OUR MISSION Lorain County Health & Dentistry, committed to respecting the dignity of every person, provides quality, comprehensive and compassionate primary health care to the people of Lorain and surrounding communities regardless of ability to pay. 1
What is a Federally Qualified Health Center? An independent, nonprofit Community Health Center providing primary & preventative care The organization must Be located in, or serve, a Medically Underserved Area Be designated by HRSA in a competitive process Meet 19 Program Expectations Be governed by a Board with a patient majority (51%) Slide fees for uninsured patients (under 200% FPL); charge a nominal fee for those who qualify for a 100% discount
National Community Health Center Program MISSION: Remove barriers and improve access; meet local need 1,300 CHC organizations in 50 states, PR, USVI and Guam; 9,000 sites serving 23 million Americans annually 43 Ohio organizations, with 205 sites in 55 counties serving 600,000 Ohioans
About Lorain County Health & Dentistry What we are Private, nonprofit 501c(3) Largest safety-net provider in Lorain County Small business with a vital mission (65 ees) Permanent medical home and critical part of the community s health care system What we aren t Federal program County or public agency Last resort or stop gap measure
Our Sites & Services Outpatient primary health care for all ages Prenatal and Women s Health Care Pediatrics Family & Internal Medicine Podiatry Asthma/Allergy General Dentistry Optometry/Eye Care Translation services, transportation assistance, discounted pharmacy through Federal 340B and three Walgreens stores Integrated Behavioral Health Services Coming Soon! 2 Lorain and 2 Elyria sites Referral to specialty care
About Our Patients (2013 Uniform Data Systems, of those patients reporting) 10,661 patients in about 31,400 visits 82% <100% of FPL; 96% < 200% of FPL 25% are uninsured and fees are discounted 67% White (38% Hispanic) 30% African American (7% Hispanic) 10% speak English as a second language
Anyone Can Be Our Patient We accept Most all commercial insurances Medicare and Medicaid (Traditional and MCPs) Uninsured patients may apply for discounted fees based on Federal Poverty Guidelines Everyone pays something Payment is collected at time of service Exception: fees are waived for homeless persons in homeless shelters
8 LCH&D 2013 Patients by Payer Source 7% 7% Medicaid 25% 61% None/Uninsured Medicare Private Insurance ototal Unduplicated Patients = 10,661 ototal Visits = 31,399
Building a Healthier Community Main site at 1205 Broadway opened in May 2013 and doubled the number of exam rooms Services Prenatal and women s health care Pediatrics Dentistry Optometry Behavioral Health (future) Internal/family medicine (future) Administrative offices Medical Record storage Shelled floor for future expansion
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Satellite Site 3745 Grove Avenue, Lorain Recently added 1,700 SF Expanded Internal/Family Medicine Podiatry Phlebotomy/lab services (LabCorp) Enabling services At full capacity, 100 patients/day at this site alone
Elyria Satellites 412 E. River and 114 White Court 412 E. River (near EMH) with 11 exam rooms Full-time Pediatrics Family and Internal Medicine Enabling Services White Court: Wilkes Villa Public Housing In collaboration with LMHA Now: temporary medical mobile unit offering pediatrics Permanent 3,000 SF facility now under construction Services/hours to expand in 2015
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Continuous Quality Improvement Patient Centered Medical Home Level 3 (highest) NCQA certification (3 sites) Truly transparent mandatory federal reporting with comparison against state/national performances We regularly measure and report: 25 clinical outcomes by lifecycle 14 financial and operational measures Patient satisfaction
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Community Health Centers Save Money! CHC care is ranked by GAO as among the most costeffective Average cost of care is $1.67 per CHC patient/day vs. $2.64 US average at all physician offices (2011) Chronic disease management, reduced use of ER, fewer hospital days produces $24B in annual health system savings In OH, almost $1B is wasted annually on avoidable ER visits; if avoidable ER visits were redirected to a CHC, the US would save $18B in annual health care costs
26 Our Economic Impact (2013) $14M in annual cost savings to community $9.55M in economic impact based on full-time jobs/jobs we support $1.2M in total state, local and federal tax revenue
At the Federal and State Levels $11B Trust Fund (ACA) for Community Health Centers over 5 years (2011-2015) to expand CHC sites and serve more people Ohio expanded Medicaid up to 138% FPL; Ohio Medicaid remains open for enrollment Presumptive eligibility for Medicaid - new
In the Words of Our Patients 1,350 Letters.in 8 volumes My doctor stopped accepting my insurance and I had nowhere to go. LCH&D welcomed me with open arms. I am so grateful. -Kim H., Lorain After working 10 years my son lost his job and needed dental work done that he could not have had if not for this dental clinic. Thank you and God Bless. -Faith C., Sheffield Lake