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ANNUAL REPORT
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As the statewide association for Michigan Health Centers, Michigan Primary Care Association is impacting the health of Michigan by promoting, supporting, and developing comprehensive, accessible, and affordable community-based health care services for all residents. Our vision is to build a healthy society in which all Michiganders have convenient and affordable access to health care that ensures excellent health outcomes and quality of life. Health Centers are a key strategic tool in assuring that underserved areas and populations have access to health care. Today, over 600,000 Michigan residents rely on a Health Center as their health care home—including individuals who are low income, uninsured, underinsured, elderly, minority, migrant and seasonal farmworkers, homeless, and those living with HIV/AIDS. If it weren’t for the local Health Center, many of these individuals would remain isolated from health care due to lack of insurance, inability to pay for services, and transportation, language, and cultural barriers. Health Centers overcome these barriers by providing coordinated, comprehensive, community-based health care to anyone who walks through their doors.
The Doors of Health Centers are Open to All
Michigan Health Center Patients by Race White Black
200% FPL* and Below
92.8%
100% FPL* and Below
70.7%
Michigan Health Center Patients by Age 65+
6.3%
25-64 years 18-24 years 13-17 years 5-12 years <5 years
48.3% 9.6% 8.3% 16.6% 10.8%
27.5% 2.1%
More than 1 race
Michigan Health Center Patients by Income
Asian/Pacific Islander American Indian/ Alaska Native
57.1%
1.3% 0.6%
Unreported
11.3%
Michigan Health Center Patients by Insurance Status Medicaid/CHIP
45.4%
Uninsured
31.8%
Private
13.4%
Medicare Other Public
9.2% 0.2%
*Federal Poverty Level Data derived from the U.S. Health Resources and Services Administrationâ&#x20AC;&#x2122;s 2012 Uniform Data System.
Michigan Primary Care Association (MPCA) is very proud to present to you our 2013 annual report. It has been one of the most dynamic years in my 34 years of working with Health Centers, and MPCA and our members have been major drivers of the change we are experiencing. In the early months of Fiscal Year 2013, MPCA members and staff were busy developing strategy and reaching out to key partners, initiating the process that would result in one of the largest and most diverse coalitions ever to be formed in Michigan, in my experience. The passage of Medicaid expansion through the efforts of the Expand Medicaid coalition demonstrates the value of longstanding partnerships, and the strength that comes when you reach out to new partners, finding common cause around shared values.
Kim E. Sibilsky Chief Executive Officer
It has been one of the most dynamic years in my 34 years of working with Health Centers, and MPCA and our members have been major drivers of the change we are experiencing.
The Healthy Michigan Plan is now law and the challenges of implementation continue to be a learning experience. We all look forward to working through the initial implementation process, and MPCA is once again leading the way on local, state, and national levels in the design and fielding of innovative outreach and enrollment strategies. The work of the Outreach and Enrollment team, in collaboration with other stakeholder organizations, will absolutely assist the State in a successful rollout.
As the Affordable Care Act implementation continued, Fiscal Year 2013 gave us direct funding to recruit and mobilize Outreach and Enrollment staff at Health Centers and the PCA; to establish our new Health Center Controlled Network, the Michigan Quality Improvement Network; and for one new access point. At the dawn of Fiscal Year 2014, Michigan received nine new access points, including the funding of three new Health Center organizations! Moving into 2014, transformation continues to be our mantra, using the support we’ve gained, the leadership within our Health Centers, and the credibility we’ve accrued nationally. Michigan Health Centers are high performing, comprehensive care providers and we will begin to use the power of our performance to leverage expanded resources for underserved communities. MPCA is also reconfiguring our governance structure to be more nimble and optimize the member support systems to deliver the highest value to our members and stakeholders. I want to thank our member Health Centers, MPCA staff, stakeholders and funders, partners and friends for all you do to make Michigan a great place to live and work! Let’s continue to strive together to make it even better.
TABLE OF CONTENTS
4 ACCESS | 6 CLINICAL QUALITY | 8 OPERATIONS | 9 PARTNERSHIPS | 10 POLICY | 12 VIRTUAL CHC | 13 MICHIGAN HEALTH CENTERS & MPCA MEMBERS | 14 FINANCIAL STATEMENTS Page 3 | FY2013 Annual Report | mpca.net
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ACCESS • Increased the capacity for providing outreach and enrollment assistance to Michigan Health Centers by creating new dedicated staff positions and forming a collaborative team of MPCA staff; expanded the Outreach and Enrollment Network to include statewide partners and built an online Outreach and Enrollment toolkit, as well as developed original resources for the toolkit • MPCA’s Outreach and Enrollment Network began a collaboration with Michigan Consumers for Healthcare to convene a statewide coalition that builds around all types of organizations; moving forward, MPCA staff will conduct site visits at different locations, including Health Centers, and develop a white paper to summarize findings • To assist Health Centers in preparing for Affordable Care Act coverage expansion through Medicaid and the Health Insurance Marketplace, MPCA analyzed the number of uninsured patients served by each Michigan Health Center and estimated the number of individuals who will be newly eligible • Provided intensive technical assistance and training, through statewide regional forums and biweekly conference calls, on Affordable Care Act coverage provisions, outreach and inreach strategies, and health insurance enrollment and retention • Developed a new text messaging service focused on health coverage to keep Health Center patients and community members up-to-date on new insurance options • Pursued and secured grant funding to provide enhanced outreach and enrollment support and to deploy additional outreach and enrollment staff into the field; through grants from the Health Resources and Services Administration, for example, MPCA and 31 Michigan Health Centers received funding to assist consumers with enrolling in new affordable health insurance programs • Represented Michigan Health Centers with numerous key stakeholders including the Centers for Medicare and Medicaid Services, Michigan Department of Community Health, Department of Health and Human Services, the Governor’s office, and national advocacy partners • Exceeded the goals of MPCA’s CHIPRA grant and received a 1-year extension to continue innovative coverage retention efforts and influence the development of coverage policy • Michigan completed the 2013 Migrant Enumeration Study Update report, which was guided in part by the MPCA special populations lead • MPCA’s Migrant Health Network remained active, hosting three in-person meetings to align efforts, provide opportunities to share successful models of outreach and care, and provide a forum for peers to network • MPCA’s Homeless Network continued as a peer-to-peer sharing community • Launched a new website and Association Management System to enhance MPCA’s communications with members, Michigan Health Centers, communities in development, and other partners • Michigan received $739,333 in Fiscal Year 2013 new access point funding awarded to Upper Great Lakes Family Health Center; with the funding, Upper Great Lakes will establish two new Federally Qualified Health Centers in Houghton County, increasing access to care for an additional 3,750 Michiganders • 32 Michigan Health Centers received a total of $1,298,009 in Fiscal Year 2013 base grant adjustment funding under the Affordable Care Act to support ongoing operations and quality improvement activities
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• Supported Traverse Health Clinic and Oakland Integrated Healthcare Network in achieving designation as Federally Qualified Health Center Look-Alikes • Secured approval from the Kresge Foundation to continue MPCA’s Capital Development Program for the third year to assist Michigan Health Centers in capital development efforts by identifying capital development opportunities; potential sources of funding, finance, and other assistance; providing planning and development information; and identifying potential finance consultants and experienced developers; also published informational briefs showcasing Michigan Health Center capital development projects • Through MPCA’s Community HealthCorps program, 25 AmeriCorps members served at 13 organizations across the state, including 10 Michigan Health Centers and 3 partnering agencies; their service provided direct impact to 29,395 individuals, including interpretation services to 3,929 individuals, outreach services to 4,590 individuals, prenatal/parenting education to 1,401 individuals, assistance in enrolling in health programs/services to 2,078 individuals, supportive services to 1,631 individuals, and a variety of other services to at least 15,998 individuals
In Fiscal Year 2013, 36 Michigan Health Center organizations provided quality, comprehensive, affordable care to over 600,000 people at more than 230 delivery sites across the state
• As a result of Fiscal Year 2013 AmeriCorps member service, 10,789 individuals now have increased access to care; there will be continuing service as some of these members are serving through June 2014 • To assist Michigan Health Centers in recruiting and retaining qualified team members, MPCA’s Recruitment & Retention Network hosted a series of webinars, and an in-person conference focused on preparing the Health Center workforce for health reform implementation • Offered a year-long webinar learning series and an in-person training for Health Center Board Members focused on the theme, “Building Better Boards” to assist them in preparing to govern in the age of the Affordable Care Act • On behalf of the Michigan Primary Care Office, MPCA continued to lead Michigan’s federal Health Professional Shortage Area (HPSA) program, and most notably in Fiscal Year 2013 completed work necessary for the re-designation of 41 HPSAs; 35 HPSAs resulted in higher scores and, of the 32 dental HPSAs, 29 saw score improvements with an average increase of five points; 2 primary care HPSAs were changed from a low-income population to a geographic HPSA, rendering them eligible for the Medicare incentive payment; 6 former HPSAs previously withdrawn were reinstated; 2 new HPSAs were designated; and the Automatic Facility Scores of many Health Centers and Rural Health Clinics increased significantly • Provided data support to Michigan Health Centers, including needs assessment and mapping assistance, and Uniform Data System support/analysis • Provided needs assessment technical assistance to service area competition and new access point funding applicants, resulting in higher Form 9 and total application scores, and subsequently generated more competitive applications • Participated in the Greater Midwest Primary Care Association Needs Data Workgroup, which submitted recommendations to the Health Resources and Services Administration for developing more objective criteria to be used during the review of grant applications; the Fiscal Year 2013 new access point guidance included a funding priority very similar to the workgroup’s recommendation regarding unserved poverty populations, which could add 3-15 more points to an application
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CLINICAL QUALITY • Received grant funding from the Health Resources and Services Administration to establish and support a Health Center Controlled Network that will improve the quality of care at Health Centers through the implementation and adoption of health information technology; 21 Michigan Health Centers participated in the Michigan Quality Improvement Network in Fiscal Year 2013 • Developed and convened a cross-discipline Michigan Quality Improvement Network (MQIN) Leadership Committee that met three times during Fiscal Year 2013; conducted site visits with 10 of the 21 MQIN members • Hired and on-boarded three new clinical staff members to assist Michigan Health Centers with quality improvement, practice transformation, Patient-Centered Medical Home and oral health initiatives, and to provide education, network development and support, and MQIN technical assistance • Established the Quality Improvement Network to provide a forum for Michigan Health Center quality improvement directors/managers to discuss a wide range of QI topics, share resources to maximize QI work plans • Established the Dental Directors Network to provide a forum for Michigan Health Center dental directors to share clinical best practices; hosted inaugural meeting • Hosted full-day clinical conferences for Michigan Health Center clinical staff—Spring Clinical Conference with sessions relevant to medical, behavioral health, and oral health providers; MPCA Annual Conference Clinical Pre-Conference focused on fostering and nurturing creativity and innovation; Behavioral Health/Primary Care Integration Conference that convened over 220 behavioral health and primary care safety net providers to learn about and share integration resources from operational, clinical, and workforce perspectives • Completed a year-long Patient-Centered Medical Home Learning Community with 18 agencies represented • Supported Michigan Health Centers in their work toward achieving Patient-Centered Medical Home designation, resulting in 10 organizations achieving recognition through a Health Resources and Services Administration-recognized agency • Provided technical assistance and project navigation to guide the nine participating Michigan Health Centers through the Federally Qualified Health Center Advanced Primary Care Practice demonstration to show how the Patient-Centered Medical Home model can improve quality of care, promote better health, and lower costs
In Fiscal Year 2013, 21 Michigan Health Centers participated in MPCA’s Michigan Quality Improvement Network to improve quality of care through the implementation and adoption of health information technology
• Hosted a two-part educational series focused on cervical cancer screening guidelines, integrating screening into the Patient-Centered Medical Home, and providing resources for clinical services • Continued the 340B Pharmacy Network to provide a forum for Michigan Health Center pharmacists, pharmacy staff, and personnel who work with contract pharmacies to share/discuss pharmacy best practices; hosted one face-to-face meeting • Maintained the Chief Medical Officers Network to provide Michigan Health Center chief medical officers opportunities to share effective treatment plans, present case studies, and participate in continuing education events; hosted one in-person and three virtual round table discussions
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• Supported the Perinatal Oral Health Workgroup through attendance and recruitment of Michigan Health Center representation • Received funding from the DentaQuest Foundation to assist five Michigan Health Centers, through the Strengthening the Oral Health Safety Net Initiative, in integrating dental health and medical programs through interprofessional education • Worked with Michigan Health Centers serving HIV high prevalence areas to integrate HIV care in primary care settings and routinize testing; hosted a three-part educational webinar series for clinicians on HIV testing, care, and treatment • Completed work with four Michigan Health Centers selected to participate in the national HIV Learning Community aimed at transforming the way HIV testing and care is provided, and to increase access to quality and comprehensive care in primary care settings • Strengthened relationships with several Michigan Department of Community Health section leaders to build partnerships and opportunities focused on maternal, child, and family health; diabetes; Hepatitis C; HIV; cancer; infant mortality; family planning; and school-based Health Centers • Formed a new partnership with the Michigan Department of Community Health to promote developmental screening in Health Centers • Supported Migrant health programs by providing technical assistance on immunizations, bridge case management, and special populations networking • Continued the Quality Improvement Workgroup, comprised of eight Health Center representatives and four Medicaid plan representatives, aimed at building an efficient strategy to manage panels and align clinical measures (Healthcare Effectiveness Data and Information Set, Meaningful Use, PatientCentered Medical Home, Uniform Data System) for documentation and reporting • Completed the Care4life pilot project, in partnership with Voxiva, to provide Michigan Health Centers access to a mobile diabetes self-management tool • Presented at the Tri-State Tuberculosis Conference as experts on health care reform and transformation • Formally joined the Agency for Healthcare Research and Quality (AHRQ) National Partnership Network, comprised of local health agencies, health professional groups, patient and caregiver advocacy groups, health systems, and businesses committed to improve the quality of health care through informed decision making by sharing evidence-based resources with patients and caregivers, health professionals, and others in the communities • Created and distributed clinical data reports to compare Michigan Health Centers’ benchmarks for immunizations, Healthy People 2020, and Patient-Centered Medical Home status • Began work to expand services to veterans, service members, and their families; attended the Veterans Administration Mental Health Summit, convened providers to discuss increasing access to care for veterans, actively participated in the newly established Access Workgroup, worked closely with the newly formed Michigan Veterans Affairs Agency to support their grant application, and participated in the Rural Veterans Coordination Pilot to increase access to services for veterans in rural areas • Presented on co-occurring mental health, substance abuse, and primary care disorders at the Substance Use Disorder Conference hosted by the Michigan Institute for Prevention and Treatment Education
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OPERATIONS • Continued to enhance MPCA’s online Education and Resource Center, a library of educational and resource materials housed on the MPCA website that includes archived presentations, resource documents, and tools/templates created by MPCA and other experts • With the launch of MPCA’s new website and Association Management System, provided Michigan Health Centers, members, and individuals at partnering organizations the ability to register for MPCA-hosted events online in real-time • Significantly expanded MPCA’s communication networks, both in numbers of people participating and in the level of participation—MPCA’s 16 communication networks now encompass over 1,100 Health Center staff • Analyzed and provided training on newly introduced and changing federal and state regulatory policy; facilitated group public comments (e.g. Telemedicine, Sliding Fee, Prospective Payment System) • Completed the first comprehensive, state-level evaluation of Health Center financial data, including new benchmarking information and comparative analysis • Provided substantial support to Michigan Health Centers in contracting with new health plans as a result of coverage expansion, and in pursuing new structures including Accountable Care Organizations and group contracting organizations • Initiated collaborative Medicaid payment reform discussions with the Michigan Department of Community Health • Continued developing and nurturing relationships with key payers, including Medicaid health plans, to strengthen their collaboration with Michigan Health Centers
MPCA facilitates 16 communication networks to provide forums for Michigan Health Center staff to share and network with their peers across the state—over 1,100 individuals now participate in these networks
• Supported Health Centers in the Health Resources and Services Administration’s operational assessment process, including providing technical assistance and training on program requirements and in resolving areas of compliance concern • Supported Michigan Health Centers in achieving high levels of emergency preparedness, including providing a collaborative training, group sessions, gap analysis, and remediation; formed a new collaborative relationship with the Wisconsin Primary Care Association to offer eight events during Fiscal Year 2013, including six educational webinars and two virtual tabletop exercises • Provided 39 webinars and 13 in-person training opportunities, including the largest MPCA annual conference to-date, which cumulatively reached nearly 1,000 participants • Assisted in resolving numerous reimbursement, payment, and credentialing related concerns and issues, including dental school reimbursement challenges; Medicare crossover claims; sustainable reimbursement for integrating behavioral health and primary care services; Children’s Health Insurance Program (CHIP) and Maternity Outpatient Medical Services (MOMS) Prospective Payment System; Medicare enrollment/new MAC issues; among many others
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• Significantly engaged with the Michigan Student/Resident Experiences and Rotations in Community Health (M-SEARCH), Area Health Education Center (AHEC), and health professional training programs to build a stronger pipeline of safety-net providers and expand training programs in Michigan Health Centers • Supported Michigan Health Centers in recruiting adequate workforce by hosting training and online resources, as well as assisting in the direct placement of health care professionals within Centers; direct referral from MPCA resulted in the hire of eight new Health Center providers • Sixty-two percent of Michigan Health Centers had cost-per-visit increases less than the national average, including nine which had cost-per-visit decreases • Hosted a customer service webinar series in partnership with DoctorsManagement, LLC • Assisted 15 organizations on developing a comprehensive communications plan by hosting an in-person training and a series of six educational webinars
PARTNERSHIPS One of the key functions of MPCA is to monitor the environment and further the mission of expanding access to quality care for Michigan residents by representing Michigan Health Centers and MPCA members, and their interests, on state and national committees, boards, and taskforces, including: Centers for Medicare and Medicaid Services Advisory Panel on Outreach and Education | Detroit Wayne County Health Authority Primary Care Network Council | Eastern Michigan University Health Administration Advisory | Georgetown University Health Policy Institute “Gateways to Coverage” | Kirkland College of Nursing Advisory Board | Kresge Safety Net Enhancement Initiative National Advisory Council | Medical Care Advisory Council | Michigan Area Health Education Center Executive Board | Michigan Behavioral Health Advisory Council | Michigan Benefits Access Advisory Committee | Michigan Benefits Access Steering Committee | Michigan Consumers for Healthcare Board of Directors | Michigan Department of Community Health Developmental Assessment Program Workgroup | Michigan League for Public Policy Board of Directors | Michigan Oral Health Coalition Board of Directors | Michigan Primary Care Consortium Executive Committee | Michigan State University College of Nursing Board of Visitors | National Data Strategy Workgroup | Prevention Research Center State Board Primary Care Office Core Advisory Group | Recovery Oriented Systems of Care Transformation Steering Committee | Recovery Council | United Cerebral Palsy of Michigan Board of Directors | University of Michigan Integrated Care Advisory Board | U.S. Department of Health & Human Services Impacts of Affordable Care Act Expert Panel
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POLICY • A dvocated for the expansion of Michigan’s Medicaid program to adults with income below 133% of poverty—MPCA’s top policy priority for 2013; a major part of MPCA’s strategy was to convene a coalition of stakeholders to work collaboratively to promote expansion, which grew into the Expand Medicaid coalition and ultimately consisted of over 25 entities including Michigan hospitals, mental health care providers, physicians, Health Centers, health plans, human service organizations, and labor organizations; the coalition successfully advocated for and saw passage of historic House Bill 4714 that creates Healthy Michigan, the state’s expanded Medicaid program that will be available to Michigan residents in early Spring 2014 • E ngaged a growing network of grassroots advocates as another strategy to urge the Michigan Legislature to extend Medicaid coverage to over 450,000 low-income adults; advocates sent approximately 2,500 emails to state legislators through MPCA’s online advocacy center; Michigan Health Center leaders submitted opinion pieces and pitched feature stories to media outlets, 14 of which were published, and they took part in over 15 in-person meetings with state legislators; Family Health Center of Battle Creek hosted Governor Rick Snyder during his tour across the state to advocate for expansion; and four Health Center patients/board members participated in the Expand Medicaid coalition video series to share personal stories underscoring why the Michigan Legislature should pass Medicaid reform/expansion • Transitioned MPCA’s online advocacy database to a new vendor, allowing for more efficient targeting and metrics, as well as aligning with the National Association of Community Health Centers; achieved 39% growth in the total number of Michigan advocates registered in the database to receive action alerts and updated information, which took place mainly during the months that advocates were called upon to encourage the Michigan Legislature to expand Michigan’s Medicaid program • H osted the annual Legislative Forum that was attended by over 75 Michigan Health Center advocates in 2013; discussion focused on MPCA’s three Fiscal Year 2013 policy priorities— expanding Medicaid to provide health insurance coverage for more of Michigan’s vulnerable residents; improving Michigan’s primary care workforce policies to transform the state into an attractive place for health care professionals to live and work; and creating support for the role of Community Health Workers in increasing access to care while bolstering health status, patient satisfaction, and cost-savings • Extensive progress was made toward achieving improving Michigan’s primary care workforce policies and creating support for the role of Community Health Workers (CHWs), including collaborating with the Michigan Department of Community Health in the development of a State Healthcare Workforce Plan; partnering with the Michigan Community Health Worker Alliance in developing a strategy for training and certifying CHWs and urging Medicaid to provide reimbursement for such workers; formally supporting legislation to expand scope of practice for Advanced Practice Registered Nurses (Senate Bill 2 passed the Senate Committee on Reforms, Restructuring, and Reinventing) • S ubmitted testimony or cards of support on the following bills that the Michigan Legislature passed in 2013 impacting Health Centers and their patients: common prior authorization form, licensing of pharmacy technicians, expanding the Healthy Kids Dental program, expanding the State Loan Repayment Program, restoring funding for Graduate Medical Education, reforming Blue Cross Blue Shield of Michigan, merging mental health and substance abuse service agencies
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MPCA Board President Joe Ferguson, MPCA CEO Kim Sibilsky, Michigan Primary Care Consortium Executive Director Jeffrey Brasie, and MPCA Policy Consultant Jon Villasurda, witnessed and celebrated Governor Rick Snyder signing historic legislation on September 16, 2013, to expand and reform Michigan’s Medicaid program.
• At the federal level, Michigan Health Center advocates joined with thousands of advocates from across the country to discuss primary health care needs in local communities with Congressional staff during visits to Capitol Hill in March 2013; a robust contingent of Michigan Health Center advocates also attended the 2013 Policy & Issues Forum hosted by the National Association of Community Health Centers to learn about what’s at stake in the immediate future as Health Centers face a difficult budget environment and prepare for the launch of the Health Insurance Marketplace • MPCA and Michigan Health Center supporters advocated for passage of the Consolidated and Further Continuing Appropriations Act of 2013, which funded the federal government for the remainder of Fiscal Year 2013; under the continuing resolution, the Health Centers program received total Fiscal Year 2013 programmatic funding of nearly $3.1 billion—a $300 million increase in funding from the previous year which was mandated to be used by the end of Fiscal Year 2013 to address the demand for access to primary care services and provide for the expansion of care • Assisted Michigan Health Centers in planning National Health Center Week 2013 (NHCW) events to highlight how Health Centers are “Transforming Health Care in Our Local Communities”; 23 Michigan Health Centers participated and some held multiple events; six Members of Congress attended or sent a staff representative to attend a Michigan-hosted NHCW event; several state legislators attended events; Governor Rick Snyder proclaimed August 11-17, 2013, as Health Center Week in Michigan • Continued to keep Michigan Health Center staff, MPCA members, communities in development, advocates, and organizational partners up-to-date on news and events impacting Health Centers and the delivery of primary and preventive care, through MPCA’s weekly e-newsletter, blog, website, and social media sites • Hosted an in-person training in collaboration with Nonprofit Vote, the National Association of Community Health Centers, Michigan Nonprofit Association, and Michigan Voice to assist outreach and enrollment staff at Michigan Health Centers and partnering organizations across the state on integrating voter registration assistance into the health insurance enrollment assistance process
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VIRTUAL CHC • Re-launched a security aggregation system and integrated it into Virtual CHC network systems and equipment at both the primary and secondary data centers • Piloted Customer Dashboards, powered by Solarwinds, with select customers; these dashboards will be rolled out to all customers in Fiscal Year 2014
Virtual CHC is a nonprofit application service provider, owned and operated by MPCA, that delivers best-in-class enterprise solutions to Health Centers in and outside of Michigan
• Established first connection to Great Lakes Health Information Exchange • Signed three new eClinicalworks clients and two new NextGen clients • Developed a Data Repository training manual for NextGen, and reviewed and improved NextGen 2012 Uniform Data System (UDS) reports for 2013 • Continued the NextGen User Group, which began as part of the grant MPCA received from the Office of Health Information Technology in 2009; will soon be expanded to include eClinicalworks, SuccessEHS, QSI and Dentrix • Hosts the following suite of products: Electronic Health Record–eClinicalworks, NextGen, SuccessEHS Electronic Dental Record–Dentrix, QSI (NextGen), MediaDent (SuccessEHS), OpenDental (eClinicalworks) Data Repository/Reporting Engine–BridgeIT General Ledger–MIP Fund Accounting, Microsoft Dynamics GP (Great Plains) Patient Registry–i2iTracks Productivity Systems–Microsoft Exchange-based email, Microsoft Office Systems Management and Monitoring Systems–Orion Solarwinds, QRadar, IPSentry
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2013 MICHIGAN HEALTH CENTERS Advantage Health Centers Detroit | 330E, 330H Alcona Health Center Lincoln | 330E Baldwin Family Health Care Baldwin | 330E Bay Mills Health Center Brimley | 330E Cassopolis Family Clinic Cassopolis | 330E Center for Family Health Jackson | 330E Cherry Street Health Services Grand Rapids | 330E, 330G, 330H Community Health & Social Services (CHASS) Center Detroit | 330E Covenant Community Care Detroit | 330E Detroit Community Health Connection Detroit | 330E Downriver Community Services Algonac | 330E, 330H East Jordan Family Health Center East Jordan | 330E Family Health Center, Inc. Kalamazoo | 330E, 330H Family Health Center of Battle Creek Battle Creek | 330E, 330H Family Medical Center of Michigan Temperance | 330E Genesee Community Health Center Flint | 330H, 330I Hackley Community Care Center Muskegon | 330E Hamilton Community Health Network Flint | 330E, 330H Health Centers Detroit Medical Group Detroit | FQHC Look-Alike Health Delivery, Inc. Saginaw | 330E, 330G, FQHC Look-Alike Ingham Community Health Centers Lansing | 330E, 330H | FQHC Look-Alike InterCare Community Health Network Bangor | 330E, 330G Mercy Health-Saint Maryâ&#x20AC;&#x2122;s Community Health Centers Grand Rapids | 330H MidMichigan Community Health Services Houghton Lake | 330E Muskegon Family Care Muskegon | 330E Northwest Michigan Health Services, Inc. Traverse City | 330G Oakland Integrated Healthcare Network Pontiac | FQHC Look-Alike Oakland Primary Health Services Pontiac | 330E Sterling Area Health Center Sterling | 330E The Wellness Plan Medical Centers Detroit | 330E Thunder Bay Community Health Service, Inc. Hillman | 330E Traverse Health Clinic Traverse City | FQHC Look-Alike Upper Great Lakes Family Health Center Gwinn | 330E, FQHC Look-Alike Upper Peninsula Association of Rural Health Services, Inc. Marquette | 330E Wayne County Healthy Communities Health Center Hamtramck | 330H Western Wayne Family Health Centers Inskter | 330E
Other Community-based Providers Represented by MPCA American Indian Health & Family Services of Southeastern Michigan, Inc. St. John Providence Health System
2013 MPCA Associate Members L&S Associates | Molina Healthcare of Michigan | Northwest Michigan Community Health Agency | Michigan Community Dental Clinics
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330E Health Center Program grantee that receives Community Health Center funding under Section 330E of the Public Health Service Act, as amended 330G Health Center Program grantee that receives Migrant Health Center funding under Section 330G of the Public Health Service Act, as amended 330H Health Center Program grantee that receives Health Care for the Homeless Health Center funding under Section 330H of the Public Health Service act, as amended 330I Health Center Program grantee that receives Public Housing Health Center funding under Section 330I of the Public Health Service Act, as amended FQHC Look-Alike An organization that is certified by the Centers for Medicare and Medicaid Services based on recommendations provided by the U.S. Health Resources and Services Administration/ Bureau of Primary Health Care, as meeting all Health Center Program requirements; they do not receive funding under the Health Center Program.
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Statement of MPCA Financial Position Year ended September 30 ASSETS
2013
2012
Cash & cash equivalents
$7,417,170
$5,152,712
Certificates of deposit
17,561,070
17,500,153
1,593,143
739,817
13,427
22,507
921,417
1,119,557
27,506,227
24,534,746
Accounts payable
4,996,396
4,297,962
Accrued expenses
172,485
140,916
Deferred revenues
20,669,805
18,304,785
Other liabilities
38,024
31,457
Loans payable
538,636
623,140
26,415,345
23,398,260
Unrestricted net assets
818,902
808,044
Temporarily restricted net assets
271,980
328,442
1,090,882
1,136,486
27,506,227
24,534,746
Accounts receivable Prepaid expenses Net property & equipment Total assets LIABILITIES & NET ASSETS
Total liabilities
Total net assets Total liabilities & net assets
Michigan Primary Care Association’s (MPCA) federal grant program titled “State and Regional Primary Care Associations” allows MPCA to provide technical assistance and support to health centers in Michigan and is 100% funded by federal dollars at a current annual level of $1,069,988.00. MPCA’s federal grant program titled “Health Center Controlled Networks” allows MPCA to support the Michigan Quality Improvement Network (a health center controlled network in Michigan) and is 100% funded by federal dollars at a current annual level of $550,000. MPCA’s federal grant program titled “Safe and Supportive Schools Grant” allows MPCA to support Michigan’s initiative to provide safe and supportive environments to foster healthy learning in Michigan’s schools and is 100% funded by federal dollars at a current annual level of $835,438.
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Statement of MPCA Financial Activities Year ended September 30 REVENUE & SUPPORT Grant income
2013
2012
$2,902,723
$3,136,866
826,288
809,503
Contract income
20,336,781
17,739,473
Business services
991,925
987,134
Training & education
294,833
282,789
Other income
381,699
351,019
25,734,249
23,306,784
Federal grant programs
2,082,540
2,515,844
State & other grant programs
1,655,053
1,362,037
19,461,594
17,158,387
Member services
350,835
332,196
Business services
1,085,942
959,821
Training & education
264,543
302,137
Management & general
761,547
693,371
25,662,054
23,323,793
72,195
(17,009)
1,018,687
1,153,495
1,090,882
1,136,486
Membership dues & assessments
Total support & revenues EXPENSES
Contracts
Total expenses Change in net assets Net assets - beginning of year Net assets - end of year
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