Annual Report
Transcription
Annual Report
New Name, Forward Vision ANNUAL REPORT 2015 The Mission of Unity Care NW We value accountability for results and the elimination of health disparities. We are committed to increasing the years of healthy life in the people and communities we serve. Provide access to high-quality, affordable, primary medical, dental, behavioral health, and pharmacy services for all, regardless of the ability to pay. Board of Directors Senior Leadership Daniel Whittle, President Melvin De Jong, Vice-President Curtis Bush, Treasurer Geoff Tupper, DDS, Secretary Mike Bates Ethan Branduff Terry Brown John Chadwick Desmond Skubi, Executive Director Emily Boehm, Human Resources Director Barb Clure, MD, Medical Director Shanon Hardie, Chief Operating Officer Jan Klineburger, Finance Director Christina Kobdish, Director of Planning and Development Randy Polidan, Behavioral Health Director Carrie Shane, Dental Director Brandi Damon Bruce Kadar Jon Martin Elya Moore Debbie Paton Rebecca Schayes Elaine Woods All photos courtesy of Phil Rose Photography unless otherwise noted. • Annual Report design by Big Fresh - BigFresh.com LETTER FROM THE EXECUTIVE DIRECTOR I recall what can be done when the world at last confronted the terrible plague of Ebola, its geometric spread halted by cooperation and science, a contagion which then retreated into the jungle from which it came. In the last year, I walked the streets of downtown Bellingham before dawn, observing the homeless camped on hard ground in covered doorways. I walked the trail along Whatcom Creek to Maritime Park and spoke with the homeless, living rough beneath bridges in the cold and the wet. I visited homeless encampments with the incredible women on the Opportunity Council’s Homeless Outreach Team. I recall the recent words of Pope Francis at the US/Mexican border calling upon us to build bridges not walls between ourselves and the world’s refugees. The homeless in Bellingham are refugees, from a recession that denied them jobs, from a society of rising inequality, from disintegrating families, from traumas that often happened early in life, traumas too often repeated and inflicted by the people that they should most have been able to trust. We need to build bridges and not walls between ourselves and those who are the refugees in our midst. “ We need to build bridges and not walls between ourselves and those who are the refugees in our midst “ I watch with dismay the millions of displaced persons around the world forced to flee their homes, their communities, and their countries by violence, by economies that deny them opportunity, by racial and ethnic hatred. They travel by decrepit boats, atop train cars, along highways, crossing seas, mountains, deserts, and inhospitable places searching for safety and the possibility of a better life for their children. I thank our community for the support that has made our expanding services possible. I thank our staff for the care and service that they provide to people who are homeless or otherwise vulnerable. It is in this spirit that Unity Care NW was founded 34 years ago. It is the spirit in which we work today. It is the spirit in which we plan for tomorrow. Gratefully, Desmond Skubi, Executive Director Unity Care NW Annual Report 2015 • Page 1 Celebrating Success • We provided medical, dental, behavioral health, and pharmacy services to more than 18,500 patients in 2015, an increase of 34 percent since 2013. Medical and dental visits increased 29% and 46% respectively since 2013. •Pediatrician Dr. Julie Cheek joined our Bellingham clinic in 2015. She directs the development of our pediatric and maternal-child services, which served 761 more patients last year. •We added behavioral health services at our Ferndale clinic. •To ensure that more of our patients can afford the medications they need, we expanded our pharmacy sliding fee scale and placed a maximum charge of $30 on most prescriptions. •Our newly-established Communicable Disease Program treated and cured 15 Hepatitis C patients, with plans to expand our treatment program in 2016. •Our Bellingham and Ferndale clinics achieved Patient Centered Medical Home Level 3 Recognition, the highest level of recognition bestowed by the National Committee for Quality Assurance for a commitment to quality health care. •We started construction on a new 12-chair adult dental clinic and expanded behavioral health clinic. When completed in July 2016, we will have the capacity to provide expanded behavioral health services and dental care for more than 6,000 patients, primarily pregnant women and the adult family members of children seen in our dental program. Page 2 • Unity Care NW Annual Report 2015 & Planning for More • We will expand behavioral health services at both Bellingham and Ferndale, providing more services for families with children, enhanced substance abuse screening and early intervention, and development and implementation of senior programs. • Through the use of information and communication technology, telemedicine connects primary care providers to health experts and increases the ability of primary care providers to address complex conditions and diseases, particularly when access to specialty care is limited. Building on our participation in Hepatitis C and HIV telemedicine programs, we look forward to engaging in other areas, including dermatology. • Planning continues for a new, expanded health center in Ferndale serving north Whatcom County that will provide medical, dental, behavioral health, and pharmacy services beginning in 2018. THE FOUNDATIONS OF HEALTH for Disease Control and Prevention (CDC) found that childhood trauma affects long-term health. “Traumatic stressors,” including homelessness, domestic violence, and childhood abuse or neglect, increase the risk later in life for chronic illness and disease, including alcoholism, depression, and substance abuse. According to the American Mental Health Counselors Association, “half of all lifetime cases of mental health and substance abuse disorders begin by age 14 and three-fourths by age 24.” By providing behavioral health services to parents and their children, we hope to prevent or mitigate the Prevention and primary care are the foundations care to the parents of children who receive care effects of adverse childhood experiences and of health care. With this in mind, Unity Care NW in our clinic. Dental care for the whole family behavioral health issues that put long-term health hired Dr. Julie Cheek as our first pediatrician in is preventive care because we know that the outcomes at risk. 2015. Dr. Cheek is leading the development of infectious disease that causes cavities runs in our pediatric and maternal-child health services, families. Pregnant women and parents with which currently include newborn care, well- untreated dental disease can pass the bacteria child exams, immunizations, and family planning that cause dental caries on to their children. Left services. untreated, dental disease has been linked to Our new pediatric program complements our established pediatric dental services. For many health conditions such as cardiovascular disease, bacterial pneumonia, and diabetes. years, Unity Care NW’s dental practice has In addition to our medical and prioritized care for children and pregnant dental services, we look forward to women. With the expansion of our expanding our behavioral health Bellingham adult dental clinic, we will have increased capacity to provide dental services for families with children. The Adverse Childhood Experiences Study (ACES) conducted by the U.S. Centers Unity Care NW Annual Report 2015 • Page 3 Adult Dental Care “He took it on as his personal mission to get every patient taken care of on the stand-by list… especially on Fridays so patients didn’t have to wait the entire weekend in pain.” In August, we lost Dr. Eric Moldver to a tragic accident. Eric was an integral part of our dental team for more than 10 years and is greatly missed. He was not only a caring and compassionate colleague but also an exceptional man who believed in and supported his community, lending his talents to improving the lives of those he served. The care provided by Dr. Moldver and the rest of our dental staff is desperately needed in our community. The 2015 Prosperity Project prepared by the Opportunity Council reported that those surveyed in Whatcom County consider affordable dental care to be both “extremely important” and “very hard to get,” creating one of the county’s most serious service gaps. There is a large cumulative unmet need for dental care, one which Unity Care NW cannot address alone. It is estimated that DR CARRIE SHANE, UNITY CARE NW DENTAL DIRECTOR Page 4 • Unity Care NW Annual Report 2015 Unity Care NW, with about 3,000 adult dental patients, serves onethird of low-income adults in Whatcom County who currently access dental care. But another 50,000 low-income adults are believed to lack needed dental care. By 2020, our goal is to serve an additional 8,500 adults and, by 2025, to provide needed dental care to all those who choose Unity Care NW as their health care home. The construction of a new 12-chair adult dental clinic in Bellingham is a first step in that direction. We seek to break the intergenerational cycle of dental caries by treating the whole family by prioritizing children, pregnant women, and the parents of children who are established dental patients. We provide emergency dental care to anyone who needs it, just as Dr. Moldver did. We treat 50 to 60 emergency dental patients each week. Dental emergencies account for about 2.5 percent of all trips to the emergency room, so we aim to provide relief to those in pain and to bend the cost curve on costly emergency room care. Behavioral Health Unity Care NW is a leader in the transformation of behavioral health care through its integration of behavioral health with medical care. Over the past decade, federal action has expanded insurance coverage for behavioral health screening, diagnosis, and treatment. Recognition of the linkages between a healthy mind, habits, and body are making inroads on the stigma surrounding behavioral health that has been a barrier to care for many. Despite advances in insurance coverage and public education, access to treatment remains challenging in our community. Unity Care NW’s goal is to build the capacity and services needed to provide for the behavioral health care needs of all patients who choose us as their health care home. The soon-to-be-completed expansion of our behavioral health clinic in Bellingham, as well as plans for a new clinic in Ferndale coming in 2018, will move us towards achievement of our goal. We seek to provide mental health counseling and substance abuse services and address behaviors that negatively impact health, including sedentary lifestyles, social isolation, and obesity. We provide short-term counseling and crisis management within the context of a primary care visit, as well as psychiatric and intensive behavioral health services. In 2015, we began offering case management services that link our patients to community resources in order to address barriers to health, such as housing and food insecurity, unemployment, and domestic violence. Since 2013, our behavioral health patient population has increased by 10 percent, and we have seen a 41 percent increase in behavioral health visits. We are excited to enhance services we currently provide, addressing the health needs of the whole person and spanning the life cycle, from families with children to seniors. ABOVE: JANET CLINGAMAN, PSYCHIATRIC ARNP AND DR. AARON MOORE, PSYCHIATRIST ARTWORK: COURTESY OF UNITY CARE NW BEHAVIORAL HEALTH CLINIC STAFF AND PATIENTS Unity Care NW Annual Report 2015 • Page 5 North Wha In 2007, Unity Care NW, then Interfaith Community Health Center, opened its Ferndale clinic. At the time, we served about 2,700 patients residing in the north Whatcom County communities of Ferndale, Custer, Lynden, and Blaine. Just eight short years later, the percentage of patients we serve living in north Whatcom County more than doubled to about 5,800. We expanded our services in Ferndale in 2015 by leasing a space across the street from our main Ferndale clinic. This annex offers behavioral health, outreach, and enrollment services and will become the first location outside of Bellingham to offer behavioral health services to publiclyfunded patients with complex needs. Page 6 • Unity Care NW Annual Report 2015 Aerial Perspective - SE atcom Clinic As the demand for our health care services continues to grow in north Whatcom County, we are quickly outgrowing our current facilities. With population growth and the demand for our affordable health care services among low-income populations in particular, we anticipate that we will care for 9,500 patients in north Whatcom County by 2021. In response to this growing need, we plan to open a new $12 million, expanded clinic in 2018 serving north Whatcom County. We are launching a capital campaign to raise $3 million of the total project cost. The new Ferndale clinic will offer medical, dental, behavioral health, pharmacy, and lab services to our patients. Unity Care NW Annual Report 2015 • Page 7 PATIENT PROFILE Ethan Branduff “In New England, my search for health care was frustrating. I’d struggled for years with autoimmune disease and chronic pain from injuries, but few medical providers would take Medicaid. Autoimmune issues were not widely understood or even accepted as real. I was often told that my symptoms existed only in my mind. My providers at Unity Care have always taken the time to listen to me. I’ve felt believed and respected. I’ve received excellent medical care, and I’m grateful.” Two years ago, Ethan discovered the chronic pain group offered through the Behavioral Health department. “As someone who chooses not to use pain medications, the chronic pain group was an amazing opportunity for me.” Participation in the support group, acupuncture, and Qigong have made a “huge difference” in improving Ethan’s physical health and quality of life. Photo: Jana Marcus His involvement in the chronic pain group also led him to a new level of involvement with Unity Care NW. Learning that the Board is comprised of at least 51 percent patients “inspired me to apply. It suddenly felt like a responsibility.” He joined the Board in January 2015. As a result of his membership on the Board of Page 8 • Unity Care NW Annual Report 2015 Directors, “My thinking about community health centers completely evolved.” He has a greater awareness of the role of community health centers in health care delivery and has been impressed by the breadth of knowledge of the Board members and staff. They are “selfless in their work and their commitment to community health,” he says. “ My providers at Unity Care have always taken the time to listen to me. I’ve felt believed and respected. I’ve received excellent medical care, and I’m grateful “ “Unity Care has been my first experience with community health care,” Ethan says. He moved to Bellingham from New Hampshire 13 years ago and became a medical patient at Unity Care NW soon after. Ethan is a strong supporter, promoting Unity Care NW in the community. He is particularly enthusiastic about pharmacy services and the “advantages of having the pharmacy right next door to my medical provider.” Like so many of the other services he found at Unity Care NW, it is something that “didn’t happen anywhere else.” PROVIDER PROFILE Dr. Colin Goggin Dr. Goggin joined Unity Care NW in 2012. For nearly four years, he and Jessica Wynne, ARNP, have worked to create a health care home for patients living in north Whatcom County. Together, they have built up the Ferndale medical practice and have been an integral part of what he describes as a tight-knit culture at the clinic. While at Unity Care NW, he has witnessed dramatic changes in the delivery of health care. Along with implementation of the Affordable Care Act, he describes a “gradual increase in emphasis on quality and working on how to measure that quality in terms of meaningful outcomes for patients.” And he has been on the forefront of Unity Care NW’s telemedicine initiatives, participating in a dermatology pilot project offered through the University of Washington. “ Patients say they like how they’re treated here. That’s my goal – good quality, compassionate care… “ Dr. Colin Goggin, a family practice physician in our Ferndale clinic, was drawn to the Northwest in search of a mission. He has lived all over the country and spent time in Ecuador where he studied Spanish. But after years in private practice and emergency room care, Dr. Goggin says that he was looking for a change in direction. He sought to join a “practice with a mission,” one committed to providing health care for everyone. Within Unity Care NW’s community health center setting, he found what he was looking for – a place where patients can come regardless of the ability to pay, where a sliding fee scale ensures affordable care, and where resources are available to meet the needs of the whole person. Dr. Goggin looks forward to the construction of a new clinic serving north Whatcom. Along with providing access to more patients, the addition of pharmacy and lab services and the integration of behavioral health services at a single location will improve care coordination. “A lot of people have transportation issues, and people could really benefit from low-cost medications.” The mission continues to motivate him. “Patients say they like how they’re treated here,” he says. “That’s my goal – good quality, compassionate care... and staying on time.” Unity Care NW Annual Report 2015 • Page 9 – TDAP Vaccine Percentage of Patients 100 75 6808 patients 9065 patients Quality Improvement 50 25 6776 patients 2011 2013 2015 Providing high-quality health care, however, is about more than recognition and rankings. It is about improving health outcomes for our patients and helping them to reach their full potential. It involves Percentage of Patients Pap Smear 100 75 50 3094 patients 2987 patients 3277 patients 25 2011 2013 Our commitment to quality is central to our mission. We strive to improve the quality of care and our patients’ experience every day. In 2015, we achieved Patient Centered Medical Home Level 3 Recognition from the National Committee for Quality Assurance because of that commitment. 2015 Prevention Measures 2011 2013 2015 TDAP Vaccine 17% 54% 67% Flu Vaccine 21% 31% 32% Pneumovax 37% 66% 65% Pap Smear 48% 50% 61% Diabetic A1c Screening 79% 87% 92% Diabetic Retinal Screening 20% 34% 50% Colorectal Cancer Screening 29% 33% 45% Hypertension: Good Control 60% 69% 76% Diabetes: Good A1c Control 74% 78% 77% Screening Measures Percentage of Patients Diabetic Retinal Screening 100 75 50 25 865 patients 974 patients Control Measures 929 patients 2011 2013 2015 Patient numbers reflect total number of patients eligible for vaccine or screening. Page 10 • Unity Care NW Annual Report 2015 Background photo: C9 Photography – Committed to Quality FINANCES Revenue relationships and partnering with patients to achieve their health care goals. Ultimately, it’s about increasing the years of healthy life in the people and communities we serve. We are proud of the quality of care we provide and the stories our patients tell us about how that care improves their lives. We will continue to strive to deliver health care services in a way that engages patients in their care and improves their health and wellbeing. Patient Revenue 87 % Investment Interest and Misc. Income 1% Private Grants and Donations 3% Government Grants and Contracts 9% Unity Care % Rank* 2013 2015 Overall Satisfaction with Care 87% 90% 93 Appointment Wait Satisfaction 81% 92% 90 Reception Staff Courtesy and Helpfulness 88% 93% 83 Provider Explanation of Care 91% 93% 97 Provider Listening 84% 87% 69 Expenses Medical 34 % Fundraising 1% Dental 21 % Billing *Percentile rank compared to a national survey of Community Health Centers 2% Behavioral Health 8% Pharmacy 21 % Administration 13 % Unity Care NW Annual Report 2015 • Page 11 DONORS & VOLUNTEERS Support from the following donors provides medical, dental, behavioral health, and pharmacy services for the uninsured. Thank you for your generosity. DONORS Individuals Mel Agan, DDS Anonymous (4) David and Kate Ashley Mark Ashworth Diane and Michael Bates Diane and Bob Becker Emily Boehm and Wade Bessett Linda Blackwell, MD, and David Goldman, MD Teresa and Leo Bodensteiner Ethan Branduff Robert Bray Kerry Breit and Gib Clarke Barbara Brenner Mary and Dean Brett Laurie Brion, DDS Susan and Terry Brown Rebecca and Donald Brunk, MD Naomi Sullivan and Stephen Buetow, MD Curtis Bush Tracy Carpenter Abie Castillo Penny Chambers Julie Cheek, MD Karen and Richard Clark Barb Clure, MD, and Brad Clure Becky and Paul Connor, MD Lisa and Brad Cornwell Luci Correa Ian Craigie Jen and James Curlett Vicki Curtis Page 12 • Unity Care NW Annual Report 2015 Brandi and Derek Damon, DDS Heather Devlin Kristin Ely Pamela Englett Marcus Fairbanks, DDS, and Darcy Galbraith, DDS Leslie and Tim Farris Alisha Fehrenbacher Fay Fenske Heather Flaherty Rebecca Frevert, CNM, and Desmond Skubi Sylvia and Bruce Gillett Leona Groesbeck, RDH, and Richard Groesbeck Julianna Guy Susan and Aaron Hakeman Muriel Handschy, ARNP Shanon Hardie Laura and James Harker Rhonda and Eddie Hansen, DC John Harriman, MD Sidney and Larry Hartwell, MD Dr. and Mrs. Harry Herdman Leonard Hicks Mike Hinkle and Jane Dieveney-Hinkle William Hogan Susan Holstine, DO, and James Holstine, DO Rebecca Hora, DDS Elizabeth and Lance Huisinger Mauri Ingram and Lee Eberhardt Marlon Jack Kellie Jacobs, MD Catherine Bree Johnston, MD Margie and Steve Kimberley, DDS Dale and Cheryll Kinsley Jan Klineburger Grace and Leonard Kolodychuk, MD Michael Pietro and Christine Kubota Dawn and Barry Landau, MD Corinne Gimble-Levine, ARNP, and Henry Levine, MD Mary Jo and Michael Lewis Tisch Lynch, RN, BSN, M.Ed., and David Lynch, MD Donna MacDonald Bronwyn and John MacGregor Cheryl and John MacPherson Margaret Mamolen, MD, and Chris Phillips Catherine Martin Jon Martin Kathryn Martin Mike Martin Leah and Marco Mass, DDS Ann McQuade, RN, and Charles Ariz, MD Betty Miller Christine and John Molder Eric Moldver, DDS Jennifer Moldver, in memory of Eric Moldver, DDS Jennifer Moon Elya Moore, PhD Lisa Nelson Astrid Newell, MD, and Christopher Newell, MD John Nickell, DDS Mark Osborne Debbie Paton and Mark Wickman Joyce and John Pedlow Sharon and Ralph Peterson Emily and Christopher Piper Pam Pontious Deborah and Daniel Raas Todd Rawls Susan and Pete Rittmueller Becky Schayes Sharon and Milt Schayes, MD Jana Schofield and Michael Isensee Les Seelye, DDS Carrie Shane, DDS Janine Shaw, MD, and Dan Ohms Marin Siemanowski, MD, and Benjamin Siemanowski, MD DONORS & VOLUNTEERS Anne Slater Sheila Sondik and Paul Sarvasy, MD Chi-Na Kim Stoane, MD, and Jason Stoane, MD Lorrie Stuit Kurt Swanson, DDS Ian Thompson, MD Teresa Thornberg, MD, and Ken Carpenter, MD Susan and Loch Trimingham, MD Diane and Robert Trunek Geoffrey Tupper, DDS Rich Ullsmith, DDS Kathryn and John Whitmer Holly and Daniel Whittle Teresa Williams Walter Williamson Katie Wright Meagan and Ryan Wynne, DDS Foundations, Organizations, & Businesses: 12th Street Shoes Adelstein, Sharpe & Serka Attorneys AmazonSmile Foundation Andgar Corporation Barkley Village Family Dentistry Barron Smith Daugert, PLLC Bay City Supply Bellingham Central Lions Club Bellingham Herald’s Extend-A-Hand charity, administered by the Opportunity Council Big Fresh, Inc. (in-kind) BP Foundation Burkhart Dental Supply CaptureRx Cascade Prosthetics & Orthotics, Inc. CDK Interior Design Chuckanut Health Foundation Community Food Co-op Community Health Plan of Washington Coverys Dawson Construction, Inc. Employees Community Fund of Boeing Puget Sound Karin and Einar Engen, in memory of Eric Moldver, DDS Faber Brothers Construction Corp. Faith Lutheran Church Hope Lutheran Church Iris Fund of the Whatcom Community Foundation JC Penney Silicon Valley Foundation Larson Gross CPAs & Consultants Marcus Johnson, Architects Molina Healthcare of Washington Mount Baker District Dental Society Northwest Pathology, PS Pacific Continental Realty, LCC Parkway General Surgeons PeaceHealth Internal Medicine Group PeaceHealth Quil Ceda Village Council RiverStyx Foundation Seattle Foundation Simple/Benefits Stream, LLC Superfeet Worldwide, Inc. Thomas and Martina Horn Foundation Thrivent Financial for Lutherans Foundation TRUEretirement, Inc. Truist Umpqua Bank United Way of Whatcom County Veltkamp Orthodontics Washington Dental Service Foundation WECU Whatcom Community Foundation Public Funders: City of Bellingham North Sound Mental Health Administration U.S. Health Resources and Services Administration Whatcom County VOLUNTEERS Linda Blackwell, MD Hannah Burgler Australia Cosby Emily Holgen Laird McHaffie Loch Trimingham, MD The Annual Benefit Dinner: We gathered together in October to celebrate our 2015 accomplishments. Together with over 140 guests, we reflected on the origins of Interfaith Community Health Center and looked to our future as Unity Care NW. The evening was a great success, raising nearly $83,000 to support our clinical and support services. Thank you to our sponsors, attendees, and Dinner Committee members: Gib Clarke Brandi Damon Leslie Farris Susan Holstine, DO Rebecca Schayes Teresa Thornberg, MD We have checked and double-checked name spellings. We apologize for any oversights we may have made. Unity Care NW Annual Report 2015 • Page 13 phone: 360.676.6177 toll-free phone: 877.235.6850 after hours: 800.607.5501 Behavioral Health Services and Administration 1616 Cornwall Ave. Ste. 205 Bellingham, WA 98225 phone: 360.676.6177 In-House Pharmacy 218 Unity Street Bellingham, WA 98225 phone: 360.752.7406 FERNDALE Medical & Dental Services 5616 3rd Avenue Ferndale, WA 98248 phone: 360.676.6177 after hours: 800.607.5501 POINT ROBERTS Medical Services 2030 Benson Road Point Roberts, WA 98281 phone: 360.945.2580 “ The dentist was really good with my son… made him laugh. I like that he gave him a ‘goody bag’ with dental supplies. I liked that he explained everything he was planning to do in detail. “ As always, I was treated with kindness and respect. Thank you for such a pleasant experience. “ 220 Unity Street Bellingham, WA 98225 “ Medical & Dental Services “ I feel trust in my nurse and doctor. I am grateful I now have a place where I can go to get medical help after so many years of self-treating and worry. “ BELLINGHAM