Amistad Community Health Center 2012 Annual Report

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Be Part of the Success!
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Jesus Christ by volunteering at Amistad!
1.
Volunteer: Let us know your skills, interests, and talents and we’ll find a task that fits you! Have a church or civic group looking
to volunteer? Let us know and we’ll find a way for you to improve the lives of our patients.
2.
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healthier.
3.
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Amistad Community Health Center
2012 Annual Report
A Message from the President
I am pleased to thank our community stakeholders for your support this year and to present
the 2012 Annual Report for Amistad Community Health Center.
Quality, Affordable Health Care
Services
First and foremost, I am happy to report that Amistad is in a good position for the future. Last
year I reported on the changes taking place in health care and the various challenges and
opportunities presented by these changes, namely Meaningful Use, Patient Centered Medical
Home (PCMH) and the Patient Protection and Affordable Care Act. Other changes include
Accountable Care Organizations (ACO) and the 1115 Waiver Program.
Amistad offers patients a medical home where they can have a wide range
of health care and auxiliary services coordinated by their personal provider.
We offer the following services:

Primary health care services

Pediatric and adolescent health care services

Gynecology and obstetrics

Wellness checks, including nutrition education

Diabetes management and education

Immunizations

Prescription Assistance

Community gardening and exercise opportunities
By upgrading the electronic health record system, Amistad was able to meet all of the
requirements for Stage 1 Meaningful Use and collected $102,000 in incentive payments as a
result. We have started implementation of Stage 2 and two of our clinicians have met these
requirements. Our patients have been the real beneficiaries as a result of the improved service
efficiencies made possible by complying with Meaningful Use requirements. For example, each of
our patients receives a summary of their visit and has the choice to have prescriptions sent
electronically to the pharmacy of their choice.
Amistad has also made significant progress in working toward certification as a PCMH this year.
Our state association (TACHC) devoted the 2012/13 Optimizing Comprehensive Clinical Care
(OC3) learning year to assisting centers in meeting the PCMH standards. The goal is to be
certified as a PCMH by the National Committee for Quality Assurance by the end of 2014.
Amistad is now also a part of a statewide ACO. Selected by TACHC as a first-tier member of
Essential Care Partners, LLP, the ACO is participating in the Medicare Shared Savings Program.
The health center infrastructure developed by this funding can be modified to meet the needs of
other adult populations in preparation for the Medicaid and health exchange expansions
scheduled to occur in 2014 under the Patient Protection and Affordable Care Act.
The 1115 Waiver Program has included Amistad in the Regional Health Plan through
collaborative projects with Corpus Christi Medical Center and the Corpus Christi/Nueces County
Public Health Department. The plans include expanding primary care with an additional
physician and integrating behavioral health into the primary care setting in order to decrease
emergency room visits and preventable hospital admissions. Amistad will also be able to employ
a community health care coordinator to work with diabetic patients through this program.
1533 S. Brownlee Blvd. Corpus Christi, TX 78404
361-884-2242
[email protected]
www.amistadchc.com
Thank you for being a part of our success!
Steve Woerner, Board President
Table of Contents
President’s Message 1
Letter from the CEO 2
Accomplishments 3
2012 in Review 4
Medical Director Article 6
Patient Care 6
Donor Appreciation 7
Services 8
Partners 8
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Amistad’s Mission: To show and share the life of Jesus Christ to the Corpus
Christi community by providing holistic, affordable and quality health care
A BIG thank you to all the donors and foundations
that supported Amistad in 2012!
services.
A Message from the CEO
On the 8th of April 2013, Amistad will celebrate five years of providing quality primary care services to
the residents of Corpus Christi and Nueces County.
I am pleased to report that for four of those years I have served as Amistad’s Chief Executive Officer.
Some members of the Board of Directors have guided the organization since Amistad was
incorporated in 2005, and some of the earlier pioneers have rotated off the Board but continue to
offer support. The accomplishments highlighted here were made possible by the policy decisions
reflected in our Strategic Plan developed by the Board in 2010 and updated in 2012.
Amistad continued to mature both programmatically and financially in 2012. Service delivery
increased from serving 3,688 patients with 10,649 visits in 2011 to 4,430 patients with 14,577 visits in
2012, an increase of 21% and 37%, respectively. Amistad continues to serve mostly uninsured
patients with 57% of the patients served in 2012 being uninsured, with another 27% insured by
Medicaid, 9% by Medicare, and 7% by private insurance. Of the visits in 2012, 49% were for uninsured patients, 34% to Medicaid
patients, 9% to Medicare patients, and 8% to patients with private insurance.
Revenue from patient fees increased from $1,118,852 in 2011 to $1,508,775 in 2012, a 35% increase. Over half (54%) of the
patient revenue is from uninsured patients due to the increase in the number of visits provided to those patients and the diligence
of our receptionists in collecting fees from patients who are able to pay. Our Federal HRSA funding amounted to $705,565 and
other grants, including Methodist Healthcare Ministries and Meaningful Use incentives, were $514,397. Our total net assets
increased by 7% from $1,394,219 in 2011 to $1,498,455 in 2012. Liabilities were reduced by 13% ($53,925) from $428,732 to
$374,807 in 2012.
With funding from the Community Development Block Grant we have renovated three rooms into exam rooms. In addition, we
received CDBG funds to remodel the last unfinished section of the first floor to create four additional exam rooms, a nurse’s
station, and an office for a clinician.
MANAGEMENT TEAM
Eddy Herrera, CEO
Joe Flores, CFO
Theresa King, Clinical Operations
Director
Dr. David O’Dell, Medical Director
Lori Smith, Human Resources
Administrator
Maria Medina, Front Office Supervisor
Gloria Galvan, Nurse Supervisor
As indicated in our President’s Message, we have made significant progress in
implementing several initiatives: Patient Centered Medical Home, Meaningful Use, being
part of an Accountable Care Organization, and collaborating with Corpus Christi Medical
Center and the Corpus Christi/Nueces County Public Health District under the 1115
Waiver Program.
The past year has further positioned Amistad for the future, and I am confident that 2013
will be an even better year. We look forward to continuing our top-notch patient care
and offering the community a solution for quality, affordable primary health care.
Eddy Herrera, Chief Executive Officer
DONORS
Belinda Flores
Parkway Presbyterian
Lori Anderson
P. Fosset
Carrie Perez
Suzanne Anthony
Blanca Fradera
Mary Peterson
Pam Arredondo
Kim Frahm
Jerry Pyron
Clara Baumgartner
Irma Fuentes
Lillian Raska
Gordon and Robin Bennett
Kip Gibbs
Guadalupe Reyes
Pamela Birdsong
Amy Granberry
Peter Ruiz
Lisa Boggs
Gene Guernsey
Suzette Russell
Allen Borden
Pamela Hall
Emelda Saenz
Karen Bryant
Nancy Harwell
Stefany Schade
Carolyn Buckley
James Hendriz
Micki Schmidt
Catherine Carmany
Jonny Hipp
Mark Scott
Javiola Castillo
Cheryl Jackson
Brian Smith
City Church
Theresa King
Michael Swantner
Bil and Connie Cone
David C. Loeb
Sylvia A. Tovar
Martha D.
Joe A. Martinez
Judy Vest
Shirley Delaurentes
Jay and Loretta Masterson
Josefina D. Villarreal
John de Montel
Vic Medina
Shaye Walston
Pat Dixon
Loyd Neal
Alan and Catrina Wilson
Anne Dobson
Chris Nicosia
Steve Woerner
Kerry DuBose
Jaime Nodarse Miglini
William Word Jr.
Leo and Minne Duque
David O'Dell
Susan Wright
Sherrill Ellis
Leah Olivarri
FOUNDATIONS
BOARD OF DIRECTORS
* Consumer Board Members
Coastal Bend Community Foundation
Steve Woerner*, President
Belinda Flores*
Tony Reyes, Vice President
Paul Ham*
Joe Martinez, Treasurer
Juantia Lopez*
Chris Nicosia, Secretary
Doug Mercer*
Coastal Bend Diabetes Initiative
CHRISTUS Fund
John G. and Marie Stella Kenedy Foundation
Methodist Healthcare Ministries
United Way of the Coastal Bend
Alan Wilson
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Quality, affordable health care ser vices
Amistad’s Vision: Amistad provides the underserved population in the Corpus Christi/Nueces County community with the highest quality health care
available in the spirit and strength of Jesus Christ. We foresee a future where Amistad is the place of choice for full-service health care, meeting the
spiritual, emotional and physical needs of the community, and impacting the lives of those around us through the love and actions of Christ by
offering treatment of the sick, inured, afflicted, and disabled, without regard for any person’s race, color, creed, national origin, gender, sexual
orientation, age, religion, economic status, or disability.
Medical Report Amistad 2012—More of the Best That We Can Give
Working Together
David M. O’Dell, MD, JD, MBA, MHSM
Another year at Amistad Community Health Center has seen us grow, both in size and in the way in which we impact our Corpus
Christi population and the surrounding community. We have doubled the number of patient visits to almost 15,000 patient
encounters per year. We expanded our services to include prenatal care for OB patients, and active screening and treatment for
women with abnormal Pap smears who need further attention. We are performing more well baby checkups, well person exams, and
cancer screening exams for all of our patient population. We are managing chronic diseases such as diabetes and high blood pressure
so that our patients can avoid severe problems and hospitalizations. Amistad continues to be a patient-centered medical home where
our population receives their healthcare in a compassionate and respectful environment, without regard to the ability to pay for the
services that we are privileged to offer. Amistad is becoming the place to come to in Nueces County for quality, affordable healthcare.
An important part of the growth and maturation of our health center is found in a very special place. It is in the hearts and souls of the
people at Amistad, who work here because they are dedicated to continuing the healing ministry of Jesus Christ, and doing so one
patient at a time. At Amistad, we are committed to doing all that we can for as many people as we can, and doing it the best that we
can. Sometimes, this means easing the pain and suffering for diseases that we cannot cure completely. Sometimes, this means
screening for bad problems like cancer, and having to pass on bad news to patients who are learning for the first time that they have
great challenges ahead in their life. Sometimes, this means performing a routine physical exam, which can be so important to many
people to reassure them that they are in good health. It always means doing whatever we can do to improve the overall health of our
patient population.
We are also in the process of growing physically. With the help of the City of Corpus Christi, we are expanding our clinic size to
accommodate more patients and healthcare providers. In 2013, Amistad plans to add another physician as well as a specialist in
behavioral health. We have plans to remodel existing space to make our healthcare services more efficient. We are adding new,
upgraded medical equipment to keep up with advances in medical technology. Once again, we continue to strive to offer more of the
best that we can give to as many residents in need as we can properly care for in a high quality manner.
At Amistad, 2012 was a growth and learning experience for all of us. The commitment to excellence in providing quality, affordable
healthcare in the likeness of the healing ministry of Jesus Christ is alive and well at Amistad. The physical, fiscal, and emotional
environments here are as healthy as they have ever been. Even so, in 2013, all of us at Amistad look forward to giving more of the best
that we can give to the deserving patients of Nueces County and the surrounding area.
Patient Spotlight: Amistad is a 10!
Adelita Garcia has been a patient of Dr. Ruiz for four months now. After a
recent follow-up visit with Dr. Ruiz she talked about her experience as a
patient at Amistad. “Dr. Ruiz treats me very well. The whole staff at
Amistad treats me with dignity and respect.” Ms. Garcia started coming to
Amistad when her previous family practitioner stopped accepting her
insurance. Her insurance company referred her to Amistad, and she’s
been a satisfied patient ever since. Ms. Garcia said that she’s so happy at
Amistad that she would recommend Amistad to her friends and her entire
family. “Everything here is a 10!”
We believe in strong partnerships that leverage available resources to the greater benefit of our community.
Thank you to all our partners for working with Amistad in 2011!

Bold Future Initiative

Driscoll Children’s Hospital

CHRISTUS Spohn Health System

Executive Director’s Council of the Coastal Bend
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CLK Architects
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Frost Bank

Communities of Shalom

Health Information Network of South Texas

Corpus Christi Medical Center
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NuStar Energy

Corpus Christi/Nueces County Public Health District

TX A&M Health Science Center CBHEC

Coastal Bend Diabetes Community Coalition

Texas Association of Community Health Centers

United Way of the Coastal Bend
Exercise Available to Amistad Patients and Staff on Newly Completed
Walking Path
In 2012 Amistad added an outdoor walking path in the backyard with the purpose being to provide affordable
exercise opportunities for patients and staff. With funding from the Coastal Bend Diabetes Initiative and volunteers
from New Braunfels Presbyterian Church Youth Group , the walking path was completed last summer. Patients and
staff are encouraged to participate in walking groups that regularly exercise on the path. The walking path is located
next to Amistad’s community garden which was built in 2011 to offer patients and staff access to healthy fruits and
vegetables.
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A look at Amistad’s 2012 performance...
...financial, productivity, and clinical outcome measures.
Texas A&M Health Science Center
Coastal Bend
Health Education Center
Medication Assistance Program
Total Patients Served in 2012
334
Applications Processed
1,781
Cost Savings to Patients
$995,343
2012
#
Patient Fee Revenue
$
1,508,775
54%
Federal Funds
$
705,565
25%
$
514,397
19%
Contributions
$
48,267
2%
Total
$
2,777,004
Other Grants/Incentives
(MHM, CDBG, CHRISTUS, MU, etc.)
Hypertensive Patients’
Clinical Outcomes
Patients with blood pressure in
control (BP < 140/90)
Patients with blood pressure
out of control (BP > 140/90)
%
100%
Diabetic Patients’
Clinical Outcomes
40.4%
57.1%
Patients with normal hemoglobin A1c
(A1c < 7.0%)
47.5%
Patients with hemoglobin A1c in control
(A1c 7.0%-9.0%)
31.6%
Patients with hemoglobin A1c not in control
(A1c > 9.0%)
20.9%