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This is Indiana Primary Health Care Association's Yearly Published Review for 2006-2007
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P. 317.630.0845F. 317.630.0849
www.indianapca.org
Indiana Primary Health CareAssociation, Inc.1006 E. Washington St., Ste. 200Indianapolis, IN 46202
2006-2007 Year In Review
1892
2006-2007 Year In Review 18
Table of Contents
Dear Members and Friends
IPHCA Mission
The Primary Care Association
Board of Directors
IPHCA Staff
IPHCA Members
Health Care Homes
Primary Care Providers
Economic Impact
Community Health Centers’ Users
Number of Indiana Residents Served
Percent of Indiana Residents Served
Policy Accomplishments
Technical Assistance and Education
Leveraging Resources
Value-Added Activities
Financial Audit
Gauthier & Kimmerling, LLP audited the fi nancial statements of Indiana Primary
Health Care Association, Inc. for the year ended March 31, 2007 in accordance with
the U.S. Offi ce of Management and Budget (OMB) Circular A-133. A fi nal report
was issued and dated June 29, 2007 which included:
Independent Auditor’s Report
Statements of Financial Position
Statement of Activities
Statement of Cash Flows
Statement of Functional Expenses
Notes to Financial Statements
Gauthier & Kimmerling issued an unqualifi ed opinion on the statement of fi nancial
position and on the types of compliance required under OMB Circular A-133.
There were no fi ndings issued.
Fiscal Year 2006-2007Financial Audit
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Susan Moylan, Tippecanoe
Community Health Clinic Pediatric
Nurse Practitioner, with patient.
17 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 2
Dear Members and Friends
Dear Members and Friends,
Fiscal Year 2007, which ended March 31, 2007, was an exciting andproductive year! IPHCA experienced major successes in its policy work,due to a team effort by grassroots supporters, Community Health Centers, and IPHCA. We would not have achieved this success without everyone pulling together.
In addition, IPHCA’s Board of Directors and its committees havebeen working on establishing new policies and updating current ones.This process is critical in order to provide a strong infrastructure for IPHCA.
At IPHCA’s Annual Meeting in October 2006, a new category ofmembership was created – Corporate Member. We are looking forwardto welcoming community-oriented corporate partners in the comingyear and beyond.
In reviewing the accomplishments of the 2007 Legislative Session, IPHCA has much to be proud of. The leveraging of over $34 million annually infunding for the Community Health Centers, as well as other importantservices provided to the Community Health Centers, is signifi cant!Again, this resulted from a group effort of Health Centers getting theword to their grassroots advocates and inviting government offi cialsto tour their Centers.
This upcoming year promises even more opportunities for celebration.For example, Indiana has 10 counties listed in the federal High Poverty Counties Initiative, which presents IPHCA and those communities with a signifi cant opportunity to access new grant funding. In addition, IPHCA is working with the Indiana State Department of Health on the establishmentof Community Health Center Standards.
We thank you for your continued support of IPHCA.
Sincerely,
Brenda Church Lisa WinternheimerBoard Chair President/CEO
Value-Added Activities
IPHCA was fortunate to be involved in
opportunities that brought extra value to
its members.
• IPHCA joined a delegation from Indiana at
the Maternal and Child Oral Health Institute
in Atlanta. The overall goal of the Institute is
to strategize ways in which a state can
better integrate oral health into their
programs in order to enhance their capacity
to build public/private partnerships
addressing unmet oral health needs of the
Maternal and Child Health populations.
• At the invitation of FEMA, IPHCA’s
Emergency Management Program
Director served as faculty at the National
Disaster Conference on “The Role of
the Emergency Manager in Health
Care Facilities.”
• IPHCA’s Emergency Management Program
Director was chosen by the National
Association of Community Health Centers
(NACHC) to represent Primary Care
Associations and Community Health
Centers (CHCs) on a national task force
related to Health Agency-Community Health
Center Coordination in Preparedness.
• IPHCA’s Emergency Management Program
Director co-presented at the National
Association of City and County Health
Offi cials on “CHCs: First Line of Defense
on Public Health Emergencies.”
• Two-way radios and N-95 masks were
distributed to the Community Health
Centers. This equipment was provided
as part of a comprehensive technical
assistance plan that also includes
assisting the Health Centers in the
implementation and testing of Emergency
Management Plans.
ACCESS TO BENEFITS COALITION
IPHCA’s management of the Access to
Benefi ts Coalition primarily involved the
“My Medicare Matters” program for enrolling
benefi ciaries in Medicare Part D. IPHCA
facilitated 108 events, with more than 44,000
individuals being reached; more than 3,200
individuals receiving direct educational
assistance; and more than 1,400 individuals
receiving direct enrollment assistance.
Indiana’s “My Medicare Matters” was
number one in the nation!
IMPROVING RELATIONS BETWEENPRIMARY CARE ASSOCIATIONS/FQHCs AND MEDICAID
IPHCA was the only Primary Care Association
(PCA) chosen by the Health Resources and
Services Administration (HRSA) to work on a
prototype project to improve communication
and collaboration between the PCA and the
State’s Medicaid agency. John Snow, Inc.
(JSI) was hired by HRSA to assist IPHCA
in strengthening communication and
collaboration with Indiana’s Medicaid program;
enhance the role of Indiana’s Federally
Qualifi ed Health Centers (FQHCs) in providing
high-quality, cost-effective services to the
State’s Medicaid benefi ciaries; and identify
ways PCAs around the nation can strengthen
relationships between FQHCs and their state
Medicaid agencies.
INDIANA COMMUNITY LINKS
IPHCA requested technical assistance from
the Bureau of Primary Health Care (BPHC)
related to the 2007 changes occurring in
Indiana with the Managed Care Organizations
(MCOs). BPHC consultants, IPHCA, and
a FQHC Task Force explored several
opportunities. The fi nal result was creation of
a Management Services Organization (MSO),
which is currently working on contract
negotiations for the provision of care
management services. This MSO - Indiana
Community Links - is a Limited Liability
Corporation that presents a signifi cant
membership opportunity for IPHCA members.
INDIANA CHRONIC DISEASEMANAGEMENT PROGRAM (ICDMP)
The goals of the ICDMP are to improve the
quality of life for Indiana Medicaid recipients
with a chronic disease, and to achieve a
systemic improvement in the care of the
chronically ill. For the ICDMP, IPHCA provides
Nurse (RN) Care Management services to
Medicaid members identifi ed as high severity.
The goal of the RN Care Manager services
is to assist the patient in self-management.
As part of this program, IPHCA successfully
implemented a pilot project of physician
education on evidenced-based practices
related to cardiac disease. RN care
management patient outcomes from May
2004 through September 2007 include:
• 13% hospital admission rate during
Nurse Care Manager intervention for
Congestive Heart Failure patients
(Goal: < 25%)
• 73% of diabetes patients with an HbA1c
level less than 8% at graduation, or a drop
in HbA1c during Nurse Care Manager
services (Goal: > 75%)
• 8% hospital admission rate during
Nurse Care Manager intervention for
cerebrovascular disease patients
(Goal: < 50%) - Collected January-
March 2007
Leveraging Resources
2006-2007 Year In Review 16
GoalsMission
Organized in 1982, the Indiana Primary Health Care Association (IPHCA) is a statewide not-for-
profi t advocacy organization whose mission is to promote the provision of primary health care
services in areas of need in Indiana and to assure the growth and development of Community,
Migrant and Homeless Health Centers in the State.
3 Indiana Primary Health Care Association, Inc.
IPHCA Mission To advocate for access to quality health care for all those residing in
Indiana and to support the development of community oriented primary
care initiatives, which are:
AFFORDABLE based on income
AVAILABLE when needed
ACCESSIBLE where needed
APPROPRIATE emphasizing continuous, comprehensive, prevention oriented primary care and case management
ACCEPTABLE to all those residing in the community regardless of cultural heritage, fi nancial status or personal circumstances
IPHCA Goals Infl uence federal, state and private policies and resource allocationsto achieve IPHCA’s mission.
Increase the number of culturally competent primary care cliniciansand services in medically underserved areas.
Facilitate the development of new starts and/or the expansion ofexisting Health Centers for underserved populations.
With members, initiate strategies to thrive within the changinghealth care environment.
Support/promote/advertise continuous quality improvementwithin IPHCA membership.
Create a non-competitive environment for primary care entities.
Initiate and maintain IPHCA Board development strategy.
IPHCA Mission
In order for Community Health Centers to
continue to provide high quality services, staff
must have opportunities to receive additional
training. IPHCA provides such trainings
throughout the year.
Trainings held in Fiscal Year 2006-2007• Co-sponsored “Epidemiology and Vaccine Preventable Illnesses,” with MAPHTC, the Indiana State Department of Health, and the Indiana Immunization Coalition
• Quality Management Training
• Care Select Vendor Forum
• Environmental Assessment
• Coding
• Finance and Operations
• Grassroots Advocacy
• Uniform Data Systems
• Annual Conference
• Integration of Behavioral Health and Primary Care
• Managed Care 101-Questions and Answers
• Health Disparities Collaborative Learning Session II
Training Opportunities
$34.2 millionIPHCA leveraged
members
In Fiscal Year 2006-2007, IPHCA leveraged$34.2 million on behalf of its members.
The leveraged funds included:
• Federal Community Health Center funds for Indiana Federally Qualifi ed Health Centers
• State funds for Indiana’s Community Health Center program
• IPHCA grant funds from the Bureau of Primary Health Care for Primary Care Association services and the COCKPIT Performance Benchmarking Network for Community Health Centers
• IPHCA grant funds from the Indiana State Department of Health for technical assistance and emergency management implementation/ readiness for the state-funded Community Health Centers, and technical assistance for the National Health Service Corps Program
• IPHCA grant funds from the Michigan Primary Care Association for the implementation of the Health Disparities Collaborative
• IPHCA grant funds from the National Council on Aging for the implementation of the Access to Benefi ts Coalition
on behalf of its
15 Indiana Primary Health Care Association, Inc.
Technical assistance is education
and consultation related to a specifi c
profession or trade. In 2006, IPHCA
provided customized technical
assistance for Community Health
Centers and organizations interested
in creating a Community Health Center.
For the Community Health Centers,
technical assistance topics included,
but was not limited to:
Federally Qualifi ed Health Center Program Requirements, Rules, and Regulations
Federal 330 Grant Applications
Need for Assistance Worksheet for the Federal 330 Grant Application
340B Drug Pricing
Federal Tort Claims Act Malpractice Coverage
Uniform Data System Report
Health Disparities Collaborative
Indiana State Funded Community Health Center Program Requirements,Rules, and Regulations
State Funded Community Health Center Program Grant Applications
State Funded Community Health Center Standards
Board Governance
Consumer Governance
Board Roles
Emergency Management
Integration into Local District Planning and Indiana Statewide Communication Network
Emergency Management Plans
Business Recovery Plans
Tabletop and Mock Drills
Provision of Equipment
Surge Capacity
Pandemic Flu Preparedness
Finances
Billing Processes
Financial Benchmarks
Medicaid
Medicare
Operations
Human Resources
Recruitment of Provider Staff
Salary Benchmarks
Evidence Based Best Practices
Chronic Disease Management
Quality
Clinical Quality
Quality Improvement Models and Methodologies
Implementing Quality Improvement throughout the Community Health Center
Measurable Quality Outcomes
Technology
COCKPIT Performance Benchmarking Network for Community Health Centers
Practice Management Systems
Electronic Health Records
Electronic Medical Records
Consultation Services
Medicaid
Medicare
National Health ServiceCorps Program
Federal Shortage Designations
Medically Underserved Areas and Populations
Health Professional Shortage Areas: Primary Care, Mental Health, Dental
Grassroots Advocacy
Creation of a Grassroots Advocacy Program
Program Tools
Technical Assistance and Education
In 2006, IPHCA continued
development of an innovative software
tool for Community Health Centers
called COCKPIT Performance
Benchmarking Network For
Community Health Centers.
“COCKPIT”, as it is commonly called,
allows a health center to easily submit
fi nancial and operational data to a
centralized COCKPIT data warehouse.
Then, a Health Center’s executive staff
can log in using any web browser to a
secure website and see “cockpit-style”
dashboards of fi nancial, operational,
and clinical performance measures
right at their fi ngertips.
Along with each performance
measure is benchmark data to inform
the Health Center of how their
performance compares to other
Health Centers. UDS tables, provider
productivity, and other useful reports
are available at the push of a button.
For more information, see
http://www.gocockpit.org.
PERFORMANCE BENCHMARKING NETWORKfor Community Health Centers
2006-2007 Year In Review 4
The Primary Care AssociationThe Indiana Primary Health Care Association
(IPCHA) is the Primary Care Association in
Indiana. Every state and U.S. territory has a
Primary Care Association, which receives
funding from the Health Resources and Services
Administration Bureau of Primary Health Care
to monitor the state of access to primary care
services for residents and to provide technical
assistance for Federally Qualifi ed Health Centers
and organizations applying for status as a
Federally Qualifi ed Health Center.
IPHCA is the membership association for the
Community Health Centers in Indiana that
receive state and federal funding and primary
care providers, organizations, and individuals
who support IPHCA’s mission.
In Fiscal Year 2006-2007, IPHCA received
funding from the following partners:
• Health Resources and Services Administration, Bureau of Primary Health Care for primary care association services as described above
• Health Resources and Services Administration, Bureau of Primary Health Care for the fi nal year of a multiyear technology grant to implement COCKPIT Performance Benchmarking Network for Community Health Centers
• Michigan Primary Care Association to implement the Health Disparities Collaborative for the Federally Qualifi ed Health Centers in Indiana
• Indiana State Department of Health to provide deliverables related to the National Health Service Corps Program
• Indiana State Department of Health to provide technical assistance deliverables for the Community Health Centers receiving state funding from the Indiana State Department of Health
• Indiana State Department of Health to provide technical assistance related to emergency management and readiness of the Community Health Centers
• Offi ce of Medicaid Policy and Planning to continue the Nurse Care Manager services of the Indiana Chronic Disease Management Program
• National Council on Aging to manage the Access to Benefi ts Coalition
FEDERAL POLICY
In the 109th Congress, IPHCA worked
with Indiana Congressional Members
on the Health Centers Renewal Act
of 2006. Through the grassroots
advocacy efforts of IPHCA’s members,
eight of Indiana’s nine House of
Representatives members voted
for reauthorization of the health
center program.
In mid-February of 2007, the 110th
Congress approved $207 million in
funding for the Community Health
Centers. This included $25 million for
existing Community Health Centers to
cover costs of a growing patient
population. IPHCA, IPHCA members,
and grassroots advocates worked
with Indiana’s Congressional
delegation, which resulted in a 56%
“Yes” vote from Indiana’s House of
Representatives and 100% “Yes” vote
in the Senate.
INDIANA POLICY
IPHCA accomplished all fi ve of its
state policy goals in the 2007
Legislative Session (see below).
IPHCA partnered with several
organizations, including, but not
limited to, the Family Social Services
Administration, Indiana Tobacco
Prevention and Cessation Agency,
Indiana State Department of Health,
Indiana State Medical Association,
and Indiana Health and Hospital
Association, to accomplish the passage
of the tobacco tax and expansion of
coverage for the uninsured. IPHCA also
assisted in planning the Healthier
Indiana Plan Coalition Rally; Dr. Sabrina
Williams, Medical Director of Citizens
Health Center, spoke eloquently about
Community Health Centers and the
need for coverage for uninsured adults.
IPHCA held a Legislative Day on April
11, 2007. This event provided an
opportunity for Community Health
Centers to visit with Indiana State
Legislators.
2006-2007 Year In Review 14
IPHCA Policy Accomplishments
IPHCA Position Result
INDIANA POLICY GOALS IN THE 2007 LEGISLATIVE SESSION
Increased Community Health Center (CHC) funding
$30 million in capital funding
Tobacco Tax of $1 for the improved health of Hoosiers
Expansion of Coverage for the Uninsured, approvalof Healthier Indiana Plan or similar plan
A Medicaid budget increase of 5%
CHC funding doubled to $60 million in biennium
Up to $30 million in capital funding was allocated
$0.44 Tobacco Tax was approved. Tax will go to Indiana Check-up Plan, Immunizations, and Indiana Tobacco Prevention and Cessation Agency
The Healthier Indiana Plan, now termed the Indiana Check-up Plan, was approved. It is anticipated that the plan will provide coverage for up to 132,000 uninsured adults; 17,000 additional pregnant women (coverage increases from current 150% of Federal Policy Level (FPL) to 200% of FPL); 140,000 additional children (coverage expands to 300% of FPL from 200%); and provide tax credits for small employers for the implementation of health plans and wellness programs.
Medicaid’s budget increased by 5%, despite a signifi cant threatof a fl at-lined budget.
Indiana Primary HealthCare AssociationBoard of Directors2006-2007
Brenda Church, CHAIRAssistant AdministratorClay City Center for FamilyMedicine/Richard G. Lugar Centerfor Rural Health
Beth Wrobel, CHAIR-ELECTChief Executive Offi cerHilltop Community Health Center, Inc.
Lynn Clothier, SECRETARYPresident and CEOIndiana Health Centers, Inc.
Booker Thomas, TREASURERPresident and CEOHealthNet Community Health Center
Toni Estep, PAST CHAIRChief Executive Offi cerOpen Door/BMH Health Center, Inc.
Yvette Spicer, AT-LARGE Director, Health InitiativeIndiana CaresIvy Tech Community College
Veronique LeBlanc, AT-LARGEPresident/CEOTippecanoe Community HealthClinic, Inc.
Marc HackettExecutive DirectorShalom Health Care Center, Inc.
Joanie Perkins Director of Practice ManagementDaviess Community Hospital
Rosemary KnightExecutive DirectorECHO Community Health Care
Heidi MillerExecutive DirectorFamily Health Services
Dr. Janet SeabrookExecutive DirectorGary Community Health Center
Cheri HallChief Executive Offi cerRising Sun Medical Center, LLC
Indiana Primary HealthCare AssociationCommittees2006-2007
FINANCE COMMITTEEBooker ThomasPresident and CEO HealthNet Community Health Center
Hoagland ElliottExecutive DirectorRaphael Health Center
Marc HackettExecutive DirectorShalom Health Care Center, Inc.
Tom ChaseChief Financial Offi cerIndiana Health Centers, Inc.
MEMBERSHIP COMMITTEEBeth WrobelChief Executive Offi cerHilltop Community Health Center, Inc.
Brenda ChurchAssistant AdministratorClay City Center for FamilyMedicine/Richard G. Lugar Centerfor Rural Health
Sally WatlingtonBoard ChairTippecanoe CommunityHealth Clinic, Inc.
Susie WaymireExecutive DirectorFamily Health & Help Center
Elvin PlankChief Operating Offi cerHealthNet Community Health Center
HEALTH POLICY COMMITTEEYvette SpicerDirector, Health InitiativeIndiana CaresIvy Tech Community College
Anthony MaloneChief Executive Offi cerMadison County CommunityHealth Centers, Inc.
Lynn ClothierPresident and CEOIndiana Health Centers, Inc.
Mary HaupertChief Executive Offi cerNeighborhood Health Clinics, Inc.
Toni EstepChief Executive Offi cerOpen Door/BMH Health Center, Inc.
PERSONNEL COMMITTEEVeronique LeBlancPresident/CEOTippecanoe CommunityHealth Clinic, Inc.
Angie ZagealDirector of Human ResourcesNeighborhood Health Clinics, Inc.
Carmen HurstVice President, Human ResourcesIvy Tech Community College
5 Indiana Primary Health Care Association, Inc.
Board of Directors
Congressman Mike Pence with Open
Door/BMH Health Center advocate.
President & CEO
Director of Operations
Director of Information Systems
Director of Chronic DiseaseManagement Programs
Director of Business Development
Policy Analyst
State Funded Program Director
Bioterrorism and EmergencyManagement Program Director
Data and KnowledgeResource Specialist
Midwest Cluster HDC Director
FQHC Program Director
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager Supervisor
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Patient Coordinator
Administrative Assistant
Clerical Assistant
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
New Castle
Fort Wayne
Evansville
Evansville
Terre Haute
Indianapolis
Paoli
New Castle
Terre Haute
Rochester
Rushville
Gary
Indianapolis
Elwood
Valparaiso
Indianapolis
Rockville
Rochester
Paoli
Indianapolis
Indianapolis
Indianapolis
13 Indiana Primary Health Care Association, Inc.
Indiana Primary HealthCare Association StaffList as of March 31, 2007
2006-2007 Year In Review 6
IPHCA Staff
Lisa Winternheimer
Gregg Grote
Dan Dobbs
Jane Miller
Pete Townes
Alice Rae
Eleather Baker
Connie Boatright
Natalie Brown
Carla Chance
Dolores Glenn
Michelle Anderson
Lori Boggs
Ashley Carter
Phyllis Dawson
Roseanne Douglas
Janet Edwards
Tracy Gehl
Kathy Glavin
Betsy Jerome
Brenda Lempecki
Lynn Marshall
Briana Rhodes
Barbara Shull
Sandy Stone
Debra Stanton
Lisa Suiter
Debbie Swaim
Tawnya Thayer
Rhonda Vance
Sean Jones
Angie McHugh
Lorietta Sullivan
Percent of Indiana Residents Served
The Community Health Centers are
the largest network of providers of
care for the uninsured and Medicaid
populations in Indiana.
Changes in percentage can be
attributed to several factors.
A reduction in the percent of
uninsured Indiana residents served
can be due to a rising number of
uninsured and/or more people
receiving Medicaid benefi ts.
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
2006200520042003
PERCENT OF TOTAL MEDICAID SERVED
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
2006200520042003
PERCENT OF TOTAL UNINSURED SERVED
Dr. Judith Monroe, Commissioner,
Indiana State Department of
Health (center), with Tippecanoe
Community Health Clinic staff.
CONSUMER GOVERNEDMEMBERSCitizens Health Center, Inc.
ECHO Community Health Care
Edinburgh/Trafalgar FamilyHealth Centers, Inc.
Gary Community Health Center
HealthNet Community Health Center
Heart City Health Center, Inc. Hilltop Community Health Center, Inc.
Indiana Health Centers, Inc.
Madison County Community Health Centers, Inc.
Maple City Health Care Center Neighborhood Health Clinics, Inc.
Northshore Health Centers
Open Door/BMH Health Center, Inc.
Raphael Health Center
Rising Sun Medical Center, LLC
Shalom Health Care Center, Inc.
Tippecanoe CommunityHealth Clinic, Inc.
PRIMARY CAREDEPARTMENT MEMBERSDaviess Community Hospital
St. Francis NeighborhoodHealth Center
ASSOCIATE PROVIDERMEMBERSClay City Center for FamilyMedicine/Richard G. Lugar Centerfor Rural Health
Family Health Center of Clark County
Family Health Center of Winchester
Family Health Services Memorial Neighborhood Health Centers
AFFILIATE MEMBERSCatherine McAuley Clinic
Community Mental Health Center, Inc.
Dunn Center
Family Health Clinic of Carroll County
Health Family Center Hoosier Uplands
Indiana Area Health EducationCenter (AHEC)
MDWise, Inc.
Tulip Tree Health Services ofGibson County
Wayne County Health Department
INDIVIDUAL MEMBERSDannee J. Neal, M.D.Shalom Health Care Center, Inc.
Yvette SpicerIvy Tech Community College
Juanita GordonCitizens Health Center, Inc.
Edward Hicks, PhDCitizens Health Center, Inc.
Susie WaymireFamily Health & Help Center
Sarah (Sally) Watlington,Board of DirectorsTippecanoe CommunityHealth Clinic, Inc.
7 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 12
IPHCA Members Indiana Community Health Centers Number Served 2003 to 2006
The Community Health Centers
in Indiana have increased the
number of patients served from
2003 to 2006. In 2006, 331,010
people were served by the
Community Health Centers,
including 118,017 uninsured and
113,046 Medicaid benefi ciaries.
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
2006200520042003
NUMBER OF PEOPLE SERVED
50,00060,00070,00080,00090,000
100,000110,000120,000130,000
2006200520042003
NUMBER OF UNINSURED SERVED
50,000
60,000
70,000
80,000
90,000
100,000
110,000
120,000
2006200520042003
NUMBER OF MEDICAID SERVED
A Health Care Home is the place
where a person goes for all of his or
her primary care needs. Primary care
encompasses medical, dental, and
behavioral or mental health services.
Services provided by a Health Care
Home should be accessible and
include at a minimum prevention
services, prenatal services, family
planning, diagnosis and treatment
of illness and chronic diseases,
management of chronic diseases,
and health education for all ages from
birth to the end of life. A Health Care
Home reduces the need for costlier
care, such as emergency room visits
and hospitalizations.
Each Community Health Center is
unique because it is created by the
community it serves and obtains input
from the consumers of its services
through consumer representation on
its Board of Directors.
Community Health Centers in Indiana
provide a range of enhanced services
in addition to those provided by most
primary care provider offi ces. The range
of enhanced services provided by each
Community Health Center will vary
based on the needs of the community.
Fees for Community Health Center
services are on a sliding fee schedule
based on the person’s/family’s income.
11 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 8
EXAMPLES OF ENHANCED SERVICES PROVIDED BY COMMUNITY HEALTH CENTERS
• Social services
• On-site WIC
• Care coordination
• Nutritional counseling
• Pharmacy services
• Diagnostic services, such as lab and x-ray
• HIV counseling and testing
• HIV early intervention services
• Podiatry
• Optometry
• Infant car seat distribution
• Enrollment in Medicaid
• Translation services
Community Health Centers areHealth Care Homes
Indiana Community Health Centers User Demographics 2006
In 2006, 42 Community Health
Center grants were approved by the
Indiana State Department of Health.
Of these 42 grantees, 39 reported
the following data.Medicaid
Medicare
Uninsured
Other
INSURANCE DISTRIBUTION OF USERS
34%21%
36%
9%
< 100% FPL*
101 - 150% FPL*
151 - 200% FPL*
> 200%+ FPL*
POVERTY LEVEL OF USERS
59%16%
12%
13%
*Federal Poverty Level
White
Black
Hispanic
Other
ETHNIC/RACIAL HERITAGE OF USERS
19%
49%
26%
6%
0 - 14 years
15 - 19 years
20 - 44 years
45 - 64 years
> 65 years
AGE OF USERS
35%
31%
17%
5%
12%
Jeff Glover, Shalom Health Care
Center Family Nurse Practitioner,
helps a young patient maintain her
good health.
The Indiana General Assembly has ensured
the existence of primary care providers for
Indiana residents who are uninsured,
underinsured, or receive Medicaid/Medicare
benefi ts since 1995 through Community
Health Center funding. The Indiana State
Department of Health oversees the
Community Health Center funding.
In 2006, 42 grants were awarded.
Sixteen of the Community Health Center
state funded grantees also received federal
funding from the Health Resources and
Services Administration, Bureau of Primary
Health Care. These 16 Health Centers are
designated as Federally Qualifi ed Health
Centers (FQHCs) under the Federal
330 Authorization.
The Community Health Centers bring multiple
benefi ts to the local community.
AFFORDABLE
Services at Community Health Centers are
provided regardless of ability to pay. The use
of a sliding fee schedule allows users to pay
reduced rates if they qualify. Medicaid,
Medicare, insured, and uninsured patients
are all welcome.
AVAILABLE
The Community Health Centers offer extended
hours in the evening and on weekends based
on the needs of the people served.
ACCESSIBLE
Community Health Centers are open to
all community residents and located where
medically underserved and vulnerable
populations are located. Services are provided
regardless of geographic location. Community
Health Centers intentionally address and work
to fi nd solutions for barriers to obtaining care,
such as transportation, patient fi nances, hours
of availability, language, etc.
APPROPRIATE
Community Health Centers provide
comprehensive primary, preventative, acute,
and restorative services for all ages from birth
to the end of life. The Community Health
Centers work diligently to provide culturally
competent care.
ACCEPTABLE
Community Health Center consumers serve
on the Health Center’s Board of Directors.
For Federally Qualifi ed Health Centers, 51%
of the Board of Directors must be comprised
of consumers, who are representative of
the population served and consider the
Community Health Center to be their health
care home. Consumer representation assures
that the services of the Health Center are
driven by the needs of the community.
Primary Care Providers
9 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 10
The Indiana Primary Health Care Association hired Capital Link to conduct an
Economic Impact Analysis. Capital Link is a nonprofi t organization headquartered in
Boston, Massachusetts that assists Health Centers and Primary Care Associations
nationally in planning and obtaining fi nancing for capital projects. Eighteen of IPHCA’s
member Community Health Centers participated in the analysis. The March 2007
report based on Fiscal Year 2005 data determined that the participating Community
Health Centers supported the state economy in the following ways:
• The Community Health Centers had an overall economic impact of more than $135 million and supported 1,660 jobs.
• The 18 Community Health Centers injected almost $85 million of operating expenditures directly into their local economies.
• These expenditures produced additional indirect and induced economic activity of over $51 million.
• The overall total output of $135 million includes $89 million in household purchasing power, e.g., the aggregate gain in household income within the communities the Community Health Centers serve.
• The Community Health Centers directly generated 1,074 jobs and indirectly supported an additional 586 jobs as a result of their total operating expenditures.
The above economic impact analysis clearly demonstrates that as a result of the
combined effects of their multiple roles as service providers, employers, and local
businesses, Community Health Centers have a signifi cant community and economic
development role in their communities. An investment in Indiana’s Community Health
Centers is an investment in the economic development of the communities they
serve and the state as a whole.
Excerpted from:
Capital Needs, Financial Trends and Economic Impact of Indiana Community Health
Centers with Comparative National Financial Benchmarks, March 2007. Prepared by
Capital Link in collaboration with the Indiana Primary Health Care Association, Inc.
of Community Health CentersThe Economic IMPACT
The Indiana General Assembly has ensured
the existence of primary care providers for
Indiana residents who are uninsured,
underinsured, or receive Medicaid/Medicare
benefi ts since 1995 through Community
Health Center funding. The Indiana State
Department of Health oversees the
Community Health Center funding.
In 2006, 42 grants were awarded.
Sixteen of the Community Health Center
state funded grantees also received federal
funding from the Health Resources and
Services Administration, Bureau of Primary
Health Care. These 16 Health Centers are
designated as Federally Qualifi ed Health
Centers (FQHCs) under the Federal
330 Authorization.
The Community Health Centers bring multiple
benefi ts to the local community.
AFFORDABLE
Services at Community Health Centers are
provided regardless of ability to pay. The use
of a sliding fee schedule allows users to pay
reduced rates if they qualify. Medicaid,
Medicare, insured, and uninsured patients
are all welcome.
AVAILABLE
The Community Health Centers offer extended
hours in the evening and on weekends based
on the needs of the people served.
ACCESSIBLE
Community Health Centers are open to
all community residents and located where
medically underserved and vulnerable
populations are located. Services are provided
regardless of geographic location. Community
Health Centers intentionally address and work
to fi nd solutions for barriers to obtaining care,
such as transportation, patient fi nances, hours
of availability, language, etc.
APPROPRIATE
Community Health Centers provide
comprehensive primary, preventative, acute,
and restorative services for all ages from birth
to the end of life. The Community Health
Centers work diligently to provide culturally
competent care.
ACCEPTABLE
Community Health Center consumers serve
on the Health Center’s Board of Directors.
For Federally Qualifi ed Health Centers, 51%
of the Board of Directors must be comprised
of consumers, who are representative of
the population served and consider the
Community Health Center to be their health
care home. Consumer representation assures
that the services of the Health Center are
driven by the needs of the community.
Primary Care Providers
9 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 10
The Indiana Primary Health Care Association hired Capital Link to conduct an
Economic Impact Analysis. Capital Link is a nonprofi t organization headquartered in
Boston, Massachusetts that assists Health Centers and Primary Care Associations
nationally in planning and obtaining fi nancing for capital projects. Eighteen of IPHCA’s
member Community Health Centers participated in the analysis. The March 2007
report based on Fiscal Year 2005 data determined that the participating Community
Health Centers supported the state economy in the following ways:
• The Community Health Centers had an overall economic impact of more than $135 million and supported 1,660 jobs.
• The 18 Community Health Centers injected almost $85 million of operating expenditures directly into their local economies.
• These expenditures produced additional indirect and induced economic activity of over $51 million.
• The overall total output of $135 million includes $89 million in household purchasing power, e.g., the aggregate gain in household income within the communities the Community Health Centers serve.
• The Community Health Centers directly generated 1,074 jobs and indirectly supported an additional 586 jobs as a result of their total operating expenditures.
The above economic impact analysis clearly demonstrates that as a result of the
combined effects of their multiple roles as service providers, employers, and local
businesses, Community Health Centers have a signifi cant community and economic
development role in their communities. An investment in Indiana’s Community Health
Centers is an investment in the economic development of the communities they
serve and the state as a whole.
Excerpted from:
Capital Needs, Financial Trends and Economic Impact of Indiana Community Health
Centers with Comparative National Financial Benchmarks, March 2007. Prepared by
Capital Link in collaboration with the Indiana Primary Health Care Association, Inc.
of Community Health CentersThe Economic IMPACT
A Health Care Home is the place
where a person goes for all of his or
her primary care needs. Primary care
encompasses medical, dental, and
behavioral or mental health services.
Services provided by a Health Care
Home should be accessible and
include at a minimum prevention
services, prenatal services, family
planning, diagnosis and treatment
of illness and chronic diseases,
management of chronic diseases,
and health education for all ages from
birth to the end of life. A Health Care
Home reduces the need for costlier
care, such as emergency room visits
and hospitalizations.
Each Community Health Center is
unique because it is created by the
community it serves and obtains input
from the consumers of its services
through consumer representation on
its Board of Directors.
Community Health Centers in Indiana
provide a range of enhanced services
in addition to those provided by most
primary care provider offi ces. The range
of enhanced services provided by each
Community Health Center will vary
based on the needs of the community.
Fees for Community Health Center
services are on a sliding fee schedule
based on the person’s/family’s income.
11 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 8
EXAMPLES OF ENHANCED SERVICES PROVIDED BY COMMUNITY HEALTH CENTERS
• Social services
• On-site WIC
• Care coordination
• Nutritional counseling
• Pharmacy services
• Diagnostic services, such as lab and x-ray
• HIV counseling and testing
• HIV early intervention services
• Podiatry
• Optometry
• Infant car seat distribution
• Enrollment in Medicaid
• Translation services
Community Health Centers areHealth Care Homes
Indiana Community Health Centers User Demographics 2006
In 2006, 42 Community Health
Center grants were approved by the
Indiana State Department of Health.
Of these 42 grantees, 39 reported
the following data.Medicaid
Medicare
Uninsured
Other
INSURANCE DISTRIBUTION OF USERS
34%21%
36%
9%
< 100% FPL*
101 - 150% FPL*
151 - 200% FPL*
> 200%+ FPL*
POVERTY LEVEL OF USERS
59%16%
12%
13%
*Federal Poverty Level
White
Black
Hispanic
Other
ETHNIC/RACIAL HERITAGE OF USERS
19%
49%
26%
6%
0 - 14 years
15 - 19 years
20 - 44 years
45 - 64 years
> 65 years
AGE OF USERS
35%
31%
17%
5%
12%
Jeff Glover, Shalom Health Care
Center Family Nurse Practitioner,
helps a young patient maintain her
good health.
CONSUMER GOVERNEDMEMBERSCitizens Health Center, Inc.
ECHO Community Health Care
Edinburgh/Trafalgar FamilyHealth Centers, Inc.
Gary Community Health Center
HealthNet Community Health Center
Heart City Health Center, Inc. Hilltop Community Health Center, Inc.
Indiana Health Centers, Inc.
Madison County Community Health Centers, Inc.
Maple City Health Care Center Neighborhood Health Clinics, Inc.
Northshore Health Centers
Open Door/BMH Health Center, Inc.
Raphael Health Center
Rising Sun Medical Center, LLC
Shalom Health Care Center, Inc.
Tippecanoe CommunityHealth Clinic, Inc.
PRIMARY CAREDEPARTMENT MEMBERSDaviess Community Hospital
St. Francis NeighborhoodHealth Center
ASSOCIATE PROVIDERMEMBERSClay City Center for FamilyMedicine/Richard G. Lugar Centerfor Rural Health
Family Health Center of Clark County
Family Health Center of Winchester
Family Health Services Memorial Neighborhood Health Centers
AFFILIATE MEMBERSCatherine McAuley Clinic
Community Mental Health Center, Inc.
Dunn Center
Family Health Clinic of Carroll County
Health Family Center Hoosier Uplands
Indiana Area Health EducationCenter (AHEC)
MDWise, Inc.
Tulip Tree Health Services ofGibson County
Wayne County Health Department
INDIVIDUAL MEMBERSDannee J. Neal, M.D.Shalom Health Care Center, Inc.
Yvette SpicerIvy Tech Community College
Juanita GordonCitizens Health Center, Inc.
Edward Hicks, PhDCitizens Health Center, Inc.
Susie WaymireFamily Health & Help Center
Sarah (Sally) Watlington,Board of DirectorsTippecanoe CommunityHealth Clinic, Inc.
7 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 12
IPHCA Members Indiana Community Health Centers Number Served 2003 to 2006
The Community Health Centers
in Indiana have increased the
number of patients served from
2003 to 2006. In 2006, 331,010
people were served by the
Community Health Centers,
including 118,017 uninsured and
113,046 Medicaid benefi ciaries.
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
2006200520042003
NUMBER OF PEOPLE SERVED
50,00060,00070,00080,00090,000
100,000110,000120,000130,000
2006200520042003
NUMBER OF UNINSURED SERVED
50,000
60,000
70,000
80,000
90,000
100,000
110,000
120,000
2006200520042003
NUMBER OF MEDICAID SERVED
President & CEO
Director of Operations
Director of Information Systems
Director of Chronic DiseaseManagement Programs
Director of Business Development
Policy Analyst
State Funded Program Director
Bioterrorism and EmergencyManagement Program Director
Data and KnowledgeResource Specialist
Midwest Cluster HDC Director
FQHC Program Director
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager Supervisor
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Nurse Care Manager
Patient Coordinator
Administrative Assistant
Clerical Assistant
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
Indianapolis
New Castle
Fort Wayne
Evansville
Evansville
Terre Haute
Indianapolis
Paoli
New Castle
Terre Haute
Rochester
Rushville
Gary
Indianapolis
Elwood
Valparaiso
Indianapolis
Rockville
Rochester
Paoli
Indianapolis
Indianapolis
Indianapolis
13 Indiana Primary Health Care Association, Inc.
Indiana Primary HealthCare Association StaffList as of March 31, 2007
2006-2007 Year In Review 6
IPHCA Staff
Lisa Winternheimer
Gregg Grote
Dan Dobbs
Jane Miller
Pete Townes
Alice Rae
Eleather Baker
Connie Boatright
Natalie Brown
Carla Chance
Dolores Glenn
Michelle Anderson
Lori Boggs
Ashley Carter
Phyllis Dawson
Roseanne Douglas
Janet Edwards
Tracy Gehl
Kathy Glavin
Betsy Jerome
Brenda Lempecki
Lynn Marshall
Briana Rhodes
Barbara Shull
Sandy Stone
Debra Stanton
Lisa Suiter
Debbie Swaim
Tawnya Thayer
Rhonda Vance
Sean Jones
Angie McHugh
Lorietta Sullivan
Percent of Indiana Residents Served
The Community Health Centers are
the largest network of providers of
care for the uninsured and Medicaid
populations in Indiana.
Changes in percentage can be
attributed to several factors.
A reduction in the percent of
uninsured Indiana residents served
can be due to a rising number of
uninsured and/or more people
receiving Medicaid benefi ts.
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
2006200520042003
PERCENT OF TOTAL MEDICAID SERVED
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
2006200520042003
PERCENT OF TOTAL UNINSURED SERVED
Dr. Judith Monroe, Commissioner,
Indiana State Department of
Health (center), with Tippecanoe
Community Health Clinic staff.
FEDERAL POLICY
In the 109th Congress, IPHCA worked
with Indiana Congressional Members
on the Health Centers Renewal Act
of 2006. Through the grassroots
advocacy efforts of IPHCA’s members,
eight of Indiana’s nine House of
Representatives members voted
for reauthorization of the health
center program.
In mid-February of 2007, the 110th
Congress approved $207 million in
funding for the Community Health
Centers. This included $25 million for
existing Community Health Centers to
cover costs of a growing patient
population. IPHCA, IPHCA members,
and grassroots advocates worked
with Indiana’s Congressional
delegation, which resulted in a 56%
“Yes” vote from Indiana’s House of
Representatives and 100% “Yes” vote
in the Senate.
INDIANA POLICY
IPHCA accomplished all fi ve of its
state policy goals in the 2007
Legislative Session (see below).
IPHCA partnered with several
organizations, including, but not
limited to, the Family Social Services
Administration, Indiana Tobacco
Prevention and Cessation Agency,
Indiana State Department of Health,
Indiana State Medical Association,
and Indiana Health and Hospital
Association, to accomplish the passage
of the tobacco tax and expansion of
coverage for the uninsured. IPHCA also
assisted in planning the Healthier
Indiana Plan Coalition Rally; Dr. Sabrina
Williams, Medical Director of Citizens
Health Center, spoke eloquently about
Community Health Centers and the
need for coverage for uninsured adults.
IPHCA held a Legislative Day on April
11, 2007. This event provided an
opportunity for Community Health
Centers to visit with Indiana State
Legislators.
2006-2007 Year In Review 14
IPHCA Policy Accomplishments
IPHCA Position Result
INDIANA POLICY GOALS IN THE 2007 LEGISLATIVE SESSION
Increased Community Health Center (CHC) funding
$30 million in capital funding
Tobacco Tax of $1 for the improved health of Hoosiers
Expansion of Coverage for the Uninsured, approvalof Healthier Indiana Plan or similar plan
A Medicaid budget increase of 5%
CHC funding doubled to $60 million in biennium
Up to $30 million in capital funding was allocated
$0.44 Tobacco Tax was approved. Tax will go to Indiana Check-up Plan, Immunizations, and Indiana Tobacco Prevention and Cessation Agency
The Healthier Indiana Plan, now termed the Indiana Check-up Plan, was approved. It is anticipated that the plan will provide coverage for up to 132,000 uninsured adults; 17,000 additional pregnant women (coverage increases from current 150% of Federal Policy Level (FPL) to 200% of FPL); 140,000 additional children (coverage expands to 300% of FPL from 200%); and provide tax credits for small employers for the implementation of health plans and wellness programs.
Medicaid’s budget increased by 5%, despite a signifi cant threatof a fl at-lined budget.
Indiana Primary HealthCare AssociationBoard of Directors2006-2007
Brenda Church, CHAIRAssistant AdministratorClay City Center for FamilyMedicine/Richard G. Lugar Centerfor Rural Health
Beth Wrobel, CHAIR-ELECTChief Executive Offi cerHilltop Community Health Center, Inc.
Lynn Clothier, SECRETARYPresident and CEOIndiana Health Centers, Inc.
Booker Thomas, TREASURERPresident and CEOHealthNet Community Health Center
Toni Estep, PAST CHAIRChief Executive Offi cerOpen Door/BMH Health Center, Inc.
Yvette Spicer, AT-LARGE Director, Health InitiativeIndiana CaresIvy Tech Community College
Veronique LeBlanc, AT-LARGEPresident/CEOTippecanoe Community HealthClinic, Inc.
Marc HackettExecutive DirectorShalom Health Care Center, Inc.
Joanie Perkins Director of Practice ManagementDaviess Community Hospital
Rosemary KnightExecutive DirectorECHO Community Health Care
Heidi MillerExecutive DirectorFamily Health Services
Dr. Janet SeabrookExecutive DirectorGary Community Health Center
Cheri HallChief Executive Offi cerRising Sun Medical Center, LLC
Indiana Primary HealthCare AssociationCommittees2006-2007
FINANCE COMMITTEEBooker ThomasPresident and CEO HealthNet Community Health Center
Hoagland ElliottExecutive DirectorRaphael Health Center
Marc HackettExecutive DirectorShalom Health Care Center, Inc.
Tom ChaseChief Financial Offi cerIndiana Health Centers, Inc.
MEMBERSHIP COMMITTEEBeth WrobelChief Executive Offi cerHilltop Community Health Center, Inc.
Brenda ChurchAssistant AdministratorClay City Center for FamilyMedicine/Richard G. Lugar Centerfor Rural Health
Sally WatlingtonBoard ChairTippecanoe CommunityHealth Clinic, Inc.
Susie WaymireExecutive DirectorFamily Health & Help Center
Elvin PlankChief Operating Offi cerHealthNet Community Health Center
HEALTH POLICY COMMITTEEYvette SpicerDirector, Health InitiativeIndiana CaresIvy Tech Community College
Anthony MaloneChief Executive Offi cerMadison County CommunityHealth Centers, Inc.
Lynn ClothierPresident and CEOIndiana Health Centers, Inc.
Mary HaupertChief Executive Offi cerNeighborhood Health Clinics, Inc.
Toni EstepChief Executive Offi cerOpen Door/BMH Health Center, Inc.
PERSONNEL COMMITTEEVeronique LeBlancPresident/CEOTippecanoe CommunityHealth Clinic, Inc.
Angie ZagealDirector of Human ResourcesNeighborhood Health Clinics, Inc.
Carmen HurstVice President, Human ResourcesIvy Tech Community College
5 Indiana Primary Health Care Association, Inc.
Board of Directors
Congressman Mike Pence with Open
Door/BMH Health Center advocate.
15 Indiana Primary Health Care Association, Inc.
Technical assistance is education
and consultation related to a specifi c
profession or trade. In 2006, IPHCA
provided customized technical
assistance for Community Health
Centers and organizations interested
in creating a Community Health Center.
For the Community Health Centers,
technical assistance topics included,
but was not limited to:
Federally Qualifi ed Health Center Program Requirements, Rules, and Regulations
Federal 330 Grant Applications
Need for Assistance Worksheet for the Federal 330 Grant Application
340B Drug Pricing
Federal Tort Claims Act Malpractice Coverage
Uniform Data System Report
Health Disparities Collaborative
Indiana State Funded Community Health Center Program Requirements,Rules, and Regulations
State Funded Community Health Center Program Grant Applications
State Funded Community Health Center Standards
Board Governance
Consumer Governance
Board Roles
Emergency Management
Integration into Local District Planning and Indiana Statewide Communication Network
Emergency Management Plans
Business Recovery Plans
Tabletop and Mock Drills
Provision of Equipment
Surge Capacity
Pandemic Flu Preparedness
Finances
Billing Processes
Financial Benchmarks
Medicaid
Medicare
Operations
Human Resources
Recruitment of Provider Staff
Salary Benchmarks
Evidence Based Best Practices
Chronic Disease Management
Quality
Clinical Quality
Quality Improvement Models and Methodologies
Implementing Quality Improvement throughout the Community Health Center
Measurable Quality Outcomes
Technology
COCKPIT Performance Benchmarking Network for Community Health Centers
Practice Management Systems
Electronic Health Records
Electronic Medical Records
Consultation Services
Medicaid
Medicare
National Health ServiceCorps Program
Federal Shortage Designations
Medically Underserved Areas and Populations
Health Professional Shortage Areas: Primary Care, Mental Health, Dental
Grassroots Advocacy
Creation of a Grassroots Advocacy Program
Program Tools
Technical Assistance and Education
In 2006, IPHCA continued
development of an innovative software
tool for Community Health Centers
called COCKPIT Performance
Benchmarking Network For
Community Health Centers.
“COCKPIT”, as it is commonly called,
allows a health center to easily submit
fi nancial and operational data to a
centralized COCKPIT data warehouse.
Then, a Health Center’s executive staff
can log in using any web browser to a
secure website and see “cockpit-style”
dashboards of fi nancial, operational,
and clinical performance measures
right at their fi ngertips.
Along with each performance
measure is benchmark data to inform
the Health Center of how their
performance compares to other
Health Centers. UDS tables, provider
productivity, and other useful reports
are available at the push of a button.
For more information, see
http://www.gocockpit.org.
PERFORMANCE BENCHMARKING NETWORKfor Community Health Centers
2006-2007 Year In Review 4
The Primary Care AssociationThe Indiana Primary Health Care Association
(IPCHA) is the Primary Care Association in
Indiana. Every state and U.S. territory has a
Primary Care Association, which receives
funding from the Health Resources and Services
Administration Bureau of Primary Health Care
to monitor the state of access to primary care
services for residents and to provide technical
assistance for Federally Qualifi ed Health Centers
and organizations applying for status as a
Federally Qualifi ed Health Center.
IPHCA is the membership association for the
Community Health Centers in Indiana that
receive state and federal funding and primary
care providers, organizations, and individuals
who support IPHCA’s mission.
In Fiscal Year 2006-2007, IPHCA received
funding from the following partners:
• Health Resources and Services Administration, Bureau of Primary Health Care for primary care association services as described above
• Health Resources and Services Administration, Bureau of Primary Health Care for the fi nal year of a multiyear technology grant to implement COCKPIT Performance Benchmarking Network for Community Health Centers
• Michigan Primary Care Association to implement the Health Disparities Collaborative for the Federally Qualifi ed Health Centers in Indiana
• Indiana State Department of Health to provide deliverables related to the National Health Service Corps Program
• Indiana State Department of Health to provide technical assistance deliverables for the Community Health Centers receiving state funding from the Indiana State Department of Health
• Indiana State Department of Health to provide technical assistance related to emergency management and readiness of the Community Health Centers
• Offi ce of Medicaid Policy and Planning to continue the Nurse Care Manager services of the Indiana Chronic Disease Management Program
• National Council on Aging to manage the Access to Benefi ts Coalition
Leveraging Resources
2006-2007 Year In Review 16
GoalsMission
Organized in 1982, the Indiana Primary Health Care Association (IPHCA) is a statewide not-for-
profi t advocacy organization whose mission is to promote the provision of primary health care
services in areas of need in Indiana and to assure the growth and development of Community,
Migrant and Homeless Health Centers in the State.
3 Indiana Primary Health Care Association, Inc.
IPHCA Mission To advocate for access to quality health care for all those residing in
Indiana and to support the development of community oriented primary
care initiatives, which are:
AFFORDABLE based on income
AVAILABLE when needed
ACCESSIBLE where needed
APPROPRIATE emphasizing continuous, comprehensive, prevention oriented primary care and case management
ACCEPTABLE to all those residing in the community regardless of cultural heritage, fi nancial status or personal circumstances
IPHCA Goals Infl uence federal, state and private policies and resource allocationsto achieve IPHCA’s mission.
Increase the number of culturally competent primary care cliniciansand services in medically underserved areas.
Facilitate the development of new starts and/or the expansion ofexisting Health Centers for underserved populations.
With members, initiate strategies to thrive within the changinghealth care environment.
Support/promote/advertise continuous quality improvementwithin IPHCA membership.
Create a non-competitive environment for primary care entities.
Initiate and maintain IPHCA Board development strategy.
IPHCA Mission
In order for Community Health Centers to
continue to provide high quality services, staff
must have opportunities to receive additional
training. IPHCA provides such trainings
throughout the year.
Trainings held in Fiscal Year 2006-2007• Co-sponsored “Epidemiology and Vaccine Preventable Illnesses,” with MAPHTC, the Indiana State Department of Health, and the Indiana Immunization Coalition
• Quality Management Training
• Care Select Vendor Forum
• Environmental Assessment
• Coding
• Finance and Operations
• Grassroots Advocacy
• Uniform Data Systems
• Annual Conference
• Integration of Behavioral Health and Primary Care
• Managed Care 101-Questions and Answers
• Health Disparities Collaborative Learning Session II
Training Opportunities
$34.2 millionIPHCA leveraged
members
In Fiscal Year 2006-2007, IPHCA leveraged$34.2 million on behalf of its members.
The leveraged funds included:
• Federal Community Health Center funds for Indiana Federally Qualifi ed Health Centers
• State funds for Indiana’s Community Health Center program
• IPHCA grant funds from the Bureau of Primary Health Care for Primary Care Association services and the COCKPIT Performance Benchmarking Network for Community Health Centers
• IPHCA grant funds from the Indiana State Department of Health for technical assistance and emergency management implementation/ readiness for the state-funded Community Health Centers, and technical assistance for the National Health Service Corps Program
• IPHCA grant funds from the Michigan Primary Care Association for the implementation of the Health Disparities Collaborative
• IPHCA grant funds from the National Council on Aging for the implementation of the Access to Benefi ts Coalition
on behalf of its
17 Indiana Primary Health Care Association, Inc. 2006-2007 Year In Review 2
Dear Members and Friends
Dear Members and Friends,
Fiscal Year 2007, which ended March 31, 2007, was an exciting andproductive year! IPHCA experienced major successes in its policy work,due to a team effort by grassroots supporters, Community Health Centers, and IPHCA. We would not have achieved this success without everyone pulling together.
In addition, IPHCA’s Board of Directors and its committees havebeen working on establishing new policies and updating current ones.This process is critical in order to provide a strong infrastructure for IPHCA.
At IPHCA’s Annual Meeting in October 2006, a new category ofmembership was created – Corporate Member. We are looking forwardto welcoming community-oriented corporate partners in the comingyear and beyond.
In reviewing the accomplishments of the 2007 Legislative Session, IPHCA has much to be proud of. The leveraging of over $34 million annually infunding for the Community Health Centers, as well as other importantservices provided to the Community Health Centers, is signifi cant!Again, this resulted from a group effort of Health Centers getting theword to their grassroots advocates and inviting government offi cialsto tour their Centers.
This upcoming year promises even more opportunities for celebration.For example, Indiana has 10 counties listed in the federal High Poverty Counties Initiative, which presents IPHCA and those communities with a signifi cant opportunity to access new grant funding. In addition, IPHCA is working with the Indiana State Department of Health on the establishmentof Community Health Center Standards.
We thank you for your continued support of IPHCA.
Sincerely,
Brenda Church Lisa WinternheimerBoard Chair President/CEO
Value-Added Activities
IPHCA was fortunate to be involved in
opportunities that brought extra value to
its members.
• IPHCA joined a delegation from Indiana at
the Maternal and Child Oral Health Institute
in Atlanta. The overall goal of the Institute is
to strategize ways in which a state can
better integrate oral health into their
programs in order to enhance their capacity
to build public/private partnerships
addressing unmet oral health needs of the
Maternal and Child Health populations.
• At the invitation of FEMA, IPHCA’s
Emergency Management Program
Director served as faculty at the National
Disaster Conference on “The Role of
the Emergency Manager in Health
Care Facilities.”
• IPHCA’s Emergency Management Program
Director was chosen by the National
Association of Community Health Centers
(NACHC) to represent Primary Care
Associations and Community Health
Centers (CHCs) on a national task force
related to Health Agency-Community Health
Center Coordination in Preparedness.
• IPHCA’s Emergency Management Program
Director co-presented at the National
Association of City and County Health
Offi cials on “CHCs: First Line of Defense
on Public Health Emergencies.”
• Two-way radios and N-95 masks were
distributed to the Community Health
Centers. This equipment was provided
as part of a comprehensive technical
assistance plan that also includes
assisting the Health Centers in the
implementation and testing of Emergency
Management Plans.
ACCESS TO BENEFITS COALITION
IPHCA’s management of the Access to
Benefi ts Coalition primarily involved the
“My Medicare Matters” program for enrolling
benefi ciaries in Medicare Part D. IPHCA
facilitated 108 events, with more than 44,000
individuals being reached; more than 3,200
individuals receiving direct educational
assistance; and more than 1,400 individuals
receiving direct enrollment assistance.
Indiana’s “My Medicare Matters” was
number one in the nation!
IMPROVING RELATIONS BETWEENPRIMARY CARE ASSOCIATIONS/FQHCs AND MEDICAID
IPHCA was the only Primary Care Association
(PCA) chosen by the Health Resources and
Services Administration (HRSA) to work on a
prototype project to improve communication
and collaboration between the PCA and the
State’s Medicaid agency. John Snow, Inc.
(JSI) was hired by HRSA to assist IPHCA
in strengthening communication and
collaboration with Indiana’s Medicaid program;
enhance the role of Indiana’s Federally
Qualifi ed Health Centers (FQHCs) in providing
high-quality, cost-effective services to the
State’s Medicaid benefi ciaries; and identify
ways PCAs around the nation can strengthen
relationships between FQHCs and their state
Medicaid agencies.
INDIANA COMMUNITY LINKS
IPHCA requested technical assistance from
the Bureau of Primary Health Care (BPHC)
related to the 2007 changes occurring in
Indiana with the Managed Care Organizations
(MCOs). BPHC consultants, IPHCA, and
a FQHC Task Force explored several
opportunities. The fi nal result was creation of
a Management Services Organization (MSO),
which is currently working on contract
negotiations for the provision of care
management services. This MSO - Indiana
Community Links - is a Limited Liability
Corporation that presents a signifi cant
membership opportunity for IPHCA members.
INDIANA CHRONIC DISEASEMANAGEMENT PROGRAM (ICDMP)
The goals of the ICDMP are to improve the
quality of life for Indiana Medicaid recipients
with a chronic disease, and to achieve a
systemic improvement in the care of the
chronically ill. For the ICDMP, IPHCA provides
Nurse (RN) Care Management services to
Medicaid members identifi ed as high severity.
The goal of the RN Care Manager services
is to assist the patient in self-management.
As part of this program, IPHCA successfully
implemented a pilot project of physician
education on evidenced-based practices
related to cardiac disease. RN care
management patient outcomes from May
2004 through September 2007 include:
• 13% hospital admission rate during
Nurse Care Manager intervention for
Congestive Heart Failure patients
(Goal: < 25%)
• 73% of diabetes patients with an HbA1c
level less than 8% at graduation, or a drop
in HbA1c during Nurse Care Manager
services (Goal: > 75%)
• 8% hospital admission rate during
Nurse Care Manager intervention for
cerebrovascular disease patients
(Goal: < 50%) - Collected January-
March 2007
1892
2006-2007 Year In Review 18
Table of Contents
Dear Members and Friends
IPHCA Mission
The Primary Care Association
Board of Directors
IPHCA Staff
IPHCA Members
Health Care Homes
Primary Care Providers
Economic Impact
Community Health Centers’ Users
Number of Indiana Residents Served
Percent of Indiana Residents Served
Policy Accomplishments
Technical Assistance and Education
Leveraging Resources
Value-Added Activities
Financial Audit
Gauthier & Kimmerling, LLP audited the fi nancial statements of Indiana Primary
Health Care Association, Inc. for the year ended March 31, 2007 in accordance with
the U.S. Offi ce of Management and Budget (OMB) Circular A-133. A fi nal report
was issued and dated June 29, 2007 which included:
Independent Auditor’s Report
Statements of Financial Position
Statement of Activities
Statement of Cash Flows
Statement of Functional Expenses
Notes to Financial Statements
Gauthier & Kimmerling issued an unqualifi ed opinion on the statement of fi nancial
position and on the types of compliance required under OMB Circular A-133.
There were no fi ndings issued.
Fiscal Year 2006-2007Financial Audit
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Susan Moylan, Tippecanoe
Community Health Clinic Pediatric
Nurse Practitioner, with patient.
P. 317.630.0845F. 317.630.0849
www.indianapca.org
Indiana Primary Health CareAssociation, Inc.1006 E. Washington St., Ste. 200Indianapolis, IN 46202
2006-2007 Year In Review
