mobile medical van health services: twelve years of experience!
DESCRIPTION
Mobile Medical Van Health Services: Twelve Years of Experience!. Presented by John Crouch To the 2010 Urban Health Conference, September 2010. My Personal Background. Washington University School of Med ‘67 Internship St. Luke’s (St. Louis) ‘68 US Army Flight Surgeon ’68 - ’70 - PowerPoint PPT PresentationTRANSCRIPT
Mobile Medical Van Health
Services: Twelve Years of
Experience!Presented by John Crouch
To the 2010 Urban Health Conference, September 2010
My Personal Background
• Washington University School of Med ‘67
• Internship St. Luke’s (St. Louis) ‘68• US Army Flight Surgeon ’68 - ’70
– Republic of Vietnam ’68 – ’69 – My True Conversion !
Milestones (cont.)• Residency Family Medicine, San
Bernardino California ‘72• Practicing, Teaching, Residency
Director from ‘72 to ‘78• The Call to ORU School of Medicine • The closing of the ORU SOM ‘89• The Beginning of In His Image and later
the Good Samaritan Health Services---1997-8 !
Mile posts along the way
• Washington University Med School: 1967• Internship St. Luke’s, St. Louis ‘67-’68• Drafted: US Army Flight Surgeon• Republic of Vietnam 1968-1969• Flight Surgeon, Ft. Walters, Texas• Residency San Bernardino, California 70-
72 • L’Abri Fellowship, Huemoz, Switzerland !
In His Image• Is a 501-C-3 Religious Non-profit
Corp*• Three specific goals
– To conduct a Christian Family Practice Residency Program
– To support World Wide Medical Missions– To provide health care to the
underserved in our Tulsa community* IRS Non-Profit Status 1991
In His Image International
Missions
Changing Concepts of
Medical Missions
Medical Education: the Future of Medical Missions?
Medical Education Medical Missions
• Conferences • Consultations• Residency Training Programs!
– Macau, China– Almaty, Kazakhstan– Shenyang, China– Kabul, Afghanistan – Aswan, Egypt---the newest one March
2009
In His IMAGE: Disaster Relief
Rwandan Massacre
Indonesian Tsunami
Pakistan Earthquake
Myanmar Hurricane
China Earthquake
Personnel and Resources
Be Ready Always!
Long Term Missionaries
Domestic Missions
• “And who is my neighbor?”
• “…The one who had mercy on him.”
•Luke 10:29, 37• Go to the people
• Live with the people• Learn from the people• Love the people
•Pastor Wayne Gordon, Lawndale Community Church
What is the problem?
• The numbers– 40,000,000 Americans uninsured?
• The Cost – Who knows?– Multiple Billions per year– Taking care of problems after they
are advanced!– The human cost – on families
Who are the uninsured?
• Working• Poor, close to the
poverty line• Children (life long
impact)• Diverse ethnicity• Majority are U.S. citizens• Consequences
– Poor access to health care
– Higher morbidity and mortality
Community Downstream Factors!
• Use Emergency Rooms as Primary Care– Hospital Gridlock– Trauma Response– ER on divert– Hospital Financial Burden
•Increase staffing increases cost•Cost shifting increases cost for those with insurance
High percentage of Uninsured
Community & Neighborhood Clinics
• Sponsored by a whole variety of organizations
• Different times and different emphases
• Are doing some very good work that helps to plug some of the gaps in health care
What is the Real Problem?
• The “Humpty Dumpty” dilemma– Poverty– Disease– Broken Families– Hopeless Young People– Abortion– Crime and Drugs
America’s Only Hope by Dr. Anthony Evans
What is the Real Problem?
• Every societal problem has multiple causes– From our perspective, this includes
Spiritual dimension– If that is not recognized and
addressed - never solve problem !!
Why Medical Ministry to Poor
is Valuable but Not Primary
• Surveys show medical needs are not number one priority for the underserved population; usually no higher than 5 or 6
• However, when people are sick – it (temporarily) becomes number one!
What is the Answer?
• Philosophically– Start a program with a wholistic agenda– Christian Compassion
• Personal - Individual• Challenging - Based on agape principle• Spiritual - power to change
• Practically - how do you do that?
Philosophical Basis• Literature search, books
•America’s Only Hope - Dr. Anthony Evans•Beyond Charity - Dr. John Perkins•Renewing American Compassion – Dr.
Marvin Olasky
• Other resources•CMDA - Domestic Mission Commission•CCHF
– Nuts & Bolts
•Jericho Road Foundation
• Partners - especially the Church !!
Friendship Church
Philosophical Basis
• It must be excellent
• It must be rooted in prayer
• It must demonstrate the supernatural
Philosophical Basis
•It respects God as the giver and taker of life
•It occasionally confronts “the system” representing what God stands for
•Its staff must be servants of God
Different Ways to do Medical Ministry with the
Underserved•“Clinics without Walls”•Church-based clinic•Community-based clinic
staffed with volunteers•Volunteer in “Government
Agency Free Clinics”•Set up your own
Good Samaritan Health Services
Began in 1998 Early days in housing complex Cornerstone Assistance Network
(CAN): Partnering Churches together for
integrated compassion ministries Medical arm of CAN
Cornerstone Assistance Network
of Tulsa• The Tulsa Cornerstone Assistance
Network was formed to help churches– Unite the church for prayer and planning– Identify and link resources– Coordinate relational ministry
development– Establish partnerships with care
providers
Needs Assessment!• What are the Needs in YOUR
community?• How do you find a way to meet
those needs? (Hint: Mobilize “the Church”!)
• Resist the temptation to see the glass as ONLY half empty! Do a Gifts, Talents, and Abilities Assessment Survey also!
Empowerment of People
by Grace• Part I– Don’t do a needs assessment without
finding out about gifts, talents, and abilities !!
• Part II– Helping people see and use their gifts
and talents !! The church needs to be activated to do this !! Remember the Book, “Renewing American Compassion” by Olasky
Good Samaritan Health Services
• Application for medical van Mobile medical clinics Expansion from 3 sites → now 11 sites
→ soon to include new mobile unit! 501 (c) 3 nonprofit religious
organization, GSHS (Good Samaritan Health Services)
Compassionate Health Care Emphasis on Spiritual Care
Our First Van
GSHS Mission We are committed to
improving medical services for the underserved
by collaborating with the church and other community partners to provide excellent
Christ-like wholistic healthcare.
Vision StatementTo ensure that quality healthcare that addresses the whole person is
brought within reach to all underserved persons within our
community.
Project Goals• Improve Access to health services:
primary care, patient education, preventative medicine (immunizations), and eventually prenatal care.
• Demonstrate wholistic healthcare• Mobilize Christians to serve
What Kind of Care?
– Broad based primary care• Regular acute care problems• Childcare - immunizations• Chronic disease management• Assisting with meds with available samples• Building a “clinic without walls” with
potential specialty referrals
– Evaluate and meet broader non-medical needs of the patient/family
Practical Issues• Medications
– Formulary– Cooperation– Donations vs. purchase
• Referrals– Mobile partners– Clinic without walls
• Protocols
Practical Issues
•Scheduling•Triage/patient load•Equipment•Maintenance of van and
equipment
Mobile Medical Units
Practical Issues• Staff----basic staff who are paid staff• Volunteers:
– Docs•Malpractice
– Nurses– Prayer partners– Intake workers
• Site selection/ownership• Community partners
Practical Issues• Fundraising• Ministry
– Whole Person Lay Counseling Ministry (Pilot)
– CHE (Pilot)– Community Health Workers
• Chart storage/EMR
Exciting!!• Well women’s clinics• Non-mydriatic retinal camera for
screening diabetics and others• CHE• Soon to be Prenatal Clinic• Replication of “the Tulsa Model”
Mobile Van Ministry• Need a champion(s)!!• Partners in the Community: Churches!
Medical / Funding Partners!• Selection of Sites: Zip code • Banquets or Gala and Tours• MOBILE MEDICAL MINISTRIES,
International!!!! $ 100,000 Challenge Grant!
The Five Giants!
Conflicts: Man with God, Man vs ManCorrupt LeadershipPovertyDisease Ignorance
The contemporary Goliaths in our world today!!
PEACE Process• Promote Reconciliation• Equip Servant Leaders• Assist the Poor• Care for the Sick• Educate the Next Generation
» Rick Warren» Saddleback Church
PEACE Process• Promote Reconciliation• Equip Servant Leaders• Assist the Poor• Care for the Sick• Educate the Next Generation
» Rick Warren» Saddleback Church
Contact Information
Good Samaritan Health Services Michelle ScottAdministrative Assistant [email protected] or [email protected]
(918) 493-7884 x2