1. Review specialty services and programs available through Shriners Hospitals for Children
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1 Outreach Clinics: Creating Accessibility to Specialty Healthcare for Rural Families Presented By: Erin Jurkovich Director of Professional Relations Shriners Hospitals for Children Twin Cities June 15, 2018 Objectives 1. Review specialty services and programs available through Shriners Hospitals for Children 2. Learn about the specialty services available in North Dakota at locally hosted screening and outreach clinics 3. Explain to families how to access these specialty services locally at outreach clinics 1
2 Background 96 year history, founded in 1922 Twin Cities hospital opened in 1923 Network of 22 healthcare facilities specializing in pediatric orthopedics, burn care, cleft lip & palate and spinal cord injuries. Portland Spokane Northern California Los Angeles Salt Lake City Honolulu Twin Cities Chicago St. Louis Cincinnati Montreal Lexington Greenville Shreveport Houston Galveston Tampa Erie Philadelphia Springfield Boston Our Mission To provide the highest quality medical and surgical care to children with orthopedic needs within a compassionate, family centered and collaborative care environment. To provide the highest quality care without regard to the ability of a patient or family to pay. Billing Policy Accepting most major insurance carriers, including Medicaid. No insurance? No problem! Conditions Treated Shriners Hospitals for Children Twin Cities Foot and ankle disorders Bunions Cavus feet Club foot / talipes equinovarus (pre postnatal) Congenital foot deformities Pes planus (flat feet) Tarsal coalition Toe walking Vertical talus Hand and toe disorders Constricting bands of digits, arms and toes Supernumerary digits Polydactyly and syndactyly of digits Muscular/neuromuscular disorders Cerebral palsy/encephalopathy Charcot Marie Tooth Spinal muscular atrophy Muscular dystrophy Myelodysplasia (spina bifida) Hip, knee and leg disorders Genu valgum / varum Hip dysplasia Intoeing Legg Calve Perthes disease Leg length discrepancy Osgood Schlatter disease Slipped capital femoral epiphysis Trauma reconstruction 2
3 Conditions Treated Continued Rheumatology Dermatomyositis Juvenile idiopathic arthritis Lupus Osteogenesis imperfecta Scleroderma Spinal disorders Congenital spine disorders Kyphosis/lordosis Scoliosis Spondylosis and spondylolisthesis Tethered cords Special orthopaedic disorders Arthrogryposis Bone lesions (no oncology) Limb deficiency upper and lower extremity prostheses Metabolic bone disease (rickets) Skeletal dysplasia Shoulder disorders Brachial Plexus Specialized plastic surgery Birthmarks Breast reduction Ear reconstruction Hemangioma Burn scar releases (no acute burn care) Video: Overview of Services 3
4 Shriners Hospitals for Children Twin Cities Service Area North Dakota Patient Stats 12% of total number of patients reside in North Dakota or 378 total Highest Populated Counties Cass = 71 Burleigh = 54 Ward = 41 Williams = 31 Grand Forks = 20 Morton = 18 Ramsey = 18 Stark = 14 Stutsman = 10 4
5 SHC Twin Cities # of Encounters by ZIP Code Barriers to Access to Specialty Care Distance No Transportation or Gas Money Scared to Drive in Cities Can t Afford to Take Time Off Work Other Children/Commitments 5
6 Bismarck 2x s per year in spring & fall Host Site: Bone & Joint Clinic Who goes? Multiple pediatric orthopedic surgeons, PA s, RN s, and scheduling team 4/22/17 72 appointments 9/23/17 79 appointments 4/21/18 91 appointments 6
7 Screenings: Complimentary Evaluation for Prospective New Patients Opportunity to obtain information via web consult on Shriners specialty services and determine if treatment is recommended for child s condition without having to make the drive to Minneapolis. Screenings are supported by the local Shrine Clubs who handle the marketing. Local public health departments or community health clinics host the clinics. 6/12/17 Williston 6/11/18 Williston 6/12/17 Minot 6/11/18 Minot 8/1/17 Grand Forks 6/12/18 Devils Lake 8/2/17 Devils Lake 6/12/18 Grand Forks 7/17/18 Fargo 7
8 Toeing In Bowlegs Knock Knees Flat Feet Toewalking Or will they grow out of it? Often these conditions resolve on their own with age, but sometimes a further evaluation is needed to make sure there is no serious problem. Fargo Cass Public Health Department th Street South Fargo, ND July 17, PM Call to schedule appointment. Space is limited. 8
9 Saturday, July 14, 2018 Shanley High School in Fargo Transportation & Lodging Support When families must travel to SHC Twin Cities Gas Meals (surgery/ipcu) Onsite Lodging 9
10 Like us on Facebook to stay updated on screening dates Main: twincitiesshrinershospital.org News & Events 10
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