Mid-Year Discussion, Review and Planning July 27, 2016 Organizations in Manatee County Organization Name Mission Meeting Dates Works on healthcare priorities as determined by the Chamber’s Board of Directors, including educating members on healthcare issues, supporting a medical residency program, ManateeHealth.com, Manatee First Wednesday of Each Month 4 -5 Chamber Healthcare Committee Healthcare Alliance, online resources and the Champions of Healthcare Awards. PM

Provides comprehensive assessment, planning and advisory services to meet the health related needs of Health Council of West Central Florida 2nd Thursday of Each Month 3:30 the public, non-profit and governmental agencies. Also, provides education and public dialogue on Board of Directors PM in Tampa health challenges.

Evaluate, monitor, and discuss the healthcare system in Manatee County, including physical health, 4th Wednesday of Each Month 5 -7 behavioral health and substance abuse, emerging state and federal legislation and policies that will have PM Manatee County Healthcare Advisory Board a direct or indirect impact on Manatee County. Make recommendations to the Board of County Administration Building Commissioners regarding the funding of services and the provision of healthcare for the medically needy of BCC Conference Room/9th Floor Manatee County.

Last Thursday of Each Month 9:30 - 11 AM Manatee Memorial To promote and ensure the health and wellbeing of Manatee County residents through fostering Manatee Healthcare Alliance Auditorium collaboration and partnerships, to ensure access to healthcare and promote healthy behaviors. Subcommittees Meet at Separate Times

Behavioral Health Acute Care 3rd Thursday Quarterly (January, Committee: Community Stakeholder meetings to discuss law enforcement or other issues related to Baker Act and April, July, October) 12 -1 PM (Chaired by Centerstone’s Chief Marchman Act patients in Manatee County. Reviews transportation plan and strategizes to improve access Centerstone Conference Room Clinical Officer) to services and service delivery.

Behavioral Health Consortium: 3rd Thursday Quarterly (January, Community stakeholder meetings including; AHCA, subcontractors, , consumers and consumer (Led by Central Florida Behavioral April, July, October) 1 -2 PM advocates (NAMI), County staff, school representatives, etc. Discusses behavioral health concerns of the Health Network) Centerstone Conference Room community’s behavioral health funders and providers.

Provides a 2-3 day Healthcare Event at Manatee Technical College to provide free health, dental and optical exams and November 22 -23, 2015 Remote Area Medical (RAM) treatment to anyone who presents. There is no eligibility criteria, all are accepted. November 11 -13, 2016 Manatee Healthcare System

Service Lakewood Ranch Manatee Memorial MHS Mgmt.

Beds 120 319 N/A EmergencyDept. Yes Yes No

Services • Ambulatory • Ambulatory • Primary Care Surgery • • • Radiology • • Laboratory • Laboratory • • Rehabilitation • Rehabilitation and • Radiology • Wound Care • Laboratory Center • Wound Care • Center • Urgent Care • Free-Standing Imaging Centers Blake Medical Center

Core Services Top Inpatient Product Top 15 Inpatient Top 15 ED Diagnoses Lines Diagnoses • 383 Beds • - • ESOPHAGITIS • UNSPECIFIED SEPTICEMIA • ED/Trauma Center MEDICAL • DISORDERS OF • DIVERTICULITIS • Trauma, Burn, Complex • SUBSTANCE ABUSE PANCREAS • REGIONAL ENTERITIS Hand Repair • • CELLULITIS • CELLULITIS OF LEG • Heart and Vascular • MEDICAL CARDIOLOGY • RENAL FAILURE • POISONING BY HEROIN • Orthopedics, • • ALCOHOL/DRUG ABUSE • ACUTE PANCREATITUS Neurosciences • INFECTIOUS DISEASE • KIDNEY • SUBENDO INFARCTION, • Spine Care • TRAUMA • DRUG POISONING INITIAL • Stroke Center • GENERAL SURGERY • SEIZURES • CELLULITIS OF ARM • Inpatient and • GASTROENTEROLOGY – • SEPTICEMIA • CELLULITIS OF HAND SURGICAL • GI HEMORRHAGE • ALCOHOL WITHDRAWAL • Inpatient and • INPATIENT • TRAUMA • PNEUMONIA, ORGANISM Outpatient REHABILITATION • ALCOHOL ABUSE • DELIRIUM TREMENS Rehabilitation • CHEST PAIN • OBSTRUCTIVE CHRONIC • Emergency Services • INPATIENT BRONCH • Women’s Health and REHABILITATION • ACUTE KIDNEY Wellness • COPD BRONCHO • NONINFECTIOUS GASTROENTERITIS We Care

¥ 2.3 Staff (Executive Director-FT, Bilingual Case Manager-FT, Nurse-PT) ¥ Serves: ¥ Adults 18-64 ¥ Manatee County Residents ¥ Uninsured/Underinsured ¥ At or Below 200% of Poverty Level ¥ Services: ¥ Specialty Physician Referrals ¥ Prescription Voucher Program ¥ Breast Health & Wellness Services ¥ Primary Care Turning Points (Clinic Specific)

¥ Medical Services:

¥ Primary Care for chronic conditions, acute care and urgent care, diabetes and lipid testing and treatment

¥ Eligibility (ages 18-64 with no health insurance, and income at or below 200% of Florida poverty level

¥ Women's health exams, mammograms (donated)

¥ Prescriptions (no cost or minimal cost)

¥ Laboratory tests

¥ Manatee Memorial Hospital

¥ 6700 services provided in 2014/15

¥ Dental Services:

¥ Basic dental care, including cleanings, fillings, extractions, partial dentures, but not root canals and crowns

¥ Manatee County residents, ages 5-70, income at or below 200% of Florida poverty level

¥ 4530 services provided in 2014/15

¥ $9 million worth of dental services provided 2009 – 2015

¥ Staff:

¥ Volunteer , dentists, pharmacists, nurses, dental hygienists who are currently in practice or retired and licensed in Florida

¥ Lake Erie College of Osteopathic Medicine (LECOM) 4th year medical students and a physician preceptor see patients in morning

¥ Liability insurance is provided through the State of Florida to clinics providing free health and dental services to underserved populations Health Department

• Disease Control and Surveillance • Clinical Services • Epidemiology • Family Planning • HIV/STI’s • Confidential Services for Teens • Environmental Health • Laboratory Services • Practice and • Immunization (Children, Adults, Travel) Policy/Community Health • Tuberculosis Control Services • Community Health Assessment (CHA) • Sexually Transmitted Infections • Healthiest Weight • Limited comprehensive health services • Community Outreach for adults and children • Tobacco Prevention • School Based Health Services • Public Health Preparedness • Drug Assistance Programs • Preparedness Planning • Administrative Services • Medical Reserve Corps • Vital Statistics (Birth and Death • Women, Infants and Children (WIC) Certificates) MCR Health Services • Primary Care Centers • Other Clinical Services • Primary Care Medical Home Model • / • Core Medical Services • Durable Medical Equipment • Family Practice • Medical • • Enabling Services • • Medical Home Care Coordination • Obstetrics/Gynecology • Health Education • Oral Health • Outreach • Specialty Services • Eligibility • • Technology • Behavioral Health • • Optometry • Electronic Oran Health Record • Infectious Disease • Voice Recognition • • Digital X-Rays (Dental) • Dermatology • Automated Reminder Calls • Orthopedics • Interfaces with Referral/Community Partners • Cardiology • Patient Portal • • ER Diversion • • Health Express-Mobile Unit • Colorectal Cancer Screening • Accountable Care Organization Centerstone

• Call Center • Community Services • Walk-In Center • Intensive Outpatient Services • Access Center • Assertive Community Treatment • Mobile Crisis Services • Children’s Action Team • Rape Crisis Services • Paramedicine • Access Center • Homeless Outreach • Inpatient Services • Criminal Justice • Hospital (37 beds, Medicare and Tricare) • Marchman Jail Diversion Project • Behavioral Health • Forensic Case Management • Crisis Center • Jail Behavioral Outreach • 30 beds • Specialty Courts • Psychiatric and Co-occurring • Assisted Outpatient Treatment • Baker Act • Child Welfare • Age 5 and up • Case Management • Addiction Center/Detox • Independent Living • 18 and older • Adoption Promotion • Medical/Residential Co-occurring Psychiatric • Alcohol/Drug School Prevention • Rehabilitation • Parenting Classes • 18 and older • Clinical Training • Hospital/Residential • Adult Psychiatric Residency • Co-occurring mental health, trauma and medical • Pre and Post Doctoral • Outpatient Services • Master’s Registered Intern • Partial Hospital • • Intensive outpatient • Medication Assisted Treatment • Family Intensive Treatment • HIV Screening and Counseling • Tobacco Cessation HMA Goals, Objectives, Recommendations

1. Access to primary care for medical and behavioral health clients 2. Care management for highest need individuals 3. Improved access to mental health treatment 4. Substance abuse treatment expansion 5. Dental health services access 6. Assistance for navigation to health services 7. Health prevention programs