cahaba MEDICAL CARE 2016 ANNUAL REPORT TABLE OF CONTENTS// To meet the Rising needs of our 33 Rising to the Need our community Letter from the Director WHO WE ARE 44 WHAT IS A FEDERALLY-QUALIFIED Cahaba Medical Care is a Community Health Center (FQHC), accredited as a Patient-centered Medical HEALTH CENTER? Home (PCMH) by the National Committee for The purpose of an FQHC is to enhance the Quality Assurance (NCQA) and Joint Commission primary care services in underserved communities, Grants, Publications & Presentaions 66 with sites in central Alabama, serving Bibb, Perry, in particular for the underinsured and uninsured. Chilton, Dallas, Autauga, and Jefferson Counties. FQHCs operate under the supervision of the Health Our health centers provide comprehensive primary Resources and Services Administration (HRSA) and care services including treatment and management play a crucial role in the health of our entire country. In 2014, in the state of Alabama there were 15 Meet Jackie of chronic diseases, pediatric care, women’s health 1010 services, dermatological services, sports medicine FQHCs that served 339,389 patients. services, mental healthcare and more. To qualify as an FQHC, an organization must meet Additionally, we have the technology and staff to and maintain certain criteria as mandated by the 2016 Accomplishments perform on-site procedures including x-ray, laboratory federal government including but not limited to: 1212 tests, ultrasound, echocardiograms, women’s health procedures, prenatal care with local delivery and so • Serve an underserved area or population as much more. We currently have 25 primary healthcare defined by HRSA. providers, three social workers, and a team of nurses • Provide services to everyone regardless of ability Clincal Staff & Services Update and medical assistants whose job is to assist our to pay. 1414 patients in becoming healthier individuals. • Offer a discounted sliding fee schedule for charges based on income and family size. SERVING THE UNDERINSURED & UNINSURED • Provide comprehensive services including Cahaba Medical Care provides high-quality health Social Work & Community Developement primary care and have onsite or an arrangement 2020 services regardless of a patient’s ability to pay. We with another provider for dental, mental health offer a discounted, sliding fee schedule based on and substance abuse services. income and family size. While this has been the • Be a non-profit organization, and operate under mission of the clinic since its founding, these services the governance of a community led board of have only grown through our designation as a non- directors, 51% of whom are patients of the New Clinics profit, Federally Qualified Health Center (FQHC). 2424 clinic. This designation carries with it grant funding (and accountability) that allows us to enhance our services to those without insurance and to those facing 2626 Residency Program hardship – whether medical, social, financial, or emotional. 3434 Global Impact financial status, we continue to spur each CHIEF EXECUTIVE OFFICER //// other on to meet those needs. And, every time we hear a story of someone who was finally able to afford their medications or DR. JOHN WAITS get insurance... or we take care of someone without insurance who felt able to establish care for the first time in years, it feels like our Growth We are growing to meet the need. work is worth it. This has been the story of Cahaba The medical needs in central And, not only that our work is worth it Medical for the last 4-5 years, since Alabama remain immense. So but that our work is also hopefully doing our transition to a Community many of our neighbors remain good and changing outcomes, changing Health Center. unable to access the most basic neighborhoods, and changing communities of health care services without throughout central Alabama one person or We began this second stage of utilizing the Emergency Room and one family at a time. our journey as a one clinic, three incurring an immense personal provider, eleven employee small debt related to their health care So, as long as there is need and as long as business. Reflecting now on 2016, costs. Others are unable to seek we are able, we will continue to grow to I look upon a company that is health care at all because of the meet the need. We will grow to make a “It is in this currently four medical clinics expense. The ramifications of this difference in the area of the world where we setting that and 1 dental clinic with over 20 truth has led to communities of have been placed. We will grow to make our providers and 100 employees. On people all around us that are sicker, communities better. The need is immense we continue to the horizon for 2017 is the opening poorer, and are less able to be and all around us, and it is incumbent upon push and that of two more medical clinics, the healthy, successful, and productive all of us to not back down from the challenge growth of our dental clinic, and citizens. of growth, innovation, collaboration, and we continue our the addition of more providers and good old-fashioned hard work to meet the rapid growth... more employees. It is in this setting that we continue need and leave our neighborhoods better to push and that we continue our than we found them. because, the need The question has been posed rapid growth... because, the need has not yet been more than once to me or to has not yet been met. met.” members of our leadership team – or sometimes by us to ourselves Thus, we refuse to get complacent – “Are you growing too fast?” This and refuse to be satisfied. Instead, is always a difficult question and its as needs are presented either answers are nuanced and must be through our formal community individualized for each situation. needs assessment, our meetings However, I can say definitively that with community members and we have attempted to answer this stakeholders in the areas in which question with integrity; that our we serve, or through our work growth has not been for the sake with other providers also working of notoriety or recognition. to meet the needs of those with the “wrong” insurance status or 4 CAHABAMEDICALCARE.COM 5 About Our COMMUNITYCAHABA HEALTH CENTER GRANTS SPECIAL THANKS TO OUR BOARD OF DIRECTORS: • HRSA Primary Care Training and Enhancement Grant • HRSA New Access Point for Jefferson County - Bessemer and West End Cynthia Winegard, Chairman Kenneth Young, Vice Chairman • Alabama Power Foundation Grant in support of Maternity Care in Bibb County William Pockstaller, Finance Chair Bevin Tomlin, Finance Chair • HRSA Patient-Centered Medical Home Grant Matthew Satcher, QA Chair JoAnn Toby • Fiscal Year (FY) 2016 Health Center Quality Improvement (QI) Fund grant, recognizing CMC as a Clinical Mary Sue Terry Quality Improver, Clinical Access Enhancer, and Health Center Leader Joel Atchison Hollie Tillery Darlene Hollifield PUBLICATIONS & PRESENTATIONS Corey Bates • Waits J. “Women’s Health Update 2016”. Presentation to the Alabama Academy of Family Physicians, Summer Meeting. Sandestin, Florida. June 26, 2016. • fmCASES Poster at STFM Annual Conference April 30- May 4, 2016 “The fmCASES National Exam: Past, Present, and Future” SPECIAL THANKS TO OUR COMMUNITY SUPPORTERS • fmCASES Presentation at STFM Annual MSE January 28-31, 2016 “Engagement and Self-Assessment in fmCASES and its Relation to Performance on the National Clerkship Alabama Power Foundation Dr. Wil Baker Exam” Henry Schein Alabama College of Osteopathic Medicine University of Alabama at Birmingham (UAB), William Carey University School of Osteopathic • Waits, Shelley, Andreia W. White, Erin Wagner, John B. Waits, and Lacy Smith. “Should you treat an upper Orthopedics and Hospitalist group Medicine extremity DVT with anticoagulation?” Evidence-Based Practice 19, no. 7 (2016): 12-13. Children’s Hospital of Alabama Philadelphia College of Medicine, Georgia Bryan W. Whitfield Memorial Hospital and Mr. Campus • Bosu, Olatunde, Kervin Doctor, Karen Dixon, Lacy Smith, and John B. Waits. “Stretching for Prevention of Arthur Evans Congresswoman Terri Sewell Exercise-Related Injury” American Family Physician 94, no. 7 (October 2016): 547. Dr. Keith Roberts Cooper Green Mercy Health Services and Mr. Alabama Health Education Consortium Roger McCullough • Gamble, Lena, Karen Dixon, Lacy Smith, John B. Waits, Nathan Way, Stephen Richardson. “What is the best Dr. Cynthia Selleck Drs. Robert and Susan Griffith Dr. Bill Curry Dr. Larry Lemak intervention to prevent adolescent pregnancies?” Evidence-Based Practice 19, no. 7 (July 2016): 6. Bibb Medical Center and Mr. Joseph Marchant Dr. Ted Epperly Dr. John Meigs Viva Health Dr. Lata Patil Marion Bank & Trust Dr. Connie Richardson State Representative April Weaver Dr. John Hollis UAB Medical West Dr. Rowell Ashford 6 7 CAHABA FACTS About Our COMMUNITY HEALTH CENTER RESIDENCY PROGRAM SERVICES 5 STRATEGIC HEALTH CENTERS 1st 12 West End Preventative Health Services · Pap Smears Alabama’s First & Only Family Medicine & 1 DENTAL CENTER IN Teaching Health Center Residents Bessemer · DEXA Scans CENTRAL ALABAMA · Mammograms PATIENT SNAPSHOT Woodstock · Colonoscopy · Adult Immunizations 200% & above WA ME Chronic Disease Management MT ND VT uninsured ECONOMIC IMPACT OR MN NH ID · Diabetes private SD WI NY MA MI CT 20% WY RI Low Income Line IN EXCESS OF IA PA Centreville · High Blood Pressure 29% NE MJ NX OH UT IL IN DE WV MD · High Cholesterol 30% of patients 78 JOBS ADDED CA CO VA $4,000,000 KS MO KY between poverty line NC IN A TOWN OF