Charles Drew Health Center, Inc.
ANNUAL REPORT
2013
The healthcare delivery system is changing and Charles Drew Health Center is moving forward with transformations that reflect the dynamic world of health care and meet the growing needs of our communities most vulnerable individuals. For over 30 years we have demonstrated the ability to overcome barriers and improve access to care.
We know this has changed lives for the better. We have worked hard to earn your trust and we appreciate every opportunity we have to take care of you and your family. We will continue to look for new opportunities where we can collaborate and partner with other community resources to promote wellness and a better quality of life for all.
As the new Chief Executive Officer, of your community health center I, along with the CDHC team, commit to an unwavering dedication to our mission and vision. I’m tremendously grateful for the achievements of our current 120 plus employees. Through their compassion, they have created an unparalleled environment for healing. Through their dedication, they are ensuring our ability to adapt successfully to the inevitable changes that lie ahead. This report includes a summary of the many initiatives we have undertaken to enhance quality, improve access, encourage innovation and fulfill a passionate commitment to community service. As you will see, we are defining the future of healthcare in Omaha.
In 2013 Charles Drew served 10,451 unique patients. We facilitated 38,304 patient visits (a 12% increase over
2012). Patients 18 and under, represented 35% of our patient population. Although 47% of our patients were uninsured – none were denied health care services due to their inability to pay.
Charles Drew Health Center provided employment opportunities for 234 individuals, many residing in the Health Centers targeted service area, (east/northeast and northwest sector of Douglas County) with an overall direct/ indirect economic impact of over $15 million.
Our goal is to provide quality, comprehensive affordable healthcare to all individuals in a comfortable and safe environment. Charles Drew Health Center strives to recruit the best medical, dental and behavioral health providers available while supporting them with qualified, culturally competent, compassionate staff. We believe the personal relationship between a patient and doctor is the key to quality health and dental care. It is our goal to treat all patients with the care and respect we all deserve.
On behalf of our Governing Board of Directors, Foundation Board of Directors, Volunteers and Staff we say thank you. Rest assured that we will continue to work every day to meet and exceed your expectations.
It is with great honor and enthusiasm that we present
to the Omaha community the Charles Drew Health
Center, Inc., (CDHC) 2013 Annual Report.
One of the key factors that distinguishes a thriving community
is its ability to deliver excellent medical care to every resident
and community member in which it serves. The character of a
community is defined by many factors, how well it answers the
health care needs of its population is surely one of the most
important. Simply put, quality comprehensive health care is a right!
A Message from the Chief Executive Officer
Kenny D. McMorris, MPA, CHCEF
We believe the personal relationship
between a patient and doctor is the key
to quality health and dental care.
Gregory Ochuba, M.D., Ph.D. Chief Medical Officer/Internal Medicine
Nikki Regan, APRN
SBHC Nurse Practitioner-Kellom Sheritta Strong, M.D. Psychiatrist Family Practice Physician/OBMonique Tolston, M.D. Erin Wetzel, D.D.S.Dentist
Anthony Montegut, M.D.
Family Practice Physician Alana Phillips, M.D. Pediatrician
Holly Lanoha, PA-C
Homeless Physician Assistant
Susan Egbe, M.D.
Family Practice Physician
Jackqueline Hill, APRN
Homeless/Nurse Practitioner, P.T.
Tara Collison, PA-C
Homeless Physician Assistant SBHC Nurse Practitioner-NorthwestDebra Gartin, APRN
Renaisa Anthony, M.D.
Women’s Health Physician
Michelle Chang, D.D.S.
Dental Director
Camille Brewer, APRN
Public Housing Nurse Practitioner
Christy Boulos, APRN
SBHC Nurse Practitioner-Belvedere
Income As Percent
of Poverty Level
100% and below 9,061 86.7% 101 to 150% 194 1.9% 151 to 200% 167 1.6% Over 200% 113 1.1% Unknown 916 8.7%Patients by Age
Ages Patients 0 to 19 3,682 35% 20 to 64 6,300 60% 65+ 469 5%Source of Patient
Insurance Coverage
Coverage Patients Uninsured 4,934 47.2% Medicaid 3,825 36.5% Private Insurance 1,286 12.3% Medicare 406 4%Percentage of Overall
Patient Revenue
Coverage Patients Uninsured 38.3% Medicaid 35.8% Self-pay 10.7% Medicare 8.0% Private Insurance 4.5%Patients By Race and Ethnicity
Races Patients Black 5,330 51.7% White 3,019 28.89% Asian 920 8.1% Hispanic/Latino 490 4.69% Refused to Report 438 4.19% More Than One Race 116 1.11% Native Hawaiian/Pacific Islander 87 0.83%
American Indian 51 0.49%
Charles Drew Health Center Selected
Diagnoses and Services Rendered
MEDICAL
Condition Treated Patients
Asthma 738
Diabetes 757
Hypertension 1,768
DENTAL
Service Provided Patients
Oral Exams 1,758
Prophylaxis 770
Fluoride Treatment 766
MENTAL HEALTH/
SUBSTANCE ABUSE
Condition Treated Patients Depression and Other Mood Disorders 1,303
Anxiety Disorder 475
Other Mental Disorders 460
(excluding drug or alcohol dependence)
Our Community Profile
Charles Drew Health Center (CDHC) provides quality affordable health care services for individuals and families living throughout Douglas
County in Omaha, Nebraska. According to 2010 US Census data for Nebraska,
• Douglas County has a population of 531,265 • 13.1% of individuals
residing in Douglas County live below the poverty level
The racial composition of Douglas County:
Races Individuals White 388,988 73.2% Hispanic 61,859 11.7% African-American 61,639 11.6% Asian 15,933 3.0% Native American 2,846 0.5%
Our Target Population Profile
The Charles Drew Health Center service area includes the east/northeast and northwest sectors of Douglas County in Omaha, Nebraska. The health center’s target population is the east/northeast sector of Douglas County. Population data from the 2010 US Census
provides the following data: • CDHC’s target population
is comprised of 44,410 residents.
• CDHC’s target area includes 18 census tracts designated as medically underserved and a health professional shortage
area. All but one of the census tracts in the CDHC project area is designated as “areas of racial and ethnic minority concentration.”
The racial composition of CDHC’s
target area
Races Individuals African-American 20,504 46.2% White 17,820 40.1% Hispanic 4,364 9.8% Asian 1,091 2.5% Native American 504 1.1% Other 127 0.3% 3.0% 73.2% 11.6% 11.7% 0.5% 46.2% 40.1% 9.8% 2.5% 1.1% 0.3%Our Patient Profile
Total Patients Served 10,451
Total Patient Visits 38,304
Total number of uninsured patients served 4,633 Patients living at 100% and below the poverty level 87%
Female patients 52%
Male patients 48%
Homeless patients served 15%
Pediatric patients served at CDHC
school-based health center 14%
Patients best served in a language other than English 10%
60% 5% 35% 47.2% 4% 36.5% 12.3% 38.3% 4.5% 35.8% 10.7% 8.0% 51.7% 4.69% 8.1% 28.89% 4.19% 0.83% 0.49% 1.11% 86.7% 1.9%1.6% 1.1% 8.7%
Community, Target and Patient Profiles
HEALTH CARE
SERVICES
Medical Care
Charles Drew Health Center served 10,451 patients and facilitated 38,304 patient encounters (visits) in 2013. Charles Drew Health Center provides care for the entire family. Services include family practice, internal medicine, pediatrics, OB/GYN, pharmacy, radiology, opthalmology, minor surgery, behavioral health, nutrition, cardiology and podiatry.
Homeless Health Care
Of the 10,451 patients served in 2013, 1,568 were homeless. The Health Center serves homeless patients at two locations: Catholic Charities Campus of Hope, located at 1490 North 16th Street and the Siena Francis House, located at 1111 North 17th Street.
Dental Care
The CDHC Dental Program served 2,542 patients. This represents a 25% increase over 2012. The Dental program facilitated 6,291 patient visits in 2013. This represents a 28% increase over 2012.
The CDHC Dental Department
provides oral exams, sealants, fluoride treatments, restorative services, oral surgery (extractions) emergency services and rehabilitative services.
New Baby Beginnings
The CDHC Baby Beginnings perinatal care program offers a comprehensive approach to ensuring healthy birth outcomes for infants and mothers. The program is staffed by one family practice physician/OB, a pediatrician and a perinatal nurse. In 2013, Charles Drew Health Center provided perinatal care services to 136 women. Of the 136 women served, there were 81 deliveries.
Mental Health Services
In 2013 Charles Drew Health Center served 630 patients and facilitated a total of 1,884 patient visits through its Integrated Primary Care Behavioral Health Program. The program is supported in part through grant dollars funded by the United Way of the Midlands and Region VI Behavioral Healthcare.
Pharmacy
During 2013 the CDHC pharmacy filled 27,185 prescriptions at an average cost of $ 14.57. When compared to the national average of $ 83.26 (AARP 2012 average price + a 3.6 % increase), patients at Charles Drew Health Center saved $1,867,123.
The average cost of a prescription at the Charles Drew pharmacy increased by 1.18 %. The pharmacy also filled 426 prescriptions at a cost of over $35,000 for uninsured patients with emergency medical needs.
Prescription Assistance
Program
In 2013, through the Medication Assistance Program, 814 prescriptions were filled at a cost to the patients of $20,350, at a value of $67,773.64. This represents a savings of $47,423.64 to CDHC Patients.
School-based Health Centers
Building Healthy Futures School-based Health Centers program partners (which includes Charles Drew Health Center) impacted 10,166 children during the 2013-2014 school year. The mission of the Building Healthy Futures School-based Health Centers is to improve the health for our
community’s underserved children and youth through thoughtful collaboration and advocacy.
Charles Drew Health Center provides primary health care services at four of eight Omaha Public Schools School-based Health Centers. The total number of unique patients served was 1,328. Charles Drew Health Center receives funding support from Building Healthy Families to operate the
following School-based Health Centers: Belvedere Elementary School Kellom Elementary School King Science and Technology Magnet Middle School Northwest High School
Public Housing Health Centers
In 2013 CDHC served 250 patients residing in public housing. CDHC in partnership with Omaha Housing Authority operates and manages four (4) Public Housing Health Centers at the following OHA locations:
Crown Tower 5904 Henninger Ave. (402) 457-1240 Evans Tower 3600 North 24th St. (402) 457-1242 Florence Tower 5100 Florence Boulevard (402) 457-1241 Jackson Tower 600 South 27th St. (402) 457-1243
Chronic Disease
Management
The CDHC Chronic Disease Management Program provides systems of care designed to improve patient health outcomes and reduce costs associated with long-term chronic illness. Currently CDHC operates five chronic disease management programs, which are diabetes, asthma,
cardiovascular disease, depression and obesity. Through these programs, CDHC case managed 541 diabetic patients, 1,033 patients with a diagnosis of hypertension and 75 asthmatic patients. Additionally, CDHC addressed weight management with 1,281 pediatric and 541 adult patients.
HIV/AIDS Testing and
Counseling
In 2013, CDHC tested a total of 1,161 individuals. HIV/AIDS testing and counseling was provided at the main clinic and at both homeless clinic locations. Outreach and community health education initiatives also include free HIV testing and counseling.
STD Counseling, Testing
and Partner Notification
During the calendar year of 2013, CDHC provided STD testing, counseling, treatment and partner notification for 1,931 individuals. Of the 1,931 individuals tested, 19.6% (378)
individuals tested positive. The average age of the population served was 26. Of the 378 individuals that tested positive for an STD, 269 tested positive for Chlamydia (71.2%) and 109 (28.8%) tested positive for Gonorrhea.
MATERNAL AND
CHILD HEALTH
Women, Infants and
Children (WIC)
In 2013 the Charles Drew WIC program facilitated 34,957 program participant visits.
Prenatal care patients 2,739
Infants 0 to 1 9,298
Children 1 to 5 18,027
Postpartum care patients 4,893
Omaha Healthy Start (OHS)
The mission of OHS is to reduce the rate of infant mortality in East/ Northeast sector of Douglas County in Omaha, Nebraska by means of partnership with families, community members and organizations through awareness, training and education.
Through the Omaha Healthy Start HealthNET case management program, OHS staff provided the following services in 2013: • One-on-one case management,
screenings and health education and training for 56 pregnant women and 211 inter-conceptional women;
• There were 38 births among OHS program participants;
• OHS case managers completed 1,069 home/office visits;
• OHS provided 121 pregnancy tests at no cost to women;
• OHS provided 120 STD tests at no cost to women;
• OHS completed 623 program participant transportation requests; and
• Expanded its Health Education and Training component from 13 on-site classes for women only to 16 on-site classes for women and men.
FITNESS AND
NUTRITION
Healthy Families
Healthy Families is aimed at reducing obesity among children with a body mass index (BMI) at or above the 85th percentile. Seven families were enrolled in the program in 2013. Children and families participating in this program are referred by their primary care physician. The program is sponsored by Alegent Health and is offered to families at no cost.
Employee and
Community Wellness
Charles Drew Health Center has a commitment to improving not only the health and well-being of its patients, but its staff as well. In 2013 the CDHC Employee and Community Wellness program provided the following services:
• Employee Wellness Challenges for Weight Loss, Physical Activity, Better Nutrition, Stress Reduction. On an average, 50% of CDHC employees participated in each Wellness Challenge.
• Employee Zumba classes for employees and the community. Classes accommodate 25 participants.
• Earn-A-Bike program for children. Sixty children earned new bikes, new helmets and bike locks by completing volunteer services in the community. The children and their parents were required to participate in Wellness Workshops (Better Nutrition and The Importance of Physical Activity). They also participated in a Bike Safety Workshop. This program was made possible by Alegent Health and Mutual of Omaha.
OTHER ENABLING
SERVICES
Health Insurance
Marketplace Outreach/
Enrollment (O/E) Efforts
In 2013 Charles Drew Health Center was among health centers that received funding designed to assist health center patients in establishing eligibility for and gaining access to Federal, State, and local programs that provide or financially support the provision of medical, social, housing, educational, or other related services.
The people you know, located where you live. Dedicated to delivering the best Medical, Dental, and Behavioral healthcare.
2915 Grant Street • Omaha, NE 68111-3863 • CharlesDrewHCOmaha.org
Charles Drew Health Center, Inc.
Talk to a Certified Application Counselor TODAY! (402)457-1207 Get Answers To Your Questions! Find out what health insurance options are available for you and your family. Whether you are uninsured or want more information, the Health Insurance Marketplace will help you find the coverage that’s right for you!
Do you need Health Insurance Do you have Questions
These funds were invested in health centers to expand current outreach and enrollment assistance activities and facilitate enrollment of eligible health center patients and service area residents into affordable health insurance coverage through the Health Insurance Marketplace, Medicaid, or the Children’s Health Insurance Program. Charles Drew Health Center provided the following Health Insurance Marketplace Outreach/Enrollment support services in 2013:
1. Number of individuals assisted by a trained CDHC O/E specialist. - 1,003 2. Number of applications submitted to
the Marketplace with the assistance of a trained CDHC O/E specialist. - 667 3. Estimated number of individuals
enrolled with the assistance of a trained CDHC O/E specialist. - 79
Interpreter Services
Charles Drew Health Center continues to provide on-site interpreter services for the medical, dental and WIC clinics and for the Omaha Healthy Start HealthNET case management program. In 2013 CDHC provided interpreter service encounters (appointments) for 4,532 patients. This represents a 6% increase over interpreter services provided in 2012.
Disabilities Assistance
Program
In 2013 CDHC provided assistance to 33 medical and 25 dental patients through its Disabilities Assistance Program.
Fathers for a Lifetime (FFL)
Fathers for a Lifetime program provided the following services in 2013:
• Graduated 51 men from its 12-week evening educational sessions; • Maintained a monthly case
management and care coordination caseload of 21 men through the FFL Resource Office;
• Processed 2,227 contacts – 1,611 calls and 152 texts/emails for assistance (this represents a 1% decrease from 2012); and
• Served 464+ men through its FFL Resource Office on a walk-in basis.
Charles Drew Health Center Fiscal Year 2014-2015 Operating Budget
Comparative Analysis
REVENUES
Patient service revenue, net of provision for uncollectibles Grant revenue
Contribution revenue Other
Investment return
Total revenues and other support
% Net Patient Revenue to Total % Grant Revenue to Total
EXPENSES
Salaries and wages Employee benefits
Purchased services and professional fees Supplies and other
Depreciation Interest Total expenses
OPERATING INCOME (LOSS)
% Personnel Costs to Revenue
% Employee benefis to Salaries and Wages
ASSETS
Cash
Short-term investments Net Patient accounts receivable Grants and other receivables Other assets
Property and Equipment, net Total Assets LIABILITIES Accounts payable Line of credit Other Liabilities Total Liabilities NET ASSETS
Total Liabilities and Net Assets
2013 2,741,942 $ 6,300,868 104,204 105,352 5,061 9,257,427 $ 29.6% 68.0% 4,780,195 $ 1,051,860 1,018,726 1,976,335 349,390 20,795 9,197,301 $ 60,126 $ 63.0% 22.0% 237,399 $ 118,997 546,572 284,283 184,586 5,201,056 6,572,893 $ 846,201 $ 390,106 618,311 1,854,618 $ 4,718,275 $ 6,572,893 $
'< See 'Comparative Analysis Comments and Explanations
Charles Drew Health Center
Fiscal Year 2012-13 Operating Budget
Comparative Analysis
Charles Richard Drew attended Amherst College, where he became an all-American football player. Amherst College, at that time, was one of the few white colleges who accepted sizable numbers of black students.
In 1926, after graduation from Amherst, Drew took a job at Morgan College as a biology teacher and athletics director.
Earning his money coaching athletes, Drew then returned to college to receive his medical degree. He graduated from McGill University’s medical program, and took an internship and residency in Canada. Afterwards, he became a teacher of pathology at Howard College, and a resident at Freedman’s Hospital in Washington D.C. He then worked and taught in New York, at the Columbia Presbyterian Hospital, receiving his Doctorate from Columbia University.
His dissertation was on the condition of blood stored in blood banks, and the method of storing blood as plasma (sans white or red blood cells) to increase storage life. He then supervised the blood-plasma division of New York City’s Blood Transfusion Association, which was involved in collecting blood for the British Army.
When America went to war in 1941, Drew was named as director of the blood bank for the National Research Council, collecting blood for the US Army and Navy, and setting the
groundwork for the Red Cross collecting and banking procedures. In 1942, Drew returned to Washington D.C., where he became head of Howard University’s Department of Surgery and Chief Surgeon at Freedman’s Hospital. In 1944, he was elevated to hospital Chief of Staff and Medical Director, a position he held until 1948. He was killed in an automobile accident in 1950, on the way to a medical conference.
The storage of blood in plasma form has saved untold lives since Drew brought the process forward in the 1930’s, and he created the model for blood and plasma storage that is used by the Red Cross even today. His importance to modern medicine cannot be overstated. Charles Drew Health Center, Inc., in Omaha
Nebraska, was named in honor of
Charles Richard Drew, M.D.
Dr. Drew was a brilliant African American physician, educator and surgeon,
famous for his pioneering work in blood preservation.
Catholic Charities Campus for Hope
Homeless Satellite Clinic 1490 North 16th Street Omaha, Nebraska 68102
(402) 345-9860
Siena Francis House
Homeless Satellite Clinic 1111 North 17th Street Omaha, Nebraska 68102
(402) 346-8401
Benson Community Health Center
5420 Northwest Radial Highway Omaha, Nebraska 68104
(402) 558-9242
Omaha Healthy Start
Charles Drew Professional Building 2912 Manderson Street Omaha, Nebraska 68111 (402) 455-2229 www.omahahealthystart.org
Fathers for a Lifetime Resource Office Charles Drew Professional Building 2912 Manderson Street Omaha, Nebraska 68104 (402) 453-5300 www.fathersforalifetime.org
Women, Infants and Children (WIC) Nutrition Program
2915 Grant Street, 2nd floor Omaha, Nebraska 68111
(402) 451-3130
School-Based Health Centers
Belvedere Elementary School 3775 Curtis Avenue
Omaha, NE 68111 402-932-1232 Kellom Elementary School
1311 North 24th Street Omaha, NE 68102
402-505-5451
King Science and Technology Magnet School 3720 Florence Boulevard
Omaha, NE 68110 402-502-5644 Northwest High School
8204 Crown Point Omaha, Nebraska 68134 402-916-5964 Main Clinic 2915 Grant Street P.O. Box 111609 Omaha, Nebraska 68111 Clinic (402) 451-3553 Administration (402) 457-1200 Dental Clinic (402) 453-1433 Pharmacy (402) 451-3244 www.charlesdrewhcomaha.org
Charles Drew Health Center, Inc.
Crown Tower 5904 Henninger Ave. (402) 457-1240 Evans Tower 3600 North 24th St. (402) 457-1242 Florence Tower 5100 Florence Boulevard (402) 457-1241 Jackson Tower 600 South 27th St. (402) 457-1243
