Caremobile_BKG.jpg Ronald McDonald Care Mobile Ronald McDonald House Charities-Global Ronald McDonald House Charities of Madison

Caremobile_BKG.jpgCaremobile_BKG.jpg

Ronald McDonald Care MobileRonald McDonald Care Mobile

Ronald McDonald House Charities-Global


Ronald McDonald House Charities of Madison



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]


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


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


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?


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


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


-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 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?


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?


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


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?


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


How do you collect the information?

How do you collect the information?

Develop a

COMPREHENSIVE

Patient Registration Form

Develop a

COMPREHENSIVE

Patient Registration Form


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?


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


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?)




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)


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?


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


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 …..


Ronald McDonald Care Mobile

Ronald McDonald Care Mobile





Documents

Caremobile_BKG.jpg Ronald McDonald Care Mobile Ronald McDonald House Charities-Global Ronald McDonald House Charities of Madison