Transcript Jane Bakos, FACHE

The Third Annual Latino Health Promotion Summit
February 16, 2013
Our Mission
A unique community health center
dedicated to serving those who are
uninsured and underserved.
Responding to all persons with
respect and dignity, without regard
to race, religion, national origin,
age, physical or mental challenge.
History



51st year of continuous
service – 1961
Bishop Green invites
Victory Noll Sisters and
community physicians to
help the uninsured and
poor
Started with a unique
volunteer provider
concept
History

Primary Medical care, dental care; expanded
to integrated behavioral medicine; outreach
education and nutrition (WIC)
1980’s/1990’s, growth and expansion in
facilities/volunteers/services
 More than ONE MILLION Patient visits in the
past 50 years!

History and CHANGE



2010 lost 40% of
funding from demise of
AZ Primary Care
Impact of SB 1070
Reduced capacity for
care/dramatic reduction
in staff/services
Today

More than 25,000 patient visits annually

Nearly100 volunteer physician/dental providers

Strong network for referral of services at no cost/
discounted prices
Provider for Medicaid Mercy Care Plan and
University Family Plan
 Faith-based with support of Diocese and local
churches and parishes

Services

Sliding fee scale for Medical
 Dental
 Health

services
Focus on Prevention
of disease
 Education for healthy living
 Treatment to optimize health

Often a place of last resort
Community Partnerships
 College
of Medicine/University Medical Center
OB intern/resident program
Opthamalogy clinic
Telemedicine program
 Research in neurology, diabetes, telemedicine
 Carondelet, Tucson Medical Center
 Pima Community College, Pima Medical Institute
 San Miguel High School and parish schools
Services Provided

Medical, 22,293 visits

Dental, 80-100 patients, weekly
Services Provided
OB clinics, 150-200
births annually
 Well Women Health
Checks, 5952 visits
 Breast Cancer Services
through Komen; over
1000 mammograms
screens referred

Services Provided
Integrated behavioral health, 1050 visits
 Helped 680 people receive prescription
medications
 Outreach health education/nutrition, 10 health fairs
and 950 classes reaching 17,000 people
 WIC, 7957 women and children visits

Demographic Features
 Average
age, 46 years; 60% Female, 40% Male
 40% Hispanic or Latino
 30% Employed, 30% Unemployed, 30% retired,
children, disabled or students
 86% fall within two lowest categories of the
federal poverty guidelines based on family income
and size % employed
New Patient Centered Medical Home



Innovative model of care to make St. Elizabeth’s the
patient’s “Medical home”
Collaborative relationship between patients and
providers to increase the patient involvement in
decision making
Better health, fewer complications, less pain, fewer
trip to the emergency room or urgent care and
lower cost to our community
Patient Centered Medical Home
CHALLENGES:
 Low-income population have other priorities
 Only focus on health when too serious to avoid
 More difficult to keep in touch
 More difficult to motivate healthy living

Impact of Health Care Reform

May have a positive impact on low income
families and primary care centers.

St. Elizabeth’s has physical capacity to expand
volume of patients served

Strong reputation for volunteerism for health care
professional, working and retired and students

Bring new value through the PCMH model
Impact on Mission and Value



Opportunities to enhance partnerships with other
faith-based organizations; community health care
providers, universities and schools
Opportunities for volunteerism with an underserved
population
Opportunity to impact the health of our community