Get Connected:
Resources to Help Serve Latino Patients
Many organizations in the health safety net serve a diverse patient population that frequently includes immigrants. Although we hear of clinics serving patients from all corners of the world, from Russia to West Africa, the largest immigrant patient populations are from Central and South America. To help meet the needs of Spanish speaking patients, many clinics have hired bi-lingual providers or used translation services. Unfortunately, bi-lingual staff may be hard to come by and translation services can be cost prohibitive. There are, however, a number of free resources available to help health safety net clinics connect with Latino patients.
Free Spanish Language Patient Education Materials:
Advance for Nurse Practitioners has numerous patient education materials with topics ranging from Glucose Monitoring to Caring for Your Teeth and Gums.
In addition to Spanish language patient education materials, Ohio State University Medical Center also posts patient education materials in Somali.
The National Heart, Blood, and Lung Institute offers bilingual booklets on Cardiovascular Risk Factors and a bi-lingual heart healthy cook book (both free to download).
For patients with low literacy levels, Medline Plus, a service of the US National Library of Medicine, offers a library of "easy to read" patient education materials (most of which are also available in Spanish) on hundreds of topics such as Anxiety and Depression, Blood Thinners, Managing Cholesterol, and Diabetic Foot Care.
The National Diabetes Education Program allows visitors to search patient education publications by language. In addition to Spanish, materials are available in 16 other languages, including Chinese, Hmong, Hindi and Chamorro.
Information/Publications for Clinic Waiting Rooms:
The Helping Hand is a free online (downloadable) newsletter that is "designed to help Latinos new to the USA". It is written at medium literacy levels for Latinos of any cultural background. Each issue is chock full of pertinent articles on a range of topics, and Spanish-language help-line numbers and websites.
Spanish Language and Certified Medical Translation Classes/Resources:
Non-profit Learning Point has added two sections of Conversational Spanish to its course offerings. While the format is a bit different from their usual 2-day structure, the classes are still only $45 and are taught by a Spanish language expert who understands the needs of nonprofits. Classes start February 25th.
The Virginia Medical Interpreter Training Grants Program was established to build capacity statewide to deliver linguistically appropriate healthcare services and communicate with limited English proficient (LEP) individuals in the event of a public health emergency. Funds are being made available to pay for the cost of tuition to a limited number of bi-lingual individuals each year who wish to be trained as medical interpreters through an authorized Virginia course provider.
1,2,3 Teach Me offers a free "online pocket medical Spanish resource" for doctors and nurses. |
New Project Connect Staff and Grants
VHCF Project Connect grants help bring the benefits of health insurance - and a healthier future - to Virginia's uninsured children. These Virginia Health Care Foundation grants allow local organizations to hire outreach workers who help families apply for Virginia's state-sponsored health insurance programs for children (FAMIS and FAMIS Plus). To-date, Project Connect grantees have helped enroll more than 50,000 children in the FAMIS Programs.
Although much ground has been gained in enrolling kids in FAMIS programs, there are still an estimated 130,000 eligible children without coverage in Virginia. To expand Project Connect, VHCF applied for funds available through the Children's Health Insurance Program Reauthorization Act (CHIPRA), and was awarded $988,154 over a two year period, to expand Project Connect (Project Connect outreach efforts to date have been underwritten via contract with DMAS and private grant funds).
Seven organizations, representing all major regions of the state, except Southern Virginia (where there are already two Project Connect grantees) received funding. They are:
Bon Secours Richmond Health Foundation
Together, the organizations will hire ten outreach workers who, once trained and working, will collectively enroll almost 6,000 children in the FAMIS Programs. |
Save the Date!
Nurse Practitioner Roundtable
Beginner:
March 10th, Online April 9th, Norfolk
April 15th, Richmond
April 28th, Fairax
March 19th, Online
April 23rd, Online
May 14th, Online
Click here to see a complete list of TPC trainings or to register for a training. | |
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| Health Safety Net Legislative Day 2010
This year marked the third year in a row that the Virginia Health Care Foundation, Virginia Association of Free Clinics, and the Virginia Community Healthcare Association came together for Health Safety Net Legislative Day. More than 120 representatives from the Commonwealth's health care safety net gathered to deliver a simple and clear message: the health care safety net is the only source of medical care for more than one million Virginians and it can't sustain any more cuts. In addition to their own stories of need from the frontlines, health safety net representatives shared compelling data: ● Virginia's free clinics and community health centers provided care to over 162,000 uninsured Virginians last year.
● A record breaking 52% of all new patients (38,239) at Virginia's community health centers were uninsured in 2009.
● Free clinics were deluged with 18,600 new patients in the last six months of 2009, and had to turn 40% of them away.
● In 2009, Virginia's free clinics, community health centers and the Virginia Health Care Foundation provided a 25:1 return on investment for the state funds they received. Click here for more data and stats related to the impact of the health safety net. Health Safety Net Legislative Day would not be possible without the support and participation of health safety net organizations and PhRMA (which sponsored the day's events). Special thanks also goes to Senator Edd Houck and Delegate Harvey Morgan, who made remarks on the Senate and House floors officially recognizing the members of the health care safety net participating in Legislative Day.
Although the day was a success, the work is far from over! The House and Senate budget conferees will soon start meeting to make decisions about the many cuts that will be needed to balance the state budget. The Senate has recommended no cuts to the health safety net. The House has recommended a 10% cut (about $961,000 a year total). If you want to express your thoughts on this to those who will be making the decisions, you should visit, call, email, or write the budget conferees regarding cuts to the health safety net and the impact that they would have on the uninsured in your community. Be sure to thank the Senators for restoring the health safety net cuts in the Kaine budget and ask them to work hard to convince the House to take the same approach. Contact information for the budget conferees is below. You can also follow the status of the Health and Human Resources budget, and read and monitor health related bills here.
We should also be concerned about Governor Bob McDonnell's budget recommendations that he released last week. He suggested cutting state funds to the health care safety net by 25% next year and 50% the year after that! We have a lot of work to do to help the Governor understand the importance of the health care safety net and why state support is so important to it. Two articles related to the need for health safety net funding and the 2010 legislative day initiative appeared in the Richmond Times-Dispatch in January 2010. Read summaries of those articles and get links to the full text here.
Budget Conferees
PO Box 396
Richmond, VA 23218
Fax: 804-698-7651
House of Delegates
PO Box 406
Richmond, VA 23218
Fax: 804-786-6310
Governor of Virginia
Patrick Henry Building, 3rd Floor
1111 East Broad Street
Richmond, VA 23219
Phone: 804-786-2211
Fax: 804-371-6351 |
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Governor Bob McDonnell Helps Launch $2 Million Public/Private Initiative to Provide Mental Health Treatment to Uninsured
On February 2, 2010, Virginia Governor Bob McDonnell helped launch a $2 million public/private initiative for uninsured Virginians with mental illness that he fostered a year ago, while he was Attorney General. At a press conference at the General Assembly Building, McDonnell was joined by a large group of organizations and funders involved in the initiative. The program, known as A New Lease on Life: Health for Virginians with Mental Illness, is a collaborative effort of the Virginia Health Care Foundation, the Virginia Association of Community Services Boards, the Virginia Association of Free Clinics, the Virginia Community Healthcare Association, and the Office of the Attorney General. Half the funding came from settlements McDonnell made with national pharmacy benefits companies in 2008. McDonnell then challenged the Virginia Health Care Foundation to raise an additional $1 million to match it. The monies will underwrite nine grants throughout the state that will enable health safety net providers to treat uninsured Virginians suffering from anxiety, depression or other basic mental illnesses. In some cases, the funds will also help provide medical care in the health safety net to seriously mentally ill Virginians who are uninsured. "The issue of mental illness is real and permeates the lives of the afflicted," the Governor said. "For those without insurance and regular medical care, it is imperative that we collectively work to find the means to treat the most serious disorders, along with depression and anxiety, so people can live functional lives." According to 2008 data, depression and anxiety were among the top three diagnoses for patients in Virginia's free clinics (after diabetes and hypertension). Psychosis is also the most frequent diagnosis for uninsured Virginians who are admitted to local hospitals with conditions that could have been prevented (Data Source: VHI). The Governor added, "I am delighted to see the collaboration that led to this innovative initiative. I commend the Virginia Health Care Foundation, the Virginia Association of Community Services Boards, the Virginia Association of Free Clinics and the Virginia Community Healthcare Association for developing such a creative approach that addresses a huge need, and paves the way for delivering greatly needed mental health services to uninsured Virginians." Gil Minor, chair of VHCF's Fund Development Committee, said, "We conceived this challenge grant during better economic times, yet it was approved in the midst of the steep economic decline that we have all experienced. Although we knew that it would be very difficult to raise $1 million, we pressed on. The recession and its devastating effects have created an even greater need for services to treat depression and anxiety disorders in the uninsured. We are very grateful to the many companies, individuals and foundations which stepped up to help us meet this challenge."
Click here to learn more about A New Lease on Life and to see a list of funded projects. |
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VHCF Announces Health Safety Net Grants
On January 1, 2010, the Virginia Health Care Foundation announced its most recent Health Safety Net grant awards to free clinics, community health centers, and other health safety net providers around the state. Grants were made to: Catholic Charities of Eastern Virginia, Inc. to support its counseling program which employs two therapists to provide mental health services to uninsured clients.
CrossOver Health Clinic to help underwrite the salaries of a dental hygienist and a dental assistant to increase access to dental care for uninsured adults in the Richmond area.
Gloucester-Mathews Free Clinic to increase the time of its pharmacist by ten hours a week, which will enable the clinic to fill an additional 24,000 prescriptions annually.
Harrisonburg-Rockingham Dental Clinic to support the salary of a part-time dentist. The dentist, one of two working in the clinic, provides care five days a week to children covered by FAMIS and uninsured adults.
Monroe Health Center to support the salary and benefits of a Licensed Clinical Social Worker to provide basic mental health services to the patients of Craig County Health Center.
Rescue Mission of Roanoke to support the renovation of a building that will enable it to expand its medical, mental health, and dental services to uninsured adults.
Riverside Health System Foundation's Project CARE initiative, a regional initiative supported by Sentara, Riverside and Bon Secours Health Systems, which provides uninsured patients from the Peninsula with pro-bono primary and specialty care.
Shenandoah County Free Clinic to support the salary and benefits of a full-time dentist to provide dental care to local children and uninsured adults.
Western Tidewater Free Clinic to purchase needed equipment for its new dental clinic. Click here to learn more about VHCF Health Safety Net Grants and proposal submission guidelines and deadlines. |
Grantee Spotlight
A Thriving Collaboration in Chesapeake
This quarter, as we announce and roll out the new A New Lease On Life initiative, we wanted to highlight an existing mental health collaboration between two health safety net sites, Catholic Charities of Eastern Virginia ( CCEVA) and Chesapeake Care Free Clinic ( CCFC), and the success they've had in improving access to mental health services. Recognizing the need for mental health services for the uninsured in Chesapeake, and the value of the integrating primary medical and behavioral health services, CCEVA and CCFC agreed to use CCEVA's Access to Therapy ( ACT) Program to provide mental health services to CCFC's patients struggling with depression and anxiety. Heather Calvert, a resident counselor for the ACT Program, provides mental health services to the patients at CCFC three days a week, starting patients in individual therapy, then graduating them into group therapy. She collaborates with CCFC's nurse practitioner, Mary Beth Carr, and medical director to assure that these patients have adequate medical follow-up and the medications that will best help them to manage their symptoms. With the support that the ACT Program provides, free clinic patients are better able to manage their anxiety and depression, as well as their chronic medical conditions. This partnership has been particularly helpful, since the local community services board has stopped taking new clients. CCFC explains that many of their patients would have simply gone without mental health services and medication, and would have most likely experienced more crises, more hospitalizations, and suicides in some instances. Having the resident counselor from the ACT Program as a point of contact has provided an invaluable service to those clients. The ACT Program, in this instance, is a great example of how two agencies have collaborated to "fill the gap" and meet a critical need. As a result of this collaboration, Cathy Revell, Executive Director of CCFC, sees a major impact. "What has become clear to us, here at Chesapeake Care, is that treating patients who have anxiety or depression requires not just medication management, but counseling. It is the counseling that gives them the support they need to make life altering changes in their behavior and attitudes. It is the counseling that gives them the strength to return to work, or face their problems head on and seek adaptive and appropriate solutions. We are truly blessed to be able to offer this comprehensive treatment to our patients." | |
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