1. Family Health / La Clinica Migrant Mobile Health Yurany Ninco, Outreach Coordinator Ted Kay, President & CEO June 17, 2011 LULAC Conference - Pewaukee, WI

2. MISSION Develop and deliver primary health care services and programs to meet community health needs…(communities can be defined in terms of special populations and/or geographic areas). Make these accessible to all people in communities we serve Break down barriers to care for underserved and vulnerable people, especially Wisconsins migrant and seasonal farmworkers

5. Service Area – Mobile Unit / Other Sites PINK Mobile Unit Barron Columbia Dodge Fond du Lac Green Lake Jackson Jefferson Oconto Outagamie Ozaukee Portage St Croix Walworth YELLOW Wautoma Waushara Portage Waupaca Outagamie Winnebago Green Lake Marquette Adams Mauston Dental Center (SA not shown) Adams Juneau

6. Mobile Unit – Services Provided Health screenings Treatment of acute illness Medical visits Immunizations Mammograms (Marshfield Mobile Mammogram Unit limited sites) Laboratory services Medications Health Education Referrals Voucher program Bilingual staff

7. Mobile Unit – Patients 2010 Total = 737 Patients 475 men (64%) 262 women (36%) 440 (60%) age 50 or older 337 (46%) were returning patients

8. Preventive Care Priority Areas: Alcohol Consumption Smoking Cessation Screening Diabetes High Blood Pressure High Cholesterol Colon Cancer Protate Cancer Cervical Cancer Breast Cancer HIV testing Immunizations: Hepatitis B Tdap Pneumonia

9. Preventive Care - Results Alcohol Consumption Patients alcohol consumption was determined and for risky behavior, education and recommendations were given by health aides Smoking Status Current smokers received health education on risks and information including QUIT LINE referral and information and QUIT LINE Program card.

10. Preventive Care - Results (cont.) Screening for Chronic Conditions NEWLY DIAGNOSED PATIENTS Diabetics: 11 patients Hypertensive: 5 patients (High Blood Pressure) High Cholesterol: 7 patients

11. Preventive Care - Results (cont.) Cancer Screening Colon Cancer Target group: Patients age 50 and older – 440 pts (60%) were eligible Intervention:Educate & Inform about importance of screening Screening Test13 patients (9.4%) received Ifob Kits (blood stool test) Prostate Cancer Target Group:Male patients 50 and older – 283 pts (60%) were eligible Intervention:Educate & Inform about importance of screening Screening Test:28 patients (9.9%) received Prostate Specific Antigen test

12. Preventive Care – Results (cont.) Cervical Cancer Screening Target group Women ages 21 to 65 236 women (90%) were eligible Screening Tests Available Pap smear and HPV Results 43 women (18%) had a pap smear 30 women (13%) were tested for HPV 2 pts required further exam (colposcopy) 1 exam completed in Wisconsin 1 exam completed in Texas

13. Preventive Care - Results (cont.) Breast Cancer Screening Target group Women ages 40 to 64 174 women (74%) were eligible Screening Test Mammogram Results 60 (34%) completed mammogram 3 underwent follow-up biopsy 1 diagnosed with breast cancer 1 diagnosed with hyperplasia 1 pathology was benign These were enrolled in the CAN TRACK Program

14. Preventive Care - Results (cont.) HIV and Immunizations HIV: 118 patients tested - All negative Hepatitis B: 61 pts received 3 rd dose (done) 341 pts received 1 st dose Tdap: 218 patients received Pneumovax : 123 diabetic pts received 10 asthma pts received

15. Chronic Care Diabetes Standard of Care Labs HbA1c (once a season) Lipid Profile (once a season) Microalbumin (once a season) Blood Glucose (every visit) Evaluations Complete Physical Exam (once a season) Foot Exam (once a season) Blood Pressure Check (every visit) Immunizations Pneumovax Tdap Hepatitis B Medications Can dispense up to 3 mos. worth of medication Can give prescription for up to 1 year of medication Health Education Written info on diet and exercise

16. Chronic Care Diabetes - Results 2010 Season 169 patients (23%) had diabetes 1.8% increase from 2009 97 (57.4%) were returning patients CDC Surveillance System shows incidence in the US population of 7.1%

17. Chronic Care Hypertension Standard of Care Labs Blood Glucose (once a season) Blood tests as needed Evaluations Complete Physical Exam (once a season) Blood Pressure Check (every visit) Immunizations Tdap Hepatitis B Medications Can dispense up to 3 mos. of medication Can write prescription for up to one year of medication Health Education Written information about diet and exercise

18. Chronic Care – Hypertension Results 2010 Season 279 patients (38%) had High Blood Pressure 2% increase from 2009 169 patients (61%) were returning patients Incidence in US population 28%

19. Chronic Care High Cholesterol Standard of Care Labs Lipid Profile (once a season) Blood Glucose (once a season) Blood Tests as needed Evaluations Complete Physical Exam (once a season) Blood Pressure Check (every visit) Immunizations Tdap Hepatitis B Medications Can dispense up to 6 mos. of medication Can write prescription for up to 1 year of medication Health Education Written information about diet and exercise

20. Chronic Care High Cholesterol - Results 2010 Season 182 patients (25%) had High Cholesterol 3% increase from 2009 57% were returning patients Incidence in US pop. is 36%

21. Challenges Mental Health Tuberculosis Continuity of Care Health Education

22. Thank You! Questions?

23. CONTACT Yurany Vanessa Ninco Sanchez Outreach Coordinator 400 S. Townline Rd. P.O Box 1440 Wautoma, WI 54982 Phone 920-787-5514 Ext 207 yurany@famhealth.com