WHEELS OF WELLNESS Jamie Churchill Catherine Giles Yvonne

WHEELS OF WELLNESS Jamie Churchill, Catherine Giles, Yvonne Koolman, Tricia Mc. Govern, Cheryl Nienaber Ferris State University

Service Introduction Need for Vaccines • Since the beginning of time illness and disease have plagued mankind • Vaccinations offer protection and prevention • The goal of immunization is to prevent disease from occurring

Newaygo County Compared to Healthy People 2020 Goal • Healthy People 2020 target “pneumococcal and flu vaccines in the adult population ages 65 and above is 90%” (District health Department #10, 2011) • Newaygo County’s children ages 19 -35 months maintain a 70% overall vaccination rate (District health Department #10, 2011)

Newaygo County Needs • Newaygo County is the 36 th most populated county in the state of Michigan • 18. 6% live below the poverty line • 13. 9% of county residents did not use health care last year due to cost • 19. 3% have no health insurance • There are 1291 community members per primary care physician in Newaygo County compared to the State average of 874 (District health Department #10, 2011)

Wheels of Wellness Mission Statement The purpose of Wheels of Wellness is to provide easy vaccinations to community members of Newago County. We will strive for compassionate quality nursing care as we work hand-in-hand with community agencies to ensure equal access to vaccinations regardless of financial ability to pay or current health insurance coverage.

Wheels of Wellness Philosophy We believe that health begins with taking positive steps to ensure lifelong healthy goals, prevention, and protection against preventable illness. Healthy goals are met throughout life by early immunization. Take control of your future by receiving your immunizations. Environmental surroundings are no longer a barrier as we will roll up to your location to provide affordable access to immunizations. Early prevention leads to a healthy life free of illness. Lifelong immunization leads to communities free of preventable diseases. Successful immunization ensures health for the entire community.

Wheels of Wellness Goals • Provide education to community members • Decrease incidence of preventable diseases

Wheels of Wellness Organizational Objectives For Newaygo County • 9% decrease in preventable illnesses by 2013 • 85% of County residents vaccinated by 2015 • 15% decrease in pertussis diagnosed by 2015 • Add vaccinations administered to the computerized vaccination record by 2015 • 100% of residents leave with educational material to make informed decisions regarding vaccination by 2015

Wheels of Wellness Job Description: Board of Director Member • Job Purpose: To provide governance and over site • Duties: – Develop and direct the vision, values and goals for Wheels of Wellness. – Direct authority over Clinical Nurse Manager. • Qualifications: Familiar and background noted to successfully complete all duties. No financial ties with Wheels of Wellness.

Wheels of Wellness Job Description: Clinical Nurse Manager • Job Purpose: To manage immunization team. • Duties: – Responsible to manage clinical immunization team. – Responsible for scheduling of team members and mobile clinic schedule. – Manages materials and bus maintenance. – Manages documentation forms, including review of documentation for completion. – Familiar with State, Federal and Health Department regulations, policies and procedures related to immunization administration and staff adherence. – Manages budgeting, billing, accounting, payroll and mobile lab financial responsibilities Qualifications: BSN, MSN or Nurse Practitioner preferred. Strong leadership skills.

Wheels of Wellness Job Description: RN • Job Purpose: To provide holistic care for clients related to immunization. • Duties: – Review client history for appropriate immunization administration and education. – Administer immunizations. – Council clients related to immunization options. – Supply immunization education. – Develop and supply team leadership for team members of mobile clinic Qualifications: RN, BSN preferred. BLS Certified. Strong leadership skills. Functional understanding of Spanish language a plus.

Wheels of Wellness Job Description: Nursing Assistant/Nursing Student • Job Purpose: Assist in providing care related to immunization for preventable disease. • Duties: – Assists in collection and review of client history for appropriate immunization administration and education. – Assists team leader in immunization administration. – Assists in counseling clients related to immunization options. – Assists in supplying immunization education. • Qualifications: Licensed in Michigan as a NA. BLS Certified

Wheels of Wellness Job Description: Bus Driver/Security • Job Purpose: Drive mobile clinic lab bus. Supply security for mobile lab team on site. • Duties: – Drive to clinic sites, assist with set up and maintain safety and security at site. – Document and report clinic and security issues. – Responsible for legal responsibilities in regards to transportation and security concerns related to mobile clinic. • Qualifications: Current Michigan chauffer’s license. Security experience. Functional understanding of Spanish language.

Wheels of Wellness Job Description: Biller/Accountant • Job Purpose: To maintain financial records including billing clients, payroll, purchasing and other accounting requirements. • Duties: – Responsible for billing, accounts payable and accounts receivable and payroll. – Responsible with all regulations and laws related to accounting practices. • Qualifications: Licensed in Michigan as a certified Accountant.

Wheels of Wellness Marketing Plan and Strategies • Flyers will be created in English and Spanish to advertise Wheels of Wellness throughout Newaygo County • Flyers will be distributed to Newaygo County Health Department, various clinics, stores, libraries and businesses throughout the County

Wheels of Wellness Flyer: English Where: coming to a location near you. Ruedas de la Bueno Móvil vacunación clínica servicio todos de Newaygo condado. Gratis o no las vacunaciones de costos, sin importar el seguro excedente. Donde: llegando a un lugar cerca de usted. When: 5 days a week, hours 8 a. m. - 5 p. m. ¿Cuándo: 5 días a la semana, horas 8 a. m. -5 p. m. Contact: Newaygo County Health Department for clinic times and locations. Contacto: Newaygo Departamento de Salud para las horas clínicas y localizaciones. 231 -698 -7300 or dial 211 for information 231 -698 -7300 o marqur 211 Para informacion Wheels of Wellness Flyer: Spanish Wheels of Wellness Mobile vaccination clinic serving all of Newaygo County. Free or no cost vaccines available, regardless of insurance coverage.

Wheels of Wellness Business Plan and Salaries POSITION NATIONAL AVERAGE SALARY PROPOSED SALARY OFFICE MANAGER $58, 000 $55, 000 NURSING ASSISTANT $26, 597 $24, 500 REGISTERED NURSE $60, 830 $58, 000 BUS DRIVER $28, 000 $25, 000* VOLUNTEER STUDENTS $FREE (based on fulltime hours, part time hours will be negotiated) (*taken from statistics from Grand Rapids Michigan) (Retrieved from www. indeed. com/salary, November, 5 th 2012)

Wheels of Wellness Office Supplies and Incidentals Gas/maintenance for RV Refreshments Miscellaneous Benefits $750. 00 Per year $5, 000 $603. 60 $4, 800 $220, 500 $239, 990* one time price $9, 000 $250. 00 $833. 00 $4, 000 $3, 000 $10, 000 $48, 000 Totals $21, 928. 00 $540, 350. 36 Advertising Medical Supplies Cleaning Supplies Staff Salaries RV Per month $417. 00 $503. 00 $400. 00 $18, 375

Critical Appraisal of Wheels of Wellness Service Plan for Direction and Funding Board of Directors • A Board of Directors will be in place to oversee the mobile clinic. The Board of Directors will be responsible for writing and enforcing policies and procedures, they will also be involved in hiring staff and the employees will be able to report to the Board with major concerns. The Board of Directors will consist of a Physician, Nurse assistant, Lawyer and at least two Lay persons. Funding • Where will Wheels of Wellness receive the funds needed to be successful? A few avenues to consider for funding would be private grants, donations, the Salvation Army or the United Way. Keeping operational costs to a minimum will enable Wheels of Wellness to serve the greatest number of clients to stay within the proposed budget.

References District health Department #10. (n. d. ) Health profile chartbook 2011. Grand Rapids Press. (2012). Phone interview on Septenber 25, 2012. Indeed Salary Search. (2012). Retrieved from www. indeed. com/salary. Michigan Department of Community Health, US Census Bureau, County Health Rankings, MI Department of Technology, Management and Budget, Michigan League of Human Services, & Michigan Care Improvement Registry. (n. d. ). Newago county health profile summary 2011 [Table]. Retrieved from http: //www. dhd 10. org/uploads/File/2011%20 Chartbooks/Summary%20 of%20 Newaygo%20 Chartb ook%20 March%2014%202012. pdf Public Health Nursing. (2012). Volume 29 Rate card. Staples Copy and Printing Services. (2012). Retrieved from Http: //www. staplescopycenter. com/ASP 1/storefront. aspx Terrytown RV. (2012). Retrieved from http: //www. terrytownrv. com/cf/shopmast/productresultsp. cfm? shopmdeptid=28