1. Community Development Block Grant Citizens Advisory Council October 2015

2. Who is North Coast Health? Mission Statement North Coast Health, a faith-based charitable clinic, in collaboration with community partners provides quality health care and optimizes access, prevention, wellness and education. Vision Statement Partners in Health Care, Bridging the Gap

3. Core Values Faith Compassion Excellence Teamwork Stewardship

4. Average annual income of our patients is under $12,000 Committed to Others 78% of patients living with at least one chronic disease 58% of patients living with two or more chronic diseases 45% uninsured individuals who do not have a usual source of health care

5. 2,331 Men, Women and Children 728 New Patients to NCH Provided 12,679 Services Dispensed $3 million in prescription medications 2014 – 2,331 Lives Touched

6. Continually Changing to Meet Needs of Our Patients and Community Primary Care Prescription Assistance Women’s HealthOn-site Laboratory Testing and Medical Testing Chronic Disease Management Smoking Cessation Counseling and Classes Behavioral Health Creative Arts Therapy Specialty ReferralsCommunity Outreach and Education Workforce DevelopmentCertified Application Counselors/Navigator Program Offerings

7. Creative Arts Therapy Creative Arts Therapy Scholarship Program

8. On-Site Testing

9. Smoking Cessation Program Individual and Group Counseling The Reiki Room

10. H20 Summer Camp

11. Workforce Development

12. In the Schools

13. Reaching Out to Community

14. Core Value – Excellence

15. Core Value - Stewardship Demonstrating sound fiscal management and commitment to accountability and transparency We are among 12% of all charities rated by Charity Navigator to attain 3 consecutive 4-star ratings.

16. 66% of current patients report that without North Coast Health, they would have no where else to go but the emergency room for care Access to Care

17. NCH reduces ED visits and hospital re- admissions AND saved over $10 million in health care costs to our local hospital system Reducing Health Care Costs

18. Beneficiary Voice Matters 97% of patients report that their overall health has improved or stabilized since becoming a patient at NCH 97% report they are treated with dignity and respect at NCH 98% would recommend NCH to friends and family 92% report the medical care they receive is excellent

19. Begins with Education Chronic Disease Education = Critical to Support, Manage and Prevent Complications

20. 25% of U.S. adults have a mental illness; NCH patients’ reported at 50% Mental illness is associated with increased occurrence of chronic disease Mental illness is associated with lower use of medical care Most mental illness can be managed successfully Need to increase access to and use of mental health treatment services Behavioral Health Facts

21. o Certified Application Counselors (CACs) and Navigator present daily o Support for applications to Marketplace, Medicaid, and Benefit Bank o NCH is a Certified Designated Organization (CDO) o 946 visits completed in 2014 o Open Enrollment (November 1, 2015 – January 31, 2016) o Staff training and new competencies Changing Healthcare Environment Impact of the ACA on NCH

22. NCH Stands in the Gap o The Uninsured o The Underserved Insured - “Under-insured” Low-income individuals with inadequate coverage High deductibles so only have preventive care along with catastrophic coverage No prescription assistance o Individuals with Medicaid, Medicare and other programs Many providers in our area do not accept Medicaid Capped the number of Medicaid patients they will see Having access to an insurance card does not necessarily mean access to care Access Gaps are Changing

23. Advancing to 2016… Questions?