Camillus Health Concern, Inc.

Camillus Health Concern, Inc.

1984 - Faith-based organization, founded by Dr. Joe Greer and the Brothers of the Good Shepherd

1989 – Healthcare for the Homeless project under HHS Section 330(h)

1996 – Designated as a Federally Qualified Health Center

Camillus Health Concern, Inc.

Comprehensive Health Care and Social Services

Primary Medical Care Pediatric, & Women’s Health Services Preventative Health Screening & Education Oral Health Services Podiatric Services HIV/AIDS Prevention, Education & Treatment Behavioral Health Services Specialty Services Case Management Medical Outreach Services Transportation Services Respite Care

Camillus Health Concern, Inc.Service Sites

•Main site in downtown Miami

•School-based clinic; Frederick Douglass Elementary School

•Betterway Substance Abuse Treatment Center

•Salvation Army Miami Shelter

•Outreach through Project Safestreet

•Medical Outreach

Homeless Population of Miami-Dade County

Population Estimate 5160*

16% Chronically Homeless

18% Severe Mental Illness

22% Chronic Substance Abuse

*Miami-Dade County Homeless Trust 2005

Homeless Population of Miami-Dade County

Ethnicity*

50% African American16% Caucasian30% Hispanic 4% Other

*Miami-Dade County Homeless Trust 2005

Camillus Health Concern, Inc.

Medical Outreach Program

History

1984 - Dedicated volunteer doctors led by Dr Greer taking healthcare to the streets

1992 – Project Safestreet Outreach Program

2002 – Medical Outreach Program expansion

Camillus Health Concern, Inc.Medical Outreach Program

1/1/04 thru 6/30/05:

2037 patients4773 encounters84 % male44 % African American36 % Hispanic

Camillus Health Concern, Inc.Medical Outreach Program

Types of Outreach Walk About Mobile - Van Shelters - Camillus House

- Mother Theresa’s Respite Rounds Churches – Mt. Zion Baptist church Community requests

Camillus Health Concern, Inc.Medical Outreach Program

Medical Outreach Team Provider – Physician, ARNP Registered Nurse - Full time Medical Assistant Case ManagerImmediate communication with other staff, as needed

Camillus Health Concern, Inc.

Medical Outreach Program

Provisions & Supplies“Comprehensive” mobile medical bag

Medication, Glucometer, Oto/Ophthal.

Hygiene Kits

Reading GlassesMosquito repellantSunscreen

Camillus Health Concern, Inc.Medical Outreach Program

Outreach Process

Engagement – Building Trust Intake Needs Assessment Treatment & Intervention Referral to main site & other agencies via

immediate communication cellphone/radio Transportation, if necessary

Medical OutreachLessons Learned

Persistence pays off, go back ! Consistency, Follow through with promises Fast access to follow up is a must Concurrent Case management-essential Limit yourself to what you do well Knowledge of partner agencies Think on your toes, no sticks in the mud need

apply,… be FLEXIBLE You,ve got to like your patient!!

Camillus Health Concern, Inc.

Current Challenges

Success can create challenges…… Extended wait time for follow-up care due to increased

number of patients reached Delays result in patients not returning for required and

necessary care or no show appointments At any given time, there are 3 to 4 CHC patients that

require hospitalization at JMH Not enough Respite beds

......Med Outreach Follow Up Clinic……Respite Bed Expansion ?

Medical Outreach

QUESTIONS ?