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Primary Health SolutionsFairfield City School Based Health
Center
Presenter:
Jeff Madden, Director of Student Services, Fairfield City Schools
A. Mission/Vision
• Improve community wellness through access to quality,
affordable healthcare
• Increase utilization of primary care to decrease the
utilization of emergency services for non-emergent needs
• Ensure the students of Fairfield City Schools are in school,
healthy, and ready to learn.
• Provide access to primary medical, dental, behavioral
health, and optical care.
B. Need
• Over 40% of FCSD students are on Free and Reduced
Lunch.
• 62% of parents surveyed would allow students to utilize
the medical center. 51% would use it personally.
• 44% of students reported they either had no insurance or
Medicaid as their insurance.
• 30% of students reported no primary care provider, using
the ER or Urgent Care as needed.
Vision/Mission and Need
A. Overview
• Nurse Practitioner: Natalia Trinidad
• Medical Assistant: Jessica Alvarado
• Collaborating Physician: provides ongoing medical consultation
to Nurse Practitioner
• 3 exam rooms
• Operates in same fashion as “family doctor” does.
Medical
A. Overview
• Dentist: Dr. Myanh Cong
• Dental Assistant: Malika Porter
• Dental Hygienist: Rachel Ludd
• 3 Dental chairs
• Able to perform regular procedures like other dental offices
Dental
A. Overview
• Optometrist: Dr. Angelina Cerone
• Optometric Tech: Allison Mitchell
• Optician: Dana Meeks
• 2 exam rooms, prescreening area, and selection/fitting area.
Vision Services
A. Overview
• Behaviorist: Michaela “Chae” Little
• Helps identify students and family members with mental health
needs, resulting in referrals for ongoing care.
• Screening will be in collaboration with Nurse Practitioner
Behavioral Health
A. Hours and Contact Information
• Open Year Round
• 8:30-5:00
• Appointments: 513-454-1111
• Bilingual staff (Spanish/English)
B. Who has Access to Health Center?
• Any student at FCSD, Sacred Heart, Cincinnati Christian
• Family members of students
• FCSD Staff and their families
C. Referrals and Logistics
• Students/families complete consent paperwork, provided by school.
Consent can be for 1 or more services. Once consent is completed,
Primary will work with families on setting up care.
• School transportation for students provided during school day.
• Parents notified prior to visit, after visit, and are welcomed to attend
clinic with child.
Operations
A. Donations and Support
• Over $1.5 million of donations have came in to open Center and help
support operations for first 2 years
B. Insurance and Sliding Scale Fee
• Primary Health Solutions will manage business aspect of the Health
Center: Hiring staff, billing, and all business operations of Health
Center fall under their responsibility.
• Patients without insurance will be seen on
a sliding scale fee based on income.
• Primary accepts all forms of Medical Insurance
like any other heath care provider.
C. Only Federally-Qualified Health Center (FQHC)
in Butler County
Business Aspect
How Far Have We Come in 1 Year?
Overview
Fairfield City Schools
Overview of Patients Seen
2016 18< 19+ Total
Medical 1326 792 2118
Dental 980 1004 1984
Vision 285 216 501
Behaviorial Health 212 253 465
Total 2803 2265 5068
56.07% are patients 18 and below
43.93% are patients 19 and above
15.08 patients per day
4569 patients seen since opening on January 14, 2016
12% of FCSD students have consented for 1 or more service at the Health Center.
Dental Fairfield City Schools
Number of Patients Seen: Dental
2016 0-5 Years 6-10 Years 11-15 Years 16-18 Years 19+ Total 18< Total Patients
January 0 2 0 0 2 2 4
February 3 14 17 5 14 39 53
March 13 27 9 1 21 50 71
April 12 34 17 0 38 63 101
May 9 47 26 10 71 91 162
June 22 36 27 15 100 99 199
July 20 23 11 5 110 59 169
August 24 41 34 6 117 105 222
September 42 35 30 8 122 114 236
October 30 41 29 17 151 117 268
November 35 52 34 16 126 137 263
December 22 39 35 13 132 104 236
YTD Total 232 391 269 96 1004 980 1984
= Monthly Increase Achieved
49.40% of patients 18 and below
50.60% of patients 19 and above
5.94 Average Patients Per Day
VisionFairfield City Schools
Number of Patients Seen: Vision
2016 0-5 Years 6-10 Years 11-15 Years 16-18 Years 19+ Total 18< Total Patients
January 0 0 0 0 0 0 0
February 0 2 4 3 1 9 10
March 1 10 2 0 6 15 21
April 2 8 4 0 8 14 22
May 4 7 7 6 15 24 39
June 2 7 11 0 14 20 34
July 4 4 6 1 19 15 34
August 6 10 12 13 17 41 58
September 7 7 7 3 22 24 46
October 7 15 12 7 41 41 82
November 9 30 11 2 47 43 90
December 5 21 9 4 26 39 65
YTD Total 47 121 85 39 216 285 501
= Monthly Increase Achieved
56.89% of patients 18 and below
43.11% of patients 19 and above
1.50 Average Patients Per Day
Behavioral Health Fairfield City Schools
Number of Patients Seen: Behavioral Health
2016 0-5 Years 6-10 Years 11-15 Years 16-18 Years 19+ Total 18< Total Patients
January 0 0 0 0 0 0 0
February 0 2 2 0 1 4 5
March 1 7 5 3 9 16 25
April 1 8 7 4 26 20 46
May 0 4 14 6 20 24 44
June 0 1 4 4 20 9 29
July 3 4 6 1 26 14 40
August 4 6 11 7 32 28 60
September 1 17 8 7 21 33 54
October 3 8 8 9 27 28 55
November 3 8 7 4 27 22 49
December 2 8 3 1 44 14 58
YTD Total 18 73 75 46 253 212 465
= Monthly Increase Achieved 45.59% of patients 18 and below
54.41% of patients 19 and above
1.39 Average Patients Per Day
Medical Fairfield City Schools
Number of Patients Seen: Medical
2016 0-5 Years 6-10 Years 11-15 Years 16-18 Years 19+ Total 18< Total Pts
January 0 0 2 0 4 2 6
February 9 11 24 9 1 53 54
March 22 21 17 11 4 71 75
April 19 25 31 14 57 104 161
May 30 20 22 16 54 88 142
June 27 10 16 7 72 60 132
July 43 18 29 5 81 95 176
August 53 41 50 22 94 166 260
September 54 44 37 33 88 169 257
October 69 38 45 26 109 178 287
November 79 39 37 12 114 167 281
December 88 51 30 4 114 173 287
Total 493 318 340 159 792 1326 2118
= Monthly Increase Achieved
62.61% of patients 18 and below
37.39% of patients 19 and above
6.99 Average Patients Per Day
Transportation Fairfield City Schools
Number of Students Transported in 2016
January 0
February 0
March 0
April 20
May 9
June 0
July 0
August 10
September 25
October 25
November 56
December 50
Total 195
= Monthly Increase Achieved
Testimonials “I have used the Health Center not only for students here at school, but my own children. My boys used the dental
services and got their teeth cleaned a few months ago. It is very difficult for me to find a sub to cover the clinic in
order to take my sons to health appointments. I was able to schedule their appointments very easily, and then Mrs.
Carran transported them to and from the Health Center. The boys were taken care of, and I didn't even have to
leave my office! The Health Center is a wonderful resource, and I plan to continue to use their services.”
-Kelly Moorman, South School Nurse and Parent
“The health center has been such a positive resource to the students here at the Middle School. I have recommended
it to parents who do not have a regular doctor for their children and the parents have been grateful for this resource.
Students have been able to receive glasses, updated immunizations and dental care. Bonus about this is students can
receive services and return to school the same day. There is little interruption of their school day.”
-Lynn King, FMS School Nurse
“We have had several students who came to Central from extremely impoverished countries (specifically from areas of
Guatemala and Ghana) who have never gotten medical or dental attention prior to coming to the US. Rosina Philpot
and Lindsey Hersha have been able to get the families the support and health care they needed.”
-Karrie Gallo, Principal Central Elementary
“The health center worked with us and provided the opportunity for our most at-risk HS students to obtain the required
immunizations so students could continue to attend school. Teachers and administrators were presented with resources
by the behavior consultant from PHS in order to ask the right questions and know how to react with students in crisis.”
-Kari Franchini, Director Fairfield Academy
Testimonials “The ability to have students seen throughout their school day is invaluable to those parents who are unable to
leave work and it benefits the students by getting them early care so that their illness is not prolonged and they are
able to return to school more quickly. As the school nurse, I find it very helpful to give the clinic as a viable
option for those families who may not have an established health care provider or our having difficulty finding
care due to their insurance or lack there of.” -Pamela Buehler, FIS School Nurse
“Anyone who has never had to use public insurance does not understand the challenges that families face when
trying to find a provider who accepts Medicaid and its HMOs. It is truly a frustrating experience. For our families
to be able to access medical, dental and vision care all in one place that accepts their insurance has made such an
amazing impact for those families. And for them to be able to offer a sliding fee scale for uninsured patients is
something that no other area medical provider can do. I do not know what we ever did without them.”
-Rosina Philpot, Butler County Success Community Liaison
“I had a student come in with excruciating tooth pain, he looked absolutely miserable. I took a look and he had
severe tooth decay and said that his tooth had been hurting for a very long time. I talked to his mom and she said
they were new to the area and they could not find a dentist. So I called over to PHS and they were able to get the
student in for an emergency visit forty minutes later. Mom was so appreciative when I called her back, as was the
student. PHS really pulled through in this family’s time of need. I was very impressed and grateful for being
able to work with PHS. -Katrina McVey, Central School Nurse
“I like coming here. Its (Health Center) Fun!”
-2nd Grader, South Elementary
A. www.fairfieldcityschools.com
• Click on “about us” tab
• Click on “School Based Health Center Info”
A. http://www.myprimaryhealthsolutions.org/resources/
• consent forms available
• available in Spanish and English
More Information
Questions?
