• Rotary Year: 2020-2021
  • Application Date: 7/16/2020
  • Club Name (Primary): Harrisonburg
  • Club Name 2: Bridgewater
  • Club Name 3: Harrisonburg-Massanutten
  • Club Name 4: Rockingham County
  • Other Club:Harrisonburg - Rocktown Satellite Club
  • Project Name: Harrisonburg Remote Area Medical Clinic
  • Project Total Cost: $60,170.00
  • Grant Amount Requested: $12,000.00
  • Describe the Project, its location and its objectives: The Harrisonburg Remote Area Medical (RAM) Clinic Community Host Group (CHG) is applying for funding to support the 2021 Harrisonburg RAM Clinic, scheduled for April 10-11, 2021. The CHG is composed of local community partners, the hospital, universities, health department and community nonprofits and will partner with RAM. RAM is a non-profit organization with over thirty years’ experience providing free health services in underserved, isolated or impoverished communities. RAM clinics utilize volunteers to serve hundreds of patients in a single weekend providing urgent dental care, full vision exams and eye glasses made on site, dentures, vaccinations, pharmacy services, women’s health, and many other procedures.

    RAM provides most equipment and supplies for clinics and works to recruit the professional volunteers such as dentists, physicians, and social workers. The inaugural Harrisonburg RAM Clinic in 2019 had significant support from local healthcare providers who volunteered their time. The CHG secures the space for the clinic, parking, security, general support volunteers, food, lodging, hazardous waste removal, permit fees, promotions and other items as needed.

    Local CHG expenses for the 2019 Harrisonburg RAM clinic totaled nearly $35,000 and relied on significant financial support from local foundations, churches, civic organizations, and community members, as well as in-kind donations from local businesses. The CHG has a vision to expand the services provided at the 2021 Harrisonburg RAM Clinic to include a pilot program that would provide 25 patients with dentures. This is a significant need identified at the last RAM Clinic and an initiative that needs additional support.

    We are estimating the cost of providing one set of dentures at $1,000. This includes all of the imaging, materials and supplies needed. Dr. Caitlin Batchelor, local dentist and CHG dental services lead, will spearhead efforts to operationalize this pilot program, if awarded Rotary grant funds and/or other sufficient funds are secured. Securing the funding for the denture work will allow for the CHG to develop the program, which they will plan to continue in future RAM clinics. The patients will be pre-screened to ensure they are ready for dentures and available for follow ups. Once the patients have gone through this process they will have complete denture sets with only the need for routine follow-up.
  • Expected Start Date: 4/10/2020
  • Expected End Date: 4/11/2020
  • Expected Number of Beneficiaries: 25
  • Describe how the project will benefit the community and/or improve the lives of the less fortunate: According to the most recent U.S. Census Bureau data, 15.4% Rockingham County residents ages 19-64 and 15.8% of Harrisonburg City residents ages 19-64 do not have health insurance, which is higher than the national average of 10% non-elderly uninsured. 53.3% of residents in Harrisonburg and 28.9% of Rockingham County live below 200% of the Federal Poverty Level, which exceed both state and national rates. While local free and sliding scale fee clinics may be an option for some people or for emergency care, they may not be able to access important services such as vision or dental care.

    The 2019 Harrisonburg RAM Clinic occurred March 2-3, 2019: 860 volunteers provided an estimated $300,000 of free care to 601 unique patients for a total of 806 service encounters. In dental, there were 302 dental triage exams, 432 tooth extractions, and 189 fillings, among other encounters. There were 275 eye exams and 353 pairs of glasses were made on-site and given to patients. Additionally, the clinic provided a variety of medical services, including 214 general medical exams, 37 pap smears, 25 mammograms, 44 Hepatitis A vaccines, and numerous communicable disease screenings. Another notable characteristic of the Harrisonburg RAM Clinic was that it served the most diverse patient population in RAM history to date, according to our RAM liaison – over 35% of patients could not communicate with volunteers in English.

    Despite efforts in dental hygiene, the services provided at RAM clinics often do not allow for preservation of teeth and many patients lose either all of their teeth or a significant portion. Teeth are important for eating and digestion, speech, and not having teeth is often highly correlated with unemployment. It is the hope of the CHG this year to provide dentures for 25 patients. Providing these services over the course of a weekend is highly challenging. First, patients must first have molds made and be fitted for dentures. Then, the dentures must be made. Finally, patients must have their fitting and adjustments with their dentures. This often takes place over the course of several office visits and requires mailing items to and from a laboratory. For this clinic, we hope to work with several local providers to fit patients on Saturday morning, create the dentures throughout the day Saturday, and provide patients with their final fitting on Sunday so they may take their dentures home with them. We have providers who are either willing to participate or willing to learn new techniques and/or purchase new materials on behalf of RAM. This would require extensive coordination and funding. Note that no grant funds will be used for private equipment. The budget is only for the denture materials and imaging.
  • Expected Total Project Volunteer Hours: 700
  • Describe the Rotarian hands-on activities in the project (i.e. non-financial participation): We will need volunteers for various aspects of the clinic – in total we utilized 800 volunteers last time from serving food, patient registration, and directing traffic to providing the medical, dental and vision services. In particular, the denture component will require volunteers to drive patients to local dental offices to be measured and fitted for the dentures. It is possible some of these drives will be repeated several times and/or be up to an hour long, each way. Volunteers will be very important in making this service possible.

    Additionally, the Executive Director of the RMH Foundation (cooperating organization), United Way of Harrisonburg & Rockingham (participating organization), as well as several leaders at JMU (participating organization) are all members of the Rotary Club of Harrisonburg. Each are serving to steer the RAM planning process and overall logistics and volunteer coordination. This is creating a strong Rotary thumb print on the event.

    Rotarians will also be used to spread the word about the RAM Clinic to other clubs in the region, outside of Area 3. Many of these are areas serviced by the RAM Clinic and it will be important to get the word out through presentations, email, etc. The credibility of Rotary will help to spread this word.
  • Describe the publicity plan to inform the general public that this is a Rotary sponsored project: At the front door of the clinic a large banner will be displayed (6x6 foot) listing each of the sponsors and donors for the clinic. Rotary will be featured prominently in this banner. Also, the major sponsors and their logos are listed on the back of the volunteer t-shirts, which are provided to all volunteers for wear at the clinic and to keep. Following the clinic, all sponsors and donors will be thanked in a full page ad in the local newspaper. Each sponsor and donor will also receive a thank you letter from the CHG and all sponsors are invited to participate in media interviews regarding the clinic.

    As mentioned before, there will be a concerted effort to use Rotary to help spread the word beyond Harrisonburg and Rockingham County further tying Rotary’s name to this year’s initiative.
  • Cooperating Organizations – Please list each cooperating organization, if any: The Community Host Group (CHG) is the primary cooperating organization and is a collaboration composed of local community partners, including Sentara RMH Medical Center, James Madison University College of Health and Behavioral Studies (Department of Social Work), Central Shenandoah Health District (Virginia Department of Health), United Way of Harrisonburg-Rockingham, The Community Foundation of Harrisonburg-Rockingham, and numerous churches and civic organizations.

    The RMH Foundation will serve as a fundraising arm for this project.
  • Letter(s) of Participation: Letter_of_participation_RMH_Foundation_5.28.20.pdf, RAM_Rotary_Letter_of_Support_6_2020.pdf
  • Project Expenditure Budget – list detail uses of funds for the project, or use the Budget Upload.See Attached
  • Project Funding Budget – list detail sources of funds for the project, or use the Budget UploadSee Attached
  • Budget Upload: HBG_RAM_Budget.xls
  • Primary Contact Name: Quinton Callahan
  • Primary Contact Rotary Position: President-Elect
  • Primary Contact Email: qcallahan@clark-bradshaw.com
  • Primary Contact Phone: 757-735-4698
  • Financial Contact Name: Robyn Hill
  • Financial Contact Rotary Position: Treasurer
  • Financial Contact Address: 
    PO Box 683
    Harrisonburg, VA 22803
    United States View on Map
  • Financial Contact Email: robyn_e_hill@yahoo.com
  • Financial Contact Phone: 540-246-0122
  • Project Authorization Form: DocuSign_Rotary_Collaborative_Grant_RAM_C.pdf