Date post: | 17-Dec-2015 |
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Ronald McDonald Care MobileRonald McDonald Care Mobile
Ronald McDonald House Charities-Global
Ronald McDonald House Charities-Global
Ronald McDonald House Charities of Madison
Ronald McDonald House Charities of Madison
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Toni Ellingson, ND, FNPToni Ellingson, ND, FNP
-Nurse Practitioner and Manager(Truck Driver, Mechanic, Heating and Cooling Expert, Data Entry Specialist, Dental Equipment Problem Solver, Outreach Registration Representative, Spanish Translator, Janitor,You Name It, I Do IT…)
Rockford Memorial HospitalRonald McDonald Care Mobile(815) [email protected]
-Nurse Practitioner and Manager(Truck Driver, Mechanic, Heating and Cooling Expert, Data Entry Specialist, Dental Equipment Problem Solver, Outreach Registration Representative, Spanish Translator, Janitor,You Name It, I Do IT…)
Rockford Memorial HospitalRonald McDonald Care Mobile(815) [email protected]
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Program MissionProgram Mission
Uninsured and under-servedUninsured and under-served
children living in North Central Illinois
children living in North Central Illinois
To provide medical anddental services to the
To provide medical anddental services to the
The solutionThe solution
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Population Needs Assessment
Population Needs Assessment
Improve health outcomesImprove health outcomes
Provide continuity of care Provide continuity of care
Identify, treat and refer children with chronic and / or
untreated health conditions
Identify, treat and refer children with chronic and / or
untreated health conditions
Educate children and familiesEducate children and families
Serve as an insurance enrollment pointServe as an insurance enrollment point
Identify Program Goals Identify Program Goals
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Proposed Service AreaProposed Service Area
What is your target geographic service area?
What is your target geographic service area?
Has the area been declared as an economically distressed
county/community?
Has the area been declared as an economically distressed
county/community?
What percent of the population is living at or below poverty level? What percent of the population is living at or below poverty level?
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Currently Available ServicesCurrently Available Services
What services are already available in your proposed service area?
What services are already available in your proposed service area?
-Pediatric, Internal Medicine, and Family Practice-Oral Health Services-Inpatient Services (number of hospitals/health clinics)-Sub-specialty Services-Emergency Care-School-Based Clinics-Health Education Programs-Other Mobile Healthcare Programs
-Pediatric, Internal Medicine, and Family Practice-Oral Health Services-Inpatient Services (number of hospitals/health clinics)-Sub-specialty Services-Emergency Care-School-Based Clinics-Health Education Programs-Other Mobile Healthcare Programs
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What are the reasons for not receiving proper health care in
your community?
What are the reasons for not receiving proper health care in
your community?Low provider/patient ratios
Lack of transportation to providers
Cost of care and/or lack of insurance
Language and/or cultural barriers
Population specific barriers
Little education/knowledge of health care
Lack of providers
Fear of illegal resident status
Distrust of healthcare system
Low provider/patient ratios
Lack of transportation to providers
Cost of care and/or lack of insurance
Language and/or cultural barriers
Population specific barriers
Little education/knowledge of health care
Lack of providers
Fear of illegal resident status
Distrust of healthcare system
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-What are the medical/dental needs in your community for your target population?
-What percent of the target population visits a doctor when needed?
-What percent of the target population visits a dentist every six months?
-What are the immunization rates in your community?
-What is the rate of infant mortality?
-What is the rate of low birth weight children?
-What are the medical/dental needs in your community for your target population?
-What percent of the target population visits a doctor when needed?
-What percent of the target population visits a dentist every six months?
-What are the immunization rates in your community?
-What is the rate of infant mortality?
-What is the rate of low birth weight children?
What are the key health statistics in your community?
What are the key health statistics in your community?
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What are the key health statistics in your community?
What are the key health statistics in your community?
-What other needs does the community have? (i.e.; mental health services)
-What is the incidence of chronic disease?-What is the rate of no-shows?-What is the average distance to a hospital for
community members?-What is the employment rate?-What is the homeless rate?-What is the number of single-parent families?-What is the median household income?-What is the teen pregnancy rate?-What is the high school dropout rate?-What are the most common ER diagnoses?
-What other needs does the community have? (i.e.; mental health services)
-What is the incidence of chronic disease?-What is the rate of no-shows?-What is the average distance to a hospital for
community members?-What is the employment rate?-What is the homeless rate?-What is the number of single-parent families?-What is the median household income?-What is the teen pregnancy rate?-What is the high school dropout rate?-What are the most common ER diagnoses?
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Program PartnershipsProgram Partnerships
Who will you develop partnerships with?
-Schools -Health Agencies
-Churches -Social Service Agencies
-Food Pantries -Homeless Shelters
-Health Departments -Local Businesses
Who will you develop partnerships with?
-Schools -Health Agencies
-Churches -Social Service Agencies
-Food Pantries -Homeless Shelters
-Health Departments -Local Businesses
Why did you select these groups and how do you intend to utilize the partnership?
Why did you select these groups and how do you intend to utilize the partnership?
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Potential Funding SourcesPotential Funding Sources
-Medicaid Reimbursement
-Private Insurance Reimbursement
-Federal, State and/or Local Government Funding
-Private Foundations
-Individual Donations
-Fees for Services Provided
-Medicaid Reimbursement
-Private Insurance Reimbursement
-Federal, State and/or Local Government Funding
-Private Foundations
-Individual Donations
-Fees for Services Provided
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Additional Questions to AskAdditional Questions to Ask
-Is a mobile unit more appropriate than a fixed site, satellite program, or a transportation service for patients to existing resources?
-What population do you intend to serve? (i.e.; Homeless, Migrant, Urban, Rural, Adults, Children)
-How many days do you intend to be on the road?
-What services do you intend to offer?
-How do you plan to promote the program?
-Where will your clinic sites be located?
-What additional resources do you need at your sites?
-How will your program be staffed?
-Is a mobile unit more appropriate than a fixed site, satellite program, or a transportation service for patients to existing resources?
-What population do you intend to serve? (i.e.; Homeless, Migrant, Urban, Rural, Adults, Children)
-How many days do you intend to be on the road?
-What services do you intend to offer?
-How do you plan to promote the program?
-Where will your clinic sites be located?
-What additional resources do you need at your sites?
-How will your program be staffed?
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Data Collection and Outcomes Measurement
Data Collection and Outcomes Measurement
Why is it important?Why is it important?
-Demonstrates worth of program to financial supporters and community members
-Allows for analysis to improve services, cost-effectiveness and quality of care provided
-Improves trust in community partnerships
-Demonstrates worth of program to financial supporters and community members
-Allows for analysis to improve services, cost-effectiveness and quality of care provided
-Improves trust in community partnerships
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How do you collect the information?
How do you collect the information?
Develop a
COMPREHENSIVE
Patient Registration Form
Develop a
COMPREHENSIVE
Patient Registration Form
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Data Collection ConsiderationsData Collection Considerations
-Will you have the use of a portable laptop for registration and data collection?
-If not, a single registration sheet that contains space for outcome information in addition to demographics will minimize paperwork and ease data entry at a later time
-Where will you store and manage your data? Do you have an IT person who will help or knowledge of a database program such as Microsoft Access?
-Will you have the use of a portable laptop for registration and data collection?
-If not, a single registration sheet that contains space for outcome information in addition to demographics will minimize paperwork and ease data entry at a later time
-Where will you store and manage your data? Do you have an IT person who will help or knowledge of a database program such as Microsoft Access?
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Our Patient Registration Form Includes:
Our Patient Registration Form Includes:
Encounter InformationEncounter Information
Date, Time, Type of Visit, Location, Service Provider, Outreach Worker, First Visit to Mobile Unit?Date, Time, Type of Visit, Location, Service Provider, Outreach Worker, First Visit to Mobile Unit?
Patient DemographicsPatient Demographics
-Name - DOB
-Gender -SSN (?)
-Address -Phone Number
-Emergency Contact -Guardian Info
-Primary Language - Race/Ethnicity
- Insurance Coverage -All Kids Enrollment
- Employment Status -Primary Care/Dentist Info
-Name - DOB
-Gender -SSN (?)
-Address -Phone Number
-Emergency Contact -Guardian Info
-Primary Language - Race/Ethnicity
- Insurance Coverage -All Kids Enrollment
- Employment Status -Primary Care/Dentist Info
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Care Mobile Registration Form, cont’d
Care Mobile Registration Form, cont’d
-Reasons for Visit-Reasons for Visit
-Patient reason for visit: What brings you here today?
-How did you find out about the Care Mobile?
-Why did you choose the Care Mobile for service?
-When was your last visit to a primary care provider or dentist? (0-6 mo, 6-12 mo, 1-2 yrs, over 2 yrs, never)
-If the Care Mobile were not available, where would you seek care?* (Avoided ER visit?)
-Patient reason for visit: What brings you here today?
-How did you find out about the Care Mobile?
-Why did you choose the Care Mobile for service?
-When was your last visit to a primary care provider or dentist? (0-6 mo, 6-12 mo, 1-2 yrs, over 2 yrs, never)
-If the Care Mobile were not available, where would you seek care?* (Avoided ER visit?)
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Care Mobile Registration Form, cont’d
Care Mobile Registration Form, cont’d
Clinical Assessment and Outcomes Clinical Assessment and Outcomes
-Medical Visit: Acute (Emergent/Non-Emergent)Chronic (Emergent/Non-Emergent)Well CarePhysical ExamImmunizationLab Work
-Dental Visit: Preventative (exam, cleaning, fluoride, x-ray, sealants)Restorative (filling, extraction, pulp, etc)Emergency (abscess, etc)
-Medical Visit: Acute (Emergent/Non-Emergent)Chronic (Emergent/Non-Emergent)Well CarePhysical ExamImmunizationLab Work
-Dental Visit: Preventative (exam, cleaning, fluoride, x-ray, sealants)Restorative (filling, extraction, pulp, etc)Emergency (abscess, etc)
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Care Mobile Registration Form,
cont’d
Care Mobile Registration Form,
cont’d
Clinical Assessment and OutcomesClinical Assessment and Outcomes
-Did this visit avoid an Emergency Room encounter?
-Was the patient referred for follow-up care?
-Where referred and date of appointment?
-Did this visit avoid an Emergency Room encounter?
-Was the patient referred for follow-up care?
-Where referred and date of appointment?
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Outcomes MeasurmentOutcomes Measurment
Key Outcomes to MeasureKey Outcomes to Measure
-General Patient Demographics-Statistics of Care Given-Cost of Services Provided-Avoided Emergency Room Visits-Site Specific Statistics
-***Patient Satisfaction ***-Single sheet completed after visit and put in a drop box or mailed back later
-General Patient Demographics-Statistics of Care Given-Cost of Services Provided-Avoided Emergency Room Visits-Site Specific Statistics
-***Patient Satisfaction ***-Single sheet completed after visit and put in a drop box or mailed back later
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The Ronald McDonald Care Mobile
does not replace
the office of either the doctor
or the dentist.
The Ronald McDonald Care Mobile
does not replace
the office of either the doctor
or the dentist.
Rather ….. Rather …..
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Ronald McDonald Care Mobile
Ronald McDonald Care Mobile
Ronald McDonald House Charities-Global
Ronald McDonald House Charities-Global
Ronald McDonald House Charities of Madison
Ronald McDonald House Charities of Madison