Minnesota Association of Community Health Centers 2020 Annual Report

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A MESSAGE FROM KRISTI 2020 has been a year to remember. As chairwoman of the MNACHC Board of Directors, I can personally attest to the commitment of my fellow Board members and their Health Centers to serve vulnerable Minnesotans. As a Board, we’ve shared strategies for deploying Covid-19 testing, collaborated for mobile Covid-19 testing, jointly secured the necessary PPE for our staff, purchased Zoom licenses for our organizations, and implemented telehealth services in real-time. At the foundation of all these efforts has been the MNACHC staff. I cannot overemphasize the significant role MNACHC had in supporting all 17 of Minnesota’s Community Health Centers while the pandemic unfolded and while our communities reacted to the death of George Floyd in Minneapolis. The staff navigated the political and regulatory waters for us all. At the height of the pandemic, MNACHC held twice-a-week webinars that regularly exceeded 50 participants from every Health Center in Minnesota. Information shared during these webinars enabled our members to act quickly to ensure the Covid-19 response in Minnesota did not exclude the 200,000 patients we serve every year. While the pandemic took much of MNACHC’s “bandwidth” during the year, MNACHC remained focused on strengthening Health Centers. This work consisted of hosting group training events during the year, facilitating ten MNACHC Roundtables, leading the federal and state advocacy efforts for members, and continuing to prepare Minnesota’s Health Centers for value-based payment into the future. And even during a pandemic, MNACHC virtually hosted the 15th annual Many Faces of Community Health Conference. I invite you to read MNACHC’s Annual Report for 2020. Admittedly, it does not capture all of the work of MNACHC during the year. I can assure you, however, that all Health Centers are more well-equipped to serve our communities because of the Association’s collective efforts during this challenge-ridden year. -Kristi Halvarson, Executive Director of Community Health Service Inc. & MNACHC Board Chair


MNACHC SERVICES Quality Improvement MNACHC supports the clinical quality efforts of Health Centers through data analysis of state quality measures, sharing of best practices, and convening peer-learning opportunities. Training & Technical Assistance MNACHC provides training and technical assistance on topics important to members, such as billing and coding, clinical leadership, financial and operational issues, and Board of Director’s responsibilities. Government Relations MNACHC is a respected advocacy organization on both the state and federal levels. MNACHC works with key state agencies to cultivate a public policy environment that's supportive of our Health Centers. Workforce MNACHC assists Health Centers with their workforce recruitment and retention needs. Partnership Development MNACHC seeks partners that share the Health Center mission of expanding access to primary care services for low-income Minnesotans.


MNACHC 2019-2021 STRATEGIC PLAN Further FQHC mission through strong state and federal policy and advocacy Expand public policy advocacy program, including a focus on the value proposition Strengthen FQHC funding to support robust, patient-centered care Inform and advise FQHCs on federal program changes Strengthen the foundation of FQHCs Position health centers for successful recruitment and retention Build excellence in compliance Promote FQHC promising practices Advance FQHC readiness for value-based pay/care Grow the Quality Improvement (QI) program, including an emphasis on the Social Determinants of Health Advance care model transformation Build analytic data capacity at MNACHC Maximize revenue in value-based payment Achieve excellence in MNACHC internal operations Improve MNACHC’s ability to articulate its impact and return on investment Advance organizational efficiency and depth of program support for FQHCs Develop relationships with new donors to grow MNACHC capacity


In 2020, MNACHC added three additional staff to the team, bringing the total number of employees at MNACHC to 6.20 FTE. Our newest team members include:




Nenick Vu, Quality and Compliance Specialist - Mr. Vu comes to Minnesota with a wealth of experience working with Health Centers in California. In the last year, he has been instrumental in fostering collaborations with oral health providers and navigating both state and federal regulations for MNACHC members. Hannah Erickson, Membership and Events Coordinator - Ms. Erickson’s marketing and communications background has led to an increased social media presence for the Association. Also, she is leading MNACHC’s communications and media efforts. Erica Lester, Workforce Specialist - Ms. Lester recently joined the MNACHC team and will focus on assisting members with workforce development plans. She will be leading MNACHC’s workforce efforts for members at a critical time as the delivery of health care changes and the primary care workforce continues to erode. Other MNACHC staff include: Jonathan Watson, Chief Executive Officer Brittney Dahlin, Chief Operating Officer and Director of Quality Improvement Monet Goudreault, Quality Improvement Specialist May Thao, Resource and Compliance Officer


MNACHC BOARD OF DIRECTORS Kristi Halvarson, President, Community Health Services, Inc., Moorhead, MN Colleen McDonald-Diouf, Vice-President, Community-University Health Care Center, Minneapolis, MN Ann Cazaban, Secretary, Southside Community Health Services, Minneapolis, MN Michael Holmes, Treasurer, Scenic Rivers Health Services, Cook, MN Theodore James, Axis Medical Center, Minneapolis, MN Stephanie Abel, Hennepin Health Care for the Homeless, Minneapolis, MN Dr. Patrick Rock, Indian Health Board of Minneapolis, Minneapolis, MN Dayle Patterson, Lake Superior Community Health Services, Duluth, MN Reuben Moore, Minnesota Community Care, St. Paul, MN Dr. Antony Stately, Native American Community Clinic, Minneapolis, MN Steve Knutson, Neighborhood HealthSource, Minneapolis, MN Stella Whitney-West, NorthPoint Health & Wellness, Minneapolis, MN Dr. Cynthia Woods, Open Cities Health Center, St. Paul, MN Vacant, Open Door Health Center, Mankato, MN Ann Rogers, People’s Center Health and Services, Minneapolis, MN Ann Nyukandi, United Family Medicine, St. Paul, MN Kate Surbaugh, Sawtooth Mountain Clinic, Grand Marais, MN



While Covid-19 dominated 2020 for MNACHC and member Health Centers, the Association held major events to support our members learning and advocacy opportunities. Some of the highlights from 2020 include:

MANY FACES OF COMMUNITY HEALTH CONFERENCE MNACHC co-hosted the 15th Annual Conference with the Minnesota Department of Health (MDH). Held virtually, the one-day conference focused on resiliency and innovation. Keynotes and breakout sessions presented information about telehealth, authentic leadership, successful collaborations between health centers, and a legislative update.

ST. PAUL "DAY ON THE HILL" Prior to the pandemic outbreak, MNACHC hosted the annual “Day on the Hill” at the Capitol in St. Paul. This year over 50 MNACHC advocates met with their elected officials about the role of Health Centers and MNACHC’s 2020 legislative platform.

MNACHC ROUNDTABLES MNACHC continued to hold numerous member Roundtables during 2020. In addition, MNACHC added more Roundtables during the year and more Health Center staff participated in the peerlearning opportunities. MNACHC’s current Roundtables include the following topics/positions: Chief Medical Officers Chief Financial Officers HRSA Operational Site Visit Emergency Preparedness Quality Improvement (QI) Telehealth Behavioral Health Human Resources Dental/Oral Health Billing and Coding Care Coordinator






Source: UDS 2019






Minnesota’s Health Centers consistently provide high quality care. In 2019, they out performed the Healthy People 2020 goals set forth by the Office of Disease Prevention and Health Promotion for the following measures:



of health center patients of babies born to with diagnosed health center patients hypertension had were not considered controlled to be low birthweight blood pressure


of health center patients were screened for tobacco use and provided cessation counseling if needed



of health center patients who were newly diagnosed with HIV saw a specialist within 90 days

of pregnant health center patients entered prenatal care in their first trimester



of health center patients have achieved the who were diagnosed with ischemic vascular disease Minnesota Department of Health’s Health Care received an aspirin or Home Certification antiplatelet medication to help maintain health


of health centers utilize health information technology to collect, store, maintain patient information

HRSA recognized Minnesota’s health centers for their great work in providing high quality care, advancing health information technology, providing patient centric care, and reducing health disparities by awarding them collectively






Revenue Federal Grants

$ 673,426


$ 25,000

Member Dues

$ 196,312

Conference Income

$ 84,545

Training Income

$ 4,834

Other Income

$ 11,825


$ 995,942

Expenses Technical Assistance

$ 768,874

Management & General

$ 119,848


$ 888,722

Net Surplus

$ 107,220

CORPORATE SPONSORSHIP PROGRAM MNACHC'S CORPORATE SPONSORSHIP PROGRAM For the first time in the Association’s history, MNACHC launched the Association’s Corporate Sponsorship Program (CSP) in 2020. The CSP provides an opportunity for our corporate partners to support the work of MNACHC. As part of the program, supporters can choose one of four sponsorship levels, which offer varied recognition in MNACHC publications, access to member events, and receipt of MNACHC communications. MNACHC is thrilled that UCare will be our highest level-sponsor as the Community Champion. This partnership builds upon UCare’s commitment to Minnesota’s Health Centers over many years.

A MESSAGE FROM JONATHAN 2020 marks 40 years since MNACHC began as the Minnesota Rural Primary Care Association. Since 1980, we’ve undergone changes not only to our name but also to our membership. What has remained the same over those 40 years has been our work. Our original Articles of Incorporation outlined the purpose of the Association as: “...increasing the efficiency, visibility and strength” of member Health Centers. The Articles also explicitly state that the Association serves as a place for member organizations to “meet, discuss and confer about common problems and goals.” In 1980, the Association founders may not have ever predicted a global pandemic in 2020, but their words in those Articles of Incorporation were on full display in 2020. In response to the Covid-19 pandemic, MNACHC devoted countless hours to ensure our members responded to the pandemic throughout the state. We shared legislative and regulatory updates with members on weekly calls, arranged for the purchase of Zoom licenses, assisted with telehealth implementation, and advocated state and federal officials for PPE and funding to support Health Centers. The needs of our Health Center patients beyond Covid-19 did not entirely disappear during the pandemic. We maintained our focus on critical issues, including implementation of the new Medical Assistance rates for members in 2021, led the collaborative efforts between health centers and organizations working with victims of domestic violence, managed and staff 10 MNACHC Roundtables, and held our 15th annual Many Faces of Community Health Conference - albeit virtually! 2020 has posed a challenge to MNACHC and our member Community Health Centers. The Covid-19 pandemic and the murder of George Floyd is testament to the fundamental long-term changes needed in our social fabric. Our challenge at MNACHC is to re-imagine how Health Centers meet the needs of a wide range of patients - especially those suffering from significant trauma resulting from social injustices. Health Centers have the right framework, I believe, as they have long recognized the need to provide affordable, accessible health care that is responsive to the needs in their communities. Our vision at MNACHC continues to be that every Minnesotan has the opportunity to lead a happy, healthy, and productive life. I am proud of how Health Centers responded to the trauma of 2020. They quickly adapted their Health Centers to respond to Covid-19 and ensured their patients had access to food and prescriptions after the civil unrest in the Twin Cities. I am also proud of the MNACHC staff that supported our member Health Centers in this turbulent year. Lastly, I am grateful to the over 1,700 Health Center employees in Minnesota that are on the “front-lines” of providing care to nearly 200,000 low-income Minnesotans. -Jonathan Watson, Chief Executive Officer of MNACHC

Minnesota Association of Community Health Centers 2829 University Ave SE, Suite 645 Minneapolis, MN 55414 www.mnachc.org 612-253-4715

MNACHC is committed to helping our membership attain measurable improvements in and the highest quality standards of care, by supporting them in leading response to change, cultivating a public policy environment supportive of FQHCs, training and technical assistance, and other benefits.

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