December 8, 2006 December 8, 2006 New Hanover County New Hanover County Cape Fear Cape Fear HealthNet HealthNet CFHN CFHN
December 8, 2006December 8, 2006
New Hanover CountyNew Hanover County
Cape Fear HealthNetCape Fear HealthNetCFHNCFHN
Mission Mission Create a coordinated system of Create a coordinated system of
healthcare for the uninsured in healthcare for the uninsured in Brunswick and New Hanover counties.Brunswick and New Hanover counties.
Increase the capacity of healthcare safety net Increase the capacity of healthcare safety net providers to ensure that low income residents providers to ensure that low income residents have access to a medical home, receive have access to a medical home, receive preventive services, avoid unnecessary health preventive services, avoid unnecessary health complications, and enjoy a better, healthier complications, and enjoy a better, healthier quality of life.quality of life.
HistoryHistory
Rebirth of Cape Fear Healthy CaroliniansRebirth of Cape Fear Healthy Carolinians Community Assessment SurveysCommunity Assessment Surveys Community Issues IdentifiedCommunity Issues Identified
Chronic DiseaseChronic Disease Injury PreventionInjury Prevention Access to HealthcareAccess to Healthcare
Former Name… Former Name… “The Access Subcommittee”“The Access Subcommittee”
Proposed Target PopulationProposed Target Population Adults-Adults- 200% Federal Poverty Level 200% Federal Poverty Level
(FPL)(FPL) Children- 250% FPLChildren- 250% FPL
AdultsAdults Children Children TotalTotal BrunswickBrunswick 7,179 7,179342342 7,521 7,521 New Hanover 14,298New Hanover 14,298 624624 14,922 14,922
Tileston Outreach ClinicTileston Outreach Clinic Location: 320 S. 5Location: 320 S. 5thth
St. WilmingtonSt. Wilmington Free ClinicFree Clinic <=150% FPL<=150% FPL Serve UninsuredServe Uninsured Moving to New Moving to New
LocationLocation New Patients- New Patients-
Wednesdays OnlyWednesdays Only
Good Shepherd MinistriesGood Shepherd Ministries
Location: 811 Martin Location: 811 Martin St. WilmingtonSt. Wilmington
Free ClinicFree Clinic Serve Homeless, Serve Homeless,
UninsuredUninsured Nurse Clinic - Nurse Clinic -
20 hours/week20 hours/week
New Hanover Community Health New Hanover Community Health CenterCenter
Location: 925 4Location: 925 4thth St. St. WilmingtonWilmington
<=200% FPL <=200% FPL Sliding Fee ScaleSliding Fee Scale Serve Insured and Serve Insured and
UninsuredUninsured Capacity for New Capacity for New
PatientsPatients
Wilmington Health Access for Wilmington Health Access for TeensTeens
Location: 4005 Location: 4005 Oleander Drive Oleander Drive WilmingtonWilmington
1,200 Uninsured 1,200 Uninsured Teens Teens
Serve Insured and Serve Insured and Uninsured Uninsured
Capacity for New Capacity for New Patients Patients
New Hanover Health DepartmentNew Hanover Health Department
Location: 4005 Oleander Dr. WilmingtonLocation: 4005 Oleander Dr. Wilmington <=250% FPL<=250% FPL Sliding Fee ScaleSliding Fee Scale Serve Insured and UninsuredServe Insured and Uninsured No Primary Care Services No Primary Care Services
NHRMC OP ClinicsNHRMC OP Clinics
Location: Zimmer Bld. Location: Zimmer Bld. NHRMC WilmingtonNHRMC Wilmington
8-9 Month Wait List8-9 Month Wait List <=200% FPL<=200% FPL Serve Insured and Serve Insured and
UninsuredUninsured
Coastal Family MedicineCoastal Family Medicine
Location: 2523 Location: 2523 Delaney Road Delaney Road WilmingtonWilmington
2-3 Month Wait List2-3 Month Wait List <=200% FPL<=200% FPL Serve Insured and Serve Insured and
UninsuredUninsured
Provider ValueProvider Value An Established, Clear An Established, Clear
System of CareSystem of Care Provider Control Over Provider Control Over
ParticipationParticipation Free Marketing for Free Marketing for
Paying PatientsPaying Patients Paying Patient Paying Patient
ReferralsReferrals
Provider ValueProvider Value Equitable Distribution Among Equitable Distribution Among
ProvidersProviders Documented Charity Care Documented Charity Care Case Management Services- Case Management Services-
Reduce Unnecessary Health Reduce Unnecessary Health ComplicationsComplications
Discounted Education CreditsDiscounted Education Credits Favorable Recognition as a Favorable Recognition as a
Caring ProfessionalCaring Professional
Present GoalsPresent Goals Invest In Safety Net Agencies; Invest In Safety Net Agencies;
Family Nurse Practitioner.Family Nurse Practitioner. Recruit Specialty Care Physicians to Recruit Specialty Care Physicians to
Provide Services.Provide Services. Navigator / Enrollment Specialist Started Navigator / Enrollment Specialist Started
November 2006.November 2006. Market to Medical Providers, Service, and Market to Medical Providers, Service, and
Faith Organizations.Faith Organizations. Establish Medical, Advisory Committees.Establish Medical, Advisory Committees.
Care SystemCare System1.1. Safety Net Agencies Provide Primary Safety Net Agencies Provide Primary
Care; Recruit Specialty Care Physicians Care; Recruit Specialty Care Physicians ++
2.2. Contributed Diagnostic, Laboratory, and Contributed Diagnostic, Laboratory, and Pharmacy Services from Additional Pharmacy Services from Additional Healthcare ResourcesHealthcare Resources
==Healthcare System for UninsuredHealthcare System for Uninsured
Project Access NetworksProject Access Networks
North CarolinaNorth Carolina - 9 Networks- 9 Networks BCMS Project Access BCMS Project Access AshevilleAsheville MCMS Reach Out MCMS Reach Out CharlotteCharlotte Project Access Greater GreensboroProject Access Greater Greensboro GreensboroGreensboro HCSI, Inc. HCSI, Inc. GreensboroGreensboro HealthAssistHealthAssist GreenvilleGreenville Healthy AccessHealthy Access HendersonHenderson Project Access of Wake Co.Project Access of Wake Co. RaleighRaleigh Appalachian Healthcare ProjectAppalachian Healthcare Project BooneBoone Toe River Project AccessToe River Project Access Spruce PineSpruce Pine
Buncombe Project AccessBuncombe Project Access
Asheville, NCAsheville, NC Buncombe County Buncombe County
Medical Society Medical Society In Operations 10 YearsIn Operations 10 Years ~3,000 Patients Enrolled~3,000 Patients Enrolled https://www.projectaccessonline.org/pa/pp/https://www.projectaccessonline.org/pa/pp/
Alliance Medical MinistryAlliance Medical Ministry Raleigh, NCRaleigh, NC Doctors’ Salaries? Doctors’ Salaries?
20% Grants 20% Grants 50% Individual Donors 50% Individual Donors 10% Churches10% Churches 20% Corporate / 20% Corporate /
Hospital DonationsHospital Donations No Federal, State, County $$ No Federal, State, County $$ http://http://
www.alliancemedicalministry.org/index.htmwww.alliancemedicalministry.org/index.htm
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