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Protecting America's Uninsured Home

Program Spotlight

AAMC Principles

Western Region

Midwestern Region

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AAMC Contact:
Toya Ricks
202-828-0403

Protecting America's Uninsured: Western Region

Not all programs at each institution are listed. To find out about more programs at each individual institution, please contact the person listed for additional information.

California

University of California Davis Health System

Student-Run Community Clinics

Student-run clinics provide Sacramento's neediest residents with free medical care. Staffed and managed almost exclusively by student volunteers, five UC Davis clinics operate year-round in the city's toughest neighborhoods, offering free, culturally sensitive medical care to the community's uninsured, low-income and underserved populations. Each clinic serves several distinct groups of patients, and volunteer, licensed physicians supervise and assist with patient care.

Contact: Charles Casey, 916-734-9040

The Care Connection

The Care Connection educates frequent emergency-room users on how to utilize existing medical and social services available in the community, such as urgent-care clinics, housing support, drug treatment centers, dual-diagnosis clinics and other community-based health-care options. The project is also tied to specific research that will evaluate the effectiveness and feasibility of early interventions for frequent users of the emergency room.

Contact: Charles Casey, 916-734-9040

Hope Clinic

The Hope Clinic provides health care for homeless and other children who have relatively minor medical problems or need immunizations and other medical examinations to remain in school. Staffed by UC Davis pediatric residents and a nurse, the clinic is operated in collaboration with Sacramento County's Department of Health and Human Services and the Sacramento Area Emergency Housing Center. It is open every other Wednesday afternoon.

Contact: Charles Casey, 916-734-9040

Interim Care Program

In partnership with the Salvation Army and other Sacramento-based hospitals, UC Davis supports an 18-bed shelter for homeless men and women to recuperate following discharge from the hospital. Interim care participants receive regular visits from a nurse, three meals a day, as well as a variety of support services including substance abuse counseling and advice on finding low-income housing. The program, which allows participants to stay for as long as six-weeks after discharge, gives homeless individuals the opportunity to heal in a clean and stable environment.

Contact: Charles Casey, 916-734-9040

Cedars-Sinai Medical Center-Los Angeles, CA

Ambulatory Care Clinic

The Cedars-Sinai Medical Center Ambulatory Care Clinic provides, preventative, acute and on-going care to a diverse patient population. The clinic is staffed by medical and surgical residents, supervised by faculty and attending physicians. It offers the services of 6 primary clinics--Medicine, Pediatrics, Medicine/Pediatrics, OB/GYN, Surgery and Dental along with 28 sub-specialty clinics for allergies, vascular disorders, dermatology, neurology, ophthalmology and orthopedics. Uninsured patients are charged on a sliding fee scale, with a minimum payment of $20.

Those unable to access services directly from the clinic are served by the C.O.A.C.H. program, a mobile medical unit. The C.O.A.C.H. units, staffed by Cedars-Sinai Medical Center professionals, provide primary and preventive medical and case-management services during routine visits to inner-city neighborhoods, which are undeserved and ethnically diverse.

Contact: Jay Reichenthal, 310-423-6321

New Mexico

University of New Mexico Health Sciences Center / University of New Mexico Hospital

UNM Care Plan

UNM Care Plan is a managed care model which serves uninsured residents of Bernalillo County. Paying a reduced co-pay and no premiums, each resident is assigned their own primary care provider, which has lead to overall improvement of individual and family health, while preventing emergency care.

By providing the uninsured with a cost effective way to receive health care, UNM Care Plan has reduced the number of hospitalizations of individual, leading to healthier entire community. Developed in partnership with county government, First Choice Community Health and the New Mexico Department of Health, the model has since been extended to other counties within New Mexico.

  • Contact: Arthur Kaufman, M.D., co-director of UNM Health Care Plan, professor and chair of Family and community medicine
  • Media Contact: Don Butterfield, senior public affairs representative, 505-272-3690

Washington

Harborview Medical Center - Seattle, WA

Harborview Center for Sexual Assault and Traumatic Stress

The Harborview Center for Sexual Assault and Traumatic Stress provides a large number of services to community members who are uninsured/underinsured and are affected or victims of sexual or traumatic assaults. Services include crisis intervention response and assistance, legal and medical advocacy for victims, personal support and assistance in accessing specialists services, medical examinations to treat the effects of sexual assault, as well as gather evidence for trial, and therapy and ongoing counseling to assault victims and their families.

For the purpose of gathering evidence, initial medical examinations are free of charge and follow-up medical services and therapy fees are charged on a sliding scale, giving access to critical services to all members of the community.

  • Contact: Lucy Berliner, M.D., 206-521-1800

Pioneer Square Respite Program

The Pioneer Square Respite Program was established to help the homeless community access out-patient medical care. In collaboration with the Health Care for the Homeless Network, the program's clients receive short-term housing for an average of eleven days while undergoing short-term medical procedures. A bed, meals and transportation to and from clinic appointments are provided. In addition to providing medical care, the program also assists clients in finding more permanent housing for their future.

Designed for the homeless community, the Pioneer Square Respite Program specifically targets the uninsured. In addition to reducing the barriers of cost, transportation and follow-up visits, the program offers long-term assistance to those needing to find homes.

  • Contact: Sandy Olson, 206-521-1750

Pediatric Literacy Program

Modeled after the national Reach Out and Read campaign, Harborview's Pediatric Literacy Program is aimed at helping uninsured/underinsured children and their families understand the power of books and the importance of being able to read. Beginning with a newborn's first well-child visit, Harborview care providers give each child a reading packet, which includes a library card, a list of reading resources and a bib that says, "Read to Me." At each well-child visit through the age of 5, the child receives a book for his or her library. As part of the program, volunteers read to patients and their families in the clinic waiting areas.

By giving books and emphasizing the importance of reading at a young age, the clinic is giving children an opportunity to succeed in school and life, as well as gain a greater understanding of their own community.

  • Contact: Kristina Anderson, 206-731-2000

Harborview Mental Health Services Housing Program

The Harborview Mental Health Services Housing Program provides the mentally ill with high quality, affordable housing. The HHS Housing Program specifically targets the uninsured community. The program has helped over 100 clients find housing and treat their mental illness. Combining a good place to live with mental health services to prevent future homelessness episodes is the key to the program's success. Case managers assist clients with day-to-day living and various mental health issues through the program.

Designed for the homeless who suffer from various mental illnesses, the HHS Housing Program specifically targets the uninsured community. The program has helped over 100 clients find housing and treat their mental illnesses.

  • Contact: Glenette Olvera, 206-731-3411

Crisis Triage Unit

The Crisis Triage Unit at Harborview Medical Center is a pilot program designed to help clients in behavioral health crises and who also have multiple developmental disabilities or substance abuse problems. The program creates a single entry point into multiple treatment systems that are currently available. The unit aims to access the needs of King County residents in crisis; provide alternatives to psychiatric hospitalization; provide links to community mental health, substance abuse and developmental disability services and give a single entry point into multiple treatment systems.

Funded by King County and Harborview Medical Center, the Crisis Triage Unit is free. This service is provided regardless of an individual's ability to pay and helps many of the uninsured gain the correct medical treatment in a crisis situation.

  • Contact: Ed Dwyer O'Connor, 206-731-3076

University of Washington School of Medicine

Community Health Advancement Program (CHAP)

For the past twenty years, University of Washington medical students have been participating with community agencies to provide needed services within the uninsured community. Established student-run programs include a dermatology clinic at a downtown homeless shelter, a free sports physical program for students at a high-school in a low-income area, flu shots for the elderly, and health discussions/positive health behaviors in middle school classrooms.

CHAP has been effective, not only in providing specific, needed services in the community, but it has also trained future physicians in the skills needed in establishing health programs for the uninsured or insured populations without adequate access to medical care.

  • Contact: Dr. Sharon Dobie, associate professor of family medicine, 206-543-9425
  • Media Contact: Leila Gray, news and community relations, 206-685-0831

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