COMMUNITY BENEFITS PLAN 2005

INITIAL FILING INFORMATION

to be filed with:

Office of the Attorney General

Charitable Trusts Unit

33 Capitol Street , Concord , NH 03301 -6397

603-271-3591

 

 

 

I. a. General Background Information :

 

Edward G. George, FACHE

 

President/CEO

1415 Elm Street

Manchester , NH 03101

603-626-9500 ext. 9513

 

Martin J. Bradley

Chair, Board of Directors

1415 Elm Street

Manchester , NH 03101

603-626-9500

 

 

•  Organizational Structure :

 

Manchester Community Health Center (MCHC) is an IRS registered nonprofit health center with 501(c)(3) status located in Manchester , New Hampshire . MCHC was established in 1993 to principally provide family oriented primary health care services to the 22,000 people of Manchester and surrounding areas believed to be uninsured, under-insured or lacking access to sources of affordable, quality healthcare. As well, MCHC is a Federally Qualified Health Center (FQHC) and is funded by the Bureau of Primary Health Care under Federal 330 of the Federal Department of Health and Human Services, Health Resources and Services Administration.

MCHC is a model of excellence as we serve the healthcare needs of a diverse population of greater Manchester residents. We achieve our vision by providing quality comprehensive healthcare in a participatory environment designed to empower our patients, staff and volunteers and by developing partnerships with other organizations to ensure accessibility, availability and affordability for all healthcare needs to all of our patients.

 

Services are provided on a discounted fee scale based upon the patient's income and family size and address the patient's medical and social needs. Basic services offered include: family medicine; perinatal care; nutrition counseling; translation services; health education; preventive screening; Medicaid outreach; medical case management; social service coordination; mental health counseling; adolescent preventive health services and referral assistance.

 

Staff members include: Family Practice Physicians, a Pediatrician, Certified Nurse Mid-wife, Physician Assistants, Family Nurse Practitioner, Family Community Health Coordinator, Nutritionist, Outreach Worker, Registered Nurses, Licensed Practical Nurses, Certified Medical Assistants and various other clinical, executive and administrative staff. (Total staff of approximately 55 individuals). MCHC currently utilizes approximately 30 volunteers.

 

Administrative Structure : MCHC is an independent, private, not-for-profit community health center founded in 1993. The Health Center is governed by a 18 member Board of Directors that is representative of the community the Health Center serves and meets on a monthly basis. Fifty-one percent of the board is made up of members of the community who receive health care from MCHC. The five-member management team at the Health Center consists of the President/CEO, the Medical Director, the Chief Financial Officer, the Director of Operations and the Director of Marketing/Development. The Management Team meets regularly to discuss issues of policy and general operations with additional subcommittees formed as workgroups to address specific issues.

 

Organizational Chart - See Attachment I

Board of Directors – See Attachment II

 

•  Program Information

Does your health care charitable trust have a strategic plan that addresses community benefits?

 

X Yes	No
No Change since last submission.

COMMUNITY BENEFITS PLAN – Reporting Form

Pursuant to RSA 7:32-c - 1

 

FOR FISCAL YEAR BEGINNING JULY 1, 2004

to be filed with:

  Office of the Attorney General

Charitable Trusts Unit

33 Capitol Street , Concord , NH 03301 -6397

603-271-3591

Manchester Community Health Center Organization Name Number		02-0458174 Federal Tax ID Number
1415 Elm Street Street Address		5052 State Registration Number
Manchester City	New Hampshire State	03101 Zip Code

Has the organization filed its Community Benefits Plan Initial Filing Information form?

X Yes	No

 

If Yes, has any of the initial filing information changed since the date of submission?

 

Yes	X No

 

Section 1 – Community Benefits Contact Person:

Edward G. George, President/CEO

Manchester Community Health Center

1415 Elm Street

Manchester , New Hampshire 03101

• ext 9513

Section 2 – Mission Statement:

Manchester Community Health Center 's mission was adopted in 1993 and is reaffirmed annually.

MISSION : The mission of the Manchester Community Health Center is to foster, through both direct services and collaboration, high-quality, comprehensive family-oriented primary healthcare services, which meet the needs of a diverse community regardless of age, ethnicity or income. Our focus is to provide access to those who cannot access primary healthcare services.

Section 3 – Miscellaneous:

Is this plan available on your web site?

Yes	X No

MCHC's website is currently being re-constructed with funding provided by Bi-State Primary Care Association. 2005 Community Benefits Plan will be added to our web site once the re-design is complete (expected January 1, 2006). The site address is www.mchc-nh.org

X Please check here if you are an area agency that reports to the Department of Health and Human Services.

Please check here if this report is filed for two or more healthcare charitable trusts.

Section 4 - Definition of Community and Population Served :

Manchester Community Health Center 's service area covers Greater Manchester including, but not limited to, the communities of Goffstown, Hooksett, Auburn , Candia, Londonderry, Derry and Bedford . Its target population consists of the uninsured, the under-insured and includes pregnant women, infants and children, teenagers, adult men and women, senior citizens, Manchester 's refugees and patients who qualify as low income or indigent. Currently about 1 in every 3 patients who visit the Health Center requires an interpreter. As the ethnic diversity of Manchester grows, so does our patient population.

MCHC is located in a Medically Underserved Area or MUA. It is a requirement of an FQHC (Federally Qualified Health Center) to be located in such a zone as specified by the Bureau of Primary Health Care.


Section 5 - Community Needs Assessment Information :

1. Did you conduct your own community needs assessment or did you conduct the needs assessment in conjunction with other healthcare charitable trusts in your community?

The most recent comprehensive Community Needs Assessment was performed by the Healthy Manchester Leadership Council (of which MCHC is a member) in collaboration with the Greater Manchester United Way in 1997. The results have been filed with MCHC's prior Community Benefits Plan submission. To date, we are unaware of any comprehensive Community Needs Assessment being performed. MCHC has come to rely on its quarterly Patient Satisfaction Survey to not only determine the patient's satisfaction with the services being provided, but to determine additional needs. Additionally, community need is indicated in the number of new patients accessing the health center on a monthly basis. While we cannot know exactly how many citizens are in need of our services, we are well aware of the continued strain on our capacity as a result.

2. If you conducted your own assessment, please answer the following questions:

a. When was the assessment last conducted updated? N/A

b. Describe how community input was solicited and used in conducting the community needs assessment.

Quarterly Patient Surveys and community member requests for service.

c. If your assessment was conducted or updated this year, please attach a copy. (Please see Attachment III for Patient Survey results.)

3. If you conducted a needs assessment with other healthcare charitable trusts in your community, please answer the following questions:

a. Identify the healthcare charitable trust designated by the group to file the community needs assessment with the Charitable Trusts Unit.

b. When was the assessment last conducted updated?

In the interim, MCHC continues to survey its patients on a quarterly basis as to their needs and satisfaction of services provided by the Health Center . We continue to rely on information from that survey, along with anecdotal information gathered from other health care providers (including Elliot Hospital , Dartmouth-Hitchcock Manchester and Catholic Medical Center ) in the community, to help provide direction for the needs of greater Manchester . As well, the community/consumer membership (51%) of the Health Center 's Board of Directors continues to be the voice of those receiving services and assists in helping express their needs and concerns.

Additionally, MCHC has developed a consumer based Patient Advisory Committee (PAC) to assist in the direction of new services and needs for the Health Center . The committee is facilitated by a member of senior management (Director of Operations). The PAC meets periodically to review current services and Patient Satisfaction Survey results, and to make recommendations to management regarding newly trending needs or service updates. We have found this process to be extremely useful in gathering input from a patient's point of view as well as providing a voice to the patient base, on services.

Section 6 – Community Benefits Plan/Report (RSA 7:32-e, II-VI, RSA 7:32-1)

1. Please identify the health care needs that were considered in development of this plan.

Primary healthcare services to the uninsured and underinsured in greater Manchester , NH continue to be the focus of services identified as the greatest need for our population. Support services (as funding is available) serves as our secondary focus and are described as; prescription medication assistance, crisis intervention/counseling, nutritional counseling, patient education, women's wellness programming, adolescent preventive health services, multi-disciplinary prenatal care services, language interpretation, transportation, case management, and referrals for specialty care.

2. Please identify all activities the trust or group expects to undertake or support during the next year which address the needs determined through the community needs assessment. Please include the estimated cost of each activity.

Descriptions: (Please see Attachment IV for detailed value of programming.)

Bilingual Outreach – Outreach, translation and Medicaid enrollment management for patients who do not use English as their primary language.

Breast & Cervical Cancer Prevention – Provision of outreach, screening, diagnosis and primary care treatment of Breast and Cervical Cancer.

Patient Education – Educating providers and patients on self-management of Diabetes, Asthma and other chronic diseases.

Transportation – Availability of no-cost transportation to patients in order to access primary medical care and treatment.

Language Interpretation/Translation – Onsite provision of interpretation services, including; Spanish and Bosnian. Other languages offered through third-party interpretation.

Adolescent Health – Outreach and health education services to high-risk teens in 4 local middle schools and three local high schools.

Space to Community Organizations /Community In-kind – In-kind meeting space supporting services to community organizations and work groups.

3. Please identify additional community benefits or benefit activities not specifically identified in the community needs assessment, the trust or group expects to undertake or support during the next year . Please include the estimated cost of each activity.

N/A

4.  Please identify all charity care the trust or group expects to provide during the next year . Please include the estimated cost of each activity.

Descriptions: (Please see Attachment V for detailed value of programming.)

Uncompensated Care – Inpatient/Outpatient primary care, including Family Practice, Podiatry, Pediatrics, OB/GYN, Nutrition, Counseling, Lab and non-reimbursed Medicare costs.

Uncompensated Medicare Cost – the difference between the cost of providing Primary Healthcare services to Medicare patients and actual reimbursement.

Flu Clinic – Provide flu vaccinations to the community at a discounted cost.

5. Please identify all activities the trust or group undertook or supported during the past year which addressed the needs determined through the community needs assessment and the outcomes achieved. Please include the estimated cost of each activity.

Descriptions: (Please see Attachment VI for detailed value of programming.)

340b Pharmacy Program – Management and distribution of donated, purchased and subsidized medications for uninsured patients and those unable to afford the cost of medications for their treatment. The change in our pharmacy program relates directly to our ability to purchase medications at the lowest cost afforded federal agencies that become 340b participants.

Adolescent Health – Outreach and health education services to high-risk teens in 4 local middle schools and three local high schools.

Language Interpretation/Translation – Onsite provision of interpretation services, including; Spanish, Bosnian and French. Other languages offered through third-party interpretation.

Breast & Cervical Cancer Prevention – Provision of outreach, screening, diagnosis and primary care treatment of Breast and Cervical Cancer.

Bilingual Outreach – Outreach, translation and Medicaid enrollment management for patients who do not use English as their primary language.

Patient Education – Educating providers and patients on self-management of Diabetes, Asthma and other chronic diseases.

Transportation – Availability of no-cost transportation to patients in order to access primary medical care and treatment.

Space to Community Organizations /Community In-kind – In-kind meeting space and sub-let of office space and supporting services to community organizations and work groups.

6.  Please identify additional community benefits or benefit activities, not specifically identified in the community needs assessment, the trust or group undertook or supported during the past year and the outcomes achieved. Please include the estimated cost of each activity.

Descriptions:

Unpaid Medicare Cost : The difference between the cost of providing service to Medicare patients and the actual reimbursement. $25,923.

 
7.  Please identify all charity care the trust or group provided during the past year and the outcomes achieved. Please include the estimated cost of each activity.

Descriptions: (Please see Attachment VII for detailed value of programming.)

Uncompensated Care – Inpatient/Outpatient primary care, including Family Practice, Internal Medicine, Podiatry, Pediatrics, OB/GYN, Nutrition, Counseling, Lab and non-reimbursed Medicare costs.

Uncompensated Medicare Cost – the difference between the cost of providing Primary Healthcare services to Medicare patients and actual reimbursement.

Flu Clinic – Provide flu vaccination to the community at a significant discount.

8.  Please indicate the ratio of gross receipts from operation to net operating costs for the trust.

Ratio of Gross Receipts From Operations to net Operating Costs – FYE June 30, 2005.

Actual, Net Patient Services Revenue
$2,403,978

Total Actual Operating Expenditures for FY 2005:
$3,923,015

Ratio: 1.00 * 0.61 :

* Difference funded by grants, contracts and contributions from federal, state and local governmental, charitable and private organizations.

9. Please describe the means used to solicit the views of the community on the development of this plan and an evaluation of its effectiveness. (The report shall include the means used to solicit the views of the community served by the trust, identification of community groups, member of the public and local government officials consulted on the development of the plan, and an evaluation of the plan, and an evaluation of the plan's effectiveness. The process for development of the plan shall include an opportunity for members of the public in the trust's service area to provide input into the development of the plan and comment on the trust's proposed plan.)

Input into the Community Benefit offered by Manchester Community Health Center is gathered from a consumer board membership consisting of 51% of the Board's standing members. These individuals serve as a voice for the patient population being served at the Health Center . Additionally, patient satisfaction surveys are utilized for the purpose of soliciting feedback on our success and failings. The feedback gathered from the patient surveys are taken to Sr. Management and then to the Board of Directions (for action if necessary). Various programs of the Health Center are evaluated as a stipulation of the funding for that program. Quality improvement methods are in place and carried out by the Medical Advisory Committee, Quality Improvement Committee or Environment of Care Committee.

Section 7 – Public Notice

How is your plan/report made known and available to the public?

The Plan will be made available via our website once re-design has been completed.

Section 8 – Additional Information (Optional)

1.  Did you hire an outside firm to prepare your needs assessment? NO

2.  Did you hire an outside firm to prepare you plan/report? NO

3.  What was the cost of the needs assessment in dollars and/or personnel hours?

4.  What was the cost of the plan/report in dollars and/or personnel hours?

5. Did the services you deliver change in any way as a result of this assessment and reporting process? Please describe. NO

Manchester Community Health Center

Community Benefits Plan

 Attachments

 

I………MCHC Organizational Chart

II………Board of Directors

III……..Patient Satisfaction Survey Results

IV……..2006 Projected Activities

V…...…2006 Projected Charity Care

VI……..2005 Actual Activities

VII…….2005 Actual Charity Care

 

ATTACHMENT IV

Manchester Community Health Center

Projected Summary of Quantifiable Community Benefit Activities

for the Fiscal Year Ending June 30, 2006

 

Total Projected Operating Expenditures for FY 2006: $ 4,050,083

Total Projected Uncompensated Care for FY 2006: $ 847,090

	Projected Fiscal Year Ending June 30, 2006
Community Benefit Programs The following are quantified estimates of the value of Community Benefits provided by Manchester Community Health Center .	Estimated Gross Community Benefit	Offsetting Grants, Fees & Donations	Estimated Net Community Benefit Provided by MCHC
Pharmacy Program Management and distribution of donated, purchased and subsidized medications for uninsured patients and those unable to afford the cost of medications for their treatment.	$ 4,500,000	$ 4,000,000	$ 500,000
Breast & Cervical Cancer Prevention Screening, diagnosis and treatment of Breast & Cervical Cancer.	56,000	40,496	15,504

Patient Education Educating providers and patients on self-management of diabetes, hep-c, asthma and other chronic diseases .	34,736	7,500	27,263
Transportation No-cost transportation for patients to access primary care and treatment.	19,000	16,500	2,500
Translation Onsite provision of interpretation services, including: Spanish, Bosnian, and French.	95,844	34,500	61,344
Outreach Outreach and enrollment services to those experiencing barriers accessing primary health care	41,000	37,119	3,881
Adolescent Health Outreach and health services to at-risk teens in 4 local middle schools and high schools	87,500	87,500	-
Space to Community Organizations In-kind meeting space to community organizations and work groups.	1,200	-	1,200
Total	$ 4,835,307	$ 4,223,615	$ 611,692

 

ATTACHMENT V

Manchester Community Health Center

Projected Summary of Quantifiable Charitable Care

for the Fiscal Year Ending June 30, 2006

Total Projected Operating Expenditures for FY 2006: $ 3,728,499

Total Projected Uncompensated Care for FY 2006: $ 893,000

Projected Fiscal Year Ending June 30, 2006

Community Benefit Programs The following are quantified estimates of the value of Community Benefits provided by Manchester Community Health Center .	Estimated Gross Community Benefit	Offsetting Grants, Fees & Donations	Estimated Net Community Benefit Provided
Uncompensated Care Inpatient/outpatient primary care, including Family Practice, Internal Medicine, Pediatrics, OB/GYN, Nutrition, Counseling and Lab.	$ 847,090	$ -	$ 847,090
Unpaid Medicare Cost The difference between the cost of providing service to Medicare patients and actual reimbursement	25,000	-	25,000
Flu Clinic Provide flu shots to the community at a discounted cost	17,000	3,000	14,000
Total	889,090	$ 3,000	$ 886,090

 

ATTACHMENT VI

Manchester Community Health Center

Summary of Quantifiable Community Benefit Activities

for the Fiscal Year Ended June 30, 2005

Total Actual Operating Expenditures for FY 2005: $ 3,923,015

Total Actual Uncompensated Care for FY 2005: $ 724,354

	Fiscal Year Ended June 30, 2005
Community Benefit Programs The following are quantified estimates of the value of Community Benefits provided by Manchester Community Health Center .	Estimated Gross Community Benefit (at cost)	Offsetting Grants, Fees & Donations	Estimated Net Community Benefit Provided by MCHC
Pharmacy Program Management and distribution of donated, purchased and subsidized medications for the uninsured and those unable to afford medications.	$ 4,358,360	$ 3,895,486	$ 462,874
Adolescent Health Outreach and health services to at-risk teens in 4 local middle schools and high schools	88,003	75,537	12,466
Interpretation Onsite provision of interpretation services, including: Spanish, Bosnian, Vietnamese and French.	78,776	8,304	70,472
Breast & Cervical Cancer Prevention Screening, diagnosis and treatment of Breast & Cervical Cancer.	56,036	39,814	16,222

Outreach Outreach, eligibility determination and enrollment coordination for state and federally sponsored programs.	40,046	33,486	6,560
Patient Education Educating providers and patients on self-management of Diabetes, Asthma and other chronic diseases.	18,889	6,858	12,031
Transportation No-cost transportation for patients to access primary care and treatment.	6,214	-	6,214
Space to Community Organizations In-kind meeting space to community organizations and work groups.	1,200	-	1,200
Total	$ 4,647,524	$ 4,059,485	$ 588,039

ATTACHMENT VII

Manchester Community Health Center

Summary of Quantifiable Charitable Care

for the Fiscal Year Ended June 30, 2005

Total Actual Operating Expenditures for FY 2005: $ 3,923,015

Total Actual Uncompensated Care for FY 2005: $ 724,354

	Fiscal Year Ended June 30, 2005
Community Benefit Programs The following are quantified estimates of the value of Community Benefits provided by Manchester Community Health Center .	Estimated Gross Community Benefit (at cost)	Offsetting Grants, Fees & Donations	Estimated Net Community Benefit Provided
Uncompensated Care Inpatient/outpatient primary care, including Family Practice, Internal Medicine, Pediatrics, OB/GYN, Nutrition, Counseling and Lab.	$ 724,354	$ -	$ 724,354

Uncompensated Care Inpatient/outpatient primary care, including Family Practice, Internal Medicine, Pediatrics, OB/GYN, Nutrition, Counseling and Lab.	$ 724,354	$ -	$ 724,354
Unpaid Medicare Cost The difference between the cost of providing service to Medicare patients and actual reimbursement	12,435	-	12,435
Flu Clinic Provide flu shots to the community at a discounted cost	16,580	2,090	14,490
Total	$ 753,369	$ 2,090	$ 751,279

 

Manchester Community Health Center Organization Name Number		02-0458174 Federal Tax ID Number
1415 Elm Street Street Address		5052 State Registration Number
Manchester City	New Hampshire State	03101 Zip Code