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2012–2013 Volunteer Health Services Annual · PDF file 2012–2013 Volunteer Health Services Annual Report January 2014 Rick Scott Governor John H. Armstrong, MD, FACS Surgeon General

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  • 2012–2013 Volunteer Health Services Annual Report

    January 2014

    Rick Scott Governor

    John H. Armstrong, MD, FACS Surgeon General and Secretary of Health

  • TABLE OF CONTENTS Page

    Introduction --------------------------------------------------------------------------------------------------------- 1 Volunteer Health Care Provider Program Activities ------------------------------------------------------ 3 Volunteer Health Care Provider Program Clinics --------------------------------------------------------- 5 Volunteer Health Care Provider Program Clinics and Contributions --------------------------------- 6 Volunteer Activities in County Health Department and Children’s Medical Services Facilities ------------------------------------------------------------------------------------------------------------ 19 Volunteer Contributions in County Health Department and Children’s Medical Services Facilities ------------------------------------------------------------------------------------------------------------ 20 Medical Reserve Corps Volunteer Contributions ---------------------------------------------------------- 23 Appendices:

    A. Volunteer Health Services Program Staff Directory ---------------------------------------- A-1

    B. Financial Liability Report -------------------------------------------------------------------------- B-1

    C. Section 766.1115, Florida Statutes ------------------------------------------------------------- C-1

    D. Sections 110.501-504, Florida Statutes ------------------------------------------------------- D-1

    E. Annual Reporting Form ---------------------------------------------------------------------------- E-1

  • 1

    Introduction This annual report is provided in accordance with Section 766.1115(8), Florida Statutes to summarize contributions made through the Volunteer Health Care Provider Program. The Florida Department of Health promotes the use of volunteers to augment its public health duties and functions. From July 1, 2012 through June 30, 2013, the value of health-related goods and services provided to Florida’s citizens through volunteers and donations totaled over $290 million. With annual expenditures of $398,494, this results in a return on investment of $702 in health care services to underserved Floridians for each dollar of state funds expended. Since the Volunteer Health Care Provider Program’s inception in 1992, the Department has documented more than $2.4 billion in donated goods and services. The majority of these contributions were directly related to medical and dental care provided to the underserved and uninsured. These services are coordinated through the Volunteer Health Care Provider Program (VHCPP) and volunteer services authorized under Chapter 110, F.S. Created by the “Access to Health Care Act” in 1992, the VHCPP improves access to medical care for uninsured and underserved low income residents by allowing licensed medical professionals to become agents of the state. In exchange for the professional services they donate to financially eligible clients referred by the Department’s agents and employees, the providers are protected by sovereign immunity. The volunteer health care professionals sign contracts with the state and are primarily associated with not-for-profit community or faith-based medical safety net organizations. Although small administratively, the VHCPP serves as a vital and highly efficient component in the Department’s effort to increase access to health care for those in need throughout Florida. To be eligible for VHCPP medical services, a client must:

     Not have health insurance that covers the treatment being sought; and have a net family income that does not exceed 200% of the federal poverty level; or

     Be Medicaid eligible under Florida law and meet the program’s income eligibility criteria. For Medicaid eligible clients to receive services through a free clinic, the service must not be covered by Medicaid, or not available because of a lack of Medicaid providers.

    Often in a crisis situation, the Department of Health’s regional coordinators positioned across the state assist individual Floridians with locating volunteer health care services. Appendix A lists staff and their assigned regional territory. They further promote volunteer health care services by providing guidance and technical support to individuals and volunteer organizations, and assuring compliance with statutory sovereign immunity requirements. In addition to contracted VHCPP volunteers, volunteers in the Department’s facilities augment the reach of public health initiatives. These volunteers are granted liability protection and workers’ compensation while volunteering and serving in a variety of positions, from health care professionals to administrative support. Volunteers provide free services in almost every county in Florida. A person seeking to participate as a volunteer for the Department of Health must meet the same requirements as a Department employee. While most of these volunteers are located in county health departments, a majority of free clinics utilize them to determine client eligibility and perform referral duties, ensuring compliance with the provisions of the Access to Health Care Act.

  • 2

    The Medical Reserve Corps (MRC) is a national network of local groups of volunteers committed to improving the health, safety and resiliency of their communities. The mission of the Florida Medical Reserve Corps Network Program is to augment local community health and medical services staff with pre-identified, trained and credentialed MRC volunteers.

    The number of MRC volunteers, hours volunteered, and the total value of their contributions are included in the county health department volunteer reports and the county health department volunteer tables starting on page 20. The contributions of MRC chapters included in the county health department totals have been provided as a separate table on page 23. As required by the statute, this report includes a list of claims under the VHCPP compiled by the Florida Department of Financial Services, Division of Risk Management. This report is in the form of a letter and is provided on Appendix B. The key to the continued success of these volunteer initiatives is the sustained support of the many generous provider organizations, professional associations, public/private partnerships, and individuals committed to strengthening and developing collaborative relationships within their local communities. The Department is looking forward to continuing its support of the statewide network of volunteers and their charitable services as we move into our 22nd year of serving the citizens of Florida. If you have any questions, please contact:

    Christopher P. Gainous Sr. Supervisor, Volunteer Health Services Health Resources and Access Section Bureau of Community Health Assessment Division of Public Health Statistics & Performance Mgt. 4052 Bald Cypress Way Bin C15 Tallahassee, FL 32399 (850) 245-4104 (850) 414-6470

  • 3

    Volunteer Health Care Provider Program Activities

    This section of the report documents the contributions made by participants in the Volunteer Health Care Provider Program (VCHPP). During this reporting period, there were 13,543 licensed health care professionals and 26,002 clinic staff volunteers who provided 427,731 health care services to citizens. Since 2008, the VHCPP has increased its numbers of licensed providers by 30.1% and non-licensed providers by 69.5%.

    Year Licensed

    Volunteers Percent Change

    Compared to 2008 Non-Licensed

    Volunteers Percent Change

    Compared to 2008

    2008 10,410 - 15,344 -

    2009 14,199 36.4% 17,448 13.7%

    2010 11,193 7.5% 18,431 20.1%

    2011 11,664 12.0% 20,663 34.7%

    2012 12,867 23.6% 22,816 48.7%

    2013 13,543 30.1% 26,002 69.5%

    0

    5,000

    10,000

    15,000

    20,000

    25,000

    30,000

    2008 2009 2010 2011 2012 2013

    FL Volunteer Services Licensed and Non-Licensed Volunteers , 2008-2013

    Licensed Volunteers Non-Licensed Volunteers

  • 4

    Monetary values contained in this report are supplied to the Department by volunteer provider organizations and clinics across Florida. During the 2012-2013 reporting period, 206 such entities reported receiving donations of more than $127 million in monies, supplies and equipment from external sources. When coupled with the value of volunteer hours, the total value of donated goods and services grows to $294,427,678. As shown below, this represents an increase of 64.7% since 2008.

    The increased access to health care provided to underserved and uninsured residents of Florida through this program is completely dependent on volunteers. The Department is extremely thankful for the health care providers’ commitment to this endeavor and acknowledges their positive impact on individual lives and local communities. Vital to the continued success of this program is the support and sponsorship of licensed health care professionals, community and faith-based organizations, public/private partnerships, the Florida Medical Association, the Florida Osteopathic Medical Association, and the Florida Dental Association. In many areas, providers and civic organizations have joined forces to develop extensive collaborations to support a complete, uncompen