2018 Courier Program Site Descriptions
ARH Mary Breckinridge System - including Mary Breckinridge Hospital, Big Creek Clinic, and Beechfork Clinic
Location: Hyden, KY, and surrounding communities
Description: Mary Breckinridge Hospital is a small, rural hospital with a home health agency right next door. Clinics are located within 25 from the hospital in more remote areas. Technology access is limited. This site provides a range of non-emergency services consistent with rural health clinics.
Client populations served: The site serves ages 2 to 95 who are mostly Caucasian with little diversity. The client breakdown is 80-85% Medicaid and Medicare. 10% commercial insurance, and 10% self-pay.
Courier Activities: Couriers assigned here will split time between a rural health clinic, shadowing all departments at the hospital, and going on visits with the home health agency. Couriers will assist with medical records, a senior outreach program, and other administrative tasks.
Shadowing Opportunities include nurse practitioners, Physical therapists, Occupational therapists, home health nurses, and doctors.
This site is best for someone who is interested in exposure to the work of a small, rural hospital and the home of Frontier Nursing Service. Also, it is ideal for someone who would prefer living close to peers.
Living Arrangement: This Courier will be live at FNU Wendover campus with other Couriers.
Kentucky Mountain Health Alliance Little Flower Clinic
Location: 421 Memorial Drive, Hazard, Kentucky 41701
Description: This site is Healthcare for the Homeless Program, serving primarily rural homeless patients from Perry and Harlan counties. Clinic collaborates with a range of providers and organizations to provide near comprehensive healthcare services for its clients. This site contains a medical clinic, mental health program, social work/home health coordination, and a dental clinic.
Client populations served: The site serves all ages except pediatric, primarily white and uninsured.
Courier Activities: The Courier assigned here will shadow a range of providers at various points along the care spectrum, including work with entry point collaborating homeless shelters. The Courier will have an opportunity to focus on primary care and patient case management both in the clinic and home health settings. The Courier will perform administrative tasks, input medications assistance forms, assist with the outdoor garden project, and do other general office duties as assigned. The Courier may work closely with Americorps volunteer(s) on site.
Shadowing Opportunities include nurse practitioners, physicians, dentists and case workers. The Courier will also have the opportunity to develop an independent project based on patient needs.
This site is best for someone who is interested in social work/case management, primary care, and/or the business development side of health care clinics. Also, it is ideal for someone who would prefer living close to peers.
Living Arrangement: This Courier will be live at FNU Wendover campus with other Couriers.
Bluegrass Care Navigators
(1 Courier spends 2 days a week here and 3 days a week at Hometown Clinic)
Location: 57 Dennis Sandlin MD Cove, Hazard, KY 41701
Client Population Served: This site serves all ages, primarily adult, Caucasian, and Appalachian. Primarily Medicaid population with some Medicare and private insurance. The clinic also accepts Kentucky Children’s Health Insurance Program (KCHIP).
Site Description: The Courier assigned here will split time between Bluegrass Care Navigators and Hometown Clinic. The Courier will assist with medical records, outreach programs, and other administrative tasks. The Courier will shadow a male nurse practitioner.
This site is best for someone who would like to experience a range of health care services provided to a rural population. The Courier may also have the opportunity to work with the Outreach Coordinator who comes to the clinic twice a month and a Physician on Fridays.
Living Arrangement: The Courier will stay at FNU’s Wendover in the Garden House.
(1 Courier will spend 3 days here and 2 days at Bluegrass Care Navigators)
Location: Hyden, KY, with occasional travel to London, KY
Description: Hometown Clinic is a small, rural primary care clinic with a home health agency right next door. Clinics are located within 25 miles from the site. Technology access is limited. The site provides a range of non-emergency services consistent with rural health clinics. This clinic offers X-ray, labs and phlebotomy services, and telemedicine.
Client Populations Served: This site serves ages 2 to 95 where clients are mostly Caucasian with little diversity. 80-85% of clients qualify for Medicaid and Medicare.
Courier Activities: The Courier will serve at the clinic 3 days per week and serve the other 2 days at Bluegrass Care Navigators. The Courier will be able to shadow for pediatric and adult cases, women's health (excluding prenatal), acute and chronic conditions, and end of life care. The Courier will also shadow in-home care through Bluegrass Care Navigators.
This site is best for someone who is interested in primary care for all ages, as well as elderly and end of life care. This is also a good site for someone who is interested in seeing telemedicine. The Courier should be open-minded and empathetic. This site is also best suited for someone who prefers to live close to peers.
Living Arrangements: The Courier will stay at FNU’s Wendover in the Garden House.
Red Bird Mission
(2 Couriers spend 1/2 their time here, paired with other sites. 1 Courier will be at Red Bird Mission and Red Bird Clinic. 1 Courier will at Red Bird Mission and Clay County Health Department)
Red Bird has a Christ-centered mission. While they do not require their volunteers to be Christian, they do expect them to be accepting of what they are doing there. For example, they open their summer camp days with kids with a prayer, etc. Courier must be comfortable serving in such an environment.
Location: Beverly, KY, and surrounding communities, primarily residing in Bell, Clay and Leslie Counties.
Description: Red Bird Mission is a non-profit organization supported primarily by the United Methodist Church that provides educational, health, and community outreach ministries to low- income individuals. Red Bird Mission’s ministries include: a K-12 school, a health clinic, a dental clinic, community store, senior citizen center, emergency food pantry, transportation assistance, prescription assistance, home nursing visits, adult education, gardening/farmer’s market program, after-school and summer youth programs, and meal delivery, among other things. (www.rbmission.org)
Client Populations Served: This site serves all ages, mostly Caucasian and Appalachian.
Courier Activities: Couriers will have the opportunity to serve in a variety of ways through Red Bird Mission’s community outreach programs. Almost all programs listed in the above description would be open for a Courier to be involved in, but Red Bird Mission is particularly interested in someone who would help with their summer youth and Community Health programs. There is also an opportunity to assist with Grow Appalachia, a food security program.
Shadowing Opportunities include shadowing home visits with nursing staff and a nurse practitioner at the health clinic. This site best for someone whose focus is not solely health care but is also interested in a variety of community outreach programs for the underserved.
Living Arrangement: On the campus of Red Bird Mission is housing that is for mission volunteers and those involved in work camps. This living arrangement would suit someone who will take the initiative to meet people and be involved in the community, but who is also comfortable with a remote location.
*One Courier will lead the summer youth program and will be working 2 days per week at the Red Bird Clinic, operated by Manchester Memorial Hospital, located on the Red Bird Mission campus. This provides the opportunity to shadow nursing staff and advanced registered nurse practitioners in a primary health care clinic setting. The other will be working 3 days per week at the Clay County Health Department (please look below for site description) in Manchester, KY while serving on the Red Bird Mission campus 2 days per week working with the Community Health Nurse and Community Outreach programs (this is the same campus the lodging is located on).
Manchester Memorial Hospital - Red Bird Clinic
(1 Courier will spend ½ their time here and ½ their time at Red Bird Mission)
Location: Manchester, KY, on the campus of Red Bird Mission
Description: Red Bird Clinic is a rural primary care clinic. The Courier will have exposure to acute and chronic conditions, pediatric, and women's health. This clinic offers exposure to all ages.
Client Populations Served: Although Red Bird Clinic offers a variety of services, it deals primarily with an aging population with a majority using government insurance.
Courier Activities: Participation in health fair, help nurses and nurse manager with paperwork, patient assistance with form completion, alcohol and tobacco patient education
Shadowing Opportunities include physicians, nurse practitioners, home health aides, and primary care, as well as opportunities for home health and education.
This site is best for someone who would like to experience a range of health care services provided to a rural population.