Rough Draft Details of the CCC

I can finally share the rough-draft details of the Continuation of Care Clinic (CCC)! Scroll down until you see "Click Here" if you want to skip the rest :)

When I began writing this (according to US time), it was one of my best friend’s (Eileen Drake) birthday. Thanks to her random invite to attend a UT salsa dancing class one night in college, I not only know how to salsa dance, but can say that night was the unforeseen catalyst to Be the Change.

When I showed up to that first class, I had no idea what I was doing and was pretty much the epitome of a hot mess. Stepping on people feet, trying to lead when I should have been following, stumbling all over the place- it was comical to say the least. At the end of that class, the instructor said he was looking for officers and I don’t know what came over me.

I raised my hand and said I would be interested if you’d have me, but I have no idea what I am doing.

To my surprise, I was selected. I remember there being this haze that slowly started to clear as I figured things out as I went along, and I learned FAST. Before I knew it, I was helping demonstrate in front of the class and keeping up with advance dancers.

I got to share this story at a PDC meeting I spoke at the other day and I told them that I literally jumped right into creating Be the Change without really knowing at all what was I doing. Again, it started out with the haze of the unknown, but as I kept pushing forward, I began to see the beautiful dance I was in as it unfolded.

As I sit here in the Philippines, while most of you are fast asleep, I am excited from what today’s research uncovered.

Again, I landed last night in the haze of not really knowing if the program I am going to be suggesting to the Mayor and Department of Health will be relevant or redundant to something that already exists.

So that was my mission. To get to know the programs that are already being offered. To determine how Be the Change can best come along side in a partnership to provide support and assistance in the areas that prevent patients from receiving the best healthcare possible because temporary medical mission doesn’t seem like enough in of itself.

The drive from Manila to Angeles is about 3-4 hours and it flew by because of the list of questions I had ready to ask my family that so graciously picked me up! After a productive morning of researching the best places for our team to stay, the availability of healthy food options and pricing supplies needed for our program, I had time to go down the rabbit hole of research yet again!

Before I jump in to today’s discovery, let me finally introduce you to the program Be the Change is building out HERE. Again, it is a work in progress and will evolve greatly (hopefully from your feedback) and with what ever the meeting with the Mayor an DOH brings. I enabled viewers to leave comments throughout if there is anything you’d like to share, point out, suggest etc.

Let me also quickly summarize the main points to our program for those of you who are not able to thread through the document:

  • We are striving to provide continuation of care to our chronic disease state patients

  • We will focus on our patients with a history of diabetes and hypertension first and as funding allows, we can expand to other disease states

  • Our goals are to provide all the following free of charge to every patient enrolled into our program: medications, home testing supplies (glucometer, bp machine, testing supplies etc) lab work and office visits with heavy focus on education

Now let me summarize a Filipino program I discovered today called “Tamang Serbisyo sa Kalusugan ng Pamilya or "TSeKap" that was introduced in 2014:

  • 8.1 Billion dollars were invested to provide indigent patients with “consultations, and when clinically necessary, selected diagnostic tests and medicines for common medical conditions. Medicines shall be prescribed and dispensed in full course.”

  • Also, they wanted to build 5,700 barangay health stations in public elementary schools in barangays without existing health stations. The projected was divided into two phases: construction of 3,200 BHS in Phase 1, and 2,500 BHS in Phase 2.

At first, I thought- awesome! The program we hope to implement already exists! So, I kept digging to see what recent articles have stated about the TSeKap program. As of my birthday 3 months ago (July 4, 2018), an article stated that this program was terminated because “only 218 of the 3,200 target barangay health stations under Phase 1 had been constructed and validated with proper documents. The project was supposed to be completed in 2016. Aside from the delayed construction of the BHS, the non-completion of the said project adversely affected the distribution of 5,000 TSeKap packages amounting to P175 million.”

But my friend at the DOH says that the program is still going, which is great! Either way it gives me an analogous example of what we hope to create that is hopefully relatable and is already proven as important by the government as a whole!

So, yet again, I sit in the haze of the unknown waiting to see what opportunities would best assist the efforts already being given to our patients here in the Philippines. The unknown of how familiar the DOH will be with Collaborative Practice Agreements and ambulatory care models. But I am going to keep pushing forward knowing that it is ultimately God guiding this dance of a journey as it continues to unfold.

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