Item I3
Feb 07 01 03:15p
MARK L. SZUREK, Ph.D.
305-293-7573
p. 1
Rural Health .
Network
~If'.'
iitj{
RURAL HEALTH NETWORK OF MONROE COUNTY, flORIDA, INC.
P.O.80X 4966, KEY WEST, Fl. 33041-4966
Funded In part by the Florida Department of Health i
February 7,2001
Mr. James Roberts, Administrator
Monroe County
5100 College Road
Key West, R. 33040
Dear Mr. Roberts:
Please consider this a request to be placed on the agenda for the upcoming February Board of
County Commissioners Meeting. ;
The purpose for this request is to provide the COmmission With an upd~te on the indigent care
needs throughout Monroe County. This is in response to the Commissibn's request to be updated
periodically on the activities of the Ufelines Medi-van. We anticipate ~ time needed for our
presentation to be 10 minutes. If it is possible to give us an approxim~te time for this request we
would be grateful. :
Thanking you in advance, I remain,
Sincerely,
;:# /')
Mark.L~.D.
Executive Director
ExeCUTIVE DIRECTOR, COMMUNITY OUTREACH DIRECTOR, HUMAN SERVICES DIRECTOR, FINANCE DIRECTOR
VOICE 305-293-7570; FAX 305-293-7573; i
KIDCARE DIReCTOR-vOICE 305-517-9002; FAX 305-517-9004, UF!l1NES MEDt-VAN 305-797-4104
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Prim ary Care Update
.
. Rural Health Network of Monroe
: Connty, FL, Inc.
· ./ Our Objectives in this presentation. . .
.
. Provide an oveniew of our accompUshments
. in serving the primary heaIthcare needs of
. the uninsured in Monroe COlD1ty.
Initiate a dialogue about the future and the
need to sustaJn our efforts.
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Rural Health Network of
Monroe County, FL, Inc.
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. Rural Health Network of Monroe
: Connty, FL, Inc.
· ./ Assessment of primary care availability
: for the uninsured in Monroe County. . .
. We are one oCthe few, If not the only county
. in the State of Florida, without a rural health
. clinic (federally designated) and/or a
. co1lfRfll1lif:Y health center network.
· Until August 1999 there were no primary
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. care senices available for the uninsured,
. outside of Key West.
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. Rural Health Network of Monroe
: Connty, FL, Inc.
· ./Why are we involved in primary care?
: Rural Networks are required by Florida
. Statute (381.0406) to address gaps in
. health care in their respective areas.
: ./In Monroe County, a disparity with
. regard to access to health care exists
. between those able to afford healthcare
· and low income households. (25%
· without health insurance)AHCA__
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. Rural Health Network of Monroe
: Connty, FL, Inc.
. . RHNMC primary care services began in August
. 1999 through a partnership that included
. Monroe County Government, the Monroe
. County Health Department, Florida Keys AIlEC
. and the U.S. Department orlRJD
. . Since that time the partnership has expanded to
. include Catholic: Charities or Greater Miami and
. the Health Resources and Servk:es
. Administration (U.S. Department orHHS)
. . Local support has also been received from
. numerous civic and charitable organizations, as
. well as Individuals in this county.
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. Rural Health Network of Monroe
: Connty, FL, Inc.
· ./Methodology:
: RHNMC has successfully used a medicaUy
. equipped mobile van to facilitate healthcare
. access throughout Monroe County, at five
. sites. We anticipate the start up of a second
. mobile van within the nen sixty days.
· For almost one year we have been your
· guests at the Ruth Ivins Center for Public
· Health, providing primary care each
.
. Wednesday to the Middle Keys Conununity.
1
: Rural Health Network of Monroe
: County, FL, Inc.
e/ Since August 1999, RHNMC . . .
· . Has seen over 5,000 unduplkated clients fur
· primary care;
· . Has experienced over 8,000 clinic visits,
· . And provided over 11,000 clinical services.
.
.' Racial and Ethnic utilization of our services more
. than adequately reRect the demographics orthis
. county.
.
:f Over 95010 of our cUents self report income of
. 520,000 per year, or Iess.
: Rural Health Network of Monroe
: County, FL, Inc.
· ./But What About The Future?
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. . Most grants from the Federal government are
. one- time awards;
. . State IIIndlng for health is highly competitive and
. dlmcult to obtain;
. . Foundation awards also tend to be one time
. allocations.
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. All of them require a plan for sustainablllty
that Includes evidence oflocal support (from
government and the community).
: Rural Health Network of Monroe
: County, FL, Inc.
. ./ Community Support
. . RHNMC has been successful in obtaining
. contributions from local charitable
· organizations and individuals.
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. . RHNMC has instituted a client co-pay for
. its healthcare services. (No client is denied
. services due to an inability to pay;
. RHNMC has fadlitated over 525,000 in
. the past year, in phannaceutical
. assistance through its grants and relief
. programs.)
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tV Our Commitment:
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Rural Health Network of Monroe
County, FL, Inc.
To remain partners with Monroe
County Government in the provision of
healthcare for those most in need;
To be accountable for what we do . . .
to our contributors, to local
government and to the people we senre.
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· ./What About The Future?
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Rural Health Network of Monroe
County, FL, Inc.
. Federal funding to communities appears to
be shrinking. Grant applications now
require evidence of local coalitions and
"networks" that must share allocations
among themselves, as well as Match, where
Match was not a requirement.
. The State of Florida is proposing to reduce its
allocations to healthcare BY ANOTHER lO%.
. FedotU tuul Sttlte movement _1UtIQ
increud Ioctd.. on.
: Rural Health Network of Monroe
: County, FL, Inc.
· ./ Local Government Support. . .
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. . BOCC awarded 550,000 to RHNMC In 1998
. . BOCC allocated space in the Ruth Ivins Center
. for Public Health to RHNMC fur indigent
. healthcare.
. . BOCC awarded 525,000 to RHNMC in 2000
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: THANK YOU
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. Rural Health Network of Monroe
: County, FL, Inc.
· ,{ OUR CHALLENGES
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. To dIstinguJsh our role and needs from
those of the local health department.
. To begin a dialogue with local county
government about our sustaJnIng needs in
providing health care. How do we convince
you that we need on-going financilll support
for healthcare?
. To obtain support from local
municipalities. How do we convince them?
3
STATISTICAL SUMMARY
AUGUST 30, 1999 TO AUGUST 29, 2000
TOTAL # OF VISITS: 5382 GEOGRAPHIC LOCATIONS (# OF PEOPLE SEEN) :
TOTAL # OF CLIENTS: 3095 UPPER KEYS 1115
ADUL TS 2171 MIDDLE KEYS 775
CHILDREN 924 LOWER KEYS 1214
SEX: TOTAL # OF HOMELESS: 599
MALE 1369 UPPER KEYS 141
FEMALE 1726 MIDDLE KEYS 157
LOWER KEYS 301
RACE: # OF HOMELESS VISITS 1368
ASIAN 20
BLACK 208 TOTAL # OF PEOPLE LIVING ON BOATS: 132
HISPANIC 590
WHITE 2277 TOTAL # OF VETERANS: 68
EDUCATION: (ADULTS ONLY) TOTAL # OF PEOPLE WITH HEALTH INSURANCE: 322
NO CERT IDIPLOMA 450
GED 174 TYPE OF HEALTH INSURANCE:
HIGHSCHOOL 1158 HMO 26
ASSOCIA TES 218 MEDICAID 81
BACHELORS 148 MEDICARE 35
MASTERS 26 MILITARY 13
Ph.D. 4 PRIVATE 132
S5I 15
INCOME LEVELS: (ADULTS ONLY) OTHER 20
0-4999 499
5000-9999 487 WHEN LAST DR. 's VISIT WAS:
10000-14999 552 LESS THAN ONE MONTH 330
15000-19999 327 1-3 MONTHS 496
20000-29999 230 4-6 MONTHS 523
30000-39999 36 7-12 MONTHS 427
40000-49999 17 1-2 YEARS 901
50000 PLUS 17 3-5 YEARS 275
6-10 YEARS 96
EMPLOYED: (ADULTS ONLY) NEVER 37
YES 1266
NO (INCLUDES RETIREES) 805 WHERE LAST DR.'S VISIT OCCURRED:
EMERGENCY ROOM 441
EMPLOYMENT TYPE: HEAL TH DEPARTMENT 225
SELF 266 LOCAL DOCTOR 1429
EMPLOYER 1000 NO SERVICE 37
OUT OF TOWN 922
EMPLOYMENT TIME: VA 41
FULL TIME 736
PART TIME 533
FULL TIME PLUS 3
SERVICES RENDERED
AUGUST 30,1999 TO AUGUST 29,2000
A B
1 SERVICE # OF SERVICES
2 BLOOD WORK 628
3 BREAST EXAM 166
4 CANCER SCREENING 45
5 CARDIAC 56
6 COUNSELING 743
7 DIABETES 39
8 EAR/THROAT 344
9 ENDOCRINE 33
10 FAMILY PLANNING SERVICES/PREGNANCY TESTS 153
11 FEVER 27
12 FOLLOW UP VISIT 467
13 FOREIGN BODY REMOVAL 34
14 GASTROINTESTINAL EXAM 78
15 GENERAL PELVIC 358
16 GENERAL PHYSICAL 1283
17 GYN WET MOUNT 21
18 HIV TESTS 203
19 HYGIENE KIT 89
20 HYPERTENSION 216
21 IMMUNIZA TIONS 744
22 INFECTION-EYE* 34
23 INFECTION-INTERNAL 190
24 INFECTION-SKIN 317
25 INFLUENZA 57
26 LICE/SCABIES 18
27 MENTAL HEAL TH/DEPRESSION* 26,
28 MISC. LAB TESTS 268
29 NEUROLOGICAL EXAM 45
30 ORTHOPEDICS 205
31 PAPSMEAR 392
32 PHARMACUETICAL HELP 1450
33 RASH* 75
34 RESPIRA TORY 241
35 SUTURES 8
36 VISION/HEARING SCREEN 24
37 WOUND CARE 198
38 TOTAL # OF SERVICES 9275
39 * INDICATES NEW CATEGORY
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