National Association of Free and Charitable Clinics Organizational Update. Nicole Lamoureux Busby Executive Director

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1 National Association of Free and Charitable Clinics Organizational Update Nicole Lamoureux Busby Executive Director

2 NAFC Organizational Update 2012 has been a very busy year for the NAFC and for health care as a whole. The NAFC expanded: Our membership benefits Our marketing efforts Our committee work Technical assistance for members Data collection efforts Our work on the Hill and with Federal Agencies

3 Membership Committee Update In 2012 the Committee added the following NEW benefits for members: A prescription card for patients, donors and volunteers that will pay each clinic $1.50 for scripts that are filled through WellDyne A membership listerserve for sharing information and questions An expanded resource library, grants page, archived newsletters and minutes of committees on the NAFC members only section of the website Monthly Technical Assistance Webinars Discounted PAP software through NeedyMeds Donated products through Children's Wish Foundation and Embrace Discounted products through Brooklands, SD Biosenser, DDP

4 Membership Committee Update In 2012 the Membership Committee has: Increased our discounted products to 375,000 items Added new Affiliate members: ECHO - consulting services Hiller and Servaites - consulting services Medical Messenger - EMR services Healthcare Huddle - OSHA consulting Strengthen relationship with existing partners and supporters: ASTRAZENECA, RXOUTREACH, HENRY SCHEIN, INVACARE, MUTUAL OF AMERICA, MEDASSETS, AMERICARES, DIRECT RELIEF INTERNATIONAL, HEART-TO-HEART

5 Membership Committee Update Only 100 members have completed the Salary Survey Some basic stats are: 40% of clinics responded have a full time paid ED 52.9% of clinics responded have a volunteer medical director 61% of the clinics responded have NO phamracy director 52.2% of clinics responded have NO development director Please visit the NAFC Members Only Section for the link to complete this quick and important survey

6 Summit Committee In 2012 the Summit Committee: Reviewed 2011 Summit evaluations which helped the committee with valuable recommendations on this year s Summit Surveyed the membership and requested comments and suggestions on topics for the 2012 Summit Developed and reviewed the Call for Speakers program and established a robust agenda with a full spectrum of informational speakers that related to the Membership s requests on the agenda and speakers for this Summit Recruited the most vendors/sponsors the NAFC has ever has - 32! Secured location for 2013 Summit, Baltimore, MD, October 28-30, 2013

7 Legislative Committee The NAFC submitted comments on behalf of our member clinics and patients to the Department of Health and Human Services on the following issues: CMS-9989-F Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers Medicaid Program; Eligibility Changes in the Affordable Care Act of 2010, Interim Final Rules Proposed Rule, Medicare and Medicaid Electronic Health Record Incentive Program--Stage 2 (CMS-0044-P) Copies of our comments are available will be available on the Issues page of the NAFC website:

8 Legislative Committee S MITECH ACT - Introduced A bill to encourage the adoption and use of certified electronic health record technology by safety net providers and clinics. The bill will allow providers working in qualified safety net clinics to qualify for Medicaid EHR meaningful use payments under the needy threshold created by ARRA. The act also requires the Secretary to establish a methodology by which clinics can qualify for these payments as an entity. Bill is only a first step for free and charitable clinics and will need to be reintroduced next legislative session Developed Legislative Tool Kit (located on Members Only Section of Website for the Free and Charitable Clinic Awareness Month - August) Attended various Hill and Agency Meetings

9 NAFC Organizational Update The legislative policy statements for the Association are: Access to Affordable Health Care should be a right and not a privilege. In the interest of public health, all individuals should have access to affordable quality health care. Affordability, accessibility and portability of health care are issues that remain critical to the uninsured in this country.

10 C.A.R.E. Committee In 2012 the C.A.R.E. Committee: Worked closely with the Lone Star Association of Charitable Clinics (LSACC) and the North Texas Association of Charitable Clinics (NTACC) to hold a C.A.R.E. Clinic on September 29, 2012 in Dallas The Dallas C.A.R.E. Clinic served 1,200 patients and activated 1,300 volunteers Reviewed C.A.R.E. Clinic applications for future C.A.R.E. Clinics and announced the next clinic will be held April 20, 2013 in Tacoma WA Developed a Disaster Preparedness document for members to use in their own clinics, copies of this document can be found on your thumb drive and on the members only section of the website

11 State and Regional Executives In 2012 the State and Regional Execs: Undertook the massive responsibility to develop a data collection survey of the membership, which will be instrumental for reporting to the public, press, legislators and funders the large scale impact that clinics have on and within the safety net. Survey results show that clinics have very different definitions and/or missing measurement tools to capture disease states, value of service and operating expense Currently we have 300 clinics (we would like to see over 400) who have completed the survey, however, results are not quantifiable and staff continues to encourage all members to take minutes to complete the survey. This information is critical and will be released to NAFC members.

12 State and Regional Executives High level results of the Data Collection Survey Unduplicated Patients: 521,772 Total Patient Visits: 1,716,329 Disease States: 1. Diabetes 2. Hypertension Please visit the Member s Only section of the NAFC Website for the survey link

13 Development Committee In 2012 the Development Committee: Worked closely with the C.A.R.E. Committee and the Summit Committee(s) to identify and recruit sponsors for both the C.A.R.E. Clinic and the Summit Association was accepted into the Federal Combined Giving Campaign and our number is #60555 Developed direct mail pieces for the organization Established a monthly system for staff to thank donors and members for their payments and donation dedications Developed with staff a new website donations page and database for the NAFC

14 Marketing Committee In 2012 the Marketing Committee: Encouraged staff to continue working the media to tell the story of Free and Charitable Clinics two publications of note: Editorial in The Hill entitled The need for Health Care Coverage is neither red or blue Published paper on WebMD's Medscape Free and Charitable Clinics: America s Best Kept Health Care Secret Developed and approved the new tagline: Building a Healthy America One Patient at a Time. Support Free and Charitable Clinics Where Medical Care for the Underserved Isn't a Dream, It's Reality! Used grant funding to develop a PSA talking about Free and Charitable Clinics

15 Governance Committee In 2012 the Governance Committee: Insured the Association is compliant with our BYLAW requirements Review the different membership levels and their voting privileges within the organization and on the NAFC Board of Directors Review the nomination process for the NAFC Board of Directors, their terms and any requirements With respect to Board nominations the Committee recommended and the Board approved that in 2013 the Committee will continue to review our membership, Bylaws and new strategic plan therefore there will only be one candidate put up for election to the Board and the election will be before the end of the year

16 Finance Committee In 2012 the Finance Committee: Met monthly to review the Association s finances With the Board s approval established an investment policy and account Provided to and approved by the Board a $1.5 million Budget for the Association which reflects a deficit budget (136,000) for 2012 due to restricted funds from a Grant that was given to the NAFC from Medicis in 2011 and was carried over. At this time it is projected that the NAFC will end the year in line with the projected 2012 budget. Copies of the Association s 990 and audit documents are available on the members only section of

17 Join an NAFC Committee! Development Committee - The Development Committee shall be responsible for the fundraising for the NAFC and its programs State/Regional Executive Committee - The State Executives shall inform the NAFC Board of the issues facing the Free and Charitable Clinics and association in their regions or states. Summit Committee - The Summit Committee shall be responsible for the implementation, marketing, development, planning and funding (of the NAFC Annual Summit. Legislative Committee - The Legislative Committee shall be responsible for developing the NAFC Legislative and Policy agenda and for coordinating Legislative outreach events. Membership/Communication Committee - The Membership Committee shall be responsible for membership development, dues structure, retention, and benefits. C.A.R.E. Committee - The C.A.R.E. Committee shall be responsible for the implementation of the C.A.R.E. (Communities Are Responding Everyday) Clinic program as well as developing disaster preparedness material for our members. Marketing Committee - The Marketing Committee shall be responsible for developing a marketing plan and review marketing opportunities and materials. Governance Committee-The Governance Committee shall be responsible for the Bylaws, nominations and other compliance issues of the Association

18 Strategic Plan In 2012 the Board undertook Strategic Planning for the Association: While still in draft form the Board wanted to share the high level aspects of the plan with the membership. The FULL final document will be announced and placed on the member only section of the website and the staff will develop a two page document for public use. ORGANIZATION VALUES AND GUIDING PRINCIPLES WE BELIEVE access to health care should be a right, not a privilege. WE VALUE human dignity and ACCESS to quality, compassionate health care. WE VALUE the individuality of our member clinics and their ability to adapt to community needs and resources. WE VALUE volunteerism. WE VALUE community ownership, service and collaboration.

19 Strategic Plan STRATEGIC DIRECTION During the next 3-5 years NAFC will approach achievement of its vision and mission by: Creating widespread awareness around the critical role Free and Charitable Clinics play in America s health care system. Focusing on growing membership and enhancing membership services and volunteer engagement. Ensuring long-term sustainability by concentrating on organizational and financial capacity building. Longer-term strategic initiatives (3-5years) include: Developing potential staging for certification of clinics and establishing baseline standards for certification. Designing the most effective NAFC regional/state representation structure.

20 2013 NAFC Planning Continue data collection efforts for the Association Continue to grow membership within the organization Continue to grow member involvement within the organization Continue to tell the story of Free and Charitable Clinics around the country Continue to raise awareness of the important role the Free and Charitable Clinics play in the safety net with elected officials, the public, the press and policy makers. Continue to increase useful membership benefits for the organization Review the Membership dues structure for the Association Review the Summit registration payment structure for the Association Implement an approved Strategic Plan and report to membership and Board about the progress of the plan

21 Questions? Contact: NAFC Staff 1800 Diagonal Road Suite 600 Alexandria VA

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