EMPOWERING HEALTHY FUTURES FYE 2014 + FYE 2015 ANNUAL REPORT Dear Friends, CEO UPDATE Every day I’m asked, “How has the Affordable Care Act changed things for Venice Family Clinic?” On the surface, the numbers are simple. When I came to Venice Family Clinic in 1995, just 10% of our patients were covered LIZ FORER by insurance. By 2012, this number had increased to 35%. Now, with the unprecedented reforms of the Affordable Care Act, more than 72% of our patients have public or private coverage – a first in Venice Family Clinic’s forty-six year history. Underneath all of this change, the devil is truly in the details. With full implementation of not only the Affordable Care Act, but also electronic medical records, population health management and our work to become a Patient-Centered Medical Home, the time has come for us to examine every detail of how our business of “providing quality health care” operates. Our team enrolled more than 4,000 people for the first time in their lives this year. While there remains a great deal of work and advocacy to be done, this remarkable progress is truly a cause for celebration! In this combined Fiscal Year 2014/2015 Annual Report, you’ll see how targeted investments in quality improvement, renewed focus on data and metrics, and the use of technology are improving access and outcomes for the families and individuals who rely on Venice Family Clinic for care. We are so proud of our Children First Early Head Start parent who started behavioral health counseling and increased 6 out of 7 family outcome scores that are linked to children having success in school. We are proud of the 23 people in our Provider Diabetes Group Education Class who all decreased their HbA1c percentage in just 12 weeks. And we are proud of our Common Ground participants who have made significant strides in overcoming stigma through our HIV support group, and have grown in their ability to care for themselves and their loved ones. As we look forward, I am encouraged and excited. For Venice Family Clinic, trusted medical home to tens of thousands of patients, the heart of our Clinic has always been you: our staff, donors, volunteers, community partners and, of course, our patients. Thank you for standing by us through all of this change, and for walking with us as our work continues. With gratitude, Elizabeth Benson Forer, MSW/MPH Chief Executive Officer “We started as just a few volunteers, juggling our jobs and lives to spend a few hours each evening to meet a huge health care need in Venice. I never imagined that our work would expand to serve thousands of low- income people across the Westside. As Venice Family Clinic grows, I’m proud that our value of providing compassionate, high-quality medical care steers us forward.” – Mayer Davidson, MD, Venice Family Clinic Co-Founder, Board of Directors, Volunteer Physician 2 OUR PATIENTS BY LOOKING AT THE NUMBERS, WHO DID WE SERVE? IT’S EASY TO SEE THAT VENICE OUR PATIENT POPULATION INCREASED FROM FAMILY CLINIC IS NEEDED NOW 20,233 IN FYE 2014 TO 22,715 IN FYE 2015 MORE THAN EVER. CLINIC VISITS WENT UP FROM 92,502 IN FYE 2014 TO 103,235 IN FYE 2015, AND INCLUDED: 75% 72% 41% live in poverty are members of speak Spanish as a minority group their primary language 82,804 7,653 5,110 Primary and Behavioral Health Dental Care Visits Specialty Care Visits Care Visits 29% 14% 12% are children are homeless are over the age of 60 1,719 7,668 “Over the years, Venice Family Clinic has cared for my entire family: Vision Care Visits Health Education my grandmother and my parents, my sister and her daughters, and Visits my husband and children. Now that we have Medi-Cal, we’ll still go to the clinic because we trust them and receive such caring service.” – Patricia, VFC Patient 3 OUR COMMUNITY These greatly abbreviated findings illustrate just a fraction of the issues facing Westside families, adults, children, teens, In FYE 2014, Venice Family Clinic and seniors. Thankfully, Venice Family Clinic is here to provide conducted a Community Needs quality care. Assessment, and made some startling discoveries: Despite rising housing costs, there are just as many low-income families living in poverty on the Westside. Almost 14% of the area’s children HIV/AIDS is more prevalent (ages 0-17) in our area than California as live below the poverty line. a whole. In fact, the homeless population in Venice has increased by 12%. Heart disease became the #1 cause Mar Vista, Ocean Park, of premature death, moving up Santa Monica, and Venice are facing from #3 in 2010. a shortage of behavioral health professionals; accessing this limited care is even more difficult for low-income patients. 4 THE AFFORDABLE CARE ACT IMPLEMENTATION IS IN FULL SWING, HOME SWEETVFC PATIENTS AND WE HAVE REASON TO CELEBRATE! WHO HAS COVERAGE? 4,500+ patients are newly enrolled in public health insurance in FYE 14. 2009: 2.5/10 4,038 more patients enrolled in, or renewed, a public health insurance program in FYE 15. Many are insured for the first time in their lives. 2014: 6/10 Greater access to care better health outcomes and peace of mind *Includes Medi-Cal and Covered CA 2015: 7.2/10 “The people I enroll in health insurance have never been eligible before, so However, Venice Family Clinic’s work is not over. I walk them through everything, step-by-step, to understand their benefits. Nearly 30% of the people we serve still lack coverage, and we need to raise millions to cover It’s wonderful to see patients not have to worry about lack of insurance patient care expenses that aren’t covered by and finally be able to put their health first.” public funds or insurance reimbursements. – Pattie Lopez, Health Insurance Enrollment That’s why your support is so crucial. 5 HOME SWEET (MEDICAL) HOME Our bold vision is that by 2020, all low- income people in our community will have access and linkages to health care. As a part of this exciting goal and alongside federal health care reform, Venice Family Clinic is embracing a new care delivery model: the Patient-Centered Medical Home (PCMH). PATIENT-CENTERED MEDICAL HOME Take a look at what we’ve accomplished so far in fiscal years 2014 and 2015: COORDINATED CARE QUALITY CARE ACCESSIBLE CARE VFC is expanding access for vulnerable populations in many ways. In April 2014, Bill’s Clinic at Safe Place for Youth (SPY), named for Councilmember Bill Rosendahl, opened its doors to bring focused care directly to homeless youth every Thursday afternoon. “I’ve been to other doctors’ offices before and I’ve left feeling paranoid...At the clinic at SPY I can expect truth. I can expect correct results. And they are relayed to me in a way where I won’t freak out.” - Jamie, 20-year-old Homeless Patient Outside of the clinic walls, all VFC patients are being empowered to schedule appointments, view labs, and fill prescriptions through a new online patient portal. This key improvement makes care more accessible, especially for those who juggle multiple jobs, school, family needs, COMPREHENSIVE CARE CONSISTENT CARE and more. 6 ACCESSIBLE CARE PATIENT-CENTERED MEDICAL HOME A Patient-Centered Medical Home (PCMH) provides comprehensive, consistent, accessible and coordinated care to enhance patient access and satisfaction. In August 2014, Irma Colen Health Center was officially recognized as a patient-centered medical home – congratulations, Colen Team! COORDINATED CARE QUALITY CARE To make it easier for medical teams to coordinate treatment plans and To optimize our quality of service in the community, we sought to better educate patients, we are utilizing new technology to enhance our improve care delivery, efficiency and partnerships. By applying LEAN centralized Electronic Health Record (EHR). With full EHR implementation, Quality Assurance Principles, our team reduced the average time VFC it is dramatically easier to not only track and educate patients about patients spend from check-in to check-out: from two hours and fifteen their own health progress, but to assess our services among the many minutes at the beginning of FYE 2014 to one hour and fifty minutes at populations we serve – like women, seniors, children, and people with the close of FYE 2015. Quality improvement measures and informative specific diseases. dashboards are now a part of our expanded toolbox, allowing VFC staff and leadership to collaborate and discuss innovative ways to better “Information technology presents exciting opportunities for VFC to serve our community. become even more patient-centered. We can offer care in innovative ways that work best for our patients and improve their health, even “From the moment they pick up the phone to schedule an appointment, when they aren’t physically there with us.” to when they leave after their visit, we want patients to feel cared for. – Anita Zamora, Chief Operations Officer This means making sure we are performing efficiently and always finding ways to improve.” – Elvira Linarte, Site Manager COMPREHENSIVE CARE CONSISTENT CARE We strive to expand the breadth and comprehension of services to When our patients visit us, we want them to feel confident that they ensure that our patients get the care that they need. In 2014, Venice will always receive consistent care from a trusted provider. This year, Family Clinic welcomed Common Ground to our family, maintaining VFC focused on building a team-based model; this way our patients can critical HIV/AIDS resources for low-income people and linking VFC see the same medical team throughout their lives.