1. Wellness Clinic Cohort III Region 2 Central Ogden UT Contact: Karen Bassett 801.625.3645

2. About Our Program Weber Human Services is moving towards a full integration with Midtown Community Health Center. We are currently co-located with the medical clinic, behavioral health prescribers, a pharmacy and a lab adjacent to one another. Behavioral health clinicians’ offices are just around the corner. We currently have a Wellness Site available to both WHS and Midtown to disseminate information from both agencies about our participants. A bi-weekly staffing meeting with Midtown Providers, MH prescribers, case management and other Wellness Clinic staff provides a forum for additional information sharing. Our enrollment target for this year is 1000.

3. Wellness Services TimeMondayTuesdayWednesdayThursdayFriday 10:00 Freedom From Smoking 6-week class *Personal Finances Cooking 101: A new adventure Food Sense- Helping Families Make Better Food Choices Monthly Field Trip— Waterfall Cyn Nature Center Parkway Instructor Shauna Williams Shauna Williams Shauna Williams Shannon Barnes, Peer Mentor USU Extension Service 10:30-11:30 AM 11:00 Community Projects Nurse’s Message on Health Walking in the Community Food Sense- continued Stress Management: SimpleYoga InstructorShauna WilliamsMartha Bodily, RNShauna Williams Bill Bryant, Peer Mentor Rachel Valenzuela Alex Di Angelo Sat Mandir Khalsa

4. The Wellness Clinic Physical Health Laboratory Customer Care Wellness Coordinator Behavioral Health

5. Weber Midtown Wellness Clinic Team Midtown Community Weber Human ServicesHealth Center Project DirectorClinic Manager Karen Bassett Becky Weisner Quality Assurance/ITProviders Michelle Jenson Laura Knudson MD Wellness Coordinator Stanley Graham MD Shauna WilliamsCare Coordinator 26 BH Therapists N-Gai Steverson 1 Psychiatrist APRN (Uninsured Patients) 2 APRNs, Teresa Ramos APRN 4 RNs3 Medical Assistants

6. Successful Strategies— Prescription Assistance The Prescription Assistance Program provides these services which includes: Evaluate eligibility and Advocate on behalf of the patient Care Coordinator fills out all necessary paperwork for patients that qualify for the program Care Coordinator identifies Prescription Companies that offer Prescription Assistance Programs If Patients qualifies they may receive up to a years worth of medication, usually given in 90day increments Patient has to resubmit paperwork every 90 days to. ( Midtown Charges a $10 processing fee)

7. Successful Strategies Reassessments As soon as the 60 day window is open the client is called. If unable to reach the client, a letter is sent If no return call within 1 ½ weeks, a letter is sent explaining the need to complete a reassessment and that the client can contact the Wellness Coordinator or Customer Care to set up an appt. Wellness Coordinator checks on all appts occurring at WHS-- medical doctor, therapist, and mental health prescriber. Customer Service reminds clients they need to meet with Wellness Coordinator after the appt. Wellness Coordinator contacts the Case Manager to bring in the client If all the above steps are unsuccessful, the Wellness Coordinator goes to the home to complete the reassessment. If the client refuses to do the reassessment and is still getting services, an Administrative Interview is completed.

8. Successful Strategies Services for the Un-insured Our care coordinator works closely with local hospitals to help patients apply for financial assistance for diagnostic services and also helps coordinate specialty visits with local volunteer providers who provide office visits at a minimal or no cost through our Health Access Team. Teresa Ramos APRN, sees all the uninsured BH patients for the Wellness Clinic. She is the only APRN/Provider in Northern Utah who sees the uninsured BH patients. Teresa has approximately 2400 encounters yearly. She has a successful new intake process with our 2 local hospitals who discharge BH patients who need follow up appointments to continue treatment. Midtown Community Health Center has a 340b pharmacy that provides medications to our uninsured patients. Our pharmacy fills over 150 Prescriptions on a daily basis.

9. Plans for the future  Utilize WHS foundation funds to purchase a TV for the waiting area with Wellness messages provided to all mental health clients  Patient Portal is implemented and patients signing up and using it  Become Meaningful Use Certified  Increase participation and class variety in the Wellness Center  Outcomes grant—goal is for 250 Wellness Clinic participants.  Incorporate an evidence based practice for Wellness  Increase family participation on the advisory board  Increase peer support specialists from 2 to 5.