Sie sind auf Seite 1von 11

Dr.

Peppers Prime
Care Center

Steven Borik, Gabriela Avina, Jason Hui, Max An

Introduction
As Dr. Pepper Snapple, we strive for success. We believe our biggest success comes
from not only our customers but also our employees as well. By working together we can
build a bigger and better community. Weve come to realize that there are problems with
our Dallas community and we want to make a difference. Many communities in the local
Dallas area try to sustain themselves and their families on a low income. With a low
income, we have found that it is quite difficult for these families to attain quality health
insurance. With such a big heart for the families in our community, we find it most
important to offer up our time and service to providing a health clinic where these families
are able to turn to.
Regularly visiting a health clinic on a regular basis is essential. Checkups are there in
support of the individuals, to assure nothing out of the ordinary may be happening with
their body, to detect signs of disease, cancer, or whatever uncertainty that may be
occurring. Dr. Peppers Prime care will not only provide the services of a typical health care
clinic but we will also assure each individual is aware of the signs, and way to take care of
their bodies.
As an established health care clinic our mission is to Provide quality health care
services and information to the community. Our volunteers and health professionals are
committed to enhancing the lives of others by graciously giving their individual time, skill,
and care. By establishing our health care clinic, we want to show people that Dr. Pepper
cares and that everyone matters. We will come together as one, as volunteers, co-workers,
and citizens to make something that is much greater than hard work, but with rather
dedication and appreciation. As a company that has been around for years, this is a task
that is absolutely impossible to make possible. In within the last year, we have offered up
$10.6 million dollars in cash, $2.8 million dollars in product donations, and a total of over
17,700 volunteer hours based solely at the free will of Dr. Pepper Snapples employees.
With this being said, we are more than capable to make this clinic happen.
With our headquarters being only twenty minutes away from downtown Dallas, we
couldnt think of a better place to start planning our health care centers. We strive to set
our clinic up in an area that for one, is known to have a low income rate within the
neighborhood, and one that may not have a nearby free health clinic. We want to help the
neighborhoods that arent being help and so thats what well do. Along with having our
employees volunteer at their free will, we will offer a prize with the most completed
volunteer hours worked by our employees. Our prize will be an incentive to keep our
employees encouraged to give back to our community. While using the companys money
we have set aside for this years philanthropy, we also plan on accepting donations and do
many small fundraisers on the side. Although we will be targeting an aid for the lowincome families, we will also be reaching out to the other neighborhoods that maintain a
higher class for their help and donations.

Background-Issue
There are a several main issues Dr. Pepper wants to combat in the Dallas area with
the health clinic. Before detailing these concerns, it is important to establish the
overarching problem that gives way to these issues. People with a lower socioeconomic
status generally have less knowledge of health issues and how to combat them.
Additionally, this increases their chances for greater health disparity (London: Stationery
Office, 1998). There are three main components of socioeconomic status that are important
for understanding the link between low income populations and lack of health care and
general health knowledge: Education, income, and occupation.
Education
Education is the foundation for both income and occupation, as it molds the future
for both. Education provides special skills and knowledge that give an advantage in
searching for health information and resources (Ross & Wu 1995). There are various
programs such as Head Start and Perry Preschool Project that have proven how important
health is at such at even a young age (Hertzman, 1999). If people learn about these
important health issues earlier on in their education, the chances of them recognizing
potentially hazardous health situations and avoiding them will increase.
Income
The second socioeconomic issue that plays a huge factor in establishing these
important health issues is income. Having a higher income opens the door for purchasing
health care, buying better quality food, and having access to housing, schooling, and
recreation (Wilkinson, 1996). People living in higher income neighborhoods generally have
more access to these resources and because of it have more money to focus on their health.
Occupation
The final socioeconomic issue that has a direct effect on health is occupation. People
who are employed almost always have better health than those who are unemployed (Ross
& Mirovsky, 1995). Low-income jobs expose workers to several risks, the most important
being physical and psychological (Rodriguez, 2001). Additionally, the greater the risk of
unemployment, the more adverse effect it has on ones health increases as well (Catalano &
Serxner, 1992). Now that the link between low income population and lack of health care
and general health knowledge has been established, we can outline the main issues that Dr.
Pepper looks to combat by creating the Dr. Pepper Prime Care Clinic: Overweight and
obesity, STDs, and cancer and the importance of early screening. We hope that this clinic
will be beneficial in the Dallas area but will also help raise awareness for those not in the
area.

Area

Healthy Weight

Overweight

Obese

No Physical
Activity

Dallas/Plano/Irving 36.4%

29.8%

33.8%

33.8%

Austin/Round Rock

35.9%

37.1%

27.0%

19.3%

Houston/Sugar
Land

36.9%

34.0%

29.1%

23.6%

San Antonio

36.7%

33.5%

29.8%

26.5%

(Governing Data, 2011)

The first issue Dr. Pepper is looking to change in the Dallas area are overweight and
obesity. While Dallas has the lowest percentage of overweight people, it has the highest
percentage of obese people at 33.8%. Approximately a third of the Dallas population has a
BMI of over 29.9.

(Parkland Hospital, 2013)


This bar graph provides a more visual statistic regarding the distribution of the
healthy, overweight, and obese population in Texas. Over 35% of Texas population has a
BMI between 25.0 and 29.9. This is a significant portion of Texas, specifically Dallas. With
our clinic we hope to reduce some of these numbers by both promoting our brand and
establishing our health center.

(Parkland Hospital, 2013)


The next issue to focus on is STDs. In 2013, Dallas county saw a 31% increase in
primary and secondary syphilis. (Parkland Hospital, 2013). In the chart above, it is
important to note that 92% of these cases occurred in males. Additionally, Texas ranks 12th
in the most cases of AIDS/HIV each year (Reynolds, 2014). These are numbers we at Dr.
Pepper are looking to change with our health clinic. We believe that if we can treat and
educate those suffering from these conditions then we can make a huge difference in
Dallas.
The last but certainly not least important issue that Dr. Pepper wants to raise
awareness to is cancer detection and the importance of early screening. It is proven that
the best way to reduce the numbers of those who are diagnosed and die because of cancer
is through early diagnosis (American Cancer Society, 2009). For example, colon cancer that
is caught at an early stage has a 91% 5-year survival rate, as opposed to an 11% survival
late if diagnosed at a later stage (National Cancer Institute, 2009). These numbers clearly
exemplify the importance of early detection and how dramatic the chances of survival
change. Additionally, the costs associated with treating cancer in later stages increase
enormously, as cancer treatment accounted for approximately $93 billion in the United
States. Not only does early detection saves lives, but it also decreases the amount of money
spent on treatment costs (NHIS, 2008).

Background - Causes
There are a variety of different causes that prevent an individual from obtaining
effective health care. Many people are not in the position to acquire health care. For this
reason we are trying to inform the city of Dallas about the importance of health care and
early prevention of diseases.
Some people cannot get health care simply due to the fact that they cannot afford it. Health
care is very expensive especially for full coverage. This is why there is a lot of government
legislation in place that is pushing for affordable health care. We want to establish a health
clinic that offers a full free checkup that will determine if each patient has a preventable or
treatable disease. Because most medical centers do not do full checkups on people with
minimal coverage or no insurance, our clinic will provide people with an equal and fair
detection of diseases? According to the Texas Medical Association, there are roughly 5
million people who are uninsured in Texas. That is about 32 percent of the population who
does not have insurance which would make them more susceptible to fatalities that could
have been prevented. That puts Texas at the top of the list with the most uninsured people
relative to the population. (The Uninsured in Texas- Texas Medical Association) The DFW
area actually has the highest uninsured rate in the nation. More than 265,000 people are
without health insurance which is about a 38 percent uninsured rate making it the nations
worst. (Patrick Michels, 2014)
Another major issue that is preventing people from gaining access to medical centers is
attributed to their location in proximity to these centers. Some households are located far
from health care centers and therefore unable to visit them regularly. In the DFW area
there is a shortage of health clinics in the south east region. People who do not own cars or
cannot access modes of public transportation are mostly affected by the zoning of clinics.
Aside from these indirect causes for the health issues in Dallas, there are also some direct
causes that everyone can take steps toward a healthier lifestyle. Of these issues, obesity
affects most of the population compared with the other health issues. About 29.8 percent of
the residents are considered overweight and 33.8 percent are considered obese according
to the BMI(Body Mass Index) The CDC studies have shown that the DFW area has one of the
highest percentages of obese people.(Obesity Rates for States, Metro Areas, 2011) The
causes implicated with such high rates of obesity are as follows: poor dietary habits, lack of
exercise, sedentary lifestyles, and unbalanced nutrition.
Sexually transmitted diseases are also a prevalent issue in Dallas. According to the Dallas
County Health and Human Services, in 2013 it was reported that syphilis diagnosis had
increased 31 percent from 2012 to 2013. Other STDs such as chlamydia and Gonorrhea
have also increased significantly. (Profile of Sexually Transmitted Infections, 2013) This is
due to the lack of sex education. Most of the people affected are under the age of 20. People
who do not practice safe sex are also more likely to contract STDs.
A very important solution that can easily prevent health problems associated with liver and
lung cancer is avoiding smoking and drinking. The current percentage of people who
smoke in Texas is 19.2 percent.(Smoking & Tobacco Use, CDC, 2012) Smokers are 23 times
more likely to develop lung cancer as opposed to nonsmokers. (Christopher Wanjek,
2008) By avoiding tobacco use and heavy consumption of alcohol, people are significantly
lowering their risks to fatal diseases.

If people are more aware of the status of their health, then they are more likely to adjust
and make changes to their life choices. The importance of education and awareness along
with professional care may lead to a healthier community.
Background Consequences
Lack of health care services induce health problems which can be easily detected and
treated. Informing people about the importance of health care can greatly reduce health risk and
mortality rate. By raising the awareness of health care, we hope to correct the underlying issue of
health issues that can be prevented. The influence of community health center will change the
lifestyle within the community in the right direction. Three major issues through our health
center, obesity, STD, and cancer is aimed to inform and prevent.
It is common for people to get into an unbalanced diet and they dont realize it until they
hit the obesity mark. Parental obesity reflect family environment that promotes excessive eating
and lack of physical activity.

This graphic from Centers for Disease Control and Prevention (CDC) illustrates the
relationship between parental obesity with their children (McCarthy, Ye, Yuan, He). The
research shows that having one or both parents being overweight increases the body mass index
and waist circumference. It raises the risk of obtaining cardiovascular disease but the problem
can be coordinated and improved by health professions.
School health programs have STD prevention education programs to reduce sexual risk
behaviors. It is the best way for students to be educated about potential risk of having sexual
intercourse. However, schools neglect the factors that make the program effective. According to
CDC, key common attribute to having effective program tends to have trained instructor, ageappropriate, and including components on skill-building, and the support of healthy behaviors.
By providing trained instructor and deploying them to low income areas will have a significant
impact on reducing sexual risk behaviors.
Cancer is one of the leading cause of death and research shows that early detection of
cancer tremendously increases the chance for successful treatment. There are two major ways to
early detect cancer: education and early screening.

The relationship between patients with Hepatocellular Carcinoma and survival rate after
diagnosed early show a mind blowing result. The survival rate sits at 46.4 percent after early
screening and 0 percent if not diagnosed. Finding about health problems and being treated
greatly increases the chance of survival. The low income area doesnt have the access to be
screened or educated about cancer. Free health clinic is needed in the community to provide
health education and screenings.
Proposal
So how does Dr. Pepper plan to take a stand? We propose to create a grantsupported federally qualified health clinic in the south central Dallas area, specifically
Lisbon. Lisbon Texas is classified as a shortage area by the HRSA. The Health Resources and
Services Administration designates areas that have a shortage of primary medical care,
dental or mental health providers. (HRSA, 2015) For Dr. Pepper to create a properly
regulated health clinic, there are several criteria that we must adhere to. On-site clinics
must have integrated health related information to all carriers/administrators, manage
referral processes, and provide online self-care and appointment booking and messaging.
(Reagan, Volk 2011)
For our timeline, we have a 3-4 month plan that will effectively allow us to take the
necessary steps to build our clinic. In the first month (May) we plan on taking two essential
steps: First, we will make sure we are approved by the Federal Government to build our
health clinic. Second, we will make sure we have found a building contractor to construct
our clinic. Construction will take approximately 2-3 months but during this time, we plan
on promoting our clinic and prompting people to check out our website that will have
useful information regarding our clinic and health in general. During the final month and a
half while or clinic is being finished, we will begin the hiring process and also finding
volunteers for our clinic.

Something else that we really want to stress when marketing for this clinic is that
we want to really stress how above all else we are trying to help educate people about
these issues and we want our facility to be an inviting place where people can come in and
learn about topics that they may not fully understand.

Staffing
For our staff, we are going to have both volunteer and fulltime positions for doctors,
nurses and physicians assistants. We are going to need anywhere from 20-30 employees
and volunteers working at the clinic.

Budget
Costs

Moderate
Utilization
Administrative Low
Fee
Assumption
Estimated
$1,300,000
Direct Claim
Cost
Projected
$1,900,000
Clinic Expense
Total First
$600,000
Year Savings

High

High
Utilization
Low

High

$1,300,00

$1,950,000

$1,950,000

$2,400,000

$2,400,000

$2,800,000

$1,100,000

$450,000

$850,000

For the budget of Dr. Peppers Prime Care Center, we calculated the costs and
savings under several assumptions. Firstly, we are assuming that the amount of people
visiting the clinic will gradually increase overtime, which is why there we have both a
moderate utilization and high utilizations cost estimate (Reagan, Volk 2011). Since our Care
center will be both grant-supported and federally qualified, we will generate most of our
revenue from government aid. Other than that, we will depend largely on donations from
churches, philanthropists, and the general public.
Conclusion
In total, we are asking for $2,000,000 dollars to help fund this clinic past its first
year hurdle and into the future. We believe that with this amount of money we will not only
be able to sustain the clinic for years to come but also promote our brand and raise
awareness to the issues we want people to be cognizant of. Thank you for giving Dr. Pepper
a chance to make a real difference and with your help, we promise to do just that.

References
1. Cancer Facts & Figures 2009. (n.d.). Retrieved April 12, 2015.
2. Catalano, R., & Serxner, S. (1992). The Effect of Ambient Threats to Employment on
Low Birthweight. Journal of Health and Social Behavior.
3. Cancer Facts & Figures 2009. (n.d.). Retrieved April 12, 2015.
4. Direct and Indirect Economic Costs of Illness by Major Diagnosis, U.S., 2008.
National Heart, Lung and Blood Institute Fact Book, February, 2008.
5. Early detection of cancer. (n.d.). Retrieved April 12, 2015, from
http://www.who.int/cancer/detection/en/
6. Effective HIV and STD Prevention Programs for Youth. (2011, July 12). Retrieved
April 12, 2015, from
http://www.cdc.gov/healthyyouth/sexualbehaviors/effective_programs.htm
7. Effective HIV and STD Prevention Programs for Youth. (2011, July 12). Retrieved
April 12, 2015, from
http://www.cdc.gov/healthyyouth/sexualbehaviors/effective_programs.htm
8. Find Shortage Areas: HPSA by State & County. (n.d.). Retrieved April 12, 2015.
9. Fox, R. (2013, August 1). Lesson 6. Surveillance for Hepatocellular Carcinoma.
Retrieved April 12, 2015, from http://www.hepatitisc.uw.edu/go/evaluationstaging-monitoring/surveillance-hepatocellular-carcinoma/core-concept/all
10. Hertzman, C., & Keating, D.P. (1999). Population Health and Human Development.
Developmental Health and the Wealth of Nations.
11. Independent Inquiry into Inequalities in Health Report. (1998, November, 26).
Retrieved April 12, 2015.
12. Rodriguez, E., (2001). Keeping the Unemployed Healthy: The Effect of Means-Tested
and Entitlement Benefits in Britain, Germany, and the United States. American
Journal of Public Health.
13. Ross, C.E., & Mirovsky, J. (1995). Does Unemployment Affect Health? Journal of
Health and Social Behavior.
14. Cancer Facts & Figures 2009. (n.d.). Retrieved April 12, 2015.
15 Ross, C., & Wu, C. (1995). The Links between Education and Health. American
Sociological Review.
16 The 25 U.S. Cities With the Highest Rates of HIV Infection. (n.d.). Retrieved April 12,
2015.

Das könnte Ihnen auch gefallen