Rural Underserved Access to Health

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Rural Underserved Access to Health
Taking Community Benefit To the Next
Level Community Benefit Conference March 16, 2006
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RUAH Hebrew for

• "breath of life."

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Call to Action
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Healthcare that leaves no one behind

• We will work for access to care for all. No one
  will be left behind. Well speak up for people
  in need. Well take action at both the local and
  national level, using our ideas and influence to
  advocate for those who are poor and vulnerable.
  Forty-one million Americans are uninsured. How
  is this possible in a country with the resources
  and blessings that we share?
• We will partner with others who share our
  commitment to healing, who share our dedication
  to service. We will know weve been successful
  when 100 percent of people have access to the
  services they need.

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SV Health RUAH

• Purpose To connect our friends, family, and
  neighbors to a comprehensive, integrated delivery
  network of health, human and social services
  resulting in improved access and removal of
  barriers to needed resources.

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SV Health RUAH is

• Eight Locally Sponsored Ministries (LSMs)
  supported by four key components
• Health Care Access Workers
• Medication Assistance
• Community Roundtables
• Diversity Councils

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Focus Areas

• Health Care Access Workers (HAWS) client
  advocates and system navigators
• Pharmacy access to low or no cost drugs
• Diversity translation of core documents,
  medical interpretation, key signage, development
  of diversity councils
• Cardiovascular Disease Management health
  education and low or no cost drugs
• Creation of Medical Homes for the underserved
• Project Access (Howard County) access to
  specialty care
• Reduction of inappropriate Emergency Room
  utilization
• Assistance with supportive social services (wrap
  around)
• Sustainability

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Partners

• ADVANTAGE Health Solutions, Inc.
• Butler College of Pharmacy
• Indiana Health Centers, Inc.
• Health and Hospital Corp.
• St.Vincent Health
• Community Interface Groups local partner groups
  responsible for program implementation.
• Hospital, health centers, health departments,
  physician offices, civic groups, and health,
  human and social service agencies

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Originally Funded by a CAP Grant Award

• RUAH Partnership initiated 2000
• Funding Request Submitted to HRSA May, 2001
• Funding Award to SV Health October 2001 for
  three years
• Completed Fall, 2004 1 million
• Matching Dollars from Ascension 2001 through
  2005
• Completed Fall, 2005 1 million
• SV Health Program as of July, 2005

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RUAH Service Sites

• Clay County SV Clay (Brazil)
• Clinton County SV Frankfort (Frankfort)
• Fountain/Warren counties SV
  Williamsport (Williamsport)
• Jennings County SV Jennings (North
  Vernon)
• Howard County St. Joseph (Kokomo)
• Madison County SV Mercy
  (Elwood)
• Saint Johns (Anderson)
• Randolph County SV Randolph
  (Winchester)
• four initial cap grant sites

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Anthem Foundation

• The Anthem Foundation awarded the RUAH
  Partnership (Advisory Board) with funding to
  support three new Health Care Access Workers for
  one year (2006).
• SV Clay
• SV Jennings
• SV Williamsport

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RUAH Outcomes

• Health Outreach
• 17,708 individuals served
• 30,459 referrals made by HAW to local health,
  human social service agencies
• 7,462 primary care home appointments
• 72.25 kept appt rate
• Data time frame 2nd quarter 2001 to 2nd quarter
  2005 (December, 2005)

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Pharmacy

• 6.6 million worth of low/no cost drugs provided
  by 4 counties from 11/02 through 12/05.
• Original investment for MDS system in 11/02 of
  78,000 for a 4 year subscription serving 4
  counties, producing a significant return on
  investment.

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Medical Interpretation and Diversity

• Diversity councils formed in target areas
• Translated documents 220
• 98 interpreters trained through RUAH/CAP BTG
  course.
• The Goal
• Compliance with federal Culturally and
  Linguistically Appropriate Standards (CLAS) in
  providing health care at all target sites
• 24-7 medical interpreter coverage

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Reduction in inappropriate ED utilization

• Care that was non-emergent and could have been
  provided in a primary care setting (CPT 99281 and
  99282), was reduced by approximately 20 on
  average.
• This continues to be challenging to capture,
  and ongoing work with IS is being conducted to
  more accurately report out.

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How We Relate
Ascension Health
SV Health
LSMs
RUAH
HAW MDS Diversity Council Community Roundtable