COMMUNITY HEALTH
INITIATIVES
From community need to community
reality
Central Missouri Community Action
CHAMOIS (OSAGE COUNTY) HEALTH FAIR

Osage County


Population 13,878
Poverty Rate 10.8%
Children in Poverty
13.8%
 Seniors in Poverty
10.4%


Uninsured 15.6%
Largest City – Linn
Population 1,459
 Chamois Population
396 (20 miles from
Linn)

THE PROBLEM
Half of the population in Chamois are children
who have very limited or no access to quality and
affordable health care.
 Chamois has no local doctor, clinic, or health care
providers. (There is a visiting nurse for the
elderly)
 Chamois is an isolated community with no
physicians located 22 miles from the nearest
largest community
 There is no public transpiration and many of the
community residents do not have access to
quality transportation

THE PLAYERS
CMCA and Head Start
 The Local School – superintendent, principals,
counselors and teachers
 Local community members
 The Osage County United Way Advisory Board
 Fire and Ambulance members (EMT)
 The County Health Department

THE NEED
The principal of the school indicated that many of
the school children due to their family's financial
issues did not have access to the required sports
physicals so could not play sports.
 School counselors stated many of the children
don’t have state supported health care because of
their parents inability to complete the application
process.
 Normal childhood health screenings do not take
place due to lack of parental transportation to
larger communities

PLANNING
The goal became to
provide the health
education and medical
supports that are
needed in Chamois
directly to the
students themselves,
in their home town in
their own school
 Equal access to
quality and affordable
health care

 Determined
what was needed
Sports physicals
 Hair cuts
 Vendors
 Fundraising

THE RESULTS

Spring 2012





200 children received
screenings
Children received hair
cuts
Education and tools
were provided to
maintain a healthy
lifestyle to kids and
their families
$6,000 was raised for
meals and sporting
equipment
40 vendors
EVALUATION
What
would make it better?
 More
family oriented
 Expansion of screenings available
 Additional vendors
THE RESULTS
 Spring


2013
250 attendees
Additional
education and
screenings
Senior living choices
 Blood pressure for
adults
 Sugar level
screenings
 Dental screenings
 Hair cuts

EVALUATION
More involvement of school staff (including a
pampering room)
 Vendors had a reminder e-mail that was helpful
 Screeners needed more direction as to completion
of screening
 Well Baby checks won’t be offered due to the
amount of information needed
 Adjust registration table and food vendors
 2014 - Scheduled

CALLAWAY COUNTY DENTAL INITIATIVE

Callaway County
Population 44,332
 13.8% Poverty Rate

18.9% children in
poverty
 5% Seniors in poverty


14.4% uninsured

Largest Community Fulton, Population
12,790
THE PROBLEM

There were few local dental care options for
persons with modest financial resources


There was a shortage of dental care providers for
Callaway residents


No formal sliding scale service rates offered in the
County
Most local dentists have been in the community with
established patients for 30 years or more
The lack of dental care can result in serious
health and self esteem issues and the inability to
get employment.
THE PLAYERS


Callaway Resource Network
Dental Committee














Health Department
YMCA
United Way
CMCA
Serve, Inc.
Our House
Family Services Division of DSS
Callaway Special Services
RSVP (Retired and Senior Volunteer Program)
Missouri School for the Deaf
Area Agency on Aging
Chamber of Commerce
Coalition Against Rape and Domestic Violence
Community volunteers

Columbia Family Dental Center (FQHC affiliated)
Jefferson City Family Dental Center (FQHC
affiliated)
Private Dentist
Missouri Foundation for Health
Health Resources and Services Administration
Missouri Primary Care Association
Community Health Center of Central Missouri

Donations










Private
Kingdom Telephone
Ameren Missouri
Local Churches
THE NEED

2008 the county conducted a Community Health
Assessment resulting in 8 areas of concern









Chronic Disease
Healthy Lifestyle and Prevention
Family Violence
Mental Health
Physical Activity and Nutrition
Dental Health
Social Determinants of Health
Safety and Injuries
Alcohol, Tobacco and Substance Use
 Additional




assessment work (2009)
Interviewing local dentists, the hospital, the
state hospital
Met with the dental directors of Jefferson City
FQHC and Columbia FQHC
Sought advice and explored options of state
and federal funding sources
Put together materials for a public campaign
and began making presentations to local
groups on the need

CMCA began collecting names of persons
urgently needing a dentist as people came into
the office for services


650 persons of low income self identified or referred
423 persons went to the Callaway County
Hospital seeking help with dental issues
SCREENINGS

Between February
2010 and July 2011
308 persons screened
 261 had urgent care
needs
 145 served in the
clinic in Columbia

PLANNING




Missouri Foundation
for Health
Missouri Primary
Care Association
Professional Grant
Writer
HRSA Grant $80,000
submitted
IN THE MEANTIME

Two additional
emergency
arrangements began

Jefferson City
Community Health
Center

Dr Matthew St.
George in Fulton

October 1, 2011 – July 31, 2012
34 Referrals to Community Health Center of
Central Missouri
 24 Referrals to Dr. St. George’s Dental Office
 10 Referrals to Columbia Family Dental

Other
 7 Referrals to Mid-Missouri Legal Services
 6 Special Needs Cases for other services

THE PLANNING GRANT



7,000 paper
community surveys
Survey Monkey
6 community meetings
throughout Callaway
County
THE RESULTS

June 2012


Decision to open a satellite office of the Community
Health Center of Central Missouri in Callaway
County
August 2012

CHCCMO is awarded $175,000 PRIMO grant from
the Missouri Department of Health and Senior
Services to go toward purchase of dental equipment
for the office in Fulton



The Dental Initiative Committee dissolves
The Callaway Advisory Committee is formed and
receives training and meets with the CHCCMO
administrators and Board
New Dental Facility to open in 2013
GRAND OPENING MAY 2013
RESOURCES
Community Assessment Tool Kit – Missouri
Association for Community Action
http://www.communityaction.org/files/HigherGroun
d/Community_Needs_Assessment_Tool_Kit.pdf
 University of Kansas Community Toolbox
http://ctb.ku.edu/en/default.aspx
 Health Resources and Services Administration
Rural Health
http://www.hrsa.gov/ruralhealth/index.html
 Health Resources and Services Administration
Federally Qualified Health Centers
http://www.hrsa.gov/opa/eligibilityandregistration/h
ealthcenters/fqhc/
 Missouri Primary Care Association http://www.mopca.org/
 Missouri Foundation for Health
http://www.mffh.org/


Contact Information
Dianna Moore, CCAP
800 N. Providence Road, Columbia MO 65203
573-443-8706 x 1090
Dianna-Moore@showmeaction.org