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ANNUAL REPORT2013Charles Drew Health Center, Inc.Medical Dental Behavioral Health Community
Meet Our Provider Team . . .A Message from the Chief Executive OfficerKenny D. McMorris, MPA, CHCEFIt is with great honor and enthusiasm that we presentto the Omaha community the Charles Drew HealthCenter, Inc., (CDHC) 2013 Annual Report.Gregory Ochuba, M.D., Ph.D.Chief Medical Officer/Internal MedicineMichelle Chang, D.D.S.Dental DirectorRenaisa Anthony, M.D.Women’s Health PhysicianTara Collison, PA-CHomeless Physician AssistantChristy Boulos, APRNSBHC Nurse Practitioner-BelvedereSusan Egbe, M.D.Family Practice PhysicianCamille Brewer, APRNPublic Housing Nurse PractitionerDebra Gartin, APRNSBHC Nurse Practitioner-NorthwestOne of the key factors that distinguishes a thriving communityis its ability to deliver excellent medical care to every residentand community member in which it serves. The character of acommunity is defined by many factors, how well it answers thehealth care needs of its population is surely one of the mostimportant. Simply put, quality comprehensive health care is a right!The healthcare delivery system is changing andCharles Drew Health Center is moving forward withtransformations that reflect the dynamic world of healthcare and meet the growing needs of our communitiesmost vulnerable individuals. For over 30 years we havedemonstrated the ability to overcome barriers and improveaccess to care.We know this has changed lives for the better. We haveworked hard to earn your trust and we appreciate everyopportunity we have to take care of you and your family.We will continue to look for new opportunities wherewe can collaborate and partner with other communityresources to promote wellness and a better quality oflife for all.Jackqueline Hill, APRNHomeless/Nurse Practitioner, P.T.Holly Lanoha, PA-CHomeless Physician AssistantAnthony Montegut, M.D.Family Practice PhysicianAlana Phillips, M.D.PediatricianAs the new Chief Executive Officer, of your communityhealth center I, along with the CDHC team, commit toan unwavering dedication to our mission and vision. I’mtremendously grateful for the achievements of our current120 plus employees. Through their compassion, they havecreated an unparalleled environment for healing. Throughtheir dedication, they are ensuring our ability to adaptsuccessfully to the inevitable changes that lie ahead.This report includes a summary of the many initiativeswe have undertaken to enhance quality, improve access,encourage innovation and fulfill a passionate commitmentto community service. As you will see, we are defining thefuture of healthcare in Omaha.Nikki Regan, APRNSBHC Nurse Practitioner-Kellom2Sheritta Strong, M.D.PsychiatristMonique Tolston, M.D.Family Practice Physician/OBErin Wetzel, D.D.S.DentistIn 2013 Charles Drew served 10,451 unique patients.We facilitated 38,304 patient visits (a 12% increase over2012). Patients 18 and under, represented 35% of ourpatient population. Although 47% of our patients wereuninsured – none were denied health care services due totheir inability to pay.Charles Drew Health Center provided employmentopportunities for 234 individuals, many residing in theHealth Centers targeted service area, (east/northeast andnorthwest sector of Douglas County) with an overall direct/indirect economic impact of over 15 million.Our goal is to provide quality, comprehensive affordablehealthcare to all individuals in a comfortable and safeenvironment. Charles Drew Health Center strives to recruitthe best medical, dental and behavioral health providersavailable while supporting them with qualified, culturallycompetent, compassionate staff. We believe the personalrelationship between a patient and doctor is the key toquality health and dental care. It is our goal to treat allpatients with the care and respect we all deserve.We believe the personal relationshipbetween a patient and doctor is the keyto quality health and dental care.On behalf of our Governing Board of Directors, FoundationBoard of Directors, Volunteers and Staff we say thank you.Rest assured that we will continue to work every day tomeet and exceed your expectations.3
Our Patient ProfileCommunity, Target and Patient ProfilesTotal Patients ServedTotal Patient VisitsTotal number of uninsured patients served4.19%10,45138,3044,633Patients living at 100% and below the poverty levelFemale patientsMale patientsHomeless patients servedPediatric patients served at CDHCschool-based health centerPatients best served in a language other than English0.83%1.11% nts by AgeOur Community ProfileAgesCharles Drew Health Center (CDHC)3.0% 0.5%provides quality affordable health careservices for individuals and families11.6%living throughout DouglasCounty in Omaha, Nebraska.According to 2010 US Census73.2%11.7%data for Nebraska,The racial composition of Douglas ative American Douglas County has apopulation of 531,265IndividualsThe Charles Drew Health Center service area includes theeast/northeast and northwest sectors of Douglas County inOmaha, Nebraska. The health center’s target population isthe east/northeast sector of Douglas County. Populationdata from the 2010 US Census2.5% 1.1% 0.3%provides the following data:43,6826,3004699.8%46.2%40.1%area. All but one of the census tracts in the CDHC projectarea is designated as “areas of racial and ethnic minorityconcentration.”The racial composition of CDHC’starget areaRaces35%60%5%4,934 47.2%3,825 36.5%1,286 %Native tsCharles Drew Health Center SelectedDiagnoses and Services 8.7%AsthmaDiabetesHypertensionDENTALService Provided35.8%1.6%1.9%Income As Percentof Poverty Level100% and below101 to 150%151 to 200%Over 200%UnknownRacesBlack5,330 51.7%White3,019 28.89%Asian9208.1%Hispanic/Latino4904.69%Refused to Report4384.19%More Than One Race1161.11%Native Hawaiian/Pacific Islander 870.83%American Indian510.49%Oral ExamsProphylaxisFluoride TreatmentIndividualsAfrican-AmericanPatients By Race and EthnicityCondition ivate Insurance35%12.3%PatientsPercentage of OverallPatient RevenueCoverage60%4%Source of PatientInsurance CoverageUninsuredMedicaidPrivate InsuranceMedicareOur Target Population Profile CDHC’s target areaincludes 18 census tractsdesignated as medicallyunderserved and a healthprofessional shortage0 to 1920 to 6465 Coverage 13.1% of individualsresiding in Douglas Countylive below the poverty level CDHC’s target populationis comprised of ts1,758770766MENTAL HEALTH/SUBSTANCE ABUSECondition Treated8.7%PatientsDepression and Other Mood DisordersAnxiety DisorderOther Mental Disorders(excluding drug or alcohol dependence)Patients1,3034754605
Our Service Delivery System for 2013HEALTH CARESERVICESMedical CareDental CareMental Health ServicesThe CDHC Dental Program served2,542 patients. This represents a25% increase over 2012. The Dentalprogram facilitated 6,291 patientvisits in 2013. This represents a 28%increase over 2012.In 2013 Charles Drew Health Centerserved 630 patients and facilitated atotal of 1,884 patient visits through itsIntegrated Primary Care BehavioralHealth Program. The program issupported in part through grantdollars funded by the United Way ofthe Midlands and Region VI BehavioralHealthcare.Charles Drew Health Center served10,451 patients and facilitated38,304 patient encounters (visits) in2013. Charles Drew Health Centerprovides 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.6Building Healthy Futures School-basedHealth Centers program partners(which includes Charles Drew HealthCenter) impacted 10,166 childrenduring the 2013-2014 school year.The mission of the Building HealthyFutures School-based Health Centersis to improve the health for ourcommunity’s underserved children andyouth through thoughtful collaborationand advocacy.The CDHC Dental Departmentprovides oral exams, sealants, fluoridetreatments, restorative services, oralsurgery (extractions) emergencyservices and rehabilitative services.New Baby BeginningsThe CDHC Baby Beginnings perinatalcare program offers a comprehensiveapproach to ensuring healthy birthoutcomes for infants and mothers. Theprogram is staffed by one familypractice physician/OB, a pediatricianand a perinatal nurse. In 2013, CharlesDrew Health Center provided perinatalcare services to 136 women. Of the 136women served, there were 81 deliveries.During 2013 the CDHC pharmacy filled27,185 prescriptions at an average costof 14.57. When compared to thenational average of 83.26 (AARP2012 average price a 3.6 % increase),patients at Charles Drew Health Centersaved 1,867,123.The average cost of a prescription atthe Charles Drew pharmacy increasedby 1.18 %. The pharmacy also filled 426prescriptions at a cost of over 35,000for uninsured patients with emergencymedical needs.Prescription AssistanceProgramIn 2013, through the MedicationAssistance Program, 814 prescriptionswere filled at a cost to the patients of 20,350, at a value of 67,773.64. Thisrepresents a savings of 47,423.64 toCDHC Patients.In 2013 CDHC served 250 patientsresiding in public housing. CDHC inpartnership with Omaha HousingAuthority operates and manages four(4) Public Housing Health Centers atthe following OHA locations:Crown Tower5904 Henninger Ave.(402) 457-1240cardiovascular disease, depressionand obesity. Through these programs,CDHC case managed 541 diabeticpatients, 1,033 patients with adiagnosis of hypertension and 75asthmatic patients. Additionally, CDHCaddressed weight management with1,281 pediatric and 541 adult patients.HIV/AIDS Testing andCounselingEvans Tower3600 North 24th St.(402) 457-1242Florence Tower5100 FlorenceBoulevard(402) 457-1241PharmacyHomeless Health CareOf the 10,451 patients served in 2013,1,568 were homeless. The HealthCenter serves homeless patients at twolocations: Catholic Charities Campusof Hope, located at 1490 North 16thStreet and the Siena Francis House,located at 1111 North 17th Street.School-based Health Centers Public Housing Health CentersJackson Tower600 South 27th St.(402) 457-1243Chronic DiseaseManagementSTD Counseling, Testingand Partner NotificationCharles Drew Health Center providesprimary health care services atfour of eight Omaha Public SchoolsSchool-based Health Centers. The totalnumber of unique patients served was1,328. Charles Drew Health Centerreceives funding support from BuildingHealthy Families to operate thefollowing School-based Health Centers:Belvedere Elementary SchoolKellom Elementary SchoolKing Science and TechnologyMagnet Middle SchoolNorthwest High SchoolIn 2013, CDHC tested a total of 1,161individuals. HIV/AIDS testing andcounseling was provided at the mainclinic and at both homeless cliniclocations. Outreach and communityhealth education initiatives also includefree HIV testing and counseling.During the calendar year of 2013,CDHC provided STD testing, counseling,treatment and partner notificationfor 1,931 individuals. Of the 1,931individuals tested, 19.6% (378)individuals tested positive. The averageage of the population served was 26.The CDHC Chronic DiseaseManagement Program providessystems of care designed to improvepatient health outcomes and reducecosts associated with long-term chronicillness. Currently CDHC operatesfive chronic disease managementprograms, which are diabetes, asthma,Of the 378 individuals that testedpositive for an STD, 269 tested positivefor Chlamydia (71.2%) and 109 (28.8%)tested positive for Gonorrhea.7
MATERNAL ANDCHILD HEALTHWomen, Infants andChildren (WIC) T here were 38 births among OHSprogram participants; O HS case managers completed 1,069home/office visits;Employee andCommunity WellnessHealth InsuranceMarketplace Outreach/Enrollment (O/E) Efforts O HS provided 121 pregnancy tests atno cost to women; O HS provided 120 STD tests at nocost to women; O HS completed 623 programparticipant transportation requests;andIn 2013 the Charles Drew WIC programfacilitated 34,957 program participantvisits.Prenatal care patients2,739Infants 0 to 19,298Children 1 to 5Postpartum care patients18,0274,893 E xpanded its Health Education andTraining component from 13 on-siteclasses for women only to 16 on-siteclasses for women and men.FITNESS ANDNUTRITIONHealthy FamiliesOmaha Healthy Start (OHS)Charles Drew Health Center has acommitment to improving not only thehealth and well-being of its patients,but its staff as well. In 2013 the CDHCEmployee and Community Wellnessprogram provided the followingservices:In 2013 Charles Drew Health Centerwas among health centers thatreceived funding designed to assisthealth center patients in establishingeligibility for and gaining access toFederal, State, and local programsthat provide or financially support theprovision of medical, social, housing,educational, or other related services.1. Number of individuals assisted by atrained CDHC O/E specialist. - 1,003Get Answers ToYour Questions!Find out what healthinsurance options areavailable for you and yourfamily. Whether you areuninsured or want moreinformation, the HealthInsurance Marketplace willhelp you find the coveragethat’s right for you!Talk to harles Drew Health Center, Inc.Fathers for a Lifetime (FFL)2. Number of applications submitted tothe Marketplace with the assistanceof a trained CDHC O/E specialist. - 6673. Estimated number of individualsenrolled with the assistance of atrained CDHC O/E specialist. - 79Interpreter ServicesFathers for a Lifetime programprovided the following servicesin 2013:Do you need Health InsuranceDo you have Questions Employee Wellness Challenges forWeight Loss, Physical Activity, BetterNutrition, Stress Reduction. On anaverage, 50% of CDHC employeesparticipated in each WellnessChallenge. Employee Zumba classes foremployees and the community.Classes accommodate 25 participants.The mission of OHS is to reducethe rate of infant mortality in East/Northeast sector of Douglas Countyin Omaha, Nebraska by means ofpartnership with families, communitymembers and organizations throughawareness, training and education.OTHER ENABLINGSERVICESCharles Drew Health Center continuesto provide on-site interpreter servicesfor the medical, dental and WICclinics and for the Omaha HealthyStart HealthNET case managementprogram. In 2013 CDHC providedinterpreter service encounters(appointments) for 4,532 patients.This represents a 6% increase overinterpreter services provided in 2012.Disabilities AssistanceProgram Graduated 51 men from its 12-weekevening educational sessions; Maintained a monthly casemanagement and care coordinationcaseload of 21 men through the FFLResource Office; Processed 2,227 contacts – 1,611 callsand 152 texts/emails for assistance(this represents a 1% decrease from2012); and S erved 464 men through its FFLResource Office on a walk-in basis.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.orgThrough the Omaha Healthy StartHealthNET case managementprogram, OHS staff provided thefollowing services in 2013: One-on-one case management,screenings and health education andtraining for 56 pregnant women and211 inter-conceptional women;8Healthy Families is aimed at reducingobesity among children with a bodymass index (BMI) at or above the85th percentile. Seven families wereenrolled in the program in 2013.Children and families participatingin this program are referred bytheir primary care physician. Theprogram is sponsored by AlegentHealth and is offered to familiesat no cost. Earn-A-Bike program for children.Sixty children earned new bikes, newhelmets and bike locks by completingvolunteer services in the community.The children and their parents wererequired to participate in WellnessWorkshops (Better Nutrition andThe Importance of Physical Activity).They also participated in a BikeSafety Workshop. This program wasmade possible by Alegent Health andMutual of Omaha.These funds were invested in healthcenters to expand current outreachand enrollment assistance activitiesand facilitate enrollment of eligiblehealth center patients and servicearea residents into affordable healthinsurance coverage through the HealthInsurance Marketplace, Medicaid, or theChildren’s Health Insurance Program.Charles Drew Health Center providedthe following Health InsuranceMarketplace Outreach/Enrollmentsupport services in 2013:In 2013 CDHC provided assistanceto 33 medical and 25 dental patientsthrough its Disabilities AssistanceProgram.9
Charles Drew Health CenterFiscal Year 2014-2015 Operating BudgetComparative AnalysisCharles Drew Health CenterFiscal Year 2012-13 Operating BudgetComparative Analysis2013REVENUESPatient service revenue, net of provision for uncollectiblesGrant revenueContribution revenueOtherInvestment return 2,741,9426,300,868104,204105,3525,061Total revenues and other support 9,257,427% Net Patient Revenue to Total% Grant Revenue to Total29.6%68.0%EXPENSESSalaries and wagesEmployee benefitsPurchased services and professional feesSupplies and otherDepreciationInterest otal expenses 9,197,301OPERATING INCOME (LOSS) 60,126% Personnel Costs to Revenue% Employee benefis to Salaries and Wages63.0%22.0%ASSETSCashShort-term investmentsNet Patient accounts receivableGrants and other receivablesOther assetsProperty and Equipment, netTotal Assets 893LIABILITIESAccounts payableLine of creditOther LiabilitiesTotal LiabilitiesNET ASSETSTotal Liabilities and Net Assets' See 'Comparative Analysis Comments and Explanations10 846,201390,106618,3111,854,618 4,718,275 6,572,893Charles Richard Drew attendedAmherst College, where he became anall-American football player. AmherstCollege, at that time, was one of the fewwhite colleges who accepted sizablenumbers of black students.In 1926, after graduation fromAmherst, Drew took a job at MorganCollege as a biology teacher andathletics director.Earning his money coaching athletes,Drew then returned to college toreceive his medical degree. Hegraduated from McGill University’smedical program, and took aninternship and residency in Canada.Afterwards, he became a teacher ofpathology at Howard College, and aresident at Freedman’s Hospital inWashington D.C. He then worked andtaught in New York, at the ColumbiaPresbyterian Hospital, receiving hisDoctorate from Columbia University.Charles Drew Health Center, Inc., in OmahaNebraska, was named in honor ofCharles Richard Drew, M.D.Dr. Drew was a brilliant African Americanphysician, educator and surgeon,famous for his pioneering workin blood preservation.His dissertation was on the conditionof blood stored in blood banks,and the method of storing bloodas plasma (sans white or red bloodcells) to increase storage life. He thensupervised the blood-plasma divisionof New York City’s Blood TransfusionAssociation, which was involved incollecting blood for the British Army.When America went to war in 1941,Drew was named as director of theblood bank for the National ResearchCouncil, collecting blood for the USArmy and Navy, and setting thegroundwork for the Red Cross collectingand banking procedures. In 1942, Drewreturned to Washington D.C., where hebecame head of Howard University’sDepartment of Surgery and ChiefSurgeon at Freedman’s Hospital. In1944, he was elevated to hospital Chiefof Staff and Medical Director, a positionhe held until 1948. He was killed in anautomobile accident in 1950, on theway to a medical conference.The storage of blood in plasma formhas saved untold lives since Drewbrought the process forward in the 1930’s,and he created the model for blood andplasma storage that is used by the RedCross even today. His importance tomodern medicine cannot be overstated.11
Charles Drew Health Center, Inc.Main Clinic2915 Grant StreetP.O. Box 111609Omaha, Nebraska 68111Clinic (402) 451-3553Administration (402) 457-1200Dental Clinic (402) 453-1433Pharmacy (402) 451-3244www.charlesdrewhcomaha.orgCatholic CharitiesOmaha Healthy StartSchool-Based Health CentersCampus for HopeCharles DrewBelvedere Elementary SchoolHomeless Satellite ClinicProfessional Building3775 Curtis Avenue1490 North 16th Street2912 Manderson StreetOmaha, NE 68111Omaha, Nebraska 68102Omaha, Nebraska 68111402-932-1232(402) 345-9860(402) 455-2229Kellom Elementary SchoolSiena Francis Housewww.omahahealthystart.orgHomeless Satellite ClinicFathers for a LifetimeOmaha, NE 681021111 North 17th StreetResource Office402-505-5451Omaha, Nebraska 68102Charles Drew(402) 346-8401Professional BuildingKing Science and TechnologyBenson Community2912 Manderson Street1311 North 24th StreetOmaha, Nebraska 68104Health Center5420 Northwest Radial HighwayMagnet School3720 Florence BoulevardOmaha, NE 68110(402) 453-5300Omaha, Nebraska 68104www.fathersforalifetime.org(402) 558-9242Women, Infants and Children(WIC) Nutrition Program2915 Grant Street, 2nd floor402-502-5644Northwest High School8204 Crown PointOmaha, Nebraska 68134Omaha, Nebraska 68111402-916-5964(402) 451-3130Public Housing Health CentersCrown TowerEvans TowerFlorence TowerJackson Tower5904 Henninger Ave.3600 North 24th St.5100 Florence Boulevard600 South 27th St.(402) 457-1240(402) 457-1242(402) 457-1241(402) 457-1243
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
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