BRANCHING

OUT2015 ANNUAL REPORT

BERKS COMMUNITY HEALTH CENTER 1

Access to primary healthcare remains challenging for many people in our community. According to the recently completed Berks County Community Health

county residents still face economic hardships. Nearly 10% of county residents skipped medical care due to cost. These issues are

Berks Community Health Center exists

Berks County. To accomplish this important

open a third BCHC site and will continue to work to identify areas of the county where greater access is needed.

Quality Committees guide us, and support decisions like expanded

is a pleasure to work with a team of people who are so committed to

group of community leaders.

Nick Marmontello, Jr.Chair, Board of Directors

FROM THE

Board Chair

Nick Marmontello, Jr. Chair, Board of Directors

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Board of Directors

Nick Marmontello, Jr., Chair

Michael Reese, Vice Chair

James Spencer, Treasurer

Donald F. Smith, Jr., Esq., Secretary

Nancy Yocom, Assistant Secretary

Margaret Bligh

Margarita Caicedo

Yessenia Garcia

Mary C. Hahn

LuAnn Oatman

Gary W. Rightmire, Past Chair

Maria Simons

DuShawn Ware

Advisory Board

D. Michael Baxter, MD

Patricia Giles

Gerald P. Malick, MD

Karen A. Rightmire

BRANCHING OUT 2015 ANNUAL REPORT2

In Memory of Ruth M. McGrath

Sadly, we recently lost a beloved member of our Board of Directors, Ruth McGrath. A founding BCHC Board member, Ruth had the vision and passion to establish a Federally Qualified Health Center in Berks County which came to fruition in

June, 2012. She continued to serve as a board member and committee chair until her untimely death in February, 2016. As BCHC moves forward, the Board will remember and rely upon the insight and guidance provided so capably by Ruth. She is deeply missed.

FROM THE

CEO2015 was a memorable and expansive year at Berks Community Health Center which makes our theme, “Branching Out,” so appropriate. Not only did we add another health center location, we expanded the breadth and impact of our services to better serve our patients and the community.

Our greatest challenge and achievement this year was opening BCHC at Oakbrook. A remarkable partnership with the Reading Housing Authority resulted in a beautiful new health center that will serve not only residents of the Oakbrook Housing Development and Sylvania Homes, but families in Southwest Reading and surrounding communities like Shillington, Mohnton and beyond. You will

read more about the project in this report. The addition of key specialty services, woven into the fabric of primary care, was another goal we had set for ourselves, and we made great progress.

The seeds for our Integrated Behavioral Health program, directed by Helen Wooten, LCSW, were planted as 2014 drew to a close, and in 2015 the program took firm root and grew apace. This approach allows for brief intervention in the primary care setting for emotional or mental health problems patients are experiencing, with referral to appropriate outside services for longer-term needs.

Another initiative was to address the debilitating impact of diabetes in our community by improving access to related specialty care right at our health centers. Podiatrist, Dr. Noahleen Betts joined BCHC part-time in January, 2015. It was not long before the demand for her care mushroomed, and by the end of the year she became a full-time provider. We added a registered dietitian Dori Goulden to our staff in the fall to provide personalized dietary counseling to patients at both health center locations. I have heard from patients how much they appreciate this addition to our services.

We also welcomed an OB/GYN, Dr. Nwogo Agbasi, to the BCHC family on a part-time basis. She and Dr. Tom Raff, Reading Health System Family Medicine physician and educator, have made great inroads increasing the number of patients receiving early prenatal care and family planning services.

Finally, I am very proud to report that, amidst all of this activity in 2015, led by our Chief Medical Officer Dr. Mary Kelleher and other leadership staff, BCHC earned recognition as a Patient-Centered Medical Home (PCMH) from the National Committee on Quality Assurance (NCQA). This was no small undertaking, in which BCHC demonstrated that our model of primary care combines teamwork and information technology to improve care, improve patients’ experience of care and reduce costs.

For all of these achievements, I want to thank our Board, our physicians and nurse practitioners, the leadership team and every single member of the BCHC staff. All of this happened because of hard work and dedication of the exceptional group of people that make up our BCHC family.

Mary H. KargboCEO

Mary H. Kargbo CEO

MissionTo improve access and the health of our community through the delivery of coordinated comprehensive services for all residents of Berks County regardless of their economic status.

VisionTo have all residents of Reading and Berks County lead healthy lives through the delivery and coordination of affordable, comprehensive, culturally-sensitive patient- and family-centered healthcare.

ValuesTo achieve our mission and realize our vision, we embrace the following values:

Respect for People

Quality

Integrity

Community Focus

BRANCHING OUT 2015 ANNUAL REPORTBRANCHING OUT 2015 ANNUAL REPORT BERKS COMMUNITY HEALTH CENTER 3

BCHC at Oakbrook Opens

in response to healthcare needs

areas. A consortium of concerned

opened an opportunity to apply for a

ticking. The health center needed to

pointed out that BCHC was grateful to

The inside was totally gutted and

accommodate three primary

include a Healthy Eating room, with a full kitchen and seating for

and hands-on demonstrations.

space for health education programs

BRANCHING OUT

BRANCHING OUT 2015 ANNUAL REPORT4

and health sciences students is an

to BCHC patients during each

do Community Nursing rotations and offer education programs and

and interest. “There is great potential for us to offer other programs the

“I’m sure not only the need in the community, but also the collaboration among these great organizations, was key to the approval for a new health center,” said Mrs. Kargbo.

BERKS COMMUNITY HEALTH CENTER 5

BERKS COMMUNITY HEALTH CENTER

2015 Annual Report

22,629Total Number of Patient Visits in 2015

7,608Total Number of Unduplicated Patients

Patients by Sex

Patients by Age

Male39%2,987 Female

61%4,621

Under 1821%1,566

18 to 6469%5,290

65+10%

752

Patients by Income Level

100% of FPLand below

84%6,401101-150% of FPL 9% 692

151-200% of FPL 3% 193

More than 200% of FPL 2% 164

Unknown/unreported at time 2% 158

2015By The Numbers

Homeless 125

Veterans 79

Agricultural workers or their dependents 53

112

Adults with no health insurance 685

384

Patients Treated Major Health Problems

with no health insurance

2,1531,972

1,3191,2891,284775

depression or other mood disorder

BRANCHING OUT 2015 ANNUAL REPORT6

Statistics Revenue 2015 2014

Net Patient Services Revenue 3,249,074 1,948,510

Total Revenue 6,188,853 4,876,472

Expenses

and professional fees

Total Expenses 5,685,490 4,509,479

Net Revenue $ 503,363 $ 366,993

Berks Community Health CenterStatement of Operations and Changes in Net Assets

Medicaid/CHIP/Other

public insurance

59%4,506

Patients by Insurance Coverage

Medicare: 18% 1,385

No Insurance 10%797

Private/Commercial Insurance13%920

Patients by Zip Code

1960129% 2,198

1960227% 2,208

1960421% 1,587

19611 6% 485

19606 4% 339

Other 196 Zip Codes7% 510

195 Zip Codes4% 279

Other Zip Codes2% 182

Ethnicity

Non-Hispanic/Latino28%2,162

Hispanic/Latino72%5,445

Patients by Ethnicity and Raceethnicity, and is reported separately from how patients

Race

Black/African American

17% 1,267

Unknown/refused to

identify26% 1,970

White/Caucasian51% 3,914

American Indian/Alaska Native 2% 149

More than one race 3% 273

Asian .8% 31

Hawaiian/

.2% 4

BERKS COMMUNITY HEALTH CENTER 7

Expanding Primary Care Services

symptoms like poor sleep, a decreased or increased appetite, or lack of energy. All of

Health model at BCHC starts with primary care staff screening all patients routinely

patient wants to reach out for assistance, the

who are struggling with physical, social

help our patients right away, during their

counseling session or two at BCHC is all

Health Counselor may include learning coping strategies, such as relaxation, sleep hygiene and mindfulness skills. “There

we hope to decrease the likelihood of a

patients for psychotherapy and long-term counseling to one of the many excellent

it really makes a difference if we can address

setting are the future for community health

face challenges in accessing specialist care,

BRANCHING OUTIntegrated Behavioral Health Addresses Emotional and Mental Health Needs

federal funds supporting extended

and people without a regular doctor. Health center hours were expanded

practitioner and support staff, now

people whose only source of care

at BCHC offers the ideal opportunity

long-term relationship with a primary

to go for care.

Walk-In Triage Program Aims to Reduce ER Visits

BRANCHING OUT 2015 ANNUAL REPORT8

hypertension in Berks County, which is

these chronic diseases from all angles.

one-on-one nutrition planning and follow-up for patients. The hand-off from primary

simple one, which makes it more likely

week she leads a group on a walk around

healthy eating and exercise.

Nutrition Program Offers Innovative Approaches

of Health to support increased access

BCHC was poised to offer care for high-risk pregnancies and complicated

low-risk pregnancies since BCHC opened.

the woman got early prenatal care, either

including care for high risk pregnancies,

procedures, management of complex

the relationships that encourage women to get prenatal care early

chances for a healthy pregnancy and

Free Pregnancy Testing Sparks Growth in Prenatal Care

BERKS COMMUNITY HEALTH CENTER 9

Fighting Diabetes With Specialty Care

sores or cuts and, in the worst cases,

BCHC’s family physicians and nurse

patients for foot care with a podiatrist,

means patients are seen sooner and the important of taking tender care of

clean, dry and protected.

is an infected, fungal or ingrown toenail, corns and calluses, or foot pain, BCHC

care they need.

BRANCHING OUTPodiatry - Standing Up to Diabetes With Foot Care

Optometry – Keeping An Eye On Eye Health

BRANCHING OUT 2015 ANNUAL REPORT10

BERKS COMMUNITY HEALTH CENTER

Providers

Mary Kelleher, MD, MPH

Tara Burgon, CRNP

Kesia Kibue, CRNP

Joseph Sekulski, DC

Elena Ackah, MD

D. Nichelle Cashe, CRNP

Mackenzie Mady, DO

Jeannie Stephen, CRNP

Nwogo Agbasi, MD

Elizabeth Diener, OD

Thomas Raff, MD

Helen Wooten, LCSW

Judith Awurumibe, CRNP

Dori Goulden, RD Dietitian

Amaro Reyes Garza, MD

Ronald Vandegriff, DO

Noahleen Betts, DPM

Xequiel Hernandez, MD

Oumar Sano, CRNP

BERKS COMMUNITY HEALTH CENTER 11

Dance contest capped off the afternoon.

Even the mascots joined in!

Thanks to BTI students for blood pressure screening and massages.

(L to R) State Senator Judy Schwank, State Representative Tom Caltagirone, CEO Mary Kargbo, Board Chair Nick Marmontello and Mayor Vaughn Spencer enjoyed presentations.

BCHC staff and their families volunteered, like (L to R) Yamille Tavarez, Willy Santiago and Nellie Martir.

Community Day 2015 – Healthy FunBRANCHING OUTCrowds again enjoyed free health screenings and fun for kids during Community Day at BCHC at Penn Street during National Health Center Week.

Berks Community Health Center is a Federally Qualified Health Center (FQHC), and receives grant funding from the Health Resources and Services Administration

(HRSA) Bureau of Primary Health Care, under the Health Center Program as authorized by section 330 of the Public Health Service Act (42 U.S.C. 254b) and is a

Deemed FTCA (Federal Tort Claims Act) facility under 42 U.S.C. 233(g)-(n).

BCHC is a 501(c)3 non-profit organization, and all donations are tax deductible.

BCHC2015AR_0716

www.BerksCHC.net