Mobile Medical Van Health Services: Twelve Years of Experience!

1. Mobile Medical Van Health Services: Twelve Years of Experience! Presented by John Crouch To the 2010 Urban Health Conference, September 2010

2. My Personal Background • Washington University School of Med ‘67 • Internship St. Luke’s (St. Louis) ‘68 • US Army Flight Surgeon ’68 - ’70 • Republic of Vietnam ’68 – ’69 • My True Conversion !

3. Milestones (cont.) • Residency Family Medicine, San Bernardino California ‘72 • Practicing, Teaching, Residency Director from ‘72 to ‘78 • The Call to ORU School of Medicine • The closing of the ORU SOM ‘89 • The Beginning of In His Image and later the Good Samaritan Health Services---1997-8 !

4. Mile posts along the way • Washington University Med School: 1967 • Internship St. Luke’s, St. Louis ‘67-’68 • Drafted: US Army Flight Surgeon • Republic of Vietnam 1968-1969 • Flight Surgeon, Ft. Walters, Texas • Residency San Bernardino, California 70-72 • L’Abri Fellowship, Huemoz, Switzerland !

5. In His Image • Is a 501-C-3 Religious Non-profit Corp* • Three specific goals • To conduct a Christian Family Practice Residency Program • To support World Wide Medical Missions • To provide health care to the underserved in our Tulsa community * IRS Non-Profit Status 1991

8. In His Image International Missions

9. Changing Concepts of Medical Missions

11. Medical Education: the Future of Medical Missions?

14. Medical Education Medical Missions • Conferences • Consultations • Residency Training Programs! • Macau, China • Almaty, Kazakhstan • Shenyang, China • Kabul, Afghanistan • Aswan, Egypt---the newest one March 2009

15. In His IMAGE:Disaster Relief • Rwandan Massacre • Indonesian Tsunami • Pakistan Earthquake • Myanmar Hurricane • China Earthquake • Personnel and Resources • Be Ready Always!

16. Long Term Missionaries

17. Domestic Missions • “And who is my neighbor?” • “…The one who had mercy on him.” • Luke 10:29, 37 • Go to the people • Live with the people • Learn from the people • Love the people • Pastor Wayne Gordon, Lawndale Community Church

18. What is the problem? • The numbers • 40,000,000 Americans uninsured? • The Cost • Who knows? • Multiple Billions per year • Taking care of problems after they are advanced! • The human cost – on families

19. Who are the uninsured? • Working • Poor, close to the poverty line • Children (life long impact) • Diverse ethnicity • Majority are U.S. citizens • Consequences • Poor access to health care • Higher morbidity and mortality

20. Community Downstream Factors! High percentage of Uninsured • Use Emergency Rooms as Primary Care • Hospital Gridlock • Trauma Response • ER on divert • Hospital Financial Burden • Increase staffing increases cost • Cost shifting increases cost for those with insurance

21. Community & Neighborhood Clinics • Sponsored by a whole variety of organizations • Different times and different emphases • Are doing some very good work that helps to plug some of the gaps in health care

22. What is the Real Problem? • The “Humpty Dumpty” dilemma • Poverty • Disease • Broken Families • Hopeless Young People • Abortion • Crime and Drugs America’s Only Hope by Dr. Anthony Evans

23. What is the Real Problem? • Every societal problem has multiple causes • From our perspective, this includes Spiritual dimension • If that is not recognized and addressed - never solve problem !!

24. Why Medical Ministry to Pooris Valuable but Not Primary • Surveys show medical needs are not number one priority for the underserved population; usually no higher than 5 or 6 • However, when people are sick – it (temporarily) becomes number one!

27. What is the Answer? • Philosophically • Start a program with a wholistic agenda • Christian Compassion • Personal - Individual • Challenging - Based on agape principle • Spiritual - power to change • Practically - how do you do that?

28. Philosophical Basis • Literature search, books • America’s Only Hope - Dr. Anthony Evans • Beyond Charity - Dr. John Perkins • Renewing American Compassion – Dr. Marvin Olasky • Other resources • CMDA - Domestic Mission Commission • CCHF • Nuts & Bolts • Jericho Road Foundation • Partners - especially the Church !!

29. Friendship Church

30. Philosophical Basis • It must be excellent • It must be rooted in prayer • It must demonstrate the supernatural

31. Philosophical Basis • It respects God as the giver and taker of life • It occasionally confronts “the system” representing what God stands for • Its staff must be servants of God

33. Different Ways to do Medical Ministry with the Underserved • “Clinics without Walls” • Church-based clinic • Community-based clinic staffed with volunteers • Volunteer in “Government Agency Free Clinics” • Set up your own

34. Good Samaritan Health Services • Began in 1998 • Early days in housing complex • Cornerstone Assistance Network (CAN): • Partnering Churches together for integrated compassion ministries • Medical arm of CAN

36. The Tulsa Cornerstone Assistance Network was formed to help churches Unite the church for prayer and planning Identify and link resources Coordinate relational ministry development Establish partnerships with care providers Cornerstone Assistance Network of Tulsa

37. Needs Assessment! • What are the Needs in YOUR community? • How do you find a way to meet those needs? (Hint: Mobilize “the Church”!) • Resist the temptation to see the glass as ONLY half empty! Do a Gifts, Talents, and Abilities Assessment Survey also!

38. Empowerment of People by Grace • Part I • Don’t do a needs assessment without finding out about gifts, talents, and abilities !! • Part II • Helping people see and use their gifts and talents !! The church needs to be activated to do this !! Remember the Book, “Renewing American Compassion” by Olasky

40. Good Samaritan Health Services • Application for medical van • Mobile medical clinics • Expansion from 3 sites → now 11 sites → soon to include new mobile unit! • 501 (c) 3 nonprofit religious organization, GSHS (Good Samaritan Health Services) • Compassionate Health Care • Emphasis on Spiritual Care

41. Our First Van

42. GSHS Mission We are committed to improving medical services for the underserved by collaborating with the church and other community partners to provide excellent Christ-like wholistic healthcare.

43. Vision Statement To ensure that quality healthcare that addresses the whole person is brought within reach to all underserved persons within our community.

44. Project Goals • Improve Accessto health services: primary care, patient education, preventative medicine (immunizations), and eventually prenatal care. • Demonstrate wholistic healthcare • Mobilize Christians to serve

48. What Kind of Care? • Broad based primary care • Regular acute care problems • Childcare - immunizations • Chronic disease management • Assisting with meds with available samples • Building a “clinic without walls” with potential specialty referrals • Evaluate and meet broader non-medical needs of the patient/family

49. Practical Issues • Medications • Formulary • Cooperation • Donations vs. purchase • Referrals • Mobile partners • Clinic without walls • Protocols

50. Practical Issues • Scheduling • Triage/patient load • Equipment • Maintenance of van and equipment