1. Community Health Visioning 2017
Primary Care Alternatives
Dr. Frank Mazzeo, Jr., Meg Geltner and Sally Jackson

2. Primary Care Alternatives
Convene stakeholders to develop a comprehensive, community-based system of primary care alternatives to the Emergency Room, targeting areas of greatest need. (Key elements may include neighborhood centers/clinics, mobile units, 24/7 access, service for under/uninsured, and possible roles for retired physicians and major employers.) Develop a method for educating non-emergent patients to use the appropriate care settings.

3. Key Accomplishments
ARRA funded renovation/expansion of Family Health Centers’ downtown campus which will result in the addition of 5 new adult and pediatric medical providers serving an estimated 6,400 new patients annually…
Establishment of the first ever Florida AEGD residency program in partnership with the Lutheran Medical Center of Brooklyn, NY resulting in 4 new dentists being placed on staff at the Downtown Fort Myers Center…
Moving and expansion of our Broadway Adult Medicine Office to the DTFM Center resulting in it serving more patients at a location in and nearer to the 33916, 33905, and zip codes…
Hiring of a registered nurse to launch a disease management outreach office at the Renaissance Preserve Community Center at the Fort Myers Housing Authority beginning June 28th…
Assignment of FHC staff member Mr. Ismael Hernandez to assist the Health Committee of the 21st Century Collaboration with their work to improve health outcomes of the residents of the 33916, and zip codes.

4. Key Accomplishments
Undertaking a study of the effectiveness of the ASK ME 3 and ASK ME/ME health literacy program on the health outcomes of Family Health Centers’ patients diagnosed with hypertension and diabetes…
Participation in the Lee Mental Health’s Telemedicine Project integrating primary care and behavioral health services…
Initiation of enhanced dental services for children at schools in Lee County beginning this fall…
Launching of a Pharmacy Collaborative Study with HRSA…
Expansion of the Coumadin Monitoring Initiative…
Offering of autism screenings in the Ronald McDonald care mobile at Family Health Centers’ pediatric offices…
Provision of child safety instruction/car seat monitoring at Family Health Centers’ pediatric sites by the Kohl's Center for Child Safety…
Continued expansion of breast and cervical cancer screenings for uninsured low-income women under the Healthy Body-Healthy Soul Program.

5. Presenting Illness Percentages
Primary Care Clinic
Presenting Illness Percentages

6. Presenting Illness Percentages
Medical Respite Unit
Presenting Illness Percentages

7. Medical Outreach Services
February – May 2011 Results
61 Clients had their Blood Pressure Taken
44 Clients had their Blood Sugar Taken
29 Clients received Medical Education
100+ Clients utilize the Shower Service Monthly

8. Key Accomplishments Lee Physician Group Dunbar United Way House
Opened May 16, 2011
$1.5 million LIP Grant (ER Diversion for Primary Care)
Adult Primary Care
Chronic Disease Management (Asthma, COPD, CHF, Diabetes, Sickle cell, Hypertension)
Diagnostic testing
Sliding Scale payment options
Lee Physician Group North Fort Myers United Way House – projected opening September 2011
Possible other locations –TBD

9. Barriers/Challenges
Cuts to Medicaid/Medicare Reimbursement
Growth in Underinsured
Continued Unemployment
81,722 ER Patients for Primary Care

10. Opportunities United Way LPG Clinic Model Expansion
Seek Additional Federal Resources
Possible 2nd Year $1.5 million LIP Grant 10 10 10 10

11. Community-based Health Ambulatory, Ancillary & Complementary
Context: Connecting Health
And Human Services
Community-based Health
& Human Services
Circles
reflect relative
reach of services
22% of a population
routinely seen in
core; 28% either not
Seen or without need
Human services programs
Usually designed for
poor and/or well
Ambulatory, Ancillary & Complementary
Physician &
Hospital Services
LMHS & Physicians

12. Questions 12