North Coast Health

“Copy of complete 990 e-mailed to nch finance committee and then full board of directors for review prior to filing”

“The conflict of interest disclosure statement is distributed annually to each board member for signature. The statements are kept on file at the office of the president and ceo of north coast health .”

“Executive committee recommends salary of the executive director during an executive session of the annual meeting of the board. Salary comparability data is collected from appropriate sources for the board's review.”

“Annual staff reviews are conducted by immediate supervisor and president and ceo. The board of directors conducts an annual review of the president and ceo. The president and ceo submits staff salary recommendations to the executive committee for review and approval.”

“Documents are made available to the public upon request.”

“North coast health (nch), a faith based charitable clinic, in collaboration with community partners provides quality health care and optimizes access prevention, wellness and education for the medically underserved. We believe health care is a basic human right and the inability to pay should never be a barrier for anyone. Nch has received the highest level of recognition by the national committee for quality assurance as a patient centered medical home (pcmh), level 3. In 2016, a total of 8,722 services were provided to 1,655 unduplicated patients. As a pcmh, nch provides primary care including prevention and wellness, chronic disease management and the care of minor illness and injury. In 2016, nch expanded services with the addition of a part time counselor to integrate primary care and behavioral health care to better meet the needs of our patients. Our goal is to end health disparities and inequity by providing access to medical care that is comparable to the care received by individuals of higher socioeconomic status. Healthcare coverage and delivery continues to change. Navigating this system is complicated. North coast health remains diligent in identifying gaps that have closed as well as new gaps that have opened as a result of changes in the healthcare delivery system. Despite implementation of the affordable care act and medicaid expansion, as well as the transition of health care delivery in the city of lakewood, ohio, the individuals we servecontinue to have unmet needs. People still struggle with affordability ofcare. Sixty two percent of patients have a household income of less than 20,000 annually. Many remain uninsured and others simply cannot afford the expensive premiums and deductibles which can be as high as two thirds of their annual household income. As a safety net provider, nch remainspositioned to help bridge the gaps, expand services, and be the needed medical home to the thousands of individuals who come to us for care each year.”

“In 2016 nch hired a part time counselor at 20 hours weekly to integrate primary care and behavioral health care to better meet the needs of our patients”

“For 30 years, nch has worked to meet the medical needs of the economically vulnerable and medically underserved in our community and beyond. In 2016, north coast health: served 1,655 unduplicated patients, including 648 new patients 46% uninsured and 59% insured 76 % insured through medicaid, 9% medicare and 15% marketplace or other coverage uninsured and insured exceed 100% as patients move from having insurance and being uninsured. When this occurs, individuals are captured once in uninsured and insured category. Provided 8,722 services including- 3,943 primary care visits 1,730 specialty referrals 286 behavioral health counseling visits 2,763 services which include nurse visits, laboratory testing, assistance with prescription assistance forms, and appointments for marketplace and medicaid enrollment were provided. In addition, 264 food cards, bus passes and cab vouchers were provided. Dispensed nearly 500,000 in prescription medication to uninsured individuals. With the implementation of the affordable care act, and medicaid expansion, nch continues to see a decrease in the amount of dispensed prescription medications as a result of more patients having coverage of their medications through insurance. This highlights an important role nch has played - and continues to play - as a safety net provider; filling the gaps to provide care and medications until additional resources become affordable and available. In 2016, north coast health was recognized as a gold star practice by better health partnership, a regional health care improvement collaborative, for outstanding improvement in caring for chronic illness for diabetes. In february 2016, north cost health once again receiveived recognition as a patient centered medical home (pcmh), level 3- the highest level of recognition- by the national committee for quality assurance. Research shows that pcmhs improve quality of care and patient and staff experiences while reducing health care costs. North coast health is making a difference. Our efforts are helping to improve health outcomes; prevent disease and complications, connect patients to other community resources to assist with food, housing, utilities, substance abuse and other needs. Working to end health disparities by providing the underserved quality, comprehensive and coordinated health care not only benefits the individual but also their family, employers, the healthcare system and taxpayers. These efforts reduce health care costs and improve the health of our community and workforce. Primary care services are provided five days per week, with evening and weekend hours available. A triple aim approach of better health-better care-lower cost is used to ensure the right patient receives the right care at the right place and time. Services include: 1) chronic disease management- individualized care to meet each patient's unique needs. Increased understanding of conditions and patient engagement, improved health status and prevention of complications. 2) women's health - preventive breast health and gynecological screenings and care. 3) prescription assistance program - free, or low cost, medications to manage chronic disease and acute conditions; includes immunizations and home health supplies. 4) specialty referrals - specialty care donated by volunteer referral physician network and through cuyahoga health access partnership (chap). 5) behavioral health counseling - onsite counseling services, for patients with depression, grief, anxiety and other mental health conditions. 6) patient critical needs assistance (pcna) - supports short term critical needs for groceries, transportation, medical supplies (i.e. Nebulizers, orthopedic equipment including braces, prosthetics, walkers, wheelchairs, support stockings/socks, and diabetes testing supplies), translation services and prescription medications. 7) onsite laboratory and medical testing - point of care laboratory and medical testing, allowing for immediate results and”