Mobile Health Services in an Academic Setting
Ringenberg L, Gereige R, Dabrow S, Straub D, and Fleischer J. University of South Florida, Tampa, FL
Teens/youth
Partners In Caring
UnderservedChildren
Mobile Health Services in an Academic Setting
Lynn Ringenberg, M.D., FAAPAssociate Professor
Mobile Health Program Medical [email protected]
Hillsborough County Statistics
16% of children 18 and under are uninsured 17.6% live below the poverty level 20% of the student population have unmet
medical needs, with 15% chronic health issues One in five households with children includes at
least one child with special needs Florida has second highest prevalence of HIV
infections nationwide Hillsborough County ranks 5th in the State of FL in
HIV infections Children often don’t have ACCESS TO CARE
“Pods” of School Sites in Hillsborough & Pasco Counties, Florida
31 Elementary Schools 11 Middle Schools 5 High Schools 1 Exceptional Center 1 Career Center 3 sites for abused,homeless, and domestic violencevictims
1
7
8
93
26
11
10 1
3
4 5
12
14
Resident “Mobile Health” Participation
0
10
20
30
40
50
60
PGY-1 PGY-2 PGY-3 Chief Total
Feb-Dec 2006
73%89% 94%
86%
Participating Residents
# of Residents In Program
100%
School Programs through Resident Advocacy
School Health Block Rotation Oral Health Education Coaches Sports Medicine Lecture Series School Health Talks to Students School Nurse Support Services Medicaid/KidCare Education and Application Help After-School Teen Health Events Back-to-School Health Fairs
Patient Statistics
February-December 2006
Over 109 visits Treated 1048 patients Residents, active participation:
75% of the 68 Pediatric and Med-Peds residents
86% of Pediatric Residents Expansion to a “pod” system reaching
49 schools (Increase from 31 schools)
Patients per Month
Total 1,048 Patients, 109 visits
67
4965
50
73 71
199
146136
99 93
0
20
40
60
80
100
120
140
160
180
200
Pat
ien
ts
FebMar
AprMay
Jun JulAug
Sep OctNov
Dec
All Patients Seen
Patient Visits by Reason Feb-Dec 2006
N= 1048
24%
1%
30%
45%
Acute Visit Follow-up School Physical Sports Physical
Racial DemographicsFeb-Dec 2006
14%
2%
1% 0%
43%
22%
19%
White Black Hispanic Asian Multiracial Other Unknown
(N= 1048)
Insurance StatisticsJuly-Dec 2006
25%
32%18%
2%
23%
Unknown Medicaid Private Insurance (Unknown Source) None
(N= 1048)
Educational Value of Mobile Care
Exposure to the Community Advocacy Teaching Tool Enhancement of Cultural Sensitivities Foster Resident Independence Increased Dental Awareness Team Approach to Care Appreciation of Health Care Disparities Challenges of Teen Health Care in their
Environment Meeting many of the ACGME competencies
Thank you for giving us the opportunityto share our special program:“Caring Hearts Hit the Road”
Avery Mixon, M.D.-PGY-2 Resident