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Last updated: 03/01/2018 General information Organization Mission of Mercy Contact First name Dawn Contact Last name Lorenzo Contact e-mail dawn@dmlconsultinggroup.com Contact phone number 480-559-1440 Address Street 360 E Coronado Rd., Suite 160 City Phoenix State AZ ZIP Code 85004 From what tribe is the Gila River Indian Community organization requesting the grant? Total grant amount request 75,000.00 1 / 2 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program from the Gila River Indian Community, enter the amount to be requested each year. Amount Year 1 (Gila River Indian 75,000.00 Community Grants Only) Year 2 (Gila River Indian Community Grants Only) Year 3 (Gila River Indian Community Grants Only) Year 4 (Gila River Indian Community Grants Only) Year 5 (Gila River Indian Community Grants Only) 2 / 2 Gila River Indian Community 2018 Grant Application Mission of Mercy Agency Overview Agency Name Mission of Mercy Organization is a 501 (c) 3? Yes Agency Contact Paula Carvalho, Executive Director Mission of Mercy 360 E Coronado Rd., Ste 160, Phoenix, AZ 85004 PCarvalho@amissionofmercy.org 602-861-2233 Program Name Access to Care - Bridging the Healthcare Gap When people are healthy, families and communities thrive. Yet, in Maricopa County, 1-in-5 people are uninsured and 1-in-4 are underinsured-these are the "working poor" who may have sporadic health coverage or an inadequate policy with high deductible and co-pays. With the 48th highest uninsured rate in the nation, Arizona children take the brunt with 25% currently living in poverty. In the US, the uninsured die at a 10-15% higher rate than those with health coverage. For 20 years, Mission of Mercy (MOM) has woven together a network of pro bono partnerships that support us in removing multi-generational barriers to care by providing a free, compassionate “medical home” for families. Annually, MOM provides over 4,600 patients with 15,000 doctor visits and 20,000 prescription medications. Since 1997, MOM’s mission of “restoring dignity and healing through Love” has touched the lives of over 54,000 patients, who received more than 200,000 free patient visits and 300,000 prescription medications along with health literacy, chronic disease education and patient navigation to help patients find additional services. MOM “brings the doctor to the people” via two mobile medical units serving six communities throughout Maricopa County, using the support of 250+ dedicated volunteers (retired doctors, nurses, bilingual interpreters, and others). MOM services are offered five days a week with no pre-qualification process. No one is turned away. The proposed program will provide ongoing primary medical care to children and families at MOM clinics operating in the Murphy School District, Black Family and Child Services and Shepherd of the Valley Lutheran Church sites in Central and South Phoenix. Your support will help us provide free health care for 58 uninsured and underinsured children and their families. A unique component of our model is our number of community partners who provide pro-bono resources. Our 20- year partners include: Sonora Quest Laboratories (free phlebotomy, laboratory, and diagnostic testing services at an over $100,000 a month value), and Dignity Health Hospitals (our anchor Central Phoenix hospital partner, providing many specialty care services, including surgeries). Other committed partners include: Banner Health (imaging and radiology care); the Maricopa County Community College system (Certified Bilingual Medical Interpreters); Esperança (community health educators to deliver culturally-competent health literacy); and Mobile On-site Mammography (mobile mammography services). As a trusted institution, the faith community has been a pivotal link to underserved families, providing confidential referrals as well as a source of passionate volunteers, enthusiastic donors and community ambassadors. With the backing of organizations like GRIC, we are able to provide completely free comprehensive healthcare, prescription medications and vital health education to local families and children who need it most. Target Population: Describe any unique challenges faced by your target population. Our target population is Phoenix area children and families who are falling through the cracks in our shifting health care system. They are the uninsured, the underinsured, homeless, working poor, refugees, veterans and undocumented. Two-out-of-three MOM patients are children, women or the elderly—the most vulnerable members of fragile family units. Most work multiple jobs. Many are single parents. None qualify for other services. All have nowhere else to turn. MOM’s patient population faces daunting, multi-generational social determinants of health factors that impede their access to high-quality healthcare; the majority identify as racial and ethnic minorities and have limited English proficiency, low educational achievement and low health literacy. More than 60% of our patients designate us as their primary care medical home and over 50% suffer from a chronic condition, e.g. diabetes, asthma, hypertension, etc. Explain how this program will address an emerging or existing community need. MOM responds to Arizona’s growing need for accessible, high-quality medical care for Phoenix’s most medically under-served, delivered free in communities where they live. Ninety-eight (98) percent of patients surveyed report that without Mission of Mercy they would be forced to go without care or seek episodic treatment at hospital emergency departments. Mission of Mercy addresses community needs through: -Diagnosis, treatment, follow-up care for acute/chronic conditions such as hypertension, asthma, cardiac/lung disease, obesity, diabetes; -Prescription medications and 1:1 patient education; -Specialized screenings, tests, labs and follow-on supportive services; -Referrals to specialty care practitioners for advanced care not available at MOM clinics; -Free diagnostic imaging and laboratory testing; -Community Connections Health Literacy and Education Program - onsite chronic disease management and health literacy education; and -Onsite benefits eligibility navigation. Mission of Mercy - Access to Care - Bridging the Healthcare Gap Project/Program Client Characteristics County Total Projectd Total Program That Will Be Served (last Served for 12 months) 12 Months Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa 103 300 Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Unknown Total 103 300 Ethnicity Total Projectd Total Program That Will Be Served (last Served for 12 months) 12 Months Anglo/White 16 78 Asian/Pacific Islander 3 14 African American 7 34 Hispanic / Latino 55 267 Native American 1 5 Others 16 78 Unknown 5 24 Total 103 500 Total Projectd Total Program That Will Be Served (last Served for 12 months) 12 Months PreK Children 11 54 Children Ages 6-13 57 277 Minors Ages 14-17 35 169 Elderly Disabled Veterans Total 103 500 Mission of Mercy - Access to Care - Bridging the Healthcare Gap Project/Program Budget B. Actual 2016 C. Projected A. Revenue or 2018 or Fiscal Fiscal 17/18 16/17 1. GRIC Funding 20,000 75,000 2. Gov. Funding-City, 0.00 0.00 County, State, Federal 3. Contributions / 126,126.00 147,392.00 Donations 4. Special Events / 0.00 59,387.00 Fundraising 20th Anniversary 0.00 59,387.00 5. Legacies / Bequests 1,299.00 774.00 6. Foundation and 314,975.00 484,422.00 Corporate Support multiple 314,975.00 409,422.00 foundations and corporations 7. Program Service Fees 0.00 0.00 and Reimbursements 8. Investment Income 388.00 129.00 9. In-Kind Support 520,577.00 545,000.00 In-kind medical 520,577.00 545,000.00 supplies and volunteer hours 10. Other Income 21,500.00 21,500.00 Other income 21,500.00 21,500.00 Total 1,009,865.00 1,188,604.00 B. Actual 2016 C. Projected A. Expense or 2018 or Fiscal Fiscal 17/18 16/17 11. Salaries (for 228,618.00 345,760.00 Program) Medical 228,618.00 345,760.00 12. Employee Benefits 44,893.00 54,800.00 and Taxes 13. Employee Education and Training B. Actual 2016 C. Projected A. Expense or 2018 or Fiscal Fiscal 17/18 16/17 14. Professional Fees 35,850.00 37,713.00 and Contracts 15. Specific 35,933.00 41,151.00 Assistance for Individuals Medical Assistance 35,933.00 41,151.00 16. Communications (phone, fax, modem, postage) 17. Supplies/Equipment Rental and Maintenance 18. Occupancy (rent, 29,506.00 29,488.00 utilities, building & grounds) 19. Advertising / Printing 6,401.00 10,396.00 and Publications 20. Travel / 4,731.00 6,250.00 Meetings / Conferences 21. Membership Dues / Support to Affiliate Org. 22. Evaluation 23. Non-Payroll Insurance 24. In-Kind Expense 520,577.00 545,000.00 25. Other Expenses 103,356.00 118,046.00 Equipment 37,599.00 49,046.00 Supportive Services 65,757.00 69,000.00 Total 1,009,865.00 1,188,604.00 Surplus/Deficit B. Actual 2016 C. Projected or 2018 or Fiscal Fiscal 17/18 16/17 Surplus/Deficit 0.00 0.00 Mission of Mercy - Access to Care - Bridging the Healthcare Gap Outcome Measurements 2018 Outcome Intended Outcome: 80% of children and families served by MOM's Phoenix mobile clinics will have improved healthcare outcomes and reduced risk of disease onset and progression. What will you learn and, what changes, if any, will you make as a result of measuring these outcomes? MOM’s Access to Care Program is always seeking new pathways to increase community impact and refine delivery of care. We use a customized, cloud-based patient database and a metabolic flow sheet to track key health goals and outcomes for patients. We evaluate and demonstrate success by tracking the following: (1) patient diagnoses; (2) acute vs. chronic care ratio; (3) patient progress and outcome measures; (4) percentage of patients using MOM as their medical home; (5) prescriptions dispensed; (6) improved health literacy and chronic health outcomes as result of patient support services; (7) number of patients treated; (8) percentage of appointments kept and “no-show” rates. We also conduct patient satisfaction surveys to assess quality and identify additional needed services. Our database and surveys help to ensure we are on track with reaching our program goals and are making needed adjustments in in the medical, educational and supportive service components of our program. Indicator: Increase in the number of uninsured patients suffering from acute and chronic illnesses who receive primary medical care services, free prescription medications and health education. Indicator: Decrease in the number of patients seeking unnecessary, costly hospital emergency room visits for their ongoing primary health care. Increase in positive health outcomes for patients who utilize us as their medical home. Gila River Indian Community Grant Application Grant Cycle 2018 Cover Sheet Municipality Information 1. Date of Application: Click here to enter a date. (NOTE: Click or use up/down arrow keys to move among fields) 2. Name of City, Town or County: Maricopa County 3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri 4. Mailing Address: 301 Jefferson St, Ste 960 5. City: Phoenix State: Arizona Zip Code: 85003 6. Acknowledgement of Submission by Authorized Municipality Representative: Typed Name/Title: Zachary Wolfe, Finance Department Signature: Applicant Information 7. Department/Organization Name: Mission of Mercy 8. Is this a 501c non‐profit Organization? No Yes If yes, attach IRS Determination Letter 9. Application Contact Person: Paula Carvalho Title: Executive Director 10. Phone Number: 602‐861‐2233 11. Mailing Address: 360 E. Coronado Rd. Ste 160 12. City: Phoneix State: Arizona Zip Code: 85004 13. Email Address: pcarvalho@amissionofmercy.org Website Address: www.amissionofmercy.org Project Information 14. Project Name: Access to Care: Brindging the Healthcare Gap 15. Purpose of Grant: Free Health Care and Medications for un‐insured or under‐insured 16. Priority Funding Area Healthcare 17. Annual amount requested $75000 18. Number of years that funding is requested 1 19. Total amount requested (annual amount x $75000 number of years) 20. Has your organization received past funding $75,000, 2016 ($55,000 +$20,000) from GRIC? If yes, list each year and amount 21. Geographic area served Phoenix For Office Use Only: Data Entry Receipt Evaluation Outcome Approval Recommended/Amount $ Denial