L LOYD F.

M OSS F REE C LINIC

R EPORT
B UILDING

TO THE
V OLUNTEERISM

C OMMUNITY
AND

A HEALTHIER COMMUNITY WITH

P ARTNERSHIPS

2012 A NNUAL

REPORT

C OMMUNITY I MPACT
The Lloyd F. Moss Free Clinic makes a profound difference in the lives of those we are privileged to serve and we are pleased to share this publication with youour most dedicated donors, funders, partners and volunteers. In 2012, we saw a 74 % increase in new patient applicants, and medical and dental visits were provided to 1,763 patients. Thanks to our more than 600 dedicated volunteers, we were able to respond swiftly and compassionately to meet the complex health needs of those who turn to us for their medical home. A decision to convert to electronic medical records is being finalized after 18 months of planning. Grant funding from Kaiser Permanente is supporting this conversion which will enhance patient safety and quality of care, as well as provide more meaningful outcome data for grant reporting and program development. We are working to strengthen and expand relationships with our existing partners and diversify our funding base. Revitalized and new relationshipsalong with our growing base of extraordinary volunteersare evidence of the continued success of our unique model of care. A model that is not just changing lives, but our community as well. While we have much to celebrate about this past year, we know that 2013 will be even more special as the Clinic marks its 20th Anniversary! Since 1993, we have been helping those in needplaying a vital role in our community while providing high quality, comprehensive health care to the uninsured in the Fredericksburg area. We thank you for your contributions and your continued support.

P ATIENT D EMOGRAPHICS G ENDER F EMALE M ALE 59% 41%

R ACE /E THNICITY A SIAN B LACK HISPANIC WHITE OTHER A GE G ROUPS 18-35 36-60
YEARS YEARS YEARS

3% 29%

7% 55% 6%

15% 72%

H EALTH C ARE R EFORM W HAT D OES

IT

M EAN ?

On June 28, 2012 the U.S. Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (ACA), signed into law by President Obama in 2010.
Depending on the recommendations of Virginias newly created Medicaid Innovation and

OVER 60

13%

R ESIDENCE C AROLINE 7%

Reform Commission, thousands of low-income individuals and families who are not currently eligible for Medicaid may be able to enroll in an expanded program mid-2014; and
Other low-moderate income households who may still not qualify for Medicaid will be

F REDERICKSBURG 19%

able to purchase low-cost health insurance through insurance exchanges that will offer options not currently available in the commercial marketplace. As we look to the future, the Clinic is committed to ensuring that our organization and model of service delivery adapts to the changing health care environment. And, in the meantime, we must not lose sight of todays challenge as the crisis of the uninsured remains as urgent as ever.

KING GEORGE SPOTSYLVANIA STAFFORD

7% 39% 28%

P AGE 2

R EPORT TO THE C OMMUNITY

Y EAR

IN

R EVIEW
dents who previously did not have access to regular medical care. Of these, almost 24% came to us by referral from inpatient care at the regions 3 local hospitals.
Volunteers are integrated

In 2012, the Lloyd F. Moss Free Clinic had many successes thanks to the support of our donors, volunteers and partners. Working together, our major accomplishments include the following:
The Lloyd F. Moss Free

mated to be $497,000.
The Clinic earned honors

Clinic was a medical home to 1,763 patients thanks to the support of 610 on-site volunteersof whom nearly 90 are providers (physicians, nurse practitioners, physician assistants, dentists) Combined visits in 2012 totaled 10,242.
With our ongoing commit-

from Potomac Hospital Foundation and received a Best Practice Award for Data Management.
Studying the manner in

ment to accept new patients, we brought in 506 local resi-

into all aspects of patient care and clinic operations. During the year, volunteers provided over 27,000 hours of service. The value of onsite volunteer hours is esti-

which our Clinic is operated, a team of consultants from Inova Health System, made recommendations for infrastructure changes to increase operational efficiencies.

M EDICAL S ERVICES
M OSS F REE C LINIC RELIES
ON OUR NETWORK OF VOLUNTEERS , FINANCIAL CONTRIBUTORS AND PARTNERS TO ADVANCE OUR MISSION .

The Clinic provides primary and preventive care, treatment for chronic diseases, specialty care, annual exams for women and mental health services. Care is provided by volunteer health care professionals, supplemented by the Clinics on-staff nurse practitioners. An average of 50 hours of direct service provision is offered on-site each week.

In the past year, 1,756 patients received services at 9,607 visits to our daytime and evening medical clinics. A majority of these visits (62%) were for primary care, which included treatment for routine acute illnesses, management of chronic diseases, and preventive care such as flu shots. About 38% of medical ap-

pointments were for specialty medical care such as gynecology, mental health, orthopedics, surgery, cardiology, physical therapy, and podiatry. Health and wellness programs are offered weekly to meet the advanced needs of our patients and to promote patient involvement in improving their own health.

D ENTAL S ERVICES
During 2012, the Moss Free Clinic served 435 dental patients with 635 visits to our evening dental clinics. 22 volunteer dentists, 5 dental hygienists, and 38 dental assistants provided acute and restorative dental services to patients. Students from the Germanna Community College Dental Assisting program utilize the dental clinic space for instruction and practical experience. The Raymond A. Holcomb Dental Clinic (named in honor of donors Dr. & Mrs. Raymond A. Holcomb) is equipped with 6 state-of-the-art operatories and is staffed 2 or 3 evenings each week depending on the availability of volunteer dental staff. Oral health and overall health are fundamentally intertwined. Oral diseases and conditions can indicate other health problems occurring in the body and often times may exacerbate underlying health issues. Our program strives to identify these conditions and works closely with Clinic medical providers to provide coordinated care.

B UILDING A HEALTHIER COMMUNITY WITH V OLUNTEERISM AND P ARTNERSHIPS

P AGE 3

P HARMACY S ERVICES
Without the assistance of the Clinics licensed pharmacy, many patients would go without their daily medications. In 2012, the pharmacy filled 55,817 prescriptions. Many pharmaceutical manufacturers offer free medicines to those who qualify. The Clinic takes advantage of these opportunities by utilizing software to navigate these often-complex patient assistance programs. With the assistance of staff and volunteers, $6.2 million worth of free medications were received in the past year. Combined with bulk medications from RxPartnership and medications purchased through pharmaceutical wholesalers, the Clinic dispensed $6.6 million worth of medications to its patients. For every dollar spent on pharmaceuticals, over $33 worth of medications were dispensed. The Community Pharmacy, a separate program administered by the Clinic, provides low-cost prescription medications to low-income, uninsured individuals referred by local private physicians offices and other health care facilities. 305 patients were served by the Community Pharmacy in 2012.

V OLUNTEERS
Volunteers are the heart behind the Moss Free Clinics mission to provide free health care services for uninsured people in our community. During 2012, community members donated more than 27,000 hours to the Clinic and our patients. The energy created by people with widely varied professions and life experiences coming together with a common purpose is powerful and effective. On any given day of the week, somewhere between 10 and 40 volunteers are at work at the Clinic treating patients, completing Patient Assistance Program (PAP) applications, reviewing test results, scheduling referral appointments, filing charts, planning fundraising events and much more. We continue to be bombarded with requests for medical care from members of our community. Because more than 66 % of our services are provided by volunteers, we are unable to keep up with the demand for services without expanding our volunteer base. To help, call us today!

T HE NEED IS GREAT . G ROWTH IS ESSENTIAL . P ARTNERSHIPS

MAKE THE DIFFERENCE .

F INANCIAL S UPPORT
The Lloyd F. Moss Free Clinic relies almost entirely on private donations to fund the $1.7 million operating budget. We receive no federal funding. State and local governments provide funding to the Clinic amounting to approximately 10% of the Clinics annual budget. It is through the generosity of community residents, business, churches, civic organizations, and foundations that we are able to fund the care we provide. The Clinics 2nd Annual 5K Run/Walk raised over $10,000. Mary Washington Hospital Foundation sponsored the annual Roastin at the Rivah Oyster Roast & Live Music event which provided $80,000 support to the Clinic. For every dollar the Clinic raised in 2012, $19 of health care was provided to our patients. The commitment of donors helps ensure the delivery of quality health care to the areas many uninsured citizens. We extend our warmest thanks to our partners who have contributed so generously to our work in the past year.

L LOYD F. M OSS F REE C LINIC

1301 Sam Perry Boulevard Suite 100 Fredericksburg, VA 22401

S TAFF
Karen Dulaney Executive Director Administration Ivette Boutwell Receptionist Ruby Cooper Eligibility Specialist Christine DeRoche Medical Records Coordinator Donna Jadot Eligibility Coordinator Kathy Parker Office Manager Mary Gondek, RN Case Manager Brooke Heflin Medical Assistant Pharmacy Tina Kelly-Bowling, RPh Director of Pharmacy Services

Phone: 540-741-1061 Fax: 540-741-1096 E-mail: info@mossfreeclinic.org

C HECK OUR WEBSITE: WWW. MOSSFREECLINIC. ORG OR V ISIT US ON F ACEBOOK: WWW. FACEBOOK. COM/ M OSSF REEC LINIC

Andrea SpringerCollins Volunteer Manager Clinical Services Donna Bowser, CFNP, DNP Director of Clinical Services Aimee Dougherty-Park Medical Assistant

R. Bryan Bowling, CPhT Pharmacy Access Coordinator Deborah Rhodes Director of Clinical Operations Charles Haun, CPhT Pharmacy Technician Marsha Stonehill, NP Behavioral Health Ann Holland, CPhT Pharmacy Technician Debra Sulser, RN Case Manager Abbigail Kopp, PharmD Pharmacist Gale Timpone, RN Case Manager Judy Matheney, CPhT Patient Advocate Coordinator Dawn White Medical Assistant Mark Oliveira, PharmD Pharmacist Leonora Williams Specialty Care Manager Zachary Williams, CPhT Pharmacy Technician Dental JB Waller Dental Care Coordinator Heather Gill Dental Assistant

CREATING SOLUTIONS FOR

HEALTH CARE ACCESS

S PECIALTY R EFERRALS
Although the Moss Free Clinic is able to provide some specialized medical care on site, patients often need to see a specialist in the community. Additionally, inpatient hospitalization, emergency services, lab tests, x-rays and specialized radiology services are critically important tools that the Moss Free Clinic cannot provide on site. Over the years, the Clinic has developed a network of specialty health care professionals who see patients in their offices and provide their services free of charge. In addition to hundreds of diagnostic tests provided by Mary Washington Health Care and Spotsylvania Regional Medical Center, 183 community health care specialists treated more than 1,100 patients last year. Our Case Managers and volunteers scheduled 1,553 appointments with our medical referral providers in 2012. The Lloyd F. Moss Free Clinic is indebted to medical practices that so generously provide a wide variety of specialty services in their offices for hundreds of Clinic patients.

B OARD

OF

D IRECTORS
Ronald Branscome Robert Deaderick, Esq. Fred Donahoe John F. Fick, III Eric Fletcher Stacy Horne Nancy Littlefield, RN Katherine Lovello, MD Joan McLaughlin Robert Orrock Mary K. Overton David Pierce Xavier Richardson Taurus Tatem, DDS William C. Tignor Patricia Wright, RN

Thomas Fish, RPh President Barbara Kane, RN Vice-President Gerald Goodman Treasurer Diane Armstrong, RN Secretary Patrick Neustatter, MD Medical Director Harvey Allen, DDS Dental Director