Unique Community-Based Programs How We Keep Them Affordable and

Sustainable

Translational Genomic Medicine in Plain Populations

Blake Andres Executive Director blake@ddcclinic.org

Unique Community-Based Programs

Presenters Patti Gallagher Business Manager DDC Clinic Kathy Troyer RN New Leaf Center Martha Horst MSN New Leaf Center Adam Heaps Administrative Director Clinic for Special Children Panel Discussion

Our Setting - Geauga County, OH 95,000 residents over 408 square miles. Historically rated in top 3 of all Ohio counties for average family income & public health indicators. Fourth best place to raise a family in the US (Forbes 2008). DDC Clinic is in the geographic center of the worlds 4th largest Amish settlement - 16,500+ with estimated population doubling rate of less than 20 years. ~50% of Geauga County’s developmental disabilities are represented in just 15% of our population. Just 30 miles yet a world away from world-class major medical centers.

Patti Gallagher – DDC Clinic Unique Programs & Services • Patient Assistance Program • Subspecialty Partnerships • Holmes County Outreach

Patient Assistance Program • Launched in 2008 to help 1 needy family with medication for

seizure disorders. • Program managed by our business office and nursing • Provides much needed navigation services for families • Insures quality of life for area patients • Has grown to save local community health funds considerable

resources. Will serve a projected 95 families in 2015

Patient Assistance Program Outcomes

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2008 2009 2010 2011 2012 2013

Patient Assistance Enrollment

Families Enrolled

An Estimated $300,000+ in Savings to area Amish community health funds in 2014

Pediatric Subspecialty Partnerships Targeted services for patients and non-patients alike as a service to our local community

• Immunization • Hemophilia • Neurology • Dental services • Cardiology - piloted • ENT – Planning phases

Subspecialty Partnerships Program Outcomes

DDC Clinic now serves more than 725 patient families with comprehensive services in its medical home Our subspecialty partnerships provide for 1175 additional patient visits each year • fulfilling critical community needs • improving the quality of life for patients and families • helping us help the community contain and reduce the cost of

primary medical care

Subspecialty Partnerships Program Outcomes

Together with our subspecialty partners, our sustainable medical home • Conserves community health funds • Means fewer families selling homes, farms and businesses to pay for

outstanding medical bills • Reserves community health funds for truly critical services and

procedures

Holmes County Outreach Clinics

• Born of a tremendous community need coupled with strong ties between the Geauga & Holmes settlements.

• Launched in earnest in 2004 with the support of a five- year award from the Robert Wood Johnson Foundation.

• Support was expanded through 2015 to include both patient care and research with five-year combined commitments from the Ohio Development Disabilities Council, Holmes County Training Center, and area parents.

Holmes County Outreach Program Outcomes

Sustainability is

ultimately defined in the new but growing community-supported New Leaf Center.

Sustaining Affordable Program Services Finding partners who are committed to:

• Reducing the Plain community’s cost of primary medical services

• Meeting the community in their place with culturally competent care

Sustaining Affordable Program Services

• Making the case for outcomes with a mix of funders • Compensating for shortfalls with perspiration

12% Patient Income

18% Individual Giving

27% Foundation &Corporate Support

13% Grants, Other(local, state & federal)

25% Special Events &Amish Auctions

5% Misc.

DDC Clinic $1MM Annual Operating Budget