1. Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

2. Visionary Leadership… n Ben Medina, M.D. –Board Certified in Int. Med. –25 years in clinical practice. –Founder of Paradise Senior Health Center in 02/1999. –Member of CMA & AMA. –Member of SD Med. Soc. –Producer of “Caring For An Aging America” for the past 15 years. –Coordinator of “Grand Rounds” at Paradise Valley Hospital. –Medical Director & Patient Advocate.

3. The Human Touch: “A Family of Caring Professionals…” n Primary Care Physicians n Specialty Physicians n Nurse Practitioner n Nurses: RN & LVN n Medical Assistants n Clinical Dietician n Social Worker n Referral Specialist n Reimbursement Specialist

4. A Wide Range Of On-Site Specialty Physicians... n Cardiology n Gastroenterology n Gerontology n Gynecology n Hematology n Internal Medicine n Nephrology n Neurology n Neuro Surgery n Plastic Surgery n Podiatry n Pulmonology n Rehab Medicine n Referrals to other off-site specialties…

5. Skillful Physicians Perform On-Site… n Mini-Mental Status Exam n Memory Exam n EKG n Treadmill Stress Test n IV Antibiotic Therapy n IV Hydration n Pulmonary Function Test n Breathing Treatment n Flexible Sigmoidoscopy n Urethral Catheterization n PAP Smear n Trigger Point Injection n Cryotherapy n Minor Surgical Procedure

6. On-Site Lab Services… n CLIA Certified Lab n Phlebotomy Station n Centrifuge n Serum Glucose n Pro Time n Fructosamine n Hemoglobin A1C n Lipid Profile n Physician Performed Microscopy: Urine & Wet Mounts.

7. Dietary Counseling… n Clinical Dietician on-site for consultation. n Eating disorders including obesity & anorexia. n Metabolic disorders related to diabetes, hyperlipidemia, etc. n Special diets such as renal, cardiac, etc. n Ethnic-focused diet plans.

8. Social Services Assistance & Referrals… n In-Home Support Services. n Transportation & Housing. n Meals On Wheels, and other community nutritional services. n Home Medical Equipment. n Incontinent Supplies n Correspondence with various agencies to address special needs. n Advanced Directives information. n Home Health Care referral n Hospice information & referral n Grief counseling & support groups referral.

9. Patient Education… n Conferences within the community. n On-site lectures for patients. n Classes related to healthy lifestyles, including: diet & exercise, smoking cessation, etc. n Referrals to Center for Health Promotion.

10. We coordinate periodic community events offering… Free Health Screenings !!! n Osteoporosis n Body Mass Index n Breast Cancer n Hyperlipidemia n Diabetes Mellitus n Prostate Cancer n Occult Blood n Vision Screening

11. Our Patient Assistance Program …for Prescription Medications n Seniors who are having trouble paying for the high cost of prescription medications, may qualify to get free medications from pharmaceutical companies. n We actively pursue these opportunities for our patients. n In order to qualify: 1)They cannot have health insurance that covers prescription drugs. 2)They cannot qualify for or be enrolled in a government program that covers medication. 3)They must meet the pharmaceutical companies' income guidelines. Different companies have different income standards.

12. Our Patient Assistance Program… (2) n The drug companies give away millions of dollars of prescriptions every year, but they rarely publicize these free programs. n At no charge to our patients, we apply for these free prescriptions for them. Not all medications are covered by these free programs, but a great many are available. n Our Patient Assistance Program has served hundreds of seniors in our community. Many of the seniors in our community are on fixed or limited income. n We work with over 30 drug companies including, Abbott, Bayer, Bristol- Meyers Squibb, Glaxo Wellcome, Lilly, Merck, Pfizer, Pharmacia, Roche, SmithKline Beecham, and many more.

13. Our Patient Assistance Program… (3) n At any given time we have around 80 patients in our Patient Assistance Program. Some are receiving up to five medications each month. n We estimate that the monetary value of these prescriptions is about $300 per month per patient. n Our staff spends about 20 hours each month administering the program. n The total value of this program to our patients is about $292,800 per year. The clinic does not receive reimbursement of any kind for these services. n We offer the Patient Assistance Program to our patients because we care. We want them to be able to get the best healthcare possible.

14. Other Medication Assistance Programs … for Low-Middle Income Patients n “TOGETHER Rx”: a cooperative of 8 pharmaceutical companies that provide 150 medications for patients who qualify. n Income requirements: - $28,000 for individual - $38,000 for couple n No fee to apply. n Once approved, the physician writes a prescription which may be filled at any pharmacy. n Patient receives a 30-day supply of an individual medication for only $15.00.

15. Other Medication Assistance Programs… (2) n Pfizer’s “SHARE CARD” Program n Designed for patients at poverty level - $18,000 for individual - $24,000 for couples n Only $15.00 for a 30-day supply of any Pfiser Division medication. n Includes Viagra, Norvasc, Lipitor, Celebrex…and many more.

16. Prescription Compliance… n Compliance with prescriptions on an out-patient basis improves quality of life, and reduces hospitalizations!

17. Paradise Senior Health Center …an established, expanding clinic for seniors in our community!