MCC MEDICAL CLINICAs of 2010

Asif Qadri MD Medical Director

MCC Medical Clinic

Con avance automático y audioCon avance automático y audio

viernes, 21 de abril de 2023viernes, 21 de abril de 2023 ; ;00:5200:52 hrs. hrs.

The 3 Phases of MCC ConstructionThe 3 Phases of MCC Construction

3rd Phase

2nd Phase

1st Phase

The Vision by Dr. Asif QadriThe Vision by Dr. Asif Qadri

Vision for a medical clinic was carried out by one physician

After attempting to convince the administration of MCC over 10 years’ periodMany factors were considered

Once the clinic was started, there was no stoppingThe growth over 7 years has been substantial

Dr. Asif Qadri and wifeDr. Asif Qadri and wife

Basics of starting a ClinicBasics of starting a Clinic

1. A Medical Clinic open for patients irrespective of:

a. Raceb. Nationalityc. Religiond. Immigration Status, ore. Locality in the State of Maryland

2. Open only to patients who do not have any Medical Insurance

5. Timing factor

4. Economic factor

To consider any PlanTo consider any PlanAccording to Akram Al-AttarAccording to Akram Al-Attar

2. Political factor3. Functional factor1. Social factor

All above factors are to be considered and weighedfor every decision

ComponentsComponents

Engine of a Decision-MakingEngine of a Decision-Making

1. Analysis

2. Design

3. Evaluation4. Implementation

5. Monitoring

Decision Making

ChronologyChronology

1. Clinic opened on January 20032. Started with one doctor and two volunteers for

6 months’ period of trial3. Seeing patients on one day a week basis

(Sunday)4. Attracted an increasing number of patients

progressively5. Necessitated an increase in space6. Necessitated an increasing number of doctors

and staff

FinanceFinance

1. A co-payment fee of $15.00 per visit for Montgomery County residents and $35.00 for others.

2. If patients cannot afford it they have to apply for Zakat or Sadaqah Funds

3. Lab tests are 70-90% discounted by Quest Diagnostic Labs

4. Reduced rate of the following tests:a. X-Ray, Cat scans, or MRIb. Various kinds of Scans

5. Reduced cost of procedures by Catholic Charities and Project Access

6. Patients unable to provide for lab and other services are helped through Zakat Fund.

Growth of AdministrationGrowth of Administration

Volunteer Physicians:Steady growth of participating physicians: As of 2010, 15 participating physicians

Volunteer Staff:Steady growth of administrative staff: As of 2010, 80 volunteer staff

Paid Staff:Two receptionistsOne CoordinatorThree PhysiciansOne Patient NavigatorNurse practitionerAccountant

Growth of Patient LoadGrowth of Patient LoadAt first a few patients per weekSteady but slow growthCounty executive saw the workings of the clinic

1. Gave $80,000.00 per year for two years for infrastructure if:a. The Clinic takes Montgomery County patientsb. To Join Primary Care Coalitionc. Have to totally computerize to be health-linked

with other health organization in the CountyClinic had to hire someone to program the computerizationWhen finalized, the County will pay the Clinic $62.00 per patient

LiabilityLiability

1. Liability: Need Liability Insurance for the Mosque and premises, cost:

$4,000.00 for 1-3 million coverage

2. Malpractice: a. Covered by Montgomery Care,

b. with additional malpractice insurance by Medical Mutual

To start a similar clinicTo start a similar clinic

1. Persuade your local mosque to initiate a clinic2. Zoning Permit to open a clinic in the County3. Present a Blueprint and fill Application Form4. Premise to be checked and inspected by the

County 5. Once occupancy permit is given, you can start6. Advertise it to the congregation of the mosque7. Persistence and giving quality care will

broadcast your effort

Paid and Volunteer StaffPaid and Volunteer Staff

Medical Director……....

Exec. Director…………

Accountant…………….

Clinic Manager………..

Clinic Nurse………...…

Volunteer Coordinator.. Physicians……………..

Sonographer ………….

Echocardiographer…..

Volunteers…………….

Total Staff……………..

.…..…Asif Qadri MD

………Azad Ejaz Phd

………Iman Abbasi

…….Iman Romodan

……….Karen Bashir

…Abdul Aziz Kamus

….……………..…15

....………………… 1

……………………..1

……………………35

……………………57

MCC Medical SpecialtiesMCC Medical Specialties

CardiologyInternal MedicineGynecologyGastroenterologyPsychiatryOphthalmologyNephrologyDermatologyPhysical Therapy

MCC Services Provided On SiteMCC Services Provided On Site

Internal MedicineFamily PracticeWomen's HealthEKGEchocardiographySonography24 Hr. BP MonitoringPulmonary Function Testing24 Hr. Holter MonitoringPharmacy

Reduced Off-Site TestingReduced Off-Site Testing

Colonoscopy $500 / Egd $500 Facility Fee, Procedure free

Thallium Stress Test ($400 Isotope Fee) Procedure Free

Radiology Dr. Buckley 50% Discount

Quest Lab 50% to 90 % Discount

For New InitiativesFor New Initiatives

New Leadership

Recruiting Physicians

Recruiting Staff

Updating Space

Specialty Care Network

Procuring Free Medications

Women’s Health Care Services

Health Education Funding

Identify and pursue other funding sources

Growth, Patient Load: 2003-2010Growth, Patient Load: 2003-2010

0

1000

2000

3000

4000

5000

6000

7000

8000

2003 2004 2005 2006 2007 2008 2009 2010

Number of MCC PatientsNumber of MCC Patients

0

100

200

300

400

500

600

700

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Month

# un

dupl

icat

ed p

atie

nts

Montgomery Other counties

Total # Unduplicated MCC Patients, Jan.-Dec. 2010

County versus non-county

Most Common MCC DiagnosisMost Common MCC Diagnosis

Diabetes24.8%

Hypertension35.0%

Hyperlipidemia23.6%

GERD8.0%

Arthritis6.0%

Other2.6%

Based on ICD-9 Diagnosis

25-3412%

35-4422%

45-5424%

55-6423%

Unknown4%

Under 254%65+

11%

Patient Age DistributionPatient Age Distribution

Anwar Malikig 4 Cylburn SodenCylburn Soden 1

Muhammad Munir

4 Ramleth ShakirRamleth Shakir 4

Jaswinder Sidhu 8 Sara Vazer 5

Ayesha Jafri 6 Muhammad YusufMuhammad Yusuf 8

Nabila Khan 20 Uma Ramakrishna 64

Tahoora Kawaja 5

Asif Qadri 180

Nancy Surig 4Anuja Kurichh 55

MCC Physician HoursMCC Physician HoursTotal # Physician Hours per month

MCC Monthly ExpenseMCC Monthly Expense Total Expenses: $52,100.00/month

Staff Salary: $40,000.00

Echo/Sono: $1000.00

Medical Supplies: $1500.00

Office Supplies: $1000.00

Hazard Waste Pickup:

$300.00

Telephone: $450.00

Housekeeping: $850.00

Laboratory: $7000.00

MCC Accomplishments 2010MCC Accomplishments 2010

Chart Review 1000+ Migrated into CHL System.Federal Tort Coverage effective Sept. 2006.Clinic Open 5 days a weekDeveloped Website : mccclinic.orgComputerized Appointment Systems.Computerized Finance data/swipe card/real time entry.Echo Machine.Sono Machine.Clinic staffed by receptionist 5 days a week.Decreased no show rate with automated telephone system

Patient DemographicsPatient Demographics

African American: 43%

Asian: 40%

Others: 17%

Males: 33%

Females: 67%

FundingFunding

State of Maryland

Montgomery County

Kaiser Permanente

Komen Foundation

Health Initiative Foundation

For the Future NeedsFor the Future Needs

Expansion of spaceAnticipated growth to continueIf a new structure is built at the site:

Three floors, the 1st and 2nd are for the Clinic use.Facilities for minor surgeries (Colonoscopy, etc.)Rooms for test equipment needed

Many unforeseen demands on the spaceThe 3rd Floor is for Masjid use and Islamic Weekend classrooms.Structure to be connected to Masjid and the nearby structure.

The Secretary RoomThe Secretary Room

Waiting roomWaiting room

Pharmacy RoomPharmacy Room

Accounting RoomAccounting Room

With best wishesWith best wishes

May Allah Bless you all