COMMUNITY REPORT P R I MA R Y H E A LT H C A R E 2014 | 2015
2 | P R I M A R Y H E A LT H C A R E
Dear Supporter, As we move into our next year at Primary Health Care, Inc. (PHC), we reflect on the numerous accomplishments that we have made over the past year. A newly-renovated clinic in Story County, a promising program to help individuals and families experiencing homelessness in Des Moines, and a dramatic 20% increase in our patient volume throughout Central Iowa are just a few of the 2014 accomplishments we are excited about. The work that we have accomplished in 2014 demonstrates our continued commitment to imporove access through the delivery of high quality care and services to those in need in Central Iowa. While we are enhancing existing partnerships (Mercy Medical Center, Central Iowa Shelter & Services) and working on new initiatives (Centralized Intake), our core mission is to be a team of caring professionals that provide health care and supportive services for people in Central Iowa to improve their quality of life, which we did for nearly 34,000 central Iowans in 2014. Despite the well-documented changes in our health care system, we are striving to maintain a consistent and stable level of care. At the time of this publication, we are working on ways to engage patients online through a patient portal—giving them better access, increasing their ability to reach out to their care team and empowering them to be more proactive in their own care plans. Of course, we cannot do this alone. In Marshalltown, in Ames, and in Des Moines, we work with dozens of community partners to refer patients, coordinate care, provide links to services and ensure that our patients receive all of the healthcare and supportive services that they need. Your support and advocacy for PHC and for the work we do in our communities means everything to us. You know our hearts are in the right place, and we thank you so much for partnering with us and taking a look at our Community Report. With your help, PHC will continue its legacy of service to the many individuals and families that we serve.
Sincerely,
Kelly Huntsman Chief Executive Officer Primary Health Care
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THE CORNERSTONE OF A HEALTHY COMMUNITY
Our Vision
The foundation of a healthy community begins with healthy people. Our team of dedicated professionals at Primary Health Care work to provide access to quality health care for each member of the community in order to improve quality of life for all. As a nonprofit community health center, we strive to find and successfully treat medical conditions before they become serious enough to require hospitalization or emergency treatment. We provide medical, dental and behavioral health care, pharmacy assistance and other supportive services to help patients in need. Through case management and social work advocacy, we work to assure that our clients have greater access to resources in the community.
To be recognized as the premier community health center in the Midwest. We are a team of professionals respected for providing exceptional care across the life span to a diverse population. Our Mission Primary Health Care, Inc., is a team of caring professionals providing health care and supportive serives for people in Central Iowa to improve their quality of life. Our Values: ICARE INTEGRITY: Being honest, sincere and doing the right thing COMPASSION: Empathy, caring, and providing hope ACCESS: Being available, affordable and flexible RESPECT: Dignity, treating others as you want to be treated, and valuing everyone EXCELLENCE: Being the very best, high quality, and a dedicated team.
BOARD OF DIRECTORS Benjamin Bellus BOARD CHAIR Sergio Hernandez VICE CHAIR
Billie Wade SECRETARY Juan Cadenillas
Rosemary Holland
Carly Ross
Samuel Carbajal
Mark Phillips TREASURER Scott Clair
William Schoenenberger (PAST CHAIR)
Sandy Hansen
Michael Schuman
Rose Marie Serra
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NEW AMES CLINIC In 2008 and again in 2010, we applied for a federal grant, but unfortunately, we were not awarded. Finally in September 2013, the third time was a charm, and we began the hard work of building a new clinic in Ames.
doors at the newly-renovated and spacious clinic at 3510 Lincoln Way. It boasts 12 exam rooms, a procedural room and a triage suite. We also have a certified nurse midwife, which is a first for us!
After months of meeting with community partners, with medical providers and with donors, our vision paid off. By early January, 2014, we had already opened a temporary clinic in Ames at 1202 Duff Ave. It was tiny and it was challenging, but we were able to slowly begin building a base of patients for years to come.
The support that we have seen in the Ames community has been incredible. We have built relationships with partners from the private sector, from nonprofits and from the local government, which means that we already have the trust and connections that we will need to be helpful and integral in Story County.
In December 2014, we opened our
The competitive federal grant that we
received mandates that we see 4,000 patients in our first two years, and we are well on our way.
DENTAL SERVICES The Primary Health Care dental clinics and staff provide quality, comprehensive dental services to our communities. We have incorporated the new Affordable Care Act program policies into our practice, resulting in improved access to patients that previously faced barriers in receiving dental care. Our clinics have extended hours to provide better access for patient appointments. Our patients appreciate the convenience of not having to miss work to come to appointments. We also focus on children’s oral health in our clinics. When we offer our “Treasure Your Teeth” children only theme days in the summer months, we are addressing their dental needs prior to the school year, reducing missed time from school and also making their dental visit a positive experience.
THANK YOU TO OUR GENEROUS DONORS $10,000 +
$2,500 to $4,999
Brian Dieter
Pat & Dr. Louis Banitt Sarah & Ben Buck Des Moines University David Hurd & Trudy Holman Hurd Mike Simonson Larry & Kathleen Zimpleman
$5,000 to $9,999 Gary Botine Earl & Johnie Hammond Lynn & Brad Heemstra
$1,000 – $2,499
Anonymous Dr. Jay Brown David Brustkern Ann Campbell Bob Eikleberry Bery Engebretsen Brad Holland & Joe Raetz Ted Johnson & Phil Brawner Srikanth Katragadda
COMMUNITY REPORT 2014 | 2015 | 5
BEHAVIORAL HEALTH SERVICES Often times our patients and clients have challenges that go beyond a flu shot or chest cold. We are proud to have a Behavioral Health Consultant (BHC) to help us to provide holistic health care that addresses physical, behavioral and emotional needs through Integrated Care. The BHC is available the same day/time a need is identified. A key part of Integrated Care is the “Warm Handoff,” during which the medical provider introduces the BHC. The BHC seamlessly enters the patient’s visit and can help the patient and provider to address the need. This allows us to meet the patient where they access care and avoid stigma and other barriers that could exist. We use screening tools to identify risk for depression, as well as using the SBIRT tool: Screening, Brief Intervention and Referral to Treatment. SBIRT helps patients understand the potential health risks for risky substance use patterns. PHC leads the way in Integrated Behavioral Health Care in central Iowa, and we are proud to partner with numerous organizations on changing the way clinics, medical professionals and patients understand and access behavioral health care.
REFUGEE SERVICES Thanks to state and federal funds, we provide more vaccines and physicals for refugee families than any other medical provider in central Iowa. Shortly after arriving in the United States, each refugee is required to receive a physical. Due to the traumatic environments refugees may come from, they may have significant health issues that remain unresolved. Through these essential services, Primary Health Care is able to diagnose lingering health issues that continue to impact their lives. By providing refugee physicals, we play an important role in ensuring that refugees are able to work and attend school in central Iowa. Primary Health Care is proud to partner with local refugee resettlement agencies to ensure that each refugee starts life in the United States on the right foot.
Darin Larsen & Gregory Wilkening Senator Matt McCoy Ken McCuskey Gerry & Marylou Neugent Susan & Dave Russell Wallace Sanders Dawn Schissel, MD Brenda & Jaey Sedlacek Dotty & Stan Thurston Kathy & Steven Zumbach
$500 – $999 Dale & Marie Andres Lisa Banitt & William Barry Todd Barryhill CHLC, Inc Collegiate Presbyterian Church Angela Connolly Des Moines Internal Medicine, PC Celeste & James Egger Eric & Dawn Faust
Kathleen & Charles Glatz Darlene & James Helbling Kelly & Michael Huntsman Judith Jaastad Jennifer Killion Dr. Lyla & Thomas Maynard Vinh Nguyen Ronald & Darlys Orth Clifford Paulsen Jean Peterson Diana & Rev Terry Schleisman
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CENTRALIZED INTAKE Centralized intake is a cutting edge program designed to streamline healthcare and supportive services for individuals and families experiencing homelessness in central Iowa. There are many great organizations that work with the homeless population in Des Moines, but for years, there was a lack of coordination among providers and agencies. We intend to fix that. Primary Health Care refers people to relevant agencies with the goal of reducing the number of steps an individual or family must take to receive services. The more steps it
Marcia & Eric Smtih Jim Sterba & Jim Grim Hal Thompson Cynthia Thorland & Fritz Weitz Frank Vaia & Tim Hickman Casey Ward $250 – $499 Authentic Freedom Counseling Margo Blumenthal
takes to be housed -- and the less coordinated the system -- the more likely it is that an opportunity to provide services will be lost. Through the Centralized Intake system, the number of steps required is reduced and there will be an increase in stable and permanent housing in our community.
Primary Health Care’s Homeless Outreach program serves individuals and families from every walk of life. Whether that’s a veteran sleeping in his or her car or an individual who has lived in homeless camps for 20 years, Primary Health Care works to provide each client with case management and a solution to end their homelessness.
Early data suggests that our efforts through Centralized Intake are working! We are excited that 2015 could be the first year that Polk County sees data for the homeless making big movement in a different direction.
Through the Housing First approach, Primary Health Care’s Homeless Outreach team houses an average of 35 cases each month--slightly more than one each day.
Sandy Bowman Buddy’s Corral Alicia & David Claypool Lawrence Curry Terri Dermody Lori & Scott Emison Clair Bernard & Ava Feldman Scott & Lori Geadelmann Scott Hartsook & Dennis Groenenboom Karen Jeske
Richard Joens & Scott Smith Sue & Edward Kenny Karen Kiel-Rosser Mary Mac Alpine Danielle & Steve Navarro Mark & Jennifer Phillips Betty Ridout John Schmacker Bill & Karen Schoenenberger Tony Timm Susan & Carl Voss
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THE PROJECT The Project linked a record number of patients to care in 2014. This does not mean that a record number of people were diagnosed with HIV- it means that those who were diagnosed were provided access to health care and supportive services. Our work has expansive reach in our community, with these results:
• 600 HIV tests conducted, • 85% of those tested received comprehensive STD screens during their visit, free of charge • 77 new patients received clinical services (from Ryan White Part C), which is a record number, • A total 455 patients receiving medical case management • 96% of patients are on HIV treatment • 81% are virally suppressed We are well-above the national average in linking and retaining patients with HIV medical care. In fact, Iowa is #1 in the nation in the retention of patients in HIV care, #4 in rates of viral suppression, and #5 in linking patients to HIV medical care according to the 2014 Centers for Disease Control’s State HIV Prevention Progress Report. Of course, prevention is also a big part of our work with HIV, and we are on the forefront of offering a promising medication breakthrough. PrEP, or PreExposure Prophylaxis, is a once a day medication taken to greatly reduce the risk of becoming HIV positive. It must be taken before coming in contact with HIV to reduce the risk of infection. When taken properly, PrEP reduces the risk of infection by as much as 92%. We refer an average of 10-15 referrals for PrEP per month through our testing services, and we are the only location where people can get free HIV and sexually-transmitted infection (STI) tests and a PrEP consultation prior to a provider visit. Along with our benefits specialists (who enroll folks in social safety net programs) and our pharmacy, all in one spot, we truly are a one-stop shop for sexual health!
Fred & Emily Weitz Jonathan Wilson & Scott Kuknyo $100 – $249 Chad Aguiniga Doug Aupperle & Tom Chase Phoukham Baccam Vichit Baccam Sean Bagniewski & Vidhya Reddy Sara Baringer
Ben Bellus Mark Bienhoff & Troy Zwart Barbara Dietrich Boose Gary & Colleen Bornmueller Linda Bravard Eric Burmeister Matt & Betsy Busick Brad Scott Campbell Bruce A Carr Brad & Emily Chafa Peter & Ryan Crane
Gerri Davis Thomas Davis Jill Deimerly Karin & Jeff Derry Chris Espersen Rich Eychaner & Michael Bowser Roger Ferris Maria & Robert Filippone Carrie & Jeff Fleming Brian Frisbie Gary Geels
8 | P R I M A R Y H E A LT H C A R E
2014 FINANCIALS 2014 FUNDING SOURCES OTHER FUNDING 12%
STATE & LOCAL FUNDING 6%
CLINIC REVENUE 47% FEDERAL FUNDING 35%
$10, 954, 531
ASSETS LIABILITIES
$1,936,764
NET ASSETS
$9,017,767
TOTAL ASSETS & NET LIABILITIES Keith Gilmore Carol Gossard Joe & Mary Gross Marty Gross Ken Hanson Serkan Hasanusta Victoria Herring Karen Herwig Harold Hinkhouse Doug & Liz Hodgson Bonnie & Glenn Holland
Gerald & Rosemary Holland Byron Huff & Jim Anderson Jewish Federation of Greater Des Moines Jason Kaplan Mary Ellen Kimball Mary Klein Kristi Knous Holly Koons Randall Kramer Deanna Lehl
$10, 954,531
David Lemon James Lyons Petra McVey Ann Mendleson Donna Miller Lloyd Miller Michael Sims & Doyle Monsma Gary D Moore Norene Mostkoff Scott Nash John Nielsen
COMMUNITY REPORT 2014 | 2015 | 9
SERVING CENTRAL IOWA DES MOINES BERY ENGLEBRETSEN CLINIC
MARSHALLTOWN MARSHALLTOWN MEDICAL CLINIC
2353 SE 14th Street Des Moines, IA 50320
412 East Church Street Marshalltown, IA 50158
Medical Services Pediatric & Adult Dental Services
Medical Services OB/GYN Services
PRIMARY HEALTH CARE AT MERCY
MARSHALLTOWN DENTAL CLINIC
250 Laurel Street Des Moines, IA 50314
112 East Linn Street Marshalltown, IA 50158
Family Practice
Pediatric & Adult Dental Services
EAST SIDE CLINIC 3509 East 29th Street Des Moines, IA 50317
Medical Services OB/GYN Services
AMES
OUTREACH PROJECT
PRIMARY HEALTH CARE AMES CLINIC 3510 Lincoln Way Ames, IA 50014
Medical Services OB/GYN Services
Jim & Frankee Oleson Alejandro Orozco David & Bonnie Orth Deb Parker Mike Perry Dr. & Mrs. Robert Peterson Elizabeth Presutti Carmen Rivera Pat Schneider Michael Schnurr Jordan Selha
1200 University Avenue Des Moines, IA 50314
Medical Services HIV Services Pharmacy Street Outreach Homeless Advocacy Sigler Companies Brad Snyder & Scott McDonald Maryanne & Bob Sobiech Maureen St. John-Retz TBC Construction, LLC Megan & Michael Thibodeau Ross J. Valone Allen Vander Linden & Michael Thompson Lewis Vandevoort Jennifer Vermeer
Dorothy Walter Julianne Yost David Yurdin SUPPORT FROM CORPORATE, FOUNDATION & GRANTING PARTNERS * Anonymous (2) Azcon Construction Bankers Trust The Blazing Saddle
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YOU CAN MAKE A DIFFERENCE IN SOMEONE’S LIFE TODAY.
Together, we can build healthier communities by providing health care services and more for those in need.
$25 $65 $118 $250
Covers the fee for a housing application for someone looking to stabilize their life. Provides one HIV test at a mobile location and provides education and a safer-sex kit. Fills our food pantry for a week, which our homeless and HIV+ clients utilize. Ensures that someone has access to essential utilities.
PHC offers three easy way to donate! Simply complete and mail the form on the next page, Visit our website www.phcinc.net, or call 515-240-8523 today. CAPTrust Financial CIC & Associates, PC Community Foundation of Greater Des Moines Danfoss Des Moines University Epic The Garden Nightclub Holmes Murphy & Associates Imperial Court of Iowa Kreg Tool
Magellan Health Services Mary Greeley Medical Center McFarland Clinic Mercy Medical Center MidAmerican Energy Mid Iowa Health Foundation Nationwide NuCara Pharmacy Nyemaster Goode, PC Polk County Board of Supervisors Polk County Health Services
Polk County Housing Trust Fund Prairie Meadows Simonson & Associates VOYA William C. Knapp Charitable Foundation (*Gifts and grants of at least $1,000 between July 1st, 2014 through May 22nd, 2015)
COMMUNITY REPORT 2014 | 2015 | 11
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Primary Health Care, Inc. Administrative Offices 9943 Hickman Road, Suite 105 Urbandale, IA 50322