VENTANILLA de SALUD: A Binational Program

United States MéxicoJune 2015

Ventanilla de SaludA Program Overview

VDS is a program developed by the Ministry of Health and the Ministry of Foreign Affairs of the Mexican Government. It is managed and operated through the Mexican Consular Network in the United States and in collaboration with several local organizations.

This program was designed to improve the physical and mental well-being of Mexicans who live in the US and to increase their access to primary, promote preventive health care and to ultimately reduce emergency healthcare utilization.

VENTANILLAS DE SALUD

LA

SD

SJ

Seattle

SF

FresnoLas Vegas

CalexicoSanta Ana

Salt Lake CityDenver

YumaTucson

El Paso

Eagle Pass

Austin

Houston

Dallas Brownsville

McAllen

St. Paul

Chicago

Indianapolis

Atlanta

D.C.

Philadelphia

New York

Boise

Sacramento

Del Rio

Oxnard

Nogales

Albuquerque

Omaha

Boston

Laredo

New Orleans

Little Rock

Miami

Raleigh

Portland

Phoenix

Douglas

San Antonio

Orlando

Detroit

Presidio

Anchorage

SB Kansas City

50 VDS WINDOWS ACROSS THE UNITED STATES

VDS • MISSIONThe mission of the VDS is to improve access to primary and preventive health services, increase public insurance coverage and promote a culture of prevention in the health of Mexicans living in the United States and their families; through information, education, counseling and referrals to quality heath care in a safe and friendly environment by creating local and binational collaborations between the United States and Mexico.

PROGRAM STRUCTURE

Government of Mexico

Ministry of Health (SSA)

Bi-National Strategy for Immigrant

Health

VDS Program

Institute of Mexicans

Abroad (IME)-Consular Network, National

Coordination

Ministry of Foreign Affairs

(SRE)

Annual Funding by the Ministry of Health of Mexico

$2,400,000.00

(USD)

This program is administered by Mexico´s Ministry of Foreign Affairs and Ministry of Health

Ventanilla de SaludProgram Services

• Prevention and health promotion primarily oriented to provide guidance on priority issues such as nutrition, obesity, diabetes, women's health, child health, mental health, addictions, HIV/AIDS, access to services, among others.

• Screenings include HIV, BMI (Body Mass Index), cholesterol and glucose.

• Referrals to community clinics, follow-up to care and referrals to specialized care if needed.

• Pre- enrollment to Seguro Popular.

Main Services

Welcome Kiosk

Initial Introduction & personalized information • Intake Form

Screening, Medical History review, screening results.

Referral & Follow-up Care

Individual Counseling, Health concerns, Medical History, Health Insurance Screenings

Affordable Care Act, Low Cost Medical Care

Seguro Popular

Introduction, General Information session only

Visitor is given information, directory of services in the area, local resources and upcoming events.

VDS VISITOR FLOW CHART

• Program Activities include: health fairs, group workshops and presentations, local community events and collaborative activities with local health institutions, community organizations and schools.

• Create and establish a trusting environment where participants feel safe to obtain information about their health issues

• Specialized materials, culturally and linguistically appropriate to provide adequate information in your language

• Provide resources and options for accessing health services in collaboration with institutions and health centers

A UNIQUE HEALTH ACCESS PROGRAM

Ventanilla de SaludProgram Impact

Source: Department of Health analysis of VDS reports for time period January – December 2014* People are reported only once as having received multiple services (for example, information, screenings, imunizations).

• 1,534,402 individuals

Total Visitors in all 50 VDS

kiosks

• 3,872,747 services*

Number of services provided

VDS VISITORS 2014

Fuente: Reporte de Indicadores del Programa Ventanillas de Salud* Periodo de Enero del 2014 a Diciembre del 2014

72.5% of services offered were information and counseling on specific health topics: diabetes, obesity, hypertension, mental health, substance abuse, reproductive health, domestic violence, and health insurance enrollment.

23.4 % of visitors receive a health screenings in: obesity, diabetes, hypertension, cholesterol, HIV/AIDS, STDs.

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

2,000,000

2,200,000

2,400,000

2,600,000

2,800,000

3,000,000

1,534,402

3,872,747

404,069

60,332

333,437

19,004

247,176

Población atendida

Total de personas que recibieron Orientación/Consejería

Total de personas a las que se les realizo alguna Detec-ción (incluyen variables nuevas

Total de Vacunas aplicadas

Total de personas referidas a servicios de Salud en Estados Unidos

Total de Personas en In-scritas en un Seguro de Salud en Estados Unidos

Total de personas atendidas en Consulados Móviles

Pobl

ació

n At

endi

da

NUMBER OF VISITORS AND TYPE OF SERVICES PROVIDED

49% of visitors were administered the influenza

vaccine.

20,599 vaccines

(other than influenza)

were administered to children

102,500 visitors were referred to community clinics for follow up

care

6% of visitors

received mental health

information and referrals to secondary

care.

HIGHLIGHTS OF RESULTS

Ventanilla de SaludProgram Partnerships

HHS – CDC• 2009: VDS network played a critical role during the H1N1 outbreak by

collaborating with HHS.• 2010-2011 Influenza vaccination campaign coordinated through the Embassy of

Mexico and consular network/VDS (webinar for all VDS, informational fact sheet, videos, coupons for free vaccinations) – Fact sheet HHS-CDC/HMA

• 2011-2012 – Reinforcing the message of getting the flu vaccine and timing of vaccination- Same promotional materials and early distribution of pharmacy coupons for free vaccination through the VDS network thourgh NVPO/HHS/HMA /Wallgreens

• 2012-2014 – Flu clinics at VDs sites and Mobile VDs Programs; collaborations with local DOH – HMA and Wallgreens

NIOSH• Development of health education materials on occupational and safety health

(2008 – 2012) – Strength work between VDS and department of protection at the Consulate/Trainings on OSH to the VDS networks /publication NIOSH - VDS

• w w w. c d c . g o v / n i o s h

SUCCESSFUL PROGRAM PARTNERSHIPS

HRSA• Strengthening collaboration between VDS and Community

Health Centers to ensure each VDS identifies CHC in the region and reinforces communication for affordable healthcare/ Look for training opportunities for VDS staff by HRSA partners

• w w w. h r s a . g o v

American Heart Association• Providing VDS visitors with cardiovascular health information,

collaborative events and referrals for screenings.• w w w. h e a r t . o r g

Text for Baby• Enrollment of visitors to first mobile information service to promote

maternal and child health through text messaging, in both English and Spanish languages.

• w w w. t e x t 4 b a b y. o r g

SUCCESSFUL PROGRAM PARTNERSHIPS

NEHEP• Collaboration to promote eye health education though

the VDs• Training to VDs staff on diabetes and healthy eyes• https://www.nei.nih.gov/nehep/

SUSAN G. KOMEN• Collaboration with the VDS to address key breast health

barriers.• Collaboration to develop the Susan G. Komen breast

health toolkit• w w w. ko m e n . o rg

SUCCESSFUL PROGRAM PARTNERSHIPS

Ventanilla de SaludVDS Second Phase

Achievements

• Standardized Intake Form• UnityWeb Database: Strengthening

data collection, reporting and analysis• Training and Staff development for

visitor service flow and tracking • Research initiatives in specific areas

of health: HPV Vaccine, Pediatric Services, Obesity and Cancer

• Collaborative protocol with educational, medial and governmental institutions

• Archiving of success stories• Creation of Advisory Board

• Assessment and recommendations on current program activities

• Forthcoming publications• Identify funding opportunities

VDS A VALUABLE NETWORK A TRUSTED RESOURCE

The VDS program has evolved since its inception in 2002 to create a second

phase of the program that specializes in analyzing, strengthening and

expanding the program for greater efficiency and impact.

The pilot program began in 2012 with 5 geographic sites representative of

the diversity of populations and communities: Fresno, CA; Kansas, KA;

New York, NY; Portland, OR and Washington DC.

In 2014, second phase was expanded to include: Los Angles, CA; San Diego,

CA; Dallas, TX; El Paso, TX; and Chicago, IL.

Ventanilla de Salud HHS - ASPR Collaboration

Suggested collaborative efforts : Dissemination of core messages at all the

VDS sites regarding Emergency response protocol, services and resources

Informational webinars to all the VDS staff (hosted by HHS/ASPR) on Emergency response programs and services in geographic areas of VDS sites

Development and distribution of standardized information: fact sheet, directories, etc. from HHS/ASPR in Spanish

Development of collaborative network of communication for dissemination of information and assistance during emergencies

Possible funding opportunities for VDS sites to implement work at the 50 geographic locations across the U.S.

JOINING EFFORTS DURING EMERGENCY RESPONSE SITUATIONS

THANK YOU

GRACIAS