Southern Indiana Community Health Care Paoli, Indiana 47454 812-723-3944 www.sichc.org
Orange and Crawford Counties Images from public domain
44 Years of Community Service
Our History • Established 1974 • Robert Woods Johnson Grant • Original model: comprehensive health care all under one roof: Nurse practitioners, MD’s Mental Health, Pastoral care Patient educator Pharmacy, Dental, Vision • CHAP Sliding Fee Scale
Today Patoka Family Health in Englisth Comprehensive Health Care in Paoli Valley Health in West Baden Crawford Family Medicine in Marengo ( Homestead Hotel Historic building)
Services Today • 38,000 OV / year • 6 Nurse Practitioners, 2 MDs and 1 N Midwife • Full spectrum primary care at four locations – Wellness and acute care, CDL’s – Testing – PFT, IMpact head injury – Surgical – skin procedures, Colpo / LEEP, IUD’s, – Integrated mental health counseling – Midwifery added in 2016
Beyond Our Own Walls • Inpatient care at IU Health Paoli Hospital • Nursing home care • OB – 100 -130 deliveries /year • Collaboration with medical community – Orange Co Health Coalition, Southern Hills counseling, Healthy Families, Hospital • Community Involvement – Wellness campaign – Community Garden
Amish : unique challenges • Delay in accessing care • No health insurance • Own medical model • High risk pregnancies
Moving beyond the challenges Strengths & Assets
Beautiful Countryside
Located in Hoosier National Forest
Recreational options are plentiful
Patoka Lake for boating and fishing
SKI Paoli Peaks
French Lick Resort West Baden Dome
West Baden Dome
Big Splash Water Park Wilstem Ranch
Assets - Community 2015 Bicentennial winner of most Sustainable County Four organizations honored within the Green Light Legacy Hall of Fame Over 20 organizations honored as Green Light winners Bicentennial Legacy Garden winner
Lost River Market Member owned Food Co-op Locally grown and specialty foods. A hub for community activities.
Farmer’s Market Local food and crafts Book sale Music venue
Community Garden Intergenerational fun growing and preserving food together Meets twice a week from April to October.
Healing Arts Center Yoga, Piyo, Zumba, Massage therapy
IU Paoli 25 Bed Critical Access Major local employer
Unique Obstetrics Program Critical location. Without it, a gap of 1 ¾ hours east to west in terms of ob services. The only midwife hospital delivery option between between Indianapolis and the Kentucky border.
Organizational Assets • Independent, not-for-profit • 4 Offices – decrease transportation barrier • Workload – “doing it all” • Staff – committed to the community • Administrator and Providers – team building with staff • Recruitment - “we have it all” - low cost of living - engaged community - beauty of rolling hills - supportive hospital
Looking to the Future
Looking to the Future • Midwife – Centering pregnancy • Diabetes Team Care • Substance Abuse Services – coming in 2018 • Collaboration with Alternative Health Services • Chronic Care Coordinator • Diabetes Team Care • Healthy Living Groups/ Nutrition • Gardening and Local Food systems • Full time Mental Health counselor • Group visits for support… Chronic pain, grief, living with chronic health conditions, managing challenging children
The Challenge and Beauty of Rural Primary Care Southern Indiana Community Health Care www.sichc.org
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