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Home My WebLink About091206 Community Health CenterCommunity Health Center Update September 12, 2006 Virginia Beach Health Services Advisory Board Glenn Snyders, MD Chair, Virginia Beach Health Services Advisory Board 1 9/13/2006 Objectives Review Virginia Beach Health • Services Advisory Board Role Define the problem of access • Describe current sources of • primary care and a proposed Community Health Center Project Update efforts and • suggest next steps 2 9/13/2006 Virginia Beach Health Services Advisory Board Members “To actively participate •Glenn Snyders, MD –Chair with community •Vicky Gray, MPH representatives in the •Terry Jenkins, Ph.D. formulation of a •Buddy King comprehensive plan for •Frank Lane the development, •Suzanne Love, MD coordination, and •Charles McCallum, III evaluation of local health •Mary Redd Nelson services systems, and to •Susan Hellstrom make formal •Linda Reinersten recommendations to City •June Robertson, RN Council and the Health •Christopher Savvides Department.” •Joyce Schmidt, RN •Helen Shropshire VaBeachCity Council •Linda Lilley, PhD EnactedFebruary7, 1995 •Ronald Wyles, MD 3 9/13/2006 Access Partnership •F ormally established in 2002 •A nonprofit community collaboration of diverse stakeholders who share a common goal of improving access to health services to the uninsured and underinsured residents of Greater Hampton Roads. 4 9/13/2006 Virginia Beach Health Services Advisory Board •Identified access to basic health services as top priority •Reviewed Virginia Beach resources for primary health care (Hampton Roads Community Health Assessment) •Reviewed other community approaches to addressing access to care •Worked collaboratively with Access Partnership to connect with community stakeholders 5 9/13/2006 Background of problem of access to healthcare Hampton Roads Community Health • Assessment 2004 conducted by Stephen Horan, PhD of – Community Health Solutions, Inc, –Estimated 1.3 million people over 800 square miles , mostly urban –Chesapeake, Hampton, Newport News, Norfolk, Poquoson, Portsmouth, Virginia Beach –Utilized health data from state, city and regional sources e.g. Health Dept, Vital Stats etc. –Used data from Sentara hospitals emergency department –Survey of community health professionals 6 9/13/2006 Virginia Beach Excerpts from this study 1.Access to Basic Health Services 54,075 Uninsured –24,857 Under 200% Fed Poverty Level • ($38,500 for family of 4)–Highest # Uninsured in Hampton Roads 5,892 Seniors -Under 200% Fed Poverty Level –Medicare • Access Issue Emergency Departments seeing patients that should be seen in • ambulatory settings 2.Access to Chronic Care Rates for Heart Disease and Chronic Respiratory Disease > than • State Average 3.Access to Mental Health and Substance Abuse Services, Access to Oral Health Services – Issues Consistent with Region 4.Access to Maternal and Infant Services Good News –Lower than State Average Low Birth Weight • CurrentSources of Primary Health Care in Virginia Beach Beach Health Clinic • –Free care for qualified uninsured, 15,000 patient visits/year –Primary care, specialty care, coordinated diagnostics, –Multiple sources of operating funds –City of Virginia Beach, United Way, individual donors –LIMITATIONS:Do not serve Medicare, Medicaid or individuals >200% poverty Local Emergency Rooms • –Care for anyone –May provide referral to community services for follow up care. –LIMITATIONS:Long waits for primary care with negative impact on emergent/trauma patients & system 8 9/13/2006 CurrentSources of Primary Health Care in Virginia Beach Virginia Beach Public Health Department • Services for targeted populations: Prenatal Ob care, gynecological services, childrens’preventative and dental care, immunizations –LIMITATIONS: acute care, primary care for non- targeted populations Private Primary Care Offices • –Provide charity care for selected patient population –LIMITATIONS: majority not accepting new Medicaid or Medicare patients 9 9/13/2006 FutureSources of Primary Health Care in Virginia Beach Community Health Center • –Local, non-profit, community-run primary care –Serve all population including low income and medically underserved, Medicare and Medicaid –Affordable primary care at reduced rates –Funded by federal grants, local grants and individual contributions –Paid administrative staff and medical staff –Located in areas where care is needed but scarce –Costs of care rank among the lowest with best quality –Currently, over 1,000 community, migrant and homeless health centers serve 3,600 urban and rural communities in every state and territory. 10 9/13/2006 Virginia Beach Health Services Advisory Board May 2005 • –Voted to endorse feasibility study and pursuit of Federally Funded Community Health Center in Virginia Beach Goal •: –to improve access to primary care for all residents –uninsured, Medicare, . Medicaid and privately insured June 2005 • –Presented to City Council & received support to move forward. 11 9/13/2006 CHC Project Summary Steering Committee formed • Representatives: • –Virginia Beach Health Advisory Board, Virginia Beach Department of Public Health, Access Partnership, United Way of South Hampton Roads, Sentara Healthcare, Samaritan House, Sentara Medical Group, VPCA and community residents. Goals • –Community collaboration –Secure funding for feasibility study and grant writing –interview candidates to manage a feasibility study and project coordination. –Interview and researched grant writers to facilitate the grant proposal process. –Prepare a complete grant for HRSA December 1 application 12 9/13/2006 CHC Project Summary Planning Committee Formed • –Roundtable Discussion held July 2005 VB Central Library. –Over 100 community members invited. Nearly 50 people attended and offered their support. –Subcommittees formed to support process and participate in the project to develop plan for the grant. Committee Members • –Access Partnership, Beach Health Clinic, Bon Secours, CINCH, EVMS, Interfaith Advisory Board, JCOC, Minority Health Coalition, NSU, ODU, Operation Blessing, PICH, Portsmouth Community Health Center, Samaritan House, Senior Services, Sentara Healthcare, The Planning Council, TCC, United Way, Virginia Beach Department of Public Health, residents and other community leaders. 13 9/13/2006 Planning Begins Federal Grant Requirements Reviewed –Grant opportunity announced by HRSA (Health Resources and Services Administration). –Grant application due December 1, 2005 Cost of Project –Project Coordination -$12,000 –Grant Writer -$42,000 –Administrative cost -$10,000 –Total $65,000 Funding Commitments –City of Virginia Beach $10,000 –Sentara Health Foundation $15,000 –United Way of SHR $40,000 –Total $65,000 14 9/13/2006 CHC Planning Needs Assessment & Grant Development Services • J. Sarkiss& Associates of Birmingham, Alabama Project Management • The Planning Council, VPCA and Access Partnership Planning Subcommittees • –Site Selection –Community Outreach –Business Planning –Health Service Planning Steering & Planning Committees • Met on regular basis to discuss project, edit grant, share information and data and identify community needs. 15 9/13/2006 Unexpected Changes November 2005 Federal funding changes due to greater demand for federal assistance related to hurricane Katrina, notified there would be no RFP (request for proposals) for new Community Health Center sites. Application is as complete as possible without final RFP instructions 16 9/13/2006 Other Options Explored The Virginia Beach Health Advisory Board and Access Partnership continue to identify timely & economical solutions to increase access to care Options Explored: 1.Invite an existing CHC to expand services to Virginia Beach 2.Start as a CHC Look-Alike 3.Start a family medical practice with an existing medical group to serve medically underserved 4.Do nothing 17 9/13/2006 Expansion Option Selected Health Advisory Board, Steering committee and Planning committee agree: Expansion of a current CHC site is most comprehensive and cost-effective option •Brings all existing services and resources to Virginia Beach without a “learning curve” •Most likely avenue for future federal funding Sentara Health Foundation Provides Grant •$300,000 start-up funding grant announced in April 2006 •Request for Proposals publicized (newspaper, letters of invitation ) 18 9/13/2006 After review of RFPs, the Steering Committee recommends: The Peninsula Institute for Community Health •Established in 1978 •JCAHO Accredited •24,000 unduplicated visits in 2005 •3 primary care sites in Newport News and Suffolk •Healthcare for the Homeless •Dental Services •Pharmacy Care of Hampton Roads (central-fill pharmacy) •Community Access to Care (program for uninsured to access diagnostic and specialty services) 19 9/13/2006 NEXT STEPS Facility to open January 2007 Steering Committee will serve as Advisory Committee Planning Committee divided into work groups: Site Selection • Building Renovations • Moving & Setup • Supplies & Equipment • Marketing & Promotion • Search for site underway – must be in or near MUA (medically underserved area) and be a minimum of 2,000 square feet with ability to expand. 20 9/13/2006 QUESTIONS ?? 21 9/13/2006