Near North Annual Report 2009_Final Rough Draft by Ryan Ainsworth

Table of Contents NNHSC Board of Directors

A Message from Our Chairman

Mission

A Message from the Executive Director

Winfield and Moody

Here By Bhoice

2009 Revenue and Support

2009 Fiscal Statistics

Charitable Giving

Makeda London

NNHSC Sites and Services At-A-Glance

Programs and Annual Events

Partnerships and Affiliations

Events

BOARD OF DIRECTORS

2010 OFFICERS CHAIR Clarence Burch Attorney at Law Burch & Associates

Norman H. Bolden III President Norflo Holding Corporation

VICE CHAIR Timothy Moorhead

Ken Dunkin State Representative – 5th District

CHAIR ELECT David Delgado Judge

Gladys McKinney Building Manager, Lake Shore Place

TREASURER Patricia Cornelius-Woods

Joyce Tucker VP Global Diversity & Employee Rights The Boeing Company

SECRETARY Dan Valliere Executive Director Chicago Commons ASSISTANT TREASURER Bernard McCune MEMBERS OF THE BOARD Jesse Barrios Ron Blaustein Corporate Controller/ Administrator of Finance Children’s Memorial Hospital

Jean Przybylek Vice President of Operations Prentice Women’s Hospital Darea Seifer Excie Seifer James Simmons Laveta Small PhD Executive Director Youth Leadership Academy

A Message from Our Chairman

Clarence Burch

In past issues of the NNHSC annual reports, we have focused on our consumers. The patients and clients who utilize our services are the reason we are here. We are very proud of the impact that our health centers, the services and programs we deliver have had in improving their lives. This issue, however, lauds our employees and providers—the physicians, physician assistants, specialists, dentists, behavioral health professionals, nurses, medical assistants, administrators and staff. These 227 caring and committed professionals, led by our outstanding Executive Director Berneice MillsThomas, are wholly responsible for our being named by the Joint Commission (formerly known as JACHO) as “one of the premier health centers in the nation.” We received our fifth Joint Commission Accreditation in 2009. This is no small feat. Many Federally Qualified Health Centers are not Joint Commission accredited and others have even lost their accreditation. But our Quality Improvement Committee ensures that we work diligently to analyze and improve the organization’s overall service performance to achieve the honor year after year.

I have remained committed to NNHSC for over 16 years of participation on its Board of Directors because I have never forgotten that the community we serve

my home today, I can look out the window and see where one of my best friends was killed when I was 13. That represents part of the tragedy of this urban landscape that will never leave me. But if I raise my eyes just a little closer to the horizon, I can see the health center, which is part of the good that also springs from this setting. It is a beacon of the way forward as it assists the community to fulfill its potential.

I personally relate to the theme of this year’s annual report “Here by Choice.” As an African American man and attorney with high profile cases on my hands and other professional obligations, time is at a premium for me. I am often sought out to serve on various boards in various capacities, and must frequently decline.

Thank you for your continued support and interest in our story and how we effect change in the lives of our patients.

I have remained committed to NNHSC for over 16 years of participation on its Board of Directors because I have never forgotten that the community we serve is my home. I was born near Wells and Oak, within a few blocks of what is now the health center that I help oversee. I lived here for all my early life; then after law school, I returned to the neighborhood. From

Our mission Near North Health Service Corporation (NNHSC) exists to improve the health and well-being of the people and community it serves. It operates programs and services using community primary care concepts, emphasizing prevention of illness and the promotion of healthy lifestyles. Services provided by NNHSC will focus on the medically underserved, and will be sensitive to the cultural and linguistic needs of the people it serves

A Message from the Executive Director

Berneice Mills-Thomas I have remained at Near North Health Service Corporation for the same reason I came here 23 years ago.

I have a passionate belief in our mission of improving the health and well-being of people in the communities we serve. While this sounds simple, it speaks to the heart of what we do every day. We bring hope to those who otherwise would not have a medical home, quality medical services, specialty care, social service programs or nutritional services. While Near North Health Service Corporation has grown from one center to eight primary health centers and three supplementary sites during my

tenure here, I feel that we are simply fulfilling the mission of our founders; to provide exceptional medical and comprehensive services to low income, uninsured and underinsured women, men and families and to do this in a manner that treats all who enter our centers with dignity and respect. While our country was locked in a debate about how to implement healthcare reform, Near North Health Service Corporation kept addressing the needs of the under-served, just as it has been since 1966. Our facilities are strategically located to service those with the greatest need, and our programs and services have all been developed to respond to those needs.

success.â&#x20AC;? In the following pages you will not only learn about our services, sites and progress, you will hear firsthand from our staff, who will share why they have made Near North Health Service Corporation their choice. Finally, if you are receiving this annual report, you too have made Near North Health Service Corporation your choice of partner, supporter and friend. For that we are grateful, because you are also a part of our team and an essential part of our future.

One of the primary reasons we have been so successful in addressing the needs of our patients and clients is due to our Near North family, a team of dedicated, hard-working and talented individuals, many of whom, like me, have been here for decades. The industrialist Henry Ford once said, â&#x20AC;&#x153;Coming together is a beginning. Keeping together is progress. Working together is

Winfield and Moody:

Setting the Tone for Patient-Centered Care Patient-centered care was woven into the fabric of Near North Health Service Corporation at its founding more than 40 years ago. The very name of NNHSC’s flagship health center—Winfield Moody Health Center—says it all. The combined names of both the prominent doctor who founded the pediatric clinic, Dr. Florence Frye Winfield, and the community resident who believed in the importance of the clinic to the community, Ms. Alme Moody – serve as a reminder that this health center would be different.

t is normal for patients to have a certain reverence for their physicians, but at this center, respect is mutual. Dr. Winfield would not have had it any other way. Her original aspiration in life was to become a nurse. She had gained the passion for medicine by observing her grandfather— a prominent physician in Danville, Kentucky— who advised his granddaughter that if she was going to study to be a nurse, why not go all the way and become a doctor. On his advice, she obtained her MD from the University of Wisconsin. She was married to her childhood friend and college sweetheart (chemist Arnold Winfield) and happily practicing in Evanston at Community Hospital when she was approached by Children’s Memorial Hospital. They wanted to hire her as the pediatrician at their new satellite clinic in Chicago’s Lawndale community, at a small site in the Olivet Community Center. To tell people about the Near North Children’s Center and the services offered there, Dr. Winfield teamed up with Ms. Moody (a resident of Cabrini-Green housing project) to knock on doors in the community and encourage residents to visit the clinic. According to Arnold Winfield, Florence’s husband of 57 years at her death in 2008, “the personal touch was very important to her. She was the type of person who wanted to practice medicine the old-fashioned way.” She accomplished this by developing a relationship with each of her patients and taking an interest in their lives. Evelyn Reid, who retired from NNHSC after serving 33 years as a registered nurse, was hired by Dr. Winfield and remembers her fondly. “Patients loved Dr. Winfield. If they came to the clinic with a problem and she

wasn’t there, they wouldn’t see any of our other doctors who were available. They’d ask when she would be back and plan to come back then. We would try to persuade them that another doctor could take care of their problem, and they’d just leave, saying ‘No, no. That’s okay. I’ll come back when she’s in.’ “She was the kind of person who would come in early and stay late. We had a big storeroom in the back of Near North Children’s Center that held a lot of medications and supplies. When we arrived in the morning, she would be there already, organizing the storeroom or pushing a cart of supplies around to restock the exam rooms. That was Doc. She worked hard, long hours,” Reid said. She also recalls board member Alme Moody as a quiet person who was adamant about having health care in the community. Other members of the board shared Winfield and Moody’s enthusiasm for patient-centered care and remaining a community resource. This commitment when tested when the president of Coors Beer made a derogatory statement about Africans that offended the African American community. There was talk of boycotting the beer brand. Their President offered the health center board $100,000—funds that were desperately needed at the time—to name the health center for Coors. They turned him down. As Near North Health Service Corporation grew from the union of the Near North Children’s Center and the Near North Adult Health Center, this passion for putting the patient first has remained the central focus of an agency that has grown into more than 200 employees and 10 sites.

Here By Choice

n this issue of the annual report, we wanted to share the stories of the providers for a change—indeed, many of the providers lauded their fellow co-workers. Dr. Long was impressed with Erlinda Binghay, but also with the fine group of people with whom he has the pleasure to work. “With a little more than 30 FTE (full-time equivalent) providers, last year, we had 100,000 visits in the medical program alone. And last year, we finally met and exceeded our goal of seeing 1,000 men during Men’s Health Week.” Dr. Stephanie Cox-Batson has found the assistance of Nurse Manager Tish Gonzalez to be invaluable resource. She especially appreciates her understanding and caring manner she exhibits when explaining procedures to the Spanish-speaking patients. And Dr. Paul Bryar marvels at “the whole environment at NNHSC. “It’s what keeps me coming back year after year. It’s a group of people with the singular goal of providing good care. I have the opportunity to work with one of the medical technicians, Celia Valderrama, who has worked with NNHSC for over 25 years. In that time, she has provided care for three generations of some families. It’s a very good and rewarding experience to work with someone like that.” That’s the real story here. At Near North Health Service Corporation it is impossible to separate the providers from the patient in their stories.

Dr. Long said, “You develop a rapport with your patients built upon competence and trust. Healthcare is relationship-building with providers and patients, sometimes over decades. When patients form a long-term relationship with their physician, I believe it influences how well they adhere to their program and the final patient outcome.” Long goes on to say that, “after working at NNHSC since 1997, I have been able to grow with my patients. I see our lives intertwined. I receive as much out of that relationship as I put into it. This makes me feel a connection with each patient.” Dr. Bryar agrees. “The patient population is wonderful. They’re interested in their health. They are probably one of the most appreciative groups of patients I have ever met. Patients are here because they want to do what they can do for their health— and that’s evidenced in their compliance with medical recommendations and care plans.” When asked what keeps her at NNHSC when she could work wherever she wants, Dr. Cox-Batson said, “It’s the patients and it’s the patients. Every day you go to your job and you get patted on the back. The patients, they appreciate us. The vast majority of the patients say “thank you” a thousand times. They feel connected to us and a lot of us really feel connected to them.” As proof, she relates the following story.

“We had a patient at the center who had been a patient for years, and I cared for her through a couple of pregnancies. She was a gregarious woman with a large personality. One day, she came into the office with the father of the baby she was carrying. He was very different from her in personality and physicality…very quiet. She said ‘we’re getting married.’ As we talked, we found out that they really didn’t have a place to hold the wedding. Well, you know that just caught the attention of the Women’s Health Department. I think it was Makeda London in social services who asked Mrs. Thomas if we could have their wedding here at the Winfield Moody Health Center? Her response was along the lines of, ‘Well, what do you have in mind? We might be able to do it in our conference room and that’s what we did.’ We held it right in the middle of our health center, with providers, administrators and staff stopping in between patients. ” It must be that kind of thing Dr. Florence Frye Winfield had in mind at the merger of the Near North Children’s Center and the Near North Adult Health Center. Her husband, Arnold Winfield, says that the governing board offered her the directorship of the new agency during its formation. “She turned the position down, because she wanted to remain with her patients.”

“

It starts with respect. I was very insistent that people show up to work on time. If the first appointment is at 8 a.m., you should be there before 8 a.m. It’s a nobrainer.” His management style is inclusive and consensus-building and he would not have asked them to do something that he was not willing to do. “Most patients have limited financial resources. Often they have no health insurance. Sometimes they have delayed health care because of these barriers. Many patients are senior citizens and need to arrange transportation to the health center, often asking their children or other family members to take off work to bring them to the appointment. A lot of our patients have overcome significant challenges in their lives just to make it to the health center for an appointment. This is one reason why I want to be prompt with my office visits. Our patients face so many challenges before they enter our doors that I ensure that I am not a part of their problems, but hopefully a part of a health solution and healthier life.”

“

Here By Choice Timothy Long

It was both the emphasis on patient-centered care and holistic health that attracted Dr. Timothy Long to the agency in July 1997. He was a resident physician in primary care/internal medicine at Cook County Hospital, rotating through community health centers and ambulatory health care in Chicago when he had the opportunity to visit the NNHSC Chicago Nutrition and Education Center. There, he encountered Erlinda Binghay, Director of Nutrition at the time, who was training providers about the importance of healthy eating, healthy cooking and the need for direct hands-on learning for patients when discussing nutrition. The site has an impressive demonstration kitchen, mock grocery store and breastfeeding room. â&#x20AC;&#x153;I was very excited about the method in which NNHSC provided healthy lifestyles and nutrition as part of health care. This allowed me to expand my understanding of the scope of health care. I think this type of approach to community-based health care and health education attracted me NNHSC and apply for a physician position with NNHSC after finishing my residency.â&#x20AC;? Dr. Long has dedicated over ten years to the patients and clinical administration at NNHSC. He has held the positions of internist, clinical coordinator, interim medical director and medical director. His patients affectionately know him as a physician who is compassionate and caring. According to Dr. Long, this is by design. As medical director, it was important that the providers treat patients with dignity and respect.

Here By Choice Dr. Paul Bryar As a board-certified ophthalmologist, Dr. Paul Bryar has been a part of the focus on integrative medicine at NNHSC since 1999. Bryar at Winfield Moody, and fellow ophthalmologist Dr. Carol Schmidt, at Komed Holman each see 900 to 1,000 patients a year. They screen for and treat diseases of the eye. One of the most common eye problems at NNHSC is diabetic eye disease. Therefore, they work closely with other health care providers in NNHSC’s Diabetes Collaborative. “We are part of the patient’s total diabetic care team, along with other providers including internists, podiatrists and dieticians. Every diabetic should receive regular eye screenings as part of their diabetic care. Now that diabetic eye exams are available at NNHSC, we’re often discovering diabetic eye disease before our patients have symptoms. This has a significant impact on decreasing vision loss and blindness due to diabetes.” Dr. Bryar adds, “As eye doctors, we regularly council patients and tell them that good blood sugar control is the best way to decrease their chances of getting diabetic eye disease. Their sight is very important to them. Hearing this message from us reinforces the importance of good diabetic control, and is an integral part of comprehensive diabetic care.” But Dr. Bryar is quick to stress that this level of quality care at Near North Health Service Corporation is not performed in a vacuum. Partners such as Northwestern Memorial Hospital (NMH) and the Northwestern Medical Faculty Foundation (NMFF) are a major factor in providing the patients with the some of the highest quality healthcare in the country. “I really have to say, that in terms of eye care at NNHSC, Northwestern Memorial Hospital and Northwestern Medical Faculty Foundation have really committed to this project. NMH and NMFF have provided personnel and facilities for eye surgery, advanced medical services, and tertiary care. Without their support, many of these services would be out of reach for our patients.”

Here By Choice Stephanie Cox-Batson

Dr. Stephanie Cox-Batson, an obstetrician/gynecologist who joined the agency in 2002, had an introduction to NNHSC similar to Long’s. Dr. Cox-Batson was working at Stroger Hospital when she heard about the agency. She was on a HRSA National Health Services Corps scholarship that required her to work in a HPSA professional shortage area for four years. No problem. She completed her time at Stroger and wanted to continue to work with an underserved population, but was not thrilled working under the County system. Dr. CoxBatson expressed this to Dr. Bari Parks-Ballard, a previous mentor then working at NNHSC. “She told me, I have just the thing for you. She was right.” Since joining NNHSC, Dr. Cox-Batson has held the positions of Women’s Health, Clinical Coordinator for over five years. Her patients often praise her as a caring and kind physician who takes the time to listen and explain things. She even provides free care at a clinic in Nicaragua, actively recruiting OB/GYN specialists from Northwestern University and other hospitals in Chicago to volunteer their time to train the local health professionals and provide cervical cancer screenings and OB/GYN services to Nicaraguan women. In her practice Dr. Cox-Batson’s approach to comprehensive women’s healthcare means addressing impediments such as poor nutrition, depression, and making and keeping appointments. “Unfortunately, we continue to see maybe 10 to 12 percent of our patients very late for prenatal care, in the third trimester. When they present later in care, it’s very hard for us to really affect the outcome of that pregnancy.” Another factor that the staff must address is the woman’s home environment and abusive relationships. “Domestic violence can be a significant barrier to women’s health. If we see the typical signs of abuse, or something triggers our suspicions during the office visit…like a hovering, overly doting partner, maybe answering all of the questions put to the patient… we will try to get her alone, and discuss her living situation and get her to social services.”

Financials Statement of Financial Activities Fiscal Year 2009 July 1, 2008 - June 30, 2009

1% 2%

REVENUE AND SUPPORT Grants (59%)

$10,028,258

Program Fees (33%)

$5,570,245

Contributions (7%)

$1,117,039

Interest Income (2%)

33%

$168,906

Other Income (1%)

$105,317

$95,000

Special Events (<1%)

$3,268

United Way (1%)

59% 1%

EXPENSES Health Services (45%) Other Services (34%) Management & General (19%) Fund Raising (2%)

$7,471,096 $5,663,875

19%

$3,146,428

45%

$267,946 34%

Fiscal Facts Statement of Fiscal Activities Fiscal Year 2009 July 1, 2008 - June 30, 2009

Near North is a community based Federally Qualified Health Center operating eight primary health care facilities in medically underserved Chicago areas. In fiscal year 2009, Near North had a total of 96,640 center visits. Komed Holman saw 12,241 users, while Winfield Moody saw 16,031 users, Uptown saw 839 users, Louise Landau saw 3,600 users, Denny saw 713 users, and Cottage View saw 1,200 users.

Near North served approximately 11, 246 non-clinical users in fiscal year 2009 through its programs, which include: WIC/Nutrition Services provides nutritional education to mothers. Substance Abuse Treatment provides innovative out-patient substance abuse treatment Case Management provides support services and coordinates medical services for pregnant and parenting mothers and their children in high-risk populations. Comprehensive Services provides a variety of services intended for all aspects of social health. Oral Health-Expansion Program provides much needed dental services to our patient population. NNHSCâ&#x20AC;&#x2122;s Oral Health Department provides general dentistry: x-rays, cleanings, fillings, extractions, and sealants. Ophthalmology Services provides evaluation and treatment of diseases of the eye, especially those resulting from diabetes, hypertension, glaucoma, cataracts and vascular disease. Diabetes Management Program implements a Chronic Care Model patient care and change management for underserved populations throughout all of four health centers.Â

Currently Near Northâ&#x20AC;&#x2122;s staff is composed of approximately 230 employees (as of 12/1/09), including physicians, advance practice nurses, clinical support staff, social services staff, public health nutritionists and dietitians, Alliance, contractual and administrative staff. Near North operates annually with a budget of approximately $18.4M, which includes a percentage of free care for uninsured users of our programs and services that qualify for the sliding fee scale. Currently Near North has 17 government and privately funded programs. The percentage of funding sources is: Federal State City Foundation/Corporation United Way/Other Revenue Patient Fees

38% 18% 2% 6% 7% 29%

Distribution of patients by race: African American Hispanic Caucasian Asian

70% 21% 5% 1%

Distribution of patients by payor source: Medicaid Medicare Unsponsored

44% 6% 50%

Charitable Gifts GIFTS $501,000 AND ABOVE U.S. Department of Health and Human Services Northwestern Memorial Hospital GIFTS $101,000 - $500,000 Illinois Department of Health and Human Service LISC/Atlantic Philanthropy GIFTS $10,001 - $100,000 Chicago Community Trust Chicago Department of Family and Support Services The Field Foundation of Illinois Lloyd A. Fry Foundation Grant Healthcare Foundation Mayorâ&#x20AC;&#x2122;s Office on Domestic Violence Northwestern Memorial Foundation Polk Bros. Foundation Dr. Scholl Foundation South East Chicago Commission State of Illinois, Office of Attorney General VNA Foundation United Way of Metropolitan Chicago

GIFTS $1,001 - $5,000 AIDS Foundation of Chicago Anonymous Chicago Dental Society Northern Trust Charitable Trust William Wood Skinner Foundation GIFTS $200 - $1,000 John Amato Erlinda and Guillermo Binghay Charlene Bivens Blowitz-Ridgeway Foundation Dr. Terrance Conway Babtunde Lawal Judy Lipp

GIFTS $5,001 - $10,000 Harry S. Black & Allon Fuller Fund Blue Cross and Blue Shield of Illinois Share Our Strength South East Chicago Commission W. P. & H. B. White Foundation 20

NNHSC Spotlight

Makeda London

Former Health Families Program Manager and Family Support Services Coordinator In October 2009, Makeda London retired from Near North after providing 16 years of case management service to the community. But, as she puts it, to many of the clients she has served over the years, she will always be considered their “lifelong case manager.” London’s Near North story began in 1993. She was working as a paralegal’s assistant when she was asked by her friend, the late community activist Marion Stamps, to come to NNHSC and provide trainings to staff in the department of case management and outreach services. As a case management specialist, London was hired to upgrade the skills of social workers, who—as community residents— had the expertise in client relations but just needed the polish of agency policy and procedure. By May 1994, she found herself running a pilot program called Healthy Start at the Winfield Moody Health Center. Though well-known today, Healthy Start was then a brand new initiative funded by the Illinois Department of Public Health. Its objective was to reduce the infant mortality rate for those who live in five Chicago communities identified as having the highestneed (IDPH later added a sixth).

The Healthy Start program required a real level of commitment from both staff and clients to keep the mothers engaged, involved and presenting until the child turned a year-old (eventually extended to age three in a program called Healthy Families). London and her team where the model of perseverance and never let the words “lost to follow-up” become an acceptable excuse. She and coworkers Mary Garfield and Justin Thomas did whatever it took to maintain contact with the young mothers in the program: home visits any time of the day or night, on weekend, whenever there was the possibility that the client would be around. Staff in the NNHSC’s comprehensive services department have been known go into Cabrini-Green and other notorious housing projects, even during a time when gang turf wars and emptying buildings made it dangerous to approach. “We were in there because they live there. You can’t be afraid to go where they go,” London says, shrugging off the mention of bravery. She also credits Sergeant Cynthia Schumann and police officers of the 18th Precinct as being great community partners and occasionally providing escorts and/or sending a patrol car around just to check on late-night workers.

In addition to stellar service to NNHSC and enormous respect of her colleagues, Makeda London has presented a paper to the US Congress in support of the “H.R. 2343, Education Begins at Home Act” for the Committee on Education and Labor, and has served as a United Way Ambassador. One of her truly striking accomplishments is that her Healthy Start program led the charge to separate pregnant women who were incarcerated from the general prison population. Before London and her colleagues got this legislation passed in Illinois, whenever they went to see their expectant mothers who were inmates, they were scattered throughout the prison like any other inmate (even up to the ninth month). Thanks to London and Healthy Start program managers, pregnant inmates are now housed on their own tiers in Illinois state prisons. Upon her retirement, she is reflective about not only her time spent at Near North Health Service Corporation, but the spiritual purpose that brought her there. “I saw my work at Near North as a ministry. The Lord has given me a burden for souls and anywhere I am working, I am working for Him. It’s not me doing all these things, it’s Him. I know my role as a servant. That’s what I’m here for.”

First, due to their developmental disabilities, London needed to provide assistance in filing the appropriate paperwork for the couple to get married. She then provided six weeks of premarital counseling in Freeman’s home; which had the result of involving the entire family—mother, sisters, brothers, cousins—in lengthy discussions of what marriage was and how to have a lasting marriage, a well as explaining the whole marriage ceremony and weeks of wedding rehearsals. In addition to stellar service to NNHSC and enormous respect of her colleagues, Makeda London has presented a paper to the US Congress in support of the “H.R. 2343, Education Begins at Home Act” for the Committee on Education and Labor, and has served as a United Way Ambassador. Upon her retirement, she is reflective about not only her time spent at Near North Health Service Corporation, but the spiritual purpose that brought her there. “I saw my work at Near North as a ministry. The Lord has given me a burden for souls and anywhere I am working, I am working for Him. It’s not me doing all these things, it’s Him. I know my role as a servant.

NNHSC SITES AND SERVICES AT-A-GLANCE The Near North Health Service Corporation that we know today emerged from the merger of two community-based health clinics—one for children (operated by Children’s Memorial Hospital) and one for adults (operated by Northwestern Memorial Hospital)—more than 40 years ago. The original health site was a small community health clinic located in the Olivet Community Center in Chicago’s Near North side community. From its inception, NNHSC has maintained a public health perspective that seeks not to only treat illnesses, but identify the root causes of major health problems and develop community-based prevention-oriented programs to address them. NNHSC has seen tremendous growth from that community health clinic to today, boasting eight (8) comprehensive health care centers, three (3) Women, Infants and Children (WIC) centers and senior clinics on the north, south and west sides of Chicago. Near North Health Service Corporation offers primary health care services and comprehensive social support services across many of Chicago’s 77 community areas encompassing a population of more than 1.5 million residents. According to our last Health Resources and Services Administration UDS report, in fiscal year 2009 NNHSC served ________ clinical and non-clinical patients through more than _______ visits.

Locations The following is a summation of services available at each of our site. Patients will be referred to another NNHSC site to access health care services not offered at their primary care location. Winfield Moody Health Center (WMHC) – 1276 North Clybourn Ave Site opened: Communities served: Services provided:

1966 Near North, Cabrini-Green, West Town, and Humboldt Park Internal medicine, OB/GYN, pediatrics, medical dispensary, lab, x-ray, podiatry, ophthalmology, substance abuse treatment, family support services, medical social work, case management, WIC, nutrition services

Komed Holman Health Center (KHHC) – 4259 South Berkeley Street Site opened: Communities served: Services provided:

1994 Kenwood, Oakland, and Grand Boulevard Internal medicine, OB/GYN, pediatrics, medical dispensary, lab, podiatry, oral health, HIV/AIDS counseling, case management, WIC, nutrition services, Mother and Children Program (MAC)

Louise Landau Health Center (LLHC) – 3645 West Chicago Ave Site opened: Communities served: Services provided:

2000 Southwest Humboldt Park Internal medicine, OB/GYN, pediatrics, lab, podiatry, x-ray, WIC, nutrition services

Cottage View Health Center (CVHC) - 4829 South Cottage Grove Ave Site opened: Communities served: Services provided:

2002 Senior population on the South Side of City Internal medicine, medical dispensary, lab, podiatr

Uptown Community Health Center (UCHC) – 4867 North Broadway Site opened: Communities served: Services provided:

2007 Wicker Park, Lincoln Park, North Park, De Paul, Uptown Internal medicine, OB/GYN, domestic violence outreach

Denny Community Health Center (DCHC) - 30 West Chicago Ave (Lawson House YMCA) Site opened: Communities served: Services provided: 25

2008 Primarily the residents of the Lawson House YMCA Internal medicine, women’s health, ophthalmology, podiatry, domestic violence outreach

Supplementary Centers Chicago Nutrition Education Center - 1924 West Chicago Ave In addition to the WIC and Commodity Supplemental Food Program (CSFP), the center provides free and low-cost comprehensive nutrition services for low-income community residents and serves as a training and research center for nutrition students and professionals. The center is equipped with a demonstration kitchen, WIC mini-mart, motherâ&#x20AC;&#x2122;s room, resource room and a computer center.

Humboldt Park WIC - 2650 West Hirsch Street The Humboldt Park WIC provides monthly services to more than 3,500 pregnant, postpartum, and breastfeeding women, infants, and children up to age five years. Winfield Moody Education Drop-In Center - 842 North Cambridge Ave The NNHSC After School Drop-In Center is a prevention program housed in the Cabrini Green public housing development. The center offers a safe haven for area children who range in age from five to 18 years. During the school year, the Drop-In Center is open from 2:30 to 4:30 p.m. Monday through Friday. The staff tutors children and insures that all homework assignments are complete before breaking into small groups for topical discussions. These prevention sessions focus on a range of issues such as coping with peer pressure, abstaining from alcohol and drugs, and conflict resolution. After these daily discussion hours, the children enjoy a snack before going home. Over the summer, a wider range of activities includes organized softball leagues, swimming lessons, reading programs and computer assisted learning skills programs and videos. Flannery Clinic - 1531 North Clybourn Ave Located inside the Flannery Senior Building, this clinic offers a convenient place for residents to have their health questions answered and to consult with a health care provider. 26

Programs Pediatric Asthma Education Program With funding from the Lloyd A. Fry Foundation, NNHSC began this pediatric asthma initiative in 2006. Asthma continues to be a chronic illness prevalent amongst children living in urban areas. This programâ&#x20AC;&#x2122;s objectives are to reduce the acuity for pediatric asthma patients by teaching families how to recognize asthma and respond appropriately to environmental factors that might be causing the attack, recognizing the symptoms of an impending attack, and how to respond quickly and effectively with the necessary medications when one occurs.

Teen Clinic The persistence of teen-on-teen violence has been a concern for the staff at NNHSC long before the recent headlines that have captured the nationâ&#x20AC;&#x2122;s attention. Our Teen Clinic not only provides anti-violence workshops, our staff conducts discussions that help to reduce drug use, unplanned pregnancy, sexually transmitted diseases, domestic violence, gang involvement, low selfesteem and school failure.

Mother and Child Program The MAC Program provides a monthly allotment of USDA commodity foods such as juice, evaporated milk, peanut butter, cereals, rice, canned fruits, vegetables, and meat to low-income women, infants and children up to age six. Participants also receive group nutrition education. This program is administered through Catholic Charities, a partner with NNHSC. 27

Programs Cont’d Operation Frontline Share Our Strength’s Operation Frontline is a national nutrition education program developed to address food security and hunger; sponsored nationally by Tyson Foods, Inc. At NNHSC Operation Frontline promotes short- and long-term solutions to hunger through the following six-week training sessions: Eating Right – for low-income adults consisting of cooking, food safety, and food budgeting Side-By-Side – for school-age children and their families that brings them together in the kitchen and around the table to learn about healthy eating Kids Up Front – cooking and nutrition class for school-age child The Power of Eating – cooking and nutrition class for teens Step Up to Eating Right – cooking and nutrition class for teen moms and expecting teen moms Eating Well – cooking and nutrition class for individuals living with HIV and AIDS and other chronic diseases Saving Smart, Spending Smart – financial planning workshop for adults.

Breastfeeding Program The NNHSC Breastfeeding Program has developed innovative ways of increasing the incidence and duration of breastfeeding. A breastfeeding coordinator oversees peer counselors who educate and support women who have made the decision to breastfeed. Breastfeeding mothers returning to work or school may be eligible to receive free breast pumps and gift incentives from WIC.

Senior Services The senior population presents its own set of cultural characteristics and two of our facilities address their needs. Flannery Senior Clinic, located on the Near North Side and Cottage View Health Center on the South Side. Seniors who reside in these buildings receive convenient health care in the privacy of their apartment building. Other seniors who are NNHSC patients are also accommodated with special round trip transportation from their residences to one of our primary care sites. 28

Near North Community Partnerships and Affiliations

Alliance of Chicago Community Health Services Campaign for Better Health Catholic Charities for the Mother and Child (MAC) program Chicago Commons Chicago Department of Public Health Chicago Department of Public Health (CDPH) Childrenâ&#x20AC;&#x2122;s Memorial Hospital Cook County Bureau of Health Services Grand Boulevard Federation Haymarket House Hektoen Institute for Medical Research (CCH) Henry Booth House Illinois Department of Human Services (IDHS) Illinois Department of Human Services, Office of Alcohol and Substance Abuse (OASA) Illinois Department of Public Aid (IDPA) Illinois Department of Public Aid, Workfare Program Illinois Healthy Start Program Illinois Maternal & Child Health Coalition (MCHC) Illinois Primary Health Care Association (IPHCA) Illinois Victimâ&#x20AC;&#x2122;s Assistance Program Interfaith House John Stroger Cook County Hospital National Association of Community Health Centers (NACHC) National Diabetes Collaborative Northwestern Memorial Hospital Operation Frontline U.S. Department of Health and Human Services (DHHS) United Power for Action and Justice (UPAJ) United Way of Chicago Voices of Illinois Children

Events Men’s Health Week Annually, NNHSC aligns its Men’s Health Week with that of the National Men’s Health Week. The weeklong activities include raising awareness of men’s health issues, with an emphasis on prevention and early detection. Studies show that men are more reluctant to see a physician and are much less informed about their health needs. They often do not seek treatment until the condition is advanced. Each year, we attempt to provide free comprehensive health screenings to at least 1,000 men. Screenings include: cholesterol, diabetes, hypertension, HIV, prostate cancer and more. The event also includes healthy lifestyle workshops, cooking demonstrations, snacks/meals, entertainment and haircuts.