Get documents about "Caring for the future of Gaston County
Shared by: mirit35
-
Stats
- views:
- 164
- posted:
- 11/15/2008
- language:
- English
- pages:
- 12
Document Sample
Gaston Family
Health Services, Inc.
Annual Report ‘07
Caring for the future of Gaston County
Gaston Family Health Services is more than a doctor’s office.
It is a place that provides bright healthy smiles, affordable
quality health care and medicines, confidence to manage one’s
own health condition, counseling guidance and so much more.
One-on-One Patient Education Opportunities Gaston Family Medical Center
Exam Room
Gaston Family Medical Center “Working Up” Patients at
Reception Area Gaston Family Health Services
Medicare Part D Counseling for Seniors Inside the GFHS Pediatric Dentistry Practice
15 Years of Caring for Gaston County
September 30th marked the completion of Gaston Family Health Services’
2007 fiscal year, and our fifteenth year of providing family medicine
services for the under-served residents of Gaston County. Thanks to the
Director’s Letter
wisdom and continuing support of the GFHS Board of Directors, Gaston
County Government, Caromont Health, the North Carolina Office of
Research, Demonstrations and Rural Health Development, and count-
less other advocates, we have been able to serve more than 45,000
citizens since our inception. We have grown in response to the needs of
our patients from a small, crowded clinic in the Health Department to a
full-service primary medical and dental program providing over 40,000
annual patient encounters to more than 20,000 citizens annually (1 in 9
Gaston County residents). Our primary health care services are designed
to encourage preventive care as well as providing care to the sick. This
not only saves the community dollars, but also helps keep children healthy
enough to learn and adults healthy enough to work.
GFHS must maintain financial viability. We must provide care for our
patients that meets and exceeds the community standard for private
practices. The Medicaid patient of previous years, who had few choices
for care, is now competed for among private providers. We must be the
provider “of choice” for these patients. Maintaining this patient base,
a population with choices, is extraordinarily important to our ability to
provide for the community’s underserved. Revenues from Medicaid and
Medicare patients help underwrite the costs of providing services to our
largest and neediest patient group, the uninsured.
GFHS continues to explore new revenue sources and the development
of service lines that address the needs of our patients. In 2002, GFHS
applied for, and received, designation as a Federally Qualified Health
Center. In FY 2007, under a special High Poverty New Access Point
grant opportunity, GFHS was asked to expand its services to Iredell
County. Once again, GFHS applied for, and received funding. With
support from many stakeholders in the Iredell community, operations at
Statesville Family Medicine and the Open Door Dentistry began in
December 2007. We look forward to continued collaborations with
Iredell County for this important community initiative.
On behalf of the GFHS staff, I thank our generous supporters and
advocates and invite you to continue with us as we work in Caring for
the future of Gaston and Iredell Counties.
Robert E. Spencer,
Executive Director
Providing Care for Seniors
Gaston Family Medical Center
is a new health care facility that
opened in May 2007 to serve
seniors with an emphasis on ser-
vice over profit. GFMC offers an
uncommon brand of senior care
– longer, less rushed appoint-
ments to fully address the needs
of seniors (65 and older), medi-
cation reviews and counseling Gaston Family Medical Center is located at
by a registered pharmacist and a 111 East Third Avenue in Gastonia, NC.
lot of listening by physicians Dr.
Spotlight
Van J. Stitt Jr. and Dr. Kanchan
Dibert. A nurse case manager provides additional help to senior patients
by arranging their refferals, connecting them to community resources,
advocating in their best interests and helping them to navigate through a
difficult healthcare system.
Dr. Stitt came to GFMC after serving as Gaston Memorial’s vice presi-
dent of medical affairs. A family practitioner with a geriatrics back-
ground, he wanted to return to work that made an immediate
impact with patients. And at 61, he could empathize with many con-
cerns about aging. “Plus,” Dr. Stitt says, “I think old folks are plain old
fascinating”. He says that he has never felt more appreciated from the
way that his grateful patients make him feel by bringing him cornbread,
tomatoes, a birthday cake and an afghan. Dr. Dibert, an internal medi-
cine physician, was added to further compliment services at Gaston
Family Medical Center.
Gaston Family Medical Center offers free health risk assessments for new
senior patients as well as primary care services for both well and sick
care, chronic disease management for conditions that affect seniors most
such as diabetes, heart disease, COPD and arthritis. Ancilliary services
provided for seniors include diabetes education and management,
nutrition counseling and a clinical social worker. There is an after hours
nurse advice line for those patients who need questions answered after
the Center is closed. A consulting pharmacist is also available to help
seniors negotiate the Medicare Part D maze.
The senior-friendly design of the Center includes a covered drop-off
area, convenient parking and wheelchair access. The carpeted exam
rooms are all located on one level. Exam rooms have comfortable chairs
instead of flat tables, and the waiting room television plays nature videos
instead of nerve-jarring news updates.
Gaston Family Medical Center is open Monday - Friday 8am to 5pm.
l Initiated and expanded a centralized Call Center to schedule patient appointments for
Gaston Family Health Services, Senior Care and Workplace Wellness patients.
l Developed a New Patient Information Brochure to better inform users of the Gaston Family
Health Services’ system.
l Received High-Poverty New Access Point grant funding to expand medical, dental, and
behavioral health services at two locations in Iredell County.
Accomplishments
l Received Expanded Medical Capacity grant funding to expand evening and weekend hours.
l Partnered with Gaston Memorial Hospital and many local providers to develop the Garibaldi
Run. The race raised $25,000 to use towards needed specialty healthcare services for
uninsured patients of GFHS.
l Expanded Workplace Wellness activities to Pharr Yarns, Inc. and the Gaston County
Government as well as added additional on-site clinic hours at Affinia/Wix.
l Performed Health Risk Assessments to 500 Stabilus, Inc. employees and nearly 1,500
Gaston County Government employees, spouses, and retirees.
l Opened Gaston Family Medical Center to Workplace Wellness patients.
l Participated in the UNC-Chapel Hill Management Academy for Public Health with four
Gaston County Health Department employees to develop a business plan for the Highland
Health Center.
l Recognized as one of Gaston County’s Public Health Heroes for work to protect the health
of Gaston County residents.
l Began renovations of the Women and Children’s Counseling Center.
l Contracted with Cabarrus Family Medicine, a federally-qualified health center located in
Concord, NC, to provide management services on an interim basis.
l Initiated a medical and dependent flexible spending account for employees.
l Expanded the Medication Assistance Program to Cherryville, NC in collaboration with
Cherryville Area Ministries.
l Participated in a review by the National Health Services Corp and received a
favorable report.
l Contracted and enrolled in all NC Medicare Part D participating plans.
l Added Human Resources and Information Technology staff to support organization activities.
l Hired a new Dental Director, Dr. William Donigan.
l Collaborated with Community Health Partners to hire a Licensed Clinical Social Worker
to provide behavioral health counseling to Medicaid children in Gaston County.
l Coordinated with the Gaston County Health Department to provide behavioral health
counseling services to women and children.
l Launched GFHS website, www.gfhs.info.
l Initiated marketing campaign to promote pediatric dental services at the GFHS Dental Clinic
and the Pediatric Dentistry, as well, as Senior Care services at Gaston Family Medical Center.
l Hired a dental access coordinator to develop and initiate a school group dental program for
the Gaston County Schools. Transportation to the dental clinic for students was provided by the
school system.
Statistical Highlights
FY 2007 FY 2006
Medical Services
Active Providers 11 10
Employees 68 71
Total Patient Encounters 40,762 39,819
Total Prescriptions 77,950 68,089
Medication Assistance Program 4,348 4,844
Pfizer Share the Care 10,759 8,814
Health Department 8,789 8,208
Total Revenue $3,002,446 $2,931,024
Dental Services
Active Dentists 5 6
Employees 28 18
Total Patient Encounters 20,705 17,561
Total Surgery Visits 460 435
Total Revenue $2,494,419 $2,255,868
Value of Care $15,186,000 $13,108,000
l The overall GFHS payor mix for FY 2007 indicated that 51% were self-pay,
20% Medicaid, 15% Medicare, and 14% private insurance.
Statistical Highlights
l Gaston Diabetes Center for FY 2007 had 826 patients participate in diabetes group
or individual counseling education opportunities; 130 uninsured diabetes patients
received opthamological screenings for diabetic retinopathy and other eye diseases;
and 186 uninsured diabetes patients participated in on-site podiatry clinics. In
FY 2007, GFHS served 5,408 patients living with diabetes through 11,573
encounters.
l The Mediation Assistance Program (MAP) helped 278 new and returning patients in
FY 2007, generating 5,328 prescriptions valued at more than $2.1 million.
l In FY 2007 the Workplace Wellness Program patient encounters amounted to 3,480
at the on-site healthcare facilities and 516 off-site at Gaston Family Medical Center.
l The Behavioral Health Counseling Program treated 681 patients through 3,089 visits
in FY 2007 for depression, anxiety, substance abuse, psychosis, etc.
l There were 195 HIV/AIDS patients in FY 2007 who generated 738 encounters at
GFHS. 120 (62%) received additional case management services. 36% of GFHS’
HIV patients are women.
l Community Health Partners (CHP) was composed of 43 primary care practices
serving 24,410 Carolina Access enrollees in FY 2007; 19,883 in Gaston County
and 4,527 in Lincoln County. As members of the CHP network, GFHS and Bessemer
City Health Care Center served an active caseload of 2,079.
l The Health Check Coordination program participation ratio for Gaston County
improved from 66.1 in FY 2005 to 69.6 in FY 2007. Data for FY 2008 supports a
continued increase.
l Through the School Group Dental Program, the GFHS Dental Clinic served 329
students from 4 elementary schools, 23 students from the 21 Century Afterschool
program and 79 students from the Headstart program.
Gaston Family Health Services, Inc.
Statement of Operations and Changes in Net Assets
For the Years Ended September 30, 2007 and 2006
Financial Operations
2007 2006
Revenues and Other Support-Gastonia
Net patient service revenue $ 1,913,522 $ 1,977,649
Gaston County contribution $ 813,022 $ 806,635
Gaston Memorial Hospital Foundation $ 514,343 $ 523,338
Pharmaceutical income $ 764,393 $ 581,044
Other income $ 357,247 $ 185,607
Revenues and Other Support-Bessemer City
Net patient service revenue $ 324,531 $ 372,331
Gaston Memorial Hospital Foundation contribution $ 6,500 $ 6,000
Net assets released from restrictions $ 1,276,773 $ 1,314,590
$ 5,970,331 $ 5,767,194
Revenues and Other Support-Pediatric Dentistry
Net patient service revenue $ 2,494,419 $ 2,255,868
Total unrestricted revenues & other support $ 8,464,750 $ 8,023,062
Health care, general & administrative expenses
Health care $ 6,267,374 $ 7,195,802
General and administrative $ 2,379,929 $ 932,875
Total Health care, General & Administrative Expenses $ 8,647,303 $ 8,128,677
Decrease in unrestricted net assets $ (182,553) $ (105,615)
Changes in temporarily restricted net assets
Federal grants $ 1,470,455 $ 616,776
State Grants $ 373,599 $ 358,711
Private Grants $ 176,631 $ 229,103
Net assets released from restrictions $ (1,276,773) $ (1,314,590)
Increase (decrease) in temporarily restricted net assets $ 743,912 $ (110,000)
Increase (decrease) in net assets $ 561,359 $ (215,615)
Net assets at beginning of year $ 1,926,596 $ 2,142,211
Net assets at end of the year $ 2,487,955 $ 1,926,596
PHS 330 GRANT $1,714,348
Allows GFHS to continue and expand services to the growing number of
uninsured/underinsured patients seen at five locations in Gaston County
and 2 locations in Iredell County.
Gifts & Grants
RYAN WHITE FUNDING $186,000
Expands GFHS’s ability to serve the uninsured HIV infected population.
The grant funds a Case Manager, reimburses GFHS for the cost of care,
and pays for patient referrals to specialty physicians.
HEART SOCIETY OF GASTON COUNTY $31,600
Provides funding for a half-time Coordinator for the Medication Assistance Program.
HEALTH & WELLNESS TRUST FUND COMMISSION $35,000
Allows GFHS to employ a half-time Registered Pharmacist, Pharmacy Technician
and Medication Assistance Program worker.
PARISH NURSE AREA CHURCHES
Funding provides for a nurse in the Belmont area. $48,607
Funding provides for a nurse in Gastonia. $14,404
NC DEPARTMENT OF HEALTH & HUMAN SERVICES $33,873
Provides for a Health Check Coordinator.
NC STATE LEGISLATURE $128,881
Provides funding for a Nurse Practitioner at Bessemer City Health Care Center
and a Psychiatric Nurse Practitioner.
GASTON COUNTY GOVERNMENT $568,776
Provides deficit funding and funding for overhead support.
GASTON MEMORIAL HOSPITAL FOUNDATION $480,768
Provides supplemental funding for GFHS provider salaries.
COMMUNITY FOUNDATION OF GASTON COUNTY $20,000
Allowed for the upfitting of a the Women and Children’s Counseling Center.
HENRY SCHEIN, INC. Donated Supplies valued at $223,568
This dental supplies distributor has supported the Dental Clinic since 1994.
In FY 2007, these donations amounted to three shipments.
The Gaston Family Health Services Board of Directors is composed of community members and patient
users that each bring a unique area of wisdom and support to the table. Unlike most organizations,
the majority of the GFHS Board members are consumers of GFHS health care services.
FY 2007 Board of Directors
Mark Skillestad, President Louise Grigg Mickey Price
Cathy Kenzig, Vice President Ray Grigg Frank Sell
Ed Robinson, Treasurer James Jones Andrea Serra
Diane Leazer, Secretary Tom Keigher Alice Slater
Our Volunteers
Gwen Gavin Doug Lea Shirley Stowe
Jerie Green Dan Ness Tom Swilling
In addition to the Board of Directors, many other Gaston County citizens work with GFHS to extend
medical and dental services to the underserved. Their contributions of time and expertise enable these
services to reach a broader group of citizens. For this we are thankful.
Volunteers
Dr. Josh Baker, Gaston Eye Associates
Joseph Eudy, Family Pharmacy of Statesville
Dr. Armon Farr, Retina Institute of the Carolinas
Dr. Phil Foster, Gaston Eye Associates
Claire Hoogmoed
Sharon Isenhour
Dr. Kash B. Kansupada, Charlotte Eye,Ear, Nose & Throat
Dr. David Kirlin, Gaston Foot & Ankle Associates
Dr. Robert Liberatore, Carolina Food & Ankle Associates
Lions Club
Dr. Micheal Lund, Gaston Eye Associates
Catherine Lutterodt
Dr. James Mason, Doctors Vision Center
George Mcaden
Dr. Ryan Meredith, Gaston Foot & Ankle Associates
NC Service for the Blind
NC Vocational Rehabilitation
Dr. Robert Olson, Carolina Orthopedics
Dr. Wagner Santiago, Gaston Foot & Ankle Associates
Pat Smarr
Barbara Steiner
Jack Steiner
Dr. Kristine Strauss, Carolina Foot & Ankle Associates
Paul White
Tom Williams
Dr. Dan Wilson
GFHS Dental Clinic Teresa Morris, RN, CDE,
Providing Diabetes Education
The Dental Clinic’s Waiting Area and Medicine Supply Closet at GFHS
Childrens Playroom
Public Health Heroes ‘07 Award Medication Assistance Program Staff
Gaston Family
Health Services, Inc.
991 West Hudson Boulevard
Gastonia, NC 28052
Related docs
