UCSD Student-Run Free Clinic Project and Fellowship in Underserved Healthcare
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The UCSD Student-Run Free Clinic Project and Fellowship in Underserved Healthcare provides free, high quality, empowering health care to peple in the US who do not qualify for and/or cannot afford any form of health insurance. At the same time, we train the next generation of health professionals to provide humanistic, transdisciplinary, empowering health care to underserved individuals and to learn that the community is their teacher. Our national training and Fellowship in Underserved in Health care creates an environment in which faculty and health professionals from around the US learn the skills needed to create similar programs around the country and create a national community of leaders passionate about empowering care of underserved communities.
Sobre Você
Sobre Você
Nome
Ellen
Sobrenome
Beck
Sobre Sua Organização
Nome da Organização
UCSD Student-Run Free Clinic Project
Página da organização na internet
Telefone da organização
858 534 6160
Endereço da organização
9500 Gilman Drive #0696 La Jolla CA 92093
País da organização
Estados Unidos , CA, San Diego County
Países onde este projeto vem gerando impacto social
Estados Unidos , CA, San Diego County
Sua organização é
OSCIP/ONG
Há quanto tempo sua organização está em operação?
Mais de 5 anos
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INOVAÇÃO
Nome Projeto/Inovação
UCSD Student-Run Free Clinic Project and Fellowship in Underserved Healthcare
Qual a mudança que você quer trazer para o mundo?
The UCSD Student-Run Free Clinic Project and Fellowship in Underserved Healthcare provides free, high quality, empowering health care to peple in the US who do not qualify for and/or cannot afford any form of health insurance. At the same time, we train the next generation of health professionals to provide humanistic, transdisciplinary, empowering health care to underserved individuals and to learn that the community is their teacher. Our national training and Fellowship in Underserved in Health care creates an environment in which faculty and health professionals from around the US learn the skills needed to create similar programs around the country and create a national community of leaders passionate about empowering care of underserved communities.
Quais são as principais atividades do seu projeto?
The UCSD Student-Run Free Clinic Project (SRFCP) has four key initiatives: healthcare, education, community building and work experience. First, SRFCP addresses one of our country's most pressing needs by providing comprehensive high-quality ongoing medical, pharmacy, dental care and social services to individuals without access to private or government insurance programs. SRFCP uses a humanistic, empowerment model to serve its four sites: Downtown, Pacific Beach, Baker Elementary in SE San Diego, and Golden Ave Elementary in Lemon Grove. Second, SRFCP clinics offer a unique and invaluable learning opportunity for several hundred medical, pharmaceutical, dental and integrative medicine students and a Fellowship in Underserved Healthcare—inspiring a new generation of medical professionals to work with underserved communities. SRFCP’s nationally recognized model has been replicated in more than 10 communities across the U.S. and has won awards both for service and innovation. Third, SRFCP has a comprehensive wellness initiative that serves all aspects of community: staff/teachers, parents, children, and the surrounding environment including gardens and murals. Fourth, the SRFCP provides clinical work experience—often the first step on the career ladder for low-income individuals who aspire to become health professionals. This year, the SRFCP will help hundreds overcome obstacles and empower them to access new sources of livelihood.
O que é inovador sobre a seu projeto? De que forma ele é uma nova contribuição para esse campo de atuação?
1) Every day we practice & implement a comprehensive empowerment model that encourages people to achieve & maintain employment, addresses social or economic barriers to health, & provides comprehensive high quality healthcare.
2) Our project’s transdisciplinary providing a one stop shop for clients who receive medical, dental, social, legal, specialty, & acupuncture services, get lab tests drawn & prescriptions filled all in one accessible, trusted community setting. The cost of this care would be prohibitive & impossible to achieve for any of our clients.
3) Overhead is minimal; our community settings, 2 churches & 2 schools provide space & resources.
4) We train & inspire the next generation of health professionals to practice compassionate thorough healthcare & reinforce commitment to work with the underserved, evidenced by physician, pharmacist, dentist & specialist alumni who now volunteer.
5) Health professional volunteers & donated or low cost services make it possible to serve 2,000 patients per year at a cost of $800 per patient.
6) We provide high quality, ongoing, underserved health care, not poverty medicine, with healthcare outcomes similar or better than the VA, known for its quality.
7) Our long standing community partnerships are exemplary models of teamwork & mutual respect that allow us to provide our services.
8) What we are honored by, & makes us most different, is that we have earned the community’s trust.
Em que estágio está seu projeto?
Em execução por mais de 5 anos
Conte-nos sobre a comunidade em que atua. Por exemplo, as condições econômicas, as estruturas políticas, normas e valores, as tendências demográficas, história e experiência com as tentativas de mobilização.
100% of SRFCP patients are low or very low income. Our patient population is made up of the uninsured, those who do not qualify for any program, and the underinsured. San Diego has a large population of working poor - those who earn too much to qualify for County Medical Services, are not eligible for Medi-Cal, and/or those who are self-employed or whose employers do not provide health benefits. The number of San Diegans without health insurance continues to increase as people lose their jobs or employers cannot afford to pay for health insurance. In 2009, the UCLA Center for Health Policy Research reported that almost 1 in 4 adults (22.9%) in San Diego were uninsured – over 646,000 individuals. Community Health Improvement Partners (CHIP) reported that more than 80% of the County’s half million uninsured are from working families in low wage jobs or small businesses that cannot afford health insurance.
At our Golden Avenue Elementary site we serve families of the students: 82% of the school’s families qualify for free or reduced price lunch. At the Baker Elementary site, 96.1% of families qualify for free or reduced price lunch. At our downtown and Pacific Beach sites we have significant numbers of homeless patients, 25%; however, at all 4 sites the majority of patients are the working poor who do not qualify for government sponsored programs and who cannot afford other services in the community such as community health centers.
Compartilhe a história do(a) fundador(a) e o que o(a) inspirou a iniciar este projeto
Earlier in Dr. Beck’s life, her defining moment came when she realized that no matter what bad things had happened in life, she could paint the picture of her own life. This pivotal moment helped her understand the importance of empowerment and locus of control for herself and others. I also completed a training early in my career called Human Dimensions in Medical Education about using humanistic psychology approaches to improve medical education. She ultimately realized that, if the SRFCP could not only provided access to care to the underserved, but also could provide it using a humanistic, transdisciplinary, empowerment model in which the community is the teacher, we could not only affect the practice of health care, but also improve health care outcomes and transform medical education.
Ellen Beck, MD completed medical school and a Family Medicine Residency at McGill University, Montreal, Canada in 1978. Following residency, she worked in a remote area of Quebec, and was involved in geriatric health care planning for a sector of the City of Montreal. She later moved to UC San Diego and founded UCSD Student-Run Free Clinic Project (SRFCP), an innovative, cost-effective approach to providing access without obstacles to free, integrated, humanistic, high quality healthcare services for the uninsured. T the SRFCP model has been replicated in more than 10 cities across the United States. Most recently she also helped found a national student society of SRFCP’s which held its first national meeting in 2010. She and her programs have received national recognition.
IMPACTO SOCIAL
Temas relacionados à inscrição
Por favor, descreva como o projeto tem sido bem sucedido e como esse sucesso é medido.
the SRFCP has been replicated in at least 10 other diverse settings around the country including: Jackson, Mississippi; Kansas City Missouri; Lexington, Kentucky; Houston, Texas; Irvine, California; and Hawaii. Numerous students have been involved and large numbers of patients have received care. For example, the HOMES Student-Run Free Clinic in Houston, Texas, has provided 5,000 patient visits over the last 10 years. Teams from highly respected medical systems have paid site visits to the SRFCP to learn from the model, and are working with Dr. Beck to establish student-run free clinic sites. Over the past few years visitors have included: Harvard Medical School, Georgetown School of Medicine, the Mayo Clinic, Arnold P. Gold who visited with the Bravewell Collaborative, students from many medical schools, several Congresspersons, and a group of local Moslem leaders who wish to start a SRFCP.
Evaluation results demonstrate that students who participated in the SRFCP express increased interest in working with the underserved. Dr. Beck, Smith, Yoon, Hoffman, and Natarajan designed and validated a survey instrument measuring the impact of the SRFCP on medical student attitudes toward the underserved and interest in primary care. From 2001-2010, first and second year UCSD medical students in an introductory service-learning elective course rated 15 statements on a Likert scale survey. Pre and post-course survey pairs were analyzed with paired t-tests and an intent-to-treat analysis included unmatched pairs. The response rate was 97.9% with 914 of 934 students enrolled participating. Significant improvements were seen in each of the 15 Likert scale items in matched pre-post survey pairs, N=433 (47.4%) or with an intent-to-treat analysis, N=914 (p ≤0.002 for all). Significant pre-post changes were also seen when responses were grouped into the following categories: knowledge, skills, attitudes, interest, self-efficacy toward the underserved and interest in primary care (p ≤0.002 for all).
In addition to the national impact of the program on medical student training and healthcare for the underserved, the SRFCP has a demonstrated record of success with patient outcomes. Clinical outcomes are measured by the Quality of Wellbeing Scale (QWB-SA), a well-validated and reliable measure that is administered regularly over time to SRFCP patients. A clinical database is maintained to allow students to measure changes in clinical endpoints for health such as blood pressure and hemoglobin A1C. The data is collected, analyzed and published for dissemination.
Data demonstrates that the SRFCP meets or exceeds standards of care. Results of the following studies are included:
1. patient quality of well-being analysis using QWB-SA (N=1195),
2. longitudinal studies of diabetes (N=182), hypertension (N=480), and hyperlipidemia (N=96)
The ripple effect of the clinic on the future teaching and practice patterns of the students, residents, and fellows involved with the free clinic project is almost immeasurable.
Quantas pessoas foram impactadas por seu projeto?
> 10.000
Quantas pessoas poderão ser impactadas por seu projeto nos próximos três anos?
> 10.000
Em desafios anteriores, participantes bem sucedidos apresentaram um plano sólido detalhando como farão para crescer. Informe os principais marcos de crescimento do seu impacto previstos para os próximos seis meses .
Implement Strategic Advisory Council, which consists of community, corporate, and foundation leaders, who are passionate about our program and will help us to strengthen our funding base.
Atividade 1
Invite individuals to be members of our Advisory Panel, complete a strategic plan, convene meetings and site visits in which member of the panel bring a colleague or friend. Meet with each member.
Atividade 2
Develop and implement a marketing plan: social networking, approaching media leaders/potential partners, reaching out to community leaders, and policy makers, and editing our pitch for a TV program.
Atividade 3
Meet with each member of the Council, and through outreach and networking, identify 3 new sponsors for our annual fundraiser, three new corporate partners, and three new sources of funding.
Informe os principais marcos de impacto previstos para os próximos 12 meses.
Implement a dental clinic at Golden Avenue Elementary.
Atividade 1
Design a plan for the dental clinic, purchase needed equipment, create an MOU with the local school district
Atividade 2
Hire dental fellow and dental hygienist, identify and appoint community volunteers, develop social entrepeneurship program for dental clinic to become self-sustaining
Atividade 3
Provide care and implement junior health promoters program for children at the school to learn about oral health, dental profession, and become youth health promoters in the school and community.
Como seu projeto se expandirá ao longo dos próximos três anos?
We will establish a firm funding base that will include additional donors, corporations, and social entrepeneurship models.
We will expand our national training in Addressing the Health Needs of the Underserved and our Fellowship in Underserved Health Care to include more members of other health professions, including pharmacy, mental health professionals, the legal profession, nursing, etc.
We will replicate our Comprehensive Wellness Model for inner-city elementary schools.
We will document the impact of our training on programs around the country.
We will help with the implementation and/or development of at least 5 new free clinics around the US.
We will create an on-line and written training and manual for creating programs that includes our philosophy, and approach.
SUSTENTABILIDADE
Quais são as barreiras que podem dificultar o sucesso de seu projeto e como pretende superá-las?
We must develop a strong and stable funding base that allows to grow. The steps we are implementing to address this barrier include-development of a Strategic Advisory Council of leaders in the corporate and funding world who believe in our work and help us to build funding relationships. We are also developing a social entrepeneurship/business model for one aspect of our program. We are increasing our social networking/marketing efforts.
We also encounter institutional barriers with organizations that do not understand our work. Over the years, we work to build trust and develop long-term trust relationships to address these barriers.
At times, a client whill have a need that the cost of provision of that care is enormous. In those situations, we find volunteers willing to help, institutions willing to donate services, and/or find a way to have the system respond to the need.
The changing political climate in the US, with less federal funding to teach students and professionals to work with underserved communities, and with increased fear in certain underserved communities makes it harder to achieve funding and care goals. Once again, increased efforts to address long term sustainability through trusted long term relationship with donors, corporate partnerships, social entrepeneurship, volunteerism, and policy change as the same time as we build long term trust relationships with local communities help us to address these barriers.
Por favor, explique de que forma o estabelecimento de parcerias é importante para o sucesso de sua inovação
Our partnerships have been long-standing, meaningful and sustaining. One of the most impressive aspects of the SRFCP is the degree of collaboration between UCSD School of Medicine and other partners. Doctors and students affiliated with the following partner agencies play a crucial role in the success of the SRFCP:
• UCSD School of Pharmacy - pharmacy services
• Pacific College of Oriental Medicine - acupuncture and integrative therapies
• UCSD Pre-Dental Society - restorative dental care
• California Western School of Law - legal services
• San Diego State University – social work interns
UCSD medical, pharmacy, and pre-dental students and Pacific College of Oriental Medicine acupuncture students manage the clinics, assess and treat patients under the direct supervision of more than 100 volunteer licensed physicians, specialists, dentists and pharmacists. More than 27,000 hours of volunteer time a year are provided by medical specialists and medical/health professional students. This makes it possible to offer the comprehensive range of outpatient medical, dental, and social services, access to acupuncture, and provide needed medications and medical supplies to our more than 2,000 patients a year.
Orçamento anual atual do projeto em US$:
> $1 million
Detalhe as suas escolhas acima
De que forma você planeja fortalecer financeiramente seu projeto ao longo dos próximos três anos?
In the next three years, we will strenthen the project by:
1. establishing a strong, diverse, and well-rooted funding base, that consists of individual donors, corporate partners, social entrepenuership.
We have embarked on this endeavor by creating a Strategic Advisory Council that consists of community, foundation, and corporate leaders who support our efforts.
2. we will continue to document our effectiveness through increasing use of electronic medical records, outcomes measurements, and studying the impact of the programs that we have helped to create around the country--how many patients have they served, how many students.
3. We plan to increase our media presence through a televison program, increased use of social networking, writing a book about our work, and reaching out to leaders in the media world.
4. We will continue to strengthen our professional volunteer base. As more and more of our students graduate, and enter the health professions, we see them as returning as volunteers in our programs, as Fellows in Underserved Health Care, as participants in our national training and as supporters of our efforts.
Desafios
Quais desafios/obstáculos na área da saúde e bem estar seu projeto busca solucionar?
Por favor, selecione até três opções, em ordem de importância (a mais importante deve ser indicada como 1 e a menos como 3)
Primário
Ausência de assistência de baixo custo
SEGUNDO
Ausência de acessibilidade às instalações de assistência ou falta de instalações
TERCEIRO
Capital humano limitado (médicos, enfermeiras, etc.)
Por favor, descreva como a sua inovação aborda especificamente os obstáculos listados acima.
We provide free, high-quality, compassionate, respectful heatlh care to over 2000 individuals in San Diego,who do not qualify for government programs and cannot afford health insurance. This includes primary care, specialty care, medications, integrative approaches such as acupuncture, legal services, social and intense case managment, mental health services. We provide this care in community settings provided by our community partners,two local inner city elementary schools, and two community churches. Here, we also train hundreds of medical, pharmacy, pre-dental, law, social work, and other students to practice a model of underserved care that is humanistic and empowering. We also train faculty and clinicians from around the US to create programs and clincs in their communities.
O que você está fazendo para ampliar o impacto de sua organização ou iniciativa?
Por favor, selecione até três estratégias abaixo, em ordem de importância (a mais importante deve ser indicada como 1 e a menos como 3).
primário
Alcance geográfico: No país de atuação
SEGUNDO
Reforçando o impacto existente através da adição de serviços complementares
TERCEIRO
Influenciando outras organizações e instituições através da disseminação das melhores práticas
Por favor, descreva qual ou quais das atividades de seu crescimento estão em curso ou planejadas para o futuro imediato.
1. Implementing a new dental clinic site at our newest free clinic site, Golden Avenue Elementary in Lemon Grove, CA.
2. Increase our health education, nursing, physical therapy, activities. For example, we have created a new partnership with Cal State San Marcos and nursing students and faculty will join the free clinics to learn and provide public health nursing and strenghten our case management activites.
3. Service to the elderly will be enhanced by development of a home visiting program and increased provision of preventive services to the elderly clients we are following.
4. Consulting to other organizations around the US and expanding our national and fellowship training to include other health care fields.
Você colabora ou faz parcerias com algum dos abaixo? (marque todas que se aplicam)
Governo, Fornecedores de tecnologia, ONGs / entidades sem fins lucrativos, Empresas, Academia / Universidades.
Se sim, como essas colaborações e parcerias vêm ajudando sua inovação a obter sucesso?
Being a member of a purchasing cooperative for our lab services make it possible to purchase lab tests for our patients at very low cost.
Being a member of a national non-profit free clinic organization make it possible for us to purchase diabetes test strips for our clients.
Affiliation with the univerity, make it possible for students to work with this community, and for voluntary and salaried faculty to work with us and have their medical liability costs covered. It makes it possible for us to apply for grants. Our institution provides general support as well as reporting and financial management that otherwise would be an additional cost for our program. The federal government has provided grants for teaching medical students and faculty re working with the underserved.
 | 87 semanas atrás Ellen Beck atualizou esta Competition Entry. |
| 87 semanas atrás Ellen Beck atualizou esta Competition Entry. |
| 87 semanas atrás Ellen Beck enviou esta ideia. |