2023 Impact Report - Iowa Primary Care Association, INConcertCare, IowaHealth+

September 2023

FROM OUR CEO

a message

For 35 years, the Iowa Primary Care Association has supported the important work of community health centers in our state. It is our honor to support the mission of community health centers and to collaborate in achieving our collective vision of health equity for all. Throughout the years, this partnership has proven time and time again – we’re better together.

Over the last several years, we experienced major disruption to the healthcare system that challenged nearly every aspect of our work. While taxing in so many ways, we also rose to the occasion – and grasped that we had an opportunity for innovation, transformation, and redefinition of our role in community health. We’ve seen significant improvements with patient access through telehealth and other health information technology, continued leadership and alignment on value-based care, and partnerships within local communities to address social drivers of health.

We're embarking on a new strategic plan, focused on five priority areas that will truly transform the work of Iowa’s community health centers. At the foundation of this work is our commitment to our mission and patients served, cultivating our advocacy prowess, and leaning into our vision of “health equity for all.”

A recent study found that over 100 million Americans living in both rural and urban areas currently have insufficient access to primary care. Community health centers are an integral part of solving that life threatening problem. Our collective efforts can transform our system of care, enhance our integrated model, and further scale resources across the network to best meet the needs of under-resourced communities.

Together, we can strengthen rural communities, ensure equal access to healthcare services, and support a healthier Iowa.

VISION Health equity for all.

MISSION

Enhancing community health centers’ capacity to care.

VALUES

Collaborative, Deliberate, Accountable, Proactive, Respectful, Transformative

PROVIDING CARE TO A QUARTER MILLION IOWANS

A quarter million Iowans receive their healthcare services at our member community health centers. This has resulted in better outcomes, lower costs to the system, and economic activity to local communities. By addressing the unique needs of under-resourced communities, we’re transforming the healthcare system for Iowans.

Chief Executive Officer

Aaron L. Todd

Iowa PCA Board Members

Daniel Zinnel, Chair

Tom Bowman, Vice Chair

Samantha Cannon, Secretary

Joy Alexander, Treasurer

Joel Dougherty

Renae Kruckenberg

Antonio Flores

Gary Collins

Joe Lock

Christine Kemp

Kelly Huntsman

Emily Tuschen

Mari Kaptain-Dahlen

Rich Gehrig

Danielle O’Brien-Day, LMHC, CRC

Lucas Lemburg, DDS

Ursula Livermore, MD

INCC Board Members

Christine Kemp, Chair

Antonio Flores, Vice Chair

Renae Kruckenberg, Secretary

Kelly Huntsman, Treasurer

Mari Kaptain-Dahlen

Gary Collins

Samantha Cannon

Emily Tuschen

Rich Gehrig

Joy Alexander

Joe Lock

Joel Dougherty

Tom Bowman

Sharon Duclos, MD

IH+ Board Members

Joe Lock, Chair

Gary Collins, Vice Chair

Emily Tuschen, Secretary

Mari Kaptain-Dahlen, Treasurer

Antonio Flores

Renae Kruckenberg

Kelly Huntsman

Chris Kemp

Joy Alexander

Samantha Cannon

Joel Dougherty

Aaron Todd

Bill Schoenenberger

Michael Piplani, MD

With our integrated care model, patients can access medical, dental, behavioral health, and pharmacy services often under one roof. We are committed to ensuring our patients can live healthy, happy lives.

Photo courtesy of Eastern Iowa Health Center

we care FOR

OUR COMMUNITIES

From infants to the elderly, we’re dedicated to serving all, regardless of insurance type or ability to pay. And, we ensure that care is delivered in an inclusive manner with cultural humility.

Photos courtesy of Community Health Center of Fort Dodge

COMMUNITY HEALTH IN IOWA

enhancing

The network of the Iowa Primary Care Association, along with our sister companies INConcertCare and IowaHealth+, is a Health Resources and Services Administration (HRSA) best practice model sought by states across the country for how Primary Care Associations, Health Center Controlled Networks (HCCNs), and Clinically Integrated Networks (CINs) can be integrated to support and enhance the work of community health centers.

ORGANIZATIONAL ALIGNMENT

Our work is focused on integrating and leveraging technical assistance, staff expertise, and financial resources across our three organizations to optimize deliverables and outcomes. Our network utilizes a data-driven, member-engaged approach to identify priority initiatives, develop appropriate interventions, strategically deploy resources/assistance, and evaluate success. By having a joint mission, vision statement, and strategic plan, we ensure that all three organizations are moving in the same strategic direction.

Iowa Primary Care Association Services

Advocacy & Policy

Health Center Strategic Growth

Workforce & Recruitment

Practice Transformation

Integrated Health Consulting

Health Equity

Partnerships & Development

Healthcare Innovation

Communications & Engagement

Outreach & Enrollment/Medicaid Strategy

IowaHealth+ Services

Value-Based Contracting

Care Management

Performance Management

Clinical & Quality Improvement

Patient Engagement

IowaHealth+ Brand & Education

Network Development

INConcertCare Services

Data Analytics Services

Electronic Health Record Services

Information Technology, Privacy and Security Support

Strategy and Management

Training & Technical Assistance

Reporting

Community health centers help people realize their full health potential.

fostering

A STRONGER WORKPLACE

Creating a Culture of Belonging and Continuous Improvement

Building a culture of belonging, investing in staff, and prioritizing continuous improvement all help to foster a strong workplace. At the Iowa PCA, we are committed to developing our team and supporting our members in meeting their goals. By upskilling our teams and staff members, we also enhance our ability to support the work of Iowa’s community health centers and, by extension, empower rural and under-resourced communities.

To best support Iowa’s community health centers, we provide staff with opportunities to pursue personal and professional development through training, coaching, and learning labratories. These experiences foster a learning culture where staff can grow their skills and engage in innovative, meaningful conversations with peers.

We also continue to utilize our internal Inclusion Council to help promote our culture of belonging. Our staff shares a strong connection and commitment to our mission and vision, and this group helps to facilitate further discussion on the impact of our actions and words, and how we can support everyone from all walks of life.

Personal & Professional Development Opportunities

Leadership Playbook Trainings

Predictive Index Trainings

Continuous Improvement Events

Extreme Facilitation Training

Leadership Coaching

Photo courtesy of Eastern Iowa Health Center

Photos courtesy of Community Health Center of Fort Dodge

ECONOMIC IMPACT & COST SAVINGS

creating

State Impact

Iowa’s community health centers have a $328 million economic impact in Iowa. This is felt most strongly in rural and under-resourced areas, bolstering quality of life. In total, Iowa’s community health centers employ over 2,000 individuals, often serving as the largest employer in rural areas.

Lower Cost of Care

A University of Chicago study of 13 states found community health centers each year save Medicaid, on average $2,317 (or 24%) per person in total cost of care when compared to other providers. In Iowa, the cost of care at community health centers is 27% lower than other providers.

Capital Investments and Expansion National Impact

Community health centers provide healthcare access to more than 31.5 million patients – or 1 in every 11 people – in every state, territory, and the District of Columbia. Community health centers save the U.S. healthcare system over $24 billion annually while creating more than $85 billion in economic activity.

Economic Engines

For every $1 invested solely in federal Health Center Program 330 funding, Iowa’s community health centers collectively generate $4.40 in total economic activity across the state.

Cost Effective Medicaid Providers

Community health centers are cost-effective Medicaid providers, serving 16% of all Medicaid beneficiaries in Iowa, but representing only 2% of the state of Iowa’s total Medicaid expenditures.

The growth of community health centers, both with physical space and number of patients receiving care, has significant impact on their communities. Capital investments to pay for expansion or renovations to existing community health centers stimulate economic activity in construction and associated professions while increasing the patient population. Patient growth requires a commensurate increase in community health center staff to provide care to this growing population, creating more healthy citizens and ever larger economic impacts on the local community. With appropriate investments, community health centers could provide care to 1 in 10 Iowans by 2030.

Closing the Primary Care Gap

Over 100 million Americans—nearly one-third of the nation—do not have access to a usual source of primary care due to a shortage of providers in their local community.

Only 1 in 10 of the medically disenfranchised population are uninsured, demonstrating that access to a usual source of primary care requires more than having insurance. Many people who have insurance are still unable to access primary care in their community due to a shortage of providers.

Over half of medically disenfranchised individuals have an income below 200% of the Federal Poverty Level. These individuals face additional cost barriers that may prevent them from traveling long distances to access care. Almost a quarter of the medically disenfranchised population are children. Access to primary care for children is critical, yet too many children are not receiving the care they need to grow up to be healthy and productive citizens.

Without community health centers, 15 million more patients would be at risk of not having a usual source of primary care. Investing in community health centers is an investment in local communities.

economic impact of Iowa’s community health centers in Iowa.

$85B

$328M economic activity created by community health centers in the U.S.

$1

generates $4.40 in total economic activity across the state of Iowa when invested in federal funds for community health centers.

of Medicaid beneficiaries in Iowa receive care from community health centers.

27%

The community health center program presents an opportunity to address critical public health vulnerabilities that result from a lack of primary care services. The health center model has proven to increase access to primary care, reduce health disparities, lower costs, and improve community health.

817,864

47,078 TOTAL VIRTUAL

244,575 TOTAL PATIENTS*

163,669

80,906

* Patients can receive multiple services ^ Enabling services reduce barriers to care through: outreach, transportation, interpretation, housing, health management, eligibility, food insecurity, etc.

Federal Poverty Level

3,527

of patients are 200% or below the Federal Poverty Level.

patients are best served in a language other than English.

52%

of patients are covered by Medicaid; 16% of Iowa’s Medicaid population is served by community health centers.

THE HEALTHCARE WORKFORCE

strengthening

Community health centers have a long history of creatively leveraging state and federal resources to provide the best care to patients. With bipartisan support at the state and federal level, community health centers continue to demonstrate value to the healthcare system by providing access to high quality, affordable care to all. Because community health centers are located in rural and under-resourced areas, recruitment and retention can be particularly difficult. Programs such as the Teaching Health Center Graduate Medical Education program and the National Health Service Corps are helpful tools utilized by community health centers. To safeguard community health centers’ capacity to provide quality care to their patients, we need to ensure the community health center workforce remains strong. By creating career pathways within community health centers for current health center staff, patients, and others within local communities, we can ensure that our workforce reflects our patient population and helps support local economic activity.

SOLUTIONS CREATIVE

Medical and Dental Assistant Program

One of the tactics we’re implementing and evaluating in 2023 is a Medical Assistant (MA) and Dental Assistant (DA) apprenticeship program. With support from the Telligen Community Initiative (TCI), we are collaborating with the primary care association in the state of Washington to utilize an online, on-demand MA and DA training program. During the first year, we will train MAs and DAs to help address critical staffing shortages and to examine how we can use this model for future positions.

Challenges recruiting and retaining the healthcare workforce require us to think creatively and utilize innovative solutions to “grow our own”.

Photo courtesy of Community Health Center of Fort Dodge

BEYOND TRADITIONAL MODELS OF CARE

expanding

Integrated Health

Community health centers have always been at the forefront of providing high-quality, cost-effective care to under-resourced communities. The community health center integrated care model focuses on providing comprehensive care by bringing medical, behavioral health, oral health, and pharmacy services together, often under one roof.

In 2022, the Iowa PCA Clinical Consulting Team was renamed the Integrated Health Team to better align with the integrated care model and to expand opportunities for further coordinated patient access. This change allows any of the consultants to assist in all areas of integrated care and provide a broader portfolio to support Iowa’s community health centers.

Our interdisciplinary team supports the work of community health centers through expertise from:

Behavioral Health Specialists

Oral Health Specialists

Health

IT Specialists

Data Analysts

Revenue Cycle Managers

Nurses

This unique model allows providers and staff to meet patients where they are and effectively respond to their needs, while improving outcomes, lowering the cost of care, and helping to strive for health equity for all.

THE DONUT STRESS JUST TEST CAMPAIGN

Human Immunodeficiency Virus (HIV), Hepatitis C (HCV), and Sexually Transmitted Disease (STI) disproportionately affect the communities that receive healthcare services from community health centers. When patients know their status, it can save lives by allowing treatment to start earlier and preventing the transmission to others.

Launched in 2021, the “Donut Stress Just Test” campaign aims to raise awareness and promote CDC and United States Preventive Services Task Force (USPSTF) recommendations for opt-out HIV, HCV, and STI screening at Iowa’s community health centers. Since its launch, once-in-a-lifetime HIV screenings at Iowa’s community health centers have increased by over 6%.

The opt-out screening model helps community health centers reduce barriers to care, eliminate stigma associated with testing and create opportunities to discuss sexual health, risk factors, and overall health. The model can also foster earlier diagnosis and treatment, as risk-based screening may fail to identify individuals, resulting in diagnosis at a more advanced stage.

This year, the campaign was recognized as a HRSA promising practice and was presented at the HRSA 2022 Primary Care Association Ending HIV Epidemic (EHE) Virtual Summit as a non-funded EHE primary care provider, a major recognition as we do not receive any direct funding outside of the Iowa Department of Health and Human Services in support of this work. The campaign was also a poster presenter at SYNC 2022, a national conference connecting dynamic healthcare and public health audiences to effectively address HIV, HCV, STIs, LGBTQ+ health, harm reduction, and health equity.

Benefits of the Campaign

Eliminates Stigma Associated With Testing

Creates Opportunities To Discuss Sexual Health, Risk Factors, and Overall Health

Fosters Earlier Diagnosis and Treatment

COMMUNITY HEALTH CENTERS WITH TECHNOLOGY

enhancing

About INConcertCare

INConcertCare (INCC) supports Iowa’s community health centers in the strategic procurement, deployment, application and optimization of health information technology (HIT). Through centralized strategy development and vendor management, coupled with robust services and support focused on electronic health records systems, data analytics and reporting, population health management, and data management and risk mitigation, Iowa’s community health centers are collectively charting an intentional, data-informed, patient-empowered path forward. We’re building foundational systems that will facilitate stronger local and statewide partnerships, improve the timeliness of data sharing and decision-making, and support patients in easily accessing their personal health information for informed decisionmaking. We’re making investments that reduce fragmented care, reinforce our integrated model of care, and produce better outcomes for patients and taxpayers.

Our healthcare system is evolving to prioritize the value of care over the volume of patients being seen. And as we embrace this change, robust health information technology is imperative for our success. As we continue our evolution to provide the best care possible and to respond to the ever-changing healthcare system, 11 of Iowa’s community health centers are collectively implementing the OCHIN Epic electronic health record (EHR) in 2023. This project is managed by INCC, in collaboration with OCHIN, a nonprofit leader in equitable healthcare innovation and a trusted solutions partner. This nearly statewide collaboration is a new, unique national model, providing a centralized, top of class EHR solution to connect community health centers across the state. This move will enhance how Iowa’s community health centers, and our integrated network, connect with other systems, share data, make informed decisions, and collaborate with partners. As we work toward achieving our vision of health equity for all, having robust data at our fingertips will help us maximize patient outcomes and reduce overall costs to the healthcare system. These powerful tools will also provide patients with improved access to their own health information, empowering them to stay connected with their care teams and to make the best healthcare decisions for themselves.

The collaboration between Iowa’s community health centers, INCC, and OCHIN supports integrated technology for integrated care in an integrated network.

VBC ANALYTICS

OWNING OUR DATA FUTURE

A primary network strategic priority is to Own Our Data Future. Our goal is to ensure community health centers, the Iowa PCA, INCC, and IowaHealth+ have timely, comprehensive, actionable data to make population health and value-based care decisions.

VBC Analytics is a powerful analytics tool that combines electronic health record data with payer data. The tool develops data visualizations and organizes data into streamlined automatic reports, allowing our network to have meaningful conversations about health care utilization and quality of care. VBC Analytics provides community health centers with robust data as they work toward meeting the goals within their value-based care contracts, grants, and Uniform Data System (UDS) goals.

HEALTH EQUITY

promoting

Moving AHEAD

Advancing Health Equity and Addressing Disparities

Community health centers have always been leaders in addressing social drivers of health (SDOH) and promoting health equity. Rooted in the Civil Rights Movement and the War on Poverty, the heart of the community health center mission is to care for all. To support that mission, the health center model ensures that under-resourced communities have access to comprehensive, culturally competent, and affordable care.

In support of this work, in 2019, Iowa’s community health centers and the Iowa PCA began a formal justice, equity, diversity, inclusion and belonging (JEDI-B) journey and defined our vision as “Health Equity for All.” In 2022, we kicked off the AHEAD project, short for Advancing Health Equity and Addressing Disparities.

The health center model ensures that under-resourced communities have access to comprehensive, culturally competent, and affordable care.

INITIATIVE AHEAD

Our AHEAD work will allow us to continue building capacity to advance health equity by establishing network-wide priorities, developing data and education surrounding SDOH, and continuing to address barriers to care. The development and execution of our AHEAD Implementation Plan will support our network in our health equity journey and translate our vision into action.

Photo courtesy of Promise Community Health Center

more than

A HEALTHCARE NETWORK

IowaHealth+ is more than a healthcare network. We focus on a whole-lifestyle approach to keeping people well, delivering more than just healthcare services to patients and their families, regardless of insurance status or ability to pay. We put patients at the center of their care, treating them as individuals, honoring their traditions and valuing their experiences.

Our relationships with Iowa’s three Medicaid Managed Care Organizations – Amerigroup Iowa, Iowa Total Care, and Molina Healthcare – remain strong as we utilize strategies to decrease the total cost of care for over 78,000 individuals attributed to IowaHealth+. Our performance in meeting HEDIS quality measures continues to remain solid, even as our community health centers have experienced staffing challenges coming out of the pandemic.

IowaHealth+ is excited to be partnering with Main Street Health, a network that takes on financial risk for Medicare Advantage value-based arrangements and has experience working with provider groups in rural areas, particularly community health centers. This partnership allows IowaHealth+ to broaden our high-quality clinical impact to more patients in Iowa. Empowered by a broad set of data, Main Street Health embeds health navigators in community health centers and provides up-front resources to better serve and reduce barriers for the Medicare Advantage population. This partnership with Main Street Health compliments IowaHealth+’s participation in CMS’ Medicare Shared Savings Program (MSSP), which is a value-based care specifically focused on the traditional Medicare population.

The collaboration between Iowa’s community health centers is key to IowaHealth+’s strong performance, allowing us to scale resources and collectively empower the health of our patients. Our approach to keeping patients well, combined with the support and resources provided by the collective power of all IowaHealth+ partners, results in better health outcomes for patients and healthier communities across our state.

GET TO KNOW

IowaHealth+

What does the plus stand for in IowaHealth+?

It's all the ways we take care of every part of you and your family. With a network of community health centers, each with a dedicated team of caregivers who know you and your health history, IowaHealth+ offers primary care, plus extra services such as oral health, behavioral health, 340B and pharmacy services, prenatal care, health education, access to a nutritionist, and more.

We're IowaHealth+, and we're the perfect place for everyone who wants or needs more from their healthcare.

Get to know us. Get to know the plus. We promise to bring more to your healthcare.

a note

FROM OUR BOARD OF DIRECTORS

Health equity for all.

A simple phrase, yet it holds so much meaning and serves as the vision for Iowa’s community health centers and our collective efforts. As providers dedicated to under-resourced communities, we see day in and day out the challenges that patients can face when accessing healthcare services. In both rural and urban areas, our patients face barriers such as lack of transportation, food insecurity, housing instability, and other factors that can make healthcare access significantly more challenging. This can often lead to poor health outcomes and disruption to our patients’ ability to work, learn, or engage with their local communities.

Community health centers in this state collectively serve over 250,000 patients per year – making us a strong network for affordable and accessible primary care in Iowa. From infants to the elderly, we’re dedicated to serving all, regardless of insurance type or ability to pay. And, we ensure that care is delivered in a culturally competent, inclusive manner. With our integrated care model –patients can access medical, dental, behavioral health, or pharmacy services often under one roof – and with our dedicated resources to address barriers to care, we are committed to ensuring our patients can life healthy, happy lives. We also focus on quality of care provided. In 2022, all 14 community health centers were recognized for notable quality achievements in the areas of access, quality, health equity, health information technology, and COVID-19

public health emergency response by the Health Services and Resources Administration (HRSA).

We’ve seen a shift in the healthcare system over the last several years. With more focus on the value of care provided rather than number of visits, Iowa’s community health centers are embracing value-based care. Even before this shift, we’ve focused on providing comprehensive care at a lower cost. A study found that Iowa’s community health centers provide care at 27% lower cost than other providers – making us an excellent return on investment by the state and federal government, and other payors and partners.

And we know there are still healthcare access gaps that need to be filled. A recent study found that over 100 million Americans—nearly one-third of the nation—do not have access to a usual source of primary care due to a shortage of providers in their local community. With further investments in community health centers, we can help to fill those gaps and provide a health home for integrated medical, dental, behavioral health, and pharmacy services. Everyone needs access to affordable healthcare – and we’re here to help.

Daniel Zinnel CEO Proteus Board Chair Iowa Primary Care Association

Chris Kemp CEO Peoples Community Health Clinic Board Chair INConcertCare

Joe Lock President & CEO Eastern Iowa Health Center Board Chair IowaHealth+

Iowa’s community health centers provide care at 27% lower cost than other providers

Photo courtesy of Promise Community Health Center

Over 100 million Americans—nearly one-third of the nation—do not have access to a usual source of primary care due to a shortage of providers in their local community. We’re here to help.

COUNCIL

ALL CARE HEALTH CENTER

INC.

TOM BOWMAN Chief Executive Officer tbowman@chcqca.org

CHC

CHC

FORT DODGE | MASON CITY | DAYTON | EAGLE GROVE

COMMUNITY HEALTH CENTER OF FORT DODGE

RENAE KRUCKENBERG Chief Executive Officer

CRESCENT COMMUNITY HEALTH CENTER

GARY COLLINS Chief Executive Officer

EASTERN IOWA HEALTH CENTER

INFINITY HEALTH

SAMANTHA CANNON Chief Executive Officer samantha.cannon@ weareinfinityhealth.org

(641) 446 - 2383

www.weareinfinityhealth.org

@infinityhealth2022

@Infinity2Health

@infinityhealth_2022

Based Locations Lamoni Community School District Central Decatur - North Elementary/ Jr-Sr High School Albia High School Grant Center Kendall Center Lincoln Center Mt. Ayr Junior/Senior SBHC Mt. Ayr Elementary Wayne Community School District North Mercer School 28

LOCATIONS

statewide impact

46,958 322+ VETERANS PROVIDED CARE

TOTAL VISITS

| CORYDON | MT. AYR | KNOXVILLE | OSCEOLA | PRINCETON, MO | BETHANY, MO Leon 302 NE 14th St Leon, IA 50144 Lamoni 802 E. Ackerly Lamoni, IA 50140 Albia 117 S. Main St Albia, IA 52531 Centerville 221 E. State St Centerville, IA 52544 Chariton 1711 Osceola Avenue Chariton, IA 52544 Corydon 102-104 N. Franklin Corydon, IA 50060 Mt. Ayr 1201 E. South Street Mount Ayr, IA 50854 Osceola 219 W. Washington Street Osceola, IA 50213 Knoxville 1504 N. Lincoln St. Knoxville, IA 50138 Bethany, MO 2600 Miller St Bethany, MO 64424 Princeton, MO 606 W. Main St Princeton, MO 64673 19,769 MEDICAL VISITS 4,382 DENTAL VISITS 20,404 BEHAVIORAL HEALTH VISITS 2,373 ENABLING SERVICES VISITS 30 OTHER VISITS

Medical Dental Behavioral Health

WATERLOO | CLARKSVILLE

PEOPLES COMMUNITY HEALTH CLINIC

CHRISTINE KEMP Chief Executive Officer

ckemp@peoples-clinic.com

(319) 874-3000

www.peoples-clinic.com

@peoplesclinic

@peopleswloo

LOCATIONS

Peoples Community Health Clinic

905 Franklin Street

Waterloo, IA 50703

Peoples Clinic Butler County

118 South Main Street

Clarksville, IA 50619

Peoples Clinic - Clarksville School

318 North Mather

Clarksville, IA 50619

Success Street - East High

214 High St.

Waterloo, IA 50703

Success Street - West High

425 1/2 E. Ridgeway Ave.

Waterloo, IA 50702

Success Street - Carver Academy

146 W Dale St, Ste 102

Waterloo, IA 50702 42,034

63,866 266+ VETERANS PROVIDED CARE

18,968

PATIENTS

1,020 PATIENTS EXPERIENCING HOMELESSNESS

KELLY

Chief Executive Officer

PROMISE COMMUNITY HEALTH CENTER

Migrant workers are individuals whose principal employment is in agriculture, who have been so employed within the last 24 months, and who establishes for the purposes of such employment a temporary abode. Seasonal workers are individuals whose principal employment is in agriculture on a seasonal basis and who is not a migratory agricultural

JOY

Chief Executive Officer

School Based Locations

RICH GEHRIG Executive Director

recognizing OUR ACHIEVEMENTS

During the 2022 Iowa Community Health Conference, we recognized five individuals for their dedication to the Health Center movement. These individuals were nominated by their peers for their extraordinary work on behalf of Iowa's community health centers.

Lifetime Achievement Award

Dr. Engebretsen was the Founder, Executive Director and Chief Medical Officer for Primary Health Care, Inc. (PHC) for over 39 years. He currently serves part-time as Chief Visionary for PHC helping to move the organization into a new post-COVID world. In recent years, he has been working to establish “wellness” as a crucial element of primary care services through PHC’s Tom Harkin Wellness Center. He still provides some direct patient care as a family physician focusing on wellness. He was a founding board member of the Iowa Primary Care Association. His clinical priorities have always included behavioral health, and the newly “re-discovered” social drivers of health.

Dr. Engebretsen trained as a family physician beginning in 1968 in Miami at the very start of the specialty. This also coincided with the initial funding of the first cadre of Office of Economic Opportunity Neighborhood Health Centers, later to become community health centers in the 1970s. His residency model office was one of those original sites in Miami’s Liberty City area.

He has been a medical faculty member at the University of Miami and the University of Iowa. Dr. Engebretsen’s entire career has been devoted to care in under-resourced communities. Many of his efforts today are devoted toward developing that “seamless web” of healthcare which addresses physical and mental health along with public health and the upstream challenges of the social drivers of health. He believes behavioral healthcare and the social drivers of health are the secrets to successful patient centeredness and keeping people well.

Carl Kulczyk Memorial Award

Dr. Jones was born and raised in Cedar Rapids, Iowa and graduated from the University of Iowa College of Dentistry in 2006. Since his graduation, he has served as the Dental Director of River Hills Community Health Center. He is also the Dental Director for American Home Finding’s I-Smile Program for school-based preventative services, a member of the Wapello County Dental Society, and an adjunct faculty member for the University of Iowa College of Dentistry.

Since joining River Hills, Dr. Jones has grown the dental practice from being a onedentist practice in 2006, to now supervising three locations in Ottumwa, Centerville, and Richland. In his time outside of work, he enjoys spending time with his wife Allison and their four children, traveling, and watching Iowa sports.

Ken Jones, DDS River Hills Community Health Center

Bery Engebretsen, MD

Primary Health Care, Inc.

Unsung Hero Award

LuAnn Duran is a devoted Financial Counselor at Crescent Community Health Center, located in Dubuque, Iowa. The Financial Counselor position requires an immense amount of knowledge along with the ability to resolve a wide variety of complex problems. LuAnn contains much of this knowledge from her 26 years in customer service, 23 years in insurance and 6 years in finance.

LuAnn has been with Crescent for 6 years. In 2021, LuAnn transitioned into the Financial Counselor role. Since then, she has quickly seen success. During Crescent’s 2021 Annual Award Ceremony, she received the High Performer Award in recognition for her efficiency, accuracy, empathy and dependability.

Outstanding Provider Award

Dr. Natalie Schaller exemplifies what it means to be a humble, compassionate family physician. She is one of the kindest people, and her patients often share how they immediately feel at ease when she walks in the room. Dr. Schaller is very skilled at connecting with and establishing long-term relationships with our patients. Her commitment to her patients is unmatched, as she’s known for spending her own time and resources outside of work to make sure they receive the best care possible.

Dr. Schaller worked at United Community Health Center since completing her residency in 2013. She attended medical school at Kansas City University of Medical and Biosciences and completed her residency at In His Image Family Medicine Residence in Tulsa, OK. She is Board Certified in Family Medicine. She and her husband, Bob, a high school ELL teacher, are very active in the Bridge of Storm Lake Ministry, a Christian nonprofit organization for youth in the community. They both volunteer countless hours here to help mentor at-risk youth in the area.

Community Impact Award

Dr. Nick Hooker served as Primary Health Care, Inc.’s (PHC) Dental Director for 20 years, until his retirement in December 2021. During his tenure leading the dental team, he spearheaded PHC’s efforts to open a dental clinic at the Des Moines Area Homeless Shelter and shared his experience with dental students who rotated through his clinic. His career was dedicated to providing dental care for under-resourced families and individuals.

Dr. Hooker is an Iowa native, growing up in Cedar Rapids, Iowa. He is a veteran, having served in the U.S. Marines before attending college. He went on to graduate from the University of Iowa School of Dentistry. Dr. Hooker resides in Des Moines with his wife, Sam, and is enjoying his retirement.

LuAnn Duran, Financial Counselor Crescent Community Health Center

Natalie Schaller, D.O. United Community Health Center

Nick Hooker, DDS Primary Health Care, Inc.

thank you TO

OUR SPONSORS

We are grateful for the support of our annual sponsors. Without their help, we could not live out our mission and vision. Our collaboration and partnerships are essential to helping Iowa to reach its health potential.

A MESSAGE FROM

OUR EXCLUSIVE SPONSOR

Amerigroup Iowa is honored to be the 2022-2023 Premier Sponsor of the Iowa Primary Care Association, INConcertCare, IowaHealth+, and member community health centers.

Our collaboration continues to support Iowa PCA’s ongoing commitment to provide quality, affordable healthcare solutions to improve and enhance community health. We share a common mission in developing innovative approaches to ensure high quality care is delivered in a cost-effective manner. Our organizations are focused on a person-centered, holistic approach that addresses the complex and interconnected factors – like food, housing, social and financial circumstances – that shape health. We are dedicated to advancing health equity so that all people can receive individualized care that demonstrates cultural humility and improves their health and well-being.

We look forward to continuing our partnership and supporting the important work of community health centers for years to come.

Jeff Jones, Plan President Amerigroup Iowa

MAKES A DIFFERENCE

your voice

Nearly 250,000 Iowans receive care through over 800,000 visits annually at Iowa’s community health centers, where patients have access to comprehensive, integrated behavioral health, dental, medical, and pharmacy services, often under one roof.

Iowa’s community health centers work to meet the diverse needs of their patients, ensure under-resourced communities have access to quality, affordable services, and strive to achieve health equity for all.

WE NEED YOUR SUPPORT! VOTERVOICE

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Community health centers rely on advocates to tell their story and to share their impact on their communities. Through grassroots organization and mobilization, we have the ability to make real change.

Scan the QR code below to sign up for VoterVoice to quickly respond to action alerts and to remind your legislators to support the community health center movement.

Investing in Iowa’s community health centers is a strong investment in our healthcare system and our communities. It’s estimated that with additional resources, Iowa’s community health centers could provide care to one in every 10 Iowans.

COMMUNITY HEALTH CENTER

DIRECTORY

All Care Health Center

All Care Health Center

14135 North 15th Street

Council Bluffs, IA 51501

Florence M. Lakin Health Center

1415 Avenue J, Suite 2

Council Bluffs, IA 51501

New Visions Homeless Services Clinic

14135 North 15th Street Council Bluffs, IA 51501

Community Health Care, Inc.

Administrative Office

120 North Ripley Street

Davenport, IA 52801

CHC Davenport Medical Clinic

500 West River Drive

Davenport, IA 52801

CHC Davenport Dental Clinic

125 Scott Street

Davenport, IA 52801

CHC Edgerton Women’s Clinic

1510 East Rusholme Street

Davenport, IA 52801

CHC Homeless Clinic

500 West River Drive

Davenport, IA 52801

CHC at The Project of the Quad Cities 1701 River Dr. Suite #110

Moline, IL 61265

CHC Moline Medical Clinic

1106 4th Avenue

Moline, IL 61265

CHC East Moline Medical Clinic

708 15th Avenue East Moline, IL 61265

CHC Rock Island Medical and Dental Clinic

2750 11th Street

Rock Island, IL 61201

CHC at Robert Young Center

2200 3rd Avenue

Rock Island, IL 61201

CHC Clinton Medical & Dental Clinic

925 South 4th Street

Clinton, IA 52732

CHC Muscatine Medical Clinic

2925 Cedar Street, Suite 2

Muscatine, IA 52761

CHC Muscatine Dental Clinic

312 Iowa Avenue

Muscatine, IA 52761

Community Health Center of Fort Dodge

Community Health Center of Fort Dodge

126 North 10th Street Fort Dodge, IA 50501

Dayton Clinic 24 South Main Street Dayton, IA 50530

Mason City Clinic 404 North Federal Avenue Mason City, IA 50401

Eagle Grove Clinic 306 West Broadway Street Eagle Grove, IA 50533

Community Health Centers of Southeastern Iowa, Inc.

West Burlington Clinic

1706 West Agency Road West Burlington, IA 52655

West Burlington Pediatrics Clinic

1223 South Gear Avenue, Suite 108 West Burlington, IA 52655

Keokuk Clinic 400 North 17th Street Keokuk, IA 52632

Keokuk Dental Clinic 1618 Main Street Keokuk, IA 52632

Louisa County Clinic 2409 Spring Street Columbus City, IA 52737

Hamilton Clinic 951 Broadway Street Hamilton, IL 62341

Crescent Community Health Center

Crescent Community Health Center 1690 Elm Street, Suite 300 Dubuque, IA 52001

Eastern Iowa Health Center

Administrative Headquarters

1030 5th Avenue SE, Suite 2400 Cedar Rapids, IA 52403

Family Medicine, Pediatrics

Behavioral Health & Womens Health

1201 3rd Avenue SE Cedar Rapids, IA 52403

Dental Health 1225 3rd Avenue SE Cedar Rapids, IA 52403

Women’s Health - Vinton 502 North 9th Avenue Vinton, IA 52349

Infinity Health

Leon 302 NE 14th Street

Leon, IA 50144

Lamoni 802 East Ackerly

Lamoni, IA 50140

Albia 117 South Main Street

Albia, IA 52531

Centerville 221 East State Street

Centerville, IA 52544

Chariton 1711 Osceola Avenue

Chariton, IA 52544

Corydon 102-104 North Franklin Corydon, IA 50060

Mt. Ayr 119 South Fillmore Street Mount Ayr, IA 50854

Osceola 219 West Washington Street Osceola, IA 50213

Bethany, MO 2600 Miller Street Bethany, MO 64424

Princeton, MO 606 West Main Street Princeton, MO 64673

Knoxville 1504 North Lincoln Street Knoxville, IA 50138

Lamoni Community School District 202 North Walnut Street

Lamoni, IA 50140

Central Decatur - North Elementary/ Jr-Sr High School 1201 NE Poplar Street

Leon, IA

Albia High School 503 B Avenue E Albia, IA 52531

Grant Center 520 South Clinton Albia, IA 52531

Kendall Center

701 Washington Avenue East Albia, IA 52531

Lincoln Center 222 North 2nd Street Albia, IA 52531

Mt. Ayr Junior/Senior SBHC

1001 East Columbus Street

Mt. Ayr, IA

Mt. Ayr Elementary

607 East Jefferson Street

Mt. Ayr, IA

Wayne Community School District

102 North Dekalb Street

Corydon, IA

North Mercer School

400 Main Street

Mercer, Missouri 64661

Peoples Community Health Clinic

Peoples Community Health Clinic

905 Franklin Street

Waterloo, IA 50703

Peoples Clinic Butler County

118 South Main Street

Clarksville, IA 50619

Peoples Clinic - Clarksville School

318 North Mather

Clarksville, IA 50619

Success Street - East High

214 High Street Waterloo, IA 50703

Success Street - West High 425 1/2 East Ridgeway Avenue

Waterloo, IA 50702

Success Street - Carver Academy

146 West Dale Street, Suite. 102 Waterloo, IA 50702

Primary Health Care, Inc.

Administrative Office 1200 University Ave., #200

Des Moines, IA 50314

University Medical 1200 University Ave., #120 Des Moines, IA 50314

University Dental 1200 University Ave., #100 Des Moines, IA 50314

The Project of PHC 1200 University Ave., #120

Des Moines, IA 50314

Pharmacy 1200 University Ave., #105

Des Moines, IA 50314

Homeless Support Services 1200 University Ave., #110A

Des Moines, IA 50314

Engebretsen Medical

2353 SE 14th Street

Des Moines, IA 50320

Engebretsen Dental 2353 SE 14th Street

Des Moines, IA 50320

East Side Campus 3509 East 29th Street

Des Moines, IA 50317

PHC at Mercy 250 Laurel Street Des Moines, IA 50314

PHC at Hoover/Meredith 4800 Aurora Avenue

Des Moines, IA 50310

South Side Vaccine Clinic 2401 SE 14th Street

Des Moines, IA 50320

School-Based Health Clinics Kurtz

Opportunity Center

Hoover High School Des Moines, IA 50315

West Side Medical

7555 Hickman Road

Urbandale, IA 50322

Marshalltown Medical & Dental Clinic

101 Iowa Avenue West Marshalltown, IA 50158

Ames Medical & Dental

3510 Lincoln Way

Ames, IA 50010

Mobile Health Unit

Various Locations Around Central Iowa

Promise Community Health Center

Promise Community Health Center 33 4th Street NW Sioux Center, IA 51250

Proteus, Inc.

Des Moines Office

1221 Center Street, Suite 16 Des Moines, IA 50309

Fort Dodge Office 107 North 7th Street Fort Dodge, IA 50501

Iowa City Office 1548 South Gilbert Street Iowa City, IA 52240

River Hills Community Health Center

Administrative Office 116 West Main Street Ottumwa, IA 52501

Patient Accounts & Medical Records Office

116 West Main Street

Ottumwa, IA 52501

Wapello County Clinic - Ottumwa

201 South Market Street

Ottumwa, IA 52501

Wapello County Clinic - Ottumwa

Counseling Services

216 South Market Street Ottumwa, IA 52501

Keokuk County Clinic – Richland

100 West Main Street

Richland, IA 52585

Appanoose County Clinic – Centerville

1015 North 18th Street, Suite C

Centerville, IA 52544

Keokuk County Clinic – Sigourney

300 West Kelly Street

Sigourney, IA 52591

Sigourney Elementary School

509 South Jefferson Street

Sigourney, IA 52591

Sigourney Junior-Senior High School

907 East Pleasant Valley Street

Sigourney, IA 52591

Jefferson County Clinic – Fairfield

2000 South Main Street

Fairfield, IA 52556

Fairfield High School

605 East Broadway Avenue

Fairfield, IA 52556

Pence Elementary

1000 South 6th Street

Fairfield, IA 52556

Washington Elementary 406 East Madison Avenue Fairfield, IA52556

Fairfield Middle School 404 West Fillmore Avenue

Fairfield, IA 52556

Mahaska County Clinic – Oskaloosa 1417 A Avenue East Suite 100 Oskaloosa, IA 52577

Pekin Community Schools 1062 Birch Avenue

Packwood, IA 52580

Cardinal Community School 4045 Ashland Road

Eldon, IA 52554

School-Based Therapy Program

Ottumwa High School

501 East 2nd Street

Ottumwa, IA 52501

Siouxland Community Health Center

Siouxland Community Health Center

1021 Nebraska Street

Sioux City, IA 51105

Siouxland Community Health of Nebraska

3410 Futures Drive

South Sioux City, NE 68776

Behavioral Health Clinic

814 Pierce Street #100

Sioux City, IA 51101

United Community Health Center

United Community Health Center

715 West Milwaukee

Storm Lake, IA 50588