Virginia Health Care Foundation

1
Virginia Health Care Foundation

• Introduction to Public Health
• November 28, 2005
• Jennifer Ramos Hoover
• Fund Development Manager

2
VHCF and its Mission

• A unique public-private partnership
• (Enabling legislation-SJR117, 1992)
• Increase access to primary and preventive care
  for Virginias uninsured and medically
  underserved.

3
Strengthening and Expanding Virginias Health
Care Safety Net

• Core grantmaking
• Programmatic initiatives
• The Pharmacy Connection
• Healthy Communities Loan Fund
• Childrens Health Insurance Initiative
• SeniorNavigator
• Special grantmaking initiatives

4
Grantmaking Activities

• 214 grants to community-based organizations over
  13 years
• more than 23 million
• Grants made through a competitive application
  process to projects working to improve access to
  health care

5
Projects VHCF Funds

• Examples
• Mobile Medical and Dental Units
• Mental Health Counseling
• Telemedicine

• Wide range of projects including medical, dental,
  and mental health
• Staffing and infrastructure

6
VHCF Grants Have Touched Each Region
Northern 3,065,522
Statewide 11 1,547,561
Northwest 1,759,281
21
17
N.Neck/E.Shore 1,742,632
Central 4,338,999
10
40
20
20
21
18
Southwest 2,655,057
Southside 2,673,724
Tidewater 2,814,060
Roanoke Valley 2,318,745
7
VHCF Funding to Virginias Health
Safety Net Providers

• Grantees are diverse
• Community Health Centers
• Free Clinics
• Health Systems
• Community-based organizations
• 10.5 million to Free Clinics and Community
  Health Centers
• Free Clinics 41 grants to 26 organizations
  4.3 million
• Community Health Centers 34 grants to 24
  organizations 6.1 million

8
Free Clinics Community Health Centers Virginia
1992
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
? Free Clinics (10) ? Community Health
Centers (14 in 23 sites)
9
Free Clinics Community Health Centers Virginia
2004
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
?
? Free Clinics (46 organizations with 57
sites) ? Community Health Centers (26
organizations with 76 sites)
10
A Stronger Health Safety Net

• VHCF grants have
• Helped increase the number of health safety net
  providers in VA
• Strengthened the health safety
• Even so, Virginias health safety net is neither
  uniform, nor stable.

11
Challenges faced by Virginias Health Safety Net

• The safety net varies from community to
  community, depending on
• Local leadership
• Number and sophistication of providers
• Services they offer
• Number of uninsured in need of assistance, and
• Resources available.

12
Meeting the Challenges

• The key to a broad and strong health safety net
  is VHCFs focus on sustainability.
• A sustainable program is one that has
• Strong Staff and Board Leadership
• A Well-Articulated Vision
• A Solid Operating Plan
• Broad-based community support
• Viable revenue generating plan

13
Sustaining the Network

• Funding Priorities
• Develop or expand Patient Capacity
• Establish a Broader Scope of Services
• Create Local Coordinated Systems of Care
• Strengthen the Infrastructure of the Health
  Safety Net Providers

14
Results of VHCF Emphasis on Sustainability

• 89 of VHCF funded projects continue at the same
  or increased capacity for at least three years
  after VHCF funding.
• In the past eleven years, VHCF projects have
  leveraged more than 38 million in cash, health
  services, and other in-kind contributions
  (excluding donated medications)

15
VHCF Program Initiatives Tools for
Health Safety Net Providers

• The Pharmacy Connection (TPC) and Medication
  Access Programs (MAPs)
• Healthy Communities Loan Fund (HCLF)
• Childrens Health Insurance Initiative
• SeniorNavigator

16
The Pharmacy Connection

• A software program developed to facilitate the
  acquisition of free medications from the Patient
  Assistance Programs administered by
  pharmaceutical companies.
• 286 million in free medications for 107,098 low
  income uninsured patients since FY97 with 104
  million of that generated in FY05 alone.

17
Medication Access Programs (MAPs)

• State-Funded MAPs
• Medication Assistance Program of the Piedmont
  (serving Pittsylvania, Henry and Patrick
  Counties, and the cities of Danville and
  Martinsville) Mt. Rogers Medication Assistance
  Program (serving Bland, Carroll, Grayson, Smyth,
  Washington and Wythe counties, and the cities of
  Bristol and Galax) Pharmacy Connect(serving
  Wise, Scott and Lee Counties and the City of
  Norton)
• RxRelief
• (various locations)
• Privately Funded MAPs
• Richmond Medication Assistance Program
• A partnership with the Richmond Memorial
  Foundation. (serving the greater Richmond
  metropolitan area)
• Greater Williamsburg Medication Assistance
  InitiativeA partnership with the Williamsburg
  Community Health Foundation(serving Charles
  City, James City, New Kent, King William, King
  and Queen, York, Gloucester, and Matthews
  Counties and the city of Williamsburg)

18
36 Localities Covered byState-Funded MAPs, 18
by RxRelief Virginia
Covered by RxRelief Virginia
Other State Funded MAP
Part of a county is covered
19
RxPartnership Bulk Medications

• New non-profit initiative established by VHCF,
  JCHC, Medical Society of Virginia, and other
  private partners
• RxP solicits free medications in bulk from
  pharmaceutical companies to be distributed to
• credentialed pharmacies.
• 17 participating organizations
• at 25 locations

20
Healthy Communities Loan Fund

• Established in 1996 with funding from the Robert
  Wood Johnson Foundation
• Practice Sights initiative to address the
  shortage of health care providers in underserved
  areas of Virginia
• Partnership with BBT (First Virginia Bank, to
  begin with) and 13 other private partners

21
HCLF Results

• Over 7.5 million for 49 loans
• 62 new or retained primary care providers in
  underserved areas
• Central 18
• Southwest 16
• Southside 9
• Northwest 7
• Northern Neck/Eastern Shore 7
• Roanoke Valley 4
• Tidewater 1

22
Childrens Health Insurance Initiative

• Supporting work to help all eligible children
  enroll in state-sponsored health insurance
  (FAMIS)
• Covering Kids and Families Initiative, sponsored
  by the Robert Wood Johnson Foundation
• Funding from Dept. of Medical Assistance Services

23
Child Health Insurance Strategies

• Support regional coalitions working to enroll
  children in FAMIS
• Provide SignUpNow technical assistance trainings
  to outreach workers
• Lead the statewide coalition to suggest changes
  to policymakers to improve coordination,
  operations, and customer service
• New focus Retention

24
SeniorNavigator

• Comprehensive health and aging information via a
  unique website (www.seniornavigator.org)
• A corps of trained health and human services
  professionals and volunteers (Senior Navigators)
• 189 Senior Navigator Centers provide access to
  vital information for those who dont have a
  computer or internet access

25
Thank you!

• For more information, visit our website
• www.vhcf.org
• Virginia Health Care Foundation
• 1001 East Broad Street Suite 445
• Richmond, VA 23219
• 804-828-5804