2. Mobile Health Clinic OSP group 4 project Erin Tomlinson-Brower, Stacey Swartzendruber, Jacqueline Swanton, Sueann Unger, & Kim Weigel

3. Mobile Health Clinic of Grand Traverse County

4. Mobile Health Clinic ER cost avoided + Value of QALYs Saved = Return On Investment Cost of Mobile clinic Quality Adjusted Life Years (QALY) MHCN (2011)

5. Services Wellness screening Cholesterol screening Vision screening Immunizations Weight checks Depression screening Education Glucose Blood Pressure

6. Mobile Health Clinic Our Mission is to provide access to quality patient focused healthcare for the underserved of Grand Traverse County.

7. Mobile Health Clinic Philosophy We believe  In making healthcare available to the community we serve by removing geographic, transportation, financial and cultural barriers to service.  Lack of insurance or inability to pay should not be a barrier to obtaining screenings, immunizations, wellness checks or general medical care.  Chronic diseases can be prevented with available low or no-cost screenings.  Collaboration with Munson Healthcare will provide for seamless patient care with technology, resources, referrals and diagnostic services for our clients.  All nursing staff shall practice according to standards of practice using evidenced based care and while advocating for patient health and wellness.

8. GOALS  To reach underserved people in the Grand Traverse County area by delivering proven cost-effective prevention activities helping to control healthcare costs and reduce health disparities.  Deliver healthcare services with a well-equipped mobile health clinic, decreasing logistical and financial barriers to healthcare.  Promote, advocate, and educate about health and wellness in a confidential and consistent setting using evidenced based nursing practice.  Nonbiased care provided by professionals without discrimination in collaboration with existing community services.  Providing committed and consistent service with long-term solutions for a healthier community.

9.  To develop a mobile health clinic to serve the residents of Grand Traverse County by January 1, 2013.  To foster community involvement in healthcare; with appropriate referrals and follow-up appointments for every patient.  To deliver culturally respected and linguistically sensitive health promotion, disease management, and health education with comprehensive care plans for every patient.  To provide healthcare services to every patient regardless of insurance or ability to pay.  To be fully operational interacting with people at convenient locations with a full patient load by March 1, 2013. Objectives

10.  Nurse Practitioner  Registered Nurse  Licensed Practical Nurse  Nursing Assistant  Secretary/Manager

11. Organizational Chart

12. Advertisement Mobile Medical Clinic of Grand Traverse County is seeking applicants for a Registered Nurse The candidate will provide nursing assessment, referrals for clients, work effectively and efficiently with tight deadlines, high volumes and multiple interruptions. Effective written and verbal communication skills required with ability to make quality, independent decisions. Certifications required: ACLS, BLS BSN/Registered Nurse in the State of Michigan Unrestricted Drivers License Send resume and cover letter to: Munson Healthcare, Human Resource Dept. Box 234, Traverse City, MI 48903 (231) 444-4000 or email: janedoe@century.com

13. REVENUE Medicaid reimbursement$16,715.16 Medicare reimbursement$16,940.00 Private insurance reimbursement$26,100.00 Private pay$11,550.00 Service area grant$220,000.00 Rural healthcare grant$5,000.00 Donations$80,000.00 Total Revenue$376,305.16

14. SALARIES Salaries- Management$113,000.00 Salaries- RN$45,760.00 Salaries- LPN$28,288.00 Holiday/vacation/sick$2,848.00 Casual staff$3,000.00 Total Salaries$192,896.00

15. Advertising$500.00 Vehicle cost$100,000.00 Repairs/maintenance$5,000.00 Vehicle Insurance$10,000.00 Liability Insurance$10,000.00 Staff Continuing Ed$400.00 Gas/Fuel$6,000.00 EXPENSES

16. TOTAL EXPENSES $373,432.00 Pharmacy$1,000.00 Point of Care Testing$50.00 Linen$120.00 Personal protective equipment$1,000.00 Lab/vascular$935.00 Wound care/dressings$966.00 Office/forms/paper products $1,900.00 Informatics/telecommunications$5,000.00

17. Budget Revenue$376,305.16 Salaries$192,896.00 Benefits $37,490.00 Total Supplies$143,046.00 TOTAL REVENUE$376,305.16 -TOTAL EXPENSES$373,432.00 PROFIT $2,873.10

18. The Mobile Health Clinic offers a stable business platform through its partnership with Munson Healthcare will reach underserved populations by providing free and low cost medical care will focus on preventive care improving the overall community health will reduce overall ER visits Nurses striving to meet the needs and improve the health of Grand Traverse County.

19. Malone, S. (August 11, 2010). Mobile clinics seen as a way to cut U. S. health bill. Reuters. Retrieved from http://www.reuters.com/article/2010/08/11/us-usa-health-mobile-idUSTRE67A4C020100811 Mobile Health Clinics Networks [MHCN] (2011) Strategic plan: John Muir Health, making the case for mobile health. Retrieved from http://www.mobilehealthclinicsnetwork.org/pdf/John_Muir_Health_2011.pdf Munson Community Health Department [Munson Healthcare] (2008) Summary table of community health assessment indicators. Community Health Assessment Project Final Report. Page 8. Retrieved from http://munsonhealthcare.org