Mid year Report 20101

							    Dungeness Valley Health & Wellness Clinic
    Sequim, Washington

August 10, 2010
                                                                   Mid-year reports indicate that the need
                                                                   for access to health care among our
                                                                   underserved neighbors is growing.

Warm greetings!

Two weeks ago, at the July Board of Directors' meeting, Clinic staff presented their mid-year reports. Because
you are a long-time, key supporter of the CIinic, we want to share those reports with you. The essential point is
that public.dernand for the Clinic's services is at an all time high. This due, in part, to the current economic _
situation and high unemployment. Following are direct excerpts from the staff reports that may be of interest:

Basic Urgent Care
   During the first six months of 2010, the Clinic saw a 27% increase in Basic Urgent Care Clinic patients
    (Monday & Thursday night) over the same period in 2009.
 Intake statistics continue to indicate that 75% of our patients are under the age of 50 years, 85% have no
    doctor, and 94% have no insurance. The last figure has been keeping pace with increasing unemployment
    and diminished benefits.
• . After initial treatment, 320 patients were referred for diagnostic labs and 81 for imaging; 84 patients were
    referred to medical specialists for additional evaluation and care.
    One byproduct of the census increase is high8r costs for labs and imaging. We used over $7,000 worth in
    June, which would annualize to $84,000 compared against our $60,000 budget for 2010. These numbers
    reflect routine lab and imaging orders for diagnostic purposes.

Chronic Healthcare
    From January to June 2010, the Chronic Healthcare Clinic saw a 48% increase in patient visits over last year.
     This is a result of adding two additional clinic days per month in the second half of last year, expanding our
     capacity to meet the need.
     Among clients utilizing the Chronic Healthcare Clinic, 65% have hypertension, 42% have diabetes, and
     many have both diagnoses concurrently.

The success of the Chronic Healthcare Clinic confirms two important concepts. First, an enormous need for
chronic care exists in our community. If current trends continue, we expect that there will be about 780 visits to
our Chronic Healthcare Clinics this year; an overall growth of 33% over the number of visits last year!

Second, many chronic illnesses can be prevented by simple changes in lifestyle and behavior, thus underscoring
our commitment to wellness education. These conditions may be delayed or avoided completely by adopting
healthy choices in diet and exercise and learning to avoid and minimize the effects of stress.

Wellness Education
    More than 200 people have attended forums on such topics as: managing stress, heart health, understanding
     nutritional labels, and pulmonary health presented at the monthly WOW! Working on Wellness forums
     hosted by our Wellness Education program.


                              PO Box 3434 I Sequim, WA 98382 I 360.582.0218
   Twenty people diagnosed as diabetic or pre-diabetic have attended individual and group classes and
    workshops to learn about the disease, behavior and lifestyle choices, and self-management techniques to put
    them in better control of their health. The Diabetes Education project is underwritten by grants from the
    Washington State Department of Health, Sequim Community Foundation, and the Benjamin Phillips
    Memorial Trust administered by the Seattle Foundation
   Another 27 members of the community attended Living Well, a six-week workshop presenting tactics for self
    management of chronic disease.

Dental Health
    In the first six months of 2010, the Clinic referred 46 clients needing emergency care to OlyCAP with
     vouchers in the $41 to $60 range, a total cost of approximately $2,323. These visits usually involve
     extraction; cost of x-rays and cleaning run around $215 on average.
   Another 52 patients needed more extensive emergency care and were referred to network Dental Clinics at an
    average cost of $200, for an approximate total bill to the Clinic of $10,400.
   Another 9 patients required dental surgery at a cost of $250 to the clinic, for a total of $2,250.
   To summarize, in the first six months, 107 uninsured patients of the Clinic required more than $14,000 worth
    of 'dental emergencies in order to maintain their quality of-health and continue working.
   If the trend continues, we foresee requests for assistance from 200 or more clients with dental emergencies.

Dental needs continue to present a major challenge for the Clinic and its patients. It is typical for people without
insurance to defer routine care until a minor issue becomes a more serious problem. The reason is one of
economics - if I have a toothache do I go to the dentist, or pay my rent? When these are the choices one must
make, it is easy to see how a cavity might progress to an abscess or infection requiring immediate care. The Haller
Foundation has generously supported an emergency dental care program for the clinic's uninsured patient
population. Yet, the need for Dental care continues to exceed available funds.

Fundraising
This year our revenue goal is to raise $122,300 in cash from three main sources. The table below shows the goal
for each category and our progress to date:

                      Source of funds                                   Goal         Raised/Pledged
                            Individuals and Friends of the Clinic      $41,100          $32,333
                                         Fun Walk Sponsorship         $20,000           $18,670
                                                          Grants      $61,200           $23,000
                                                          Totals      $122,300          $74,003

   As of June 30, more than 60% of the goal had been received or pledged by donors or other funders.
   The Board of Directors kicked off the annual fundraising campaign with 100% of members pledging a total of
    $7,000 in personal gifts with their pledges to raise another $7,500.
   More than 40 gifts are counted in the Individuals and Friends category, which includes long-time friends and
    supporters like you, as well as businesses and groups in our communities. These include:
     - A $15,000 gift from an anonymous donor,
     - Gifts from OMCares, Dungeness Valley Lutheran Church, Sequim Community Church, Trinity United
          Methodist Church, the Sequim Prairie Grange, the Sequim Sunrise Rotary and the Sequim Noon Rotary,
     - Monthly gifts from a group of revered friends whom we fondly call our monthly giving club.
   Grant funds have been received from the City of Sequim, $10,000; Sequim Dungeness Hospital Guild,
    $10,000; and Olympic Area Agency on Aging (03A) $3,000.
   Grant proposals totaling $16,000 have been submitted to funders with results pending.

Despite all this tremendous and much appreciated support, grant funding is running $22,000 behind goal.