1. Mobile Health Services in an Academic Setting Ringenberg L, Gereige R, Dabrow S, Straub D, and Fleischer J. University of South Florida, Tampa, FL Teens/youth Partners In Caring Underserved Children

2. Mobile Health Services in an Academic Setting Lynn Ringenberg, M.D., FAAP Associate Professor Mobile Health Program Medical Director lringenb@health.usf.edu

3. Hillsborough County Statistics  16% of children 18 and under are uninsured  17.6% live below the poverty level  20% of the student population have unmet medical needs, with 15% chronic health issues  One in five households with children includes at least one child with special needs  Florida has second highest prevalence of HIV infections nationwide  Hillsborough County ranks 5 th in the State of FL in HIV infections  Children often don’t have ACCESS TO CARE

4. “Pods” of School Sites in Hillsborough & Pasco Counties, Florida 31 Elementary Schools 11 Middle Schools 5 High Schools 1 Exceptional Center 1 Career Center 3 sites for abused, homeless, and domestic violence victims 1 7 8 9 3 2 6 1 1010 1313 4 5 1212 1414

5. Resident “Mobile Health” Participation Feb-Dec 2006 73% 89% 94% 86% Participating Residents # of Residents In Program 100%

6. School Programs through Resident Advocacy  School Health Block Rotation  Oral Health Education  Coaches Sports Medicine Lecture Series  School Health Talks to Students  School Nurse Support Services  Medicaid/KidCare Education and Application Help  After-School Teen Health Events  Back-to-School Health Fairs

7. Patient Statistics

8. February-December 2006  Over 109 visits  Treated 1048 patients  Residents, active participation: 75% of the 68 Pediatric and Med-Peds residents 86% of Pediatric Residents  Expansion to a “pod” system reaching 49 schools (Increase from 31 schools)

9. Patients per Month Total 1,048 Patients, 109 visits

10. Patient Visits by Reason Feb-Dec 2006

11. Racial Demographics Feb-Dec 2006 (N= 1048)

12. Insurance Statistics July-Dec 2006 (N= 1048)

13. Educational Value of Mobile Care  Exposure to the Community  Advocacy Teaching Tool  Enhancement of Cultural Sensitivities  Foster Resident Independence  Increased Dental Awareness  Team Approach to Care  Appreciation of Health Care Disparities  Challenges of Teen Health Care in their Environment  Meeting many of the ACGME competencies

14. Thank you for giving us the opportunity to share our special program: “Caring Hearts Hit the Road” Avery Mixon, M.D.-PGY-2 Resident