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2011 Annual Report Connecting Communities with Quality, Affordable Health Care
As the statewide association for Michigan Health Centers, Michigan Primary Care Association is impacting the health of Michigan by promoting, supporting, and developing comprehensive, accessible, and affordable community-based health care services for all residents. Our vision is to build a healthy society in which all residents have convenient and affordable access to health care that ensures excellent health outcomes and quality of life. Health Centers are a key strategic tool in assuring that underserved areas and populations have access to health care. Today nearly 600,000 Michigan residents rely on a Health Center as their health care home—including individuals who are low income, uninsured, underinsured, elderly, minority, migrant and seasonal farmworkers, homeless, and those living with HIV. If it weren’t for Health Centers, many of these individuals would remain isolated from health care due to lack of insurance, inability to pay for services, and transportation, language, and cultural barriers. Health Centers overcome these barriers by providing coordinated, comprehensive, community based health care to anyone who walks through their doors.
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Michigan Health Center Patients by Income 200% FPL* and Below 100% FPL* and Below
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Medicaid/CHIP Uninsured
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Michigan Health Center Patients by Insurance Status
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*Federal Poverty Level
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Executive Director’s Message
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CONTENTS
Partnerships
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Staff
Financial Statement
Revenue Diversification
Executive Director’s Message Michigan Primary Care Association (MPCA) is very proud to present to you our 2011 annual report. This report not only gives you MPCA’s year in review, it also places before you the many and rich opportunities for partnership, growth, transformation, and improved quality that accrue benefit to Michigan communities and their medically underserved populations through the work of Health Centers. MPCA’s member Health Centers, their staff and boards, and MPCA’s highly skilled associates are here to support and lead Michigan communities into a healthier 2012 and beyond.
Kim E. Sibilsky Executive Director
As the economy in Michigan has started to take a turn for the better, Michigan Health Center grantees and FQHC Look-Alikes have helped to lead the way. Health Centers are building new facilities, creating jobs that make communities healthier, and expanding access to care that makes families healthier. Michigan Health Centers are also reaching out to community partners, linking resources that result in a more integrated system of care. This allows individuals to be the center of their care plan and helps create a more continuous and connected set of supports that extend from your health care home to where you live “24/7”.
As with every year, 2011 offered its set of challenges. Twenty-five New Access Point (NAP) applications were submitted from Michigan, but none were funded in the first round. This challenge resulted in a binding together of Michigan’s communities and their leadership in a call for support for expanded access in the state. Communities, Congress, the Administration, foundations, and other partners expressed their concern and support for new access to health care for underserved populations in Michigan, and they were heard. There has never been a time in my 32 years working with Health Centers that I’ve seen so much support for communities in need of care. That is power and should give impetus to our next steps. Moving into 2012, transformation is our mantra, using the support we’ve gained, the leadership within our Health Centers, and the credibility we’ve accrued nationally. MPCA and its members are moving to high performing comprehensive care providers. There is a renewed focus on clinical leadership. Systems improvement processes are being implemented that will drive redesign at the point of care. Data will be transformed into information that is readily available to teams for rapid redesign. Community resources and communications systems will be aligned—all to improve the health and wellbeing of people living in the communities we serve. Thank you for a great 2011! Join us for a dynamic and transformational 2012. We welcome you as partners in this ground breaking work. n
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ACCESS
One of MPCA’s strategic goals is for all people to have access to primary care, regardless of where they live, the language they speak, their income level, or whether they have health insurance. In 2011 MPCA continued to work toward that goal by....
Assisting in the development of new or expanded sites and services where needed l
Michigan organizations submitted 25 applications to the U.S. Department of Health and Human Services in 2011 for establishing new access points. Unfortunately, due to federal budget constraints, just 67 of the 800 applications submitted nationwide were funded. Although no Michigan organizations received funding, Michigan Health Centers and friends banded together to voice concern for the funding selection process. This gave us new energy in our advocacy, both with Washington and Michigan. Senator Debbie Stabenow and other members of the Michigan Congressional Delegation, and Governor Rick Snyder and his Community Health Director worked in concert to support the need for more Health Centers in Michigan. It is estimated that 1.7 million state residents lack access to primary health care. MPCA continues to provide technical assistance to Health Centers with particular focus on increasing the number of new access points and expanding Health Center services in Michigan. The Greater Detroit area was one of the priorities in 2011. MPCA worked collaboratively with the Detroit Wayne County Health Authority, Voices of
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he following Michigan Health Centers opened new or expanded sites in 2011: Baldwin Family Health Care, Center for Family Health, Cherry Street Health Services, Covenant Community Care, Family Health Center Inc., Family Health Center of Battle Creek, Hamilton Community Health Network, Health Delivery Inc., InterCare Community Health Network, Muskegon Family Care.
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Supporting Health Centers in developing creative partnerships to expand capacity l
T he health care community in Michigan continues to strive to meet the ever growing health care needs of the population, and MPCA and its member Health Centers continue to work with partners at the community, state, and national level to ensure the health care needs of Michigan are addressed.
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I n 2011, 32 individuals served with the MPCA Community HealthCorps program: 18 served in Health Centers or with local health organizations, 13 served with MPCA’s CHIPRA program, 1 served with MPCA’s Special Populations programs. Members focused their service activities on the Corporation for National and Community Services’ Healthy Futures Priority, which emphasizes access to health care, disease prevention, health promotion initiatives, health literacy, childhood obesity, other unmet health needs, and volunteer development. Collectively, AmeriCorps members leveraged 140 volunteers for approximately 560 hours of volunteer service, provided direct assistance to 8,521 individuals, provided assessment support to 12,987 individuals, referred 998 individuals to additional services, and provided interpretative support to 442 individuals.
Detroit Initiative, members of the Detroit Area FQHC Council of Southeast Michigan, and other organizations interested in expanding Health Center services.
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August 2011, nine Michigan organizations received grant funding from the U.S. Health Resources and Services Administration to help them plan for developing into future Health Centers. Becoming a Health Center would enable them to extend comprehensive primary and preventive health services to populations currently lacking access to such services and improve their health status. MPCA continues to provide support and technical assistance to these organizations.
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I n 2011 MPCA developed a Capital Development Program to assist Michigan Health Centers in capital development efforts by identifying capital development opportunities, potential sources of funding, financing, and other assistance; providing planning and development information; and identifying potential financial consultants and experienced developers. This information is available on the MPCA website.
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M PCA received a three-year grant from The Kresge Foundation to provide Michigan Health Centers with technical assistance in developing innovative, signature capital development projects, and to seek and develop additional sources of funding for these types of projects. In 2011 MPCA launched the design of collateral materials promoting Michigan Health Center capital projects.
M PCA provided information and technical assistance to 20 Michigan Health Centers in submitting Capital Improvement grant applications to the U.S. Health Resources and Services Administration in 2011 for building, expanding, and improving Health Centers.
Assisting with enrollment in coverage programs l
D uring 2011, the second year of MPCA’s children’s health insurance outreach and enrollment program, MPCA assisted 1,562 children in applying for health insurance in 68 of 83 Michigan counties: 1,084 were enrolled in Medicaid and 145 were
ACCESS enrolled in MIChild through nearly 10,000 outreach, enrollment, and follow-up encounters. MPCA also enrolled children in Medicaid Emergency Services, pregnant women in Medicaid and MOMS, and mothers in Plan First. MPCA launched a substantial new back-to-school enrollment campaign called Enroll Michigan in partnership with the Michigan Health and Hospital Association. The campaign resulted in a 20% increase statewide in the number of online applications for coverage during August-September 2011. MPCA also received a oneyear, no-cost extension to the grant, which will allow us to continue outreach and enrollment efforts for a third year. l
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M PCA received competitive funding from the U.S. Department of Health and Human Services through the Children’s Health Insurance Program Reauthorization Act (CHIPRA) for a twoyear project to assist children insured through public coverage programs in retaining Medicaid or MIChild coverage. MPCA is using the funding to launch an innovative voice and text message reminder system and support increased local retention assistance to reach nearly 90,000 children across Michigan served by eight member Health Centers. D uring 2011 MPCA worked as a key partner in the Michigan Benefits Access Initiative (MBAI), a public-private partnership between community non-profit organizations and the Department of Human Services. MBAI focuses on “bundling” public benefit programs, including Medicaid, into one online, accessible system for clients to use in enrolling, renewing, and reporting status changes. The new system, called MiBridges, debuted in December 2011. MPCA also served as a technical assistant to MBAI pilot efforts underway in Southeast Michigan, which provided grant funding to community, faith-based, and health care organizations—including two Michigan Health Centers—to expand the level of benefit assistance provided to clients in their facilities.
Assessing the need for improved access to care statewide l
I n May 2011 MPCA was granted access to the federal Application Submission and Processing System (ASAPS). As a result, MPCA has been able to further support the State Primary Care Office (PCO) and expedite the Health Professional Shortage Area (HPSA) designation process. MPCA worked with the State PCO to redesignate 27 primary care and 26 mental health HPSAs across the state in 2011.
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M PCA completed the first report of a five-year statewide assessment of need and targeted growth areas to project patient growth, new services, required resources, and geographic locations of development. From the 26 organizations that participated in the assessment, 93 planned projects were documented with new access points accounting for nearly 75% of planned expansion.
Increasing awareness of Health Center services l
M PCA assisted Michigan Health Centers in planning National Health Center Week 2011 events to highlight how Health Centers are “Serving Locally, Leading Nationally.” Governor Snyder declared August 7-13, 2011, as National Health Center Week in Michigan.
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M PCA continued to increase awareness of Health Center services through its weekly MPCA eUpdate, website, blog, social media sites, and outreach to media outlets across the state.
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M PCA assisted Michigan Health Centers in participating in the Campaign for America’s Health Centers’ National Petition and Letter Drive. Michigan Health Centers have collected over 6,770 petition signatures and advocacy letters, showing tremendous support for Health Centers across the state and the nation.
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T o help strengthen the recognition of Health Centers as a unified and nationwide network of quality providers, MPCA joined the National Association of Community Health Centers’ Community of Community Health Centers branding initiative by adopting the FQHC brand identity mark.
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Assisting Michigan Health Centers in becoming Patient-Centered Medical Homes l
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I n 2011, two Michigan Health Centers achieved Patient-Centered Medical Home (PCMH) certification from the National Committee on Quality Assurance, and five received Blue Cross Blue Shield of Michigan PCMH certification. PCMH is being championed as the transformative model of care that will build primary care infrastructure, improve quality of health care delivery, and bend the cost curve to contain escalating health care costs. Introduced in pediatrics more than 40 years ago to address the complex care of special needs children, the PCMH model is designed to place the patient at the center of accessible, continuous, comprehensive, and coordinated care.
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M PCA completed an assessment of Michigan Health Centers’ clinical quality, PCMH, and Meaningful Use needs. The results provided the necessary information to create a Health Center focused approach to guide the strategic work of the MPCA Clinical Services Team.
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M PCA developed and began work on the Patient-Centered Medical Home Learning Community for Michigan Health Centers, a 12-month technical assistance initiative to assist participating
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Health Centers in becoming positioned to receive National Committee on Quality Assurance Level 3 PCMH designation and Meaningful Use achievement. The Learning Community launched March 1, 2012. l
I n response to needs expressed by Michigan Health Centers for assistance in the PCMH designation process, Meaningful Use achievement, practice transformation, and new staffing models for patient-centered care, MPCA held a day-long pre-conference session for clinicians at the 2011 MPCA Annual Conference.
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T wenty-five Michigan Health Centers were among 900 organizations across the country to receive Health Center Quality Improvement and PCMH Supplemental Funding in September 2011 to enhance the quality and coordination of health care, including primary and behavioral health services.
Promoting effective change to support evidence-based clinical and quality improvement across a wide variety of health care settings l
M PCA launched the Pharmacy Network to facilitate the exchange of information and collaboration among 340B pharmacy staff and those managing contract pharmacies. Nineteen pharmacists and pharmacy staff from 12 Michigan Health Centers participated in the Network’s inaugural face-to-face meeting held in November 2011.
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M PCA continues to maintain and nurture key federal and state partnerships to benefit migrant health and homeless health activities. Five Migrant Health Centers in Michigan serve about
QUALITY 18% of the state’s migrant and seasonal population. Eight Health Care for the Homeless programs in Michigan serve over 15,650 homeless individuals, either through the direct provision of care or established links with other community agencies. l
M PCA built a strong relationship with Tribal Health Centers, mainly in the area of immunization.
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M PCA developed partnerships with HIV providers, care coordinators, case managers, and key leadership to set the path for increased HIV testing and care in Michigan Health Centers.
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M PCA successfully completed a pilot project with Delta Dental to assess the impact of dental providers screening for high blood pressure when patients present for routine dental appointments. About one in three adults in the U.S. has high blood pressure, but many aren’t aware until it has reached advanced stages. Taking advantage of regular dental appointments as screening opportunities and referring patients who need further evaluation or treatment can improve health outcomes.
Improving Health Centers’ clinical performance using data to generate information to drive change l
O ffering assistance to Michigan Health Centers regarding their immunization program continues to be a vital MPCA service. This includes assessing each Health Center’s immunization program and coverage levels; providing education about new vaccines and recommendations, as well as ways to improve coverage levels; and providing technical assistance around specific problem areas. Overall coverage levels in the Michigan Care Improvement Registry (MCIR) for 2-year old children served by Michigan Health Centers in 2011 was 77%, which is 4.5% higher than the national average. The coverage level for migrant children was 80%.
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continued to use findings from the Emergency Preparedness Survey to assist Michigan Health Centers in
mitigating identified gaps in readiness and response plans. We held a full-day workshop for Michigan Health Center staff in 2011 to increase knowledge and build a network. l
T he MPCA Health Information Technology Network continues to support electronic health record (EHR) implementation in Michigan Health Centers. Michigan Health Centers have an 87.5% EHR adoption rate. In 2011 the Network continued progress on creating a data repository that would enable MPCA to utilize our information technology capacity in collecting member data and converting it to information to drive change. Members will have the capability of producing reports such as National Committee on Quality Assurance Patient-Centered Medical Home reporting, clinical data quality validation, lost revenue reports, chronic disease management, clinical process improvement tracking, and detailed aging and productivity trending.
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technology service, VirtualCHC, provided Health Information Technology (HIT) support to 60 Health Centers in 15 states through online hosting of software applications including practice management systems, electronic health records, accounting systems, HIT consulting, and HIT equipment purchasing services. VirtualCHC also hosted online clinical registries, a data warehouse, and data management and reporting solutions for quality data.
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n 2011 MPCA established the position of Director of Quality and Clinical Services to lead MPCA’s internal clinical services team, collaborate with Health Center clinical leadership, and strengthen external partnerships. The team also restructured communication delivery strategies to more effectively and efficiently communicate with Michigan Health Center clinicians, and it recruited new clinical representation on the MPCA Board of Directors.
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MPCA assists Michigan Health Centers in operating as stable, innovative, and highly efficient organizations by...
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Assembling and maintaining an infrastructure to support Health Centers in continuous improvement and innovation
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M PCA established the position of Manager of Health Center Operations in 2011 and formed a Health Center Operations team.
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M PCA began work on and piloted a new online repository for educational content, resources, and best practices that will be formally launched in 2012. This new platform will utilize advanced technology to deliver engaging audio, video, and module-based learning experiences for Health Centers to improve organizational processes and explore innovative practices.
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OPERATIONS
T o promote information, educational opportunities, and peerto-peer networking among Michigan Health Center staff, MPCA continues to facilitate Communication Networks focused on behavioral health, billing, clinical services, communications, finance, grassroots advocacy, Health Center board member governance, human resources, operations, outreach and enrollment, and pharmacy.
Assisting Health Centers in maintaining financial stability l
M PCA provided financial analysis and advocacy on two advanced primary care demonstration opportunities from the U.S. Health Resources and Services Administration and the Centers for Medicare and Medicaid Services.
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M PCA resolved numerous reimbursement policy issues in 2011, including modifications to when a Health Center begins to receive payment from Medicaid as Federally Qualified Health Center (FQHC). This resulted in securing several million dollars in revenue for Michigan Health Centers. (The term FQHC is defined in Medicare and Medicaid statues, and it is used by the Centers for Medicare and Medicaid Services to indicate that an organization is approved to be reimbursed under Medicare and Medicaid using specific methodologies for FQHCs.)
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M PCA enhanced its support to Michigan Health Centers in the area of billing by expanding the MPCA Billing Network, hosting a billing and coding conference, and delivering online trainings.
OPERATIONS Assisting Health Centers in growing the expertise and resources needed to operate high-performing, efficient organizations l
M PCA supports workforce recruitment and retention efforts for all safety net facilities by generating prospective employment leads and assisting Health Centers in recruiting suitable candidates. A major focus of MPCA’s Workforce Development Program is to increase the number of Health Centers participating in provider retention programs such as the National Health Service Corps, Michigan State Loan Repayment Program, and J-1 Visa Waiver.
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M PCA hosted 13 in-person and 27 online training and education events attended by hundreds of individuals from Michigan Health Centers and other organizations. Topics ranged from Health Center billing, to emergency management, to combatting childhood obesity. Attendance at the 2011 MPCA Annual Conference was a record high.
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M PCA conducted an in-depth assessment of Health Center operations, finance, and billing/reimbursement training and technical assistance needs to inform strategic planning, workplan development, pursuit of funding opportunities, and member offerings.
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M PCA negotiated a group purchase of the Optimizing Comprehensive Clinical Care (OCÂł) Compliance and Performance Improvement (CPI) Manual. The manual provides Health Centers with a solid foundation for achieving compliance with legal requirements, meeting accreditation standards such as those from the Joint Commission and the National Committee on Quality Assurance Patient-Centered Medical Home Recognition Program, and implementing best practices in the field.
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M PCA actively monitored funding opportunities, alerted Health Centers of potential funding partnerships, and coordinated funding applications on behalf of Health Center groups.
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MPCA formed a state-based, Health Center specific user group for organizations using NextGen Electronic Health Record and Practice Management systems.
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PARTNERSHIPS
MPCA represents Michigan Health Centers in its work with partners at the community, state, and national level to ensure Health Centers are leaders in health systems change by...
Developing relationships with policymakers and assisting them in developing policy that impacts accessibility, capacity, quality, and delivery of care
Congressman Fred Upton visited InterCare Community Health Network’s new site in Benton Harbor in celebration of National Health Center Week 2011.
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G overnor Rick Snyder included reforming Michigan’s health care system in his Top 10 Plan for the state. He specifically named Health Centers as a strategy to help ensure that every resident has access to affordable and quality health care; placing value on prevention and wellness; and moving Michigan to a more patient-centered model to achieve large cost savings, promote wellness, and improve overall service quality. The Governor delivered a special message on health and wellness in 2011 from the Heart of the City Health Center in Grand Rapids.
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U nder the leadership of Governor Snyder, the Michigan Legislature maintained the integrity of Medicaid in the fiscal year 2012 budget (October 1, 2011, through September 30, 2012) by preserving current eligibility categories, benefits, and provider rates. This ensures Michigan’s 1.9 million Medicaid beneficiaries have access to essential primary and preventive care. This included maintaining dental benefits for adult Medicaid beneficiaries; these were eliminated and then reinstated twice in the recent past.
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W ith support from MPCA, Michigan Health Centers hosted visits with state legislators and members of the Michigan Congressional delegation so they could experience, first-hand, how Health Centers benefit Michigan residents and communities.
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M PCA hosted its annual Legislative Forum in March 2011 to build and nurture relationships with state legislators and discuss issues impacting Michigan Health Centers.
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M ichigan Health Center advocates joined with advocates from across the country to meet with Congressional staff during more than 380 visits to Capitol Hill in March 2011.
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ichigan Primary Care Association continuously collaborates with partners at the local, state, and national level—governmental agencies, elected officials, community organizations, educational institutions, foundations, and more.
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S enator Debbie Stabenow once again co-sponsored the Health Centers Dear Colleague Letter in the U.S. Senate, a key step in the annual federal appropriations process in determining the level of federal funding for the Health Centers Program.
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M PCA mobilized Michigan Health Center advocates to educate the Michigan Congressional delegation about the critical importance of the Medicaid program for Health Centers and patients through a national call-in day, state call-in day, and media outreach efforts.
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M PCA launched the Grassroots Advocacy Network to facilitate Michigan Health Centers’ advocacy efforts and streamline the sharing of information.
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Creating or identifying opportunities for participating in new models of service delivery and reimbursement that integrates care or expands service delivery and demonstrates effective reimbursement mechanisms l
I n an effort to improve health outcomes, decrease health care costs, and improve the experience of care among Medicaid beneficiaries with behavioral health or selected chronic physical conditions, MPCA collaborated with the Michigan Association of Community Mental Health Boards in developing a Michigan Medicaid Health Homes proposal that was submitted to the Michigan Department of Community Health for consideration.
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E ighteen Michigan Health Center sites were among 500 Health Centers across the country selected to participate in the Centers for Medicare and Medicaid Services’ three-year Federally Qualified Health Center Advanced Primary Care Practice demonstration project. The intent of the demonstration is to show how the PCMH model can coordinate and improve quality of care, promote better health, and lower costs of care delivered to Medicare beneficiaries and other patients.
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M PCA served on two workgroups charged with drafting the state’s Medicare/Medicaid dual integration planning project. Michigan was one of 15 states to receive a CMS contract to develop ways to improve care and services for individuals who are dually eligible for Medicare and Medicaid. Michigan Health Centers are the health care home for 23,000 individuals who are dually eligible for Medicare and Medicaid.
Participating and influencing health care reform development and concurrent system changes at the state and federal level l
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I n anticipation of the Centers for Medicare and Medicaid Services’ release of the interim rule for Accountable Care Organizations (ACOs), MPCA established an ACO workgroup and drafted a proposal for establishing a statewide Independent Practice Association (IPA) for MPCA members. M PCA supported state legislation (S 693) that Senator Jim Marleau introduced in 2011 for creating a health insurance marketplace in Michigan, called the MiHealth Marketplace, and successfully advocated for Senate passage of the bill. The House has yet to take action on the bill.
I n collaboration with its partners of the Michigan Consumers for Healthcare, MPCA celebrated the Affordable Care Act’s first birthday in March 2011 by co-hosting birthday parties in communities across the state and providing information on the ACA to educate state residents about its benefits.
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A t both the state and national level, MPCA has been a critical player in efforts to integrate behavioral health care into the primary care setting, and comprehensive primary care into the behavioral health setting. MPCA worked closely with the Michigan Association of Community Health Boards and the National Council for Community Behavioral Healthcare, U.S. Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration, and Michigan Medicaid to create meaningful and sustainable integration of mental health, substance use, and primary care services. In November 2011, MPCA hosted a Behavioral Health/Primary Care Integration Conference, attended by over 300 primary care and mental health advocates, and we launched a year-long series of monthly webinars that began in December 2011.
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M PCA began a comprehensive analysis of existing/evolving behavioral health integration projects of Michigan safety net providers. These projects will be showcased on the MPCA website to increase awareness of the projects, provide guidance and resources for Health Centers in choosing an integration model, and to serve as an advocacy and policy planning tool.
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M PCA AmeriCorps program staff helped the Michigan Association of United Ways develop their AmeriCorps Community Resource Navigator program by providing direct program oversight through December 2011 when a program director was selected to oversee the United Way program. This program has added an additional 33 members to Michigan’s AmeriCorps Program, providing direct support to Michigan Benefits Access Initiative and regional 2-1-1 Call Centers.
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BOARD of DIRECTORS
MPCA Board of Directors
MPCA Executive Committee Anthony V. King, FACHE, MHSA President The Wellness Plan Medical Centers Joseph W. Ferguson, MHA, FACHE President-Elect Advantage Health Centers Donald Simila, MSW, FACHE Treasurer Upper Great Lakes Family Health Center Mary Middleton Secretary Cassopolis Family Clinic Adrienne Glover Chair, Health Center Board Member Committee Cassopolis Family Clinic
Linda Atkins Western Wayne Family Health Centers Christine Baumgardner Alcona Health Centers Wayne W. Bradley, Sr. Detroit Community Health Connection Arlene Brennan, RN, MSN, MHSA Traverse Health Clinic Sheila Bridges, MBA Muskegon Family Care Deb Brinson, MPA Ingham County Health Department Brenda Coughlin, MD Health Delivery, Inc. Denise Crawford, MSW, MBA Family Health Center, Inc. Dale Ernst Center for Family Health Lisa Galonska Health Delivery, Inc. Marcia Gibbard East Jordan Family Health Center Ricardo Guzman, LMSW, MPH Community Health & Social Services (CHASS) Center
Velma Hendershott InterCare Community Health Network Donna Jaksic Upper Peninsula Association of Rural Health Services AJ Jones, ND Family Health Center of Battle Creek Linda Juarez, MPH Hackley Community Care Center Molly Kaser Center for Family Health Laurel Keenan Bay Mills Health Center Ed Larkins Family Medical Center of Michigan Bradford Mathis Saint Mary’s Health Care Community Health Centers Dan McKinnon East Jordan Family Health Center Darrell E. Milner, MPH MidMichigan Health Services Clarence Pierce, MS Hamilton Community Health Network
Paul Propson Covenant Community Care Cynthia Roush Downriver Community Services Roger Rushlow Sterling Area Health Center Kathy Sather, BSN, MBA Baldwin Family Health Care Chris Shea Cherry Street Health Services Linda Shively, MPA, HCA Oakland Primary Health Services Herb Smitherman, MD, MPH Health Centers Detroit Medical Group Marilyn Stolberg, DDS Baldwin Family Health Care Michelle Styma Thunder Bay Community Health Service, Inc. Cynthia Taueg St. John Providence Health System Ashley Tuomi American Indian Health & Family Services of Southeastern Michigan, Inc. Judith Williams, MPH, MSW Northwest Michigan Health Services, Inc.
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STAFF
Kim Sibilsky Executive Director
Bill Collin, MBA, CPME Project Manager
Erin Rogers Office Administrator
Dustin Barber Information Technology Assistant
Michael Gleason Network Administrator
Kristin Seyfert Receptionist
Brittany Beard Health Access Coordinator
Matt Herwaldt, CMA Accounting Manager
Mazhar Shaik, MD, MBA Director of Quality & Clinical Services
Kimberly A. Benjamin, PHR Workforce Development Specialist
Dana Lawrence Director of Communications & Grassroots Advocacy
Cindy Shaw, CHRS, CERP Certified Human Resources Specialist
Phillip J. Bergquist Manager of Health Center Operations, CHIPRA Program Director
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Barbara Lincoln Conference & Events Coordinator
Carolee Besteman, RN, MS Clinical Consultant
Kevin McGhee AmeriCorps Program Specialist
Patrick Burke Director of Finance & Operations
Lynda Meade, MPA Program Manager
John Cahill, CHP Information Systems Manager
Katie Nearpass Accounting Assistant
Andrea Charlton, MPH, MSW Community Health Planning Manager
Douglas M. Paterson, MPA Director of State Policy
Rebecca Cienki, MPH Director of Strategic Growth
Rob Pazdan Manager of Network Operations
Neal Colburn, CPHIT, CPEHR, CPHIE Director of Capital Development
Natasha Robinson CHIPRA Program Specialist
Erin Sloan-Turner CHIPRA Program Specialist John Taylor AmeriCorps Program Director Jon Villasurda, MPH Data & Policy Specialist
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FINANCIAL STATEMENT
Statements of MPCA Financial Activities Year ended September 30
Statements of MPCA Financial Position
REVENUE & SUPPORT Member dues and assessments
Year ended September 30 2010
2011
Cash and cash equivalents
$16,751,564
$9,504,699
6,092
1,642
Accounts receivable
784,362
739,770
Land and buildings - net
837,127
860,075
Other property, equipment - net
106,723
70,217
18,485,868
11,176,403
Prepaid expenses
Total assets LIABILITIES & NET ASSETS Accounts payable
3,511,756
3,271,901
Accrued expenses
122,406
107,158
Loans payable
651,695
667,357
Deferred revenues
13,637,634
6,687,248
Total liabilities
17,923,491
10,733,644
562,377
442,739
18,485,868
11,176,403
Net assets - unrestricted Total liabilities and net assets
$510,978
195,033
131,537
Business services
1,116,618
757,715
Grant income
2,808,223
4,062,993
14,920,281
13,144,079
381,060
193,727
20,109,026
18,801,029
Federal grant programs
1,704,780
2,453,651
State and other grant programs
1,225,843
1,435,354
15,125,184
13,214,588
Member services
283,283
290,028
Business services
922,513
757,019
Training and education
231,962
175,889
Management and general
495,823
476,328
19,989,388
18,802,857
Change in net assets
119,638
(1,828)
Net assets - beginning of period
442,739
444,567
Net assets - end of period
562,377
442,739
Contract income Other income Total revenue and support EXPENSES
Contracts
Liabilities
2011
$687,811
Training and education
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2010
Total expenses
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I n 2011 MPCA provided Administrative Services support for several organizations. The support work included contract administration, invoicing, cash receipts, bill payment, financial reporting, and financial oversight. In return for providing these services, MPCA received service fees. The programs and organizations that MPCA supported include the Child and Adolescent Health Center program through the Michigan Department of Community Health, various school health programs through the Michigan Department of Education, and the Michigan Primary Care Consortium.
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T he MPC Insurance Agency was quiet in 2011 as all work was focused on establishing a new program for health insurance (see next bullet). The MPC Insurance Agency is looking to get back on track in 2012. Insurance products offered through the agency are Long-Term Disability, Short-Term Disability, and Life Insurance. The Agency is working exclusively with Lincoln Financial Group to provide these policies. The Lincoln products provide excellent coverage and a competitive price. Other products available through the Agency are Directors and Officers Liability, and “GAP” liability. The GAP policy is designed to provide coverage where the Federal Tort Claims Act (FTCA) will not.
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I n 2011, a new non-profit corporation was established to administer the health insurance program—the Michigan Community Health Centers Employee Benefit Program, Inc. The Employee Benefit Program (EBP) is supported by a committed Board of Directors and an attorney with expertise in EBP. An
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experienced third party administrator has been secured to handle insurance claims. The EBP is ready to enroll Health Centers in 2012. MPCA will contract with the EBP to provide support services to participating Health Centers. l
M embership dues in 2011 were a vital source of revenue for MPCA activities. Projects funded through member dues include Legislative Advocacy, Shareholder Partnerships, and Clinical Services. All three of these projects were priorities of the MPCA Strategic Plan for 2011.
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2 011 MPCA funding partners included the U.S. Department of Health and Human Services-Health Resources and Services Administration, U.S. Department of Health and Human ServicesCenters for Medicare and Medicaid Services, Michigan Health Centers, Michigan Department of Human Services, Michigan Department of Community Health, Michigan Community Service Commission, Michigan Department of Education, Michigan Oral Health Coalition, Michigan Public Health Institute, Michigan Primary Care Consortium, MidWest Clinicians’ Network, Detroit Wayne County Health Authority, University of Michigan, Kresge Foundation, and Community Health Ventures, Inc.
Michigan Health Center Program Grantees
Michigan FQHC Look-Alikes
These organizations receive section 330E (Community Health Center), section 330G (Migrant Health Center), and/or section 330H (Health Care for the Homeless Health Center) funding under the Public Health Service Act, as amended.
These organizations have been certified by the Centers for Medicare and Medicaid Services (CMS), based on recommendations provided by the U.S. Health Resources and Services Administration/Bureau of Primary Health Care, as meeting all Health Center Program requirements. They do not receive funding under the Health Center Program.
Advantage Health Centers Detroit | 330E, 330H Alcona Health Centers Lincoln | 330E Baldwin Family Health Care Baldwin | 330E Bay Mills Health Center Brimley | 330E Cassopolis Family Clinic Cassopolis | 330E Center for Family Health Jackson | 330E Cherry Street Health Services Grand Rapids | 330E, 330G, 330H Community Health & Social Services Center Detroit | 330E Covenant Community Care Detroit | 330E Detroit Community Health Connection Detroit | 330E Downriver Community Services Algonac | 330E, 330H East Jordan Family Health Center East Jordan | 330E Family Health Center, Inc. Kalamazoo | 330E, 330H Family Health Center of Battle Creek Battle Creek | 330E, 330H Family Medical Center of Michigan Temperance | 330E Hackley Community Care Center Muskegon | 330E Hamilton Community Health Network Flint | 330E, 330H *Health Delivery, Inc. Saginaw | 330E, 330G *Ingham County Health Department Lansing | 330E, 330H InterCare Community Health Network Bangor | 330E, 330G MidMichigan Health Services Houghton Lake | 330E Muskegon Family Care Muskegon | 330E Northwest Michigan Health Services, Inc. Traverse City | 330G Oakland Primary Health Services Pontiac | 330E Saint Mary’s Health Care Community Health Centers Grand Rapids | 330H Sterling Area Health Center Sterling | 330E Thunder Bay Community Health Service, Inc. Hillman | 330E Upper Peninsula Association of Rural Health Services, Inc. Marquette | 330E Western Wayne Family Health Centers Inskter | 330E
Health Centers Detroit Medical Group Detroit *Health Delivery, Inc. Owosso *Ingham County Health Department Lansing Upper Great Lakes Family Health Center Gwinn The Wellness Plan Medical Centers Detroit *These organizations are both Health Center Program Grantees and FQHC Look-Alikes.
Other Community-Based Providers Represented by Michigan Primary Care Association American Indian Health & Family Services of Southeastern Michigan, Inc. Detroit St. John Providence Health System Warren
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