1. December 8, 2006December 8, 2006
New Hanover CountyNew Hanover County
Cape Fear HealthNetCape Fear HealthNet
CFHNCFHN

2. MissionMission
 Create a coordinated system ofCreate a coordinated system of
healthcare for the uninsured inhealthcare for the uninsured in
Brunswick and New Hanover counties.Brunswick and New Hanover counties.
 Increase the capacity of healthcare safety netIncrease the capacity of healthcare safety net
providers to ensure that low income residentsproviders to ensure that low income residents
have access to a medical home, receivehave access to a medical home, receive
preventive services, avoid unnecessary healthpreventive services, avoid unnecessary health
complications, and enjoy a better, healthiercomplications, and enjoy a better, healthier
quality of life.quality of life.

3. 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”

4. Proposed Target PopulationProposed Target Population
 Adults-Adults- 200% Federal Poverty Level (FPL)200% Federal Poverty Level (FPL)
 Children- 250% FPLChildren- 250% FPL
AdultsAdults ChildrenChildren TotalTotal
 BrunswickBrunswick 7,1797,179 342342 7,5217,521
 New Hanover 14,298New Hanover 14,298 624624 14,92214,922

5. 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 NewMoving to New
LocationLocation
 New Patients-New Patients-
Wednesdays OnlyWednesdays Only

6. Good Shepherd MinistriesGood Shepherd Ministries
 Location: 811 MartinLocation: 811 Martin
St. WilmingtonSt. Wilmington
 Free ClinicFree Clinic
 Serve Homeless,Serve Homeless,
UninsuredUninsured
 Nurse Clinic -Nurse Clinic -
20 hours/week20 hours/week

7. New Hanover Community HealthNew Hanover Community Health
CenterCenter
 Location: 925 4Location: 925 4thth
St.St.
WilmingtonWilmington
 <=200% FPL<=200% FPL
 Sliding Fee ScaleSliding Fee Scale
 Serve Insured andServe Insured and
UninsuredUninsured
 Capacity for NewCapacity for New
PatientsPatients

8. Wilmington Health Access forWilmington Health Access for
TeensTeens
 Location: 4005Location: 4005
Oleander DriveOleander Drive
WilmingtonWilmington
 1,200 Uninsured1,200 Uninsured
TeensTeens
 Serve Insured andServe Insured and
UninsuredUninsured
 Capacity for NewCapacity for New
PatientsPatients

9. 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 ServicesNo Primary Care Services

10. 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 andServe Insured and
UninsuredUninsured

11. Coastal Family MedicineCoastal Family Medicine
 Location: 2523Location: 2523
Delaney RoadDelaney Road
WilmingtonWilmington
 2-3 Month Wait List2-3 Month Wait List
 <=200% FPL<=200% FPL
 Serve Insured andServe Insured and
UninsuredUninsured

12. Provider ValueProvider Value
 An Established, ClearAn Established, Clear
System of CareSystem of Care
 Provider Control OverProvider Control Over
ParticipationParticipation
 Free Marketing forFree Marketing for
Paying PatientsPaying Patients
 Paying PatientPaying Patient
ReferralsReferrals

13. Provider ValueProvider Value
 Equitable Distribution AmongEquitable Distribution Among
ProvidersProviders
 Documented Charity CareDocumented Charity Care
 Case Management Services-Case Management Services-
Reduce Unnecessary HealthReduce Unnecessary Health
ComplicationsComplications
 Discounted Education CreditsDiscounted Education Credits
 Favorable Recognition as aFavorable Recognition as a
Caring ProfessionalCaring Professional

14. Present GoalsPresent Goals
 Invest In Safety Net Agencies;Invest In Safety Net Agencies;
Family Nurse Practitioner.Family Nurse Practitioner.
 Recruit Specialty Care Physicians toRecruit Specialty Care Physicians to
Provide Services.Provide Services.
 Navigator / Enrollment Specialist StartedNavigator / Enrollment Specialist Started
November 2006.November 2006.
 Market to Medical Providers, Service, andMarket to Medical Providers, Service, and
Faith Organizations.Faith Organizations.
 Establish Medical, Advisory Committees.Establish Medical, Advisory Committees.

15. Care SystemCare System
1.1. Safety Net Agencies Provide PrimarySafety Net Agencies Provide Primary
Care; Recruit Specialty Care PhysiciansCare; Recruit Specialty Care Physicians
++
2.2. Contributed Diagnostic, Laboratory, andContributed Diagnostic, Laboratory, and
Pharmacy Services from AdditionalPharmacy Services from Additional
Healthcare ResourcesHealthcare Resources
==
Healthcare System for UninsuredHealthcare System for Uninsured

16. Project Access NetworksProject Access Networks
 North CarolinaNorth Carolina - 9 Networks- 9 Networks

BCMS Project AccessBCMS Project Access AshevilleAsheville

MCMS Reach OutMCMS 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

17. Buncombe Project AccessBuncombe Project Access
 Asheville, NCAsheville, NC
 Buncombe CountyBuncombe County
Medical SocietyMedical 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/

18. Alliance Medical MinistryAlliance Medical Ministry
 Raleigh, NCRaleigh, NC
 Doctors’ Salaries?Doctors’ Salaries?

20% Grants20% Grants

50% Individual Donors50% 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

19. Feedback / InputFeedback / Input