KEYSTONE HEALTH CENTER: A GROWING STUDY IN COMPASSION, AND GRIT

By TERRY TALBERT
TheGazetteNews.com Staff Writer

  
(Chambersburg, PA) – Driven by a diminutive woman with a big heart, and a no-nonsense attitude when it comes to advocacy for people in need of help, the non-profit Keystone Health Center continues to grow, as do the needs of the Franklin County area’s under- and uninsured residents.

Keystone President and CEO Joanne Cochran has hosted U.S. Senators and Congressmen in her efforts to focus their attention on the issue of affordable health care. She has convinced them of Keystone’s need for additional funds, at a time when health insurance costs continue to rise and dollars are harder to squeeze out of federal coffers.

She has forged alliances – locally with Summit Health, and with groups such as the National Health Service Corps (NHSC), an organization devoted to recruiting doctors and other clinicians to areas of the country which are considered by the federal government to be “underserved communities.”

Last year, Keystone was featured in an NHSC publication as a “success story” in Pennsylvania.

Fittingly, the Franklin County Commissioners recently honored Cochran, her staff and the center’s board of directors by declaring a week in Keystone’s honor, as part of National Health Center Week.

Cochran is not one to chat a lot, or make small talk. She is not interested in personal accolades, or with impressing people, unless it is to impress upon them the need for affordable health care. Her work – her mission – is all important, and the evolution of Keystone is testament to that focus.

Keystone was originally founded in 1986 to provide health care to migrant and seasonal farm workers in Franklin County’s agricultural community. It was then called the Keystone Migrant Health Center. Several years later, Keystone became what it is today – an organization that provides high-quality health care to residents of Franklin County and surrounding areas, regardless of their ability to pay.

The budget has grown from $60,000 in 1986 to close to $12 million today. Keystone currently offers family medicine, obstetric, gynecological, behavioral and dental health care services to residents. Most recently, in response to a growing need, the organization established the Franklin County Heart Center in Chambersburg – a specialty practice that brings state-of-the-art cardiology services – including catheterizations and stent placement, to the area.

Keystone operates five care sites in Chambersburg: Keystone Family Practice, Keystone Dental Care, Keystone Women’s Care, Franklin County Pediatrics, and the Heart Center.

Keystone also offers such things as HIV treatment and counseling, substance abuse treatment, mental health services and help with social services when needed. Spanish translation is provided.

Not forgotten are the agricultural workers. Keystone continues serving these families, with one year-‘round migrant and seasonal farmworker site in Berks County, and one seasonal farmworker site in Adams County. Services are also provided throughout Pennsylvania, through outreach workers and contracted providers.

As a federally-qualified program, Keystone has been able through the NHSC to bring highly-qualified physicians to the center, as well as to offer patients discount prescription drugs through a federal drug pricing program.

Keystone has more than 100 full-time and more than two dozen part-time physicians and staff. The number of men, women and children served annually by the center now numbers between 40,000 and 42,000. In 2003 alone, there were 114,866 patient visits to Keystone practices. Of those patients, 50 percent were on Medical Assistance or paid on a sliding fee scale. No one was turned away.

“Far too often, people delay in getting the health care they need because they lack insurance or have poor coverage and they can’t afford to pay the bills,” Cochran said. “We want everyone to know that high-quality, affordable health care is accessible for anyone at Keystone Health Center’s practices. Since 1992 our doors have been open to all people, regardless of their ability to pay.”

Keystone officials said that because of the success of the nation’s Health Centers, which save future health care costs by addressing patient needs early-on, President Bush has asked Congress to increase funding for the program for fiscal 2005 by $219 million.

They said that both the Institute of Medicine and the federal General Accounting Office agree that health centers are models for screening, diagnosing and managing chronic diseases – reducing the need for future hospitalizations and referrals to specialists, and as a result saving the state and federal governments almost $3 billion in Medicaid costs annually.

“The increased support from the feds is much needed because health centers are struggling with cutbacks in Medicaid and rollbacks of eligibility, combined with state budget shortfalls,” Cochran said. “At the same time the numbers of uninsured and under-insured are rising. While the increased federal funding will be a blessing, it’s always a struggle to keep up with the demand.”

Cochran, always on the lookout for funds, and always trying to educate officials about the need for affordable health care, has been involved with committees on the state and federal levels – keeping that focus on those in need – people who are treated with respect and compassion at Keystone.

County Commission Chair Warren Elliott recently was almost at a loss for words to describe Cochran’s dogged, determined efforts. “Anybody who knows Joanne ... how should I put this ... knows of her tireless and focused efforts not on behalf of herself or her facility, but the people it serves,” he said. “Had this (Keystone) not happened in 1986, you wonder where these 42,000 people would have been going (to get health care.)”

For more information on Keystone Health Center, visit the organization's website at: www.keystonehealth.com

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