Insured and UninsuredServe Insured and Uninsured No Primary Care Services No Primary Care Services

NHRMC OP ClinicsNHRMC OP Clinics

Location: Zimmer Bld. Location: Zimmer Bld. NHRMC WilmingtonNHRMC Wilmington

8-9 Month Wait List8-9 Month Wait List <=200% FPL<=200% FPL Serve Insured and Serve Insured and

UninsuredUninsured

Coastal Family MedicineCoastal Family Medicine

Location: 2523 Location: 2523 Delaney Road Delaney Road WilmingtonWilmington

2-3 Month Wait List2-3 Month Wait List <=200% FPL<=200% FPL Serve Insured and Serve Insured and

UninsuredUninsured

Provider ValueProvider Value An Established, Clear An Established, Clear

System of CareSystem of Care Provider Control Over Provider Control Over

ParticipationParticipation Free Marketing for Free Marketing for

Paying PatientsPaying Patients Paying Patient Paying Patient

ReferralsReferrals

Provider ValueProvider Value Equitable Distribution Among Equitable Distribution Among

ProvidersProviders Documented Charity Care Documented Charity Care Case Management Services- Case Management Services-

Reduce Unnecessary Health Reduce Unnecessary Health ComplicationsComplications

Discounted Education CreditsDiscounted Education Credits Favorable Recognition as a Favorable Recognition as a

Caring ProfessionalCaring Professional

Present GoalsPresent Goals Invest In Safety Net Agencies; Invest In Safety Net Agencies;

Family Nurse Practitioner.Family Nurse Practitioner. Recruit Specialty Care Physicians to Recruit Specialty Care Physicians to

Provide Services.Provide Services. Navigator / Enrollment Specialist Started Navigator / Enrollment Specialist Started

November 2006.November 2006. Market to Medical Providers, Service, and Market to Medical Providers, Service, and

Faith Organizations.Faith Organizations. Establish Medical, Advisory Committees.Establish Medical, Advisory Committees.

Care SystemCare System1.1. Safety Net Agencies Provide Primary Safety Net Agencies Provide Primary

Care; Recruit Specialty Care Physicians Care; Recruit Specialty Care Physicians ++

2.2. Contributed Diagnostic, Laboratory, and Contributed Diagnostic, Laboratory, and Pharmacy Services from Additional Pharmacy Services from Additional Healthcare ResourcesHealthcare Resources

==Healthcare System for UninsuredHealthcare System for Uninsured

Project Access NetworksProject Access Networks

North CarolinaNorth Carolina - 9 Networks- 9 Networks BCMS Project Access BCMS Project Access AshevilleAsheville MCMS Reach Out MCMS Reach Out CharlotteCharlotte Project Access Greater GreensboroProject Access Greater Greensboro GreensboroGreensboro HCSI, Inc. HCSI, Inc. GreensboroGreensboro HealthAssistHealthAssist GreenvilleGreenville Healthy AccessHealthy Access HendersonHenderson Project Access of Wake Co.Project Access of Wake Co. RaleighRaleigh Appalachian Healthcare ProjectAppalachian Healthcare Project BooneBoone Toe River Project AccessToe River Project Access Spruce PineSpruce Pine

Buncombe Project AccessBuncombe Project Access

Asheville, NCAsheville, NC Buncombe County Buncombe County

Medical Society Medical Society In Operations 10 YearsIn Operations 10 Years ~3,000 Patients Enrolled~3,000 Patients Enrolled https://www.projectaccessonline.org/pa/pp/https://www.projectaccessonline.org/pa/pp/

Alliance Medical MinistryAlliance Medical Ministry Raleigh, NCRaleigh, NC Doctors’ Salaries? Doctors’ Salaries?

20% Grants 20% Grants 50% Individual Donors 50% Individual Donors 10% Churches10% Churches 20% Corporate / 20% Corporate /

Hospital DonationsHospital Donations No Federal, State, County $$ No Federal, State, County $$ http://http://

www.alliancemedicalministry.org/index.htmwww.alliancemedicalministry.org/index.htm

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