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340B Program at UMC

VALUE of 340B PROGRAM AT UMC – 07/01/2017 – 06/30/2018

University Medical Center (UMC) of Southern Nevada

THE HOSPITAL: UMC is an academic medical center offering Nevada’s highest level of care to promote successful medical outcomes for patients. UMC provides patients with a wide range of exclusive and highly specialized services, including Nevada’s ONLY Level I Trauma Center, ONLY Designated Pediatric Trauma Center, ONLY Burn Care Center and ONLY Center for Transplantation. Our mission is to serve our community by providing patient-centered care in a fiscally responsible and learning-focused environment.

THE 340B PROGRAM: UMC takes care of a disproportionate share of low-income Medicare and Medicaid patients, which makes UMC eligible to participate in the 340B program. The federal government, through the 340B program, requires manufacturers to sell drugs at a reduced price for organizations to use for outpatients.

THE BENEFITS OF THE 340B PROGRAM: UMC uses the 340B savings to significantly expand care in our community, offering a wide range of valuable services to meet the unique needs of residents, including:

  • The Healthy Living Institute at UMC
    • Fall Prevention Classes: As a result of the knowledge gained during this comprehensive Fall Prevention Class, the family of a 71-year-old woman learned how to keep her safe from falls at home. With a few hours of training, family members now know how to look for tripping hazards around her home to prevent her from falling, which could cause serious injuries.
    • Baby Basics Classes: A first-time mom received valuable education on how to properly care for herself after she delivered her baby. This was especially important for her, as she’s a single mother and needed guidance as a new mom.
    • Infant & Child CPR Classes: In partnership with the American Heart Association, UMC offers this complimentary life-saving class, teaching infant and child CPR to parents, caregivers and educators.
  • Walk with a UMC Doc: Taking steps toward better health, Walk with a UMC Doc offers the opportunity to enjoy the outdoors, while getting in steps and learning side-by-side a UMC physician. Topics include how to decrease the risk of heart attack and stroke and how to build healthy eating habits. For many seniors, this is their only opportunity to socialize with friends and exercise in a safe and educational environment.
  • Boot Camp for New Dads: For new dads like Brandon, fatherhood can be a daunting challenge. Boot Camp for New Dads takes the guess work out of being a dad by giving them hands-on education on how to feed, change, clothe and play with a baby, all in a male-only environment. Dads are able to gain confidence and prepare for the best times of their lives with their little ones. Brandon says, “Attending the class before my first child was born gave me the confidence and skills to not just be a dad, but be an involved dad from day one.”
  • Baby Steps: This is a comprehensive program that provides health care for moms and their babies. Obstetricians, pediatricians, family practice doctors and certified nurse midwives are available to work with moms to ensure that mom and baby receive the care they need.
  • Stop the Bleed Training: This life-saving training teaches community members how to stop life-threatening bleeding before medical help arrives. After the horrible events of October 1, 2017, the community of Las Vegas has embraced this training, learning how to apply pressure, use a tourniquet and pack a wound until emergency responders arrive on scene. More than 10,000 people have now received training through this program, and several patients have come through the UMC Trauma Center wearing tourniquets. Without this critical training, many of these patients would have passed away on scene.
  • Homeless Outreach/Flu Vaccinations: In an ongoing effort to keep all community members healthy, UMC offers flu vaccinations to those in our area who would otherwise not have access to preventive medicine.
  • Community Lectures: Health care experts from UMC are consistently out in our community sharing their knowledge on a wide variety of topics, including heart health, stroke prevention, and safe sleep for infants. Participants have the opportunity to learn from world-renowned physicians and nurses on medical topics important to them.
  • The UMC Wellness Center: UMC’s Wellness Center has been a part of the fabric of Southern Nevada since the AIDS epidemic first started in the 1980s. In fact, UMC was one of the first hospitals in the nation to care for HIV/AIDS patients. Under the direction of Dr. Jerry Cade, UMC pioneered HIV/AIDS care for patients, and as a result of advances in treatment, HIV/AIDS is now a survivable disease. Without the savings generated from the 340B program, our clinic would not be able to serve such a large number of patients.

EXAMPLES FROM UMC:
A 15-year-old male with a rare genetic disorder needed surgery. Due to his condition, a drug that costs $120,000 was needed to have on hand in case of an emergency, which would not be reimbursed. Due to our participation in the 340B program, UMC was able to purchase the drug to ensure the patient had access to needed treatment.

A 23-year-old male with atypical hemolytic uremic syndrome with declining kidney function needed a drug that costs $85,000. UMC was able to absorb the costs, and the patient improved enough to be discharged and continue receiving the drug on an outpatient basis.

Multiple patients in the Las Vegas valley have a rare condition that affects the nerve cells in the spinal cord. As a result of this condition, patients may be unable to stand or walk. The drug treatment costs upwards of $850,000 to initiate therapy, and approximately $375,000 per year thereafter. Due to UMC’s participation in the 340B program, we were able to begin scheduling treatment for these patients.

These are just a few examples of the many cases that benefit from our participation in the 340B program.

IMPACT IF THE PROGRAM WAS SCALED BACK:
A significant amount of the world-class care UMC provides is supplemented in part by the 340B program savings. Without this benefit, these services would be unable to continue. Additionally, the increased cost of medications would result in decreased clinical pharmacy services as a result of budget shortfalls.

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