extraordinary care for all of you · 2020-06-01 · lisa peck jeff perkins elvia reyna pam shouse...
TRANSCRIPT
2019 ANNUAL REPORT
EXTRAORDINARY CARE FOR ALL OF YOU
Sterling Health Care Extraordinary Care for All of You 32 Extraordinary Care for All of You Sterling Health Care
As we look back at 2019, Sterling Health Care has a lot to celebrate. We have continued to grow and evolve as an innovative organization while staying true to our mission to improve the lives for all people in the communities we serve, regardless of their ability to pay.
In the past year we have invested heavily in services that extend beyond traditional healthcare services. We added free transportation for our most vulnerable patients. We expanded our Community Health Worker program to better advocate for patients experiencing food insecurity, homelessness and even trouble paying their utility bills. We developed a robust Chronic Care Management program to support and encourage our most chronically ill and complex patients. We completed our planning and due diligence for the launch of our telehealth services, available to patients starting in January 2020. This annual report highlights these and many other ways we have moved our mission forward.
It has never been more important for a community organization like ours to have a culture of care and compassion for the people they serve. I truly believe our people live that culture every day as they serve others. We work tirelessly to create the resources and circumstances needed to provide extraordinary care to all of our patients.
The future of healthcare in America remains uncertain. This uncertainty will inevitably require change to which we must adapt. Fortunately, Community Health Centers have been continually innovating for the last half century. Community Health Centers make tremendous efforts to adapt to the needs of their communities so barriers to healthcare can be removed. They meet the needs of the whole person. Sterling Health Care is proud to operate by this mindset. Our willingness to innovate will be how we embrace the future of health care while providing high quality care and compassion for each and every patient.
"We work tirelessly to create the resources and circumstances needed to provide extraordinary care to all of our patients."
Jill Aldhizer
Jan Chamness
Gay Hudson
Cheryl Mahler
Lisa Peck
Jeff Perkins
Elvia Reyna
Pam Shouse
Board of Directors
Leadership Team
Sally Purvis, Chairperson
Dorothy Clemons, Vice Chairperson
Megan Williams, Secretary
Roger Riggs, Treasurer
Alex ConradChief Executive Officer
Tina BryantChief Administrative Officer
Richard Hall, MDChief Medical Officer
Rick GrantChief Financial Officer
MinDee HudsonChief Operations Officer
Leslie Aslam, MDDirector of Behavioral Health and Substance Use Disorder Services
BJ BussellDirector of Quality
Kimberly Moore, RPhDirector of Pharmacy Services
Nathan Rusher, DMDDirector of Dentistry Services
LETTER FROM THE CEOLEADERSHIP
“Great things are done by a series of small things brought together.”
— VINCENT VAN GOGH
— ALEX CONRAD CHIEF EXECUTIVE OFFICER
Sterling Health Care Extraordinary Care for All of You 54 Extraordinary Care for All of You Sterling Health Care
WHAT WE DOWHO WE ARE
Let us care for all of you.Our services are delivered by outstanding professionals through a team-based approach.
We believe in providing a meaningful medical experience, removing any barriers that prevent you from getting the care you deserve.
Through technology, a progressive sliding fee scale and a dedicated community support staff, we are able to tackle the challenges you face.
· Family Health
· Children’s Health
· Mental Health
· Women’s Health
· OnDemand (Telehealth)
· Family Planning
· Dental Care
· School-Based Health Center
· Chronic Care Management
· Pharmacy
· Substance Use Disorder Care
Sterling Health Care is a purpose-driven community health center for all people in the Gateway region of Kentucky.
Extraordinary carefor you and your family
Our services go beyondthe traditional office visit.
We are forward-thinking. We offer solutions that bring you to health care or health care to you. How to receive help should be the least of your worries. Our nationally-recognized approach will treat all of you — mind, body, spirit and community.
SCHOOL-BASED HEALTH CENTERS, which address student health needs on-site at school, bypassing the need for parent intervention.
ONLINE PATIENT PORTAL, which allows patients to communicate their health needs seamlessly.
COMMUNITY HEALTH WORKERS, who assist patients with their barriers to quality health care.
SLIDING FEE FINANCIAL ASSISTANCE PROGRAM, which ensures qualifying patients have access to care regardless of ability to pay.
CHRONIC CARE MANAGERS, who ensure qualifying patients have access to care regardless of ability to pay.
We are pioneers in expanded services that help our patients get the care they need, like our:
Sterling Health Care Extraordinary Care for All of You 76 Extraordinary Care for All of You Sterling Health Care
268 BABIES DELIVERED
1,081 SUBSTANCE USE PATIENT ENCOUNTERS
6,469 MENTAL HEALTH PATIENT ENCOUNTERS
6,774 DENTAL PATIENT ENCOUNTERS
49,570 MEDICAL PATIENT ENCOUNTERS
volunteerservice hours LOGGED BY STAFF AND COMMUNITY MEMBERS
administrative staff members
CALL CENTER & FRONT DESK TEAM
caringindividuals
15,694 total patients *some patients receive multiple services
63,894 total visits
162 homeless patients
68 veteran patients
1,275 school-based patients
283 agriculture-worker patients
22% 101-200% FPL
27% ABOVE 201% FPL
29% UNKNOWN FPL
22% AT OR BELOW 100% FPL
Patient growth Patient income
Visits byDemographic
Total employeesInsurance source14% UNINSURED
38% MEDICAID
14% MEDICARE
37% PRIVATE
11,012 2018
15,694 2019
74 2018
123 2019
Visits by Service Type(percentages)
1.6% SUBSTANCE
.4% BABIES DELIVERED
77% MEDICAL
10.5% DENTAL
10% BEHAVIORAL
7,067 2016
9,146 2017
67 2017
2019 REPORT CARDHOW WE DO IT
We believe in providing a meaningful health care experience.
Sterling Health Care is a supportive, dedicated team of providers, clinical staff, administrative staff and volunteers.
providers
54 clinical staffmembers
TOTALING
ALONG WITH
DEDICATED TO OUR PATIENTS
459
123
38
31Sterling Health CareBY THE NUMBERS
INTERESTED IN JOINING OUR MISSION?
STERLINGHEALTHKY.ORG/CAREERS
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PAST AND FUTURE GOALSQUALITY HIGHLIGHTS
One of our top priorities is delivering high quality health care to each of our patients.
Two of our primary care facilities are recognized as Patient Centered Medical Homes by the National Committee for Quality Assurance (NCQA) because of the ongoing quality care they provide.
Quality care helps our patients live healthier and fuller lives. Partnering with patients to help them achieve their health goals is central to our work. We are proud of the care we provide and the fact that this care enriches the lives of our patients and improves their well-being.
26% SHC 2017
89% SHC 2018
94% SHC 2019
71% KENTUCKY
Colorectal Cancer Screenings
Controlling High Blood Pressure
Controlling High Blood Sugars in Diabetes
Screenings for Depression
69% KENTUCKY
71% SHC 2017
74% SHC 2018
76% SHC 2019
66% SHC 2018
43% SHC 2019
71% SHC 2017
85% SHC 2018
79% SHC 2019
44% KENTUCKY
51% SHC 2017
69% KENTUCKY
CONTROL MEASURES BY YEAR 2017 2018 2019
High blood pressure 68% 74% 76%
High blood sugars in diabetes 83% 85% 85%
SCREENING MEASURES BY YEAR 2017 2018 2019
Colorectal cancer screenings 51% 66% 69%
Depression screenings 76% 89% 94%
$12,311,241 TOTAL REVENUE
$11,521,059 TOTAL EXPENSES $790,182 TO BE REINVESTED IN THE COMMUNITY
21% grants and contributions
53% medical
2% miscelleneous revenue
* 5% of revenue went toward services and financial assistance for our patients
4% support services (transportation, outreach, interpretation, case management)
8% BH & substance use
82% net patient service revenue
9% dental
8% pharmacy
18% administration (billing, information technology, support, quality)
We now serve over 15,000 patients.
In April, we implemented our transportation service and have provided rides to over 700 patients free of charge.
This year, we launched a chronic care program focused patients who suffer from two or more chronic conditions.
This year, we provided nearly $600,000 in discounted services to our communities.
Our health center is collaborating with community partners to help address issues such as food insecurity, social isolation, substance use disorders and more.
We have achieved consistent year-over-year improvement in quality metrics and have received a quality metric award of $115,000. These funds will be used to further our innovative health care strategies.
Our Mount Sterling and Owingsville primary care facilities renewed their patient-centered medical home recognition by the National Committee for Quality Assurance.
In August, we received a quality award of $155,524 for our improvements to clinical quality measures.
We will expand our school health program to Bourbon and Powell counties.
We will begin expansion efforts in Powell County to help address the lack of access to medical care in that community.
We will open a new, state-of-the-art facility in Nicholas County that will offer medical, dental, pharmaceutical and radiological services.
We will continue to partner with local health care organizations to provide health care education to the communities we serve.
We will launch new partnerships that will enhance our women’s care services.
We expect to provide over 100,000 visits in 2020.
We expect to serve 20,000 individual patients.
2020 GoalsFinancials
2019 AchievementsRecognition
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For Kim Burton and her family, finding transportation to and from appointments was difficult.
Kim’s husband works out of town during the week, and he's the only driver in their household. When Kim or one of their children needed to see the doctor, her husband would take off work to drive them to their appointments. But missing work meant missing a paycheck, and his job is the only source of income for the family.
When community health workers became aware of Kim’s situation they knew our new transportation service could help. The Sterling Health Care Transportation Service identifies patients who need rides to their appointments and takes necessary measures . They arranged for Kim and her children to be driven to and from their appointments at absolutely no cost to them.
Sterling Health Care employee Greg Manning had not seen a doctor in three years. He said he felt fine.
One day when he was walking by a clinical work area, a nurse noticed Greg’s odd cough and wheezing. She asked Greg to have a seat in an exam room, while she arranged for one of the providers to have a look at him.
Upon examination, they found Greg’s heart rate was dangerously high, which prompted an EKG (Electrocardiogram) to be performed. The EKG led to a trip to the local Emergency Room, which led to Greg being transferred to Cardiology services at a Lexington hospital, where he was diagnosed with Chronic Atrial Fibrillation (A-Fib) and was scheduled for a pacemaker installation and cardiac ablation. Quick thinking on behalf of Sterling Health’s Clinical Staff gave way to Greg getting the advanced care that saved his life.
PATIENT PROFILEPATIENT PROFILE
“For us, as a family, Sterling Health Care providing transportation to appointments is a wonderful blessing.” — KIM BURTON
“I felt fine and did not realize anything was wrong.I can’t thank Sandy, Carmela and Dr. Hall enough.” — GREG MANNING
New Transportation Service Gives Rides to Patients in Need
Employee's Near-Fatal Heart Problem Noticed While On the Job
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INTEGRATED MENTAL HEALTH CARECHRONIC CARE MANAGEMENT PROGRAM
We work to treat the entire person through our multifaceted mental health care services.
We help patients with two or more chronic health issues to achieve better control over their conditions.
Chronic Care Managers follow up with the identified patients with nutritional advice, medication reminders, assistance with making appointments with Sterling Health Care providers, assistance with obtaining referral appointments to Specialists, and so much more.
Patients enrolled in the Chronic Care Management Program receive one-on-one, focused care throughout every stage of their diseases, to ensure that they obtain the best possible outcomes.
“Our goal is to assist patients in achieving a better quality of life through self-management skills and continuous care. Our chronic care managers help patients independently manage their conditions.”
"A lot of people tend to neglect mental health care, and it’s actually an integral component in the individual.”
— BJ BUSSELL DIRECTOR OF QUALITY
— ALLISONMOTLEY-CROUCH, LCSW
Mental Health Integration bridges communication gap in care.
Our team-based care model normalizes discussing mental health in the primary care setting during every routine visit. Acknowledging the connection between mental and physical health is vital to treating the whole person, so we do just that. Every patient is screened for depression before their visit—even if it’s just for a cold. During check-ups, providers ask about depression, anxiety, substance use and more.
Each patient's primary and mental health providers meet weekly to find the best care solutions based on the full picture of their health.
Comprehensive health care to all through chronic care managers.
LEARN MORE ABOUT CHRONIC CARE MANAGEMENT LEARN MORE ABOUT MENTAL HEALTH SERVICESWWW.STERLINGHEALTHKY.ORG/SERVICES WWW.STERLINGHEALTHKY.ORG/MENTAL-HEALTH
For more information: 859-404-7686For more information:
859-404-7686
MENTAL HEALTHCHRONIC CARE
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PROVIDING THE HIGHEST QUALITY CARE TO ALL PATIENTS, INSURED OR NOT
"The Sliding Fee Scale offers low-cost services based on family size and income. It’s available to all patients regardless of insurance status or type of insurance and provides a discount for pharmacy services. Once approved, patients receive a membership card they can use to claim their discount."
“Community Health Workers reach people where they live, eat, play, work and worship. They are frontline agents of change, helping to reduce health disparities in underserved communities."
Sterling Health Care is proud to provide assistance for the uninsured by helping them connect with affordable health insurance policies through the Kentucky Marketplace.
If the cost of health insurance remains a barrier to care after reviewing the options on the Marketplace with Sterling Health Care’s Outreach and Enrollment Specialist, a patient can register for our Sliding Fee Scale Discount Program, which allows patients to pay for care based on their financial circumstances.
— RICK GRANT CHIEF FINANCIAL OFFICER
LEARN MORE ABOUT THE SLIDING FEE PROGRAM LEARN MORE ABOUT COMMUNITY HEALTH WORKERS
— TIFFANY TAUL-SCRUGGSCOMMUNITY HEALTH WORKER
From its beginning, Sterling Health Care has employed Community Health Workers to assist patients with barriers to quality healthcare.
Whether that barrier is language, transportation, finances, food insecurities, homelessness, literacy or other barriers, the Community Health Worker works closely with the patient to locate solutions available through Sterling Health Care or its community partners.
BUILDING A COMMUNITY OF CARE
We strive to bring health care to all by eliminating the obstacles between a patient and their needs.
Through the sliding fee program, qualifying patients can pay as little as $15.00 for a medical or dental visit.
Community Health Workers are the link between patients and the services that help them.
We believe in providing quality care to patients, regardless of their financial barrier to that care.
WWW.STERLINGHEALTHKY.ORG/FINANCIAL-ASSISTANCE WWW.STERLINGHEALTHKY.ORG/SERVICES
For questions about financial assistance: 859-404-7686
For questions about community outreach: 859-404-7686
COMMUNITY HEALTHFINANCIAL ASSISTANCE
Sterling Health Care Extraordinary Care for All of You 1716 Extraordinary Care for All of You Sterling Health Care
OUR PROVIDERS
Family Health & Children's Health
Holly Becker, APRN
Samantha Caldwell, APRN
Laura Carroll, APRN
Christa Caudill, APRN
Srinivas Chevuru, MD
Carmela Fletcher-Green, PA-C
Richard Hall, MD
Ginger McDaniel, APRN
Jeffrey McGinnis, MD
Carleigh Sapp, APRN
Neil Smith, DO
Shellie Stone, APRN
Erica Wilson, PA-C
Dental Care Charis Brooks, DMD
Cami Cole, RDH
Casey Howard, RDH
Nathan Rusher, DMD
Mental Health &Substance Use Disorder
Leslie Aslam, MD
Janey Huff, LCSW
Sooksai Kaewbua, APRN
Mary Manning, APRN
Stacy McCune, LCSW
Crystal Mobley, LCSW
Allison Motley-Crouch, LCSW
Kim Pulliam, LCSW
Victoria Sain-Ingle, LCSW
Pharmacy Kim Moore, RPh
Rick Sloan, RPh
Women's Care
Elizabeth Case, MD
Byram Ratliff, MD
Connie Smith, APRN
Schedule your nextappointment today
2019 PROVIDER LISTING
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Here, a nationally-recognized approach will treatall of you — mind, body, spirit and community.
Call (859) 404-7686
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Sterling Health Care Extraordinary Care for All of You 1918 Extraordinary Care for All of You Sterling Health Care
Sterling Health CareSterling Health Care Pharmacy 209 N Maysville St, Ste 200 Mt Sterling, KY 40353
Sterling Health Care - Carlisle 2330 Concrete Road Carlisle, KY 40311
Sterling Women’s Care 635 Maysville Road, Ste A Mt. Sterling, KY 40353
Sterling Health Care - Indian Mound 130 Commonwealth Drive, Mt Sterling, KY 40353
Sterling Health Care - Owingsville 44 Water Street Owingsville, KY 40360
Montgomery Dental Center 635 Maysville Road, Ste B Mt Sterling, KY 40353
LOCATION MAP
Proudly serving
BATH COUNTY
MONTGOMERY COUNTY
NICHOLAS COUNTY
POWELL COUNTY (COMING SOON)
BOURBON COUNTY (COMING SOON)
NEW FACILITY
In April 2020, Sterling Health Care will break ground on the construction of its new state-of-the-art clinic in Nicholas County. The 8,700-square-foot facility will house medical and dental providers, as well as radiology equipment and a fully-stocked pharmacy.
The new clinic will provide expanded services to the Nicholas County area. The land for the clinic was purchased in November 2019, and the project has been met with enthusiasm from Carlisle City leaders.
FIND LATEST NEWS ABOUT STERLING HEALTH CARE
We're expanding extraordinary care to Nicholas County in April 2020.
WWW.STERLINGHEALTHKY.ORG/NEWS
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PHARMACY
RADIOLOGY
x-ray
MONTGOMERY
BATH
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POWELL
BOURBON
SHC - INDIAN MOUND
MONTGOMERY DENTAL CENTER STERLING WOMEN'S CARE
SHC - MAIN SHC - PHARMACY
SHC - OWINGSVILLE
BATH COUNTY SBHC
SHC - CARLISLE
NICHOLAS COUNTY SBHC
MONTGOMERY COUNTY SBHC
20 Extraordinary Care for All of You Sterling Health Care
236 West Main Street • Mount Sterling, Kentucky 40353 (859) 404-7686 (859) 274-4312 sterlinghealthky.org sterlinghealthky
EXTRAORDINARY CARE FOR ALL OF YOU