158412 Internal Medicine Specialty Clinic: A volunteer program, which Internist's provide specialty consultations for complex uninsured patients prior to referral to specialist

Sunday, November 4, 2007

Kristin Finton, MPH Candidate , Community Health Services, St John Health, Detroit, MI
Michael S. Kobernick, MD, MS , Community Health Services, St John Health, Detroit, MI
Cynthia Taueg, PhD , Community Health Services, St John Health, Madison Heights, MI
Nancy Degroote, MSN , Community Health Services, St John Health, Detroit, MI
In concert with its mission of “Health Care That Leaves No One Behind”, St. John Health (SJH), Department of Community Health has developed a network of health care services for the uninsured. The “Safety Network” for the uninsured is comprised of six primary care sites; two sites SJH owns and operates, three sites an FQHC partner and one site a health system partner. St. John Health supports the “Safety Network” of primary care clinics by providing laboratory services, imaging services, and hospital care for participating patients. Specialty care is through the “Physicians Who Care” network of volunteer specialty physicians. To support the Primary Care Providers (NP's and FP's) an Internal Medicine Specialty Clinic (IMSC) was developed to draw from Internist's depth of knowledge in specialty areas. RESULTS: Decreased number of specialty referrals by 85% while improving quality of care.

Learning Objectives:
*Develop an organized approach to providing health care services for the uninsured. *Discuss the role of partnerships in caring for the uninsured.

Keywords: Access to Health Care, Underserved Populations

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.