THE HOLY FAMILY CLINIC IMMACULATE HEART OF MARY CATHOLIC CHURCH 7539 Ave K, Houston, Texas 77012 The Immaculate Heart of Mary Catholic Church Holy Family Clinic opened February 28,2001, with a dedication ceremony on May 16, 2001. The clinic had a full time parish nurse for two years. The clinic now operates with a parish nurse volunteer, other community volunteers and a volunteer physician from the St. Bernadette Catholic Church. The clinic reports to a ten-member board of directors. The board of directors is comprised of more than fifty percent of parishioners and community members. The Holy Family Clinic Board of Directors report to the Immaculate Heart of Mary Catholic Church. The clinic is a 501c3 non-profit organization and carries its own insurance. Mission The mission of the Holy Family Clinic is to extend the healing mission of our Lord Jesus Christ to the parishioners of Immaculate Heart of Mary Parish and their neighbors. This healing ministry encompasses the entire scope of health and includes spiritual, physical, psychological and social aspects of care. Goals of the clinic: 1. Providing care for acute illnesses when a provider is available. 2. Providing referrals to clinics and agencies for care of acute and chronic illnesses, social services and other services as needed. 3. Educating the community about health, healthy life styles, and ways to access the health care system. 4. Coordinate health fairs and other parish health activities. 5. Providing referrals for spiritual counseling, hospice and similar activities. 6. Visiting parishioners in their homes and follow-up with referrals from the parish office. 7. Coordinating volunteers for the various health-related ministries that will be developed through the parish nurse program. 8. Developing relationships with groups providing similar or complementary services to the community (e.g. Interfaith Ministries). 9. Assuring social justice through advocacy endeavors. Holy Family Clinic This initiative is a direct response to our poor, underserved and uninsured parishioners and to the many others in our immediate service area who for a variety of reasons lack a medical home or have difficulty accessing health services. We have developed a Parish Nurse program in order to have an experienced nurse coordinate health services for our community and to educate our congregation about healthy living. The Parish Nurse is an advocate for those with health access difficulties and the spiritual link for the church as we reach out to serve our community. The role of the Parish Nurse bridges the bilingual professional nurse with that of coordinator of volunteers and support groups. Aware of the multiple needs of our parishioners, we are currently seeking to add a nurse practitioner to work with the Parish Nurse and volunteer Physicians. The volunteer Physician is from the St. Bernadette Catholic Church in the Clear Lake area of Houston. The Physician has many years of experience in family practice and occupational medicine. St. Bernadette Catholic Church is a collaborating parish with Immaculate Heart of Mary and has provided volunteer parish nurses, needed office and medical equipment, financial support, and social advocacy support. The clinic is in operation only on Thursday 5 p.m.9:00p.m, with follow up as needed with dropping off medications to the patients, or follow up with laboratory, X-ray, vision services, or diabetic education as needed. Immaculate Heart of Mary Catholic Church The Holy Family Clinic is located on the campus of Immaculate Heart of Mary Catholic Church. Immaculate Heart of Mary Catholic Church, founded in 1926 to serve the needs of Hispanic Catholics in the Magnolia Park area of East Houston, also known as the Second Ward. The Second Ward was one of the first Hispanic neighborhoods in Houston. The northern portion of the community is industrial and currently houses the Houston Ship Channel and Enron Field. The parish continues serving a poor working class neighborhood. Most parishioners are United States citizens or legal residents of Mexican heritage. A significant number, however, are more recent immigrants from Mexico and Central America. Many of these immigrants are without documentation. The parish has more than 2,300 registered families and remains a very active participant in Houston's East End. The parish is in an area designated as medically under served. The target area for the Holy Family clinic is approximately a one-mile radius around the Holy Family Clinic, primarily zip codes 77012 and 77011. Our boundaries are approximately west, 65th street; north/east, Buffalo Bayou/Ship Channel; south, Brays Bayou. The population for census tracts 3110 and 3111 is 15, 686. The population is 96% Hispanic, with a 40.6% poverty rate versus 11% for the United States. Of the children in the two neighboring elementary schools, 85% qualify for the free lunch program. To qualify for the free lunch program the family income must be below 185% of the Federal Poverty Income Levels. The poverty income level for a family of four is $17,050. 67% of the people in the neighborhood are without insurance or the means to obtain health care, versus 15% for the U.S. 73% of the people in our neighborhood did not complete high school or a GED program. Translation services are critical due to the 60% limited English proficiency of the people in the neighborhood. This neighborhood has a federal designation of being a "Medically Underserved Area." A survey done in March 2001 of the parishioners of Immaculate Heart of Mary, 322 surveys were reviewed. The top ten health concerns are Diabetes; Stress; need for Exercise classes; Depression; Cholesterol; need for Weight Loss; Managing Special Diets; Dental Screenings; Vision Screenings and Blood Pressure screenings. Collaborators The Holy Family Clinic has a close relationship with many organizations. These relationships have benefited the community with information sharing, referrals and needed community service hours. The Holy Family Clinic collaborates with the following organizations: Magnolia Interfaith Health Alliance Central Park Methodist Church Broadway Baptist Church Temple Bethel Episcopal Church of the Redeemer Rosa de Saron Pentecostal Church El Bien Pastor Methodista Iglesia Episcopal de Santa Cruz Ministro Buena Vida San Pablo Trinity Presbyterian St. John Lutheran Templo Evangelico Elim Queen of Peace Catholic Church Chicano Family Center Sisters of Charity of the Incarnate Word The Institute of Religion Center for Faith and Health Initiatives Open Door Mission East End Healthy Children Collaborative The Eastwood Interfaith Health Alliance The Metropolitan Organization Ministros Hispanos Contra El Crimen CHRISTUS St. Joseph Hospital Episcopal Health Charities Shalom Zone Mobile Clinic City of Houston Magnolia Clinic As of August 2002, the Holy Family Clinic and Immaculate Heart of Mary Catholic Church has worked very closely with El Centro de Corazon, a social service and mental health organization in applying for a federally qualified health center grant. A FQHC grant would provide up to $650,000.00 a year for five years to provide full service health, dental and mental health services. This activity and relationship is on going. Activities Blood Pressure checks CHIP enrollment Blood Pressure/Glucose checks Flu shots Health Assessments Back to School Immunizations Diabetes Classes Back to School Immunizations Flu shots February 2000 August 2000 October 2000 December 2000 April 2001 August 2001 Jan ‘02-April ‘02 August 2002 November 2002 16 2,000 119 243 80 40, 68 shots given 6 classes 25 participants for class 60, 120 shots given 200 Total patient interactions for 2001-1,230, does not include the numbers for the above mentioned activities. Total patient interactions for 2002- 2,494, does not include the numbers for the above mentioned activities. Phase One 2001 Phase One of the Holy Family Clinic not only includes the opening and daily operation of the clinic, but setting up the infrastructure to maintain operation of the clinic. The following activities are planned for Phase One: 1) Board Development, 2) Articles of Incorporation, 3) Bylaws written and approved, 4) 501c3 Application, 5) Job Descriptions for Parish Nurse, Nurse Practitioner, Medical Director, 6) Development of Volunteer Committee, 7) Set up of Vendors for supplies and clinic services, 8) Regular schedule for volunteer Physicians, 9) Retreat for 5year plan, 10) Establishment of quarterly screening events, 11) Blessing Ceremony of the clinic. Phase Two 2002 Phase Two will encompass expanding services and seeking grant monies. The following activities are planned for Phase Two: 1) Establishing a vision station for the community, 2) Starting the Community Garden Program, 3) Collaboration on first annual Parish Health Ministry Catholic Conference, 4) Start of Housing Initiative, 5) Actively seek out grants, 6) Start the Comenzando Bien Program for pregnant women, 7) Expanding the clinic hours and services. Budget For Holy Family Clinic Salaries & Benefits for Full Time Staff: Parish Nurse $40,000 Nurse Practitioner $62,400 Need to put in 2-3% salary raise each year Equipment: Health Literature Rack (2) Pagers (2) Computer Upgrade Cellular Phone $200.00 $100.00 $1,000.00 $300.00 Supplies & Education: Printed Health Materials Alcohol wipes Gloves Thermometers Glucometer Stripes Bus Tokens Continue Education Clinic Signage Health Fair Expenses Grant writing fees Office Supplies $1,000.00 $100.00 $200.00 $300.00 $720.00 $200.00 $500.00 $2,000.00 $400.00 $3,000.00 $500.00 Pharmacy: $3,000.00 Voucher program to help cover cost of prescription medicine for those without insurance coverage. Utilities: Electricity at 300.00 a month Phone at 80.00 a month Water at 30.00 a month Insurance Janitorial $3,600.00 in-kind $960.00 in-kind $360.00 in-kind $5,000.00 $240.00 in-kind January 2003 Phase/Clinic Development Update: In January of 2003, the Holy Family clinic did have to lay-off the full time parish nurse due to the boards’ funding concerns. The Holy Family Clinic is presently working only as a volunteer model, with clinic on Thursday night. The Thursday night clinic entails patients signing up to, see the doctor for a variety of health concerns and ailments. The clients of the clinic mainly deal with chronic diseases such as diabetes, obesity, hypertension (high blood pressure), and arthritis. Presently we do not see children, or provide women services. 100% of the funds donated at this point go directly to patient needs, lab, medication, x-ray, eye exams, glasses or any other identified needs. We do pay approximately $5,000.00 for medical liability to run the clinic; the amount paid has varied over the past three years. We have not held the vision station- a program to provide free or low cost glasses- on a regular basis due to lack of having enough volunteers to assist in this clinic. The program entails doing a basic eye exam, referral for a prescription for glasses. The client brings back the prescription, the volunteers, fill out the order form, measure for glasses, and send out the order for glasses. The client then returns for the glasses, this program would be ideal to have once a month. The clinic would be willing to cover training to participate in this program with InFocus. The clinic loses several opportunities in accessing grant funding due to time constraints to actual write up and prepare the applications. Volunteers would be appreciated who could assist with this activity. The clinic postponed starting the Comenzando Bien Program – Healthy Start program, which is a pre natal education program for Hispanic pregnant women due to being able to provide women services at this time. Expanding the clinic hours and services has not been accomplished due to lack of volunteer physicians to see patients during other times in the week. People are invited to tour or visit the clinic. Any questions or concerns should be directed to Rosie Perez, RN, and President of the Clinic Board at 713-756-5055.