YEAR IN REVIEW Fiscal Year 2014/2015
Table of
CONTENTS Forward....................................................................page 2 Beyond the exam room..................................page 2 About Legacy Community Health.........page 3 We are the solution......................................... page 6 Our impact on the community.................page 8 Our donors and their impact.................. page 16
FORWARD
ABOUT US
MISSION
Driving healthy change in our communities.
VISION Legacy Community Health has been driving healthy change in our community for more than 35 years. Their commitment to providing services and programs to all who need them, regardless of the ability to pay, without judgement or exception, serves as a shining example of the community impact nonprofit organizations can have.
Connecting our communities to health every day, in every way.
It is easy to take access to health care for granted when it is provided at a reasonable cost through an employer but for many in our community it’s a daily worry. Will their children get the dental care or eyeglasses they need to perform well at school? Will an expectant mother be able to receive the vitamins and checkups she needs to ensure a healthy delivery? Where will an unemployed young adult diagnosed with HIV/AIDS be able to turn for help and treatment?
Health Care As a Right, Not a Privilege. We believe that comprehensive health care is
Thankfully, Legacy Community Health is there with the answers and the care. They identify unmet needs in health care services and fill in the gaps with client-centered programs that address those needs. And they do so with a keen eye toward fiscal responsibility. I salute Legacy Community Health for being a community leader. Thank you for all that you do and best wishes for more successful years ahead! Sincerely
VALUES
a human right. Legacy’s services and programs are open to all who need us, regardless of the ability to pay, without judgment or exception.
Devotion To Our Communities: We continue to build our legacy on a solid foundation
by learning from our communities, embracing the people in them, and serving their unique needs. Especially when no one else will.
Leading The Charge: We address issues others shy away from. Not because it’s easy or
popular, but because it’s the right thing to do. The Legacy team possesses unwavering courage and serves as a visionary catalyst for sustainably healthy communities.
Active Stewardship of Resources: We carefully manage our available resources, in order Annise D. Parker Mayor
CRAFTING A LEGACY: BEYOND THE EXAM ROOM It is no secret Legacy treats the whole patient, body and mind. We care for anyone who walks through our doors, regardless of their ability to pay. Whether they need prenatal care or counseling to cope with depression, Legacy is here to serve the community and connect patients to health care every day, in every way. What you may not know about Legacy is how we improve health outcomes outside the exam room. Health is more than what happens in a doctor’s office, and Legacy goes above and beyond to offer services that enhance all aspects of our patients’ lives. Many studies show there is a connection between education and health. Legacy has branched out to help community members educate themselves in many areas. For example, Legacy offers classes to help patients earn their GED. Why? It is known that people with higher levels of education have lower rates of chronic illnesses such as diabetes and heart disease. Also, we provide dietary services because we believe families make better food choices when educated about proper nutrition. And through our Little Readers program, we offer books to pediatric patients at every well-child visit because early literacy builds language and social skills that last a lifetime. We could go on, but you get the idea. We want to drive healthy change in the community. As long as there is a need for comprehensive health care, Legacy will continue to go beyond the exam room for years to come. Katy Caldwell Executive Director Legacy Community Health Bryan Hlavinka Chair Legacy Community Health Board of Directors
page 2 Legacy Community Health – year in review 2014/2015
to deliver on our promise of driving healthy change. We remain grounded in responsible decision making for sustainable operations, putting every asset where it can do the most good for the community.
OUR STATISTICS
LEGACY COMMUNITY HEALTH: BOARD OF DIRECTORS
WHO DO DO WE WHO WESERVE? SERVE? Other
Asian 2%
7%
Caucasian
9% 59%
40 35
Sehba Z. Ali Beryl Basham Tony Bravo George Burch Dr. Abigail Caudle Victor Cordova Shaun P. Davis David L. Fox, J.D., Ph.D. Amanda Goodie
Alex Jessett Bethsheba Johnson Alton LaDay Glenna Pierpont Cyndy Garza Roberts Jay K. Sears John C. Sheptor Lauren Soliz
32%
AGE AGE
35%
African American
*
Chairperson Vice-Chairperson Secretary Treasurer At-Large/Executive Committee
Hispanic
23%
Number of patients served annually
Bryan Hlavinka Beth Bruce Jani C. Lopez Glenn Bauguss Ian M. Rosenberg
20 15
3%
10 5 0
LEGACY COMMUNITY HEALTH ENDOWMENT: BOARD OF DIRECTORS
14%
25
16%
30
Under 5
5-19
20-44
45-64
Over 65
Claire Cormier Thielke Mark A. Grierson James A. Reeder, Jr. David L. Fox, J.D., Ph.D.
Chairperson Vice-Chairperson Secretary Treasurer
Michael S. Alexander, J.D. Tripp Carter Joshua L. Espinedo Melanie Gray
Bryan Hlavinka Mike Holloman Melissa Mithoff Monsour Taghdisi
GENDER
42%
Total revenue: $92,514,753
58%
<1%
Total expenses: $86,823,900
Total uncompensated care: $8,404,141 of total patients is represented as the sum of patients served at each site. Patients are counted more than once when they * Number access care across multiple sites or service lines. The total also may or may not include services beyond traditional clinical care such as health education and community-based outreach and screening programs. These programs provide education and screening targeting sexually transmitted infections and chronic health conditions.
page 4 Legacy Community Health – year in review 2014/2015
THE THE PROBLEM PROBLEM
THE THE SOLUTION SOLUTION
Health disparities Health disparities that affect thatour affect our communities communities and theand nation. the nation. DENTAL
WOMEN’S HEALTH WOMEN’S HEALTH
DENTAL About
Legacy Legacy Community Community Health Health
ELIGIBILITYELIGIBILITY
An estimatedAn estimated
About
1 of 51 of 5
11,96711,967
children agedchildren 5 to aged 5 to 11 years have 11 at years have at least one untreated least one untreated decayed tooth.decayed tooth.
6.3 million 6.3 million
new cases of HPVnew cases of HPVassociated cervical associated cervical Texans are uninsured Texans are uninsured cancer are diagnosed cancer are diagnosed in the U.S. each in year. the U.S. each year. including 1.2 million including children. 1.2 million children.
(Centers for Disease (Centers Control for Disease Control and Prevention) and Prevention)
(Centers for Disease (Centers Control for Disease Control (Texas Medical Association) (Texas Medical Association) and Prevention) and Prevention)
BEHAVIORAL BEHAVIORAL HEALTH HEALTH
ADULT CARE ADULT CARE
Heart diseaseHeart is thedisease is theThe number of The adults number in the of adults in the leading causeleading of cause of U.S. aged 18–79 U.S. with aged newly 18–79 with newly death for mendeath of most for men of most diagnosed diabetes diagnosed has diabetes has racial/ethnic groups racial/ethnic groupsmore than tripled morefrom than tripled from in the U.S. in the U.S. 493,000 in 1980 493,000 to more in 1980 to moreof all U.S. adults of all have U.S.a adults have a than 1.5 million than in 2011. 1.5 million in 2011. (Centers for Disease (Centers Control for Disease Control mental illness.mental illness.
25% 25%
and Prevention) and Prevention)
(Centers for Disease (Centers Control for Disease Control (Centers for Disease (Centers Control for Disease Control and Prevention) and Prevention) and Prevention) and Prevention)
HEALTH EDUCATION HEALTH EDUCATION
12.7 12.7
66% 66%
Approximately Approximately million million Approximately Approximatelyof Houston-area of Houston-area U.S children and U.S adolescents children and adolescents adults were overweight adults wereoroverweight obese in 2009, or obese in 2009, compared to 61% compared in 2002. to 61% in 2002. aged 2–19 years aged are2–19 obese. years are obese. (Texas Department (Texas of State Department Health Services) of State Health Services) (Centers for Disease (Centers Control forand Disease Prevention) Control and Prevention)
HIV CARE HIV CARE
LGBT SERVICES LGBT SERVICES
1.1 million 1.1 million 75,000 75,000
people are living people withare living withTexans are living Texans withare living with HIV/AIDS. HIV/AIDS. HIV/AIDS. HIV/AIDS.
21.5%21.5%
(Centers for Disease (Centers Control for Disease Control (Texas Department (Texas of State Department of State and Prevention) and Prevention) Health Services) Health Services)
people of those people 14% of those 14% do not know their do not status. know their status.
of lesbian, gay, ofand lesbian, bisexual gay, and bisexual youth were likely youth towere attempt likely to attempt suicide in thesuicide previous in 12 themonths previous 12 months vs. 4.2% of heterosexual vs. 4.2% of youth. heterosexual youth.
(Centers for Disease (Centers Control forand Disease Prevention) Control and Prevention)
(American Academy (American of Pediatrics) Academy of Pediatrics)
page 6 Legacy Community Health – year in review 2014/2015
With Legacy’s With Legacy’s vision ofvision health ofcare health to all, care to all, we’re committed we’re committed to providing to providing a rangeaofrange clinical of clinical servicesservices that address that address these national these national disparities: disparities: Pediatrics Health Promotion Health & Promotion Education & Education Adult Primary Adult CarePrimary Care
Pediatrics
Pharmacy
Pharmacy
HIV SpecialtyHIV Care Specialty Care Behavioral Health Behavioral Health Dental
Dental
LGBT Services LGBT Services
Social Services Social Services
OB/GYN & Maternity OB/GYN & Maternity Vision Eligibility & Enrollment Eligibility & Enrollment Patient&Navigation & Family Medicine Family MedicinePatient Navigation Linkage to Care Linkage to Care
Vision
OUR IMPACT: PEDIATRICS
OUR IMPACT: OB/GYN & MATERNITY
Growing up is a little easier with
Healthy women ensure
LEGACY.
By keeping kids safe and healthy, Legacy plays its part to ensure the future success of Houston, Baytown and Beaumont. Whether a child needs a sports physical, behavioral health services or medication for an ear infection, Legacy is here to help parents nurture future leaders into healthy and productive citizens. “When I reflect on this past year, I immediately think about the tremendous growth of the pediatrics department,” said Lia Rodriguez, medical director of pediatrics. “We treated more patients and added services that included launching Houston’s only transgender teen clinic. We definitely made a greater impact on the community in 2014 and I am certainly looking forward to what’s ahead.”
HEALTHY COMMUNITIES. Women are busy people, especially if they juggle a career and family obligations. Far too often, women forgo their own health care needs to ensure everything else in their lives is in working order. Whether a woman needs a routine physical or is expecting a baby, quality obstetrical and gynecological care are essential for disease prevention and healthy birth outcomes. This past year, Legacy’s OB/GYN & Maternity department expanded and grew significantly. Now the practice includes a maternal fetal medicine service line to meet the needs of patients experiencing high-risk complications. “Offering this service to patients is a blessing since high-risk complications occur in about 6 to 8 percent of all pregnancies,” said Dr. Whittier, medical director of OB/GYN & Maternity. “It is extremely gratifying to work at Legacy because I directly impact communities with known health disparities.” At the end of the day, women have a desire to stay healthy for themselves and their loved ones. Legacy is their safe haven for health care.
“With managing so many responsibilities, it is easy for women to get lost in the shuffle. Legacy is here for all women and we encourage patients to keep their health a top priority, not only for themselves, but for the people they cherish the most.” page 8 Legacy Community Health – year in review 2014/2015
Dr. Faith Whittier, Legacy OB/GYN & Maternity
OUR IMPACT: BECOMING A MOM NUTRITION
OUR IMPACT: BEHAVIORAL HEALTH
Healthy minds MATTER. When thinking about our health, we immediately consider our physical wellness. Far too often, we fail to evaluate the state of our physiological and emotional wellbeing. What’s even more devastating is when people forgo mental health care because of stigma. “I treat some of the most challenging patients ever, but I am devoted to helping them get better,” said Dr. Ken Masters, Legacy psychiatrist. “Because Legacy believes health care is a human right, I feel empowered to be the best for my patients.”
“When my baby arrives, I will be ready for this new chapter in my life thanks to Legacy’s Becoming a Mom classes. ”
“This past year, I treated a young woman who came to me severely depressed and anxious. She would not leave the house or bathe. After working with her for about six months, I saw small, gradual changes,” said Dr. Masters. “My patient was wearing less black and exhibiting more positive emotions. One day after months of work, my medical assistant saw the patient working out at the gym, looking happier and healthier,” said Dr. Masters.
“I treat some of the most challenging patients ever, but I am devoted to helping them get better.” Dr. Ken Masters, Legacy Psychiatrist
“I feel honored to work at Legacy because my work is fulfilling. I have the flexibility and encouragement to bond with my patients and as a result, they let me into their lives and real healing takes place. That’s when I see real hope, real change.”
Ieshia, Legacy patient
Better nutrition as
PREVENTION.
Legacy believes disease prevention begins with what’s on the dinner plate. Proper nutrition plays an important role in one’s health and well-being. That’s why Legacy offers nutrition services for patients. Paola Rondon, Legacy’s dietician, works every day to ensure patients understand portion control and how to make better food choices. “This past year, I worked with a newly diagnosed diabetic patient who needed help managing her weight,” said Paola. “We worked together to design a tailored nutrition plan to control her diabetes. Over two months, my patient lost 22 pounds and her glucose levels improved significantly.” Proper nutrition is not about being skinny. It’s about giving the body the best fuel to achieve optimal health and encouraging future generations to embrace healthy lifestyles. “One of the best ways to drive healthy change in our communities is to help patients make the connection between disease prevention and nutrition,” said Paola. “When patients see the correlation, they change, feel better and are more confident when making food choices.” page 10 Legacy Community Health – year in review 2014/2015
page 11 Legacy Community Health – year in review 2014
OUR IMPACT: NEW GRANT AWARDS Cancer Prevention and Research Institute (CPRIT) In 2014, Legacy received a $1.5 million grant from the Cancer Prevention and Research Institute of Texas (CPRIT) to provide Human Papilloma Virus (HPV) related disease prevention services to young Texans. “Each year in the U.S., more than 33,000 people are diagnosed with HPV related cancers including cervical cancer,” said Dr. Lia Rodriguez, medical director of pediatrics. “More than 21,000 of these cancers can be prevented by receiving the HPV vaccine.” Funding enables Legacy to provide the 3-dose HPV vaccine to adolescent and young men and women, regardless of their ability to pay. Through the CPRIT grant, prevention services will reach more than 144,000 young persons over a three year period.
Health Resources and Services Administration
• Behavioral Health Integration – Legacy received funds to incorporate mental health into primary care practices at the San Jacinto clinic • Expanded Services – Legacy received funds to increase clinic hours on weekdays and weekends at the Montrose clinic
Harris County Public Health and Environmental Services
• Ryan White Services Oral Health Grant – funds were used to provide dental care and education to people living with HIV/AIDS
Texas Safe Riders Programs
OUR IMPACT: PUBLIC HEALTH
Through the CPRIT grant, HPV prevention services provided by Legacy will reach more than 144,000 young Texas women over a three-year period.
• Legacy distributed more than 1,000 car seats to families with newborn babies
It takes a village to keep
COMMUNITIES HEALTHY. HIV Couples Counseling
PrEP – It works
In 2014, Legacy’s HIV counseling staff was certified to provide couples HIV testing and counseling (CHTC) services. CHTC provides a safe environment for couples to discuss their relationship and support each other during the HIV testing process. Thanks in large part to successful print and social media campaigns, Legacy increased awareness of counseling services in the Montrose and Lyons communities and tested more than 20 couples.
In 2012, Pre-Exposure Prophylaxis (PrEP) was approved by the Food and Drug Administration for the purpose of reducing the risk of HIV infection in HIV-negative individuals. For people who take PrEP regularly and as prescribed, an HIV infection is reduced by more than 90 percent. Since then, Legacy has been at the forefront of raising awareness about the effectiveness of PrEP by participating in media interviews and organizing outreach activities. Legacy also provided more than 100 new PrEP prescriptions to community members in Houston and surrounding areas.
page 12 Legacy Community Health – year in review 2014/2015
page 13 Legacy Community Health – year in review 2014
OUR IMPACT: ACA AND ELIGIBILITY
OUR IMPACT: ADVOCACY
Maneuvering through the
AFFORDABLE CARE ACT Health Insurance Marketplace.
The People’s
HERO. AFFORDABLE CARE ACT: Health Insurance Marketplace
During the second ACA Health Insurance Marketplace enrollment period, Legacy’s certified application counselors (CAC) were ready, willing and able to help people select health insurance plans that best fit their needs. “Compared to last year, the second time around was definitely smoother and we were able to enroll more people,” said Clara Rodriguez, certified application counselor. “We also helped more than 300 Ryan White grant recipients transition to the marketplace which is huge because, now they have better access to health care services,” said Rodriguez. In addition to enrolling more than 2,000 people during the 2014/2015 period, the CACs educated many people about the basics of navigating through a health insurance plan.
Legacy was here to help communities enroll into the marketplace.
The number of HIV+ uninsured patients newly enrolled into the marketplace (2014-2015).
“We had one young gentleman come to us seeking general education about the Marketplace. He was confused about the different plans offered and was unsure about how to begin the process,” said Rodriguez. “After I helped him enroll, it appeared a substantial weight was lifted off his shoulders.” “At the end of the day, we want to help people get the best insurance,” said Clara. We want to see healthier communities. That’s why we do what we do.”
What does it mean to be a hero? For Legacy’s Public Affairs office, not only does it mean to heal the sick, but to fight for the rights of community members. This past year, the Public Affairs office was involved in advocating for the passage of Houston’s Equal Rights Ordinance (HERO), which prohibits discrimination on the basis of characteristics in areas such as housing, public accommodations, and private employment. “Supporting this ordinance is very important to Legacy,” said Januari Leo, director of public affairs. “HERO is a health care issue. Accessing care must start with an individual feeling comfortable seeking care. At Legacy, we constantly strive to improve and create a safe, inclusive environment for all of our clients,” said Leo. In May 2014, the Houston City Council heard public comments regarding HERO and Legacy was on the frontline advocating for the ordinance. “Whether you identify as LGBT or a mother seeking pediatric care for your children, everyone deserves a chance to get their health concerns addressed and treated,” said Leo.
“Sometimes, in order to be a hero, you need to get involved in the legislative process and change things at the top.” page 14 Legacy Community Health – year in review 2014/2015
Januari Leo, Legacy director of public affairs
THEIR IMPACT: DONOR STORY
“I was hooked from the first time I set foot in a Legacy clinic,” says Legacy Community Health Endowment Board Chair, Claire Cormier Thielke. “I toured the old Westheimer location shortly after meeting Legacy leadership, and agreed to serve on the Board there on the spot.” Six years later, Thielke continues to donate her time and resources to Legacy in large part because of what she calls our model of fractal caring. “Legacy doesn’t stand
still,” she says, “and keeps branching out to meet our patients where they are. Comprehensive care for HIV patients led to comprehensive care for everyone. Lowcost pediatric care led to more families accessing our services, which led to a busier OB/GYN practice which led to Legacy staff throwing baby showers for expectant moms who needed a little extra support.” Legacy’s commitment to improving our patients’ lives has meant finding ways to help that go beyond the exam room. “Most people wouldn’t think that a health care organization would offer GED classes for adults,” says Thielke, “but Legacy has been doing just that for a while now. We want to keep our patients healthy, but we also want to help them advance themselves in all aspects of their lives.” Thielke says she constantly discovers new things about the organization to share with her friends. “Our well-rounded care ensures that everyone can connect to Legacy’s mission. Whether you’re interested in providing underserved families with access to mental health care, preventing the spread of HIV, or improving the literacy skills of the youngest Texans, you’ll find what you’re looking for at Legacy.”
www.legacycommunityhealth.org