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Community Health Initiatives

Community Health Initiatives. From community need to community reality Central Missouri Community Action. Chamois (Osage County) Health Fair. Osage County Population 13,878 Poverty Rate 10.8% Children in Poverty 13.8% Seniors in Poverty 10.4% Uninsured 15.6%

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Community Health Initiatives

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  1. Community Health Initiatives From community need to community reality Central Missouri Community Action

  2. Chamois (Osage County) Health Fair • Osage County • Population 13,878 • Poverty Rate 10.8% • Children in Poverty 13.8% • Seniors in Poverty 10.4% • Uninsured 15.6% • Largest City – Linn Population 1,459 • Chamois Population 396 (20 miles from Linn)

  3. The Problem • Half of the population in Chamois are children who have very limited or no access to quality and affordable health care. • Chamois has no local doctor, clinic, or health care providers. (There is a visiting nurse for the elderly) • Chamois is an isolated community with no physicians located 22 miles from the nearest largest community • There is no public transpiration and many of the community residents do not have access to quality transportation

  4. The Players • CMCA and Head Start • The Local School – superintendent, principals, counselors and teachers • Local community members • The Osage County United Way Advisory Board • Fire and Ambulance members (EMT) • The County Health Department

  5. The Need The Need • The principal of the school indicated that many of the school children due to their family's financial issues did not have access to the required sports physicals so could not play sports. • School counselors stated many of the children don’t have state supported health care because of their parents inability to complete the application process. • Normal childhood health screenings do not take place due to lack of parental transportation to larger communities

  6. Planning • The goal became to provide the health education and medical supports that are needed in Chamois directly to the students themselves, in their home town in their own school • Equal access to quality and affordable health care

  7. Determined what was needed • Sports physicals • Hair cuts • Vendors • Fundraising

  8. The Results • Spring 2012 • 200 children received screenings • Children received hair cuts • Education and tools were provided to maintain a healthy lifestyle to kids and their families • $6,000 was raised for meals and sporting equipment • 40 vendors

  9. Evaluation • What would make it better? • More family oriented • Expansion of screenings available • Additional vendors

  10. The Results • Spring 2013 • 250 attendees • Additional education and screenings • Senior living choices • Blood pressure for adults • Sugar level screenings • Dental screenings • Hair cuts

  11. Evaluation • More involvement of school staff (including a pampering room) • Vendors had a reminder e-mail that was helpful • Screeners needed more direction as to completion of screening • Well Baby checks won’t be offered due to the amount of information needed • Adjust registration table and food vendors • 2014 - Scheduled

  12. Callaway County Dental Initiative • Callaway County • Population 44,332 • 13.8% Poverty Rate • 18.9% children in poverty • 5% Seniors in poverty • 14.4% uninsured • Largest Community - Fulton, Population 12,790

  13. The Problem • There were few local dental care options for persons with modest financial resources • No formal sliding scale service rates offered in the County • There was a shortage of dental care providers for Callaway residents • Most local dentists have been in the community with established patients for 30 years or more • The lack of dental care can result in serious health and self esteem issues and the inability to get employment.

  14. The Players • Callaway Resource Network • Dental Committee • Health Department • YMCA • United Way • CMCA • Serve, Inc. • Our House • Family Services Division of DSS • Callaway Special Services • RSVP (Retired and Senior Volunteer Program) • Missouri School for the Deaf • Area Agency on Aging • Chamber of Commerce • Coalition Against Rape and Domestic Violence • Community volunteers

  15. Columbia Family Dental Center (FQHC affiliated) • Jefferson City Family Dental Center (FQHC affiliated) • Private Dentist • Missouri Foundation for Health • Health Resources and Services Administration • Missouri Primary Care Association • Community Health Center of Central Missouri • Donations • Private • Kingdom Telephone • Ameren Missouri • Local Churches

  16. The Need The Need • 2008 the county conducted a Community Health Assessment resulting in 8 areas of concern • Chronic Disease • Healthy Lifestyle and Prevention • Family Violence • Mental Health • Physical Activity and Nutrition • Dental Health • Social Determinants of Health • Safety and Injuries • Alcohol, Tobacco and Substance Use

  17. Additional assessment work (2009) • Interviewing local dentists, the hospital, the state hospital • Met with the dental directors of Jefferson City FQHC and Columbia FQHC • Sought advice and explored options of state and federal funding sources • Put together materials for a public campaign and began making presentations to local groups on the need

  18. CMCA began collecting names of persons urgently needing a dentist as people came into the office for services • 650 persons of low income self identified or referred • 423 persons went to the Callaway County Hospital seeking help with dental issues

  19. Screenings • Between February 2010 and July 2011 • 308 persons screened • 261 had urgent care needs • 145 served in the clinic in Columbia

  20. Planning • Missouri Foundation for Health • Missouri Primary Care Association • Professional Grant Writer • HRSA Grant $80,000 submitted

  21. In the Meantime • Two additional emergency arrangements began • Jefferson City Community Health Center • Dr Matthew St. George in Fulton

  22. October 1, 2011 – July 31, 2012 • 34 Referrals to Community Health Center of Central Missouri • 24 Referrals to Dr. St. George’s Dental Office • 10 Referrals to Columbia Family Dental • Other • 7 Referrals to Mid-Missouri Legal Services • 6 Special Needs Cases for other services

  23. The Planning Grant • 7,000 paper community surveys • Survey Monkey • 6 community meetings throughout Callaway County

  24. The Results • June 2012 • Decision to open a satellite office of the Community Health Center of Central Missouri in Callaway County • August 2012 • CHCCMO is awarded $175,000 PRIMO grant from the Missouri Department of Health and Senior Services to go toward purchase of dental equipment for the office in Fulton

  25. The Dental Initiative Committee dissolves • The Callaway Advisory Committee is formed and receives training and meets with the CHCCMO administrators and Board • New Dental Facility to open in 2013

  26. Grand Opening May 2013

  27. resources • Community Assessment Tool Kit – Missouri Association for Community Action http://www.communityaction.org/files/HigherGround/Community_Needs_Assessment_Tool_Kit.pdf • University of Kansas Community Toolbox http://ctb.ku.edu/en/default.aspx • Health Resources and Services Administration Rural Health http://www.hrsa.gov/ruralhealth/index.html • Health Resources and Services Administration Federally Qualified Health Centers http://www.hrsa.gov/opa/eligibilityandregistration/healthcenters/fqhc/ • Missouri Primary Care Association http://www.mo-pca.org/ • Missouri Foundation for Health http://www.mffh.org/

  28. Contact Information Dianna Moore, CCAP 800 N. Providence Road, Columbia MO 65203 573-443-8706 x 1090 Dianna-Moore@showmeaction.org

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