2. Antelope Valley Overview
- 2,000 square miles-Larger than the States of Delaware or Rhode
Island
- Overall population 440,000
- Due to affordable housing in the 90s 50% increase in Housing
1990-2000 & 17% last 5 years
- Currently One of the Highest foreclose rates in the State
- Medium Household income $44,277
- 78% have High School Degree
- Poverty level 25% & 15% Uninsured
- Estimated # of Uninsured 65,000-75,000 & Growing
3. Health IndicatorsAntelope Valley vs. LA County
- Antelope Valley Leads the County of Los Angeles with the
poorest health indicators:
- Children & Adults with Asthma
- Children with Special Needs
- Children Exposed to Tobacco at Home
- Late or no Prenatal Care and
4. Current Health Care Delivery System
- Antelope Valley Hospital 440 bed at capacity. ER 110,000
visits/year. One of the busiest in US.
- 40% of the visits are non-urgent and 60% of those have no
insurance
- High Desert Health Systems-Closed County Hospital 5 years ago.
Budget constraints on out-patient services
- Palmdale Hospital closed 10 years ago.
- Lancaster Community Hospital-117 beds-Building new Hospital in
Palmdale- Currently no Medi-Cal contract
5. Logo VNA UW AVC Creation of AVCC
- Late 2005,Antelope Valley Partners for Health(AVPH)completed a
Community Needs Assessment funded by Kaiser Permanente. It
concluded that there was a critical need for expansion of primary
care, prevention and education services for the uninsured and
underinsured.
- Antelope Valley Community Clinic Advisory Board was created.
Committee members included major providers, organizations &
Community members:AV Hospital, Lancaster Community Hospital, High
Desert Medical Group, Kaiser Permanente, County of Los Angeles and
the Cities of Lancaster and (c) (3) was formed. The Board is 51%
users of service & FQHC Compliant
- In August 07 we received a start-up grant from Kaiser Permanent
for $250,000
- In March 08 we acquired Care-A-Van Mobile Clinic from
VNCS/PICF
- In August 08 we received $500,000 grant from LA Care.
- In March 09 we acquired Clinic in Palmdale. License
pending.
- In April 09 we began construction on Phase 1 clinic in
Lancaster. License in June 09
- In August 09 we opened the Lancaster Clinic
- In March 10 we will begin construction on Health and Wellness
Clinic
6. Clinic Services
- Currently operate 2 Mobile Clinicsand two fixed clinic one in
Palmdale and one in Lancaster.
- All will be staffed by physicians and mid-level Nurse
Practitioners.
- Family, internal and pediatric medicine, obstetrics and
gynecology. OB Clinic from AV Hospital is sub-letting at proposed
Phase 2
- Diagnostic laboratory and imaging services on-site and through
AV Hospital and Lancaster Community Hospital in-kind support.
- Preventative health services including prenatal and perinatal
services. Black Infant Health, Healthy Births, Save A Smile etc.
through Antelope Valley Partners for Health
- Screening for breast and cervical cancer, well-child services,
immunizations, disease management for diabetes, asthma and
hypertension.
- Adult and Children's Dental program
7. Care-A-Van Mobile Health Clinic in service since 1996. Sees
3,200 patients every year at 16 sites throughout the Antelope
Valley 8. Care-A-Van Mobile Clinic II. Donated by County of Los
Angeles. License pending. Plan is to convert to full-service Dental
Clinic in 2010 9. Primary Clinics in Lancaster & Palmdale
- Palmdale- 2,800 sf opened March 1, 2009. Acquired from local
physician. Primarily Women and Children but have expanded to adult
medicine. Temp space until we find larger clinic in Palmdale.
Seeing about 750 patients a month.
- Lancaster-Arbor Grove 2,800 sf. Opened in August 2009. 7 Exam
rooms. Will see pediatrics & adult medicine. About 600 patient
per month. When larger Health and Wellness Center opens we will
maintain this spacefor older adults and or prevention and disease
management care such as our new Diabetes Education & Treatment
program.
10. Phase 1 2,800 sf open June 2009 Round area on 11. Antelope
Valley Community Clinic-Palmdale 2,800 sf 6 exam rooms acquired
March 1, 2009 Seeing 600 patients per month. License in June 2009
12. NewCommunity Health and Wellness Center
- We have signed a lease on a 15,000 sf building in Lancaster in
a very high area of need that will serve as a Community Health and
Wellness Center.
- We will have additional clinic and meeting /conference space
adding at least 20 more exam rooms and expanding our primary care,
pediatrics, OB, Dental and specialty care clinics.
13. Funds Committed
- High Desert Medical Group 2008 $50,000
- AV Hospital $100,000- General operations
- Ahmanson Foundation $350,000-Construction
- LA Care $500,000 for Operations August 2008
- Kaiser $250,000 start up 8.1.07
- Ralph M Parsons Foundation $150,000 for construction 2010
- LA County $350,000 for construction & $850,000 for patient
care. 2010
- California Wellness Foundation for $150,000 general ops
2010
14. Requests pending
- Weingart Foundation $350,000
- S. Mark Taper Foundation $200,000
- Help II-State $200,000-$750,000 loan after FQHC
- CPCA- $350,000 Bridge loan after FQHC
- Federal Stimulus- After we receive FQHC-Amount not known for
Construction. Operational grants are $650,000
15. Sustainability
- FQHC- or 330 Look-Alike-Letter of Intent submitted April
2009
- Full FQHC Application to be submitted in September 2009
- - FQHC allows significantly enhanced reimbursement on
allMedi-Cal and Medicare patients
-
- - FQHC Competitive Grants also provide $600,000
-
- Medi-Cal, CHDP, CDP, Family Pact, Healthy Families, Healthy Way
LA, EAPC, PPP,Medicare, LA Care & other HMOs
-
- Foundation Support-Current: Kaiser, United Way, Blue Shield,
Komen, Avon Foundations, Ahmanson, Boeing
-
- Potential: The Weingert, Annenberg, California Community
Foundation and The California Endowment.
16. Construction Start-Up Funding $500,000 $250,000 $40,000
$100,000Kaiser Permanente $100,000 The Ahmanson Foundation $350,000
The Ralph M. Parsons Foundation $150,000 The California Wellness
Foundation $150,000 17. Operational Support Kaiser Permanente Rural
Health Grant Healthy Families Family PACT Public Private
Partnership Expanded Accessto Primary Care Medi-Cal UNITED WAY's
Cancer Detection Program The California Wellness Foundation 18.
AVCC ExpansionPlans
- AV Health and Wellness Center Open: Sept 2009
- Lake Los Angeles & Littlerock- Currently operated by County
of Los Angeles Acquire: 2010???
- Lancaster- Arbor Grove Temporary Clinic adjacent to large AV
Health & Wellness Center project
- Palmdale- Physician Clinic acquisition
- Mojave- Kern County Currently underserved area with little or
no access to primary care. No projected opening date.
- Operate 2 Mobile Clinics-One to be converted to Dental
- Geriatric Assessment Center in Arbor Grove- PACE
Program????
19. Thank You.