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Community Health Center Proposal

draft: 10/17/02
Community Health Center

Proposal

 

This proposal is a work-in-progress.  As such, it is meant to generate ideas, build awareness and vision, inspire dialogue, stimulate involvement, and eventually crystallize a plans and motivate action.  It is a product of the Health Team, a subcommittee of the Webberville Area Healthy Community Network.  Please forward your questions and suggestions to LeRoy Harvey at 676-7251, Lharvey@ingham.org, or 676-7358(fax).

 

Introduction

A Community Health Center is being considered in Webberville, Michigan.  As we currently envision this effort, a Community Health Center will serve several functions in the area:

  • meet a need for local health care services
  • provide a hub for healthy community initiatives
  • serve as a base of operations for several educational and community organizations
  • be a demonstration site for communities and heath care providers searching for creative ways to sustain viable health care operations and enhance community well-being
  • offer a superior training site for students in the fields of medicine, social science, and/or other disciplines

 

This project is an outcome of a Rural Health Healthy Community Initiative conducted in northeast Ingham County.  It is connected with Community Voices, a $55+ million national effort of the W.K. Kellogg Foundation and others to address our country’s health disparity and health care access.  Rising health care costs and economic turbulence create significant challenges, particularly in economically-distressed households and communities.

The Challenges and Opportunities

Preceding the Community Health Summit, a survey was sent to 1000 households in NE Ingham County (including the village of Webberville, Locke township, and Leroy township).  By June, 167 responses had been tallied and evaluated.  The findings provide a strong justification of the need for this facility and the services it will provide.  For example, approximately 40% disagreed with the statement “Medical Services are adequate.”  In addition, over 38% of respondents did not feel that children’s health care was available locally.   But that’s not all… This survey was conducted before the closing of a local medical care facility in August 2002!

 

Like many other rural communities with a relatively small population (1500 in the Village of Webberville), a center in Webberville is obviously not the most lucrative investment for either of region’s 2-3 major health care institutions.  Nonetheless, the recently-closed facility was seeing several hundred patients a month and providing important services to the local school district. 

 

It is our hope that a collaborative effort provides an opportunity to reestablish a profitable, community-supported business that helps address multiple health-related issues and needs – and support the missions of key partners of providing quality, affordable care.

 

Extending Care

A promising outcome of a community health center is connecting people and stimulating social interaction.   According to at least one source, “Being involved with community groups and having strong social networks are as good for health as healthy food and exercise” (Department of Public Health, University of Flinders). See more research examples in the Appendix.  As a “hub for community initiatives” the Center Health Center will play an important role in sustaining and enhancing the social fabric of the Webberville area. 

The desire for the continued “weaving of community social fabric” was echoed at the summer Health Summit.  Using a democratic voting process[1], participants voiced a clear desire for:

  • Increased community involvement
  • Enrichment for all ages
  • A youth/community center

 

As our large medical care providers, schools, social service agencies,  businesses, and the public weather a turbulent economy and the winds of change, it behoove all of us, urban and rural to explore creative partnerships and approaches to maintain and improve the quality of life and vitality of our communities.  This community-based Center, supported by a variety local and regional partners, connecting health and community involvement, nonprofit and for-profit activities, could provide a creative win-win approach reproducible other communities.

 

Goals and Objectives

The primary goal of this effort is to support long-term personal and community health, well-being, and quality of life in the Webberville area.   It follows that there are as many solutions as dimensions to health, well-being, and quality of life.  A Community Health Center, as envisioned by project leaders, is just one “tool” or “facility” to help realize health.  Nonetheless, it is a multi-purpose tool with many potential functions and benefits.  Among those that are being considered:

  • Provide a base of operations for a health clinic and health care providers.
  • Provide space to community-based organizations and healthy community projects.
  • Link residents (especially youth and seniors) to programs, services, service (volunteer opportunities), community activities, and events.
  • Provide a “healthy space” and place that is accessible, comfortable, friendly, inviting, and enjoyable to visit.
  • Serve as a demonstration project and learning experience to inform similar efforts in other rural and urban communities.

 

Action Plan
> (specific details are under development)<
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  1. Planning, listening, and visioning
  2. Partnership commitments
  3. Furnishing & remodeling
  4. Staffing
  5. Grand opening
  6. Operations and maintenance
  7. Evaluation
    > > Other…

Action Plan

 

Activities

Lead Role*

Time Line

 

1

-Sep

2

Oct

3

Nov

4

Dec

5

Jan

6

Feb

7

Mar

8

Apr

9

May

10

Jun

11

Jul

12

Aug-

  1. Planning, listening, and visioning

2

 

 

 

 

ongoing

  1. Partnership commitments

1, 2

 

 

 

 

 

 

 

 

 

 

 

 

  1. Furnishing & remodeling

1, 4

 

 

 

 

 

 

 

 

 

 

 

 

  1. Staffing

1

 

 

 

 

 

 

 

 

 

 

 

 

  1. Grand opening

1

 

 

 

 

 

 

 

 

 

 

 

 

  1. Operations & maint.

4,5

 

 

 

 

 

 

 

ongoing

  1. Evaluation

6, 7

ongoing

  1. Other?

 

 

 

 

 

 

 

 

 

 

 

 

 
















 

Key

 

*Individuals and groups involved:

  1. Community Health Advisory Team (leadership for Community Health Center) or CHAT
  2. Webberville Area Healthy Community Network or WAHCN
  3. Human Services Advisory Committee or HSAC
  4. Office manager
  5. Nurse Practitioner
  6. Ingham County/MSU Extension Representative or just MSUE
  7. Chair of CHAT
  8. Key Stakeholders (major supporters)
  9. All Stakeholders (including service providers)
  10. Lead doctor
  11. Vista/Americorp

 

 

Activities at the Center

 

Programming will focus programming in several areas:

1.      education

2.      health

3.      human services

4.      recreation

 

Medical Services

The goal is to have a full service health facility with an emphasis on primary care including health maintenance, disease prevention, counseling and patient education.   Project leaders are also optimistic about the opportunity to provide broad educational experiences for medical students/interns.

 

Community Activities (including education, human services, and recreation)

The local superintendent and elementary school principal are both involved with this healthy community initiative.  A potential partnership with the school is one of the chief motivating forces behind this effort.  A broad range of potential programs are under consideration including:

 


Key Partners

Several key partners have either already expressed interest or been identified as likely to be involved with this effort.  These include:

  • 4H
  • Alcoholics Anonymous
  • Calvary Baptist Church
  • Capital Area Community Services
  • Community Mental Health and individual mental health providers
  • Community Voices Projects
  • Family Independence Agency

·        Ingham County Health Department

·        Ingham County Michigan State University Extension

  • Ingham County Sheriff Department
  • Ingham Intermediate School District

·        Ingham Regional Medical Center

  • Lansing Community College
  • LeRoy Township
  • Locke Township

·        McLaren Health Care Corporation

  • Michigan State Police
  • Michigan State University
  • Old Newsboys
  • Salvation Army

·        Sparrow Health System

  • St. Mary Catholic Church
  • St. Vincent DePaul (Williamston Chapter)
  • Van Zwon's Market
  • Village of Webberville
  • Webberville 4-H
  • Webberville Boy Scouts
  • Webberville Community Recreation Association
  • Webberville Fire Dept
  • Webberville Food Bank
  • Webberville Girl Scouts
  • Webberville Lions
  • Webberville Masons
  • Webberville School District

·        Webberville United Methodist Church

·        Weightwatchers

  • Williamston United Methodist Church Small Goods Bank

 

Potential Projects and Programs

Several programs, projects, and issues/opportunities have been identified that may be applicable for the community health center.  Obviously, the associated agencies are likely partners as well:

  • After-school programs
  • ASAP-PIE (all kids connected to success)
  • Childbirth Education

·        Community meeting space

  • Computer Access
  • Counseling and mental health services
  • Elderly care
  • Food and nutrition
  • Foster Care
  • Future Farmers of America

·        GED certification

  • Head Start
  • Independent Living Skills
  • Loss support
  • Nutrition education, diabetes, weight loss
  • Parenting classes
  • Place to volunteer or find out about volunteering
  • Prenatal care services – nurse practitioner, midwifery services
  • Retiree programs
  • Service Learning – school projects
  • Smoking Cessation
  • Tutor programs
  • Volunteens – teen volunteer projects
  • Yoga
  • Youth Service Corp/ Citizen Engagement initiatives
 

Management

A Board of Directors comprised 60% community members (living or working in the Webberville School District) and 40% institutional partners will provide leadership in developing the vision and handling major policy decisions.

(this section is under development – see list of individuals and groups on timeline)

 

Budget

Expenses

Staff

Clinician

Clerical Worker

Provider

Subcontractor(s) (billing, etc.)

Bookkeeper (collaborate with other Network Centers)

Fringe where applicable (FICA, MESC, Insurance, etc.)

Computers

Copier

Fax

Insurance

Meeting Costs

Other Equipment

Paper and Office Supplies

Phone:  5 lines

Printer

Professional Development

Remodeling, Maintenance, and Improvements

Snow removal/lawn care

Utilities (water, elec, gas, etc.)

Waste hauling

 

Revenue/In-Kind Contributions

Ingham Health Nurse

MSUE Associate

Rent/Room Use

Vista/Americorp

In-kind donations

Program revenue


Appendix A

Goals of the Community Voices Project
> From www.cacvoices.org

To increase access to healthcare for the underserved by:

  • Establishing an Organized System of Care - one in which every uninsured person in Ingham County has access to a healthcare coverage strategy that is non-stigmatizing, user-friendly, and affordable. To do this, we must:

·         Build a broad base of community support for universal access;

·         Establish sustainable funding mechanisms that fairly distribute the financing of healthcare for the uninsured among stakeholder groups;

·         Develop new coverage options and adequate infrastructure to maintain them.
> >
> >

  • Mobilizing neighborhoods and communities to improve health access and positively impact the determinants of health as experienced by their residents. To do this, we must:

·         Empower residents of neighborhoods and communities to identify health indicators and strategies for impacting them) both policy change and new programming);

·         Assist in establishing sustainable, positive working relationships between neighborhood and community stakeholders (including residents, associations, faith institutions, schools, businesses, providers, and funding entities)

·         Provide universal access to information needed by neighborhoods and communities to advance their strategies for improving access to health, and measure their progress.

 

 


Appendix B

> Research on Social Interaction and Personal Health<
h5>

 

Recent research conducted by Carmen Pricopi of MSU University Outreach reveals a several studies which link social interaction to personal health.  For example:

 

·  A 10% increase in overall trust across citizens leads to 0.6 few deaths per thousand people per year, or a one unit increment in group membership leads to 0.83 fewer deaths per thousand people per year (Kwachi et al)
>  <
span>

·   People who lacked social and community ties were more likely to die early than people with more extensive contacts
> >

·   Joining a community group cuts in half your odds of dying next year
> >

·   Joining a community organization for fun was better for health than giving up smoking (Berkman and Syme)

 



[1] For a full report of the Healthy Community Initiatives, please see http://www.ingham.org/ce/CED/index2.htm


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