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Paradise Senior Health Paradise Senior Health Center Center A Hospital-Based Clinic A Hospital-Based Clinic of Paradise Valley of Paradise Valley Hospital Hospital

Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

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Page 1: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Paradise Senior Health Paradise Senior Health CenterCenter

A Hospital-Based ClinicA Hospital-Based Clinic

of Paradise Valley Hospitalof Paradise Valley Hospital

Page 2: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Visionary Leadership…Visionary Leadership…

Ben Medina, M.D.Ben Medina, M.D.– Board Certified in Int. Med.Board Certified in Int. Med.– 25 years in clinical 25 years in clinical

practice.practice.– Founder of Paradise Senior Founder of Paradise Senior

Health Center in 02/1999.Health Center in 02/1999.– Member of CMA & AMA.Member of CMA & AMA.– Member of SD Med. Soc.Member of SD Med. Soc.– Producer of “Caring For An Producer of “Caring For An

Aging America” for the Aging America” for the past 15 years.past 15 years.

– Coordinator of “Grand Coordinator of “Grand Rounds” at Paradise Valley Rounds” at Paradise Valley Hospital.Hospital.

– Medical Director & Patient Medical Director & Patient Advocate.Advocate.

Page 3: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

The Human Touch:The Human Touch:“A Family of Caring “A Family of Caring

Professionals…”Professionals…”

Primary Care Primary Care PhysiciansPhysicians

Specialty PhysiciansSpecialty Physicians Nurse PractitionerNurse Practitioner Nurses: RN & LVNNurses: RN & LVN Medical AssistantsMedical Assistants Clinical DieticianClinical Dietician Social WorkerSocial Worker Referral SpecialistReferral Specialist Reimbursement Reimbursement

SpecialistSpecialist

Page 4: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

A Wide RangeA Wide RangeOf On-Site Specialty Physicians...Of On-Site Specialty Physicians...

CardiologyCardiology GastroenterologyGastroenterology GerontologyGerontology GynecologyGynecology HematologyHematology Internal MedicineInternal Medicine NephrologyNephrology

NeurologyNeurology Neuro SurgeryNeuro Surgery Plastic SurgeryPlastic Surgery PodiatryPodiatry PulmonologyPulmonology Rehab MedicineRehab Medicine Referrals to other Referrals to other

off-site off-site specialties…specialties…

Page 5: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Skillful Physicians Perform On-Skillful Physicians Perform On-Site…Site…

Mini-Mental Status Mini-Mental Status ExamExam

Memory ExamMemory Exam EKGEKG Treadmill Stress TestTreadmill Stress Test IV Antibiotic TherapyIV Antibiotic Therapy IV HydrationIV Hydration Pulmonary Function Pulmonary Function

TestTest Breathing TreatmentBreathing Treatment

Flexible Flexible SigmoidoscopySigmoidoscopy

Urethral Urethral CatheterizationCatheterization

PAP SmearPAP Smear Trigger Point Trigger Point

InjectionInjection CryotherapyCryotherapy Minor Surgical Minor Surgical

ProcedureProcedure

Page 6: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

On-Site Lab Services…On-Site Lab Services…

CLIA Certified LabCLIA Certified Lab Phlebotomy StationPhlebotomy Station CentrifugeCentrifuge Serum GlucoseSerum Glucose Pro TimePro Time FructosamineFructosamine Hemoglobin A1CHemoglobin A1C Lipid ProfileLipid Profile Physician Performed Physician Performed

Microscopy: Urine & Microscopy: Urine & Wet Mounts.Wet Mounts.

Page 7: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Dietary Counseling…Dietary Counseling…

Clinical Dietician on-Clinical Dietician on-site for consultation.site for consultation.

Eating disorders Eating disorders including obesity & including obesity & anorexia.anorexia.

Metabolic disorders Metabolic disorders related to diabetes, related to diabetes, hyperlipidemia, etc.hyperlipidemia, etc.

Special diets such as Special diets such as renal, cardiac, etc.renal, cardiac, etc.

Ethnic-focused diet Ethnic-focused diet plans.plans.

Page 8: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Social Services Assistance & Social Services Assistance & Referrals…Referrals…

In-Home Support In-Home Support Services.Services.

Transportation & Transportation & Housing.Housing.

Meals On Wheels, Meals On Wheels, and other community and other community nutritional services.nutritional services.

Home Medical Home Medical Equipment.Equipment.

Incontinent SuppliesIncontinent Supplies

Correspondence with Correspondence with various agencies to various agencies to address special needs.address special needs.

Advanced Directives Advanced Directives information.information.

Home Health Care Home Health Care referralreferral

Hospice information & Hospice information & referralreferral

Grief counseling & Grief counseling & support groups support groups referral.referral.

Page 9: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Patient Education…Patient Education…

Conferences within Conferences within the community.the community.

On-site lectures for On-site lectures for patients.patients.

Classes related to Classes related to healthy lifestyles, healthy lifestyles, including: diet & including: diet & exercise, smoking exercise, smoking cessation, etc.cessation, etc.

Referrals to Center Referrals to Center for Health Promotion.for Health Promotion.

Page 10: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

We coordinate periodic community events We coordinate periodic community events offering…offering…

Free Health Screenings !!!Free Health Screenings !!!

OsteoporosisOsteoporosis Body Mass IndexBody Mass Index Breast CancerBreast Cancer HyperlipidemiaHyperlipidemia Diabetes MellitusDiabetes Mellitus Prostate CancerProstate Cancer Occult BloodOccult Blood Vision ScreeningVision Screening

Page 11: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Our Patient Assistance ProgramOur Patient Assistance Program…for Prescription Medications…for Prescription Medications

Seniors who are having trouble paying for the high cost Seniors who are having trouble paying for the high cost of prescription medications, may qualify to get free of prescription medications, may qualify to get free medications from pharmaceutical companies.medications from pharmaceutical companies.

We actively pursue these opportunities for our patients.We actively pursue these opportunities for our patients.

In order to qualify:In order to qualify:1)1) They cannot have health insurance that covers They cannot have health insurance that covers prescription prescription drugs.drugs.2)2) They cannot qualify for or be enrolled in a They cannot qualify for or be enrolled in a government government program that covers medication.program that covers medication.3)3) They must meet the pharmaceutical companies' They must meet the pharmaceutical companies' income income guidelines. Different companies have guidelines. Different companies have different income different income standards.standards.

Page 12: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Our Patient Assistance Our Patient Assistance Program… Program… (2)(2)

The drug companies give away millions of dollars of The drug companies give away millions of dollars of prescriptions every year, but they rarely publicize these free prescriptions every year, but they rarely publicize these free programs.programs.

At no charge to our patients, we apply for these free At no charge to our patients, we apply for these free prescriptions for them. Not all medications are covered by prescriptions for them. Not all medications are covered by these free programs, but a great many are available.these free programs, but a great many are available.

OurOur Patient Assistance Program has served hundreds of seniors Patient Assistance Program has served hundreds of seniors in our community. Many of the seniors in our community are in our community. Many of the seniors in our community are on fixed or limited income.on fixed or limited income.

We work with over 30 drug companies including, Abbott, Bayer, We work with over 30 drug companies including, Abbott, Bayer, Bristol-Meyers Squibb, Glaxo Wellcome, Lilly, Merck, Pfizer, Bristol-Meyers Squibb, Glaxo Wellcome, Lilly, Merck, Pfizer, Pharmacia, Roche, SmithKline Beecham, and many more.Pharmacia, Roche, SmithKline Beecham, and many more.

Page 13: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Our Patient Assistance Our Patient Assistance Program… Program… (3)(3)

At any given time we have around At any given time we have around 80 patients80 patients in our Patient in our Patient Assistance Program. Some are receiving up to five medications Assistance Program. Some are receiving up to five medications each month.each month.

We estimate that the monetary value of these prescriptions is We estimate that the monetary value of these prescriptions is about about $300 per month per patient.$300 per month per patient.

Our staff spends about 20 hours each month administering the Our staff spends about 20 hours each month administering the program.program.

The total value of this program to our patients is about The total value of this program to our patients is about $292,800 $292,800 per year.per year. The clinic does not receive reimbursement of any kind for The clinic does not receive reimbursement of any kind for these services.these services.

We offer the Patient Assistance Program to our patients because we We offer the Patient Assistance Program to our patients because we care. We want them to be able to get the best healthcare possible.care. We want them to be able to get the best healthcare possible.

Page 14: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Other Medication Assistance Other Medication Assistance ProgramsPrograms

……for Low-Middle Income Patientsfor Low-Middle Income Patients

““TOGETHER Rx”: a cooperative of 8 pharmaceutical TOGETHER Rx”: a cooperative of 8 pharmaceutical companies that provide 150 medications for companies that provide 150 medications for patients who qualify.patients who qualify.

Income requirements:Income requirements:- $28,000 for individual- $28,000 for individual- $38,000 for couple- $38,000 for couple

No fee to apply.No fee to apply. Once approved, the physician writes a prescription Once approved, the physician writes a prescription

which may be filled at any pharmacy.which may be filled at any pharmacy. Patient receives a 30-day supply of an individual Patient receives a 30-day supply of an individual

medication for only $15.00.medication for only $15.00.

Page 15: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Other Medication Assistance Other Medication Assistance Programs… Programs… (2)(2)

Pfizer’s “SHARE CARD” ProgramPfizer’s “SHARE CARD” Program Designed for patients at poverty levelDesigned for patients at poverty level

- $18,000 for individual- $18,000 for individual

- $24,000 for couples- $24,000 for couples Only $15.00 for a 30-day supply of any Only $15.00 for a 30-day supply of any

Pfiser Division medication.Pfiser Division medication. Includes Viagra, Norvasc, Lipitor, Includes Viagra, Norvasc, Lipitor,

Celebrex…and many more.Celebrex…and many more.

Page 16: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Prescription Compliance…Prescription Compliance…

Compliance with Compliance with prescriptions on prescriptions on an out-patient an out-patient basis improves basis improves quality of life, and quality of life, and reduces reduces hospitalizations!hospitalizations!

Page 17: Paradise Senior Health Center A Hospital-Based Clinic of Paradise Valley Hospital

Paradise Senior Health CenterParadise Senior Health Center…an established, expanding clinic for seniors in our community!…an established, expanding clinic for seniors in our community!

4,532

5,7426,141

6,753

7,008 (annualized)

0

1000

2000

3000

4000

5000

6000

7000

8000

1999 2000 2001 2002 2003

Patient Encounters Per Year