EDiC 2013 At-A-Glance

MEDiC:Who We Are

MEDiC had a phenomenal and busy 2013. As leaders of the MEDiC council, we are privileged to steward this organization of 7 student-run free clinics in a direction that enables us to continue making lasting community partnerships, provide outstanding interprofessional and learning opportunities, and exemplary health care to those who otherwise have no access. Our council remains forever in gratitude to the student and health professional volunteers who assisted us in providing care and to our partners who join us in addressing the needs of the underserved. We simply could not do it without you.

These are exciting times for MEDiC. MEDiC is growing, and we're starting from within. From a new pharmacy formulary to the creation of an electronic health record, from a new pharmacy intern role to quality improvements in clinic flow, our 2013 MEDiC council was committed to incorporating quality improvement, sustainability, and best practice throughout our work. MEDiC remains a highlight of our medical education and we are thrilled to see what the future holds.

-MEDiC Council Vice President, Kirollos Gendi, and President Meagan Ladell

MEDiC operates due to the generosity of health profession students from the Nursing, Physican Assistant, and Physician Therapy Programs and the Schools of Medicine and Public Health and Pharmacy as well as local health professionals.

In 2013, MEDiC filled 973 student volunteer shifts and 470 health professional volunteer shifts.

In addition to direct patient care, MEDiC provided 201

opportunities to read with children through the Reach Out

and Read Program.

MEDiC: Who We Serve Chief Concern Diagnoses Medications

Gender Employment

MEDiC 2013 Patient Visits

MEDiC saw slightly more males than females in 2013. 1 in 4 MEDiC patients

51% 49%

Southside (34%) Salvation Army Dental Clinic (17%)Salvation Army (15%) Safehaven (7%) Michele Tracy (5%)

Grace (19%) Arc House (4%)

Uninsured Public Private Unknown

MEDiC 2013 Patient Insurance Status

of MEDiC patients are uninsured.

82%

No Yes Unknown

were employed.

Patient Visits in 2013

1738

MEDiC is committed to helping address the health care needs of Madison's underserved. Together, with local volunteer health professionals and community partners, we are able to provide care to those who would otherwise go without.

Toothache AnxietyDepression Back PainSkin Rash

The top 5 most common concerns were:

The top 5 most common diagnoses were:

Hypertension Depression Dental ExtractionAsthmaAnxiety

The top 5 most commonly prescribed medications were:Amoxicillin Gabapentin AcetaminophenIbuprofenTrazadone

Budget and Expenditures

MEDiC FY'13 Expenditures

Volunteer Operations (1%) Clinic Supplies (2%)Food (11%) Medical Supplies (6%) Merchandise (11%)

Office Supplies (3%) Pharmaceuticals (67%)Travel-Travel Expenses (1%)

MEDiC's Value Added

MEDiC's total expenditures were $14,095.03.

Over67% of MEDiC's budget was spent on medications.

Value of Medications Dispensed Patient Visits- Medical Patient Visits- Dental

MEDiC FY'13 Income SourcesBeginning Balance MEDiC $44,033.13

$12,610.00$7,428.13$3,500.00$2,962.21

FY'13 Income Sources:

*Fiscal Year 7/1/12-6/30/13

Actual cost per patient: $8.10

Medications

Donations FY '13 Income EndowmentBeginning FY'13 Endowment Balance SMPH Contribution

MEDiC Fundraisers

*calendar year 13

$70,533.47

$9,395.11$104,340.00$149,200.00

Total $262,935.11

DonationsFY'13 Income EarnedSMPH Institutional ContributionMEDiC Fundraisers

Features & HighlightsPharmacy

The MEDiC Drug & Supply team has been working diligently throughout 2013 to update policies and procedures in order to facilitate a change in the supplier of our medications. After engaging in a successful partnership with The Prescription Center in La Crosse, WI for the past decade, MEDiC will begin sourcing medications from the UW Hospital and Clinics Pharmacy Department early this spring. Over the past several months, MEDiC has more clearly defined their policies and procedures with regard to medications and other supplies, performed a thorough review of the MEDiC medication formulary, and developed a new formulary review policy.

For the past few years, MEDiC councils have explored the capacity and capability of MEDiC to transition from paper to electronic patient records. The 2013-2014 MEDiC council, along with the help of the past councils and SMPH faculty and staff, created an electronic medical record unique to MEDiC called the PED (Patient Encounter Document). The PED is a simplistic, easy-to-use program structured very similarly to the current paper form, but with the added capabilities that an electronic medical record has to offer. In the next few months, MEDiC hopes to develop an online training program for physician and student volunteers, finish pilots at the remaining clinics, and slowly begin to implement the program into the clinics. MEDiC is very excited about transitioning to electronic documentation, as it will allow better health care to our patients.

Patient Encounter Document

*This January, Southside made an exciting transition, along with Access Community Health Center, into their new building on South Park Street. In February 2014, the doors opened for the first day of

MEDiC clinic. MEDiC is incredibly grateful for Access' continued partnership and support. Our patients and volunteers will enjoy more space and privacy.

*This year, MEDiC won an award from the Salvation Army entitled the Others. The Salvation Army

honors an individual or organization exemplifying an extraordinary spirit of service to others,' not only through support of the Salvation Army but

including the broader community.

In 1996, Dr. Diamond founded the Safe Haven MEDiC Clinic in order to better care for the mental health needs of the underserved population in Dane County. He has not only been a regular physician volunteer at Safe Haven, but he has acted as the Medical Director of the clinic since its founding. He is an expert in community psychiatry and has been an amazing resource from whom the student volunteers have

Dr. Dulli, one of MEDiC's longest, most frequent, and highly dedicated volunteers has joined the MEDiC team as Associate Council Medical Director. Together with Dr. Don Schalch, Council Medical Director, Dr. Dulli will help guide and support MEDiC by attending council meetings,

Goodbye, Dr. Diamond! Welcome, Dr. Dulli!

Dr. Christopher Bermant joined the MEDiC team as Safe Haven's medical director during the fall of 2013. Dr. Bermant, a UW Hospital and Clinics psychiatrist, has already become an active part of Safe Haven's success, providing invaluable support to students, MEDiC, and our patients. Dr. Bermant provided guidance on the creation of MEDiC's formulary, assisted in a psychiatrist recruitment campaign, and worked closely with Emily Haas, clinic coordinator, to ensure the transition between Dr. Diamond and Dr. Bermant was smooth. We're thrilled to have him join us. Welcome!

Welcome, Dr. Bermant!

Pharmacy Intern Program

This year MEDiC created the role of pharmacy intern. In this role, 3rd year pharmacy students are able manage all medications dispensed from clinic, including assistance in selection, preparation, and patient education. In addition to increased patient satisfaction and advanced learning opportunities for pharmacy students; MEDiC is confident that we're adding increased safety and quality measures to our entire process. The pharmacy intern program was successfully implemented at ARC House and South Side. As the program leaves the piloting stage, MEDiC is hopeful it will have added value across all clinics.

The Salvation Army "Others Award"

From left to right: Stacy Smrz, Elizabeth Naab, Dr. Murray Katcher, Dr. Don Schalch, Meagan L adell, Madeline Duffy

The Interprofessional Experience

providing support to students, and lending operational and clinical expertise. Dr. Dulli, a neurologist, is loved by all for his great sense of humor, passion for serving the underserved, and willingness to go above and beyond for our students and patients. Dr. Dulli will no doubt be an invaluable asset to MEDiC in his new position. Welcome Dr. Dulli!

learned. It is with his continuous encouragement that the clinic has been able to improve and grow to see a record number of patients - 118 in 2013. Dr. Diamond serves as an exemplary role model of community engagement for all. We couldnt be more thankful for his 18 years of dedication and service to both the MEDiC organization, and those who are underserved in our community.

Students from all programs continue to say MEDiC is, "one of the best interprofessional experiences of my health professional career". These interprofessional learning experiences would not be possible without the generosity of our medical directors and faculty and program advisors who ensure MEDiC remains an opportunity for interprofessional and educational excellence. MEDiC's Medical Directors: Dr. Don Schalch (Council); Dr. Doug Dulli (Council); Dr. Jacqueline Redmer (ARC); Dr. Doug Kutz (Grace); Dr. Cassandra Valmadrid and Dr. Peter Newcomer (Michele Tracy); Dr. Murray Katcher (Salvation Army); Dr. Matthew Kutz and Dr. Benjamin Farrow (Salvation Army Dental); Dr. Ron Diamond and Dr. Christopher Bermant (Safe Haven); Dr. Anne Eglash (South Side); Dr. Dipesh Navsaria (Reach Out and Read). Faculty and Program Advisors: Lisa Steinkamp (Physical Therapy Program); Julie Astrella (School of Nursing); and Lisa Wagner and Chelsey Kilmer (Madison Dental Initiative). Community Services Program Staff: Madeline Duffy and Marigrace Carney

AcknowledgementsMEDiC would like to thank the following groups and individuals

for their outstanding contributions to the underserved of Madison:

UW School of PharmacyUW School of Nursing

UW HealthUW Foundation

UWSMPH Faculty, Staff and StudentsUWSMPH Academic Affairs

UWSMPH Department of Family MedicineUWSMPH Physician Assistant Program

UWSMPH Physical Therapy ProgramUWSMPH Department of Dermatology

UW Hospital and ClinicsAccess Community Health Center

ARC Community Services, Inc.

Most especially, we extend our deepest gratitude to all of the remarkable people who volunteer their time and talents, allowing MEDiC to fulfill their service

mission.

The MEDiC 2013-2014 Council

St. Marys HospitalMadison Dental Initiative

UW-Morgridge Center for Public Service Delta Dental

Benevolent Specialist ProjectPorchlight, Inc.

Reach Out and ReadHealth Hut

Juli Aulik, Director, Community Relations, UWHC Reach Out and Read The Salvation Army

Saint Vincent De Paul Charitable Pharmacy

School of MedicineMeagan Ladell- PresidentKirollos Gendi- Vice President: DevelopmentSurbhi Singhal- Vice President: FinanceElizabeth Abbs- Community Resources/ RORNicholas Anderson- Clinic Coordinator: DentalDustin Baldwin- Clinic Coordinator: GraceRitika Batajoo- Clinic Coordinator: Michele TracyKathryn Berndtson- Referrals CoordinatorNailah Cash-O'Bannon- Clinic Coordinator: Michele TracyColin Ehlenbach- Student SchedulerJennifer Gassner- Public RelationsEmily Haas- Clinic Coordinator: Safe HavenEvan Joyce- Clinic Coordinator: DentalLuiza Kerstenetzky- Referrals CoordinatorAndrew Lang- South Side Administrative Coordinator

Physician Assistant ProgramJon LaCore- PA CoordinatorHolly Schmidt- PA CoordinatorAli Ramaeker- PAJimmy Clark- PA

School of PharmacyBecca Grupe- Drug Supply CoordinatorYang He- Drug Supply CoordinatorDanielle McKimmey-Pharmacy Volunteer CoordinatorScott Pearson- Drug Supply Coordinator

Hannah Mueller- Nursing Patient Education LeadMegann Mussatti- Nursing Administrative LeadAmy Plaza-Baji- Nursing Scheduling Lead

School of Nursing

Elise Larson- Clinic Coordinator: ARC HousePatricia Liu-Community ResourcesElizabeth Naab- Clinic Coordinator: Salvation ArmyAshley Nault- Data ProjectLindsay Raab-Clinic Coordinator: South SideCaitlin Regner- Physician SchedulerDanica Rockney- Clinic Coordinator: South SideEileen Shannon- Referrals CorodinatorStacey Smrz- Clinic Coordinator: Salvation ArmyJacquelyn Swietlik- Salvation Army Intake CoordinatorAlyssa Walker- South Side Administrative CoordinatorDaniel Ziebell- Clinic Coordinator: Grace

Physical Therapy Program Julie Chen- Salvation Army/Grace CoordinatorAmanda Cleary- Michelle Tracy/ARC CoordinatorGuillermo Contreras- Southside CoordinatorKelsey Figg- Southside CoordinatorKristen Gollnick- PT CoordinatorJesse Majxner- Southside CoordinatorElizabeth (Lisa) Pade- Salvation Army/Grace CoordinatorHannah Vogt- Michelle Tracy/ARC Coordinator