Nursing Assessment Of Blood Donation Practices

Running head: COMMUNITY ASSESSMENT A Community Assessment of Erie County Volunteer Firefighters and Blood Donation Department of Nursing Table of Contents I. Background Information on Affiliating Agency… II. Definition of Community… III. Approaches Used to Assess Community…

IV. Description of Survey… V. Assessment of Community… A. People…

1. Age and Gender Distribution… 2. Ethnicity… 3. Educational Levels…

4. Language… 5. Religion…

6. Income… 7. Occupations… 8.

Housing… B. Community Structures 1. Government or Management… 2. Educational Agencies…

3. Agents of Social Control… 4. Informal Power Structures…

5. Production, Consumption & Distribution of Goods and Services… 6. Family Structures… C. Other Aspects…

1. Geography… 2. Transportation… 3. Recreation…

4. Communication… D. Health Risk Factors… E. Resources for Dealing with Risk Factors…

1. Social Changes Needed to Combat Risk Factors… F. Stressors…

G. Analysis of Data… VI. Summary… VII. Conclusions…

VIII. Recommendations… IX. References… X. Appendices A.

American Red Cross Web Site Home Page. Neuman Community Assessment Model C. Community Blood Donation Survey. Survey Results Community Assessment of Erie County Voluntary Firefighters and Blood Donation The need for blood grows every day. Blood donation centers continuously request the general population to donate.

Specific populations are expected to participate in community activities more, due to the nature of their work. One such group are the volunteer firefighters of Erie County, New York. These are the men and women who rescue victims of accidents and disasters daily. The purpose of this assessment, done in conjunction with the American Red Cross, is to determine whether and why volunteer firefighters participate in blood donation.

The scope of this assessment will include a description of the Erie County volunteer firefighter population, the community structures of the Erie County, and other various aspects of the community as well. It will include health risks and stressor’s relative to firefighting. The identification of volunteer firefighter needs and recommendations to remedy these needs along with conclusions drawn from the research will be provided. An analysis of the data collected will be provided. Background Information on Affiliating Agency The affiliating agency used for this assessment was the American Red Cross. The American Red Cross began in 1881 as an offshoot of the European Red Cross by Clara Barton in Dansville, NY.

Its purpose is to “provide emergency aid during civil disasters such as floods and earthquakes, offer humanitarian services for armed forces personnel and their families, and operate centers for the collecting and processing blood and blood products.” (Davis, 1993, p. 79) The name of the local chapter in Erie County is the Greater Buffalo Chapter (see Appendix A). Definition of Community Community, according to Anderson and McFarlane (2000), is described as a “complex webs of people shaped by relationships, interdependence, mutual interests, and patterns of interaction” (p. 93). Further, Anderson and McFarlane note “The community encompasses people in a particular time and place” (p. 93).

There are two definitions of community that apply to the volunteer firefighters of Erie County surveyed for the purpose of this assessment. These include geography or political community, as well as demographic community. Geography of political community refers to place or location and its specific characteristics such as climate and terrain. The assessment was exclusive to Erie County volunteer firefighters from two different volunteer firefighting companies. These companies were the Synder and Main-Transit volunteer fire companies.

A demographic community indicates a particular group with particular similarities or human characteristics. Anderson and Mcfarlane (2000) explained that demographics includes age and sex characteristics, as well as racial and ethnic distribution. The assessment of the community included solely a segment of volunteer firefighters, versus those who are paid to provide the service. Approaches Used to Assess Community The investigators utilized a systems and descriptive approach as frameworks for this community assessment. The systems approach involves the interrelatedness of aspects of the firefighting community. The framework used was Neuman’s community assessment wheel, taken from her Community as Partner model (Anderson and McFarlane, p.

166) (see Appendix B). Various subsystems influence the attitudes of firefighters regarding blood donations. These subsystems include family, health, education, economics, politics, religion, recreation, housing, transportation, and communication. Description of Survey five-question survey was developed to ascertain the views of volunteer firefighters regarding the subject of blood donation. The questions included inquiry into current and past donation behaviors of the individual. An additional statement about current donations practiced needed to be added in relation to the state of national affairs in the fall of 2001 (see Appendix C).

The survey was distributed to 90 Erie County voluntary firefighters at their individual volunteer fire departments of Synder and Main-Transit. The survey was completed by 68 of the respondents for a response rate of 76%. Results of the survey will be presented throughout this paper as appropriate. Raw data is available in Appendix D. Assessment of Community People Age and gender distribution. According to the U.

S. Census of Population and Housing (2000), the total population of Erie County, New York, is 950, 265, which is approximately 20% of the population of New York State. Erie County includes the City of Buffalo and 42 surrounding towns and villages. In Erie County, the percentage of females total 52.

2%, while males are 47. 8% of the population. Persons under the age of 5 consist of 6. 1% of the total population.

Persons under the age of 18 years old consist of 24. 3% of the population while persons 65 years old and over consist of 15. 9%. In conducting this survey, the investigators established that the age of eligibility to be a volunteer firefighter is 18 years old. There is no age of retirement for volunteer firefighters. During the survey process, it was determined that all of the respondents were ranged in age from 18-80 years.

Gender breakdown was 93% male, while females was 7%. Ethnicity. The U. S.

Census of Population and Housing (2000) reported the breakdown of ethnicity that illustrated that Erie County has a primarily Caucasian population of 82. 2%. African-Americans are 13. 0%, American Indian and Alaska Natives are 0.

6%, and Asian persons are 1. 5% of the population. Persons reporting other races or combined races are 2. 7% of the total population.

There is no specific data available for age breakdown by ethnicity of Erie County residents. The main ancestral background of persons residing in Erie County consists of individuals of German descent comprising 31% of the total population. People of Polish descent comprise 20%, while those of Irish descent comprise 18% of the total population of Erie County. The survey respondents were not polled as to their ethnicity or ancestral background.

The investigators concluded that the survey respondents could be of any ethnicity or ancestral background. Education. In 1996, the Western New York Regional Information Network reported that there are 29 school districts consisting of 469 schools. These schools are responsible for providing quality education beginning with the preschool level through the 12 th grade. According to the 2000 U. S.

Census of Population and Housing report, high-school graduates totaled 489, 135 of the population, while college graduates over the age of 25 years totaled 128, 098. Table 1 Educational Attainment in Erie County PERSONS 25 YEARS AND OVER 640, 137 Less than 9 th grade, no diploma 54, 5139 th to 12 th grade, no diploma 96, 489 High school graduate 202, 981 Some college, no degree 104, 781 Associate degree 53, 275 Bachelors degree 76, 619 Graduate or professional degree 51, 479% of high school degree or higher 76. 4% bachelors degree or higher 20. 0 (Erie County Health Department 1996-1997 Health Assessment) Higher education is available and easily accessible by public transportation. The State University College at Buffalo has 20, 000 students enrolled and the State University of New York has two campuses with an enrollment of 40, 000 students. Daemen, D’Youville, and Canisius are four-year colleges in Erie County.

The following institutions offer two-year programs of study: (a) Trocaire (b) Villa Maria (c) Meda ille and (d) Erie Community (Erie County Department of Health, 1996). The survey respondents were not polled as to their educational background. The Erie County volunteer firefighters do not require a specific education level to qualify as a volunteer according to their recruitment protocol. Therefore, the investigators concluded that the respondents could be from any type of educational background. Language. According to the U.

S. Census of Population and Housing (1990), 83, 907 residents of Erie County do not use English as their primary language. Spanish-speaking Erie County residents total 18, 298 and about 40% of these individuals report that they “do not use the English well.” The Survey was written in English. The investigators did not question the survey respondents regarding which language they used, but the investigators determined that all respondents were able to read and write the English language. Religion. According to Collins (1992), Catholicism is the major religion practiced in the Erie County area consisting of 59.

1% of the population. Protestants total 39% and Jewish individuals equal 1. 9% of the population. The investigators did not query the survey respondents as to their religious preference, and therefore, concluded that the respondents could be of any religious denomination.

Income levels. According to the U. S. Census of Population and Housing (2000), the average Erie County residents’ median household income based on a 1997 model-based estimate is $36, 711. Persons below poverty level according to the same study, is 13.

9% of the total population. The investigators did not address the subject of income on the survey. In driving the residential areas of Synder and Main-Transit fire companies, the investigators observed and concluded that the respondents appeared to be above poverty level and that their income could be assumed to be in the middle class range. Occupations.

According to the Erie County Health Department (1997), the “jobs recession of the 1990 had a limited but negative effect on the County’s job base.” Economic and job growth have lagged behind compared to past years and this trend is expected to continue for years to come. The four biggest industries in Erie County are in order, the retail trade, health services, manufacturing of durable goods and educational services (Erie County Heath Department, 1996) The investigators did not include occupation as a part of the survey. The investigators, in talking informally with the volunteer fire company’s firefighters, discovered that many of the volunteers work as paid career firefighters and police officers. The investigators concluded that although some respondents work as paid public servants, the respondents could have any occupation. Housing According to U. S.

Census of Population and Housing (2000) there are 380, 873 households in Erie County with an average of 2. 41 persons per household. Thirty-eight percent of Erie County housing units and 68% of Buffalo housing units were built before the year 1939. The average value of housing in Erie County and Buffalo are $83, 800 and $58, 900 respectively. The investigators did nit include questions regarding housing on the survey and concluded that the respondents could live in any type of housing. Community Structures Government or management.

Erie County was established in 1821. The county seat is located in the city of Buffalo. It still retains its original borders, which includes the Tonawanda Indian Reservation and part of Cattaraugus County. Erie County’s charter was officially adopted in November of 1959. (League of Women’s Voters, 1989).

The Chief Executive Officer of Erie County is an elected four-year term position. Joel Gi ambra currently holds this office. He is responsible for carrying out the policies determined by the county legislature. Additional duties of the office include administering local laws, resolutions, and ordinances in keeping with the provisions set forth by the county charter and administrative codes (League of Women’s Voters, 1989).

The Erie County Legislature is presided over by a Chairman who is elected each year with a majority vote of the full Legislature. A majority vote consists of nine votes. The current Legislature Chairman is Charles Swa nick. (web) The members of each party in the Legislature designate one legislator of their party to serve as their leader. They are called the Majority Leader and the Minority Leader. For the purposes of facilitating the actions of the Legislature, the Chairman appoints committees to study and report back information on certain subject areas.

There are currently ten standing, permanent committees in the Erie County Legislature: Community Enrichment, Economic Development, Energy & Environment, Finance, Management & Budget, Government Affairs, Public Health/Mental Health, Public Safety, and Social Services. Committee meetings are held at the call of the Chairman. It is at these Committee meetings that the general public may have a direct input into County policy-making by presenting proposals and / or speaking on matters under consideration by a committee. All Committee meetings are open to the public.

(web). Erie County is divided into cities, towns and villages. Within Erie County there are three cities, which include Buffalo, Tonawanda and Lackawanna. Each has an elected mayor with an elective governing body called a Common Council.

The Common Council has the authority to manage, regulate and control their city as set forth by the New York State government (web). Erie County possesses 25 towns that have a population ranging from 2, 000 to 99, 000 residents (League of Women’s Voters, 1989). The Town Board is the governing body. It is comprised of a Town Supervisor and four to six councilman.

The position of supervisor is an elected one and serves as the Chief Fiscal Officer as well. The town board adopts local laws and ordinances, prepares the town budget and monitors finances (League of Women’s Voters, 1989). There are 16 villages in Erie County ranging in population from several hundred to several thousand. Villages elect a mayor and are governed by a Board of Trustees consisting of four members. Other offices may be required such as a tax assessor, clerk, treasurer and superintendent of public works (League of Women’s Voters, 1989). The investigators did not question the survey respondents as to where they resided.

It is a requirement that they must live in the fire district that they volunteer for. The investigators can therefore assume that all of the respondents reside in the villages of Synder and Williamsville. Educational agencies. According to the Western New York Regional Information Network, there are 29 school districts in Erie County. They consist of 138 public and 90 private elementary schools, 82 public and 86 private middle schools, and 49 public and 24 private high schools.

In 1990, enrollment in public schools totaled 200, 717 an private school enrollment was 46, 433 (Slater and Hall, 1993). There are 18 other educational institutions that offer higher education degree programs in the Buffalo area. These degrees range from an associate degree to a doctorate (Clements, 1989). The largest of these institutions is the State University of New York at Buffalo (NYNEX, 1998).

The State University of New York at Buffalo is part of the state-wide public university system. It includes the State college at Buffalo. The highest degree obtainable at the State University system is a doctorate. There are several non-profit colleges located in the Buffalo area.

Canisius College, D’Youville College, Christ the King Seminary, and Daemen College offer degree programs at the Bachelors and Masters degree programs. Hilbert and Houghton College offer Bachelors degrees (Erie County Department of Healt, 1996). There are several non-profit independent institutions in Erie County offer an associate degree. These include Villa Maria College, Erie Community College, and Trocaire College. There are many other post-secondary educational opportunities available in a wide range of subjects. The Buffalo area has an extensive library system.

There are 53 branches located throughout Erie County and in the City of Buffalo (NYNEX, 1998). The public can easily access the library system throughout the county limits including the use of bookmobiles. The system offers a wide variety of adult, teen and children’s book programs. Also offered is a wide selection of videocassettes, CDs, records, audiocassettes and large print books.

These are all offered to the public for loan. The main library and many of its branches also offer computer accessibility. In order to maintain volunteer recruitment levels, a new program was introduced by Erie County called the “Volunteer Firefighter Incentive for Recruitment and Education” or the “V-Fire” program. This program was developed as a way to recruit new volunteers in a response to a critical need for volunteer firefighters in the suburban Erie County area. Under the program, new recruits will be eligible for having their tuition paid in full at the Erie Community College after their acceptance in the membership of one of Erie County’s 100+ volunteer fire companies or emergency services agencies.

V-Fire recruits must commit to a service obligation of five years following the achievement of a two-year degree program or one year following the completion of part-time study goals. Recruits may also be eligible for interest free loans or grants for books and other school supplies. Volunteer service commitment applications received by July 2001 include 21 applicants with 12 of the 21 applicants reporting their college major as either Fire Protection Technology or Criminal Justice. Agents of social control. Erie County has provided its citizens with law enforcement services since 1821.

A complete list of police agencies and Courts in Erie County can be found in Appendix E. Patrick Gallican is the Sheriff of Erie County currently. The Erie County Sheriff’s Department (E CSD) provides many services. The Office of Communications and Records fields all emergency 911 calls. The Special Services Division operates the helicopter search and rescue team. A cooperative effort exists between the Sheriff’s Department and Mercy Flight which provides the community with a back-up emergency medical service helicopter (Erie County Sheriff’s Department, 1997).

The Police Patrol Services of the Sheriff’s Department work out of One Sheriff Drive located in chestnut Ridge Park. Informal power structures. Production, consumption, and distribution of goods and services. Identification of family structures. Other Aspects Geography and climate According to the 2000 Census, there is a total land are of 1, 044 square miles in Erie County. The Great Lake Erie borders its western perimeter.

Transportation. Recreation Communication. Survey Results Health Risk Factors Epidemiological studies and health risks discussed here Resources for Dealing with Risk Factors Resources for dealing with risk factors go here Social changes needed to combat risk factors. Identify social changes needed Strengths and Weaknesses Analysis of Data 90 surveys were distributed to volunteer firefighters from Snyder fire department and Main-Transit fire department. 70 of these surveys were returned completed.

Two surveys were rejected because the respondents were 16 years old. Therefore, the response rate was 76%. Data from these surveys shows the following analysis: 1. The majority of volunteer firefighters (68%), that responded to the survey were ages 18-40 years old. 2. Most participants (93%), were male.

3. A majority of volunteer firefighters (63%, were aware of community sponsored blood drives. However, a surprising 35% were not aware. The researchers found this number to be significantly high. 4. A majority of volunteer firefighters (60%), stated that they had participated in blood donation.

A small number (7%), however, said that their first time was due to the recent terrorist attacks of September 11. 5. The volunteer firefighters that reported that they had never donated blood and stated that lack of time was the major reason (10%). 6. A majority of volunteer firefighters (69%), stated that they would be willing to donate blood if their fire hall sponsored a blood drive. After compiling and analyzing data, the researchers found that an unusually large number of volunteer firefighters were not aware of community sponsored blood drives.

This fact could contribute to the relatively low number of volunteer firefighters donating blood. The researchers also concluded that several questions were unclear, especially the added question involving blood donation as a result of the recent terrorist attacks. Most volunteer firefighters stated that lack of time was the major factor for not donating blood. This will need to be addressed in the future, if increased participation of blood donation by volunteer firefighters is to occur. Summary The purpose of the project was to determine whether or why volunteer firefighters participate community in blood donation drives sponsored by the American Red Cross.

The investigators utilized the Neuman Systems Model to evaluate the community of Erie County volunteer firefighters. The investigators were able to identify the needs, health risks and stressor’s relative to the volunteer firefighting population. Results of this assessment can assist the American Red Cross in anticipating the needs of the volunteer firefighting population and examine why they are an under-utilized source of blood donation. Conclusions Based on the assessment of this community, the investigators concluded that the American Red Cross has a large and untapped pool of individuals will to donate blood As part of conclusions, state community diagnosis (es) RecommendationsReferencesAnderson, E. T.

, & MacFarlane J. (2000). Community as partner (3 rd ed. ). Philadelphia: Lippincott.

Davis, F. A. (Ed. ). (1993). Taber’s cyclopedia medical dictionary (18 th ed.

, ). Philadelphia, PA. Erie County Department of Health. (1996). Community health assessment. 1994-1996.

Buffalo, NY. Erie County Legislature: An Overview. Retrieved October 2, 2001 from web League of Women Voters. (1989). Erie County: A citizen’s handbook of government. Erie County, NY.

Slater, C. M. , & Hall G. E. , (1993). 1993 county and city extra: Annual metro, city, and county data book.

Lanham, MD: Bern an PressAppendicesAppendix A – ARC web site home page Appendix B – Neuman’s Community Assessment Wheel from Community as Partner Model Appendix C – Blood Donation Survey for Erie County Firefighters Appendix D – Survey Results Appendix E – Agents of Social Control Appendix American Red Cross Web site Appendix BNeuman’s model Community as Partner Model Appendix CSURVEYWe are registered nurse students from Daemen College in Amherst. We are conducting an assessment of the thoughts of volunteer firemen regarding blood donation. This is in conjunction with the American Red Cross. We would appreciate you taking the time to help us by filling out this survey. Your participation in this survey is strictly voluntary. The results of this survey will be anonymous.

You may decide to stop the survey at any time. The return of the survey implies consent. Thank you for your cooperation. Please respond to the following questions: 1. What is your age, in years? years 2. What is your gender? Male Female 3.

Are you aware of community sponsored blood drives in your neighborhood? Yes No 4. Have you ever donated blood? Yes Noa) If yes, was your first blood donation because of the current crisis in New York City and Washington, D. C. ? Yes No 1.

) If that was your first time, why did you not donate prior to this crisis? (check all that apply) lack of time general fear not interested ineligible to donate other reason not listed b) If no, why not? (check all that apply) lack of time general fear not interested ineligible to donate other reason not listed 5. Would you be willing to donate blood if your fire hall sponsored a blood drive? Yes No Thank you again for your time. Sheila Hunter, RN, Carol S iverson, RN, Cathie Jankowski, RN Appendix C Survey Results Appendix HEALTH AGENCIES IN ERIE COUNTY American Cancer Society Western Regional Office 101 John James Audubon Pkwy. West Amherst, NY 14228716-689-6981 American Diabetes Association 315 Alberta Drive – Suite 102 Buffalo, NY 14226716-835-0274 American Heart Association 25 Hazelwood – Suite 116 Amherst, NY 14228716-564-1100 American Lung Association John Glenn Drive – #3 Buffalo, NY 14228716-691 -5864 Blind Association of WNY 1170 Main Street. O. Box 398 Buffalo, NY 14209716-882-1025 Cancer Information Service (CIS) c / o Roswell Park Cancer Inst.

Elm & Carlton Streets Buffalo, NY 14263716-845-6793 Coalition for a Tobacco-Free Erie County / o Employee Wellness Program Room 607 – City Hall Buffalo, NY 14202716-855-6789 Cooperative Extension Assoc. of Erie County 21 South Grove Street East Aurora, NY 14052716-652-1170 Coordinated Care Moment Corporation Statler Towers, Suite 1800107 Delaware Avenue Buffalo, NY 14202716-858-2368 Freedom From Nicotine Recovery Group / o Richmond United Methodist Church 522 W. Ferry Street Buffalo, NY 14222716-882-1979 Juvenile Fire Response& Edu. Program of WNY 3359 BroadwayCheektowaga, NY 14227716-681-7111 Lupus Foundation of WNY, Inc. 3871 Harlem RoadCheektowaga, NY 14215716-835-7161 Medical Society of the County of Erie Main-Seneca Building – 1514237 Main Street Buffalo, NY 14203716-852-1810 Poison Control Center of WNYc / o Children’s Hosp. of Buffalo 219 Bryant Street Buffalo, NY 14222716-878-7667 Salvation Army Family Education 960 Main Street Buffalo, NY 14202716-883-9800 Sickle Cell Disease Niagara Frontier Association / o Sisters Hospital 2157 Main Street Buffalo, NY 14214716-832-3044 Think First Injury Prevention Program / o Millard Fillmore Hospital Dept.

of Neurosurgery 3 Gates Circle Buffalo, NY 14209 Urban League of Buffalo Multi-Service Center 234 Jefferson Avenue Buffalo, NY 14204 Source: NOAH 2001 Wellness Institute of Greater Buffalo & WNY, Inc. c / o Wellness Program City Hall – Room 60765 Niagara Square Buffalo, NY 14202716-851-4052 Western New York Safe Kids, Inc. c / o People, Inc. 1219 North Forst RoadWilliamsville, NY 14221716-634-8132 The AIDS Network of Western New York 24 Rhode Island Street Buffalo, NY 14213716-883-7917 HOSPITAL EXTENSION CLINICS – FULL TIME Buffalo General Hospital Deaconess Center ITC 1001 Humboldt Parkway Buffalo, NY 14208 Buffalo General Hospital Family Planning Center 590 Riley Street Buffalo, NY 14208 Buffalo General Hospital Amherst Extension Clinic 4965 Bailey Avenue – Suite #100 Amherst, NY 14226 Buffalo General Hospital Primary Medical Care Clinic 1490 Jefferson Avenue Buffalo, NY 14208 Buffalo General Hospital Health in General 505 Delaware Avenue Buffalo, NY 14202 Children’s Hospital Women & Children West Side H. C. 327 Niagara Street Buffalo, NY 14201 Children’s HospitalTowne Garden Clinic 461 William Street Buffalo, NY 14204 Children’s Hospital Amherst Health Center 3580 Sheridan Drive Amherst, NY 14226 Kenmore Mercy Hospital Ken-Ton Family Care Center 300 Two Mile CreekTonawanda, NY 14150 Kenmore Mercy Hospital Riverside/Black Rock F.

C. 500 Ontario Street Buffalo, NY 14207 Kenmore Mercy Hospital Amherst P. M. C. Clinic 3100 Sheridan Drive Amherst, NY 14226 Mercy Hospital of Buffalo Mercy Ambulatory Care Ctr.

3669 Southwestern Boulevard Orchard Park, NY 14127 Mercy Hospital of Buffalo Mercy Health Center 569-571 South Park Avenue Buffalo, NY 14220 Mercy Hospital of Buffalo Mercy Ambulatory Care Ctr. 550 Orchard Park Road West Seneca, NY 14224 Millard Fillmore Hospital Niagara Family Health Center 430 Niagara Street Buffalo, NY 14201 Millard Fillmore Hospital Broadway Fillmore Family H. C. 959 Broadway Buffalo, NY 14220 Millard Fillmore Hospital. Tonawanda Health Center 445 Tremont North Tonawanda, NY 14120 Millard Fillmore Hospital Hertel/Elmwood Internal Med. 699 Hertel Avenue Buffalo, NY 14207 Millard Fillmore Hospital Upper West Side Family H.

C. 135 Grant Street Buffalo, NY 14213 Millard Fillmore Hospital Herman Ba dillo School #76300 South Elmwood Avenue Buffalo, NY 14201 St. Jerome Hospital. H.

Akron Primary Clinic 16 Main Street Akron, NY 14001 Source: NOAH 2001 St. Joseph Hospital Harlem Road Extension Clinic 2645 Harlem RoadCheektowaga, NY 14225 St. Joseph Hospital Lancaster Primary Care Ctr. 4917 William Street Lancaster, NY 14086 St. Joseph Hospital Broadway Primary Care Ctr. 3884 BroadwayCheektowaga, NY 14225 St.

Joseph Hospital Snyder Primary Care Center 2503 Kensington Avenue Snyder, NY 14226 St. Joseph Hospital Elma Primary Care Center 2741 Transit Road Elma, NY 14059 Sheehan Memorial Hospital Emerson Young Family H. C. 305 Perry Street Buffalo, NY 14204 Sheehan Memorial HospitalTowne Garden F. C. Center 471 William Street Buffalo, NY 14206 Sisters of Charity Hospital Alden Medical Center 12845 Broadway Alden, NY 14004 Sisters of Charity Hospital Star Program 4512 Main Street Amherst, NY 14226 Sisters of Charity Hospital Saint Vincent Health Center 1595 Bailey Avenue Buffalo, NY 14212 Sisters of Charity Hospital Amherst Health Center 4949 Harlem Road Amherst, NY 14226 Sisters of Charity Hospital Delaware – Brighton Family M.

C. 3849 Delaware Avenue Kenmore, NY 14217 Sisters of Charity Hospital Main – Depew Medical Office 2787 Main Street Buffalo, NY 14214 Sisters of Charity Hospital Msgr. Herlihy Campus 476 Emilie Street Buffalo, NY 14212 Sisters of Charity Hospital Father Bison ette Campus 21 Davidson Avenue Buffalo, NY 14215 Tri-County Memorial Hospital Tri-County Dental Center 104 Memorial DriveGowanda, NY 14070 Source: NOAH 2001 HOSPITAL EXTENSION CLINICS – PART TIME Buffalo Columbus Hospital Holland Primary Care Center Route 16 at Partridge Holland, NY 14080 Buffalo Columbus Hospital Upper West Side Primary M. C. C. 286 Grant Street Buffalo, NY 14213 Buffalo Columbus Hospital Center Columbus Medical Center 2279 Grand Island Boulevard Grand Island, NY 14072 Children’s Hospital Fulton Academic Complex 220 Fulton Street Buffalo, NY 14204 Children’s Hospital Sheehan Towne Garden Plaza 421 William Street Buffalo, NY 14203 Children’s HospitalECMC Women’s HIV Clinic 462 Grider Street Buffalo, NY 14215 Kenmore Mercy Hospital Ob/Gyn Clinic 300 Two Mile CreekTonawanda, NY 14150 Kenmore Mercy Hospital Infant Clinic 300 Two Mile CreekTonawanda, NY 14150 Kenmore Mercy Hospital Well-Child Care & Education 300 Two Mile CreekTonawanda, NY 14150 Kenmore Mercy Hospital 3800 Delaware Avenue Kenmore, NY 14217 Kenmore Mercy Hospital Well-Child Care Center & Ed.

1540 Ellicott Creek Road Tonawanda, NY 14150 Millard Fillmore Hospital Suburban Hospital 1542 Maple RoadWilliamsville, NY 14221 Our Lady of Victory Hospital Infant Home Prenatal Care 790 Ridge RoadLackawanna, NY 14218 Sisters Hospital 209 Niagara Street Buffalo, NY 14201 Tri-Country O/P Clinic 900 Memorial DriveGowanda, NY 14070 Tri-County Memorial HospitalUCPA of WNY Adult Center 7 Community Drive Buffalo, NY 14225 Source: NOAH 2001 DIAGNOSTIC/TREATMENT CENTERS Buffalo Gyn Women’s Services, Inc. 2500 Main Street Buffalo, NY 14214 Buffalo Hearing & Speech Center, Inc. 325 Summer Street Buffalo, NY 14222 Buffalo Hearing & Speech Seton Medical Office Bldg. 2121 Main Street Buffalo, NY 14214 Buffalo Hearing & Speech Hearing/Speech 2697 Main Street Buffalo, NY 14214 Erie County Health Dept. 95 Franklin Street Buffalo, NY 14202 Erie County Health Dept. Outer East Side F.

M. C. 1500 Broadway Buffalo, NY 14212 Erie County Health Dept. Lack wanna Comm. H. C.

33 Wiikesbarre Avenue Lackawanna, NY 14218 Erie County Health Dept. Jesse E. Nash Health Center 608 William Street Buffalo, NY 14206 Erie County Health Dept. Roberto Clemente W. S. H.

C. 104 Maryland Street Buffalo, NY 14201 Kenmore Mercy Hospital 2950 Elmwood Avenue Kenmore, NY 14217 Mercy Hospital of Buffalo 565 Abbott Road Buffalo, NY 14220 Erie County Health Dept. T. B. Control & Treatment Clinic 462 Grider Street-POD T 80 Buffalo, NY 14215 Health Care Plan 120 Garden ville Parkway West Seneca, NY 14224 HCP-Amherst Medical Center 1185 Sweet Home Road Amherst, NY 14226 HCP-Grand Island Clinic 2710 Grand Island Blvd. Grand Island, NY 14072 HCP-Sheridan Drive Medical Center 2075 Sheridan Drive Buffalo, NY 14223 HCP-Hamburg Medical Center 151 Elm view Drive Hamburg, NY 14075 HCP-William E.

Mosher, MD Medical Center 899 Main Street Buffalo, NY 14203 HCP-Sheridan-Harlem Office 3980 Sheridan Drive Amherst, NY 14226 HCP-Springville Medical Office 268 E. Main StreetSpringville, NY 14141 HCP-Springville Ext. Clinic 15 Commerce Drive Springville, NY 14141 Northwest Buffalo Comm. Health Ctr. 155 Lawn Avenue Buffalo, NY 14207 People Services to the Dev. Disabled, Inc.

2128 Elmwood Avenue Buffalo, NY 14207 Planned Parenthood – Buffalo/Erie Co. 2697 Main Street Buffalo, NY 14214 Planned Parenthood – Buffalo/Erie Co. 240 Center Road, Wimbledon Plaza West Seneca, NY 14224 Source: NOAH 2001 Geneva B. Scruggs Comm. Health Care Ctr. 567 Kensington Avenue Buffalo, NY 14214 Geneva B.

Scruggs Main St. Health Ctr. 1461 Main Street Buffalo, NY 14214 HEALTH MAINTENANCE ORGANIZATIONS Better Health Plan, Inc. 438 Main Street Buffalo, NY 14202 Community Blue 1901 Main Street Buffalo, NY 14208 Health Care Plan, Inc. 900 Guaranty Building Buffalo, NY 14202 Independent Health Association 511 Farber Lakes Drive Buffalo, NY 14221 Source: NOAH 2001 HOSPITALS Bertrand Chaffee Hospital 224 East Main StreetSpringville, NY 14141 Buffalo Columbus Hospital 300 Niagara Street Buffalo, NY 14201 Buffalo General Hospital 100 High Street Buffalo, NY 14203 Children’s Hospital – Buffalo 219 Bryant Street Buffalo, NY 14222 Erie County Medical Center 462 Grider Street Buffalo, NY 14215 Kenmore Mercy Hospital 2950 Elmwood Avenue Kenmore, NY 14217 Mercy Hospital of Buffalo 565 Abbott Road Buffalo, NY 14220 Millard Fillmore Hospital 3 Gates Circle Buffalo, NY 14209 Millard Fillmore – Suburban 1540 Maple RoadWilliamsville, NY 14221 Our Lady of Victory Hospital 55 M elroy at Ridge RoadLackawanna, NY 14218 Roswell Park Cancer Institute Elm and Carlton Streets Buffalo, NY 14263-0001 St. Joseph Hospital 2605 Harlem RoadCheektowaga, NY 14225 Sheehan Memorial Hospital 425 Michigan Avenue Buffalo, NY 14203 Sisters of Charity Hospital 2157 Main Street Buffalo, NY 14214 Source: NOAH 2001.