Community Health Needs Assessment million in value of medications and supplies. Since 1974, BFC has provided over $55 million in value of health care services through the efforts of volunteer health care professionals and the community at large.56 The clinic does not accept patients receiving Medicaid or Medicare or who are privately insured. Eligibility requirements include adults who live at or below 250% of the FPL for medical services and at or below 200% of the FPL for all other services; people who work in fulltime, part-time and seasonal jobs; people who are recently laid-off or have been unemployed no more than two years; students enrolled in college or training programs; caregivers of preschoolers, the elderly, and persons with disabilities; people residing in shelters or treatments centers; and those recently released from incarceration. In 2011, 45.9% of patients served by BFC lived at or below 100% of FPL; 50.9% lived at 101200% of FPL; and 3.2% lived at 201-250% of FPL. The majority of patients were white (63.8%); 30.3% were black; 2.1% were Asian; 2.3% Hispanic; and 1.5% were “other.� Employment status of patients revealed 69% were employed; 27.5% were unemployed; 0.4% were retired; 1.1% were disabled; 1.7% were students; and 0.2% were caretakers. The G. Wayne Fralin Free Clinic for the Homeless, a ministry of the Rescue Mission, serves the uninsured homeless offering free primary care, pharmacy assistance, dental and mental health services, case management, and diabetes education. Its 16-month residential recovery program serves the homeless suffering from alcohol and other substance abuse addictions. In February 2012, it began offering vision services on-site. In 2011, it served 910 patients for medical care, 299 for dental services, and 269 for mental health services, for a total of 14,007 clinic encounters and a value of $2.4 million. In addition, it provided 8,102 free medications at a value of $12,368.30.57 Despite their presence as key safety nets for the uninsured in the Roanoke Valley, Bradley Free Clinic and the Fralin Clinic are unable to offer a continuum of care to those they serve due to limited clinic hours, reliance on volunteer providers, and no or limited after-hours coverage. In addition, they do not have the capability to serve low-income Medicaid and Medicare recipients. Project Access of the Roanoke Valley is a nonprofit organization that strives to improve the health care and well-being of low-income uninsured persons by increasing and coordinating free care commitments made by area physicians, for primary care and specialty care, and dentists for emergency care and coordinating free care resources through community collaboration. Project Access provides an effective means to enhance access to care and 56 57
Bradley Free Clinic, April 2012 Rescue Mission Health Care Center, 2011 Statistics
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