Greene Morgan Putnam Community Health Care Council, Inc'

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Greene Morgan Putnam Community Health Care
Council, Inc.

• Collaborating
• Health Service Resources
• To Meet Community Needs

GMP Health Network 403 Alice Walker Drive, Bldg C
Eatonton, GA 31024 [phone]
January 2004
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Whereis GMP Health Network
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Whatare we doing as a regional community?

• Prescription Assistance standardized policy and
  procedure, coordinated services, and sharing of
  information and resources.
• Health Education standardized health
• curricula, coordinated class scheduling,
• and maximizing consumer impact.

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Whydo we work together?

• Pooling of resources
• Economies of scale
• Larger population Louder voice
• Regional health planning
• Access to non traditional solutions

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Whois at the table?
Signed memorandums of agreement to support the
regional network include

• State and Federal Representatives
• Sheriffs and Police Departments
• Civic Groups
• Faith Communities
• Concerned Citizens
• State Agencies
• Medical Societies

• Local Hospitals
• City and County Officials
• Physicians
• Public Schools
• Public Health
• Universities
• Technical Colleges

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Howdid we begin to work together?

• We asked our Network Partners What are your
  priorities for Network services?
• Over whelmingly they said Get patients their
  medications and then get them off their couches!

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Howdid we start our Rx Program?

• Identified our target population and their
  barriers to access
• Inventoried our community for all resources
  pertaining to Prescription Assistance
• Coordinated the resources
• Standardized access to resources
• Took ACTION!

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Whoare we targeting

• 48,000 residents of Greene, Morgan, Putnam
  Counties
• 3 of the worst 50 of 159 counties concerning
  measurable health status
• High risk populations
• Populations with significant health disparities
  Black, Hispanic, women, and the un-insured /
  under insured

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Whatare their barriers?

• 30 Adult illiteracy
• Complicated applications
• Little or no transportation
• Uninsured
• Under insured
• Dementia from age, disease, medication
• Lack of Rx resources

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Whatare the Rx resources?
Public Health 340B program
BENEFITS RESTRICTIONS

• Only maintenance medications
• for Diabetes and Hypertension
• Only for patients actively participating in
  S.H.A.P.P. (Stroke Heart Attack Prevention
  Program)

• - Affordable
• - Income Based

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Whatare the resources?
INDIGENT CARE TRUST FUND (ICTF)
BENEFITS RESTRICTIONS

• Income Based
• Not all Hospitals have ICTF
• ICTF Rx only available to
• residents of Hospital s County

• - Free
• - Income Based
• - Covers larger variety of Rx

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Whatare the resources?
FEDERALLY QUALIFIED HEALTH CENTER 340B
BENEFITS RESTRICTIONS

• - Sliding Fee Scale
• - Income Based
• - Covers larger variety of Rx

• Income Based
• Must be a patient of Record

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Whatare the resources?
COMMUNITY CHARITABLE CONTRIBUTIONS
BENEFITS RESTRICTIONS

• - FREE

• Eligibility determined by the
• contributing organization
• Sporadic availability

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Whatare the resources?
MANUFACTURERS FREE DRUG PROGRAM
BENEFIT RESTRICTIONS

• Enrollment Access is Obscure!
• Income Based
• Variety of available Rx is limited
• Complex / Confusing Forms
• Patient eligibility varies among mfr
• NO Industry Standardization!

• - Free

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Whatare the resources?
MEDDATA SERVICES Rx Tracking Software
BENEFIT RESTRICTIONS

• Improve Efficiency
• Patient Status updates
• Evaluation
• User friendly

• Monthly fee
• Requires Internet access
• Does not provide all
• needed reports like cost
• savings

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Howdid we coordinate?

• To reduce duplication while increasing access
• to resources, we formed a coalition of
• prescription assistance providers from the
• community Minnie G. Boswell Hospital,
• TenderCare Clinic (FQHC), and GMP Health
• Network. Every patient is classed into three
• eligibility categories and then referred to the
• appropriate provider.

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Howdid we coordinate?

• Provider Eligibility Resources
• M.G.B. Hospital Greene County ICTF,
• Residents Mfr free Rx
• TenderCare Patient of Record 340 B,
• Mfr free Rx
• GMP All Remaining Patients Mfr free Rx
• in service area

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Howdid we standardize access?

• All Healthcare providers and community agencies
  refer patients to the three Rx Assistance
  Providers
• The 3 Rx providers have standardized policy and
  procedure and utilize MedData software
• The 3 Rx providers use Mfr free Rx resources
  first before using limited local resources

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Accomplishments

• 2003 Prescription Assistance Program
• - 3 Providers served over 1,000 patients
• - Accessed an average of 3.79 free Rx / patient
• - Each Rx had an average rural retail price of
  73.00 per month
• 1,000 x 3.79 x 73 276,670.00 / MONTH
• MORE THAN 3,320,040 MILLION
• PER YEAR in FREE MEDICATIONS!

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The Future

• The future is always uncertain!
• We will continue to tailor our regional program
  to meet growing demands while coordinating
  diminishing resources!

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SUMMARY

• WE ARE
• A COMMUNITY IN ACTION
• PROVIDING
• BETTER HEALTH
• FOR MORE PEOPLE
• FOR LESS MONEY!!!