Mobile Health Services in an Academic Setting

Ringenberg L, Gereige R, Dabrow S, Straub D, and Fleischer J. University of South Florida, Tampa, FL

Teens/youth

Partners In Caring

UnderservedChildren

Mobile Health Services in an Academic Setting

Lynn Ringenberg, M.D., FAAPAssociate Professor

Mobile Health Program Medical Directorlringenb@health.usf.edu

Hillsborough County Statistics

16% of children 18 and under are uninsured 17.6% live below the poverty level 20% of the student population have unmet

medical needs, with 15% chronic health issues One in five households with children includes at

least one child with special needs Florida has second highest prevalence of HIV

infections nationwide Hillsborough County ranks 5th in the State of FL in

HIV infections Children often don’t have ACCESS TO CARE

“Pods” of School Sites in Hillsborough & Pasco Counties, Florida

31 Elementary Schools 11 Middle Schools 5 High Schools 1 Exceptional Center 1 Career Center 3 sites for abused,homeless, and domestic violencevictims

1

7

8

93

2611

10 1

3

4 5

12

14

Resident “Mobile Health” Participation

0

10

20

30

40

50

60

PGY-1 PGY-2 PGY-3 Chief Total

Feb-Dec 2006

73%89% 94%

86%

Participating Residents

# of Residents In Program

100%

School Programs through Resident Advocacy

School Health Block Rotation Oral Health Education Coaches Sports Medicine Lecture Series School Health Talks to Students School Nurse Support Services Medicaid/KidCare Education and Application Help After-School Teen Health Events Back-to-School Health Fairs

Patient Statistics

February-December 2006 Over 109 visits Treated 1048 patients Residents, active participation:

75% of the 68 Pediatric and Med-Peds residents

86% of Pediatric Residents Expansion to a “pod” system reaching

49 schools (Increase from 31 schools)

Patients per Month

Total 1,048 Patients, 109 visits

6749

6550

73 71

199

146136

99 93

020406080

100120140160180200

Patie

nts

Feb Mar AprMay Jun Jul

Aug Sep OctNov Dec

All Patients Seen

Patient Visits by Reason Feb-Dec 2006

N= 1048

24%

1%

30%

45%

Acute Visit Follow-up School Physical Sports Physical

Racial DemographicsFeb-Dec 2006

14%

2%

1% 0%

43%

22%

19%

White Black Hispanic Asian Multiracial Other Unknown

(N= 1048)

Insurance StatisticsJuly-Dec 2006

25%

32%18%

2%

23%

Unknown Medicaid Private Insurance (Unknown Source) None

(N= 1048)

Educational Value of Mobile Care

Exposure to the Community Advocacy Teaching Tool Enhancement of Cultural Sensitivities Foster Resident Independence Increased Dental Awareness Team Approach to Care Appreciation of Health Care Disparities Challenges of Teen Health Care in their

Environment Meeting many of the ACGME competencies

Thank you for giving us the opportunityto share our special program:“Caring Hearts Hit the Road”

Avery Mixon, M.D.-PGY-2 Resident