2015 Annual Report

2015
Annual Report
Dear Friends,
The ongoing mission of Country Doctor
Community Health Centers is to improve the
health of our community by proving high
quality, culturally appropriate heath care to
people, regardless of their ability to pay.
Our Mission
Board of Directors
To improve the health
of our community by
providing high quality,
caring, culturally
appropriate primary
health care that
addresses the needs of
people regardless of their
ability to pay.
Jerry Sale, Chairperson
Rik Wyman, Vice-Chairperson
Morgan Dutton, Treasurer
Joan Kleinberg, Secretary
Ly Sieng Ngo, Program Committee Chairperson
Winnie Sperry, Membership Committee Chairperson
Christine Jones
Colt de Wolf
Raymond Angel
Cheryl Anderson
Mary Byrd
Grant Scull
Page 2
Continuing this mission in 2015, we focused our efforts on
a number of issues, including: increasing access to patient
care, serving more patients and offering more programs,
all while maintaining a culture that is unique to CDCHC.
The most notable news is that we’ve made significant
progress on our Betty Lee project. This $6.5m project will
ultimately bring dental care to the patients of CDCHC, as
well as an improved environment for the patients seen by
our WIC, HIV case management, maternity support, and
diabetes education programs.
In addition, two new programs were implemented in
2015. The pre-exposure prophylaxis program (PReP)
presents the first opportunity to prevent high risk
individuals from becoming HIV+; the Hepatitis C program
presents the first opportunity for a cure for what has been
a serious, chronic disease. Both diseases have significant
CDCHC
CDCHC
2015 Annual
2015 Annual
ReportReport
impact on the communities we serve; both programs are
an embodiment of our mission to improve the health of
our communities.
As a patient and now the parent of a patient, the
importance of having resources such as Community
Doctor Community Clinic, Carolyn Downs Family Medical
Center, and the After-Hours Clinic is not lost on me. It is
inspiring to see the positive impact that these facilities
and, more importantly, their amazing staffs have every
single day.
Your support, past and future, has been an essential part
of helping to maintain Country Doctor Community Health
Centers. Along with my fellow board members, please
accept our gratitude for your continued assistance.
Sincerely,
Morgan M. Dutton, Chairperson
Country Doctor Community Health Centers
Board of Directors
Page
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3
Accomplishments
Increasing Access to Patient Care
Significant progress was made during 2015 on
redevelopment of the Betty Lee site – a project
that will ultimately result in a new dental clinic,
providing access to dental for CDCHC patients.
After review by the Board at their March 2015 retreat, staff
began work on several aspects of the project: zoning,
a capital campaign, submittal of a $1m Federal grant
application seeking $1m, and request for $1.5m from the
City. For the most part we were successful - CDCHC was
one of only 160 health centers in the country to receive this
grant; zoning issues were successfully resolved; the capital
campaign began in earnest in January, 2016; and the City
awarded CDCHC $1.2m in June, 2016.
All three sites showed growth in the number of visits
provided: the After-Hours Clinic saw an 8 % increase,
the Carolyn Downs Family Medical Center, a 6% increase,
and the Country Doctor Community Clinic site experienced
3% increase. Two new programs were approved and
implemented during 2015, PReP and Hep C. PReP is a
program that is the first successful effort to prevent the
transmission of HIV; the Hepatitis C treatment program
provides a successful cure for hepatitis C; both programs
will have a significant impact on our patient population.
Proposed Dental Clinic site
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CDCHC 2015 Annual Report
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Demonstrating that the organization provides high quality care
EIGHT OF FIFTEEN (53%) CLINICAL GOALS WERE ACHIEVED IN 2015:
01
Maintain at 86% the number of
pregnant women beginning prenatal
care in the first trimester.
04
Compliance with this measure exceeded goal
by the end of the year with 92% of enrollments
in care occurring during the first quarter.
02
Screen at least 10% of persons aged
12 and over for depression.
By increasing medical assistant involvement,
providing education to staff, and improving
reporting this measure moved from 3% at the
beginning of the year to 27% at the year’s end.
03
Increase the number of patients 3 to
17 with a BMI percentile recorded in
their medical record and who were
counseled on nutrition and physical
activity to 25%.
29% of patients in this age group had a BMI
recorded in their chart and were counseled on
nutrition and physical activity.
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Increase the number of patients
18 and older with documented
BMI charted and a follow up plan if
overweight or underweight to 40%.
06
This goal was exceeded with 42% of patients
being screened appropriately. This was the
result of staff education, better access to tools,
and the involvement of the entire medical team
(providers, nurses, medical assistants).
The number of overweight patients with
documented BMI and a follow-up plan in their
chart is 46%.
05
Increase to 75% the number of
patients age 18 and over who
have received cessation counseling
intervention or medication.
Increase to 37% the number of patients
aged 50 to 75 who had appropriate
screening for colorectal cancer.
07
81% of patients over 18 who were smokers
were given smoking cessation advice or
medication.
Increase to 78% the number of
patients 18 or older with active
diagnosis of CAD who are on a statin
or have an LDL<130.
95% of patients in this group meet this goal.
08
Increase to 72% the number of
patients 18 or older who were
diagnosed with a specified ischemic
vascular disease, and are on aspirin
or another antithrombotic drug.
85% of patients with this diagnosis met this goal.
CDCHC 2015 Annual Report
Page 7
Developing an effective infrastructure
CDCHC was able to add much-needed administrative
staffing in 2015. A new development director, HR director
and Deputy Director were all added – all while maintaining
an administrative expense rate of 10%.
Significant Changes
PROGRAM
DEMOGRAPHICS
2015 saw a rebound in primary care visits at the CDFMC
and CDCC sites. Visits at the CDCC site grew by 3%, at
the CDFMC site by 6%, and at the AHC by 8%.
The most significant change in demographics is insurance
coverage. Since 2013 there has been a decrease in the
number of uninsured visits from 44% to 20% in 2015
Maternal/Child Behavioral Health Program grew by 317%,
the retinal screening program grew by 38%, and the
nutrition counseling program by 32%
Of some interest is the number of different languages
our patients speak. Although only 20% spoke a primary
language other than English, this represents 36 different
languages. Overall the most common language (other
than English) is Spanish. While as an organization Spanish
is spoken by only 15% of our patients, this varies widely
among sites; 27% of the patients at CDFMC are Spanishspeaking, 13% at the CDCC site are Spanish-speaking,
and 6% at the After-Hours Clinic. The top five languages
other than English are Spanish, Amharic, Tigrinya, Somali
and Vietnamese.
Page 8
80% of our
patients speak
English
20%
speak a primary language other than English
which represents
CDCHC 2015 Annual Report
36 different languages
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After Hours Clinic
Patients by ethnicity
Other 6%
Patients by residence
9% Asian
Patients
by gender
49% Other
Seattle
King County 17%
59%
52%
Caucasian
15% Hispanic
18% Black
43%
57%
Patients by income level
Out of
County
Over 200%........................................26%
20%
Patients by coverage
200%............................ 11%
150%................. 14%
Federal Poverty Level
4%
5%
5%
Capitol Hill/
27 % Central Area
7%
5%
6% Medicare
19% Self Pay
36% Medicaid
0-4
100% and below.... 49%
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5-12
13-19
Patients by age
CDCHC 2015 Annual Report
20-44
45-64
65+
39%
Private Insurance
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Carolyn Downs
Family Medical
Center
Patients by ethnicity
Other 3%
Patients by residence
5% Asian
36% Black
Patients
by gender
Capitol Hill/ 16%
Central Area
45%
45% Other
Seattle
21% Caucasian
40%
35% Hispanic
60%
27%
Patients by income level
Out of
County
Over 200%............................. 8%
Patients by coverage
200%............................. 9%
150%................. 18%
7%
8%
Federal Poverty Level
7%
6%
11% Medicare
13%
Private Insurance
20%
0-4
100% and below................. 65%
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33% King County
6%
5-12
Patients by age
CDCHC 2015 Annual Report
13-19
20-44
45-64
65+
Self Pay
56%
Medicaid
Page 13
Country Doctor
Community
Clinic
Patients by ethnicity
Patients by residence
5% Asian
7% Other
Patients
by gender
King County
42% Other
Seattle
21%
13% Black
52%
Causasian
23% Hispanic
47%
52%
53%
Patients by income level
Out of
County
29%
Over 200%.................................... 18%
Patients by coverage
200%........................... 12%
150%................ 20%
Federal Poverty Level
4%
0-4
100% and below...... 50%
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29% Capitol Hill/
Central Area
8%
4%
5-12
6%
5%
13% Medicare
19% Private Insurance
13-19
20-44
45-64
65+
20% Self Pay
48% Medicaid
Patients by age
CDCHC 2015 Annual Report
Page 15
Program Visit Statistics
Total Program Visits:
Medical Visits:
Carolyn Downs Site
Country Doctor Site
71,257
53,367 *
19,014
Thank you donors – you make the difference!
2015 Revenue Sources
Patient 66%
24,382
Federal 16%
Bianca Abate
Harvey & Kimberly Bowen
Julie Conklin
Morgan Dutton
Ada’s Technical Books/Cafe
Carmine & Janice Bozzi
Coordinated Care
E & H Humbly Bumbly Foundation
Dr. Carla Ainsworth
Darla Bratton
Mareatha Counts
Liliana Eagan
Aldrich + Associates
Rebecca Brenneman
Anne & George Counts Trtee
Peggy Jo Eaton
Kate Allen
Jim Brink
Joann Cowan
Michael Ehrenberg
Alison Allgor
Harry Brown
Michael Lee Craig
Tristan Elliott
Sarah & Bob Alsdorf
Barbara Bryant
David Crean
Alicia Eng
Amerigroup
Roger Bush
Jessica Cromer
Barry Faught
AHC
6,549
Hospital Services
1,035
Bob Anderson
Caffe Vita
Kathleen Cromp
Barbara Fetty-Solders
2,387
Carol Anderson
Johnny Calcagno
Brian Cullen
Sonja Olson Feuerborn
Jamie Attard
Alan H. Calkins
Kathleen Cunningham
Dr. Alan Fine
Michael Auch
Charles Carosella
Dr. Mary Curiel
Jennifer Fisch
Ba Bar
Deborah Carstens
Larry Daugherty
Greg Fisher
Molly Baggett
ChaCha Lounge
Cynthia Davenport
David Flentge
Arlesia Bailey
Wendy Chamberlin
Jill Daverso
John Flinn
Harriet Bakken
Jeannie Chang
Bruce & Mary Davis
Malena Foster
Stacy Banahan
Aimee Chase
Colt de Wolf
Joanne Frank
Mary & Peter Banks
Victor Chinn
Megan DeBell
Kay Frankenstein
Chris Banta
D. W. Clark
Jerry DeGrieck
Joe & Wendy Frazier
Beverly Barsy
Dr. Pat Clayton
Margot Dick
Cara Friang
Beth Bates
Pat Cleary
Maureen DiGiacomo
Linda Fricke
Behavioral Health
City 10%
* Included in these visits are 5,841 Health Care for the Homeless primary
care visits at the CDCC site, 5,298 at the CDFMC site, and 692 at the
AHC.
Other Health Visits:
State 1%
County 1%
Other 3%
Private 3%
17,890
Eligibility Screening/Assistance
8,198
Health Maintenance†
2,578
HIV Support Services
2,119
2015 Expenses
Maternity Support Services
448
Maternal/Child Depression
522
Joe Beavo
Mardi Clements
Dennis DiJulio
Elizabeth Friedland
190
Shari Behnke
Deborah Closs
Alexa Dobbs
Carole Fuller
Zane Behnke
Lawrence & Jody Clovis
Dr. Sharon Dobie
Joseph Galagan
Peter Berner-Hays
Coastal Kitchen
Dr. Wayne T. Dodge
Jennifer Gee
Pura Betances
Columbia City Ale House
Colleen Douville
Gino Gianola
Erika Bliss
Community Health Plan of
Washington
Mary L. Downs
Angela Ginorio
Jerry Dunietz
Courtney Goodheart
Nutrition Counseling
WIC
3,060
Tai Chi/Wellness Classes
501
Retinal Eye Screening
274
†
Included in these visits are 1,690 Health Care for the Homeless
health maintenance visits provided at the shelters.
Page 16
Admin 10%
Boeschoten Charitable Fund
Program 90%
CDCHC 2015 Annual Report
Page 17
Tammy Grogan
John Hughes
Owen Lawson
Linda McVeigh
Jamie Paulson
Jerry & Rachel Sale
Bonnie L. Talkington
Michael Voris
Abby Gross
David Huntington
Sue Leavitt
Megan McVeigh-DuBois
Michael Peskura
Tracy Schmitz
Tallulah’s
Dr. Kenneth A. Walsh
Jim Grummel
Amy Isaacson
Sydney Ledford
Philip Mealand
Eileen Petralia
Christy Schneck
Steve Tarnoff
Grace Wang
Megan Guansing
Dean Ishiki
Leah Lessard
Megan Melo
Cynthia Phillips
Elizabeth Schuh
Brandy Taylor
Craig R. Watson
Kris Haight
Robert Jarmick
Rhonda Levitt
John Mensher
Zhiga Phillips
Grant Scull
Ylanda Thomas
Kimberly Watson
Craig Halterman
Rebecca Johnson
Sarah Levy
Thomas R Merrick
Louise Pitell
Michael Seiwerath
Connie Thompson
Karen Watts
Shawn Hancey
Ted Johnson
Jon Lewis
Microsoft Matching Gifts Program
Russell Pogemiller
Gerry M Seligman
Jack & Gayle Thompson
Raleigh Watts
Michael Hanrahan
Patricia Johnston
Mary Lewis
Heather Miller
Bruce Pollock
Rachel Shapiro
Sara Thompson MD
William Watts
Greg Harmon
Martha Jorgensen
Tom Linde
Katherine Moes
Poppy
Dr. Lynn Shemanski, Ph.D.
Mary Anne Thorbeck
Dean Webb
Eric Hartmann, M.Ac., L.Ac.
Robert Kaplan
Denise Lishner
Molly Moon Ice Cream
Poquitos
Paul Silver
Patricia Throop
John Wedgwood
Stephen Hauschka, MD
Kaplan-Nelson Fund
Joan M. Loeken
Donna Moniz
Mr. and Mrs. John Price
Bill Singer
Tito Titus
Bob & Jacquinot Weisenbach
Rae Hayashi
Andrew Katz
Matthew Logalbo
Monsoon
Carolyn Purnell
Skillet Diner
Chau Tran
Barbara Westlake
Brendan Healy
James Keyes
Mary Looker
Thomas Moore
Quinn’s Pub
Carol & Mark Slosberg
Mary Travers
Sandra Wheeler
Jonathan Heller
Dr. David Kimelman
Roxanna Lopez
David R Morris
Ronald Quist
Jessica Slosberg
Barbara Trehearne
Jim & Mary Lou Wickwire
Hello Robin
Jane King
Christine Loredo
Nancy Morrison
Melissa Rabelhofer
Joseph Smecker
Kate Trent
Caroline Wildflower
Nancy Henderson
Ken Kirkland
Lost Lake Lounge
Robin Moser
Luis Fernando Ramirez-Limon
Smith
Michael & Lois Trickey
Jennifer Clarke Wilkes
Simeon Henderson
Joan Kleinberg
Betsy Lufburrow
Neil Nathanson, MD
Real Solutions Capital, LLC
Lisa Smith
Cheryl Trivison
Sherry Willia
Judith Hennes
Tom Knollman
Sharon Maier
Sallie Neillie
Jim Reed
Teri Smith
Reiko True
Kathy Wilmering
Judy Herrigel
Frederick Koester
Kathryn Maly
Sally Nelson
David Reyes
Larie Smoyer
Helen Tsao
Ben Winter
Susan Hester
Peter Kolb
Stephen Markowitz
Dick Nickel
Rhein Haus
Winnie & Sam Sperry
Roger Tucker
Cameron Winter
Craig & Emily Hetherington
Amanda Koster
Richard Marks
John and Joann S. Nicon
David Richardson
Ronald & Larilyn E. Stenkamp
Kathleen Turner
Jessica Wolk
Hillis Clark Martin & Peterson, PS
Michael Kovar
Justin Martin
Julie Nordstrom
Sally Richardson
Megan & Kevin Stephens
Vicki Turner
Dr Ben Zaniello
Shane Hoffman
Dr. Rich Kovar
M.E and Rosemary Mayo
Catherine Oberg
Emily Riesser
Robert Stern
Eric Turner, MD
Karl Zwick
Wim Hol
Shawn Kumagai
Judy McAteer
Oddfellows Cafe
Ristorante Machiavelli
Jeremy Steward
Kris Tussey
Anne Holderread
Mikael Kvart
William F. McCoy
Thomas Ogren
Rick Rosenberry
Matthew Studer
Tutta Bella
Bill Hood
La Medusa
Susie McDonald
Irene Anna Olson
Dr. Brad Roter
Sheila Swanson
Amelia Vader
Sarah Hopkins
Laboratory Corporation of
America
Laurie McEvers
Sean Overland
Steve Rovig
Swedish Hospital Medical Center
Cathryn Vandenbrink
Lagu Foundation
Lois McGuire
Robin Ozerkis
Lynn Rowland, DDS
Hally Swift
Eileen VanSchaik
Ann McKee
Donald Padelford
Carrie Rubenstein, M D
Rebecca Switaj
Via Tribunali
James McKendry
Christine Page
Geoff & Vicki Ruskin
Ellen Taft
Jeanette Vinson
Meaghan McKenzie
William Parson
Christopher Salazar
Kiyomi Taguchi
Alison Voinot
Horizons Foundation
John Hotta
Karl Hufbauer
Sarah Hufbauer M.D.
Page 18
Peter Lamb
Allison Lawrence
CDCHC 2015 Annual Report
* A note to our supporters:
We appreciate your generous
donations, and we want to
recognize everyone accordingly
with 100% accuracy. If we have
inadvertently made an error,
please contact us at 206.299.1614
with concerns or corrections.
Page 19
cdchc.org
After-Hours Clinic
Swedish Cherry Hill Campus
(Next to the Emergency Room)
550 16th Avenue
Seattle, WA 98122
(206) 320-5556
Carolyn Downs
Family Medical Center
2101 East Yesler Way
Seattle, WA 98122
(206) 299-1900
Country Doctor Community Clinic
500 19th Ave. East
Seattle, WA 98112
(206) 299-1600
CDCHC Administrative Office
500 19th Avenue East
Seattle, WA 98112
(206) 299-1637
facebook.com/CountryDoctorCHC