ATTACHMENT A

 

 

The mission of the Free Clinic has remained unchanged since its inception.  Periodic reviews by the Board of Directors affirm that the most pressing community needs identified in 1992 still remain the central focus of the Free Clinic today:

 

·         To provide a volunteer community health support system that offers high-quality health care to the working uninsured, which would otherwise have no access to care.

·         To provide practical experience for current and future health care professionals.

·         To compile information in support of a comprehensive policy for access to health care.

·         The Free Clinic is committed to treating patients within the context of an overall framework of wellness.

·          The Free Clinic looks beyond the patient’s presenting concern at an appointment to a general health and wellness outlook and offers a comprehensive array of services,  including but not limited to:

 

o        Treatment for acute illnesses like bronchitis, sinus infections, strep throat and urinary tract infections

o        Ongoing care for chronic illnesses such as diabetes and high blood pressure

o        Annual gynecological exams, including pap smears, breast exams and mammograms

o        Counseling and medication management for mental health concerns

o        Physicals for work, school and sports

o        Limited dental care for adults in our on-site dental suite and referrals to community dentists

o        Select free medications at our on-site pharmacy

o        Lab and radiology services

o        Pediatric services for children ages infant to 18

o        Referrals to specialists

 

Current Community Needs 

The number of uninsured has increased on national, state and local levels for the last several years. This trend is expected to continue as health insurance premiums are higher and many small employers are unable to offer this benefit to their employees. While most employers with over 200 workers offer health benefits (98 percent in 2005), only 47 percent of firms with three to nine employees offered health insurance in 2005 (Covering the Uninsured Website, April 2006).

 

Depending on the source, the number of people who are uninsured in Charlottesville and Albemarle County ranges from 18,361 (Kaiser Family Foundation, 14%) to 25,181 (Solucient, 19.2%). Both UVA Hospital and Martha Jefferson Hospital offer free care to people who are uninsured and below 100% of the Federal Poverty Level (FPL). The Free Clinic sees people who are working and are non-indigent (above 100% of the FPL) and don’t qualify for free care at either of the hospitals. With those factors in mind the number of uninsured who may potentially qualify for care at the Free Clinic ranges from 8,813 to 12,087.

 

In Fiscal Year 2006, the Free Clinic treated 1,556 patients with 4,417 appointments. For the last five years, the Clinic has seen 3-12% increases in the number of patients and anticipates similar increases in the future.  As the number of patients increases, and their needs shift to more long-term chronic care, the CFC pharmacy has seen a significant increase in the demand for medications. Last year, there was a 37% increase in the number of filled prescriptions. Since FY2001, there has been a 60% increase in the number of prescriptions that CFC’s pharmacy has dispensed. Pharmacy expenses represent on average 40% of the Free Clinic's annual operating budget.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinic Beneficiaries

The intended beneficiaries of the Charlottesville Free Clinic are the working uninsured and their families. Their strengths include that they are working and are pursuing health care for their family. Their needs range from acute problems that can be addressed in a single visit to chronic problems that require several visits to control and ongoing visits to manage. The following is a compilation of some of the demographic information about Fiscal Year 2006 patients:

 

 

Residence

78% are from Charlottesville/Albemarle

Age

84% are between the ages of 19 – 64

Income

14% are below 100% of the Federal Poverty Level (FPL); 58% are between 100 – 200% FPL;  19% are above 200% of the FPL

Nationality

56% Caucasian; 21% African American; 17% Hispanic; 4% Asian

Sex

60% female; 40% male

Marital Status

37% single; 35% married; 16% divorced

Education

69% high school education; 8% some college; 4% college grad; 2% post grad

Living Situation

56% rent; 22% own; 13% live in family member’s home

Employment

64% employed full-time; 24% employed part-time; 12% other income (SSI, disability, etc.)

 

Free Clinic Resources

 

 

 

Go to next attachment

Return to exec summary