“Dedicated to optimizing the health of the most vulnerable in Central Ohio”

All Staff Meeting

April 10, 2013

Low Income, Uninsured Patients (Franklin County)

Medical Interpreters

Prescription Drug Program (up to $10 patient copay for

30 day supply)

Patient Transportation

Eyeglasses($30 for VCN patients)

Linkage with community bases social service

Volunteer Doctors1000+ Central Ohio primary/specialty care doctors and dentists

13 Franklin County Hospitals – provide lab, surgery, diagnostic services

Ancillary Services

Community Health Centers(includes federally qualified health centers, hospital based and other non-profit primary care practices that offer a sliding fee and provide continuity of care.)

Other Free Clinics

Health status

Access to care Emergency Room Utilization

Physicians CareConnection Overview

VCN ID card

Member ID: 99001000 Expires: 01/01/2006John Doe123 East Main StColumbus, OH 43205

Medical Home:Primary Care Doctor/Practice*Services do not include emergency/urgent care.

RxBin 003585 PCN/Rx Carrier/Group # 23527

Care Coordination Team

Patient Eligibility Screening Uninsured Family income <= 200% federal poverty level Not eligible for private or public insurance

(Medicaid, Medicare, Veterans Affairs Benefits (VA))

Patient has to have a medical home and a diagnosed specialty need.

(patients required to re-enroll every 12 months)

Provision of primary ,specialty care , and dental services.Coordinates specialty referrals, appointments, and ancillary services and facilitates the exchange of medical information between providers.Front Door – Ophthalmology, Colorectal Cancer Screening, Dental

Voluntary Care Network Providers

Outcom

es

Coordinates Lab, Diagnostic, and Surgery through hospital systems

20 years of service!

2012 Results

MeasurementResults2012

Results2011

Number of vulnerable people helped by coordinating and connecting health care safety-net services 4,335 4,046

Number of people who acquired insurance coverage 101 62

Doctors participating 1,189 1,182

Hospitals participating 13 13

Medical diagnostic and specialty care visits coordinated 4,137 3,817

Primary care visits coordinated 1,571 1,778

Dental visits coordinated 182 0

Affordable prescription drugs coordinated 10,913 10,236

Transportation for health services coordinated (One way trips) 1,611 1,495

Medical interpretation sessions for health services coordinated 1,673 967

Reported patient no-show rate (office visits) 5.6% 5.9%

2012 Patient Demographics

45%55

%

Gender

Male Female

4 to 12

13-15

16-19

20-24

25-34

35-54

55-64

65-84

85+

0 500 1000 1500 2000 2500

5

4

27

151

613

2107

1172

251

5

Age

Number of Patients

Age

2012 Patient Demographics, con’t

Cau-casian/White30%

Black/African American41%

American Indian/

Alaska Na-tive0%

Asian3%

Other Race4%

Unknown1%

Hispanic20%

Race/Ethnicity

FRANKLIN COUNTY

DELAWARE COUNTY43004 Blacklick 61 43003 Ashley 143016 Dublin W 31 43015 Delaware 1543017 Dublin S 20 43021 Galena 543026 Hilliard 48 43035 Lewis Center 643054 New Albany 3 43061 Ostrander 443068 Reynoldsburg 135 43065 Powell 843081 Westerville S 49 43074 Sunbury 343085 Worthington 37 43082 Westerville N 643110 Canal Winchester 67 43119 Galloway 44 FAIRFIELD COUNTY43123 Grove City 83 43102 Amanda 243125 Groveport 34 43105 Baltimore 443126 Harrisburg 1 43130 Lancaster 143137 Lockbourne 6 43147 Pickerington 2443201 Near North 73 43202 Clintonville 49 KNOX COUNTY43203 Mount Vernon 58 43014 Danville 143204 Hilltop 190 43205 Near East 141 LICKING COUNTY43206 German Village 188 43013 Croton 243207 South 342 43018 Etna 243209 Bexley 70 43025 Hebron 143210 OSU 8 43031 Johnstown 143211 Linden 133 43062 Pataskala 843212 Grandview 23 43213 Whiltehall 289 MADISON COUNTY43214 Beechwold 45 43064 Plain City 443215 Downtown 95 43140 London 243217 Far South 15 43219 North East 196 PICKAWAY COUNTY43220 Arlington NW 32 43146 Orient 443221 Upper Arlington 32 43164 Williamsport 143222 Near West 28 43223 Southwest 149 UNION COUNTY43224 Oakland Park 268 43040 Marysville 443227 Southeast 189

43228 Far West 20943229 Far North 28043230 Gahanna 6943231 North 8343232 Far East 26843235 W Worthington 60

CARE COORDINATION Vision Services

OSU Eye Clinic• Every last Tuesday of every other

month

Prevent Blindness Ohio• Trained Vision Screener• Vision Vouchers

Ohio Penal Industries

684 Ophthalmology appointments

Added low vision services at the PFC

CARE COORDINATION Preventative Colorectal Cancer Screening Initiative

Colorectal Cancer• Second leading cause of cancer death• Disproportionate number of advanced

cancers are found in uninsured population

Community Health Centers

Ohio Gastroenterology, Inc• 126 colonoscopies performed• 3 patients with cancer

Colonoscopy Preparation• Free for patients with financial barrier

CARE COORDINATIONDental Initiative

Central Ohio Hospital Council• 4 out of 10 ER visits are for dental

issues

Columbus Neighborhood Health Centers• 26 chairs/ 3 operatories

Columbus Dental Society• Volunteer Dentist (6 month trial)

Columbus Public Health

Central Ohio Hospitals• $25,000 /2 year commitment

First clinic – June 2012 (single tooth extractions)• 182 patients seen to date

Columbus Dental Society• 34 Dentist Volunteers

Columbus Public Health• Every 2nd and 4th Monday

Affordable Care Act (ACA) Scenarios

6%

38%

7%

49%

Current Safety Net

Commercial

Medicaid*

Medicare*

Uninsured

* “wrap around” payment for FQHCs

13%

38%

7%

42%

With Exchange?

13%

54%7%

26%

With Exchange & Expanded Medicaid?

•Community Care Coordination Opportunities/Pilots

•Health Insurance Exchange

•Advance Current Model of Care(front door)

•Physicians Free Clinic

•Voluntary Care Network

•OSU Eye Clinic

•Preventative Colorectal Cancer Initiative

•Dentists CareConnection

Continue providing direct services(2013 - 2014)

•Annual Community Report

•Outcomes Reporting•Newspaper Articles, Media, etc.

•Explore Fundraising Campaign

• Identify New Funding Partners (Business community, Government, etc.)

•Care Coordination Opportunities

•Launch recruitment campaign (Physicians Advisory Group)

• Improve clinic efficiencies

•Update Technology

REMOVE BARRIERS TO ACCESSING

HEALTHCARE FOR VULNERABLE PEOPLE

IN CENTRAL OHIO

REBUILD OUR VOLUNTEER

PROVIDER NETWORKEXPLORE NEW AVENUES TO

GENERATE REVENUE

INCREASE AWARENESS ABOUT

THE POSITIVE IMPACT OF OUR WORK; AND

CLARIFY OUR ROLE IN THE COMMUNITY

•What would it take to become a Medicaid Provider?

Explore Public Insurance Option(2014 - beyond)

2013

STR

ATEG

IES

2013

STR

ATEG

IES

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QUESTIONS