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Rev. June2017
FMC USA New Clinic Grant Application 1 | P a g e
Application Date: September 15, 2017
Opening Date: Grand Opening Jan/Feb 2018
Amount Requested: $24,500
Eligibility check list
Clinic Services are provided at no cost (100% free) to the patient ☒Yes ☐No We have completed (or are in the process of completing) the Volunteers in Medicine (VIM) development process
☒Yes ☐No
The Family Physician named in this application is a member of the AAFP
☒Yes ☐No
1. CONTACT INFORMATION
a. Clinic
Name: Salud Sin Fronteras Student Run Free Clinic
Address:201 E 9th Ave, El Paso TX 79901 (Physical) 9849 Kenworthy St, El Paso TX 79924 (Mailing)
Telephone #: 915-215-4665 Fax #:N/A
Website address: N/A (in progress) Email: [email protected]
b. Primary Contact
Name: Tracy Leonard Title: Clinic Coordinator
Telephone #: 915-215-4665 Email: [email protected]
c. Family Physician (FP) Champion
Name: Charmaine Martin, MD AAFP Membership ID #:0027815
Cell (or best contact #): 915-123-1234 Email: [email protected]
Is the FP applicant:
The medical director of the clinic? The board president of the organization? An active volunteer providing medical services?
☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
GRANT APPLICATION NEW CLINICS
Submission deadline: September 15, 2017
SAMPLE APPLICATION
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FMC USA New Clinic Grant Application 2 | P a g e
Please describe or provide examples of the FP applicant’s leadership role and involvement in the clinic. Charmaine Martin, MD is the founding Medical Director and President of the Board for the Salud Sin Fronteras Student Run Free Clinic. She oversees volunteer physician recruitment, patient care, and medical student education. She volunteers at the clinic approximately 15-20 hours a month. She is an Associate Professor of Family and Community Health, Director of Medical Student Education, and Clerkship Director at the Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center at El Paso.
2. CLINIC OVERVIEW (Please provide brief descriptions for each section below. Support your descriptions by including in the appendices documentation such as an organizational chart, list of board members and their affiliation, summarized business plan etc.)
PLEASE DESCRIBE THE FOLLOWING:
a. Geographic area(s) and patient population served and estimated hours of operation.
The Salud Sin Fronteras Student Run Free Clinic (SSFSRFC) is located in the Segundo
Barrio neighborhood of El Paso, TX 79901, residing within the Centro de los Trabajadores
Agricolas Fronterizos – Center for Migrant Farmworkers.
Within the 79901 ZIP code, 95% of the 11,328 residents identify themselves as Hispanic or
Latino (United States Census Bureau, 2010b). Approximately 21% walk to their workplace
and 19% use public transportation. Moreover, 5.5% of residents in this ZIP code work in the
agriculture, forestry, fishing and hunting, and mining industries (United States Census
Bureau, 2015b). The median household income is $14,019. Regarding insurance rates
among individuals 18-64 years old, for those in the active labor force, only 31% reported
having health insurance coverage; among those unemployed, only 20% had coverage, and
for those not in the labor force, 64% reported having health insurance (United States
Census Bureau, 2015b). According to the City of El Paso Department of Public Health, this
ZIP code has a Community Need Index (CNI) of 5. CNI is measured on a scale from one to
five, five being a ZIP code with the most socio-economic barriers on the scale. Such
barriers, which influence the health of a population, were related to income, education,
health insurance coverage, housing, culture and language (City of El Paso Department of
Public Health, 2013).
Currently the clinic focuses on serving migrant farmworkers staying at the Centro de los
Trabajadores Fronterizos Center, however, the goal is to open up to the surrounding
neighborhood as a fully functioning community clinic. Hours of operation reflect the needs
of our current patient population, running from 6pm to 9pm, the first 3 Thursdays of the
month. These hours will expand with the growth of our clinic.
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FMC USA New Clinic Grant Application 3 | P a g e
Farmworker Information: Current patients are migrant farmworkers that use the Centro de
los Trabajadores Agricolas Fronterizos Center as a temporary shelter. The U.S.
Department of Labor defines migrant farmworkers as a farmworker who travels to the job
site so that the farmworker is not reasonably able to return to his/her permanent residence
within the same day. Moreover, seasonal farmworkers are defined as an individual who is
employed, or was employed in the past 12 months, in farm work of a seasonal or other
temporary nature and is not required to be absent overnight from his/her permanent place
of resident.
There are approximately 2-3 million migrant and seasonal farmworkers in the United States
(Farmworker Justice & The National Center for Farmworker Health, 2015). Specifically in
the Southwest border region, there are an estimated 5,000-12,000 farmworkers working on
chili, onion, cotton, lettuce, and pecan crops (Weiger, MM, et al., 2007). The National
Agricultural Worker’s Survey (NAWS) indicate that the Southwest region (which includes
Texas, New Mexico, Arizona, and Oklahoma) has the highest proportion of middle aged
and elderly migrant and seasonal farmworkers (United States Department of Labor, NAWS
1989-2014). Most farmworkers are not born in the United States; 64% of them are born in
Mexico (National Center for Farmworker Health, Inc., 2016). Similarly, 90% of farmworkers
reported reading or speaking little to no English (New York State Department of Health et
al., 2007). About 25% of farmworkers reported completing grades 10-12 and have an
average yearly income of $15,000-17,499 (National Center for Farmworker Health, Inc.,
2016). In terms of healthcare expenditure by the farmworkers, about 60% reported using
health care services in the United States within the last two years, and 80% reported
accessing services in a country other than the United States; receiving care in the private
sector and paying out of pocket for medical expenses (Farmworker Justice & The National
Center for Farmworker Health, 2015).
b. Organizational/governing structure.
Currently there are three members that make up the Salud Sin Fronteras Board of
Directors. These founding members worked with Texas Cbar, a nonprofit pro-bono
organization that provides legal counsel to up and coming nonprofits in Texas, to complete
all required documents and applications to file for 501(c)(3) status. Under the
recommendation of Texas Cbar, the Salud Sin Fronteras organization is starting out with
only three Board Members, and will add additional members as the organization grows.
Currently, Charmaine Martin, MD serves as President and acting Medical Director; Tracy
Leonard, BA serves as Vice President and Secretary, and Justin Hartmann, BA, BS serves
as Treasurer (See attached Appendix A for organizational chart).
SAMPLE APPLICATION
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FMC USA New Clinic Grant Application 4 | P a g e
c. Sustainability plan.
Future fundraising efforts include both small and large-scale endeavors. Through the
fundraising and Grant Writing committee, quarterly fundraising events will be scheduled to
secure a budget to sustain medical supplies like test cartridges for the i-STAT blood
analyzer, Cholestech Cholesterol analyzer, and A1C machines. These funds will also allow
for the purchase and replenishment of other common medical supplies. The clinic is
working on creating a fund through private donations to aid in prescription assistance for
patients. Leadership is currently pursuing additional grant funding opportunities through
various foundations and organizations such as the El Paso Foundation, Paso Del Norte
health Foundation, The Josiah Macy Jr. Foundation and the Robert Wood Johnson
Foundation. Community collaborations with the El Paso Medical Society and the El Paso
Department of Health will help to open new avenues of future funding as well. Students are
also working on completing a grant application through the Texas Medical Association and
their ‘Be Wise. Immunization’ initiative to secure vaccinations and immunizations for
patients. (See Appendix B for complete Business Sustainability Plan).
d. Collaborative efforts with community organizations
Throughout the organizing process of the clinic, one of the greatest collaborations has been
with the local medical school, the Paul L. Foster School of Medicine (PLFSOM). Although
the SSFSRFC is legally a separate entity from the medical school, the majority of
volunteers are medical students and faculty physicians within the school. This collaboration
has led to free clinic publicity and volunteer outreach. It has also led to numerous donations
of basic medical supplies from PLFSOM programs, as well as from community physicians
who are familiar with the school and medical students.
The Centro de los Trabajadores Agricolas Fronterizos Center was established in 1983, by
Carlos and Alicia Marentes, with the purpose of helping farmworkers to empower
themselves while providing safe shelter. The center is now under the umbrella of the
Opportunity Center for the Homeless (OCH), which allows for more community involvement
with the center, as well as financial aid through the City of El Paso and State of Texas. The
SSFSRFC has a well-established relationship with the center and the OCH Directors, which
allows for the clinic to exist within the center free – eliminating overhead expenses such as
rent, utilities, etc.
The SSFSRFC’s leadership team has started collaborating with the Associate Dean of the
University of Texas at El Paso (UTEP)’s School of Social Work in order to bridge possible
gaps in patient care with the use of social work students completing their required
community health rotations at the clinic. This collaboration is intended to help the
farmworkers and members of the surrounding community gain greater access to social
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FMC USA New Clinic Grant Application 5 | P a g e
service resources. Other upcoming institutional collaborations include UTEP’s School of
Pharmacy and the Gayle Greve Hunt School of Nursing. This will create a more realistic
picture of the interdisciplinary aspects of healthcare the clinic wants to instill in the
volunteers. A recent collaborative effort with the West Texas Area Health Education Center
(AHEC) has been established. AHEC focuses on introducing and developing healthcare
interests with area K-12 students and undergraduates. Undergraduate students (Collegiate
Double T program) will have the opportunity to train and volunteer at the SSFSRFC as
Patient Navigators.
Medical student volunteers within the clinic have been working closely with the El Paso
Department of Health in order to maintain proper disease testing and prevention. Currently,
the focus is on tuberculosis screening and education, as migrant farmworkers are a
particularly vulnerable population for this disease.
Since the inception of the SSFSRFC, volunteers have partnered with attorneys from New
Mexico Legal Aid. Molly Graver, Staff Attorney and Project Coordinator for the Migrant
Farmworker Program, has provided educational workshops for clinic volunteers on the legal
barriers migrant farmworkers face in regards to matters that connect with their medical
needs. Currently, Molly Graver and the clinic’s coordinator have begun the process of
creating a Medical Legal Partnership. Other legal community collaborations include Texas
CBAR and their Pro Bono Legal Referral Program for up and coming nonprofits, and the
New Mexico Center on Law and Poverty.
Virginia Priego was first introduced to the SSFSRFC while completing her Master’s
program internship with the Centro de los Trabajadores Agricolas Fronterizos Center.
Inspired by the clinic’s potential, she became a volunteer and student educator with the
organization after completing her MSW. She has since assisted patients with insurance,
social security, housing, prescription assistance, and even educational assistance. Through
Mrs. Priego’s initiative, the clinic has become a certified “EyeCare America” location, which
permits patient referrals for free eye exam and cataract surgeries for patients. Moreover,
under the guidance of the Medical Director and Clinic Coordinator, Mrs. Priego has begun
developing a patient advocacy curriculum for student and physician volunteers.
e. Residents, medical students and/or retired family physicians. Will Family Medicine residents, medical students or retired family physicians be involved as volunteers? ☒Yes ☐No
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FMC USA New Clinic Grant Application 6 | P a g e
Estimated # of volunteers per month:
Residents:2 Medical Students: 35
Volunteer Physicians: 4
Retired Physicians: 0
Other:Social Worker – 1, Coordinator – 1, Nurse Educator – 1, Patient Navigators (undergrad students) – 3,
If applicable, please describe how you perceive each will be involved:
Patient Navigators are undergraduate students with the AHEC Program. They will handle patient intake and registration paperwork, as well as guide patients throughout the clinic. They will check for understanding after patient exams and assist with translation and health education as needed.
Medical students are assigned to clinical teams and scheduled monthly clinical rotations. Within a team there will be a blend of students in the various stages of their medical education (MS1-MS4). They will provide patient care under the supervision of an Attending Physician. Once the clinic’s lab is set up, they will also be trained on all equipment and run the lab.
Medical Residents will act as ‘clinic chiefs’, managing the flow of the clinic and assisting medical students throughout patient care. They will also assist the Attendings in student education.
Volunteer physicians will serve as supervising Attendings – signing off on all patient charts and care, prescribing medication as needed, and completing medical education training for student volunteers.
Retired Physicians are currently being recruited.
The Clinic Coordinator will manage the administrative side of the clinic – paperwork, creating policies, scheduling volunteers, community outreach, etc., during and beyond the scope of clinic nights.
The social worker will assist in connecting patients with services, benefits and programs available to them. She will work closely with the Attendings in order to fill any gaps in patient care. The SW will also create a patient advocacy curriculum for student education.
Nurse Educator will assist with student education and patient care during clinic nights. As the collaboration with the Gayle Greve Hunt School of Nursing comes together, the Nurse Educator will be responsible for nursing student education and direct their patient care.
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FMC USA New Clinic Grant Application 7 | P a g e
f. Will you have or are you forming partnerships/collaborations with hospitals,residency programs or medical schools, AAFP Chapters/Chapter Foundations? ☒Yes ☐ No
If yes, please describe the relationship: Currently, the SSFSRFC is primarily staffed with physician and student volunteers from the PLFSOM, which is an AAFP Chapter. Clinic leadership is in the process of additional collaborations with area institutions to further the growth and sustainability of the project. Although there are currently only two family medicine residents volunteering at clinic, leadership is reaching out to the Residency Director to include more participants. Eventually, the goal is to create a collaboration with all primary care residency programs within the PLFSOM. The SSFSRFC is also working on partnerships with the TTUHSC Gayle Greve Hunt School of Nursing, as well as the UTEP School of Social Work and School of Pharmacy. Click here to enter text.
3. BUDGET DETAIL (Please note this grant is intended to be used to purchase durable,sustainable equipment and instruments necessary for diagnosis and treatment.)
Items Estimated Cost*
1 Exam Room (e.g., exam table, exam lamp, revolving stool, scales etc.) N/A N/A Enter Sub-total $0
2 Instruments & Equipment (e.g., stethoscope, otoscope, thermometer, penlight etc.) ECG/EKG Analyzer $2,500 Portable B/W Ultrasound $5,500 Temporal Thermometer (2) $500
Sub-total $8,5003 Laboratory Equipment (e.g., microscope, centrifuge, timers,
HbA1c machine etc.) i-Stat Handheld Blood Analyzer Kit $13,000 Cholestech LDX Cholesterol Analyzer $2,500 Enter Sub-total $15,500
4 Start-up Supplies for Equipment (e.g., accu check strips, lancets, otoscope speculums, gloves, disposable probe covers etc.)
*(Limit $ 500)
Chem8 i-Stat test cartridges (50) $500 Enter Sub-total $500
5 Software/equipment for EHR: SpecifyN/A N/A Enter Sub-total $0
6 Other durable items not listed above. Specify N/A
Sub-total $0TOTAL AMOUNT REQUESTED $24,500
*Estimated costs rounded to the nearest dollar not to exceed $25,000
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FMC USA New Clinic Grant Application 8 | P a g e
*Start-up disposable supplies: Please explain how the supplies will be sustained beyond this start-up allotment. The ‘Start-Up disposable supplies’ listed above are test cartridges for the i-Stat Blood Analyzer. The SSFSRFC has previously held small scale local fundraisers to create a fund for the recurring cost of such supplies. The fundraising efforts noted in our sustainability plan will allow for the purchase and replenishment of additional supplies. The clinic has a committee solely focused on fundraising, which will continue efforts in planning quarterly fundraising events, solicit private donations, and pursue additional grant funding opportunities to add to this fund, thus enabling and establishing a sustainable budget for disposable lab supplies.
Please describe how the items requested will be used to enhance care and benefit the patients in your service area. Currently, the SSFSRFC operates and provides preliminary or basic primary care services to its patients. Securing financial assistance to purchase the lab equipment and supplies in the budget above will significantly increase the standard of care the SSFSRFC provides patients.
The i-Stat Blood Analyzer will allow students and physicians to establish baselines for renal and hepatic functions, thus leading to safely prescribing medications. The current patient population has an increased risk for Diabetes Mellitus – blood analysis will allow for clinical teams to assess patients’ level of control. The i-Stat Blood Analyzer system will allow clinicians and students to provide onsite, rapid and reliable testing necessary for patients due to the limitations imposed by the demands of their daily lives. Due to a lack of convenient transportation and financial resources, patients will have access to in house lab testing that would be inaccessible to them otherwise. Having the ability to check levels and establish baselines for patients with the Cholestech Cholesterol Analyzer will allow students and clinicians to safely diagnose, prescribe, and create a treatment plan for patients.
Similarly, access to an EKG machine will allow for a more thorough investigation of relatively common presentations in the patient population. The ability to perform EKGs will expand the clinic’s capabilities to screen for issues that might otherwise go unnoticed until they become emergent, and cause significant disruption in the lives of patients.
Due to the migrant farmworker’s nature of work, one of the top three chief complaints is musculoskeletal injury and pain. This population is more at risk for sprains, strains, back, knee and shoulder pains. Having a portable ultrasound machine will allow for the screening of various MSK issues such as osteoarthritis, degenerative joint disease, and overuse. The SSFSRFC will be partnering with Texas Tech University Health Sciences Center El Paso’s Sports Medicine team for ultrasound training and insight to physical therapy.
In short, having in-house laboratory equipment will allow patients to take more ownership in their health and provide them with a tangible perspective of their disease. This laboratory testing equipment will allow volunteer clinicians the ability to safely prescribe medications.
SAMPLE APPLICATION
In the event a grant is awarded to support this application, the applicant and applicant organization/institution agree to adhere to all award conditions specified by the AAFP Foundation as outlined in the guidelines, which accompany this application.
LIA itiaxA A wcc..._ NAA42-11K) Print Name of Family Physician Champion
Scj LA-CQ csi T:71-1.1..)6A t -e-ra r.;., -
Clinic Name Date
Signature of Family Physician Champion
5. Applicant Agreement
The completed application must be typed and sent electronically to Sharon Hunt at shuntaafp.org or faxed to 913-906-6095.
Be sure to attach the following: 0 Two letters of support El Summarized business/sustainability plan 0 A list of board members and their affiliations fl Organizational/governing structure flow chart
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FMC USA New Clinic Grant Application 8IPage 999
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Appendix B. Business Plan
1
Business Sustainability Plan
Salud Sin Fronteras
Student Run Free Clinic
901 E. 9th Ave
El Paso, TX 79901
915.415.4665
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Appendix B. Business Plan
2
A. Executive Summary
The Salud Sin Fronteras Student Run Free Clinic operates within the Centro de los Trabajadores
Agricolas Fronterizos – The Center for Migrant Farmworkers. The Center is located within the
Segundo Barrio neighborhood of Central El Paso, TX. Compromised solely of community volunteers,
including medical students at the Paul L. Foster School of Medicine, the clinic currently focuses on
serving migrant farmworkers staying at the center. However, the goal is to open medical services to
the surrounding neighborhood as a fully functioning community clinic. The location of the clinic is
critical due to the needs of the migrant farmworker patients. Many of the farmworkers do not have
access to transportation to travel to other clinics in El Paso with similar missions of serving
uninsured populations.
The Salud Sin Fronteras Student Run Free Clinic submitted the appropriate documentation to
receive 501(c)(3) non‐profit organization status on 6/27/17, and is currently awaiting the final
determination. Obtaining the 501(c)(3) nonprofit status, the clinic funding opportunities will
increase with the possibility of larger private donations and grant funding.
Mission Statement:
“To better the health and wellness of the disadvantaged communities
in and around El Paso, especially the migrant farmworkers,
by providing culturally and socioeconomically competent care
in a welcoming setting”
Vision Statement:
“A community that is enabled to live in health by maintaining
strong and regular relationships with healthcare providers”
Goals:
To create an excellent all around patient experience.
To create an excellent all around student experience.
To establish an interdisciplinary approach to patient care
by building strong relationships within our community.
Operating as a ‘student run’ clinic provides unique training experiences for young healthcare
professionals. Not only do students learn early in their careers the standards and evidence based
guidelines for treatment of chronic diseases in primary care, but they will also be exposed to basic office
laboratory techniques. Focusing on prioritizing patient needs through medical, social service and legal
collaborations will build the foundation of a culture of caring to create the best patient care possible.
Exposure to underserved and uninsured populations in El Paso, and the programs and initiatives of the
Salud Sin Fronteras clinic will encourage students to plant roots in the Southwest border region – where
there is an imminent and growing primary care physician shortage.
B. Programs and Services
Currently, Salud Sin Fronteras Student Run Free Clinic services are limited to preliminary primary
care, triage, and referral. Medical student volunteers take vitals, perform physical exams and create
a plan of care for patients. The top three chief complaints seen in the clinic are Diabetes Mellitus,
Hypertension, Dyslipidemia, and Musculoskeletal complaints. Student and physician volunteers
work to establish the best course of treatment, generally relying on the clinic’s social worker to aid
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Appendix B. Business Plan
3
in referrals for patients to community resources. Securing financial support to purchase key
equipment and establishing an in house lab, will expand clinical services and rival the standard of
care of private primary care clinics. Additionally, this will provide patients access to diagnostics they
may not otherwise have access to.
As previously mentioned, working in conjunction with a social worker, the clinic is able to
provide referrals to numerous local, state and federal agencies and programs. Most common
program referrals include Medicaid and Medicare insurance, social security and disability eligibility,
housing referrals and placement, prescription assistance and even assistance for educational
programs. Under the initiative and guidance of the clinic’s social worker, the Salud Sin Fronteras
Student Run Free Clinic has been certified as an “EyeCare America” location, which allows referrals
for free eye exams and cataract surgeries for eligible patients.
The clinic is fortunate enough to have medical student volunteers with professional healthcare
licenses. One student is a licensed pharmacist and will head the committee in charge of creating a
clinic dispensary, as well as cementing a partnership with the University of Texas El Paso’s School of
Pharmacy. Another student volunteer is a licensed Acupuncturist. She will be heading an alternative
medicine initiative within the clinic, offering medical massage and education as needed to patients
who are interested, as well as holding educational sessions for students and volunteers.
With the growth and expansion of the clinic, programs and services will grow as well. The clinic
has a committee dedicated to patient advocacy, which will focus on patient health education
initiatives, such as colon cancer screenings. Clinic leadership is currently in works with the El Paso
Department of Health to establish proper disease testing and prevention for Tuberculosis. Clinical
teams are also focused on establishing regular health fairs for the community that will not only
provide education and preventative screenings, but also vaccinations.
Salud Sin Fronteras clinic leadership is also in the final stages of establishing an Eye Care/Vision
night at the clinic, where local Ophthalmologists and eye care professionals will come in and
complete eye screenings and education. Fundraising efforts are in place to create a fund to provide
glasses for patients not otherwise eligible for free eyewear.
C. Market Opportunities
There are three other clinics in Central El Paso that focus on underserved/uninsured
populations. Centro San Vicente Family Health Center is open weekdays from 7a‐7p. It provides
primary healthcare services to low income residents of El Paso County who can provide proof of
residence, using a sliding scale discount program. Patients usually require a minimum co‐pay prior to
receiving medical services. Centro de Salud Familiar La Fe is another clinic located in Central El Paso.
They operate on weekdays from 8a‐5p, providing primary and preventative health services to
individuals who register with the clinic. Patients must provide proof of income, address,
identification and proof of benefits through Medicare, Medicaid or other insurance. Lastly, there is
The El Paso Baptist Clinic, which serves the uninsured and underserved by providing low cost
primary healthcare every Saturday morning beginning at 8am, with the help of volunteers. However,
due to a recent shortage of volunteers, the Baptist Clinic is no longer accepting new patients.
Due to the nature of the Salud Sin Fronteras Student Run Free Clinic’s patient population and
their schedules, the clinic will not duplicate any existing services within Central El Paso. The
farmworkers residing at Centro de los Trabajadores Agricolas Fronterizos typically leave the center
between 3‐4am to head to the fields for work, and return between 4‐5pm. Many of the workers do
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Appendix B. Business Plan
4
not have personal transportation and thus cannot easily travel to nearby clinics. Many farmworkers
do not have the required documentation or proof of residence, which is essential for receiving
services in many clinics. The Salud Sin Fronteras Student Run Free Clinic offers services free of
charge, regardless of residency status, at a time and location that is convenient for the farmworkers.
In this way, the clinic will serve the farmworker population in a way that nearby clinics have not
been able to effectively achieve.
D. Organizational Structure – Please See Appendices A & C
Currently there are three members that make up the Salud Sin Fronteras Board of Directors.
These founding members worked with Texas CBar, a nonprofit pro‐bono organization that provides
legal counsel to up and coming nonprofits in Texas, to complete all required documents and
applications to file for 501(c)(3) status. Under the recommendation of Texas Cbar, the Salud Sin
Fronteras organization is starting out with only three Board Members, and will add additional
members as the organization grows. Currently, Charmaine Martin, MD serves as President and
acting Medical Director; Tracy Leonard, BA serves as Vice President and Secretary; and Justin
Hartmann, BA., BS serves as Treasurer.
E. Financial
The Salud Sin Fronteras Student Run Free Clinic came to fruition through the Scholars in Primary
Care (SPC) program. This program is an educational grant initiative, funded by the Texas Higher
Education Coordinating Board, which creates opportunities for medical students at the Paul L. Foster
School of Medicine (PLFSOM) to experience the many facets of primary care, including exposure to
medically underserved populations. The SPC grant mostly provides financial support to medical
students for educational materials and travel stipends to attend national primary care conferences.
However, the SPC grant has been able to support minor needs of the clinic, on the basis of student
education. The clinic has been able to secure iPads for the use of an Electronic Medical Records
system, as well as basic supplies such as blood pressure cuffs, peak flow meters, and pulse ox
sensors.
The clinic has received various medical supplies and equipment from PLFSOM. Exam room
furniture (tables, stools, desks, etc.) has been donated through the university, as well as many
surplus medical supplies (first aid supplies, gloves, otoscope, A1C and AED machines, etc.) Through
fundraising, presentations and student travel, the clinic has also been fortunate to receive donations
from physicians in the private sector. Student leadership is constantly networking to build and grow
the clinic’s presence and reputation within the El Paso community.
Operating on a completely volunteer basis, there is currently no need to secure financial support
for a salaried staff. The clinic resides within the Centro de los Trabajadores Agricololas Fronterizos
migrant farmworkers center, so there are no overhead expenses such as rent, utilities, etc.
Future fundraising efforts include both small and large scale endeavors. Through the Fundraising
and Grant Writing committee, quarterly fundraising events will be scheduled to secure a budget to
sustain medical supplies like test cartridges for the i‐STAT blood analyzer, Cholestech Cholesterol
analyzer, and A1C machines. These funds will also allow for the purchase and replenishment of
other common medical supplies. The clinic is working on creating a fund through private donations
to aid in prescription assistance for patients. Leadership is currently pursuing additional grant
funding opportunities through various foundations and organization such as the El Paso Foundation,
Paso Del Norte Health Foundation, The Josiah Macy Jr. Foundation and the Robert Wood Johnson
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Appendix B. Business Plan
5
Foundation. Community collaborations with the El Paso Medical Society and the El Paso Department
of Health will help to open new avenues of future funding as well. Students are also working on
completing a grant application through the Texas Medical Association and their ‘Be Wise,
Immunization’ initiative to secure vaccinations and immunizations for patients.
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Appendix C. Board Member Affiliations
Salud Sin Fronteras Board Members
Charmaine Martin, MD. President.
Paul L. Foster School of Medicine at Texas Tech University Health Sciences Center El Paso
Associate Professor
Medical Student Education Director
Clerkship Director
Department of Family and Community Medicine
Memberships with the following organizations:
American Academy of Family Physicians (AAFP)
Society of Teachers of Family Medicine (STFM)
El Paso County Medical Society, non‐elected member
Texas Medical Association (TMA), non‐elected member
Tracy Leonard, BA. Vice President, Secretary.
BA Psychology, Wright State University
Grant Writing + Nonprofit Management Professional Certification, University of Texas at El Paso
Paul L. Foster School of Medicine at Texas Tech University Health Sciences Center El Paso
Program Coordinator – Scholars in Primary Care, Department of Family and Community
Medicine
Society of Teachers of Family Medicine (STFM), member
Justin Hartmann, BA, BS. Treasurer
Paul L. Foster School of Medicine at Texas Tech University Health Sciences Center El Paso
MD Candidate, Class of 2019
BS Mathematics with Specialization in Economics, The University of Chicago
BA Economics in Mathematics, The University of Chicago.
Student Memberships with the following organizations:
American Academy of Family Physicians
American College of Physicians
American Medical Association
Association of Medicine and Psychiatry
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