Midtown MedicalHealth & Hospital Corporation of Marion County

Wishard Health Services & Eskenazi Medical GroupCohort IVMidwest

Indianapolis, Indiana

www.wishard.edu

About Midtown Medical…

• Midtown Medical follows the Four Quadrant Clinical Integration Model.

• Our Enrollment Target is to provide 504 clients primary care services per year.

Behavioral/Mental Health Risk/Status

Quadrant II – High BH, Low PH Quadrant IV – High BH, High PH

BH practitioner responsible for coordination with PCP

PCP uses standard screening tools and guidelines provided by BH practitioner

Specialty BH Crisis/ED use Community supports

PCP uses standard screening tools and guidelines provided by BH practitioner

BH practitioner responsible for coordination with PCP and/or Wellness Coordinator

Wellness Coordinator/Disease Manager Crisis/ED use Community supports

Quadrant I – Low BH, Low PH Quadrant III – Low BH, High PH

Primary Care Physician with standard screening tools and BH practice guidelines

PCP-based BH services

PCP uses standard screening tools and guidelines provided by BH practitioner

Wellness Coordinator/Disease Manager Specialty medical/surgical procedures Home-based care Community supports for disease management

Physical Health Risk/Status

About Midtown Medical…

• Our facilities are located in an urban setting and the population served is Indianapolis, Indiana, located within Marion County. A large portion of our population is located in Center Township of Marion County. Center Township consists of the most diverse and low-income households.

• Midtown Medical will provide

services in two facilities located in downtown Indianapolis.

• At these locations, Midtown currently provides care to over 3100 clients.

Demographics Race

Black (42%)White (34%)Other (24%)

GenderFemale (52%)

Male (48%)

Wellness Services to be OfferedHealth & Wellness EducationNutrition/Weight Management

Stress ManagementTobacco Cessation

4

Who is Midtown Medical?Project Director: Cindy Wilson, MSN, PMHCNS, BCPhysician: Aaron Kalinowski, M.D.Nurse Practitioner: Brook Huber, MSN, ANP-BCWellness Coordinator: Candace Florence, MPHProject Data Manager: Jarod Baker, MBA-HCMMedical Assistant: Mattie Fishback, CMA/PSAEvaluator: Harold Kooremann, MA

Successful StrategiesOrganizational Engagement

• Meetings were conducted with Midtown staff including psychiatrists, pharmacists, clinical nurse specialists, nurses, clinicians, care coordinators, and community support specialists.

• Program Director and Medical Doctor led meetings.

• Positive feedback from all Midtown staff members.

• Midtown staff is eager to assist in referring potential clients to our Physician, NP’s and Wellness Coordinator.

Successful StrategiesEnrollment

• Currently Midtown Medical has not seen clients due to the difficulty in recruiting program staff, the extensive process in obtaining the medical supplies, and the decision to establish the space needed to provide services.

• Several clients have been referred and will be seen once our team can begin providing services.

• Promotional materials (brochures/flyers) are currently being constructed for distribution within the Midtown facilities to generate interest of potential clients.

Successful StrategiesFinance

• Since Midtown Medical is creating a primary health care system from nothing, medical supply expenses exceeded allowance in the fiscal year budget.

• Due to staff members being hired after start of the fiscal year, excess personnel budget was available to be utilized.

• After speaking with GPO, moved less than 25% of total salary budget to cover excess medical supply expense.

Successful StrategiesSustainability

• The goal of Midtown Medical is to launch billing practices from the start of the grant to demonstrate sustainability.

• Established partnerships with Wishard Health Services and Eskenazi Medical Group.

• The partnerships will allow Midtown Medical to utilize billing practices when we start our services.

• These billing practices will coordinate with the pre-existing practices that have been established at our Community Health Centers.

Planning for the Future

• Midtown Medical has adequate resources and a floating staff contingency plan to cover unexpected events such as staffing shortages in times of turnover, illnesses/emergencies, change in project leadership.

• Continue our interaction with the Health & Hospital Corporation Grants Department to ensure sustainability of the program.

• Provide results to Health & Hospital Corporation to seek continuation funding for the project once the grant contract expires.

• In addition to seeking continuation funding, will conduct research about the future possibility to replicate the program in the Adolescent and Child clinic.

• Within the next six months, Midtown Medical plans to begin building our client caseload at our two current locations.