2023 Community Health Impact Report: The Power of Partnership

2023 Community Health Impact Report The Power of Partnership

A letter from

the CEO and

President Dear friend,

No great movement ever achieved its aims without a strong and dedicated coalition behind it. Advocates who band together always find success together. Throughout our remarkable year of improving health outcomes in Montgomery and Prince George’s counties, we experienced firsthand how partnership yields progress.

2023 saw us effectively leverage our longtime relationships as we welcomed new friendships into the fold. The collaborations we enjoyed with like-minded organizations, local leaders, and community members empowered us to expand our programs and increase access throughout our service area. By the year’s end, we became closer to our allies and likewise closer to our vision of a more equitable health care system for everyone.

In 1972, we planted a seed of health equity in our community.

Today, we stand in the presence of a mighty tree strong enough for tens of thousands of patients and participants to lean on for support. And who can we thank for its growth? Friends like you.

The roots of partnership run deep.

Sincerely,

Sonya Bruton, PsyD, MPA CEO and President

2 | 2023 Impact Report

2023 Impact Report | 3

2023 126,474 Total Visits:

Year by Numbers

93% Clinical Visits 117,574

Total Patients:

37,246 7% Virtual Visits 8,900

38% Patients Ages 0–17 14,258

5%

62% Patients Ages 18+ 22,988

79%

Dental Visits Clinical: 12,106

Did not disclose 4,111

Don’t know 2,963

41%

Behavioral Health

Case Management

Clinical: 6,427 Virtual: 1,698

Clinical: 6,465

95%

59%

Nutrition Clinical: 1,274 Virtual: 891

70%

4%

7%

1%

14%

American Indian/ Alaska Native 432

1%

Hispanic/Latino/ Latina/Latine 26,236

21%

Clinical: 89,587 Virtual: 6,223

11%

Race & Ethnicity

6%

Medical Visits

73% Straight/ Heterosexual 27,048 8%

Our Services

94%

Sexual Orientation

Unknown 2,647

Unreported 1,549

Bisexual 209

Less Than 1%

Black/African American 5,340

Substance Use Disorders

Gay/Lesbian 184

5%

Less Than 1% More than one race 127 Native Hawaiian/Other Pacific Islander 22

Asian 1,942

Clinical: 1,715 Virtual: 88

4%

White 1,598

Other 84

Language & Translations

31,127

WIC Participants

Average Breastfeeding Incidence:

88.4% State average: 76.1%

Breastfeeding Prevalence after 6 months

56.9% State average: 41.8%

Patients Best Served in a Language Other Than English

¡Hola!

Income as Percentage of Poverty Guideline

70%

16%

100% and below 26,306

91%

Ages 12+ 18,827

4 | 2023 Impact Report

Pa tes tient ted s HIV for

100

%

74%

–65 s 15 Age ,535 15

62%

101–150% 5,879

Female 23,264

35%

76%

5% 151–200% 1,935

28,297

5% Unknown 1,712

4% Over 200% 1,414

Male 13,145

2%

Did not disclose 626

Payor Mix Patients screened for depression

Gender Identity

Screening & Testing of wa patien s see mad ts wh n w e by ose ithi f n 3 health irst-e 0d v ays cente er HI V r of f irst perso diagn o n dia gno nel w sis e sis of H re IV

0–17 Years Old

18+ Years Old

52% Medicaid 19,331 10,763

Unknown 136 Transgender Male/ Transmasculine 34

8,568

36% None/Uninsured 13,541 3,162

Less Than 1%

Transgender Female/ Transfeminine 21 Other 20

10,379

7% Private Insurance 2,790 317

2,473

16

1,568

4% Medicare 1,584

2023 Impact Report | 5

Why did we see a decline in COVID-19 vaccinations?

COVID-19 vaccination rates dropped nationwide throughout 2023.1 Only 29% of U.S. Americans reported receiving the fall booster.2 We continue to work with our patients and the community to provide education on the ongoing danger of COVID-19 and encourage neighbors to receive seasonal boosters as they become available.

*Selected immunizations include hepatitis A, haemophilus influenzae B (Hib); pneumococcal, diphtheria, tetanus, pertussis (DTaP) (DTP) (DT); measles, mumps, rubella (MMR); poliovirus; varicella; hepatitis B.

1 Constantino, A. K. (2023, November 30).

Covid vaccine rates in the U.S. are slumping — and it will be a challenge to boost them.

CNBC. https://www.cnbc.com/2023/11/30/ us-covid-shot-rates-are-low-and-it-will-be-achallenge-to-boost-them.html

Jones, J.M. (2023, December 20). New COVID Shot Uptake Lagging Behind Annual Flu Shot Rates. Gallup.com. https://news.gallup.com/ poll/547625/new-covid-shot-uptake-laggingbehind-annual-flu-shot-rates.aspx 2

6 | 2023 Impact Report

Care By the Numbers A glimpse into the care we delivered in 2023 compared to the year prior.

SERVICE

PATIENT RECIPIENTS

DIFFERENCE

HIV screenings

5324

8118

+ 53%

Hepatitis B tests

3145

3140

- 0.2%

Hepatitis C tests

1294

2638

+ 104%

PrEP management

50

58

+ 16%

Mammograms

2385

3177

+ 33%

Pap tests

2359

2671

+ 13%

Selected immunizations*

7890

8338

+ 6%

Seasonal flu vaccines

8416

8898

+ 6%

COVID-19 vaccines

1826

860

- 53%

Contraceptive management

4040

4225

+ 5%

Childhood lead test screenings

2062

2327

+ 13%

Smoking and tobacco use cessation counseling

696

798

+ 15%

Emergency services

612

1008

+ 65%

Oral exams

3277

3893

+ 19%

Prophylactic treatment

1733

2430

+ 40%

Sealants

148

263

+ 78%

Fluoride treatments

1323

1589

+ 20%

Dental restorative services

1036

1383

+ 34%

Oral surgeries

231

244

+ 5%

Dental rehabilitative services

465

752

+ 62%

2022

2023 2023 Impact Report | 7

Highlights

Progress Report

USDA Recognition for Breastfeeding Support

2023 was a pivotal year for our expansion efforts. The following are some of the key moments that brought us closer to realizing our plans and ambitions.

The CCI WIC team received the 2023 WIC Breastfeeding Award of Excellence for Exemplary Breastfeeding Support in Practices from the United States Department of Agriculture (USDA), the department that manages the nationwide WIC program. CCI was one of just 11 organizations to receive the Premiere designation.

HRSA Recognition for HIV Prevention and Care The Health Resources and Services Administration (HRSA) recognized our infectious disease and HIV care team as a National Quality Leader in HIV prevention and care with a Community Health Quality Recognition.

LGBTQ+ Healthcare Equality High Performer Designation We were included in the Human Rights Campaign Foundation’s Healthcare Equality Index (HEI) for the second consecutive year. We received the Healthcare Equality Top Performer designation, the second-highest designation for applying health organizations.

Milestone Year for Community Outreach Our outreach team participated in 61 community events, a 125% increase from 2022. We hosted nine events, including a recordbreaking Block Party (more on p. 24). In total, we engaged with and delivered on-site health services to over 6,000 neighbors.

Free Health Care in Prince George’s County In partnership with the City of Greenbelt, our Greenbelt and Greenway health center teams delivered free medical, dental, and behavioral health services to 408 neighbors across 1,224 office visits (more on p. 12).

Silver Spring Health Center Renovation Our Silver Spring health center has served as a hub for health throughout the city for over a decade. Recognizing its significance and the growing need, we built out the space in 2022 to accommodate more neighbors and include new services. We completed the project and opened our doors in January.

The first of its kind in the county, our revamped health center doubled in size and now boasts 28 exam rooms, a renovated dental clinic, designated areas for patient-specific conditions and health needs, and our upcoming Teaching Kitchen program.

Ora Glen Construction Begins Expanding our footprint in Greenbelt has been a CCI priority since the community welcomed us in 2007 with our first health center. 2023 saw us ready to make our next big move.

In December, we officially broke ground on our new Ora Glen health center, beginning the build-out process to make the space patient-ready by summer 2024. Our new health center will host our core services, prenatal care, refugee health, Family Medicine Residency Program, and an in-house pharmacy (more on p. 22).

Our Ora Glen health center will deliver care to over 10,000 new patients throughout Prince George’s County.

Family Medicine Residency Program Update In November 2021, HRSA awarded us a Teaching Health Center Planning and Development grant, positioning us to become Maryland’s first Teaching Health Center and funding a CCI-operated Family Medicine Residency Program in Prince George’s County. Since then, we’ve worked tirelessly to launch the program, with 2023 as a turning point in our planning.

*January 2024 Update On January 30, 2024, we received the exciting news that the ACGME accredited our Family Medicine Residency Program, giving us the green light to launch in summer 2025 at our new Ora Glen health center!

According to a study commissioned by Prince George’s County in 2023, more than 1,000 primary care physicians (PCPs) are needed to address the countywide shortage.3 In January, our CEO and President, Dr. Sonya Bruton, published her first book, Finding Your Way in the Nonprofit Sector: Your Portable Mentor for Avoiding Pitfalls and Seizing Opportunities.

8 | 2023 Impact Report

In January, we were named a Sponsoring Institution (SI) by the Accreditation Council for Graduate Medical Education (ACGME), a unique designation for a Federally Qualified Health Center (FQHC.) Six months later, we passed an inspection from the ACGME. Now, we await ACGME accreditation.*

3 Patrickis, C. (2024, January 10). Prince George’s County executive requests $60 million for healthcare improvement plan. WJLA. https://wjla.com/news/ local/prince-georges-county-marylanddevelopment-state-funding-healthcareinfrastructure-hospital-beds-medicalpavillion-blue-line-corridor-roundtableschool-repairs-construction-investmentseconomic

2023 Impact Report | 9

Partner:

Hungry Harvest

Collaboration:

The Hungry Harvest team has helped us increase healthy food access for years. We continued our collaboration in 2023, distributing produce at our flagship events and to our CenteringPregnancy® participants.

SDOH Addressed:

Economic stability Social and community context

Opening Up Access SDOH are the environmental factors that influence personal and community health.

Healthy People 2030 categorizes SDOH into five domains: 4 • Economic stability • Education access and quality • Health care access and quality • Neighborhood and built environment • Social and community context

U.S. Department of Health and Human Services. (2020). Social Determinants of Health. Healthy People 2030; Office of Disease Prevention and Health Promotion. https://health.gov/healthypeople/priority-areas/socialdeterminants-health 4

10 | 2023 Impact Report

Addressing the social drivers of health (SDOH) is critical to improving health outcomes. In fact, we believe it’s the deciding factor in an effective care model. Telling patients to eat a healthier diet or incorporate exercise into their routines is easy enough. The hard part is removing the obstacles that prevent them from doing so.

We long ago recognized the role access plays in community health, which is why our approach comprises patient-centered care in our health centers and a strategy to increase opportunities outside of them. But our patients face many inequities, and we can’t go it alone. Thankfully, we don’t have to; we have allies just as driven as we are to clear a path to health equity.

Throughout 2023, we counted on several organizations and companies to work with us in taking on the risk factors that hold our neighbors back from reaching their potential. Here’s the impact they helped us make.

Outcomes:

Nutritious and fresh foods and ingredients were readily available to families free of charge, enabling them to eat well without barriers. Over 1,800 community members received boxes of fruits and vegetables.

Partner:

Greater DC Diaper Bank (GDCDB)

Collaboration:

The GDCDB is a long-time CCI ally. We’ve worked with them to provide tens of thousands of our patients and participants with baby supplies.

We continued that effort in 2023, delivering essential maternal health resources to neighbors in need.

SDOH Addressed:

Health care access and quality Social and community context

Outcomes:

100,075 diapers were distributed to 2,409 families.

142 families received a nursery bundle.* * A nursery bundle contains a car seat, stroller, baby play yard, diaper bags with supplies, baby carrier, and cloth diaper kit.

Partner: Collaboration:

SDOH Addressed: Outcomes:

Partner: Collaboration:

SDOH Addressed: Outcomes:

The Potomac Valley Alumnae Chapter of Delta Sigma Theta Sorority, Inc. We worked with the Deltas in a new partnership to make health information and education more accessible in our community through a series of engaging workshops and events.

Education access and quality 250+ neighbors increased their knowledge on topics spanning cervical cancer to mental health (more on p. 28).

Local Initiatives Support Corporation (LISC) A generous grant provided by LISC enabled us to provide our patients and participants with access to rideshare services so they could easily travel to and from their appointments.

Neighborhood and built environment 10,500 rides completed.

2023 Impact Report | 11

Free Health Care in Greenbelt

The relationship we have with our patients is built on expectations. We ask them to take the lead in their health journey, and they can call on us to provide them with the care and knowledge they need to live well. There’s also a shared expectation that’s equally important to both parties: patient satisfaction.

When our friends with the City of Greenbelt approached us to see if we would work with them to offer free health care to community neighbors without insurance, we responded with a resounding yes.

Opportunities like these demonstrate the potential and possibilities of a community approach to health care.

Patients who trust and feel comfortable with their clinicians will keep coming back for care. We prioritize an optimal patient experience—and the data suggests our patients are noticing.

Utilizing funds from the American Rescue Plan Act, the City of Greenbelt leadership was eager to cover the cost of services at our Greenbelt health center for eligible residents in the 20770 zip code area. Patients had full access to primary, dental, and behavioral health care without thinking twice about payment. By the end of the program, 408 residents benefited, spanning 1,224 office visits.

91% of patients reported receiving care as soon as they needed it.

98% of patients felt that our clinicians listened carefully to their concerns.

96% of patients found our administrative support team helpful.

85% of patients said they never had to miss or reschedule an appointment due to payment.*

Of course, offering health services for free is nothing new for us.

As proud members of the community health center movement, we offer care on a sliding scale based on income and will not turn anyone away from service. But what made this initiative so special was its spirit of collaboration. Joining forces with the City of Greenbelt on a shared goal to promote health made the result all the more meaningful.

Prince George’s County is an area prime for transformation. Local leadership continues to make clear their commitment to increasing access. Meanwhile, our Family Medicine Residency Program will train new PCPs as our Ora Glen health center cares for 10,000 more residents. With each new initiative and joint victory, the state of health care in greater Prince George’s County shines brighter.

SDOH Addressed

Health care access and quality Social and community context

Outcomes

12 | 2023 Impact Report

Positive Experiences Improve Health Outcomes

408 Greenbelt residents without insurance received free health care services and discovered a welcoming space for care going forward.

Between January and December 2023, 19,569 CCI patients across our seven health centers were surveyed on their experience with us. Here’s what the results showed:

High marks tell us we’re on the right track to meeting our vision. We’re immensely proud our patients recognize the deliberate effort we make to foster a safe and equitable care experience for everyone. *The number of respondents for this survey question was 6,455.

Health Care Access for Pregnant Immigrant People The Healthy Babies Equity Act went into effect statewide in July, providing eligible parents-to-be access to Medicaid coverage regardless of citizenship status. The legislation opened the door for thousands of neighbors to benefit from pre- and postnatal care, two critical services for expecting families that increase the likelihood of a healthy birth.

Under the new law, qualifying pregnant people can now utilize health services through Medicaid, including pre- and postnatal, primary, dental, and behavioral health care. It’s a glimpse into a more equitable future for health care in Maryland and a notion of access for everyone no matter where they’re from or how they’ve arrived.

CCI never asks patients for their status, so we cannot report how many in the immigrant community benefited from the legislation.

However, 757 patients visited us for prenatal care in 2023, receiving regular checkups, nutrition counseling, and educational resources. Moreover, 341 participated in group prenatal care sessions via CenteringPregnancy®, a modality proven to increase the chances of a positive pregnancy and birth outcome. By the end of the year, 92% of patients enrolled in our prenatal care program successfully delivered at a healthy birth weight.

Community health centers have been a health care haven for people without legal residency status for decades. Our movement has worked hard to build relationships and reach the community with services to further their wellness. Yet, the apprehension many immigrants feel is real, while the insurance barrier only adds to their hesitance.

The Healthy Babies Equity Act is a considerable step toward reintroducing health spaces as safe spaces. We are pleased for its passage and humbled to help the community thrive.

Héctor Alejandro Arzate, Immigrant Communities’ Reporter with DCist, visited our Greenbelt health center to report on the new law and what it means for young families. He listened to the stories of our patients and met with CCI staffers Leena Daniel and Sherlyn Hernandez for an in-depth conversation on the opportunities now available to our neighbors.

14 | 2023 Impact Report

2023 Impact Report | 15

SDOH Addressed ducation access and E quality eighborhood and built N environment Outcomes Patients and families who visit our Takoma Park and Wheaton health centers for care will have an opportunity to bond in a safe space and access supplemental resources that encourage emotional and social health.

Sesame Street in Communities: NADCP ComfyCozy Initiative Research Report Background and Objectives. (2019). Fluent Research. https:// allrise.org/wp-content/uploads/2023/06/ Sesame-in-Communities-Report.pdf 5

16 | 2023 Impact Report

Comfy-Cozy Spaces with Sesame Street In March, CCI was selected to participate in the Sesame Street in Communities (SSIC) program, an initiative between the National Association of Community Health Centers (NACHC) and Sesame Workshop. The first phase of the partnership centers on installing Comfy-Cozy Spaces in our Takoma Park and Wheaton health centers, which will go live in 2024.

Little CCI Community We debuted the Little CCI Community in February, with CCI originals Beatrice the Bear, Fernando the Flamingo, and Sammy the Sloth gracing our health center walls to educate kids on dental hygiene.

Cartoon mascots aren’t usually top of mind when encouraging kids to protect their teeth (think sugarloaded cereals), but we turned that idea upside down in a fun, colorful, and creative way.

Comfy-Cozy Spaces are areas within a health center that offer children an inviting and positive atmosphere. A primary focus is connection; families enjoy the space together, built to encourage trusting relationships between themselves and their clinicians.

It’s also about reducing stress for kids and helping them feel safe and secure while they boost their resilience skills through the resources offered in the program.

Research shows that Comfy-Cozy Spaces positively impact a child’s mood and behavior.5 We look forward to expanding this unique, health-affirming program into each CCI location to give young families a place to grow closer together.

2023 Impact Report | 17

Conversations to Further Contraceptive Care Family planning is an integral part of health care. Title X providers like us inform the decision-making process for individuals weighing whether to start or grow their family. We provide clarity in choice via nonjudgmental and confidential contraceptive counseling, which serves as the best method available to help our neighbors consider their options and pursue their goals.

We are proud to maintain a team specifically for family planning. However, we understand that the most effective strategy is integrative by design, meaning that every clinician, advocate, and allied professional is familiar with contraception and comfortable discussing it. That idea, a pillar of the Title X program, serves as the foundation of a partnership beginning in 2024 between CCI, the State of Maryland, and Upstream USA, a leading national contraceptive care organization.

The partnership rests on working with the Upstream USA team on a cross-sectional training program for our health center staff. Medical assistants, nurses, and community health workers alike will soon become equipped with the know-how they need to counsel patients on contraceptive care within a primary care setting.

The program will culminate with at least 65% of our staff completing the training, effectively making family planning a component of every service we offer.

Program efficacy will depend on several metrics and objectives. One priority is patient satisfaction; through survey data, we’ll review the overall experience of our patients, assessing their selfreported comfort level during counseling and perception of how knowledgeable their clinician was on the topic. We’ll also examine any resulting health outcomes, particularly pregnancy rates, prescription trends, and referrals.

18 | 2023 Impact Report

Thousands of neighbors statewide will benefit from the program. Meanwhile, our team will significantly increase their understanding of contraceptive care, empowering them to broach and lead conversations confidently.

We look forward to working with Upstream USA and Maryland further to realize a core tenet of the Title X program and transform contraception from obstacle to opportunity.

SDOH Addressed Health care access and quality Education access and quality Social and community context Outcomes Patients who receive care at a CCI health center will have the opportunity to discuss contraception and family planning with their clinician, regardless of the reason for their visit. Over 200 staff members will understand the nuances of family planning. We’ll also help normalize contraceptive counseling in a primary care setting.

On November 28, Dr. Bruton joined Gov. Wes Moore, State of Maryland leaders and officials, and Upstream USA representatives to announce a joint initiative to bolster contraceptive access in Maryland. The press conference received widespread coverage, including from FOX 5 and the Baltimore Sun.

2023 Impact Report | 19

Back to School: CCI’s Expansion into School-Based Wellness School is a powerful place. It’s where education flourishes and experiences shape minds. It’s also a critical opportunity to access resources. Whether it’s the understanding of a mentor or the warmth of a lunch, many students in our community depend on school for their wellness. Health care completes the picture—and it’ll soon get the CCI treatment.

In February, Montgomery County shared some big news with us: they selected CCI to manage the School-Based Wellness Centers (SBWCs) program for six high schools countywide, bringing our culturally competent and patientcentered care model to thousands of students.

CCI’s involvement in the program is a landmark moment in our strategy to increase health care access in the community. What makes the SBWC program so important is that it effectively removes the common barriers preventing teens from receiving care. Insurance is no longer an issue; if a student is enrolled in the school, they’re eligible to participate, as are their siblings. Parents also don’t have to worry about arranging transportation or time off from work for their teens’ appointments; quality care will be a few steps away from homeroom.

The SBWCs we manage will serve as an extension of our health center experience: integrative, established on the support of a team of compassionate health professionals. Each site will feature an overseeing physician, a nurse practitioner, and a certified medical assistant.

A collaborative approach means a whole-person evaluation for students, while staff knowledge of external resources offers new pathways to health-promoting essentials from partnering organizations.

CCI-run SBWCs will address what you expect from a traditional clinic, yet a focus on preventative care sets them apart. Clinicians will work with students to educate them on issues most relevant to them and equip them with the tools and knowledge they need to stay healthy.

20 | 2023 Impact Report

Each student wellness exam will evaluate and counsel on common risk factors for teens, including obesity, asthma, home-based violence, depression, drug and alcohol abuse, and sexual activity. SBWCs will be a safe space for teens to ask sensitive questions and leave with answers from personnel who care.

Hiring for our SBWCs began in November and will continue until the program is ready for launch in time for spring 2024. We are also in the early stages of planning an expansion into Prince George’s County schools. But for now, we are eager to deliver accessible and quality care to students in Montgomery County, helping them meet and reach their goals.

Building a Healthy School Year Each summer’s end sees us ramp up our message of health to families with children preparing for the upcoming school year. In 2023, we focused on three priorities: 1. Encourage our neighbors to sign up for Medicaid and CHIP coverage.

2. Get kids up to date with their vaccines.

3. Let families know about our WIC services to access nutritious meals.

We spread the word through a comprehensive digital campaign and bus ads throughout Montgomery and Prince George’s counties.

Between July and September, 5,829 children and teens visited us to start their school year right!

Health Journeys Start Early Early childhood and adolescence are formative years for lifelong health. We set our youngest patients on the right track by delivering health services that answer risk factors specific to their age.

We provided 82 children between the ages of 6 and 9 with a dental sealant on their first permanent molar to prevent caries, an 86% increase from 2022.

We counseled 9,631 children between the ages of 6 and 13 on nutrition and physical activity to teach them healthy habits, a 74% increase from 2022.

We completed 2,327 childhood lead test screenings on children between 9 and 72 months to detect potential lead poisoning, a 13% increase from 2022.

SDOH Addressed Health care access and quality Education access and quality Social and community context Outcomes Students attending Gaithersburg High School, Kennedy High School, Northwood High School, Seneca Valley High School, Watkins Mill High School, and Wheaton High School will gain access to quality health care and education. Over 12,000 teens will benefit.

2023 Impact Report | 21

The Pharmacist Will See You Now: A Chat with Dr. Marvhe Howard Thousands of patients who visited us for care in 2023 manage at least one chronic illness that requires a regular prescription. Medication access is foundational to a healthy community, which is why we’ve been working hard to install on-site pharmacies at each of our health centers, beginning with Ora Glen and Gaithersburg in 2024.

Inviting Marvhe Howard to serve as pharmacy director was the key to realizing our ambition. Originally from Detroit, Dr. Howard moved to Prince George’s County in 2017 after graduating with a doctorate from the Massachusetts College of Pharmacy and Health Sciences.

After working with leading pharmaceutical companies, Dr. Howard now uses his clinical expertise and business acumen to set our pharmaceutical service program up for success.

We spoke with him to learn more about his vision for the program and what it will mean to our patients.

Dr. Howard, what made you want to work in community health?

I actually started my career working with a pharmacy specifically for historically underserved communities. It was an influential experience for me, both professionally and personally. Given my career and life goals, a move into community health made the most sense, though I knew I didn’t want to land just anywhere. Instead, I wanted to join an organization with big ideas and a strategy to realize them. CCI fit the bill in every way.

What are some of the obstacles our neighbors face regarding medication access?

It almost always comes down to cost. Medications are a financial burden without insurance to help carry the load. That’s a type of inequity that requires change on a systemic level. In the meantime, community health can pave the way to a modern and affordable approach.

Another barrier concerns the where and how. If a patient needs to commute somewhere to pick up a prescription, the chances they’ll follow a medicine regimen immediately decrease. I think health literacy and cultural competency also play a role here.

Clinicians often ask patients, “which pharmacy should we send your prescription to?” That sounds like a straightforward question, but depending on a patient’s comfort or understanding, it’s not always.

Marvhe Howard PharmD, MBA

How does an on-site pharmacy address these barriers?

Health equity is all about transforming the out-of-reach to withinreach, and that’s precisely what our pharmacies will do. In just a few months, our patients in Ora Glen and Gaithersburg will be able to receive their prescriptions in the same place they receive their care and from the same personnel they already know. That’ll mean improved health outcomes, greater trust, and the best patient experience health care can offer.

Ultimately, a prescription is an opportunity—a ticket to reclaim one’s health. I want patients to know that it doesn’t matter what led them to this point in their health journey; what matters is where they go from here. Our program will help them understand the power and potential of filling and following a prescription.

SDOH Addressed Outcomes

22 | 2023 Impact Report

Health care access and quality Nearly 20,000 patients in Ora Glen and Gaithersburg will be able to access their prescriptions on-site after their appointments, improving medicine adherence.

2023 Impact Report | 23

Block Party Partners • CareFirst BlueCross BlueShield Community Health Plan Maryland • Friends of Greenbelt Theatre • Greenbelt Municipal Swim Team • Hungry Harvest • Maryland Insurance Administration • Maryland Physicians Care • Mission of Love Charities, INC • PGC Health Connect

Our Year in Events Our events grow in attendance and gain momentum with each passing year, with 2023 being no exception. We coordinated nine events throughout Montgomery and Prince George’s counties, bringing our essential services to our neighbors in engaging ways with the help of partnering organizations.

Block Party | August 12 Over 900 neighbors came out for an afternoon of fun and sun at our Greenbelt health center for our 3rd annual Block Party. DJ Dre and KyleOnTheMic joined us again this year to keep the party moving as vendors from the community represented in support.

Families left with full bellies and memories for a lifetime, which is a success in and of itself. But, more importantly, they left with resources to advance their wellness.

Dr. Bruton said it best in her reflections:

• Priority Partners • TrainACE • Priority Partners • UnitedHealthcare Community Plan • Woodland Job Corps Center • City of Greenbelt CARES & GAIL program • Green & Healthy Homes Initiative

“I believe in meeting people where they are. I also believe in the power of place. What I love about our annual Block Party is that it caters to both philosophies: bringing essential health services to our neighbors in Prince George’s County while introducing them to our Greenbelt health center, often for the first time. And even though some attendees may not yet seek us for care, they left our event healthier – and happier – than when they came. We’ll see them again next year; until then, they know we’re just a phone call away.”

Outcomes

• Maryland Democratice Party – LatinX Diversity Leadership Council

900+ 200 52

• Maryland Multicultural Youth Center

WIC Back to Work Shower | August 30

• Greenbelt SITY Stars Jump Rope Team

• MedStar Family Choice • Pets on Wheels, Inc • Planned Parenthood of Metropolitan Washington • Wellpoint 24 | 2023 Impact Report

plates of food

dental kits distributed

medical visits

760 50 20

boxes of fresh produce distributed

immunizations

HIV screenings

Every August, CCI WIC hosts an exclusive workshop for our WIC participants to celebrate National Breastfeeding Month. Our 2023 event was designed around the theme, “Enabling Breastfeeding: Making a Difference for Working Parents,” which sought to prepare breastfeeding parents to transition from feeding at the breast to pumping. We equipped participants with the knowledge and resources needed for a successful pumping journey at work. The celebration featured a mix of educational activities, interactive games, and access to resources. Each participant received a gift bag containing baby supplies!

2023 Impact Report | 25

Medicaid Health Fair | April 15 The COVID-19 public health emergency (PHE) ended on May 11, a promising sign in nationwide efforts to overcome the pandemic, yet a new problem for those who counted on the Medicaid provision for health insurance. Anyone who benefited during the PHE needed to act fast to keep their insurance.

We hosted the Medicaid Health Fair at Beltway Plaza Mall to let our neighbors know it was time to register. Staff members volunteered their Saturday to show Greenbelt residents how to sign up for Medicaid and schedule appointments with our ACA navigator. We also offered attendees the opportunity to receive on-site health services.

Outcomes

22 10

blood pressure tests Medicaid appointments

Medicaid Health Fair Partners • Aetna • Hungry Harvest • PGC Connect • United Healthcare • WPGC 95.5 • CareFirst

19 5

glucose tests

COVID-19 vaccines

• Maryland Insurance Administration • Priority Partners • Z 107.9

Run Baby Run 5K | September 30

RBR Partners

We hosted our 6th annual Run Baby Run 5K to educate the community on maternal and prenatal health outcomes and raise funds for our prenatal care program. Over 120 neighbors participated!

• Benjamin Office Supply and Services

CCI WIC Executive Director Jose Luis Diaz spoke with FOX 5’s Ayesha Khan about Run Baby Run and improving maternal health outcomes in our community.

• Labcorp • Korth Construction • PSA

An Intimate Food Experience for a Cause | August 9 We hosted our inaugural Sunset Soirée, partnering with Chefs Stopping AAPI Hate for an evening of conversation and fine dining curated by nationally renowned chefs Kevin Tien of Moon Rabbit, Tim Ma, Ari Augenbaum of Soul Taco Restaurant and JewFro, with pastries by Susan Bae and drinks by our own Marketing Specialist, Thi Nguyen. We raised over $10,000 for CCI and Chefs Stopping AAPI Hate!

A CCI Night Out | December 1 In honor of World AIDS Day on December 1, we held a screening of the concert documentary Renaissance: A Film by Beyoncé exclusively for our patients, staff, and allies.

Attendees showed up in their best Renaissance gear for a memorable evening celebrating people from all walks of life. It was our pleasure to coordinate and a thrill to see our community enjoy themselves!

26 | 2023 Impact Report

2023 Impact Report | 27

Talking Health Together Discussing health openly leads to a community more open to health. No judgment, no shame, only a willingness to learn. That’s what we accomplished with our partners throughout 2023, fostering educational opportunities and raising awareness among our neighbors.

Women’s health was a focal topic given the growing disparities facing the population, especially for women of color. Black women face the highest mortality rates of cervical cancer in the U.S., one of the most preventable cancers.6 7 They’re three times more likely to die during childbirth than NH White women.8 Black women are 4% less likely to receive a breast cancer diagnosis than NH White women but 40% more likely to die from it.9 Meanwhile, a mental health epidemic in the U.S. affects young women of all races.10 The following workshops we hosted helped our community directly meet and address these issues with empowering solutions.

Candid Conversations About Cervical Cancer | January 26

Empowering Our Girls: A Community Toolkit on Mental Health | May 7

20 neighbors throughout Montgomery County joined us to learn more about cervical cancer prevention and treatment via engaging presentations by CCI clinical staff. Attendees also enjoyed fun trivia games and free food.

Dr. Bruton led a panel discussion featuring CCI behavioral health consultants Tashia Weekes and Brenda Tavara, which covered topics relevant to teen girls and their mental health. 37 neighbors learned how to navigate conversations to help the young teens in their lives.

Partner: The Potomac Valley Alumnae Chapter of Delta Sigma Theta, Sorority, Inc.

Black Moms Matter Too | April 12 Hosted at Zion Church in Greenbelt, Black Moms Matter Too was a panel discussion on Black maternal health. CCI clinicians joined local doulas Latavia Nickols and Joy Fields for a conversation with over 100 attendees.

Partner: Zion Church

6

Partner: The Potomac Valley Alumnae Chapter of Delta Sigma Theta Sorority, Inc.

Support the Fighters, Admire the Survivors, Honor the Taken | October 17 We asked our neighbors if they’re “HIP” (Honoring, Informing, Preventing) to breast cancer by hosting an online discussion featuring moving survivor stories, guidance and resources, and interactive activities.

Partner: The Potomac Valley Alumnae Chapter of Delta Sigma Theta Sorority, Inc.

Black Women Have Highest Mortality Rate of Cervical Cancer Subtype - NCI. (2022, December 20). National Cancer Institute. https://dceg.cancer.gov/news-events/news/2022/black-women-adc

Centers for Disease Control and Prevention. (2020, January 6). CDC Vitalsign: Cervical Cancer is Preventable. Centers for Disease Control and Prevention. https://www.cdc.gov/vitalsigns/cervicalcancer/index.html 7

8

Centers for Disease Control and Prevention. (2023, April 3). Working together to reduce black maternal mortality. https://www.cdc.gov/healthequity/features/maternal-mortality/index.html

McDowell, S. (2022, October 3). Breast Cancer Death Rates Are Highest for Black Women—Again | Breast Cancer Facts & Figures, 2022-2024. Www.cancer.org. https://www.cancer.org/research/acsresearch-news/breast-cancer-death-rates-are-highest-for-black-women-again.html 9

CDC: Girls Are Experiencing An Unprecedented Mental Health Crisis. (2023, February 15). Psychiatrist.com. https://www.psychiatrist.com/news/cdc-girls-are-experiencing-an-unprecedentedmental-health-crisis/

CCI’s Maternal and Child Health Director, Aastasshia Lacy, discussed maternal health outcomes and our Black Moms Matter Too event with WJLA 24/7 News.

10

2023 Impact Report | 29

Digital Health Campaigns

Presenting Thought Leadership

We brought our health education approach to our online followers throughout 2023 via over 15 campaigns to build awareness and self-efficacy in health. Highlights include:

Condom Week There are many contraceptive methods; a walk-through helps navigate the scene. We explored some of the options available so our followers could decide what works best for them.

Members of our team offered their expertise and experiences to attendees at several national conferences.

Innovation and Strategic Partnerships Director Russell Brown spoke at the ACU 2023 Annual Conference.

Russell Brown, Innovation and Strategic Partnerships Director

One-stop shop

CCI’s Infectious Disease and Family Planning Programs came together to provide insights on family planning at the OPA 2023 Title X Grantee Conference.

Vaccine adherence depends on ease and access. We let the community know that patients could simultaneously receive COVID-19 and flu shots at any CCI health center to prepare them for the FLURONA season.

Transgender Awareness Week We advocated for the trans and nonbinary communities by shedding light on the insufficient and inadequate care members currently receive from a heteronormative, inequitable health care system.

30 | 2023 Impact Report

Alex McIntosh, Infectious Disease Program Manager

Darnielle Williams, Family Planning Program Director

CCI’s Marketing Department presented I See Me: A Marketing Strategy with Community at the Center at NTEN in Denver, CO.

The presentation focused on CCI’s success in outreach and community engagement to help inspire ideas for other nonprofits nationwide.

Marisol Euceda, Director of Marketing and Communications

Jessica Gutierrez, Family Planning Program Coordinator

Thi Nguyen, Digital Marketing Specialist 2023 Impact Report | 31

Creating a Workplace of Choice In 2022, we made a commitment to our team that we would make CCI a workplace of choice for those passionate about serving their community and realizing health equity. Doing so would mean examining ourselves and investing in a redesign process that covers every area of our work. One year later, we have made significant progress and are proud to share where we are in our journey.

We launched two employee-led committees: The Performance Management Committee

The Engagement & DEI Committee

We promote roughly 10% of our staff annually, 4% higher than the national average. Our culture of advancement is a point of pride for us. The Performance Management Committee builds on our efforts to encourage staff excellence, establish employee success measures, and identify growth opportunities among our team.

Diversity is what makes our community strong.

We boast a richly diverse team comprising members with differing lived experiences and backgrounds. The Engagement & DEI Committee exists to highlight our makeup, amplify voices among our staff, and celebrate diversity.

Checking DEI at CCI Chief People Officer Hire We hired Shiria M. Anderson as our first-ever Chief People Officer, an executive-level position developed to advance our people-first culture. Shiria has over two decades of experience in HR leadership and previously worked with Baltimore County Public Schools, one of the largest school districts in the nation.

Revamped PTO Policy

January saw us work with local firm DEIscovery Partners to evaluate our DEI (diversity, equity, and inclusion) efforts. We looked at who we are as an organization, inviting our team members to contribute their voices and personal experiences throughout the process. Here’s what the results showed:

100% agreed that the principles of DEI are important to the personal values of our team members.

87% agreed that DEI is a critical component of interactions at CCI. 80% agreed that DEI values are important at CCI. 80% agreed that diversity, equity, and inclusion are well-defined terms at CCI. Clinicians and administrative workers give everything they have in their work, and they deserve a culture focused more on grace and less on grind. They deserve to work somewhere beaming with appreciation for their efforts. They deserve CCI—and we’ll give them the best of us.

Staff members now have two mental health days annually to promote self-care and can enjoy their birthdays with a day off.

We also added Juneteenth to our holiday leave, implemented school activity leave for those can’t-miss moments, and instituted a voting leave policy amid an upcoming election season.

We invested more than $2 million in revenue back into staff benefits and educational opportunities in 2023.

32 | 2023 Impact Report

2023 Impact Report | 33

Leadership Officers Sonya Bruton, PsyD, MPA Chief Executive Officer and President Lorie Glenn, MHA, RN Chief Operating Officer Wilfredo Giordano-Perez, MD, MBA Chief Medical Officer

34 | 2023 Impact Report

Board of Directors Brian Harris, MHA Chief Financial Officer

Marvin E. Onyemaechi Chief Information Officer

Marguerite Lucea Chairperson

Della Cox Secretary

Parastoo Golestani, DDS Chief Dental Officer

Shiria M. Anderson, PHR, SHRM-CP Chief People Officer

Susan Leggett-Johnson, MD Vice Chairperson

Elizabeth Durham

Jose Luis Diaz WIC Executive Director

Bibhash Mukhopadhyay Treasurer

Jessica Wilson Chief Strategy Officer

Monica D. PoulardHawkins

Sharon D. Thames Rachel Pagan Robert Wise, MD Emmett Jordan

Eric Stroud

2023 Impact Report | 35

Sponsors & Supporters Impact Sponsor

Bridge the Gap Foundation

Inspiration Sponsor

Idea Sponsors

Vivian Aguayo Sara Alvarez Alexander Austin

CHEF ARI AUGENBAUM Jewfro 36 | 2023 Impact Report

CHEF SUSAN BAE Moon Rabbit

CHEF TIM MA Any Day Now

CHEF KEVIN TIEN Moon Rabbit

Emilio & Arline Díaz y Barroeta

Katia Howell

Jason Patnosh

Lisa Dorsey

Courtney Jenkins

Julie Pawlikowski

Frances Jones

Parker Pillsbury

Kim Jones

Nancy Pindus

Robert Baror

Elizabeth Durham

Richard and Elizabeth Bohrer

Milagro Escobar-Bowles Marisol Euceda

Wendy and Michael Keegan

Jennifer Pusatere

Russell Brown

Matthew Hardwick

Daniel Korn

Kevin Bruton

Dolores Glenn

Joseph Kwak

Cathy Snee

Sonya Bruton

Parastoo Golestani

Stephen Lee

Carol Burbank

Leslie Graham

Susan Lee

Justin Butler

Ceceila Hall-Carrington

Meagan Manahan

Peter Buxani

Avi Halpert

Matthew Merz

Brian Chesnut

Andrea Harris

Lisa Middleton

Rakesh Chilakapati

Brian Harris

Elizabeth Mortimer

Cynthia Clark

Laura Hastings

Thi Nguyen

Jay Cormier

Brad Hiddeman

Jose Luis Diaz

Marta Hopkinson

Madeleine NouteyaJackson

Henry Schein Kevin Tien Tashia Weekes Lois Wessel Albert Williams Jessica Wilson Shawn Wilson Robert Wise Anne Wiseman Stephanie Zafiropoulos

2023 Impact Report | 37

A Message from the Chief Strategy Officer

MONTGOMERY COUNTY

Montgomery County GAITHERSBURG

WHEATON

Our 2023 was filled with inspiring moments owing to the dedication of our team and the many partners we worked with to advance our mission. We are grateful to have an inner circle of advocates to rely on with plenty of room for more compassionate individuals like yourself to join.

Medical & Behavioral Health Services

Pediatrics & WIC

If you’re not yet a CCI supporter, I invite you to work alongside us to transform health care and make equity a reality. Your monthly contribution will help further our reach, allow us to expand into new services and locations, and provide more opportunities to introduce ourselves as the premier health care home for everybody.

Dental

You’re the partner we’re looking for and the ally your neighbors need the most. Join us, and let’s change lives together!

200 Girard St, Suite 212-B Gaithersburg, MD 20877

220 Girard St, Suite 100 Gaithersburg, MD 20877 200 Girard St, Suite 206 Gaithersburg, MD 20877 WIC

2730 University Blvd West, Suite LL10 Wheaton, MD 20902

TAKOMA PARK Medical & Behavioral Health Services 7676 New Hampshire Ave, Suite 220 A Takoma Park, MD 20912 WIC

SILVER SPRING

1401 University Blvd East, Suite 300 Hyattsville, MD 20783

Medical, Dental, Behavioral Health Services

ROCKVILLE

8630 Fenton St, Suite 1200 Silver Spring, MD 20910

2 Taft Court Rockville, MD 20850

PRINCE GEORGE’S COUNTY

Medical

Prince George’s County GREENWAY Sincerely,

Medical & Behavioral Health Services

Jessica Wilson

7474 Greenway Center Dr, Suite 300 Greenbelt, MD 20770

Jessica Wilson Chief Strategy Officer

38 | 2023 Impact Report

WIC 7474 Greenway Center Dr, Suite 350 Greenbelt, MD 20770

ORA GLEN Opening October 2024 Medical, Dental, Behavioral Health, Prenatal Services, Graduate Medical Education, Pharmacy 7615 Ora Glen Dr, Greenbelt, MD 20770

2023 Impact Report | 39

Ways to Give

Donate online or make a gift by mail.

DONATE ONLINE www.cciweb.org/ get-involved/donate/

GIFT BY MAIL Attn. Development 8665 Georgia Avenue Silver Spring, MD 20910

Visit us online at cciweb.org for more!

Choose Community. Choose Culture. Choose Care. Choose CCI. 8665 Georgia Avenue, Silver Spring, MD 20910 301.340.7525 | 301.495.0318 | www.cciweb.org | info@cciweb.org Follow us on social media @CCIcares