Camillus Health Concern Inc Camillus Health Concern

Camillus Health Concern, Inc.

Camillus Health Concern, Inc. l 1984 - Faith-based organization, founded by Dr. Joe Greer and the Brothers of the Good Shepherd l 1989 – Healthcare for the Homeless project under HHS Section 330(h) l 1996 – Designated as a Federally Qualified Health Center

Camillus Health Concern, Inc. Comprehensive Health Care and Social Services Ø Ø Ø Primary Medical Care Pediatric, & Women’s Health Services Preventative Health Screening & Education Oral Health Services Podiatric Services HIV/AIDS Prevention, Education & Treatment Behavioral Health Services Specialty Services Case Management Medical Outreach Services Transportation Services Respite Care

Camillus Health Concern, Inc. Service Sites • Main site in downtown Miami • School-based clinic; Frederick Douglass Elementary School • Betterway Substance Abuse Treatment Center • Salvation Army Miami Shelter • Outreach through Project Safestreet • Medical Outreach

Homeless Population of Miami-Dade County Population Estimate 5160* 16% Chronically Homeless 18% Severe Mental Illness 22% Chronic Substance Abuse *Miami-Dade County Homeless Trust 2005

Homeless Population of Miami-Dade County Ethnicity* 50% 16% 30% 4% African American Caucasian Hispanic Other *Miami-Dade County Homeless Trust 2005

Camillus Health Concern, Inc Medical Outreach Program History 1984 - Dedicated volunteer doctors led by Dr Greer taking healthcare to the streets 1992 – Project Safestreet Outreach Program 2002 – Medical Outreach Program expansion

Camillus Health Concern, Inc. Medical Outreach Program 1/1/04 thru 6/30/05: 2037 patients 4773 encounters 84 % male 44 % African American 36 % Hispanic

Camillus Health Concern, Inc. Medical Outreach Program Types of Outreach l l l Walk About Mobile - Van Shelters - Camillus House - Mother Theresa’s Respite Rounds Churches – Mt. Zion Baptist church Community requests

Camillus Health Concern, Inc. Medical Outreach Program Medical Outreach Team Provider – Physician, ARNP l Registered Nurse - Full time l Medical Assistant l Case Manager Immediate communication with other staff, as needed l

Camillus Health Concern, Inc. Medical Outreach Program Provisions & Supplies “Comprehensive” mobile medical bag Medication, Glucometer, Oto/Ophthal. Hygiene Kits Reading Glasses Mosquito repellant Sunscreen

Camillus Health Concern, Inc. Medical Outreach Program Outreach Process l l l Engagement – Building Trust Intake Needs Assessment Treatment & Intervention Referral to main site & other agencies via immediate communication cellphone/radio Transportation, if necessary

Medical Outreach Lessons Learned l l l l Persistence pays off, go back ! Consistency, Follow through with promises Fast access to follow up is a must Concurrent Case management-essential Limit yourself to what you do well Knowledge of partner agencies Think on your toes, no sticks in the mud need apply, … be FLEXIBLE You, ve got to like your patient!!

Camillus Health Concern, Inc. Current Challenges Success can create challenges…… l l Extended wait time for follow-up care due to increased number of patients reached Delays result in patients not returning for required and necessary care or no show appointments At any given time, there are 3 to 4 CHC patients that require hospitalization at JMH Not enough Respite beds . . . Med Outreach Follow Up Clinic ……Respite Bed Expansion ?

Medical Outreach QUESTIONS ?