2018 Annual Report Serving Communities, Making a Difference a B O U T B C H N
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2018 ANNUAL REPORT SERVING COMMUNITIES, MAKING A DIFFERENCE A B O U T B C H N Founded in 1996, Bronx Community Health Network (BCHN) is an innovative, caring organization that is making an impact on the lives of Bronx residents every day. BCHN assures access to quality, affordable medical, behavioral and oral health and related services for over 118,000 children and adults annually at 21 network community and school-based health centers. In addition, some 40,000 people are connected to social support services through our robust health and wellness programs. LIVING OUR MISSION Improve the health of people and families in the Bronx • Provide access to affordable, quality health care especially for uninsured person. • Promote disease prevention, early treatment and healthful lifestyles. • Secure resources for programs and services. LEADERSHIP TEAM Board of Directors Executive Team PRESIDENT BOARD MEMBERS CHIEF EXECUTIVE OFFICER Zahra Elmekkawy, MIA Robin Bethea Eleanor Larrier, MPA Marjorie Cadogan, JD VICE PRESIDENT Arthur G. Edwards, MPA CHIEF FINANCIAL OFFICER Eduardo Alayon, LMSW Tanya Pridgen, MS Sharon Edwards, MBA Millie Pacheco, BA TREASURER Sandra Piggee, LCSW CHIEF MEDICAL OFFICER/ John Ruiz, BLA Victor Quarshie, BSc QUALITY IMPROVEMENT DIRECTOR Richard Thomas Jay Izes, MD CORPORATE SECRETARY David Fletcher, Ph.D. DIRECTOR OF PROGRAMS Tashi Chodon, BSN, MPH RECORDING SECRETARY Charles Barnett, BBA BCHN Board of Directors members Zahra Elmekkawy (President), Tanya Pridgen, Victor Quarshie, Arthur G. Edwards, Richard Thomas, Marjorie Cadogan, John Ruiz (Treasurer), Millie Pacheco, Charles Barnett (Recording Secretary) and Eduardo Alayon (Vice President) 2 2018 AT A GLANCE DEMOGRAPHICS CLINICAL 119,858 85% Bronx Residents received medical, pregnant women had access to prenatal behavioral, pediatric and oral health care care in the first trimester and related services 418,798 visits were made by patients at 21 community and school-based health centers 11% diagnosed with diabetes 80% 41% controlled diabetes Hispanics/Latinos and 28% Blacks/African Americans 18% diagnosed with hypertension 36% children and youth 11% diagnosed with asthma 64% adults 18 and older 61% Medicaid, CHIP or other public insurance for primary care 100% 5% newly diagnosed HIV patients received no health insurance follow-up treatment within 90 days 16% 90% uninsured patients had incomes below HIV+ patients that received care through 200% of the Federal Poverty Level the CICERO program were undetectable ($12,060 for an individual) and untransmittable (U=U) 3 SERVING COMMUNITIES 449 pregnant women and 55 families in the Healthy Start Bay Eden Senior program received maternal Center members and child education and successfully support (safe sleep, participated in the breastfeeding, childbirth blood pressure classes, etc.) program pilot. The Bronx has a higher infant mortality Hypertension rates in the Bronx (34%) are rate per 1,000 live births (4.4) than higher than the New York City average Manhattan (2.8) or all of New York City (28%). (4.1). In 2016, 21.3% of live births were to women receiving inadequate care. When Naomi joined the Healthy Start program, she was only weeks away from Participants in BCHN’s six-month Blood delivering her baby boy. Unfortunately, she Pressure Program pilot at Bay Eden Senior was living in a fourth floor walk-up building Center were celebrated during an special and had trouble making it to her apartment recognition event. Every Wednesday during without passing out. Once she met BCHN the pilot, free screenings were provided, along community health worker Patricia, things with education on blood pressure monitoring began to change. Within two days, Patricia and management. Our outreach team helped helped secure a new apartment for the mom- the seniors create action plans with objectives to-be, who was able to delivery a healthy baby focused on exercise and healthy eating. without the additional stress of an unacceptable housing situation. "I came here two weeks ago and my heart rate was 34," explained Bay Eden member Naomi is one of 449 women who attended Edith. "I didn't realize my heart rate was so workshops on safe sleep and breastfeeding, low. I had to go to the emergency room so childbirth education, postpartum depression, they could monitor my heart. I really car seat safety, and how to baby-proof homes. appreciate the good job they are doing.” She credits the program with providing much- needed training assistance, and items such as As a result of overwhelmingly positive results a baby stroller and diapers, to ensure a healthy and feedback, Bay Eden Senior Center has start for her family. added blood pressure monitoring to its schedule for the next year. BCHN will expand “I am so thankful to BCHN for all the training I the program to barber and beauty shops in received through the Healthy Start program,” the community. she says. 4 MAKING A DIFFERENCE 781 9,928 life-saving naloxone health center patients kits distributed (and screened for social education on its usage determinants of health provided) to prevent opioid (housing, job, food, etc.) overdose deaths 20% of a person's health and well-being The Bronx (18.6%) has a higher opioid is related to access to care and quality of overdose death rate than all of New services. The physical environment, York City (11.5%). In 2018, 266 social determinants and behavior factors Bronxites died of an opioid overdose. drive 80% of health outcomes. Ms. Camara was referred to community Naloxone is a medication used to stop an health worker Janet after being displaced opioid overdose. BCHN’s community health from her home, and forced to move into a and wellness team provides education on shelter. As a single mother with four the growing epidemic and distributes life- children, Ms. Camara became discouraged as saving naloxone kits to patients, community her attempts to receive assistance were members and organizations. One of the denied. Janet always encouraged her and many workshops conducted included the continually found new applications and Fordham Plaza security team. options for the family to try. Just days after receiving a naloxone kit “I always told her there was something during the workshop, a security guard waiting for her right around the corner,” received an alert that a woman was Janet explains. overdosing on the plaza. The guard used the kit to save the woman’s life. And she was right. Since that day, the kits have been used to Thanks to Janet’s assistance and her own save additional lives. The security team has determination, Ms. Camara was successfully now made naloxone training an annual placed in permanent housing, obtained her event. CNA certification, and even obtained her United States citizenship. “I can not thank Janet enough for making such a huge impact on my life,” she says. 5 POPULATION HEALTH 126,013 patients now have access to a community health worker for care coordination and to connect them to social support services 3,342 people enrolled in New York State of Health Marketplace (Obamacare) BCHN’s outreach team hosted 33,373 Bronx residents at health promotion and wellness events Through BCHN’s health literacy program 937 Bronxites learned about health insurance and how to navigate the healthcare system 2,397 emergency department patients were referred to a primary care physician BCHN’s Social Determinants of Health work was shared at BCHN celebrated healthcare superheroes during the 13th multiple conferences, including the National Association of Annual Community Health Champions Recognition Dinner. Community Health Centers (NACHC) Community Health Institute & Expo in Orlando. 6 PROGRAMS BCHN teamed up with Bissel Gardens for a National New and expectant moms played “Breastfeeding Jeopardy” Health Center Week event. and during a monthly Healthy Start workshop at Family Health Center. BCHN provided Worksite Wellness training for local BCHN launched Breathe Free Bronx, a home-based asthma organizations and businesses on eating healthier in the office. program to help children and adults improve asthma symptoms and reduce emergency room visits and hospitalizations due to preventable complications. BCHN sponsored and provided health education at the 46th A weekly patient walking group at West Farms Family Precinct’s National Night Out event. Practice travels from the health center to the Bronx Zoo. 7 INVESTING IN THE BRONX $10,956,357 grant funds assured access to affordable, quality healthcare in health centers and Bronx communities New BCHN grants/subcontracts: • Advanced Precision Medicine: To enhance health centers' sharing of patient data and improve capacity to participate in future research opportunities. • Substance Use Disorder-Mental Health: To expand access to quality SU/MH services. • Lupus: To develop and train outreach workers to recruit Bronx residents for lupus clinical trials. • Quality Improvement: To improve quality of care. • Valera: To facilitate enrollment of patients into Valera - a Smartphone application and care management platform to improve self-management and engagement, treatment adherence and clinical and functional outcomes for adult and adolescent patients with behavioral health disorders. • Buprenorphine Treatment Grant: To improve access to mental health and substance use disorder services including Buprenorphine treatment in a primary care setting. $41.2 M $30.0 M $26.2 M $20.2 M $15.3 M 1998-2002 2003-2006 2007-2010 2011-2014 2015-2018 For the past two decades, BCHN has invested $132.9 million in federal grant