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Neighborcare Health 

Description

For over 40 years, Neighborcare Health has provided quality, affordable health care for our most vulnerable neighbors. We provide more than 200,000 visits to approximately 50,000 patients each year, with a focus on low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and the homeless, in our 22 medical, dental and school-based clinics and program sites located throughout Seattle. We ask everyone to pay what they can on a sliding fee scale based on income.

We treat the whole person, offering primary medical and dental care, social work and counseling, OB and midwifery, health education, and nutrition services. We meet our patients where they are, geographically, culturally, physically, and emotionally. Our clinics are located in neighborhoods where health disparities are the greatest, and our providers, who speak over 40 languages and dialects, are as diverse as our patients.

Our ultimate goal is to provide 100% access to quality health care, and eliminate health disparities based on income, race, ethnicity, gender, age or sexual identity. 

Mission Statement
The mission of Neighborcare Health is to provide comprehensive health care to families and individuals who have difficulty accessing care; respond with sensitivity to the needs of our culturally diverse patients; and advocate and work with others to improve the overall health status of the communities we serve.
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Neighborcare Health
1537 Western Ave 
Seattle 
WA
98101-1521 
(206) 548-3260 

Mark Secord 
Executive Director/CEO 

Programs

Neighborcare Health Programs

Medical Clinics
We operate ten medical clinics in neighborhoods throughout Seattle where residents face barriers to accessing medical care. Services include preventive health care, family planning, OB and newborn care, midwifery services, pediatrics and well-child care, chronic illness management, nutrition counseling and health education, mental health counseling, adolescent medicine, and geriatric care. We deliver care with consistent professional teams who work with each other and their patients to address long-term wellness. Patients typically see the same provider care teams at every visit.

Dental Clinics
Access to affordable dental care is the number one health care access problem. Our five dental clinics provide care through consistent dental provider teams to children and adults by offering emergency services to alleviate pain, and ongoing care through treatment plans designed to help patients achieve the best oral health they can. People living with HIV/AIDS have special access to our clinics through our Ryan White contract.
 
School-Based Health Centers
We operate 10 school-based health centers (SBHCs), five are in middle and high schools in low-income neighborhoods, and in late 2010, we opened our first elementary school clinic. We are poised to begin services in two more elementary schools in the fall of 2013. We provide evaluation and treatment of acute and chronic issues, sports physicals, health assessments, reproductive/family planning health care, STD screening and treatment, immunizations, health education, mental health therapy, crisis intervention, and laboratory testing and dispense common medications as needed. By having SBHCs within schools, students can easily access health education and services that the schools would otherwise be unable to provide. Each one is staffed by a clinic coordinator, a nurse practitioner or physician’s assistant, and a mental health therapist, all of whom are trained to work with youth and culturally diverse populations.

Recent Successes and Current Challenges

Decreased government funding has significantly impacted Neighborcare. Nonetheless, we have maintained core services and even increased the number of low-income and uninsured patients served. In 2012, we served approximately 50,000 patients (around the same number of residents in Olympia). In 2011, we opened our new Rainier Beach Medical & Dental Clinic, increasing the number of patients served in the Rainier Valley from 10,000 to 14,000. The opening came at a time of critical community need because the area surrounding the clinic is ground zero in health disparities in the greater Seattle region. Recognizing the importance of the project, donors stepped up and contributed to the clinic's capital campaign, the most successful in Neighborcare’s history. 
 
Neighborcare continues to be challenged by the instability of government funding during a time when our services are needed more than ever. Since 2008, the number of King County residents without health insurance increased by nearly 50,000, and in 2010, nearly 450,000 adults lost their access to non-emergent dental care, leaving them with few options for care and increasingly relying on costly emergency room visits to treat advanced dental issues that could have been prevented with routine dental care.  Access to affordable dental care continues to be the most egregious health care access problem in the nation. In these difficult economic times, continued community support is necessary to ensure everyone has access to affordable quality health care, including dental. Contributions from the Seattle Foundation and its donors will make a huge difference in the lives of low-income and uninsured patients, and make our city a healthier and safer place for all.

Evaluation


Neighborcare Health provides medical, dental, and mental health services to King County’s most vulnerable residents. Through their 17 clinics, Neigborcare provided services to 49,636 patients in 2011. Low-income, uninsured, homeless, and underserved people are never turned away from services based on ability to pay.

Proven Success
Neighborcare Health is committed to the triple aim – better health, better health care experience for the patient and lower cost of care and investing in primary care and prevention. Their staff work to the top of their certification to meet the needs of patients. They work to maintain core services and establish a health care home at their clinics for patients. An area of success is the increased numbers of clients accessing both medical and dental services.

Accessibility and Cultural Competency
Staff speak 40 different languages and dialects. Forms are written at a 4th grade reading level to support comprehension and understanding. Services are culturally appropriate and delivered in a way that is relevant to the patient being served. Translators are available at all 17 sites. Clinic s are based in schools, neighborhoods with high percentages of underserved populations, in homeless and domestic violence shelters, and even on the streets.

Use of Best Practices
Neighborcare Health utilizes electronic medical records to streamline coordination between clinics and medical/dental specialties. The Family Team program provides primary care to women and their children living in domestic violence shelters and transitional housing programs. This program is unique in that it allows these individuals the ability to receive care while remaining in a confidential, secure setting. The Housing Outreach team follows a similar format and provides care to formerly homeless adults living in transitional housing programs. The majority of these patients have not had access to healthcare during their time on the streets.

Financial health
Neighborcare Health received federal funding to operate a new clinic in Lake City ($650,000), to renovate the 45th Street Clinic in Wallingford ($500,000) and to expand the Greenwood clinic ($5 million).

Sustainability
Throughout 2011, a combination of mostly federal and state budget cuts resulted in a $3.3 million reduction in funding for Neighborcare Health. To maintain core services and ensure their financial stability, they responded with a number of steps: staff reminded patients with a chronic condition to come in for regular care and to keep appointments; they increased outreach to Medicaid-covered patients; they emphasized outreach to children for dental services; they increased the co-pay cost by $10; their billing and coding specialists received extra training to ensure they billed for every service performed; they implemented a hiring freeze for non-essential positions; and continued to pursue private funding.

Neighborcare Health has several exciting opportunities coming in the next 12 months and that will increase their capacity to serve patients. They are participating in a Medicare Demonstration Project to achieve Patient-Centered Medical Home (PCMH) recognition. They are building a new school-based health center at Mercer Middle School. They are expanding their swimming program.

Grant History with The Seattle Foundation:

Grants Awarded through The Seattle Foundation Grantmaking Program:

DateAmountPurpose
12/10/2012 $20,000.00provide general operating support.
12/10/2011 $30,000.00support general operating expenses.
12/10/2010 $35,000.00support general operating expenses.
9/10/2009 $70,000.00support the construction of Rainier Beach Medical and Dental Center.
6/21/2006 $60,000.00renovation of the Georgetown Dental Clinic.
12/18/2003 $50,000.00support the High Point Community Health Center Capital Campaign.

Financials

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