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2017 Annual Report Leadership BCHN 2017 ANNUAL REPORT LEADERSHIP BOARD OF DIRECTORS ADVISORY COUNCIL EXECUTIVE TEAM Eduardo Alayon, LMSW Katherine S. Lobach, MD Eleanor Larrier, MPA President Chairperson Chief Executive Officer Richard Thomas Torrance Akinsanya, MPA Sharon Edwards-Bandyopadhyay, MBA Vice President Chief Financial Officer Lucy Aponte Sandra Piggee, LCSW Jay Izes, MD Treasurer Marta I. Baez, MS Chief Medical Officer Quality Improvement Director David Fletcher, Ph.D. James Carey, BS Compliance Director Corporate Secretary Hyrjana Dibra Tashi Chodon, BSN, MPH Charles Barnett, BBA Director of Programs Recording Secretary Stella Onuoha-Obilor, MD Robin Bethea Calvin Ramsey Marjorie A. Cadogan, JD Linda Ricci Arthur G. Edwards, MPA Maria Rodriguez, MSA Zahra Elmekkawy, MIA Miriam D. Tabb Tanya Johnson, MS Millie Pacheco, BA Victor Quarshie, BSc John Ruiz, BLA John Sibiski, BSc, BA Members of BCHN’s Board of Directors at the 2017 Annual Meeting & Symposium. BCHN 2017 Annual Report | 2 DEAR FRIEND S, Concerns about spiraling government and BCHN experienced dramatic changes in 2017, personal healthcare costs without the expanding the depth and reach of our expected value outcomes and return on services across the Bronx as we work to keep investment have led to focused investments pace with health care reform. According to in technology and healthcare delivery Compass Point’s Theory of Change, “Change systems redesign. Federal and state doesn’t take root without attending to skills, healthcare reform initiatives are designed to systems and culture in concert”. By the end achieve the Triple Aim: improving the health of 2017 the number of employees doubled to of populations; reducing costs; and forty. Our network added one community, In 2017, with the help of consultants and improving healthcare quality, health and three school-based health centers, and input from key stakeholders, a joint Board outcomes and patient satisfaction. our Community Health and Wellness and management team worked to update Program added care coordination to patient our Strategic Plan. The result are goals that The Triple Aim is very much a part of the and community engagement strategies for employ our organizational strengths to meet shared missions of the community health managing chronic illness and maintain new regulatory requirements, expand our center movement and BCHN. In fact, healthy lifestyles. quality improvement focus and solidify our community health centers are featured Social Supports Enterprise. Key to our prominently in the design of many reform Eighteen community health workers were success will be our ability to partner and initiatives. They are credited with delivering hired and rigorously trained. The majority collaborate in the emerging healthcare cost effective and innovative care for have been integrated into multi-disciplinary Value-based Payment world. populations with complex healthcare and Patient Centered Medical Home teams at 10 social needs and disproportionate rates of BCHN/Montefiore health centers. They Our Board of Directors has been a guiding chronic and preventable illness. screen patients for social determinants of light through the past years. We thank the health (SDH), make referrals for assistance members and our president, Mr. Eduardo New York State’s Delivery System Reform with housing, food, jobs and other needs, Alayon, for their leadership and support. Incentive Program (DSRIP) forged and assist clients with navigating the collaboration and partnerships between complex health and social services systems Sincere thanks to all our partners, supporters various provider systems, including so they can focus on healthy living. Other and donors. We invite you to stay with us for community health centers and community- CHWs are focused on health promotion, the upcoming ride! based organizations. As a federally funded literacy and SDH referrals in neighborhood health center and CBO, BCHN is a member of sites. Like our patient navigators and Sincerely, DSRIP’s Bronx Partners for Healthy emergency room liaisons, they bring a Communities Preferred Provider System. tremendous understanding of the cultures Eduardo Alayon, LMSW Eleanor Larrier, MPA and customs in our multi-ethnic Bronx Board President Chief Executive Officer communities. At the centers, they help providers and professionals work to “the top of their licenses”. BCHN 2017 Annual Report | 3 CARING FOR THE COMMUNITY BCHN ORGANIZATIONAL 2017 AT A GLANCE REACH $11,137,909 118,653 grant funds assured individuals were Bronx Community Health Network access to affordable, cared for at 18 (BCHN) assures access to quality, quality healthcare in community and affordable medical, oral and health centers and school-based health behavioral health care and related Bronx communities centers diagnostic and social support services at 18 network health centers, for children and adults, regardless of their ability to pay, 434,258 visits were made for 38,127 immigration or other status. children and youth medical, pediatric and oral health care We continue the tradition of 66,118 and related services adults 18-64 years old community and migrant health centers that began during the civil rights movement of the 1960s. 69,560 Community health centers are 42% patients used community-governed, not-for-profit Hispanics/Latinos Medicaid, CHIP or organizations that go above and 27% other public insurance beyond the traditional model of for primary care Blacks/African health care to provide access to Americans (7,188 uninsured) essential primary and preventive health care services for everyone. 43% of all patients had 21,597 incomes below patients patients were 200% of the Federal diagnosed with Poverty Level hypertension (13,484 diabetes, ($12,060 for an 13,297 asthma) individual) BCHN 2017 Annual Report | 4 RECOGNIZING A N D EXPANDING PIONEERS CHCC & CFCC CELEBRATE 50th ANNIVERSARY , 20 YEARS IN BCHN NETWORK In 1997 two Bronx health centers joined the fledgling community health center movement, affirming their commitment to the movement’s goal and vision: access to quality, affordable, coordinated, patient-centered and community-driven health care and related services in economically challenged communities. Those centers, Montefiore’s Comprehensive Health Care Center and Comprehensive Family Care Center, celebrated 50 years of service in May 2017. Celebratory events at the centers honored patients with longstanding affiliations and those who have had great success with staff and patients. The 50th anniversary of two health center pioneers and BCHN network members, was celebrated at both sites in May. Pictured left: BCHN chief executive officer Eleanor Larrier, Montefiore Health System chief operating officer Dr. Philip O. Ozuah, and BCHN Board President Eduardo Alayon. Pictured right: CFCC site administrator Carol Lau, CFCC founder and BCHN Advisory Council chairperson Dr. Katherine S. Lobach, BCHN chief financial officer Sharon Edwards; original patient Ms. Dunn, and Montefiore Health System chief medical officer Dr. Andrew Racine. OUR EXPANDING STAFF MARBLE HILL FAMILY PRACTICE JOINS BCHN NETWORK The Bronx Community Health Network staff, which has doubled in Montefiore’s Marble Hill Family Practice became our 18th member the past three years, posed for “Wear Blue Day” to raise health center. Site administrator Odelisa Joaquin proudly displays awareness during Men’s Health Month. the sliding fee scale that assures affordable healthcare for all. BCHN 2017 Annual Report | 5 MAKING A DIFFERENCE BCHN BCHN’S CENTER OF EXCELLENCE IN 2017 PROGRAMS REACH BCHN’s outreach team 701 counseled pregnant women and BCHN is an innovative, caring families gained access to organization that is changing lives 38,310 Bronx residents on maternal and child health every day. We do this through our gaining access to services through the nationally recognized community social support services Healthy Start program health and wellness program, our center of excellence. BCHN's outreach team (patient navigators, 3,707 18 people enrolled in community health community health workers, New York State of workers facilitated emergency department liaisons and Health insurance at access to social health educators) reflect the BCHN health determinants of health wonderful diversity of the Bronx. centers and in the (SDH) resources and community improved quality of patient care 8,223 patients screened for 2,309 social determinants emergency of health at BCHN department patients health centers assigned to a primary (1,850 linked by a care physician community health worker) 1,004 600 HIV+ patients received life-saving naloxone care through the CICERO kits distributed to prevent program opioid overdose deaths (84% virally suppressed) BCHN 2017 Annual Report | 6 TELLING OUR STORIES MIRIAM TAKES CHARGE OF HER SHIRA CREATES A HEALTHY START BRIDGET GETS HEALTH INSURANCE HEALTH FOR HER NEW FAMILY AND A NEW LEASE ON LIFE “I joined the Diabetes Prevention Program Shira enrolled in BCHN’s Healthy Start “For two years I was going to the doctor, to help me lose weight and reduce my risk program during her first pregnancy. At the and I would have to pay out of pocket. of Type-2 diabetes.” time she did not fully understand the That was extremely hard for me because importance of breastfeeding, the best sometimes I had to choose…either I go to Miriam did not miss a session during the positions for her baby to sleep or rest, and the doctor or buy food.“ program at Williamsbridge Family Practice, the value of ongoing medical care to and was also an enthusiastic
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