Grace Health Community Impact Report [2021]

2022 Community Impact Report

Content Index

02.

Index

03.

CEO Report

04.

Our History

14.

Provider Pipeline

05.

Projects Overview

15.

Grace University

06.

Hyden Dental Clinic

16.

Economic Impact

07.

Manchester Expansion

17.

2021 Data Summary

08.

Medical Campus

09.

Pineville Clinic

10.

Assistance Programs

2021 Community Impact Statement

11.

Outreach

12-13. Patient Encounters

18-19. Executive Team & Board Members 20.

Vision, Mission, Purpose 02

CEO Report Grace Health was established in June 2008 and is a 501(c)3 non-profit Federally Qualified Health Center (FQHC) serving the southeastern Kentucky counties of Bell, Clay, Knox, Laurel, Leslie, and Whitley. What started as two Community Health Center sites in Gray and Manchester, Kentucky has since grown to include 11 satellite clinics employing over 300 community members, including more than 50 providers, and caring for 30,000+ people each year.

Grace Health offers a variety of services, including primary care, women's care, dental care, pediatrics, pharmacy, behavioral health, school-based health, x-rays and labs, and outreach and education. The center offers compassionate and integrated care that is coordinated by primary care practitioners to provide medical, preventative dental, and behavioral health care, as well as 340B discounted pharmacy for all patients regardless of their ability to pay. Grace Health operates 32 school-based health centers in Leslie, Bell, Knox, and northern Whitley counties, providing medical and preventative dental services to students in those areas.

The poverty rate in southeastern Kentucky is 33.7%, double the state and national average. Over 50% of the population in southeastern Kentucky is unemployed or no longer seeking employment. The decrease in Kentucky's coal mining industry and the increasing incidence of substance use disorder have fractured many families and negatively affected employability in the service area.

Our goal is success of community. serving our mission.

to see healing within the communities and the people we serve. The that goal is founded upon four pillars: access, quality, people, and We must excel at providing high-quality access to healthcare while communities with a dedication to quality, staying connected to our

The mission of Grace Health is to show the love and share the truth of Jesus Christ to southeastern Kentucky, through access to compassionate, high-quality, primary health care for the whole person.

Michael Stanley CEO - Grace Health

2021 Community Impact Statement

03

OUR HISTORY

As a patient-centered medical home, Grace Health meets the needs of our patients’ physical and mental health. This includes preventative and wellness care, acute care, and chronic disease management.

June 2008 Grace Health was established with two Community Health Center sites located in Gray and Manchester, Kentucky

June 2012 Opened a new clinic in Wooten,

May 2016 Acquired Bishop Street Clinic in Corbin, Kentucky

January 2017 Acquired Falls Highway Clinic in Corbin, Kentucky

Kentucky

January 2014 Began offering school-based health services in Clay County, Kentucky

October 2014 Acquired Women's Care Clinic in Corbin, Kentucky

November 2015 Began offering school-based services in Leslie County, Kentucky

January 2016 Opened a new clinic in Pineville, KY and began offering school-based health services in Bell County, Kentucky

2021 Community Impact Statement

May 2019 Grand Opening for new Manchester Clinic in Clay County, Kentucky

December 2019 Acquired Mountain View Clinic in London, Kentucky

January 2020 Opened a Pediatric Clinic in Corbin, Kentucky

2021 Levi Center Clinic opened in London, Kentucky Campus Clinic opened at the University of the Cumberlands in Williamsburg, KY

04

Grace Health

Projects Overview Creating Greater Access Leslie County, KY

Hyden Dental Clinic Investing $798,700 in alteration and renovation

Clay County, KY

Manchester

Hyden Dental Clinic: Adding a dental clinic with six dental operatories to add oral health services for Leslie County. This clinic opened on September 6, 2022.

Manchester Dental Clinic: Adding a dental clinic with six dental operatories to add oral health services for Clay County. This clinic is scheduled to open in November 2022.

Medical Campus: Renovating/transforming the existing 88,000-square-foot former retail building into a state-of-the-art medical campus covering nearly 2 acres.

Pineville Clinic: Purchasing property and constructing a new facility to house integrated medical, behavioral health, dental, and pharmacy services. Will utilize $1M in USDA Emergency Rural Health Care Community Facilities funding.

Knox/Whitley Co, KY Medical Campus Corbin, Kentucky Investing over $30M in renovation & transformation

Bell County, KY

Pineville

Clinic Expanision

Clinic

Investing $888,648 in alteration and renovation

Investing $4.6M to construct a new facility

2021 Community Impact Statement

05

Grace Health

Hyden Dental Clinic Leslie County, Kentucky Economic Investment $798,700 including $500,000 from the American Rescue Plan

Jobs Created 4.5 Full-Time Employees

Estimated Community Impact in First Year $313,400 To expand services, Grace Health will be adding dental clinics to several locations, including the Hyden Clinic in Leslie County, Kentucky. The need for dental providers in Leslie County is overwhelming, with there being only one dentist per 3,210 Leslie County residents compared to the state rate of one per 1,500 residents.

Leslie County ranks 108 out of 120 counties in overall health and healthy behaviors, with nearly 26% of overall residents meeting the federal poverty guidelines. The childhood poverty rate in Leslie County is 32%, far exceeding Kentucky's state rate of 19%.

Residents of Leslie County have reduced access to dental care, high rates of poverty, experience poor integration of dental services, and are under or uninsured. These factors combine to create critical barriers to accessing care in this area.

Grace Health determined it was essential to open the Hyden Dental Clinic to reduce the barriers to care in Leslie County. This clinic is equipped with six, state-of-the-art dental operatories and employs 4.5 full-time employees, including a dentist, a dental hygienist, and several dental assistants.

Opening Day for Hyden Dental was September 6, 2022.

2021 Community Impact Statement

06

Grace Health

Manchester Clinic Expansion Clay County, Kentucky Grace Health is investing $888,648, including $500,000 from the American Rescue Plan, to alter and renovate the Manchester Clinic, which will add six dental operatories to the current medical, behavioral health, and pharmacy services offered at the Manchester Clinic. The addition of oral health services at the Manchester Clinic will improve access to care for current and future Grace Health patients.

The Manchester Dental Clinic will create multiple jobs in an area that has consistently struggled with poverty and limited access to dental care.

Construction began in the summer of 2022. Grace Health anticipates providing dental services in the fall of 2022 at the Manchester Clinic.

Economic Investment $888,648

Jobs To Be Created 4.5 Full-Time Employees

Estimated Community Impact in First Year $313,400

2021 Community Impact Statement

07

Grace Health

Medical Campus Corbin, Kentucky

The Grace Health Medical Campus will be completed in the early summer of 2023. In renovating and transforming an existing 88,000-square-foot former retail building, we will bring a state-of-the-art medical campus to rural southeastern Kentucky.

This endeavor allows Grace Heath the opportunity to respond to unmet medical, dental, mental health, and substance use treatment needs in Knox and Whitley Counties.

Available space will increase from 46,000 square feet and 53 exam rooms to 88,000 square feet, 85 exam rooms, and 11 dental operatories. Additionally, we expect to see significant growth in patients, visits, and full-time employees.

2021 Community Impact Statement

08

Grace Health

Pineville Clinic Bell County, Kentucky Grace Health is investing over $4.6M to build a new, comprehensive, 10,000 sq. ft. facility in Pineville, Kentucky. The facility will expand current services in Bell County, bringing patients access to integrated medical, dental, behavioral health, and pharmacy services in one location.

Grace Health will use this clinic to broaden access to testing, vaccinations, treatment, and access to integrated healthcare to improve health outcomes in Bell County, KY. In addition to the increased access to healthcare, the new facility will create new jobs in the area, meet the demand for in-house dental services for our underserved population, and help prevent the community spread of preventable viruses, such as COVID-19.

Economic Investment $4.6M+ includes monies from Emergency Rural Healthcare Funding and a $1M USDA grant

Jobs To Be Created 6 Full-Time Employees (estimated) 2021 Community Impact Statement

09

Grace Health

Assistance Programs Grace Health focuses on treating the whole person, regardless of the ability to pay, and offers multiple programs to help patients receive and afford the care they need, including the 340B Pharmacy Program and the Sliding Fee Discount (SFD) Program.

The SFD Program offers discounted medical and pharmacy services through a sliding fee schedule to patients who qualify based on household size and gross income. The 340B Pharmacy Program provides prescription discounts to patients who are uninsured, have an income that is at or below 200% of the Federal Poverty Level, or already qualify for the SFD Program.

340B Program

Hardship Adjustment

$10,599,114

$2,910.60

Benefit

Sliding Fee Discount Medical

Pharmacy

$ 303,456.13

$1,001,852

Amount patients saved

Amount patients saved

2021 Community Impact Statement

10

Grace Health

Outreach In 2021, the Grace Health Outreach Team was blessed to help over 900 people enroll or re-enroll in health insurance during 80 events across the six service area counties. Despite ongoing COVID-19 restrictions and challenges, the team found creative ways to connect, inform, and serve Kentucky during the pandemic.

They participated in giving ministries like the Empty Stocking Fund, White Flag Ministry, and the Western Kentucky Tornado Relief Program, as well as large events like the 13th Region Basketball Tournament, NIBROC, the World Chicken Festival, and a multitude of school-based gatherings.

Service Area 2021

Outreach Events

Outreach Encounters

Enrolled or Re-enrolled in Insurance

Bell County, KY

17

2,381

82

Clay County, KY

9

18,826

60

Knox County, KY

12

6,553

131

Laurel County, KY

9

11,294

350

Leslie County, KY

5

8,381

24

Whitley County, KY

28

20,967

281

80

68,402

928

TOTAL

2021

2021 75,000

2021

80

1,000

60

750

40

500

20

250

50,000

25,000

0

Total Encounters

2021 Community Impact Statement

0 Total Events

0 Total Enrolled/Re-enrolled

11

Grace Health

In 2021, Grace Health had 126,137 total patient encounters, a 9.6% increase from 2020. Of all patient encounters in 2021, 37.84% were Medicaid with 10,823 new patient encounters.

Patient Encounters Summary 150,000

2020 2021

Our school-based health (SBH) clinics saw almost 2000 encounters with nearly 900 being new patients. Approximately 79% of SBH encounters were Medicaid.

2020 2021

12,500 10,000

100,000

40

2020 2021

30

7,500 20 5,000

50,000

10

2,500 0

Total Encounters

0

New Patients

0

% of Medicaid

Pineville 4.7% Bishop Street 23.5%

Manchester 4.8% Pediatrics 3.7% Hyden 4.9%

2021 Total Encounters Per Location

Gray 7.5% Women's Care 23.4%

Mountain View 8.5% Falls Highway 10.2% 2021 Community Impact Statement

12

Grace Health

Patient Encounters

126,137

TOTAL PATIENT

Encounters 2020

2021

Patient Encounters in 2021

YTD 1st 3 Quarters

15,000

37.84% Percent of Medicaid

10,000

10,823

5,000

New patients in 2021

O ct N ov D ec

Ju l Au g Se p

Ja n Fe b M ar Ap r M ay Ju n

0

Patient Encounters Per Year 2020- 2022 Percent of Medicaid

New Patients

Year

Total Encounters

2020

115,045

37.31%

12,212

2021

126,137

37.84%

10,823

YTD First 3 quarters

103,891

39%

8,024

2021 Community Impact Statement

13

Grace Health

Provider Pipeline Rotation Types Per Year 2021 2020

8

6

4

2

0

NP

PA

Pharmacy

MA

PMHNP

DCOM

Working with 16 different programs from 11 different universities, 23 Grace Health providers instructed 52 students as they completed rotations in 2021. In addition to local universities such as Eastern Kentucky University, University of the Cumberlands, and Lincoln Memorial University, students also came from South College in Knoxville, TN, and Marshall University in Huntington, West Virginia.

Rotations Per Service Area 2021 Rotations

2020 Rotations 25

20

Of the providers employed with Grace Health in 2021, almost 50% set aside additional time to work as preceptors for students training to be physicians, nurse practitioners, physician assistants, pharmacists, and more.

The Whitley County service area hosted the majority of rotations for 2021 at 25 with Knox County being next at 14 rotations in 2021.

15

10

5

0

Whitley

2020

Knox

Laurel

Clay

Leslie

2021

Student Rotations Preceptors 0

2021 Community Impact Statement

20

40

60

14

Grace Health

Grace University Grace Health offers two certification programs through Grace University (Grace U) to aid participating employees in increasing their knowledge in patient care, earning credentials, and becoming more versatile employees. Available courses through the National Healthcare Association (NHA) are the Certified Medical Administrative Assistant (CMAA) program and the Certified Clinical Medical Assistant (CCMA) program.

To minimize the financial burden on employees, Grace Health fully covers the cost of the programs, pays the employees during their class time, and provides financial incentives for successful certification, including bonuses and pay increases.

2020-2021 Certifications

40

30

20

10

0

2020

2021

In 2021, NHA administered 44,588 CCMA exams with a national pass rate of 77.08% and 10,211 CMAA exams with a national pass rate of 68.74%. In the same year, Grace U had 24 people (nine CCMA and 15 CMAA students) complete certification programs with a 100% pass rate on their exams. Since the inception of Grace U in 2017, Grace Health employees have earned 240 certifications with an average pass rate of 99%. Despite COVID-19 restrictions affecting the number of classes offered in 2020-2021, Grace U had an overall pass rate that is 20% above the national rate.

100

Certification Exam Pass Rates

75

50

25

0

Grace Health Overall Pass Rate

2021 Community Impact Statement

National Rate

15

Grace Health

Total Economic Impact ** Total Investment Per County 2021

Total Employed Per County 2021

Pharmacy 7.2% Leslie

Pharmacy 7.3%

4.1% Laurel 6.6%

Bell Clay 3.1% 3.1%

Leslie 5.5%

Knox 5.7%

Laurel 8.6%

Bell 3.5%

Knox 6.4%

Whitley* 66.1%

Whitley* 70.5%

The economic impact numbers for Whitley County include all Whitley clinics, Corporate, and Patient Support Services (see chart below for details).

Pharmacy data is listed separately as all pharmacies serve all six service area counties.

Community Economic Impact** Total Number Employed

Total Investment

Number of Providers

Bell County

10

3

Clay County

10

3

532,766.57

Knox County

21

5

1,234,121.63

Laurel County

28

7

1,435,616.00

Leslie County

11

2

604,659.23

Whitley County*

114

26

9,354,649.50

Corporate: Admin/Clinic/EMR/Outreach (Whitley)

53

1

4,245,352.37

Patient Support Services (Whitley)

42

-

1,660,136.87

Pharmacy (serves all)

24

8

1,560,963.46

School-Based Health (Leslie & Whitley Counties) Total

$

748,783.70

13

2

589,011.92

326

57

$ 21,966,061.25

*includes Bishop Street Clinic, Pediatrics, Nursing Home, UC Campus Clinic, Falls Highway, & Women's Care **Source: Grace Health Human Resources and Medical Group Management Association (MGMA)

2021 Community Impact Statement

16

total patients: 28,982

2021 Summary

total FTEs: 315

total visits: 126,137

28,982

2021 sources of revenue

total patients medical / dental / behavioral *some patients receive multiple services

50% - patients 24% - grants

27,730 medical

936 dental

1,316

23% - pharmacy w/ 340b 3% - other

behavioral

126,137 provider patient visits

982

965 veteran patients

68,402 326

2,623 school-based health patients

57

total providers

3,800

Sliding Scale Patient Prescriptions Filled

3,557

virtual visits

Sliding Scale Patient Savings from Discounted Prescriptions

5,865

school-based health nurse visits

UNINSURED

MEDICAID

full time employees

Clinical Pharmacy Patient Visits

insurance source

PRIVATE

outreach encounters

2,300 $1,012,049

MEDICARE

deliveries

5%

patient growth

26% 34% 36%

2014 2015 2016 2017 2018 2019 2020 2021

CLINIC LOCATIONS Falls Highway Clinic 1419 Cumberland Falls Highway

Corbin, KY

Mountain View Clinic 272 London Mountain View Dr. London, KY

Gray Clinic

39 Cumberland Gap Plaza

10,312 16,990

33 school-based health locations Bell, Knox, Leslie, & Whitley counties

Hyden Clinic 21154 Ky. 421

Levi Center Clinic 934 S. Laurel Rd.

Hyden, KY

London, KY

26,122 30,288 31,309 31,648 31,527 28,982 Bishop Street Clinic 121 Bishop St.

Corbin, KY

Manchester Clinic 85 Highway 80

Manchester, KY

Gray, KY

Pediatric Clinic

120 North Commonwealth Ave.

Corbin, KY

Pineville Clinic 313 Cherry St. Pineville, KY

Univ. of the Cumberlands

Women's Care

Williamsburg, KY

Corbin, KY

49 West Sycamore St.

1019 Cumberland Falls Highway

Grace Health

Building a healthcare team focused on you is more than just a motto.

The administrative authority for the operation of Grace Health is provided by a voluntary Board of Directors. A unique feature of Grace Health’s Board of Directors is that a majority of its members are either patients or clients who are Impact Employment current users of FQHC’s services. The remaining members serve as constituent representatives for the different communities in which Grace Health operates a Health $21.97 Million Center. These individuals are selected for their expertise in health care, community affairs, local government, banking and finance, legal affairs, social services, trade unions and other commercial and industrial concerns.

2021 Community Impact Statement

18

Grace Health

Grace Health Executives Chief Executive Officer Michael Stanley

Chief Medical Officer Dr. Kelly Evans

Chief Financial Officer Chad Stevens Chief Operating Officer Jeff Campbell

Board Members Chairman Melvin Scarberry

James Ed Garrison

Vice-Chair Hiram Cornett

Damon Huff

Secretary Karen Hubbs, PharmD

Amy Russell

Treasurer Jeff Hamlin 2021 Community Impact Statement

Deno Gray

Loretta Lyttle

Angie Singley Roger West

19

2021 Community Impact Statement

Vision

Healthy People, Healthy Communities

Purpose

We heal people.

Mission

The mission of Grace Health is to show the love and share the truth of Jesus Christ to southeastern Kentucky, through access to compassionate, high-quality, primary health care for the whole person.

Address Grace Community Health Center, Inc. dba Grace Health

1019 Cumberland Falls Highway Suite B201 Corbin, KY 40701 Telephone 606-526-9005

Website www.gracehealthky.org