1.

• Welcome

2. Antelope Valley Overview

2,000 square miles-Larger than the States of Delaware or Rhode Island

Overall population 440,000

Due to affordable housing in the 90s 50% increase in Housing 1990-2000 & 17% last 5 years

Currently One of the Highest foreclose rates in the State

Medium Household income $44,277

Unemployment Rate 10.7

Medium Age 31

78% have High School Degree

Poverty level 25% & 15% Uninsured

Estimated # of Uninsured 65,000-75,000 & Growing

3. Health IndicatorsAntelope Valley vs. LA County

Antelope Valley Leads the County of Los Angeles with the poorest health indicators:

Diabetes

Children & Adults with Asthma

Infant Mortality

Obesity

Smoking

ADD/ADHD

Heart Disease

Drug Related Deaths

Emphysema

Chlamydia

Children with Special Needs

Children Exposed to Tobacco at Home

Tobacco Use by Adults

Motor Vehicle Deaths

Alzheimers Disease

Suicides

Teen Births

Late or no Prenatal Care and

Overall Mortality

4. Current Health Care Delivery System

Antelope Valley Hospital 440 bed at capacity. ER 110,000 visits/year. One of the busiest in US.

40% of the visits are non-urgent and 60% of those have no insurance

High Desert Health Systems-Closed County Hospital 5 years ago. Budget constraints on out-patient services

Palmdale Hospital closed 10 years ago.

Lancaster Community Hospital-117 beds-Building new Hospital in Palmdale- Currently no Medi-Cal contract

5. Logo VNA UW AVC Creation of AVCC

Late 2005,Antelope Valley Partners for Health(AVPH)completed a Community Needs Assessment funded by Kaiser Permanente. It concluded that there was a critical need for expansion of primary care, prevention and education services for the uninsured and underinsured.

Antelope Valley Community Clinic Advisory Board was created. Committee members included major providers, organizations & Community members:AV Hospital, Lancaster Community Hospital, High Desert Medical Group, Kaiser Permanente, County of Los Angeles and the Cities of Lancaster and (c) (3) was formed. The Board is 51% users of service & FQHC Compliant

In August 07 we received a start-up grant from Kaiser Permanent for $250,000

In March 08 we acquired Care-A-Van Mobile Clinic from VNCS/PICF

In August 08 we received $500,000 grant from LA Care.

In March 09 we acquired Clinic in Palmdale. License pending.

In April 09 we began construction on Phase 1 clinic in Lancaster. License in June 09

In August 09 we opened the Lancaster Clinic

In March 10 we will begin construction on Health and Wellness Clinic

6. Clinic Services

Currently operate 2 Mobile Clinicsand two fixed clinic one in Palmdale and one in Lancaster.

All will be staffed by physicians and mid-level Nurse Practitioners.

Family, internal and pediatric medicine, obstetrics and gynecology. OB Clinic from AV Hospital is sub-letting at proposed Phase 2

Diagnostic laboratory and imaging services on-site and through AV Hospital and Lancaster Community Hospital in-kind support.

Preventative health services including prenatal and perinatal services. Black Infant Health, Healthy Births, Save A Smile etc. through Antelope Valley Partners for Health

Screening for breast and cervical cancer, well-child services, immunizations, disease management for diabetes, asthma and hypertension.

Adult and Children's Dental program

7. Care-A-Van Mobile Health Clinic in service since 1996. Sees 3,200 patients every year at 16 sites throughout the Antelope Valley 8. Care-A-Van Mobile Clinic II. Donated by County of Los Angeles. License pending. Plan is to convert to full-service Dental Clinic in 2010 9. Primary Clinics in Lancaster & Palmdale

Palmdale- 2,800 sf opened March 1, 2009. Acquired from local physician. Primarily Women and Children but have expanded to adult medicine. Temp space until we find larger clinic in Palmdale. Seeing about 750 patients a month.

Lancaster-Arbor Grove 2,800 sf. Opened in August 2009. 7 Exam rooms. Will see pediatrics & adult medicine. About 600 patient per month. When larger Health and Wellness Center opens we will maintain this spacefor older adults and or prevention and disease management care such as our new Diabetes Education & Treatment program.

10. Phase 1 2,800 sf open June 2009 Round area on 11. Antelope Valley Community Clinic-Palmdale 2,800 sf 6 exam rooms acquired March 1, 2009 Seeing 600 patients per month. License in June 2009 12. NewCommunity Health and Wellness Center

We have signed a lease on a 15,000 sf building in Lancaster in a very high area of need that will serve as a Community Health and Wellness Center.

We will have additional clinic and meeting /conference space adding at least 20 more exam rooms and expanding our primary care, pediatrics, OB, Dental and specialty care clinics.

13. Funds Committed

High Desert Medical Group 2008 $50,000

AV Hospital $100,000- General operations

AVPH Fundraiser $50,000

Ahmanson Foundation $350,000-Construction

LA Care $500,000 for Operations August 2008

Kaiser $250,000 start up 8.1.07

Ralph M Parsons Foundation $150,000 for construction 2010

LA County $350,000 for construction & $850,000 for patient care. 2010

California Wellness Foundation for $150,000 general ops 2010

14. Requests pending

Weingart Foundation $350,000

S. Mark Taper Foundation $200,000

Help II-State $200,000-$750,000 loan after FQHC

CPCA- $350,000 Bridge loan after FQHC

Federal Stimulus- After we receive FQHC-Amount not known for Construction. Operational grants are $650,000

15. Sustainability

FQHC- or 330 Look-Alike-Letter of Intent submitted April 2009

Full FQHC Application to be submitted in September 2009

- FQHC allows significantly enhanced reimbursement on allMedi-Cal and Medicare patients

• - FQHC Competitive Grants also provide $600,000

Other sources of funding

• Medi-Cal, CHDP, CDP, Family Pact, Healthy Families, Healthy Way LA, EAPC, PPP,Medicare, LA Care & other HMOs

• Foundation Support-Current: Kaiser, United Way, Blue Shield, Komen, Avon Foundations, Ahmanson, Boeing

• Potential: The Weingert, Annenberg, California Community Foundation and The California Endowment.

16. Construction Start-Up Funding $500,000 $250,000 $40,000 $100,000Kaiser Permanente $100,000 The Ahmanson Foundation $350,000 The Ralph M. Parsons Foundation $150,000 The California Wellness Foundation $150,000 17. Operational Support Kaiser Permanente Rural Health Grant Healthy Families Family PACT Public Private Partnership Expanded Accessto Primary Care Medi-Cal UNITED WAY's Cancer Detection Program The California Wellness Foundation 18. AVCC ExpansionPlans

AV Health and Wellness Center Open: Sept 2009

Lake Los Angeles & Littlerock- Currently operated by County of Los Angeles Acquire: 2010???

Lancaster- Arbor Grove Temporary Clinic adjacent to large AV Health & Wellness Center project

Open: June 2009

Palmdale- Physician Clinic acquisition

Acquire: March 2009

Mojave- Kern County Currently underserved area with little or no access to primary care. No projected opening date.

Operate 2 Mobile Clinics-One to be converted to Dental

Geriatric Assessment Center in Arbor Grove- PACE Program????

19. Thank You.