1. Kentucky Mountain Health Alliance, Inc. Hazard, Kentucky

2. Rural Homelessness Is it any different?

3. Sources of Funding  HRSA – BPHC Health Care for the Homeless  United Way  Good Samaritan Foundation  Steele Reese Foundation  Rotary Civic Club  Donations

4. About the Agency 13 Employees Created in 2005 Serves about 2,500 people each year Perry & Harlan Counties Four Sites Serves homeless people in the region with primary care, mental health & substance abuse services, preventive care, disease management and enabling services.

6. Agreements with Collaborating Partners Clover Fork Clinics Primary Care Centers of Eastern Kentucky Hazard Clinic Quantum Healthcare Kentucky and Cumberland River Community Care Appalachian Regional Healthcare Dentists PCCEK (Greg Baker, DMD-Ellie Campbell, DMD), James Jolly, DMD, Harlan Dental Clinic (Matt Nunez, DMD), Vicco Dental Center, Clover fork Dental, Mia Sellars, DMD Department of Employment and Community Based Services Community Action Agencies County/City Schools and Community Colleges District Health Departments Police Departments Housing Development organizations

7. Agreements with Collaborating Partners Hazard Perry County Community Ministries, Masters Lamb Ministries, Family First Ministries LKLP Spouse Abuse Center, Hope Center Homeless Shelters (Christ Hands, Corner Haven) Southeast Area Health Education Center Churches Civic Clubs (Lions and Rotary) ROTARY FREE CLINIC WITHOUT WALLS (Rotary Civic Club)

8. Rotary Free Clinic Without Walls History: A group of individuals concerned about the difficulties individuals face accessing health care had a conversation over a luncheon. From this luncheon emerged Rotary Free Clinic Rotary Free Clinic Board was incorporated in 1999 and it is primarily sponsored by Rotary Civic Club

9. Rotary Free Clinic Without Walls How it works: The Rotary Free Clinic Board of Directors and KMHA staff actively recruit providers It provides an opportunity for physicians to see a designated number of physicians each month. Providers are enrolled by completing enrollment packet Patients can be screened and referred from KMHA or Little Flower Clinic Patients are given a voucher (pink slip) Number of referrals, visits and visit outcomes are tracked through logs Additional referrals are made if necessary and medication are obtained Reports are provided to referring providers with follow-up instructions

10. Rotary Free Clinic Without Walls Handouts: Rotary Free Clinic Fact Sheet Physician Participation Agreement Patient Participation Agreement Patient Intake Form Instruction Form Intake Form Release Draft Notice of Privacy Practices

11. Rotary Free Clinic Without Walls Volunteers Providing Over 200 Visits Annually:  Dentists  Optometrists  Gastroenterologists  Pulmonologist s  Ophthalmologist  Urologists  Rheumatologists  Nephrologists  Otolaryngologist  Pediatricians  Surgeons  Gynecologists

12. 2010 In-kind Contributions Rotary Providers and on-site medical volunteers-$ 56,273 IDP-$ 804,307

13. Contact Information: Kentucky Mountain Health Alliance Phone: 606-487-9505 Contact Person: Ruth Woolum rosie@kymha.org