GRACE MEDICAL HOME INC
1417 E Concord Street, Orlando, FL 32803 www.gracemedicalhome.org

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Organizations Filed Purposes: To be a medical home reflecting the heart of Christ by offering the highest level of health care to those in our community who need it most.

Grace Medical Home serves as a vital link in Central Florida's healthcare safety net system by providing an exceptional medical practice to serve the ongoing, primary and preventive care needs of the low income, uninsured of Orange County, as well as comprehensive chronic disease management that demonstrate improved clinical outcomes. We have a committed and proven track record of providing primary and preventive care to the low-income, uninsured people, with the goal of improving access to care and health outcomes, and reducing unnecessary ER use. The Organization's services include primary and preventative care, in-house labs, digital x-ray, vaccinations, diabetes education, access to donated medications, treatment of acute and chronic illnesses, and on-site medical specialties including cardiology, mental health counseling, endocrinology, ophthalmology, vascular, and more. In 2019, the Organization enrolled 322 new patients (195 adults and 127 children), had nearly 13,000 patient encounters, secured more than $3.1 million in prescription medications obtained on behalf of specific patients or donated directly to our facility, and offered 25 medical specialties on-site. Our medical outcomes of our chronically-ill patients demonstrate that we are improving people's health so they can remain on the path of self-sustainability. Over the last year, the Organization moved into a new location that nearly tripled our space. This was made possible after a very successful Capital Campaign and we are proud that we own the building debt-free. Our single greatest program expansion was adding the Grace Medical Home Dental Center which opened to patients in October after our move. This new space includes 4 dental operatories with state of the art equipment and in just two months, we were able to provide 207 dental appointments that range from extractions, cleanings and oral health education, and restorative work such as filling cavities. In addition, we have increased space to continue our practice-wide transformation of screening for and addressing the so-called "Social Determinants of Health." There are non-medical factors such as food insecurity or transportation barriers that have nothing to do with medicine, but everything to do with health. We have recruited more than 13 social work student interns who serve as "Care Connectors" who identify and work to address social service needs that are impacting health. As a result of this intentional practice transformation, social service referrals are embedded in our electronic medical record and documented the same way as medical subspecialty referrals. We have learned that many of these social service needs could be resolved with a legal intervention, so we formed a Medical-Legal Partnership with Community Legal Services of Mid-Florida and now have one of their attorneys at our clinic 4 days/week. Examples of this partnership include helping our patients access public benefits such as Medicaid or ensuring that low-income housing requirements are met. Finally, we have partnered with Second Harvest Food Bank to provide healthy food boxes to our pediatric patients and have an on-site nutritionist who provides education and cooking demonstrations that lead to lifestyle change that improve health for these families.

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