HEALTH Annual Report

Transcription

1 HEALTH 2013 Annual Report

2 Our Leadership Dear Friends, 2013 was a year of unprecedented change at Family Health Centers, Inc. (FHC). The past year included the adoption of electronic health records, the transformation to become a patient centered medical home, groundbreaking on two health center expansion projects, and the launch of outreach and enrollment services to help our uninsured patients navigate the insurance plans made possible under the Affordable Care Act. In addition, we were faced with financial pressures brought about by the arrival of additional Medicaid Managed Care plans in the Louisville region, which resulted in our first significant operating deficit in the organization s history. Despite the many transitions, FHC remained focused on increasing access to quality health care for all. The planning, preparation, and systems changes of the past year have positioned FHC to continue to be a leader in providing high quality primary care services well into the future. In the coming year, we will expand services at our East Broadway health center and strive for meaningful use of our electronic health record. We will continue to engage our patients to improve their health and better coordinate their care, especially for those with complex medical and social needs. We continue to work with our community partners to adapt to changes related to health care reform. Our continued growth and success would not have been possible without the ongoing support of the community. With sincere gratitude, we look forward to a promising 2014 and beyond. Warm Regards, Bill Wagner, Executive Director Family Health Centers Board of Governors Family Health Centers has a voluntary Board of Governors, where the majority are patients or receive services from FHC. Leonard Goddy, M.D., Chairman Bob Reh, CPA, Treasurer Gayl Anderson Betty Fox Muriel Harris, PhD Michele Heuglin Bobby Hickey Lisa Jumper Community Advisors Manfred Reid, Finance and Personnel Committee Anthony Walker, Health Care Committee Being governed by our patients helps Family Health Centers maintain our connection to the community and the people we serve. Rev. Willa Fae Williams, Vice Chairman Priscilla Ewing, Secretary Philip Levy Charles Smith, M.D. Sue Speed Minerva Virola Gary Watrous Executive Leadership Bill Wagner, Executive Director Bart Irwin, PhD, Deputy Director James Jackson, M.D. Medical Director

3 Our Work, Our Patients The mission of Family Health Centers is to provide access to high quality primary and preventive care services without regard to the ability to pay. Our services include adult primary care, pediatrics, women s health, dental, behavioral health, on-site labs, radiology, and pharmacy, health education classes, and programs for refugees and the homeless. Patients and community members also receive in-person assistance signing up for health care insurance through kynect, Kentucky s health benefit exchange. Our vision of service is to provide our patients the same care we would want for our family and ourselves. Here is a brief look at our work in ,689 # of Patients Served 502 # of Babies Delivered to Moms Who Received Prenatal Care at FHC Patients Living in Poverty <100% FPL 82% % FPL 15% >200% FPL 2% Unknown 1% 19,116 # of Patients Who Were Uninsured 288 # of People Attending Cooper Clayton Stop Smoking Classes 146,790 # of Calls Received by Our Front Office and Triage Staff 24 Countries of Origin for Patients Served by Our Refugee Health Program 1,177 # of Women Who Received On-Site Mammograms 4,145 # of Cavities Filled by Our Dentists 145,331 # of to FHC in 2013 for All Services 3.4 Average # of Clinical Per Patient 94 # of Individuals in Permanent Supportive Housing Medical 82% Dental 8% Behavioral Health 5% Support Services 5% 197,496 # of Prescriptions Filled in FHC Pharmacies

4 Our Year In Review 2013 was a transformational year for Family Health Centers. FHC undertook a number of projects in 2013, to ensure that we remained a provider of choice in our community and maintained the affordability of our services. Beginning in February, FHC staff launched transform-fhc, the Electronic Health Record (EHR) and Patient Centered Medical Home (PCMH) projects. These projects fundamentally changed how FHC operates. The implementation of the EHR began in June with FHC-Southwest, and continued through January of 2014, with one site going live on EHR each month. During this same period, each of our health centers launched Quality Improvement teams to assist in changes to meet PCMH Joint Commission accreditation standards and other restructurings to improve our services and efficiency. This included the shift to a modified open access scheduling system which has positively impacted the number of patients 46,790 # of Medical Charts Preloaded and Scanned into the EHR System No Shows Appointments 21% Before Open Access 14% After Open Access # of T of New Infor Added Se February 20, 2013 FHC launches transform-fhc, the EHR and PCMH transformation projects. 25K Patient March 21, 2013 FHC leaders travel to Washington to meet with Kentucky's Congressional Delegation to discuss Federal grant funding to community health centers. April 8, 2013 FHC undergoes comprehensive operational assessment by HRSA. FHC met all requirements. 50K Patient June, 2013 FHC-Fairdale open access and FHC-So live on EHR.

5 who no show for an appointment and amount of time a patient waits for an appointment. In addition, FHC launched an outreach and enrollment team to assist uninsured individuals in enrolling into health care coverage through kynect. The Affordable Care Act helped to fund the EHR, PCMH, and outreach and enrollment projects, and provided more than $5 million for the renovation and expansion projects of FHC- East Broadway and FHC-Phoenix. These projects broke ground in 2013 and FHC is funding more than $1 million of the capital expenses through reserves and fundraising efforts. The East Broadway and Phoenix sites are expected to be completed in 2014 and once done, will provide the physical space to serve an additional 10,000 patients annually. FHC anticipates the demand for primary care services will increase as more individuals gain access to health care coverage rabytes Health matics to FHC rvers 91% # of FHC Uninsured Patients who are Eligible for Expanded Medicaid 1,839 # of Individuals Who Enrolled into Health Care Coverage by FHC kynectors From October 1 st to December 31 st. launches its scheduling thwest goes June 23, 2013 FHC is featured on the front page of the New York Times for the first of three times in These articles were part of a series focusing on the implementation of the Affordable Care Act in Louisville, Kentucky. 75K Patient October 1, 2013 FHC launches a campaign to enroll 20,000 uninsured patients into health care coverage. 100K Patient December 6, 2013 Congressman Yarmuth joins FHC s Board of Governors to break ground on the expanded FHC-East Broadway building. FHC-Phoenix begins its renovation and expansion.

6 Our Business, Our People As a mission driven non-profit organization, Family Health Centers leverages its resources to the benefit of the patients we care for and the community we serve. FHC provides its services on a sliding-fee scale, where individuals who live at or below the Federal Poverty Line pay a nominal fee for our services. This ensures that all individuals have access to affordable primary and preventive care was a fiscally challenging year for our organization. In January of 2013, Region 3 Medicaid market opened to three new Medicaid Managed Care Organizations. In addition, implementing the EHR reduced our capacity to see patients significantly while our staff learned the new system. Overall, visits were reduced by nearly 13% in 2013, as compared to The combination of these events resulted in FHC having a $2.5 million loss by the end of the fiscal year. This was the organization s first financial loss in more than 11 years. The reduction in funding and decreased capacity were anticipated, and overall expenses were slightly reduced in an effort to mitigate our losses during this transition period. Furthermore, our reserves and investments funds were sufficient to help the organization maintain our financial viability. In 2014, FHC s goal is to reverse these losses through assisting our patients in gaining health care coverage and returning to our pre-ehr capacity and productivity. $37 million Amount of Charitable Care Provided by FHC Over the Last 3 Years. $150 Average Cost of a Medical Visit $20 Nominal Fee for Services 393 # of Employees $21,429 Employee Charitable Contributions United Way 9% Community Health Charities 20% FHC Medicine Fund 33% $4,348,987 Largest Grant Award: HRSA Section 330 Grant 28 # of Employees with Over 20 Years of Service $10,000 Smallest Grant Award: Tom s of Maine Dental Health for All 2 : 3 Ratio of Physicians to Advanced Practice Nurse Practitioners Fund for the Arts 37%

7 Revenues Self Pay Revenue $674,619 $1,851,504 Commercial Insurance Revenue 849, ,261 Medicaid and Medicare Revenue 12,187,174 15,532,133 Grants, Contracts and Donations 8,928,205 9,158,661 Grants, Capital 286,552 0 Louisville Metro Appropriations 1,884,100 1,842,802 Non-Operating & Interest Income 1,286,724 1,102,047 Total Revenues $26,096,636 $30,251,408 Expenses Salaries, Wages & Benefits $19,394,233 $19,137,676 Purchased Services and Professional Fees 5,344,264 5,335,744 Supplies and Other 3,310,418 3,571,969 Depreciation and Amortization 589, ,448 Total Expenses $28,638,529 $28,660,837 Patient Payor Mix Insurance 49% by Month Nominal Fee 38% Sliding Fee 13% First EHR Go-Live at FHC Southwest EHR Go-Live at FHC-Portland the Largest Clinical Site Financial data reflects Family Health Centers 2013 Fiscal Year, December November Other data presented is based upon the 2013 calendar year. For a complete Audit Report, please visit

8 Family Health Centers - Portland Main Clinical and Administrative Site 2215 Portland Avenue, Louisville, KY (502) Family Health Centers - Americana 4805 Southside Drive, Louisville, KY (502) Family Health Centers - East Broadway 914 East Broadway, Louisville, KY (502) Family Health Centers - Fairdale 1000 Neighborhood Place, Louisville, KY (502) Family Health Centers - Iroquois 4100 Taylor Boulevard, Louisville, KY (502) Family Health Centers - Southwest 9702 Stonestreet Road, Building 1, Suite 220 Louisville, KY (502) Family Health Centers - Phoenix Health Care for the Homeless 712 East Muhammad Ali Boulevard, Louisville, KY (502) All Family Health Centers, Inc. clinical locations are accredited by the Joint Commission for Ambulatory Care and as a Patient Centered Medical Home. Accredited since 1982, Family Health Centers is the second longest continuously accredited community health center in the nation. facebook.com/fhclouisville FamilyHealthLou