Willamsburg Area Medical Assistance Corp.

The primary goal of Olde Towne Medical & Dental Center is to assure access to quality health & wellness care to the residents and workforce of the greater Williamsburg community. Our sub-goals include the following:
1) Increase access of patients to primary and specialty care through an expansion of telehealth visits and the expansion of partnerships with other health providers;
2) Increase overall community awareness of OTMDC and the services offered;
3) Continue to nurture and grow community partnerships to increase reach to underserved and disadvantaged individuals and families in the greater Williamsburg community;
4) Track and benchmark clinical performance measures to other safety-net providers;
5) Increase access to mental health services for the underserved by evaluating various evidence-based models of behavioral health integration for implementation; and
6) Enhance support for social needs for the underserved.

OTMDC will employ the following strategies to achieve the goals outlined above:
1) To increase access to primary and specialty care, OTMDC will evaluate the best way to incorporate current advances in telehealth into future practice. We will enhance patient access to transportation from our current location to/from support services. Most importantly, we will improve access to specialist referrals through telehealth and the building of new partnerships with other relevant providers. To enhance the patient-provider relationship, multilingual candidates for all hiring positions will be sought.
2) To increase community awareness of OTMDC, Olde Towne plans to increase its frequency/reach of print/digital marketing along with increasing its representation in community groups and collaborative. A written plan will be developed for social media engagement with appropriate metrics.
3)Partnerships will be expanded by identifying targeted employers to care for underserved groups in the workforce. A significant portion of the workforce in the greater Williamsburg community are low-wage and/or part-time, they are also uninsured or underinsured.
4) Clinical performance measures will continue to be developed and tracked to ensure the highest quality care is provided. A dashboard for use in benchmarking, peer review, and quality improvement efforts will be developed.
5) Evidence-based models for behavioral health integration with primary care are currently being evaluated for implementation at Olde Towne. Appropriate grants are being identified as potential sources of funding.
6) Support for social needs entails a strategy to formalize a care coordination program with oversight by a clinical social worker/case manager to increase access to social care. Referrals to needed services will continue to made. However, having a designated case manager or social worker on the primary care team should improve overall effectiveness.

As a public-private partnership, OTMDC enjoys the support of greater Williamsburg's 3 local jurisdictions, along with variety of foundations, individual contributors, local businesses, and the faith community. A highly professional primary care team comprised of family nurse practitioners, several physicians and dentists, and medical assistants have been in place for a number of years. Within the past 2 years, OTMDC has been re-organized with a new CEO, medical center director and dental center director being hired. The culture of OTMDC is one in that supports Olde Towne's core values while increasing collaboration and transparency between all departments. All team members are empowered to take initiative to advocate for patients and colleagues alike.

OTMDC if proud of its many accomplishments, to date. Over the past 28 years, OTMDC has increased its services into a fully functioning healthcare center offering a wide range of comprehensive and specialty services. Our greatest accomplishment is that today, OTMDC includes a medical practice, dental practice, diagnostic lab and Medication Access Program (MAP) for patients that re underserved in the healthcare system due to financial limitation.

Some specific accomplishments within the past two years, include:

In 2020, OTMDC, a rural health clinic serving 3 local jurisdictions and surrounding areas, was recognized as one of the top rural primary care practices in the U.S. according to the Lilypad Awards, the first and only ranking program for our nation's nearly 4,500 Rural Health Clinics. The Lilypad Awards recognize the Rural Health Clinics that outperform their rural primary care practice in terms of efficiency and operational excellence. Olde Towne was the only Rural Health Clinic recognized in Virginia and one of five clinics in the northeastern U.S. In 2020 when the pandemic hit, OTMDC adapted fairly quickly to continue to provide medical care to its patients, in spite of not being able to see patients in the usual manner. Instead, telecommunications technology was rapidly adopted to provide a form of care that did not require physical presence or a physical examination. Through the use of curbside consultation Olde Towne providers were able to dispense and provide needed injections and later, vaccinations to its patients. This protocol has continued and is being further developed at Olde Towne, and now includes tele-dentistry. In 2021, when the COVID vaccine became available, OTDMC distributed over 400 Moderna COVID-19 vaccines in the community.

As a key part of its specialty referral process (a key part of assuring access to health and wellness care), OTMDC has developed over 30+ collaborations in the community. These collaborations encompass a number of health care organizations, community educational organizations, community service organizations, and religious institutions.

During Fiscal Year 2020-2021, Olde Towne saw 7,685 separate patients with 11,017 total patient visits. Of these, 8,952 were medical visits and 2,065 were dental visits. This averages 918 visits per month. 62% of these patients were uninsured.