West Side Community Health Services (WSCHS) is a community health care organization based in Saint Paul, Minnesota, United States, that serves the Twin Cities metropolitan area. It is Minnesota's largest community clinic organization, providing health care at 18 locations to some 35,000 patients. [1] [2]
Health care or healthcare is the maintenance or improvement of health via the prevention, diagnosis, and treatment of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals in allied health fields. Physicians and physician associates are a part of these health professionals. Dentistry, midwifery, nursing, medicine, optometry, audiology, pharmacy, psychology, occupational therapy, physical therapy and other health professions are all part of health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health.
Saint Paul is the capital and second-most populous city of the U.S. state of Minnesota. As of 2017, the city's estimated population was 309,180. Saint Paul is the county seat of Ramsey County, the smallest and most densely populated county in Minnesota. The city lies mostly on the east bank of the Mississippi River in the area surrounding its point of confluence with the Minnesota River, and adjoins Minneapolis, the state's largest city. Known as the "Twin Cities", the two form the core of Minneapolis–Saint Paul, the 16th-largest metropolitan area in the United States, with about 3.6 million residents.
Minnesota is a state in the Upper Midwest, Great Lakes, and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord.
WSCHS was founded in 1969 as People's Health Center, a group of volunteers who worked in a church basement to provide free health care services for Spanish-speaking residents of St. Paul's West Side. [1] [3] [4] At first, they could work with only six or seven patients each day. [5]
Today it focuses on providing care to low-income and immigrant groups. The United States Department of Health and Human Services provides significant financial support to the organization. [6] The clinics also receive substantial funding from the state of Minnesota through the Medicaid program, although they have sometimes had trouble collecting the money from the state. [7] Many of the patients served by the organization have no insurance at all, which poses a serious financial challenge. [8]
The United States Department of Health & Human Services (HHS), also known as the Health Department, is a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare (HEW).
Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The Health Insurance Association of America describes Medicaid as "a government insurance program for persons of all ages whose income and resources are insufficient to pay for health care." Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people as of 2017. It is a means-tested program that is jointly funded by the state and federal governments and managed by the states, with each state currently having broad leeway to determine who is eligible for its implementation of the program. States are not required to participate in the program, although all have since 1982. Medicaid recipients must be U.S. citizens or qualified non-citizens, and may include low-income adults, their children, and people with certain disabilities. Poverty alone does not necessarily qualify someone for Medicaid.
In 2004, WSCHS began an affiliation with the Pfizer Sharing the Care program, which gives low-income patients access to prescription medications that they could not otherwise afford to buy. [2]
Pfizer Inc. is an American multinational pharmaceutical corporation headquartered in New York City, with its research headquarters in Groton, Connecticut. It is one of the world's largest pharmaceutical companies. It is listed on the New York Stock Exchange, and its shares have been a component of the Dow Jones Industrial Average since 2004. Pfizer ranked No. 57 on the 2018 Fortune 500 list of the largest United States corporations by total revenue.
The community health center (CHC) in the United States is the dominant model for providing integrated primary care and public health services for the low-income and uninsured, and represents one use of federal grant funding as part of the country's health care safety net. The health care safety net can be defined as a group of health centers, hospitals, and providers willing to provide services to the nation’s uninsured and underserved population, thus ensuring that comprehensive care is available to all, regardless of income or insurance status. According to the U.S. Census Bureau, 29 million people in the country were uninsured in 2015. Many more Americans lack adequate coverage or access to health care. These groups are sometimes called "underinsured." CHCs represent one method of accessing or receiving health and medical care for both underinsured and uninsured communities.
A Federally Qualified Health Center (FQHC) is a reimbursement designation from the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services. This designation is significant for several health programs funded under the Health Center Consolidation Act.
A free clinic is a health care facility in the United States offering services to economically disadvantaged individuals for free or at a nominal cost. The need for such a clinic arises in societies where there is no universal healthcare, and therefore a social safety net has arisen in its place. Core staff members may hold full-time paid positions, however, most of the staff a patient will encounter are volunteers drawn from the local medical community. Care is provided free of cost to persons who have limited incomes, no health insurance and do not qualify for Medicaid or Medicare. To offset costs, some clinics charge a nominal fee to those whose income is deemed sufficient to pay a fee. Many free clinics offer services to underinsured individuals; meaning those who have only limited medical coverage, or who have insurance, but their policies include high medical deductibles that they are unable to afford. Clinics often use the term "underinsured" to describe the working poor.
In the United States, charity care is health care provided for free or at reduced prices to low income patients. The percentage of doctors providing charity care dropped from 76% in 1996-97 to 68% in 2004-2005. Potential reasons for the decline include changes in physician practice patterns and increasing financial pressures. In 2006, Senate investigators found that many hospitals did not inform patients that charity care was available. Some for-profit hospitals provided as much charity care as some non-profit hospitals. Investigators also found non-profit hospitals charging poor, uninsured patients more than they did patients with health insurance.
The term managed care or managed healthcare is used in the United States to describe a group of activities ostensibly intended to reduce the cost of providing for profit health care and providing health insurance while improving the quality of that care. It has become the essentially exclusive system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010.
...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations.
Mille Lacs Indian Reservation is the popular name for the land-base for the Mille Lacs Band of Ojibwe in Central Minnesota, about 100 miles (160 km) north of Minneapolis-St. Paul. The contemporary Mille Lacs Band reservation has significant land holdings in Mille Lacs, Pine, Aitkin and Crow Wing counties, as well as other land holdings in Kanabec, Morrison, and Otter Tail Counties. Mille Lacs Indian Reservation is also the name of a formal Indian reservation established in 1855. It is one of the two formal reservations on which the contemporary Mille Lacs Band retains land holdings. The contemporary Mille Lacs band includes several aboriginal Ojibwe bands and villages, whose members reside in communities throughout central Minnesota.
An abortion fund is a non-profit organization that provides financing for abortions to indigent women who cannot afford the fees. Abortion funds are widespread in countries like the United States of America where there is no national healthcare plan and where health insurance policies may not cover abortions.
A public hospital or government hospital is a hospital which is owned by a government and receives government funding. In some countries, this type of hospital provides medical care free of charge, the cost of which is covered by government reimbursement.
Avera Health is a regional health system based in Sioux Falls, S.D., comprising more than 300 locations in 100 communities throughout South Dakota, Minnesota, Iowa, Nebraska and North Dakota. Avera serves a geographical footprint of more than 72,000 square miles and 86 counties, and a population of nearly 1 million.
Immigrant health care in the United States is distinct from citizen health care given the context of various social and economic factors as well as implemented health policies. Consequently, in addition to managing the physical and emotional strains of making a cultural transition, immigrant families find themselves in an increasingly hostile social and political environment.
Allina Health is a not-for-profit health care system based in Minneapolis, Minnesota. Allina owns or operates 13 hospitals and more than 90 clinics throughout Minnesota and western Wisconsin. In addition Allina Medical Transportation covers 8 regions and over 80 communities providing medical dispatch, 911 pre-arrival instructions, and emergency and non-emergency ambulance response. Allina employed 27,332 employees in 2015. In February 2012, Allina Hospitals and Clinics announced that it was changing its name to Allina Health. Allina's new name is designed to reflect a new mission that shifts the emphasis away from places that people go when they are sick and onto disease prevention and personal vitality.
Venice Family Clinic is a community health center based in Venice, Los Angeles, California.
The Title X Family Planning Program, officially known as Public Law 91-572 or "Population Research and Voluntary Family Planning Programs", was enacted under President Richard Nixon in 1970 as part of the Public Health Service Act. Title X is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services. Title X is legally designed to prioritize the needs of low-income families or uninsured people who might not otherwise have access to these health care services. These services are provided to low-income and uninsured individuals at reduced or no cost. Its overall purpose is to promote positive birth outcomes and healthy families by allowing individuals to decide the number and spacing of their children.
The Gary Burnstein Community Health Clinic is a free clinic in Pontiac, Michigan, United States. It provides primary free medical health and dental services to individuals who are low income and uninsured. The Burnstein free clinic faces strong demand due to high unemployment in Michigan.
The Weingart Center for the Homeless is a comprehensive human services center for homeless men and women living in Skid Row, Los Angeles. It provides on-site short and long-term services including transitional residential housing, medical & mental health, permanent supportive housing, substance abuse recovery, education, workforce development, long term case management. The Weingart Center is a 501(c)(3) non-profit.
Children's Health Fund (CHF) is a non-profit organization that provides health care to children and families on mobile medical clinics throughout the United States. CHF was founded in 1987 by singer/songwriter Paul Simon and pediatrician/advocate Irwin Redlener, M.D.. The organization began with a single mobile medical unit funded by Simon and designed by Redlener's wife, Karen. More than 20 years later, the organization has 23 programs with more than 50 mobile medical units and is the nation's leading provider of mobile-based health care for homeless and low-income children and their families. Karen Redlener remains with CHF, currently serving as the organization's executive director.
Healthy Way LA was a free public health care program available to underinsured or uninsured, low-income residents of Los Angeles County. The program, administered by the Los Angeles County Department of Health Services, was a Low Income Health Program (LIHP) approved under the 1115 Waiver. HWLA helped to narrow the large gap in access to health care among low-income populations by extending health care insurance to uninsured LA County residents living at 0 percent to 133 percent of the Federal Poverty Level (FPL). Individuals eligible for HWLA were assigned to a medical home within the LA County Department of Health Services (LADHS) or its partners, thus gaining access to continuous primary care, preventive and specialty services, mental health services, and other support systems. HWLA was one of the few sources of coordinated health care for disadvantaged adults without dependents in LA County. HWLA was succeeded by My Health LA, a no-cost health care program for low-income Los Angeles County residents launched on October 1, 2014.
In the past, Kosovo’s capabilities to develop a modern health care system were limited. Low GDP during 1990 worsened the situation even more. However, the establishment of the Faculty of Medicine in the University of Prishtina marked a significant development in health care. This was also followed by launching different health clinics which enabled better conditions for professional development.
Milan Puskar Health Right is a free clinic that provides health and dental care to the uninsured and underinsured at no cost in the city of Morgantown, and Marion, Monongalia, Taylor and Preston counties in West Virginia. Founded in 1984, it accommodates nearly 4,000 patients and 22,000 patient visits annually.
A safety net hospital is a type of medical center in the United States that by legal obligation or mission provides healthcare for individuals regardless of their insurance status or ability to pay. This legal mandate forces safety net hospitals (SNHs) to serve all populations. Such hospitals typically serve a proportionately higher number of uninsured, Medicaid, Medicare, Children's Health Insurance Program (CHiP), low-income, and other vulnerable individuals than their "non-safety net hospital" counterpart. Safety net hospitals are not defined by their ownership terms; they can be either publicly or privately owned. The missions of safety net hospitals are rather, to focus and emphasize their devotion to providing the best possible care for those who are barred from health care due to the various possible adverse circumstances. These circumstances mostly revolve around problems with financial payments, insurance plans, or health conditions. As per America's Health Care Safety Net: Intact But Endangered, Safety net hospitals are known for maintaining an open-door policy for their services.