Curtis V. Cooper Primary Health Care, Inc.

Accessible, Affordable and Quality Health Care

1

Historical Time line

1971 Feasibility Study through Economic Opportunity Authority for Savannah-Chatham County (EOA)

1972 The Creations of Westside Comprehensive Health Center, INC (CHC Funding)

1974 Robert Street Location opened

1977 A group of independent physicians open Urban Health Center (FQHC) at 115 E. York Street

1981 Westside Comprehensive Health Center and Urban Health Center Merger- becoming Westside Urban Health Center, Inc. under the leadership of Curtis V. Cooper

1991 Chatham County Indigent Health Care Grant Awarded (1st County Award)

1994 Chatham County Indigent Health Care Grant Renewed

1994 Public Housing Site Opened at 840-A Hitch Drive

2

Current Hours of Operation

Robert Street Monday-Friday 8am-5pm

East Broad Street Monday, Wednesday, Friday 8am-5pm

Tuesday & Thursday 8am-7pm Saturday 9am-2pm

W. Bryan Street (pending renovations)

Monday-Friday 8am-5pm

CVCPHC, Inc.

3

Mission Statement

Curtis V. Cooper Primary Health Care, Inc. has a commitment to improve the health status of ALL individuals in Savannah/Chatham County, especially those with limited financial resources and high-risk populations. This will be accomplished by providing convenient access, high quality and comprehensive health care by qualified, culturally sensitive staff.

4

Shared Vision

Continuing a tradition of excellence in the provision of quality comprehensive health care that is effective and accessible

Promoting networks among health care providers, recipients, and the community

Providing preventive, acute and chronic care, in addition to enhanced support services such as health education, case management, outreach etc.

Treating our patients, the community and co-workers in a professional and respectful manner with dignity and sensitivity.

5

Curtis V. Cooper Primary Health Care, Inc.

Not-For-Profit Organization Target Population: Savannah-Chatham County-Uninsured

and Underinsured Member of Georgia Association For Primary Health Care

(GAPHC) and Chatham County Safety Net Planning Council

Supported by: U.S. Department of Health and Human Services HRSA Bureau of Primary Health Care (BPHC) and Chatham County

6

Service Area Population

Target Population

Population % white

% Black

% Hispanic

% Other

Chatham 265,128 52.8 40.1 5.4 5.4 Savannah 134,699 40 54.6 2.6 2.8 ZC 31401 26,824 43.3 49.2 4.6 4.6 ZC 31404 32,133 29.6 66.5 1.4 1.4 ZC 31405 32,769 42.4 51.3 3.2 2.9 ZC 31406 38,488 62.1 32 2.3 3.4 ZC 31408 12,327 41 49 7 2.7 ZC 31415 12,697 2.9 94.1 2 .08

ZC 31419 48,538 54.4 35.2 4.5 5.7

7

Scope of Services

Medical PHYSICALS IMMUNIZATIONS PRENATAL/ WOMENS HEALTH FAMILY PLANNING SCREENINGS (Cancer, Communicable diseases, Cholesterol,

Lead, Vision, Hearing, HIV and Dental) URGENT CARE HOSPITALZATION

Dental X-Ray Laboratory Pharmacy

We provide the following services to Adult, Geriatric, Adolescent, & Pediatric patients

Non-Clinical Services NUTRITION COUNSELING PATIENT EDUCATION CASE MANAGEMENT MEDICAID ELIGIBILITY TRANSLATION

Referrals

BEHAVIORAL HEALTH SUBSTANCE ABUSE SPECIALTY CARE

8

Organizational Structure

Board of Directors

Executive Director

Senior Management

Supervisors

Other Staff Members

9

Board of Directors

The Board exercise full authority and oversight of the health center by providing leadership and guidance that supports the health centers mission and legal responsibility for ensuring that the health center operates in accordance with applicable federal, state, and local laws and regulations.

Representatives include community and patient population

14 members (Bankers, Private business or entrepreneur, educators, public utilities, public service, ministerial, etc.)

51% are CVCPHC users 49% are community leaders and healthcare providers

Conduct Monthly Meetings Approves Annual budget Sets Long-term goals and operational plans in which the Executive

Director is directly responsible for. 10

Goals

1. Increase Access 2. Improve Quality of Care 3. Improve Effectiveness and Efficiency

11

CVCPHC Medical Overview

Offers comprehensive community based primary and preventive health care services to anyone regardless of their ability to pay

Offers physician directed primary care services through a team approach by utilizing Physicians, Physician Assistants, Nurse Practitioners, and clinical and administrative support staff

Provides urgent care to patients on a walk-in basis in addition to providing primary care by appointments

In addition to preventive and primary care services laboratory, X-Ray, and Pharmacy Services are available

Through collaboration with the health department our staff also provides primary care, nutrition counseling, and health education for HIV patients along with medications

12

2009 Patient Population

70%

15%

11% 4%

UninsuredMedicaidMedicare

Number of Patients Income as a percentage of poverty

14,175 100% below poverty level

1,658 101-150% above poverty level

542 151-200% above poverty level

1,203 200% above poverty level

17, 592 Total Medical Users 13

2010 Patient Population

71%

15%

10% 4%

UninsuredMedicaidMedicare

Number of Patients Income as a percentage of poverty

13,844 100% below poverty level

1,887 101-150% above poverty level

597 151-200% above poverty level

1,556 200% above poverty level

17, 884 Total Medical Users 14

2011 Patient Population

75%

11%

10% 4%

UninsuredMedicaidMedicare

Number of Patients Income as a percentage of poverty

12,251 100% below poverty level

1,676 101-150% above poverty level

531 151-200% above poverty level

1,884 200% above poverty level

16,342 Total Medical Users 15

Patient Population (continued)

35% of the patients have hypertension 14% of the patients have diabetes Percent of Hypertensive Patients with Blood Pressure Less than 140/90

Percentage of Diabetic Patients with HbA1c less than or equal to 9% Percentage of Diabetic Patients with HbA1c less than or equal to 7%

CVCPHC National 56% 69%

CVCPHC National 61% 71%

CVCPHC National 30% 40%

16

PATIENT VISITS

2008 2009 2010 2011 Percentage

Medical 43,863 48,776 48,330 44,488 91%

Dental 2,847 5,105 5,447 4,406 9%

Enabling 160 162 205 1,463 1%

Totals 46,870 54,043 53,982 50,357 100%

17

Collaborations

Hospitalizations Medicaid Eligibility Workers Medications HIV / Case Management / Prenatal care Resident Program Training Programs

BSN/NP, X-Ray Technicians Nurse Practitioners PA, MA & Pharmacy Training LPN, MA, & Dental Assistants Training

Chatham County Health Department

MedBank Foundation, Inc.

18

Operations / Funding

Income Expense

$8,773,234 $8,780,937

$0

$1,000,000

$2,000,000

$3,000,000

$4,000,000

$5,000,000

HRSA Chahtam Co. Insurance/Patient

$2,895,167

$2,958,000

$2,719,702

Revenue Source

33% 31%34%

19

Economic Impact

In 2009, CVCPHC contributed almost $9 million to the County’s economy

Indirectly CVCPHC added $5.4 million to the County’s economy from indirect and induced economic activity including $1.8 million in household income and 121 jobs

For every dollar spent CVCPHC created $1.60 in economic activity and from every 10 health center jobs 7 additional jobs were created within the County.

CVCPHC purchases a wide variety of goods and services from other Chatham County businesses, adding jobs, income, and profits to local industries.

20

Economic Impact (continued)

As a result of the 12,485 uninsured patients served in 2009, medical cost to the county was reduced by approximately 34.9 million. Over five years the estimated cost savings was approximately $175 million

Emergency room savings to the county from patients served by CVCPHC was approximately $2.2 million in 2009 and approximately $10.8 million over the last 5 years

The cost of treating diabetic patients at an FQHC such as CVCPHC cost less than other primary care providers and hospitals. CVCPHC estimates that there has been a savings of $3 million to the county for patients with diabetes in 2009

21

THANK YOU CVCPHC

22