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2012 Annual Report

Providing Help, Hope and Healing

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Looking back on 2012 Through the eyes of the CEO Dear Friends, Each year, our health center touches many people and makes a difference to thousands of our patients. In 2012 we provided primary care to almost 28,000 people; fully one-quarter of those patients were uninsured. The mission that drives our work and our continuous efforts to meet the health care needs of our community is simple: opening the door to health care for all. Our efforts to open the door to health care for all fall into three areas: Provide Help, Hope and Healing. Here is what that looks like: Provide HELP. In 2012 the Center helped 1,900 of its patients manage diabetes to live longer, healthier lives. Diabetes has become one of the most common diseases in our nation. Almost 26 million people in the United States, or 8.3 percent of the population, have diabetes. Here in Jackson, that figure is 11 percent of our population, higher than the national average. This is a disease that ravages lives and families, and we are on the forefront of working with our patients to help them manage diabetes and live productive lives. HOPE. CFH started as the Center for Healthy Beginnings, a prenatal clinic, in 1991. In that year, we served 350 women; in 2012, we provided prenatal care to more than 900 women. Our focus on healthy pregnancies and babies has never wavered. Our babies get an even start with a healthy birth weight. A full-size baby is going to have a better chance of fighting off illnesses and growing up healthy. We are very proud that the rate of low-birth weight among our babies is below the county, state and national rates. HEALING. In 2005 our Board of Directors decided to open our first school health center at Northeast Elementary School. Health care for kids in Jackson has never been the same. In 2012, more than 5,000 Jackson County children utilized our school health centers. We know that most of these kids did not have a regular source of care before we opened the health centers in the schools. Research findings are clear (and parents know) that students perform better when they show up for class healthy and ready to learn. All of our efforts to improve the health of the people we serve are rooted in partnerships with our patients, other health and human-service providers, and our community. Thank you for working with us in 2012 and going forward to make Jackson the kind of place where we all want to live. Molly Kaser President & CEO

Through the eyes of the Board Chair Dear community members: I am the chairperson of the Center for Family Health’s board of directors; I have been on the board since 2001. I retired from Consumers Energy after 48 years of service. I was very fortunate; my employer provided comprehensive health-care insurance for my family at almost no cost to me. It covered two pregnancies; well care for my wife, my two daughters and myself; regular dental visits; and eye exams. Our health care was determined by prevention and need – not by ability to pay. I know very few of the Center’s patients have the good fortune to have a generous health plan. About one-fourth of the Center’s 28,000 patients are uninsured; many others are underinsured. Yet we treat all patients with respect and without regard to their ability to pay. They need us. And our entire provider staff, administrative staff and board are passionately committed to them and our mission to open the door to health care for all. 2

Sometimes we are reminded how valuable the Center’s service is to the community. A teacher who had recently toured the Center contacted me about one of her migrant students. He needed help with a health condition and was struggling with his studies. The student and his family are not proficient with English. I contacted the Center and an appointment was arranged for the student and his family. Two weeks later, I saw the teacher. She told me that her student was now receiving treatment at the Center and how helpful the center’s translation services were to the family. I thanked the teacher for contacting us about helping this family. I left our conversation with the warm, fuzzy feeling that comes with helping others. That’s why I serve the Center on the board, and why I want everyone to know what caring and compassionate medical care is available here to anyone in Jackson County. Please pass the word. Ted Hilleary Chair, CFH Board of Directors


Through the eyes of our patients Ruby Ann Duncan Ruby Ann Duncan was expecting to deliver her second child, a son, in early May. Having moved from Belleville to Brooklyn in September, Ruby knew she was pregnant but had trouble finding a Jackson Ob/Gyn for prenatal care because she didn’t have insurance. Fortunately, her fiancé’s grandmother recommended the Center for Family Health. “It was a quick decision” to enroll at the Center, she said. But she is thrilled to be a Center patient. “They worked hard with me to get Medicaid,” she said. And, providers in Women’s Health saw her even

before she had qualified for Medicaid. “It’s amazing. I love it here,” she said. “They’re very helpful, polite and quick.” She said that her prenatal care at the Center was better than the care she received in Ypsilanti for her daughter Gabriella, who was 3 in May. Not only would she recommend Women’s Health to “any woman or anyone who was pregnant,” she plans to bring her son and daughter to the Center’s Pediatric doctors for her children’s medical care while she continues to see the Women’s Health providers.

Chris Hamlin Chris Hamlin, a longtime patient at the Center for Family Health, acknowledges he has some serious health challenges. In addition to dealing with the issues associated with aging, he is trying to lose weight, stop smoking and cope with Type 2 diabetes. “It’s great to have them on my side to get these under control,” he said. Chris is exuberant in his praise for the care and compassion of the Center’s medical and support staff. “At the Center,

they take more of an interest. It’s not all about medications or surgical procedures; they talk to you about lifestyle issues. . . . I am really thankful we have them in the community.” A student at Baker College with a part-time job, Chris appreciates the Center’s sliding payment scale for visits and medications. “I never feel that I have to worry about paying for the care I need.”

Sherri Hanna Sherri Hanna has been a foster mother for 10 years, caring for about 40 children during that decade. “Almost all of my foster children have gone to the Center for Family Health,” she said. “I like the doctors and the staff, and the new building is beautiful.” The Center takes care of the children’s well care and minor illnesses, and their dental needs. But getting care at the Center is not limited to

Sherri’s foster children. Sherri is a Women’s Health patient, and her 7-yearold adopted daughter and infant grandchild also are Center patients. “The providers are good working with the kids,” she said. “The Center’s acceptance of Medicaid and Medicare is another big plus,” she said. “It’s a great place for people who don’t have insurance or money to pay for medical care,” Sherri said.

We are providing Help, Hope and Healing

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Numbers reflect our Mission

Our Mission

Revenues

Opening the door to health care for all

Other Revenue 7.9% Federal Grants 10.9%

Keys to our Mission

Net Patient Revenue 81.2%

Competence: We demonstrate expertise in carrying out our responsibilities and inspire others to have confidence in us. Compassion: We acknowledge, listen and respond to patients’ and staff’s needs in a caring manner. Partnership: We will work as a team – staff and patients – to achieve our common goals. Diversity: We respect individual beliefs, differences and uniquenesses.

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Patient Coverage Commercial Insurance 12% Medicare 6.7% Medicaid 56.4% Uninsured 25%


2012: a time of more Help, Hope and Healing

Total number of patients

Number of dental visits

Dental patients

Number of babies delivered

Percent of low birth-weight babies (Lower the better)

Women in first trimester who entered prenatal care (Higher the better)

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Patients with diabetes well controlled (AIC 9 or less)

Prescriptions filled *July 1-Dec.31 5


The year birthed new programs, ideas Mobile Dental Program keeps growing About 1,000 children received dental care from the Center for Family Health’s Mobile Dental Program in the 2011-2012 school year, a more than two-fold increase since the program’s inception. The mobile unit – staffed by a dentist, hygienist and dental assistants – visits area schools and provides children with a dental exam, X-rays, cleaning, fluoride application and sealants. Students are sent home with a “dental report card” for their parents, who must authorize the care. If follow-up is needed for a cavity or another dental issue, the child is referred to his or her new dental home, the Dental Office at the Center, 505 N. Jackson St. About 300 children were seen in the Mobile Dental Program ‘s first year, the 2008-2009

school year. By bringing the dentist to the children, this program eliminates several obstacles to care, including transportation, parents’ inability to take time off work, and lack of dental insurance. The Center does not turn patients away because of inability to pay. Fortunately, the number of children served by Mobile Dental keeps growing. By the end of March, about 1,200 students had been served this year. Next school year, Jackson County students will have greater access to dental care with a major expansion of the Mobile Dental Program. The Center learned in March that it was awarded a matching grant from Healthy Smiles, Healthy Children: the Foundation of the American Academy of Pediatric Dentists. The Center plans to visit more school districts and preschools while educating parents about

CenteringPregnancy starting this summer A very exciting new method for providing prenatal care is ready for launch this summer at the Center for Family Health. CenteringPregnancy is a model for group prenatal care that strives to better the well-being of pregnant women, improving their self image, increasing their self-care skills, and decreasing infant mortality and maternal morbidity. Data show it promotes the healthy growth and development of the fetus, reduces family violence, promotes family development and reduces unintended pregnancies. “Centering takes care of all the needs of a pregnant woman, as a whole,” said Dr. Sangeeta Sinha, medical director of Women’s Health at the Center.

The Center decided in 2012 to implement the program this year. Grouped by delivery date, about 10 to 12 women will meet 10 times for two-hour visits with their provider. There’s no time in the waiting room, the women learn to take their own blood pressure and conduct a urine test, and participate with a discussion centering on an issue of pregnancy or motherhood. Group members become a support system for each other. Several donors paid for the training and start-up costs associated with the CenteringPregnancy program. They are the James A. and Faith Knight Foundation, Addison P. Cook III Foundation, and Frank and Irene Myers Foundation.

Graduate Medical Education starts July 1 The Center for Family Health will be working with Allegiance Health to train 140 new physicians in Jackson through the hospital’s new Graduate Medical Education Program. The program, announced in May, will train medical school graduates in several medical specialties, including family, internal and emergency medicine; general surgery; psychiatry; and obstetrics and gynecology. The first group of residents is expected to start July 1. The physicians will be in Jackson for up to five years, depending on their specialty. 6

Upon completion of the program, the physicians will be eligible to take the exams to be board-certified in their specialty. Allegiance officials cited several positives in starting the program. It will provide a pool of physicians to recruit to Jackson, and the economic impact to the community will be about $21 million annually, including about $3.9 million in new tax revenue. Other partners are LifeWays CMH, Jackson Community College, Michigan State University, the University of Michigan, and other educational facilities.


Walk-In Clinic an alternative for ill patients The Center for Family Health opened its Walk-In Clinic in July to serve existing patients who cannot get a same-day appointment with their regular provider. Illnesses treated at the Walk-In Clinic include cold, sore throat, bladder infections, fever, flu, nausea, pink eye, stomachache; personnel also can take care of rashes, infection checks, flu shots, minor injuries and other simple conditions. Patients must be at least 6 months of age. The clinic has electronic access to all of the Center’s patients’ medical records, and follow-up

care – if needed – can be arranged with the patient’s regular provider upstairs. It is staffed by Amy Anglin, a family nurse practitioner, and Mollie Bailey, a physician’s assistant; the clinic is open 8 a.m. until 3 p.m. Monday through Friday. It is located on the first floor – immediately inside the main door – of the CFH facility at 505 N. Jackson. As of mid-April, 3,645 patients have used the clinic’s services.

CFH partners with Northwest to open clinic The Center for Family Health will add a fourth school health center this fall at R. W. Kidder Middle School in the Northwest School District. In December, the Center learned it was receiving a $436,443 federal grant to pay all the costs of renovating 2,710 square feet of former shop area and $40,000 of equipment. The construction will take place this summer. “This will bring affordable and comprehensive health care to where the kids are,” said Molly Kaser, Center CEO. The clinic will provide primary medical care and mental health counseling to about 2,800 Northwest

students and area children under 5 years old year-round. It will be available to all Jackson County children through 21 years of age. Operational costs will be paid by Medicaid and other insurance reimbursements. The Center is a federally qualified health center and never turns away a patient because of inability to pay. The Center operates three other school health centers in partnership with Jackson Public Schools – Northeast Health Center, the Teen Health Center at Parkside and Jackson High Health Center.

Satellite medical clinic opens at LifeWays The Center for Family Health opened a satellite clinic at LifeWays CMH in March to better serve the medical needs of the mental-health agency’s patients. Under discussion for years, the clinic was birthed from a grant from Michigan Department of Community Health grant of nearly $100,000, available to Community Mental Health programs intended for integrated health efforts. It paid for all start-up costs, including equipment and technology costs. Patient care is paid for through reimbursement from Medicaid, Medicare, commercial insurance and other programs. No one is turned away because of inability to pay. Although the medical clinic is located

in the LifeWays building at 1200 N. West Avenue, it is open to all Jackson County residents. It is staffed by Center employees – a nurse practitioner, an RN patient-care coordinator, and a medical assistant – who provide primary care part time until May 13 when the clinic began full time service. Clinic patients automatically become patients of the Center, and are able to access

all its services at its downtown location, 505 N. Jackson St. As of mid-April, 111 patients had used the part-time clinic since it opened on March 25. LifeWays CMH and the Center estimate that about 1,700 potential patients could be seen at the N. West Avenue location.

Theresa Nestorak is the nurse practitioner at the LifeWays clinic. 7


It truly takes a village… Donor List Ryan Ambs Nancy Bauer Sara Benedetto Dr. Jerry and Jackie Booth Braun’s Home Furnishings Michelle Caryl Comerica Inc. Cunningham Construction Co. Dawn Foods Andrea Decker Dale and Becky Ernst Suzi and Ormand Finch Gerald and Christine Grannan Dr. Jane and Robert Grover Guidestream Charitable Gift Fund Sheri Hardcastle Lori Heiler Ted Hilleary Kimberly Hinkle

Steven Hogwood Jackson Citizen Patriot/MLive Media Group JTV Janet Kalahar Molly and Dan Kaser Nicole Knapp Langston Enterprises Inc. Dr. Sarah Malinda Michelle Mayo Michelle McCormick Sheryl McCormick McDonald’s Cheryl Melville Ron Miles R. Dale Moretz Steven and Bunee Morrison Jane Myers Dr. Allan Padbury Jr.

Partners

United Way of Jackson County

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William Patterson Laura Piascik Brenda Pilgrim Ruth Ann Roach Dr. Sangeeta Sinha Dr Gloria Smith Teri-Sue and Elwyn Steele Jean Tannis Donald Tassie Betty and Ken Toll Erin Tomb White, Hotchkiss & Falahee PLLC Jennifer White Jeanné Wickens Shirley Williams List reflects contributions from July 1, 2012, to March 31, 2013


Executive Staff

Sara Benedetto Vice President & COO

Molly Kaser President & CEO

Gregory Naylor, MD Medical Director

E. Dale Ernst Jr. Vice President & CFO

Sangeeta Sinha, MD, FACOG Women’s Health Medical Director

Kim Hinkle QI Director

Board of Directors

Ted Hilleary Board Chair

Allan Padbury DDS, MS, Board Vice Chair

Suzi Finch

Lee Hampton

R. Dale Moretz

Jeanne’ Wickens Board Treasurer

Betty Toll Board Secretary

William Patterson

Lori Heiler

Jerry Grannan Immediate Past Board Chair

Steven Hogwood

Brenda Pilgrim

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Center for Family Health 2012 Annual Report