HackleyCommunityCare

2016Services

“At A Glance”

OUR MISSIONOur mission is to support and

promote our patient’s total health with quality,

integrity, respect, and compassion.

To make a difference by serving the whole person – medical, dental, economic, social, psychological and spiritual.

…Is it good for the patient? …Is it good for the staff? …Is it good for the organization? …Is it good for the community?

Integrity: Sincerity, honesty and candor.

(Doing the right thing)

Respect: High or special regard for patients and each other.

(Treating others as you want to be treated)

Compassion: Giving, comforting and bringing hope.

(“Being there” for others)

Quality: High degree of excellence. Going above and beyond

(Making a difference).

MOTTO – “CAN DO”Customer Driven.

Ahead of the Times. Innovative, continual

learning and growing.

No Margin – No Mission. Financial stability and

growth.

Dedication to HCCC mission and values.

Open and honest communication.

HackleyCommunity Care

STRATEGICFOUNDATIONAL

PILLARS

- People

- Growth/Access

- Quality

- Finance

- Service

Goal 2016 2015 2014 2013 2012 Comments 1. Obtain at least a 93% YES response rate from HCCC staff to the following question -

Would you be proud to recommend HCCC as an employer?93% 87% 98% 93% 93% 93%

Goal 2016 2015 2014 2013 2012 Comments2. By 12/31/16: Increase the "Very Satisfied" patient satisfaction rate from: 1,018 Responses

81% 73% 77% 73% 75% 71% 95% Satisfied and Above

88% 83% 82% 80% 79% 78% 98% Satisfied and Above

89% 71% 67% 65% 71% 81% 98% Satisfied and Above

Goal 2016 2015 2014 2013 2012 Comments

1. Adult smoking percentage will be less than or equal to 33% by 12/31/16 33% 39% 39% 39% 38% 37%

2. Adolescent (ages 13-18) smoking percentage will be less than or equal to 4% by 12/31/16 4% 4% 5% 4% 3% 1%

3. Adult obesity percentage BMI will decrease from 48% to 43% by 12/31/16 43% 50% 50% 50% 50% 48%

4. Children (ages 5-12) 95th percentile BMI will be less than or equal to 15% by 12/31/16 15% 20% 19% 17% 11%

5. Adolescent (ages 13-18) 95th percentile BMI will be less than or equal to 20% by 12/31/16 20% 23% 25% 26% 14%

6. Age 3-17 documentation of weight assessment and counseling for nutrition / physical activity

will increase from 1% to 60%60% 73% 68% 51% 37% 1%

Goal 2016 2015 2014 2013 2012 Comments

1. Meet or exceed annual medical provider productivity commitment level(s). 21 for 2016 16.40 18.50 19.50 19.60 19.23 18.40 for established providers

2.Individual service lines are break even or shows improved financial performance year over

year:CFO meets with department

managers on a quarterly basis

3. All service lines combined are profitable. (Above 3% bottom line margin) 3.0% 7.7% 5.7% 0.9% 1.7%2016 is Pre-Audit

Goal 2016 2015 2014 2013 2012 Comments

1. Increase number of unduplicated patients by department from

14,095 13,626 13,455 13,720 12,927 12,766

7,836 5,889 6,974 6,938 6,326 7,097

1,987 2,743 2,821 2,174 1,841 1,800

1,282 956 701 763 833 831

2. Increase number of department visits from

61,302 52,363 56,033 60,381 52,586 52,880

24,995 16,656 20,081 21,336 19,441 21,561

6,716 12,410 11,101 8,034 6,493 5,793

2,656 2,327 1,705 1,891 2,429 2,291

Updated 2/14/17

c. Facility - 79% to 89%

Strategic Plan (2012-2016)

People - Vision: Be the Employer of Choice

Service - Vision: Be the Healthcare Provider of Choice

a. Ease of Getting Care - 71% to 81%

b. Staff Relationships - 78% to 88%

●Case Management categories

changed per UDS

●MIHP RN's and LMSW's moved

from Medical/Behavior Health to

Enabling

●School services increased

●Medical / Dental Provider Shortage

Medical/ OB: 12,766 to 14,095

Quality - Vision: Improve Patient Health Outcomes

Smoking (patients seen in the reporting year)

Obesity (patients seen in the reporting year)

Finance - Vision: Be a Sustainable, Profitable, and Accountable Organization

Growth / Access - Vision: Match Services with Identified Community Needs

Case Management/Education (MIHP): 2,291 to 2,656

Dental: 7,097 to 7,836

Behavioral Health: 1,800 to 1,987

Case Management/Education: 831 to 1,282

Medical: 52,880 to 61,302

Dental: 21,561 to 24,995

Behavioral Health / Substance Abuse: 5,793 to 6,716

Be the Employerof Choice

2016 People Pillar Highlights

213 employees for year end 2016

41 staff hired in 2016 (replacements and new hires)

Competitively aligned wages

Conducted employee benefits satisfaction survey, October 2016

Upgraded insurance benefits

Conducted educational meetings on insurance benefits.

Hosted Annual Party January 2016

Employee Appreciation recognition at May 2016 Staff Meeting

Continued Reward and Retention staff bonus (.50 for every hour

worked)

Conducted Employee Stay Interviews throughout the year

Enhanced Healthy Living Program for staff

HCC continued support for Social Committee activities

2016 HCC Staff: 213• Executive Staff: (1 CEO, 1 CMO, 1 COO, 1 CFO, 1 CHRO)

• Providers:• 6 Physicians (3 Family Practice, 1 Internal Medicine, 1 Internal

Medicine/PEDS, 1 Family Practice/OB)

• 2 Fill-in/part-time Internal Medicine• 11 Physician Assistants • 3 Certified Nurse Midwives• 13 Behavioral Health (1 LLP, 5 LMSW, 2 LLMSW, 5 LPC)• 4 Maternal Infant Health Program (2 RN’s, 1 LMSW, 1 Dietician)

• Dental:• 7 Dentists• 5 Dental Hygienists

• Pharmacy:• 3 Pharmacists• 5 Pharmacy Technicians

• Support: • 4 Directors (1 Assistant Medical Director, 1 Clinical Service Director,

1 Dental Director, and 1 IT Director)• 12 Clinical/Administrative Managers• 8 R.N. Care Managers• 125 Other Clinical/Administrative Support Staff

Staff SurveyWould you be proud to recommend

Hackley Community Care

as an employer?

Yes No

Staff Responses 2016: 151 (87%) 25 (13%)

Staff Responses 2015: 154 (97%) 4 (3%)

Staff Responses 2014: 127 (93%) 10 (7%)

Students / Preceptorships:

What a great experience for students and staff!!!

2016 2015 2014

Physician Assistants:

Medical Assistants: 5 3 2

R.N. Nursing Students:

Dental Assistant Students: 2

U of M Dental Students: 15 19 19

MSU 3rd Year Medical Students 1

Grand Valley State University

• Pre-Med Students (OB – 1 day) 1

• Dietician Student

Clerical Students - THC 1

Frontier University CNM Students 1 1

Admin/Clerical Students 2 2

TOTAL 24 25 25

HCC staff are encouraged to lead a healthy lifestyle. HCC offers a Healthy Living incentive program; staff can choose to participate and earn “points” - $1 for each point (up to $100)! We have had great success with this program!

HCC Healthy Living Program

2016 2 Sessions…

$9,302Paid out to

staff

Match Services with

Identified Community

Needs

2016 Growth/Access Pillar Highlights Total patients 16,998

CEO is Board member for MPCA, Michigan Community Health Network, Muskegon Rotary, healthCARE, United Way, Pathfinders, Lakeshore Regional Entity, and True North.

Community Collaborations:- HealthWest: Integrated Care Clinic partnership and collaboration regarding designation as

a pilot Certified Community Behavioral Health Clinic

- CEO sits on Steering Committee for Rotary’s 1 in 21 Healthy Muskegon County Initiative, and Community Services Committee, and Diversity and Inclusion Subcommittee. CEO is upcoming President-Elect of Rotary Muskegon.

- State Innovation Model (SIMS): HCC Officers participate in model development for Muskegon Pilot project, and serves on Steering, Clinical, and Data Committees.

- Continued work on Violence issues within Cities of Muskegon and Muskegon Heights –discussions with Pathfinders, Boys and Girls Club, Muskegon Heights Mayor and City Council, Police, and Community

- Continued work on Issues of Poverty - United Way focus on (ALICE) Asset Limited, Income Constrained, Employed

- CEO on Executive Committee for the Community Coordinating Council

- CEO on Systems of Care School grant Steering Committee

- CEO actively participates in the planning efforts of the Lakeshore Regional Entity that focuses on mental health and substance use issues.

- CEO sits on DHHS community initiative to pilot Integrated Service Delivery (ISD).

HCC Services:

Preventative health care services - medical & dental

Acute and chronic health care services - medical & dental

Minor office surgeries

OB services and Family Planning

Maternal and Infant Health Program

Behavioral Health

School Based Services

Laboratory services

Nurse care management

Pharmacy

Spiritual Care Consultants

Interpreter services

Group Visits / Classes Chronic Disease Smoking Cessation Behavioral Health group visits various support groups

Community Health Worker

Total Patients: 2016 2015 2014

16,998 17,602 17,500

By Race / Ethnicity:

African American 37% 38% 38%

White 46% 46% 48%

Hispanic 9% 9% 9%

American Indian .5% .5% .5%

Other / More than one race 7% 6% 4.5%

By Age:

0-10 24% 24% 24%

11-18 20% 18% 18%

19-39 27% 29% 29%

40-64 25% 25% 23%

65+ 4% 4% 4%

By Gender:

Female 58% 58% 58%

Male 42% 42% 42%

New Patients

MEDICAL 2016 2015 2014

Medicaid 645 (42%) 683 (39%) 778 (36%)

Medicaid HMP 214 (14%) 409 (23%) 560 (26%)

Medicare 50 (42%) 45 (3%) 94 (4%)

Uninsured 346 (42%) 429 (24%) 480 (22%)

Other 269 (42%) 192 (11%) 245 (11%)

Medical Total 1,524 (42%) 1,758 (100%) 2,157 (100%)

DENTAL 2016 2015 2014

Medicaid 426 (71%) 981 (71%) 1197 (76%)

Medicaid HMP 112 (19%) 320 (23%) 280 (18%)

Uninsured 47 (8%) 61 (4%) 65 (4%)

Other 17 (3%) 19 (1%) 26 (2%)

Dental Total 602 (100%) 1,381 (100%) 1,568 (100%)

Total: 2016 2015 2014

2,126 3,139 3,725

Billable Visits by Payor:

Medicaid 68% 73% 65%

Medicare 13% 11% 8%

Commercial 14% 8% 9%

Uninsured 6% 8% 18%

Billable Visits by Department:

Medical 41,290 44,705 43,984

Dental 15,099 19,269 18,171

OB 4,420 5,257 4,601

Behavioral Health 7,337 5,738 6,290

Maternal Infant Health Program 2,211 2,385 2,774

School Based Programs 9,301 6,055 2,702

Integrated Health Clinic 2,122 1,504 1,181

Total Billable Visits: 2016 2015 2014

81,780 86,516 84,832

“GROWTH IS NEVER BY MERE CHANCE; IT IS THE RESULTS OF FORCES WORKING

TOGETHER.”

Improve Patient

Outcomes

2016 Quality Pillar Highlights• Dr. Antoinette Hildwein hired in August, 2016 as the new Chief Health Officer.

• Dr. Antoinette Hildwein, Chief Health Officer actively participated on the Affinia Health Network Board and Mercy Credentialing Committee.

• Initiated work group to support the submission for National Committee for Quality Assurance (NCQA) Patient Centered Medical Home recognition for HCC Baker site. Estimated submission is the first quarter of 2017.

• Continued Patient Centered Medical Home Neighbor (PCMH-N) designation for all sites with Blue Cross Blue Shield.

• Leveraged i2i Patient Registry to support multiple reporting needs, including: Uniform Data Systems (UDS), 330 Grant, Clinical Quality Measures, gaps in care, Morning Huddle, etc. Rolled out the Morning Huddle Report from i2i Patient Registry to provider teams to aid in pre-visit planning work by identifying needed services.

• Received $378,299 from insurance companies for quality outcomes.

• Continued RN Care Management services and exceeded the Priority Health targets, which resulted in $148,598 received in 2016 for services rendered in 2015.

• Monitored and submitted Medicaid Meaningful Use data for medical and dental providers.

• Completed transition of medical patient satisfaction survey to Press Ganey CG-CAHPS survey.

• State Innovation Model (SIM) workgroup formed.

• Quality Improvement Project – Duplicate Scanned Documents: working with a vendor called InDXLogic that can aid in identifying and removing duplicate documents. Tool can also assist in converting data into reportable fields in the EHR, which may increase quality outcome indicators.

• Continued efforts to accurately align HCC providers, locations, open/closed statuses, and patient assignments with the various insurance plans.

Quality Assurance / Performance Improvement:

• Occurrence / Incident Reports – reviewed and followed-up on.• Reviewed and follow up on

• Infection Control Program • Reviewed and monitored

• Meaningful Use• HCC medical and dental providers are registered under the Medicaid Meaningful Use

Program

• Patient Centered Medical Home (PCMH) Initiatives• National Committee for Quality Assurance (NCQA) for Baker and Leahy sites.• Blue Cross Blue Shield for all sites

• Quality Assurance / Performance Improvement Committees Workgroups• Quality Assurance / Performance Improvement• Environment of Care• Access • Information Technology• Finality (Quality/Finance)• 340 B Compliance Committee• EHR/Chronic Disease• Meaningful Use• Pay for Performance Measures – HCC staff consistently monitor, track, and follows-up on pay

for performance measures and patient compliance.

• Clinical Performance Measures

2016 Provider PEER Review

Total charts reviewed:

• Medical 356

• Pediatrics 85

• OB 75

• Behavioral Health 200

• Dental 140

Identified issues were addressed. Cumulative results wereReviewed at provider meetings. When indicated, individualfollow-up was performed by either Chief Health Officer orLead providers.

Clinical Performance

Measures

*Outcome criteria based on federal UDS guidelines.

PRENATAL LIFECYCLE:

Medical 2016 2015 2014FQHCState

FQHCNat’l

% of births less than 2,500 grams 8% 12% 11% 8.7% 7.6%

1st Trimester 81% 83% 78% 72.8% 73%

Dental Exams 28% 36% 48%

% Breastfeeding 1 week after delivery 48% 44% 30%

% Quit smoking by delivery 50% 50%

MIHP Active Smokers Quit Smoking by Postpartum visit 13% 23%

CHILD & ADOLESCENT LIFECYCLE:Medical 2016 2015 2014

FQHC

StateFQHC

Nat’l

Immunization (24 mo) 44% 69% 84% 77.2% 77.5%

Obesity (13-18) 23% 25% 26%

Obesity (5-12) 20% 19% 17%

Weight Assessment and Counseling (3-17 years) 73% 68% 66% 53% 57.9%

Annual Asthma Actions Plan (5-10 Years) 76% 75% 47%

Annual Behavioral Risk Screening (12-17 years): 71% 59% 64%

Annual Asthma Action Plan (11-17years): 56% 55% 35%

% Active Smokers (13-18 years) 4% 5%

ADULT LIFECYCLE:Medical 2016 2015 2014

FQHC

StateFQHC

Nat’l

Cervical Cancer Screening 50% 60% 66% 54.6% 56%

Breast Cancer Screening 81% 76% 58%

Colorectal Screening 54% 47% 37% 37.4% 38.3%

% of Smoker 39% 39% 39%

Tobacco Assessment/Intervention 85% 83% 87%

Obesity % (BMI > 30) 50% 50% 50%

Weight Screening/Counseling (18-64 years) 44% 28% 40% 52.9% 59.4%

Annual Asthma Action Plan 49% 34% 24%

Weight Screening & Follow-up for Age > 65 51% 47% 45%

Dental 2016 2015 2014

Completed treatment plans within 12 months 43% 49% 43%

Dentures Delivered within 90 days 83% 71% 71%

Children at Moderate/High Risk for Caries received Sealant on 1st Permanent Molar 45% 40%

Continuing Care Audit (Recare cleanings) 84% 89%

Medical 2016 2015 2014

Immunizations - Pneumonia 76% 59% 55%

GERIATRIC LIFECYCLE:

CHRONIC DISEASE MANAGEMENT:2016 2015 2014

FQHCState

FQHCNat’l

CAD

Lipid Therapy 84% 79% 78% 77.1% 77.9%

IVD

Aspirin Therapy 72% 81% 65% 79.6% 78%

HYPERTENSION

Hypertension < 140/90 62% 61% 61% 62.4% 63.8%

CHRONIC CONDITIONS

Asthma Medication Treatment Pharmacotherapy 86% 95% 81%

Depression Screening & Follow-up 33% 13% 46%

HIV Linkage to Care 100% 100%

DIABETES

2016 2015 2014FQHC

StateFQHC

Nat’l

Number of Patients 1,145 1,199 1,104

Blood Pressure < 140/90 (Changed in 2015) 75% 67% 69%

Fasting LDL < 100 44% 49% 51%

HbA1c less than 8 66% 66% 64%

HbA1c less than or equal to 9.0 77% 77% 76% 62% 69%

ACE Inhibitors or ARB Medication 82% 82% 70%

Microalbumin 66% 65% 66%

Documentation of Eye Exams 27% 34% 30%

Documentation of Foot Exams ***** 67% 74%

Documentation of Dental Exams 27% 18% 15%

DEPRESSION:

2016 2015 2014

Number of Patients in Registry 726 689 692

% of patients with a 5 point drop in PHQ score 62% 51% ____

% of patients with a PHQ and follow up visit within 4 to 8 weeks of last New Episode PHQ 24% 29% 24%

% of patients with another PHQ before 6 months 49% 65% 70%

% of patients with a Self Management Goal within the last 12 months 69% 80% 68%

% of patients with a Behavioral Health visit within the last 12 months 37% 40% 35%

Be Sustainable, Profitable, & Accountable

2016 Finance Pillar Highlights

• Received $526,897 in incentive payments from insurance companies• Earned $229,500 in meaningful use dollars• Integrated Care Team average of 16.4 patients seen per day, established providers

saw 18.4 patients per day • Bottom Line Margin of 3.3%• 54 Days Cash on Hand as of December 2016• Medical Days Revenue in A/R – 25.6• Dental Days Revenue in A/R – 10.81• Implemented new 403b contract with The Standard. • Held Celebrity Waiter Event and collected donations of $13,980• Maintained 340b contract pharmacy relationship with Bensons & Walgreens

Pharmacies.• Grants Management - Received the following grant revenue:

Federal $2,220,121State $1,182,299Local $ 171,712

• Unmodified opinion for 2015 audits conducted in 2016:Financial AuditSingle Audit

FINANCE

Goal is to have at least a 3% profitmargin in order to reinvest in services

3.0%

profit margin in 2016

2016

HCC staff educate, assist and enroll clients into

Marketplace and Medicaid Insurance Products.

OUTREACH

&

ENROLLMENT

2016 2015 2014

Assisted 2,276 3,478 5,486

Applications Submitted 1,054 1,511 2,171

Active SFS patients:

2016 2015 2014

627 665 716

Pharmaceutical Patient Assistance Program: A staff member helps patients receive free medication through enrollment and monitoring of the Pharmaceutical Patient Assistance Programs.

Patients served:

2016 2015 2014

2,154 2,147 2,141

Prescriptions:

2016 2015 2014

67,354 67,255 67,147

Sliding Fee Scale: A sliding fee scale is offered to patients based on their financial status.

4 FTE IT Staff

HCC Website and Intranet, SharePoint, Exchange 2016, Cloud Based Disaster Recovery, Server Virtualization, Shortel VOIP Phones, Virtual Desktop Infrastructure,WAN Management, MPLS connections to all 9 remote sites, Storage Area Networksusing Adaptive Optimization, Office 365, and 8 GB Fiber Backbone Infrastructure.

• Great Lakes Health Connect, Health Information Exchange (GLHC HIE), Michigan• Health Information Exchange Network (MiHIN HIE)

• Medical EHR A4 Healthmatics Implemented April 2003 Lab Interface (Mercy Health Partners

& Quest Labs) E Prescribing Wellcentive Patient Registry HL7

• Dental Dentrix EHR Digital X-Ray Caesy Patient Education

• Pharmacy Computer Rx IVR for call-in patient refill requests Parata electronic inventory dispensing machine

• HCC staff participate in local, regional, and State networks regarding the use of• technology in a medical setting.

TECHNOLOGY

Be the Healthcare Provider of

Choice

2016 Service Pillar Highlights HCC received 1,018 patient survey responses in 2016. Overall results were very positive. HCC

distributed internal surveys and also participated with CG-CAHPS, a national patient survey

process. Data is distributed to departments and providers for review and feedback.

HCC’s had its’ first HRSA Operational Site Visit in April 2016. HCC passed 19 out of 19 HRSA

Program Requirements and received two best practice recognitions: 1) HCC’s Strategic Plan

that identifies and focuses on 5 Strategic pillars of People, Service, Quality, Finance,

Growth/Access. 2) School Based Programs that include fully integrated medical, behavior

health, and dental services – and a referral process into the Muskegon Teen Health Center HUB.

Oakridge Teen Health Center was fully operational with medical and behavior health in

December 2015. In 2016 HCC received a $110,000 grant from Delta Dental to equip 3 dental

operatories and $100,000 Social Mission grant from BCBS for dentist and hygiene staffing. HCC

started offering dental services at Oakridge school in late 2016.

Baker site received approval from Muskegon Heights and Tridon to increase parking spaces.

Estimated completion is June 2017.

• In Sept 2016 HCC received a Health System Change for Treating Tobacco Dependency in Dental Clinics grant from MPCA. The focus of the grant is to identify and offer treatment options to dental patients with tobacco dependency. The grant supports dental staff training and education, the purchase of CASEY (a patient educational video system), and various treatment

modalities for patients.

2016 Patient SatisfactionSurvey’s Collected

HCC Internal Survey’s collected: 552

Each quarter, HCC staff distributed Internal Surveys to dental, behavioralhealth, pharmacy, and school program patients after their visit.

HCC CG-CAHPS Caps/Press Ganey Survey’s collected: 466

This national tool was sent monthly to HCC medical patients by a vendor called Press Ganey. CG-CAHPS was developed by CMS to help standardize patient satisfaction/experience questions.

Total Surveys collected : 1,018

All survey results are reviewed and monitored by the Quality Department, leadership staff, and Board of Directors. Providers received survey results about them and their team. Feedback is used to improve services and benchmark HCC against other practices.

2013-2016 HCC Patient Satisfaction

External & Internal Survey Results

All Sites

Objective: Increase the "Very Satisfied" patient

satisfaction rate:

Goal

2016

Very

Satisfied

2015

Very

Satisfied

2014

Very

Satisfied

2013

Very

Satisfied

2016

Very Satisfied

& Satisfied

Combined

Ease of Getting Care 81% 73% 77% 73% 75% 96%

Staff Relationships 88% 83% 82% 80% 79% 98%

Facility 89% 71% 67% 65% 71% 98%

# of Responses 1,018 1,458 1,075 967

Special Programs & Services

HCC implemented Centering Pregnancy group services in 2015. HCC staff facilitated

76 group sessions in 2016. Of those participating, 45% quit smoking, 90% had

normal birth weight babies, and 74% initiated breastfeeding. Feedback from both

patients and staff is very positive – they like the teaching/learning style and

interactions between patients.

Community Outreach Events:

HCC staff is committed to reaching out to the community at health fairs, festivals, back to school programs, church events, and other community outreaches.

Number of community events:

2016 2015 2014

67 62 52

Number of patient contacts:

2016 2015 2014

9,921 5,516 6,296

HCC offers a 6-week, 2 ½ hour once per week workshop that builds confidence for managing health, staying active and enjoying life.

2016 2015 2014

Number of

families

52 44 42

Number of Kids 84 55 53

2016 2015 2014

Number of Workshops: 3 2 4

Participants 84 10 25

Grandparents Raising Grandchildren Program:

“You Are Not Alone” is a

program that provides support

groups and education for grand-

parents raising their

grandchildren.

Stanford Model Chronic Disease Workshops:

Patients:

2016 2015 2014

322 139 82

Community Health Workers (CHW):Community Health Worker’s identify and help eliminate barriers that affect patient’s overall health. Community Health Worker’s come alongside the patient to provide education and resources in the areas of housing, education, insurance coverage, transportation, etc.

Number of Women that received

free mammograms:

2016 2015 2014

253 188 232

Number of Outreach Events:

2016 2015 2014

57 63 56

Breast & Cervical Cancer Program:

This service provides eligible women clinical breast & pelvic exams, pap smears and

mammograms free of charge.

Susan G. Komen Grant:Since 2007, HCC has received grant funding to provide breast health education and awareness to community residents, coordinate free mammograms, offer emergency funding, and partner with local organizations in hosting a bi-annual Community Mammogram Party.

Number of Women seen in the Breast & Cervical Program

2016 2015 2014

49 64 163

2016 2015 2014

Total customers served: 4,082 5,152 5,644

Number of prescriptions: 72,874 76,800 79,149

Average daily prescriptions: 286 300 310

COMMUNITY CARE PHARMACY

Medical 2016 2015 2014

Tests 8,561 5,362 6,708

Specialists 5,188 7,318 7,625

Dental

Dental Specialists 836 1,023 1,077

Medical Provider Referrals 17 23 31

2016 2015 2014

In-house: 16,846 17,925 18,037

Sent-out: 53,834 35,415

Lab Tests:Lab staff offer convenient on-site services to patients.

Referrals:The referral staff schedule tests and appointments for patients. They also facilitate communication and processes between HCC, the patient, the specialty provider, the hospital, and insurance companies.

Hackley Community Care and Community Mental Health opened the Integrated Health Clinic (IHC) in January, 2012.

The IHC offers a patient centered medical home to Community Mental Health patients.

INTEGRATED HEALTH CLINIC

2016 2015 2014

Number of visits: 2,219 1,513 1,356

Number of patients: 470 308 246

In June 2012, HCC partnered with Spiritual Care Consultants to offer on-site spiritual care services to our patients. This partnership lines up with our philosophy to treat the whole person: Mind, body, and spirit.

2016 2015 2014

Number of patients served: 20 34 42

Number of patient visits: 55 85 101

Services include: Medical Services

Behavioral Health Counseling

Dental Services

Visits: 2016 2015 2014

Medical/Behavioral Health

2,650 2,710 2,634

Dental 683 744 836

Muskegon Middle School

School ProgramsTeen Health Center Muskegon High School

• Services include:– Behavioral Health Counseling– Nursing Services– Dental Services

Visits: 2016 2015 2014

Behavioral Health/Nursing

319 414 504

Dental 61 42

Patients: 2016 2015 2014

Medical/Behavioral Health

877 935 1,183

Dental 453 283 444

Patients: 2016 2015 2014

Behavioral Health/Nursing

1,931 1,853 1,712

Dental 58 40 56

Services include: Medical Services

Behavioral Health Counseling

Muskegon Heights Public Academy

Teen Health Center Oakridge High School

• Services include:– Behavioral Health Counseling

School Programs

2016 2015

Visits: 294 104

Patients: 90 337

Patients: 2016 2015

Medical/Behavioral Health 538 56

Dental 22

Visits: 2016 2015

Medical/Behavioral Health

1,590 117

Dental 41

• Services include:– Behavioral Health Counseling

Marquette ElementaryMuskegon Covenant Academy

• Services include:– Behavioral Health Counseling– Nursing Services

2016 2015

Visits: 522 327

Patients: 115 63

School Programs

Visits: 2016 2015

Medical/Behavioral Health 1,450 1,203

Dental 49

Patients: 2016 2015

Medical/Behavioral Health 344 335

Dental 43

• Services include:– Behavioral Health Counseling

Nelson Elementary School

School Programs

2016 2015

Visits: 866 668

Patients: 106 91

Casual For A Cause:HCCC staff pay $2.00 to wear jeans on Friday. Money

collected is donated to community agencies (Love Inc.,

Rescue Mission, Meals on Wheels, Mission for Area People,

etc.)

Amount of money donated since 1997:

Total donations: $46,225

TOGETHER WE ARE EXTRADORDINARY.

HACKLEY COMMUNITY CARE