Keeneland Magazine

WINTER 2014

Keeneland, Investing in Racing's Future since 1936.

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88 WINTER 2014 K KEENELAND.COM BABY HEALTH SERVICE making a difference behind the clinic. An exercise class for patients and their families is being offered. Baby Health's patient profle also is changing, as a world map placed in the entryway last November demonstrates. By late August, 34 countries were stuck with pins. "We are seeing more refugees from Africa and a huge infux of Hon- duran and Chinese immigrants," Mattacola said. With so many international clients, communication can be a challenge. BHS has multiple tactics. Nurse Donna Sizemore and nurse practitioner Delwin Jacoby both speak some Spanish — Sizemore is fairly fuent and has done mission work in Spanish-speaking countries. Volunteer Kathy Arms greets Ayden Mitchell and his mother, Jerrisha Miller. A 2012 renovation added pastel walls, colorful prints, and new furnishings. 2009 Baby Health Service receives the Central Kentucky Volunteer Award for a Nonproft Organization. 2011-12 Baby Health expands its mission by offering medical care to children to age 18. The clinic unveils a renovation, funded by gifts in memory of longtime board member and past president Carole Eastland. March 2014 Baby Health launches a monthly pediatric dental clinic for children with two partners, Bluegrass Community and Technical College's dental hygiene program and HealthFirst. April 2014 The Lexington- Fayette County Health Department's Board of Health names Baby Health Service a Public Health Hero. May 2014 Baby Health Services celebrates its 100th anniversary with a fundraiser at Keeneland. Honorary chairs are Dr. William Underwood, a Baby Health volunteer for 48 years, and Patricia Snedegar, a nurse from 1985 to 2008. The event raises $57,000. BABY HEALTH THROUGH THE YEARS A tablet loaded with translation software comes in handy. Some patients bring a relative or friend who can interpret for them; others comprehend written English. Need remains great One of the biggest challenges Baby Health faces is the assumption that the Affordable Care Act and Kentucky's free or low-cost health insurance for children, KCHIP, have made its services obsolete. Its numbers show that need remains. Patient visits by the end of August this year were 1,551 — 200 more than the same period last year. In 2013, Baby Health had 2,167 patient visits, almost 300 more than in 2012. "There are still gaps," Kellen said. Among them are im- migrant children who have no medical coverage and need immunizations before they can go to school. In other cas- es, working-class families make too much for government assistance but too little to buy health insurance. "Affordable is a subjective term," Kellen said. "We know there are people who are making the decision between in- surance and paying the rent. They aren't buying the insurance." But the miscon- ception remains. Each year the Lexington Fayette

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