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Virginia Association of Free Clinics


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Information about VAFC, its members and the people they serve.

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Virginia Association of Free Clinics

  1. 1. Free Clinics – The Exploding Needs in a Struggling Economy<br />Louis M. Markwith<br />Virginia Association of Free Clinics<br />November 15, 2009<br />
  2. 2. Outcomes<br /> “I had to quit my job due to not being able to function appropriately on a daily basis. That was hard for me to face being at a free clinic. The staff listened and immediately began a treatment plan of blood work, and routine x-ray, followed by a CT scan, and within two days I was diagnosed with cancer.  I cannot imagine what would have happened to me without their expertise and quickness. I commend all the staff and thank God for having their support in our community and for myself. It is a relief to have the clinic by my side during this fight for life.”<br /> <br />- Words from an Augusta Regional Free Clinic Patient<br />
  3. 3. People we serve<br />“Free Clinic patients are people who are at, or below, 200% of the Federal Poverty Level and cannot afford to purchase Health Insurance.”<br />
  4. 4. What is Free Clinic<br />“a private, nonprofit, community or faith-based organization whose primary mission is to provide health care services free” …<br /> “a facility that provides diagnosis and treatment of patients and maintains patients’ records.Volunteer health professionals provide a significant portion of health care services.”<br />
  5. 5. Current Climate<br />There 650,000 people in Virginia who would qualify for services from the Health Safety Net.<br />Free Clinics and Community Health Centers served approximately 155,000 qualified patients in FY2009.<br />Current Health Care reform will reduce the number of people who will be uninsured in Virginia. The number is fluid as this time.<br />Gaps will continue to exist as there are not enough<br /> trained medical professionals in current educational<br /> programs to meet the demand for service.<br />
  6. 6. Patient Conditions<br /> Jane came to the Free Clinic with an open sore on her leg. The Free Clinic tested the site and it was determined to the Methicillin Resistant Staphlycoccus Aureus (MRSA). She was treated by Free Clinic providers.<br />
  7. 7. Unduplicated Patients<br />
  8. 8. Free Clinic Vs. CHC<br />Free Clinic<br />95% Volunteer Staff<br />80% Operational Funding<br /> Community Based <br />20% State Funding<br />No Insurance Reimbursement<br />No Patient Fees<br />Donations requested <br />Community Health Ctr.<br />Full Time Staff<br />Billing of Medicare, Medicaid, Private Ins.<br />Federally Chartered and Subsidized<br />Patients without insurance charged on a sliding scale<br />
  9. 9. Patient Visits<br />
  10. 10. Patient conditions<br /> Gary came to the Free Clinic with abdominal pain. He was found to have an abdominal aortic aneurysm measuring over five centimeters. He was scheduled for surgery.<br /> <br />
  11. 11. Prescriptions Dispensed<br />
  12. 12. Member Clinic Growth<br />
  13. 13. Existing Clinics<br />New Members<br />Applicants<br />Newly Established<br />
  14. 14. Chronic Conditions<br />Diabetes<br />Hypertension<br />Depression/Anxiety<br />Dyslipidemia<br />Asthma<br />Cardiovascular Disease<br />Obesity<br />
  15. 15. Accreditation<br /><ul><li>Concept development 2004-06
  16. 16. Program design and testing 2007-08
  17. 17. Implementation - December 2008
  18. 18. Outcomes:
  19. 19. Consistent Program Quality
  20. 20. Procedure Standards
  21. 21. Accountability
  22. 22. Seven Clinics Accredited, Three in the queue for testing</li></li></ul><li>Medications/Pharmacy<br />Return on Investment<br /> State Investment $1,321,400<br /> Clinic Investment 3,543,865<br /> Total $4,865,265<br /> Free Medications $56,989,637<br />
  23. 23. Health Care Services<br />Return on Investment<br />State Contribution $1,875,000<br /> Number of Visits 51,914<br /> Cost per Visit $36.11<br /> Patients Served 23,983 <br />
  24. 24. Lackey Free Clinic<br />Return on Investment<br /><ul><li>Budget 2008 $1,300,000
  25. 25. Medical Services Delivered $6,200,000
  26. 26. Hospital Savings* $6,600,000
  27. 27. Return on Investment 9.7 to 1</li></ul>*Reduction in hospital ER visits and charity admissions<br />
  28. 28. Outcomes<br />Kathy of Timberville lost her job because of atherosclerosis. She became qualified for service from the Harrisonburg-Rockingham Free Clinic in March, her only option. She circulation problems have improved and the Clinic has helped her stop smoking.<br />She has a new job, but still no health benefits<br />
  29. 29. Thank you for your continued support<br />