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News Release

GREATER BADEN MEDICAL SERVICES RECEIVES $45,000 GRANT
FROM THE BAXTER INTERNATIONAL FOUNDATION

Grant Will Make Preventive Health Care More Accessible To Medically Indigent People through Group Patient Visit

BRANDYWINE, Md., October 18, 2002 - The Baxter International Foundation, the philanthropic arm of Baxter International Inc., has awarded a $45,000 grant to Greater Baden Medical Services, Inc. (GBMS), a community health center that provides affordable primary health care at four clinics in Southern Maryland. GBMS will hire a health educator at its Walker Mill Health Center in Capitol Heights to provide one-on-one patient instruction, offer health education at homeless shelters and launch a program of group patient visits targeted to people with chronic diseases such as diabetes, hypertension, congestive heart failure and HIV. The group patient visit - which includes social support, health education and a physician visit - is a new concept being leveraged at clinics nationwide that has been shown to improve outcomes while containing costs.

The group patient visit has been recommended by the Institute of Medicine as an effective way to care for large numbers of chronically ill poor patients. It promises to be a good fit at the Walker Mill Health Center where a poor and underserved patient population has been growing dramatically. GBMS opened the Walker Mill Health Center in 1999 after observing that a large number of patients were traveling from inside the Washington D.C. Beltway all the way to GBMS' rural Brandywine clinic to receive health care. Many were unable to return for continuing care because of the distance. The Walker Mill center reached capacity in its first year and is now at capacity again. Last year, the center served 2,214 patients. In addition, 559 homeless people received outreach services, and 130 of those obtained primary care at Walker Mill.

More than 90 percent of the clients at Walker Mill are uninsured and almost all have incomes less than 200 percent below the federal poverty limit.

"Many of the new patients we see have had no access to health care for many years, except for emergency room services, and most have chronic diseases that have been left untreated," said Sarah Leonhard, M.D., executive director, GBMS.

The group patient visit model to be used at Walker Mill was first developed in the 1990s at the Cooperative Health Care Clinic at The Kaiser Permanente Medical Group in Colorado. Their evidence from a randomized trial of group outpatient visits for chronically ill elderly people showed that the visits decreased use of emergency departments by 30 percent, decreased hospital admissions by 20 percent, increased patient satisfaction and reduced cost of care.

The group patient visit includes group time for socialization, health education on disease processes and self-management, and a private physician visit. During group time, patients share personal experiences, discuss coping strategies and give each other emotional support.

"The basic goal is to get more patient self involvement and responsibility for their care. It changes the paradigm from the physician being the only source of information to patients supporting and learning from each other coping skills and healthy behaviors," Leonhard said. "In addition, the group visits maximize specialist physician time. For example, a group of diabetic patients could all see a podiatrist on the same day."

Over the long term, group visits may offer greater cost efficiencies as patients suffer fewer complications from their diseases and spend less time in emergency departments or in hospitals. "A little better control, especially with diabetes, makes a big difference in long-term outcomes," said Leonhard.

"We are pleased to support a position for a health educator at Greater Baden Medical Services. The Greater Baden Medical Services' program of group patient visits promises to improve access to preventive health care while at the same time leveraging limited funds. It will benefit the entire community by taking costs out of the health system when diseases are better managed," said Patricia Morgan, executive director, The Baxter International Foundation. Last year, the foundation supported a similar initiative to launch group patient visits at Clinica Campesina Family Health Services in Lafayette, Colorado.

Greater Baden Medical Services was created in 1972 by a community coalition as a part-time clinic to serving the primary health needs of people in the rural southeastern Prince George's County. Today GBMS provides comprehensive primary care at four clinics in Southern Maryland: the original clinic in Brandywine, a part-time clinic at the St. Mary's County Health Department in Leonard Town, the Nanjemoy Health Center and the Walker Mill Health Center in Capitol Heights. GBMS became a Federally Qualified Health Center in 1994 and was accredited in 2002 by the Joint Commission on Accreditation of Healthcare Organizations. Last year, GBMS provided services to a total of 6,118 patients who had no other source for health care.

As the philanthropic arm of Baxter International Inc., the Baxter International Foundation helps to increase access to health care in the United States and other countries. In 2001, foundation grants totaling $4.8 million improved access to care for children, the uninsured and the elderly, helped prevent child abuse and neglect, promoted health education, expanded education opportunities for health-care providers, and helped victims of global disasters.

Baxter International Inc. is a global medical products and services company that, through its subsidiaries, provides critical therapies for people with life-threatening conditions. Baxter employs more than 600 people in Maryland at its facilities in Beltsville and Columbia.

For information about volunteering at Greater Baden Medical Services, call (301) 599-0460.

FOR ADDITIONAL INFORMATION:

Media Contacts:
Tanya Tyska, Baxter, 847-948-3256
Sarah Leonhard, Greater Baden, 301-599-0460

 
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