2013 ANNUAL REPORT CREATING HEALTHY LIVES: THEN, NOW, AND FOR THE FUTURE CREATING HEALTHY LIVES: THEN, NOW AND FOR THE FUTURE

Transcription

1 2013 ANNUAL REPORT CREATING HEALTHY LIVES: THEN, NOW, AND FOR THE FUTURE CREATING HEALTHY LIVES: THEN, NOW AND FOR THE FUTURE

2 The mission of the Summit Community Care Clinic is to provide exceptional, integrated, patient-centered health care services designed to meet the needs of KICK-OFF OF THE 20TH ANNIVERSARY CELEBRATION people who experience barriers to accessing care, regardless Board Members of their ability to pay. We feel the Care Clinic is a wonderful asset to our community. The Care Clinic provides a way to get comprehensive health care to those in an area that would otherwise not receive care. The staff at the Care Clinic is exceptional and we are so lucky to have such an amazing facility in Summit County. Peg and Lee Henry Donors Don Parsons, MD, President Retired Surgeon Aleda Kresge, Board Member Certified Financial Planner Wilson Strong, MD, Vice President Retired Surgeon Margery Langmuir, Board Member Retired Health Administrator Kyle Richardson, Treasurer Senior Vice President of First Bank Larry Lunceford, Board Member Owner, Neils Lunceford Pat Kopystiansky, Secretary Retired Registered Nurse Tom Marmins, Board Member Mediator Karyn Blanco, Board Member Owner/Esthetician, A Perfect Touch Monica McElyea, Board Member Attorney Cathy Cheroutes, Board Member Attorney Robin Robson, Board Member Owner, First Tracks Property Management Dana Cottrell, Board Member Real Estate Broker Marcela Vos, Board Member Financial Analyst, Vail Resorts Brian Duchinskyj, Board Member Retired General Manager, GE Healthcare Maureen Westerland, Board Member Retired Certified Fundraising Executive, Community Volunteer one Marc Burdick, Advisory Board Member Director, Summit County Ambulance Ed Casias, Advisory Board Member Summit County Court Judge Marsha Cooper, Advisory Board Member Retired School Administrator Deb Crook, Advisory Board Member Retired Director of Summit County Public Health Harold Dobbs, MD, Advisory Board Member Retired Physician Marge Gavenda, Advisory Board Member Community Volunteer Mitzie Hawkins, Advisory Board Member Retired Teacher, Community Volunteer

3 WHAT WE DO LETTER FROM THE BOARD PRESIDENT Dear Friends, The Summit Community Care Clinic s continued success is a reflection of the good will and investment by our many supporters and partners in Summit County and across the state. Summit County is a truly amazing community that cares about all of its residents. Since 1993, the Summit County community has enabled the Care Clinic to provide comprehensive health care to those in greatest need. I am personally grateful to everyone who has supported the Care Clinic through the years. Midway through our 20th Anniversary year, the Care Clinic is experiencing growth in the number of patients, visits and diversity of services. Our client population ballooned from 298 patients in 1993 to nearly 6,000 patients and 19,430 client visits in Primary care services are up 40% in the last year and oral health visits have increased by 33% for the same period. We are especially pleased to see that our four school based clinic sites have experienced growth of 10% during the past year. Behavioral health, specialty services, and health education have also seen significant growth in service numbers. Among the Care Clinic s most important new services is our health navigation and coaching component. Bilingual health educators help assure that patients understand their problems, get proper medications and treatments, learn how to navigate community resources, including specialty care, and apply new healthy behaviors to their lifestyle. The health educators are directly responsible for helping patients improve specific health outcomes. The Affordable Care Act has brought expansion of Medicaid eligibility to a portion of the Care Clinic s most needy patient population. It is too early to realize the full impact of this new cadre of insured patients, but our experience to date is positive. The Care Clinic is hopeful that the coming year will bring a significant shift in the number of patients who can take advantage of Medicaid coverage. Please join us in celebrating our 20th Anniversary. The Care Clinic team of staff, service providers, volunteers and donors is proud of the past impact the Care Clinic has made in Summit County and looks forward to contributing to the health of all of our residents for the next twenty years. Thanks again for supporting the work of the Care Clinic. Sincerely, Don Parsons Board President Access to Care Primary health care in the form of same day and scheduled appointments Oral health maintenance and treatment Behavioral health services Universal drug and alcohol screenings and substance abuse treatment Prenatal and postnatal care Reproductive health and family planning services School based health services Health Education and Prevention Personalized health coaching Chronic disease management Fitness and nutrition education Referrals to physical therapy Community Resources Navigation for follow-up medical services and specialist appointments Referral to community support services such as emergency housing and food assistance Education on insurance enrollment options Patient Story The Care Clinic has done so much for my family. We have been alternating between being uninsured and having Medicaid since we moved here in We go to the Care Clinic for all our medical and dental needs. I was also referred to Mind Springs Health and the Family and Intercultural Resource Center through the Care Clinic.The survey given prior to being seen was instrumental in getting me to the appropriate resources because financial difficulty can be very emotionally trying. Also, the mental health professionals at the Care Clinic were empathic, concerned and encouraging. My medical provider has been intrinsic to helping me overcome emotional issues as well as physical issues as they are probably interrelated. I have suffered from migraines, digestive issues, and depression for many years. Without the Care Clinic, I would not be getting the treatment I need and would lack the emotional and physical well-being I now enjoy. Patient two three

4 Recent Accomplishments 2013 Accomplishments by the Numbers Unduplicated Patient Numbers El Pomar Outstanding Nonprofit Award In September, the Care Clinic was honored by the El Pomar Foundation with the 2013 Award for Excellence in Health and Recreation. The Awards for Excellence annually recognize the state s highest performing nonprofit organizations. El Pomar Chairman and CEO William J. Hybl shared at the awards presentation that Honorees this year are dynamic, creative organizations and leaders who set the pace for nonprofit performance throughout the state. In addition to a trophy, the Care Clinic received a $25,000 cash award. Expanded Prenatal Services In 2013, the Care Clinic began providing prenatal care, a service not previously available. Research shows that accessing timely prenatal care improves health outcomes for both the mother and the baby. Two of the most significant benefits of early prenatal care are improved birth weight and decreased risk of preterm delivery. The Care Clinic was able to raise the percentage of patients receiving prenatal care in the first trimester from 44% in 2012 to 82% by the end of Quality Assurance Program Enhancement The Care Clinic received a major three-year grant from the Health Resources Services Administration in August to enhance the Care Clinic s quality assurance efforts. The grant will allow the Care Clinic to hire a Quality Assurance Manager and a Data Specialist. These new positions will enable the Care Clinic to more effectively manage and utilize patient outcome data to improve the delivery of high quality care. The positions will also be responsible for tracking and reporting on a myriad of state and federal requirements that monitor the safety and quality of Care Clinic operations. Patient Visits per Discipline School Based Health Center The School Based Health Center continues to grow and serve students and families by offering comprehensive health services in two elementary schools and the Middle and High School. In 2013, the School Based Health Center provided 2,751 primary care, oral health and behavioral health visits to 1,432 students, teachers and family members. As a result of the dental screenings provided through the School Based Health Centers, students in Summit School District experienced a 4% reduction in the rate of tooth decay. The dental screening program has benefited greatly from the ongoing support of the Vail Resorts Echo Program. Integration of Health Records In the spring, the Care Clinic became one of the few Community Health Centers in the country that uses a fully integrated patient electronic health record. In the past, the dental program utilized a separate health record for their patients. Now, all patients are tracked using a single electronic health record system. This integration assures that physicians, dentists and behavioral health specialists are all viewing the same patient information so they can provide the highest level of care. four five

5 WHO ARE CARE CLINIC PATIENTS? Impact of Care Clinic Services on Patient Health Outcomes Patients by % of Poverty Level *100% of poverty for a family of four is $23,551 A single individual who earns less than $11,491 is below 100% of the poverty level. The Care Clinic monitors a total of 15 Clinical Quality Measures as required by Federal Health Center guidelines and as part of the facility s overall quality assurance program. Provided below are examples of measures where the Care Clinic has exceeded national benchmarks and a brief description of what the Care Clinic is doing to address the measure. Adult weight assessment and follow-up: The percentage of patients 18 or older who had their Body Mass Index (BMI) calculated and, if over or under weight had a follow-up plan documented. Description: Maintaining proper weight is vital to overall health of adults and children. At the Care Clinic each patient s weight is measured at all primary care appointments as part of basic vital signs. When vitals are entered into the patient s health record, a BMI is automatically computed. Based on the BMI score, the patient receives educational information from their provider, referral to additional resources, or support from a health educator to develop a weight management plan. Patients by Age Where SCCC Patients Live Hypertension: The percentage of hypertensive patients with last blood pressure reading less than 140/90. Description: It is well documented that elevated blood pressure can lead to a myriad of major health issues including heart attack and stroke. Care Clinic patients have their blood pressure checked at every primary care visit. For patients with hypertension, the care provider discusses the situation with the patient and develops a treatment plan that may include interventions such as medication, weight management, diet changes, health coaching, and self-monitoring. Cervical Cancer: The percentage of women years old up to date on cervical cancer screening. Description: It is recommended that all women between the ages of 16 and 64 receive a pap test for cervical cancer every three years unless there are special circumstances. Cervical cancer is very treatable when detected early. All female patients are encouraged to receive timely Pap test by Care Clinic providers. Reminders are sent out to patients about the importance of scheduling an exam and financial support is available to patients who cannot afford the procedure. six seven

6 FINANCIALS - Statement of Activities for the Year Ended June 30, 2013 FINANCIALS - Liabilities and Net Assets Audit Report for the Year Ended June 30, 2013 (With Comparative Totals for the Year Ended June 30, 2012) INCOME Unrestricted Temporarily Restricted Total Total PUBLIC SUPPORT, REVENUES, AND RECLASSIFICATIONS Contributions and grants $2,391, ,617 2,986,724 2,184,871 Patient service revenue 1,348,017-1,348, ,761 Less contractual allowances (260,237) - (260,237) - Patient service revenue (net of contractual allowances) 1,087,780-1,087, ,761 Less provision for bad debts (200,510) - (200,510) (10,270) Net patient services revenue less provision for bad debts 887, , ,491 Special events 69,951-69,951 78,180 Contributed services and property 364, , ,986 Investment return 2,828 68,014 70,842 (4,391) Net assets released from restrictions 465,767 (465,767) - - TOTAL PUBLIC SUPPORT, REVENUES, AND RECLASSIFICATIONS 4,181, ,864 4,379,037 3,314,137 EXPENSES Program services, excluding depreciation 3,561,446-3,561,446 3,335,807 Supporting services, excluding depreciation: Management and general 497, , ,992 Development and fundraising 38,028-38,028 40,965 TOTAL EXPENSES, EXCLUDING DEPRECIATION 4,096,699-4,096,699 3,710,764 Depreciation 84,474-84,474 79,118 TOTAL EXPENSES 4,181,173-4,181,173 3,789,882 CHANGE IN NET ASSETS - 197, ,864 (475,745) NET ASSETS AS OF BEGINNING OF YEAR 335, , ,990 1,461,735 NET ASSETS AS OF END OF YEAR 335, ,452 1,183, ,990 (With Comparative Totals for the Year Ended June 30, 2012) Unrestricted Temporarily Restricted Total Total ASSETS Cash and cash equivalents $92, , ,320 15,319 Cash and cash equivalents - Endowment - 8,451 8,451 10,245 Accounts receivable - patients, net of allowance for doubtful accounts 25,723-25,723 3,445 Accounts receivable - insurance 111, ,530 - Grants receivable 136, ,749 54,822 Prepaid expenses 21,325-21,325 2,236 Inventory - pharmaceuticals 9,123-9,123 15,633 Deposit - sublease 2,800-2,800 2,800 Investments - Operating ,522 Investments - Endowment - 493, , ,255 Due (to) from Endowment (51,050) 51, Property and equipment, net of accumulated depreciation 159, , ,371 TOTAL ASSETS 508, ,452 1,357,366 1,078,648 LIABILITIES Accounts payable 37,895-37,895 26,088 Accrued compensated absences 73,971-73,971 65,932 Accrued wages and payroll liabilities 61,646-61, TOTAL LIABILITIES 173, ,512 92,658 NET ASSETS Unrestricted net assets 335, , ,402 Temporarily restricted - 848, , ,588 TOTAL NET ASSETS 335, ,452 1,183, ,990 TOTAL LIABILITIES AND NET ASSETS 508, ,452 1,357,366 1,078,648 eight nine

7 FINANCIALS - Income and Expenses What Does the Affordable Care Act Mean to the Care Clinic? Approximately 30% of Care Clinic patients will be eligible for Medicaid due to changes in eligibility requirements. Since the Care Clinic provides a medical home to these patients, it is predicted that most of them will remain active patients at the Care Clinic. The challenge will be encouraging this group of patients to enroll in Medicaid. The Care Clinic has implemented several new strategies to assist with effective Medicaid enrollment. About 15% of Care Clinic patients will be eligible for a tax credit for coverage through the Health Insurance Marketplace. Due to the inflated prices of insurance premiums in resort communities, however, the Care Clinic predicts that very few of these patients will choose to purchase health insurance. Some of these patients may choose to remain uninsured and continue to utilize the Care Clinic s sliding fee schedule for their basic health needs. Approximately 40% of Care Clinic patients will remain uninsured, as they will not be eligible for Medicaid or a tax credit through the Marketplace. The Care Clinic will continue to subsidize services for these patients through grant writing and fundraising efforts Payer Mix 2015 Projected Payer Mix Congratulations to the Community Care Clinic. The full range of medical services and high quality integrated health care the Clinic provides are unique for a mountain community. The entire staff is dedicated to meeting the challenge of the increasing medical needs in Summit County. Everybody benefits from the great job done by SCCC. Rick and Susie Grossman Donors ten As a result of the ACA and other outreach efforts by the Care Clinic, it is anticipated that the payer mix at the Care Clinic will significantly change between 2012 and Changing the payer mix to a higher percentage of insured patients is critical to the Care Clinic s long term sustainability. eleven

8 SUPPORTING THE SUMMIT COMMUNITY CARE CLINIC How to Help There are many ways you can support the work of the Summit Community Care Clinic: Make a donation! A $100 donation pays for two dental screenings and cleanings for one child. A $600 donation pays for the entire cost the Care Clinic encounters when providing five sessions of behavioral therapy. A $1,200 donation pays for a diabetic education and treatment program for an adult patient for one year. Major Partners Arapahoe Basin All Smiles Dental Breckenridge Grand Vacations Caring for Colorado Foundation Clinic Net Colorado Association of School Based Health Centers Colorado Coalition for Medically Underserved Colorado Community Health Network Colorado Department of Physical Health and Environment Colorado Rural Health Network Copper Mountain Early Childhood Options Ebert Children s Clinic Family Intercultural Resource Center First Bank Freeport McMoRan - Climax Molybdenum Grand County Public Health Health Resources Services Administration Lake County School District Mind Springs Health Park County School District Peak One Surgery Center Rocky Mountain Rural Health St. Anthony s Summit Medical Center Summit County Government Summit County Head Start Summit County Public Health Summit County Rotary Summit Dental Alliance Summit School District Swan Mountain Women s Center The Colorado Health Foundation The Colorado Trust The Summit Foundation Town of Breckenridge Town of Dillon Town of Frisco Town of Silverthorne Vail Resorts Echo Vail Summit Orthopedics Wilson Lass Brandon Be an ambassador! Tell your friends and family about the work of the Care Clinic, and make sure your uninsured friends are enrolled for Care Clinic services. Check out the Care Clinic website: Volunteer: Call Maggie Cox at for more information. Provide in-kind services. The Care Clinic always needs help. Call if you would like to contribute. Caring for Colorado Foundation has been a partner to the Care Clinic since its inception. Support continues as a result of the Care Clinic s continuing effort to meet the evolving needs of vulnerable and/or low-income populations living in and around Summit County. The Care Clinic s effort, and leadership, in providing comprehensive, integrated, culturally appropriate care is a hallmark of its history DONATE NOW By mail: By Internet: By phone: P.O. Box 4337, Frisco, CO (Checks payable to SCCC) , please ask for Brandi Thompson and continued success. It s a community-based clinic that continues to grow in practice, service and operations. Colleen Church, MPA Senior Program Officer Caring for Colorado Foundation twelve thirteen

9 The Summit Community Care Clinic is located on the first floor of the Medical Office Building. 360 Peak One Blvd., Suite 100 Frisco, Colorado summitclinic.org Design & production: Wilson Lass Brandon wilsonlassbrandon.com Breckenridge, Colorado