Grant: $1,300,000 - Health Resources and Services Administration - Mar. 3, 2009
50% voted satisfied - 50% voted not satisfied - 2 vote(s) cast
Award Description: The Ingham County Health Department (ICHD) has worked with hard-to-serve populations since the 1970s when it established primary care services as part of a Model Cities initiative. The Department’s model of care has evolved over time responding to both community need and will. Consequently, the ICHD has developed multiple programs addressing health disparities and direct care needs for the medically vulnerable population of Lansing, Ingham County, Michigan. On the primary care front the ICHD secured a 330h Health Care for the Homeless award in 1994 and then secured Federally Qualified Health Center Look Alike status for several of its health centers in 2004. Our proposed service area for the 330e Community Health Center Program is the City of Lansing, Ingham County, Michigan. In 2006 the City of Lansing had a total population of 111,000 representing 40% of Ingham County’s total population of 277,000 (2006 American Community Survey). The ICHD will target individuals living in Ingham County’s twenty federally designated Medical Underserved Areas all of which are located in Lansing. This target area consists of 49,829 adults and children living in census tracts 2-8, 12-16, 19-21, 32, 33.01, 36.02, 37 and 65. Forty-seven percent of the target population is comprised of minorities (U.S. Census 2000). Fifty-two percent of the target population has incomes below 200% of the Federal Poverty Level (U.S. Census 2000). Coupled to this are significant barriers to care as demonstrated by the fact that over 36,000 Ingham County residents lack health insurance and approximately 27,000 Ingham County residents secure health insurance through Medicaid. Additionally, the changing dynamics of both the Michigan and local economy have profoundly challenged the health care safety net within our community with individuals previously insured now finding themselves without health insurance and those with Medicaid now having more difficulty than ever securing a primary care provider. In responding to changes in the Michigan health care environment, the ICHD has followed the strategic priorities set for us by our co-applicant Boards – the Ingham County Board of Commissioners and the Ingham County Community Health Center Board of Directors. These priorities include continued expansion of our primary care services through the securing of a new access point and the continued provision of high quality, cost effective care. The ICHD will provide comprehensive and integrated health care services through its existing non-federally funded network of community health centers. These centers are geographically located within or in close proximity to the target population and currently serves over 18,000 Ingham County residents. With New Access Point funding this network will provide medical, dental and behavioral health services to 4,766 additional patients.
Project Description: Since receiving the Community Health Center New Access Point (NAP) award through ARRA, the Ingham County Health Department has provided 36,216 visits to 14,344 unduplicated patients (Period of March 1st through September 30, 2009). Of the 14,344 unduplicated patients 4,973 were uninsured (35%), 7,562 were Medicaid beneficiaries (53%), 621 were Medicare beneficiaries (4%), 434 had S-CHIP (3%), 733 were privately insured (5%), and 18 were covered through another public insurance. Of the 14,344 unduplicated patients, 11,491 (80.1%) were at or below 100% of the Federal Poverty Level. Of the 14,344 unduplicated patients, 13,852 (96.6%) were at or below 200% of the Federal Poverty Level. These data clearly demonstrate the significant need within the community that is being addressed through the activities of the New Access Point award. With four locations funded through the NAP, uninsured patients are able to find an accessible medical home with increased service capacity.
Jobs Summary: We have hired 1.3 Full Time Equivalent Pediatricians, 1 dentist, 1 dental assistant, 1 nurse, and 1 medical assistant. In addition, the remaining 97.49 positions are retained positions. (Total jobs reported: 103)
Project Status: Less Than 50% Completed
This award's data was last updated on Mar. 3, 2009. Help expand these official descriptions using the wiki below.