extraordinary care for all of you · 2020-06-01 · lisa peck jeff perkins elvia reyna pam shouse...

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


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:


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


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


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


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


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


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

Our medical treatment is complete and convenient

Here, a nationally-recognized approach will treatall of you — mind, body, spirit and community.

Call (859) 404-7686

STERLINGHEALTHKY

KEEP UP WITH US ONLINE

WWW.STERLINGHEALTHKY.ORGFULL PROVIDER LISTINGWWW.STERLINGHEALTHKY.ORG/PROVIDERS


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

AVAILABLE SERVICES

MEDICAL CARE

DENTAL CARE

PHARMACY

RADIOLOGY

x-ray

MONTGOMERY

BATH

NICHOLAS

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

extraordinary care for all of you · 2020-06-01 · lisa peck jeff perkins elvia reyna pam shouse...

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