Proposal #23

 

ON ORGANIZATIONAL LETTERHEAD

August 27, 2004

 

Mr. Bob Vickers, President
The Robert J. Vickers Foundation
P.O. Box 1225
Warrensburg, MO 64093

Dear Mr. Vickers:

Greetings! [The introduction paragraph is purely to connect. . . Either 1) first- or second-generational connections/relationships, 2) geographic connections, and/or 3) field of interest connections/relationships.] It was a pleasure to have you and your wife, Dr. Vickers, visit the FaithWorks Family Health Center. I am glad that you were also able to meet Dr. Lexie fae Hodkins and our volunteer pharmacist Benjamin James.

 

I want to thank you for this opportunity to submit a request to The Robert J. Vickers Foundation for funding for the FaithWorks Family Health Center. As you know, your foundation was the first foundation to help fund FaithWorks when it began in 1991 as a volunteer-driven clinic for the indigent. Our goal continues to be to show love and compassion, as reflected in the life of Christ, to those slipping through the cracks in the health care system. By bringing together a community of volunteers and services to meet the medical, mental and spiritual dimensions of disease and suffering, we are able to provide affordable, high-quality health care and health education that enables people to help themselves. We do this without discrimination on the basis of faith, income, race, gender, or nationality.

As FaithWorks celebrates its tenth year of operating in an inner city area, we have added staff and increased operating time from two hours on Saturday mornings to 40 hours per week. Last year, our dedicated team (staff and volunteers) made possible 4,300 patient encounters that included people from 73 different homelands. Eighty percent of FaithWorks’s patients are refugees or immigrants. Depending on funding we expect the number of patient encounters to increase to 6,000 this year. During the month of May alone, 559 patient encounters occurred.

Affordable health care becomes a reality for FaithWorks’ patients because of our volunteers and because of financial support received from individuals, churches and foundations like yours. Patients are asked to contribute based on their ability to pay, which is usually between $5 and $10 for an office visit. FaithWorks has networked with various community labs to provide greatly discounted or free lab services for our patients. Patients are asked to pay for the discounted lab services that are not provided free, but if a patient does not have the money, FaithWorks absorbs the costs and patients are asked to pay the fees when they can.

Also, through community networking, FaithWorks is able to refer patients needing diagnostic testing to the other four major hospitals in Dallas. Tests may vary from chest X-rays to MRIs, but all are provided free to FaithWorks’ uninsured patients. For patients requiring hospitalization, FaithWorks currently works through Baptist Medical Center, which will provide 10 annual hospitalizations. In appreciation for the services provided by these hospitals, FaithWorks offers to serve as a referral clinic for uninsured patients who use emergency rooms for non-emergent care.

FaithWorks also networks with a variety of area specialists who are willing to take our patients gratis. These off-site volunteer consultants make it possible for FaithWorks to direct patient care that goes beyond primary care. On-site volunteer specialists provide gynecology, endocrinology, dermatology, and physical therapy. Last year more than $76,000 in donated pharmaceutical supplies were given to FaithWorks. These medications are dispensed free to patients.

To meet the needs of those requiring vision care, FaithWorks works with area optometrists and the Lions Club to provide vision screening and eyeglasses. If it is determined a patient needs to be followed-up by an ophthalmologist, they are referred back to FaithWorks and a consultation is arranged.

As you can see, FaithWorks is a full-service clinic to those in need. This includes young and old, male and female. These are people without jobs, the working poor, and those who may have some insurance but cannot afford to pay high deductibles. Fifteen percent of the Center’s patients are insured, but most are unable to access their benefits because of language barriers. It is extremely rewarding to see our patients move from people in need to people helping people. Many times our patients become supporters of FaithWorks. Some provide financial contributions while others help with repairs and odd jobs, and some become clerical volunteers.

I hope you agree that we run a very efficient clinic and that your investment in FaithWorks is one that pays high dividends. We are asking you to consider providing $25,000 in operating support to FaithWorks during this next year. These dollars will touch the lives of many people helping to break the cycle of sickness breeding poverty and poverty breeding sickness.

Thank you for your consideration. Please let me know if you would like additional information including financial statements, annual audit or other documentation. Again, it was a pleasure to show you our tiny, 1,000-sq.-ft. clinic. We hope you will visit us again soon and I hope that I can visit your clinic in Warrensburg sometime. I am looking forward to hearing from you.

Respectfully Submitted,

 

Taylor Nicole Martinelli, Executive Director
FaithWorks Family Health Center

Enclosure

 

FaithWorks Family Health Center
Summary Page

 

Organizational Mission and Vision Statements:
FaithWorks Family Health Center exists "to share the love of Christ with those in need through health care." Our vision is to see no-one in the Dallas area who has need for medical attention to be missed. Our purpose is "to be a Christian home committed to building ongoing relationships consistent with the mission." Patients, in turn, make contributions to FaithWorks’s ministry commensurate with their ability. FaithWorks is a ministry that brings healing to an underserved community in a manner that recognizes and addresses the spiritual, mental and medical dimensions of disease and suffering. We do this without discrimination on the basis of faith, income, race, gender, or nationality.

Target Market and Geographic Area Served:
All patients are welcome at FaithWorks. The unemployed, the working poor, and those who may have some insurance but cannot afford to pay high deductibles are among our patients. We estimate that 85% of our patients are without insurance. The 15% who are insured generally are unable to access their benefits because of language barriers. We provide access to culturally sensitive and competent health care. Also, we help direct and guide patients to public health benefits and services that are available through TennCare and Metro Health Department.

Add # served and projected need, demographics, etc. here. . .

 

Organizational Description:
FaithWorks Family Health Center is a 501(c)(3) nonprofit organization organized in the State of Texas in 1987 and is governed by a Board of Directors of seven (See Page 6). See attached 501(c)(3) Department of Treasury Determination Letter.

Primary Contact:
Ms. Taylor Nicole Martinelli, Director   (660) 747-6390, Voice
FaithWorks Family Health Center       (660) 111-2222, Cell
P.O. Box 1225                                  E-mail: taylor@faithworksclinic.org
Dallas, TX 11111                               Web-site: www.faithworksclinic.org

Financial Request and Purpose:
The operating budget for the year 2001 is $403,000. We are requesting $50,000 to help with operating support for this budget (See Budget on Page 4). TOTAL AMOUNT REQUESTED: $ 50,000

Evaluation and Accountability:
FaithWorks evaluates the quality of care as well as other aspects of the program. Dr. Gary Davis, an infectious disease specialist, serves as our medical director and chairs our program committee. This committee comprised of doctors and other medical people oversees the screening of all new providers and sets the standards and evaluation requirements needed to insure high-quality health care. In 1998 FaithWorks’s Board of Directors made the decision that it was time for the clinic to expand to meet the growing needs of an underserved population in our community. Since that time we measure by various means to determine patient growth and viable support for our expanded program. Evaluations include patient numbers, volunteer and financial support and in-kind gifts provided by the health care community.

The progress and effectiveness of FaithWorks Family Health Clinic will be determined by ongoing analysis and oversight of staff, Advisors, and Board of Directors. Because we are committed to integrity, we are willing to complete any reasonable evaluative measure that you request.

 

FaithWorks Family Health Center
Summary Page

The Need:
When we opened our doors ten years ago, no one realized that today FaithWorks would fill a unique position in Dallas as a center for refugee and immigrant health care. This foreign-born population has increased significantly in the last ten years. Recent information released by the Metro Human Relations Commission shows one out of six residents of Dallas was born out of the U.S. Hispanics represent the largest number of foreign born persons living in the area. Many of these people are not insured and some are undocumented and fearful of seeking health care. FaithWorks is a safe haven for many of them. In the past, most of FaithWorks patients came by word of mouth, but as various agencies and organizations hear about the quality of care and the compassion and dignity shown to our patients, we see our referrals coming from new sources.

Because of language barriers and cultural differences, treating this international patient population can be very time consuming. Often physicians go from being the provider to being the caseworker. Appointments must be extended to allow for extra time and interpreters are usually necessary. Various materials must be translated into several languages. Our providers are required to research and study diseases particular to numerous cultures. Our staff and volunteers must be sensitive to cultural needs and differences of the many people groups coming to FaithWorks daily. Referring these patients for an off-site diagnostic test or an appointment with a specialist is always quite challenging. Maps must be supplied, reminder calls must be made again and again and we may have to arrange for transportation and an interpreter.

It takes a committed team of staff and volunteers to serve this particular patient population and that commitment is not often found in doctors’ offices where tight schedules must be kept and interpreters are not available. FaithWorks is filling a unique and vital role in the health care community–one that could not be easily replaced. While FaithWorks started out as an inner-city clinic, it has expanded to become a center for refugee and immigrant care in the Dallas area. FaithWorks is on the cutting edge of caring for an international population of people coming from more than 75 different homelands. Treating such a diverse population has required our staff and volunteers to become adept at learning diseases, issues and concerns relevant to various cultures.

Our Answer and Strategic Response:
FaithWorks provides affordable, high-quality, primary health care to the uninsured, under-insured, or those that may have insurance, but are unable to access benefits because of language barriers. FaithWorks also provides an opportunity for volunteers to help meet health care needs of an under-served population, as well as an opportunity to mentor young health care professionals.

The scope of care includes treating acutely and chronically ill patients, as well as providing disease prevention and health promotion measures such as immunizations. FaithWorks’ vision is to treat the whole person - body, spirit and mind. We do this without discrimination on the basis of faith, income, race, gender, or nationality. Also, we help patients navigate community resources that may be needed, but are difficult to access because of language barriers and their socioeconomic status.

FaithWorks provides public health screenings and physicals for families seeking refuge in this country. Some arrive with immediate health care needs, others need physicals for new jobs, and school-age children need physicals and immunizations before enrolling in school. We also work closely with resettlement agencies, World Relief and Catholic Charities, to help newcomers move quickly into the community as well-screened and healthy individuals.

FaithWorks also networks with a variety of area specialists who are willing to take our patients gratis. These off-site volunteers make it possible for FaithWorks to direct patient care that goes beyond primary care. In addition, on-site volunteer specialists staff a Tuesday evening clinic and see patients by appointment at other times (includes gynecology, endocrinology, dermatology, physical therapy and occasionally neurology and cardiology). To meet the needs of the number of uninsured people requiring vision care, FaithWorks works with area optometrists and the Lions Club to provide vision screening and eyeglasses. If a patient needs follow-up with an ophthalmologist, FaithWorks arranges for a consultation with one of our off-site volunteers.

As of June, patients contribute to their health care based on a sliding scale. The sliding scale is based on the number of people per household and the total net income for all working family members. It operates on an honor system; no salary documentation is required. Previously, patients were asked to contribute $5 to $10 per visit and based on our research we do not expect contributions to change significantly for most patients. Patients who cannot afford to pay are not turned away. FaithWorks does not file insurance and no federal funds are received.

FaithWorks is asking you to partner with us to:
• Help protect the community at large by early detection of communicable diseases.
• Speed enrollment into the public school system for refugee, immigrant and other indigent school-age children needing school physicals and immunizations.
• Address the psycho-social and spiritual needs of newly arriving refugees that may go unmet in a traditional public health setting.
• Bring reconciliation and greater unity among the various ethnicities that are served at FaithWorks.
• Offer thousands of downtrodden people an opportunity to receive health and a message of hope to break the cycle of poverty breeding sickness and sickness breeding poverty.

Organizational History:
The FaithWorks Family Health Center opened in 1987 in its current location in the Central Community. The vision was to be a faith-based clinic that would work to heal the sick and care for the poor. The goal was to provide affordable, high-quality health care to an uninsured and under-served population. This 1000-sq.-ft. Center started as a volunteer-driven clinic with one physician, Dr. Gary Davis, seeing patients for two hours on Saturday mornings. Eventually, another volunteer physician, Dr. Steven Moeller, joined Dr. Davis and a two-hour Monday evening clinic session was added. In 1998, the board of directors made the decision that the program needed to be expanded to meet the growing number of uninsured patients coming to FaithWorks. The first step was to hire an executive director to implement the vision for an expanded program.

Today, the program includes eight staff members and more than 200 volunteers (physicians, nurses, interpreters and others). These volunteers give more than 6,000 hours in service annually. This team of staff and volunteers made possible 4,300 patient visits to FaithWorks last year and 6,000 patient visits are expected this year. Operating hours have increased from 4 to 40 and the area of service has grown beyond Central to include all of Dallas County. While patients continue to come from our neighborhood, more than 80% of FaithWorks’s patients are refugees and immigrants coming from 75 different homelands.
                                        2003   2004     2005
Number Patients Served       568   2,198    7,391

Budget Summary and Plan:
The operating budget for the year 2004 is $403,000. Our request is for operating support that will help maintain the growth that now allows for 6,000 patient visits annually. These sustaining funds will help meet the health care needs of the uninsured and the increasing number of refugees and immigrants moving to the Dallas community. Also, these funds will help make it possible for the executive staff to devote attention to obtaining additional sustaining funds, as well as seeking space and capital campaign funds to move the clinic into a facility that will better meet the needs of our patients, volunteers and staff. We are requesting $50,000 to help with operating support for this budget. Please see the enclosed 2004 budget on Page 4.