Healthcare Initiative Foundation
Healthcare Measurement Outcomes
Healthcare Measurement Common Standards
Letter from the Board Chair & President
FY14 Financial Information by Grant Priority
FY14 Capacity Building Grants and Multi-Year Grants
Table of Contents
HIF Staff, Contractors and Board of Trustees
About Healthcare Initiative Foundation
The Board Chair & President
Healthcare Initiative Foundation History:
HIF was established as a 509(a)(3) grantmaking organization in 1973 as the Suburban Hospital Association (Md.) Foundation. In 1980 the scope of giving broadened and accordingly the name changed to the Suburban Maryland Health Foundation. The current name, Healthcare Initiative Foundation, dates from 2002. The Foundation operated anonymously until 2007, when the board of trustees hired the Foundation's first staff person to facilitate the grantmaking and begin to build a public presence. On July 1, 2012, the Healthcare Initiative Foundation transitioned from a 509(a)(3) charitable support organization to a 501(c)(3) private foundation.
Healthcare Initiative Foundation Mission:
The Foundation supports organizations that offer solutions to improve the quality and delivery of healthcare for residents of Montgomery County, Maryland.
Healthcare Initiative Foundation Vision:
We envision a Montgomery County whose residents are served by a high-quality, comprehensive, cost-effective and sustainable healthcare system.
The Foundation considers grants to 501(c)(3) healthcare nonprofits that are based in Montgomery County, Maryland, or to nonprofits that have county-based health programs or activities. We consider efforts that:
Improve the quality and delivery of healthcare;
Expand the availability of comprehensive healthcare;
Build appropriate capacity in the healthcare network; and
Grow the healthcare workforce.
Robert H Myers, Jr. Board Chair
June 30, 2016
Dear Community Partners,
Fiscal Year 2014 (July 1, 2013- June 30, 2014) marked the Foundation’s 41st year serving the Montgomery County community and our second year has a private foundation. Over the years, the Healthcare Initiative Foundation (HIF), benefiting from a generally robust economy and exercising careful stewardship, has distributed over $79 million by funding an array of organizations and activities each year while retaining an exclusive focus on improving healthcare for residents of Montgomery County, Maryland.
To support our mission, HIF prioritized grants in FY14 that assisted with building the healthcare network capacity, developing the healthcare workforce, and further integrating health services (e.g. behavioral health, vision, veteran, senior, specialty care, disability services, etc.). HIF distributed a total of $683,537 in grant awards in support of our priority areas: $274,140 for Healthcare Workforce; $247,135 for Capacity Building, and $162,262 towards Healthcare Integration. Enclosed in our inaugural annual report you will find a brief description of these projects along with some of their major accomplishments. We are very proud of our health and wellness investments and the accomplishments of our community partners in carrying forth this valuable work for Montgomery County residents, in particular our most vulnerable residents. On behalf of the Healthcare Initiative Foundation Trustees and staff, we thank you for your partnership and commitment to the health of our community.
Crystal Carr Townsend President
The goal of capacity building grants is to improve the quality and delivery of healthcare and wellness services to under-resourced Montgomery County residents through sustainable business models.
The goal of healthcare workforce development grants is to build a culturally competent, highly skilled healthcare workforce to meet the current and future health and wellness needs of Montgomery County residents.
The goal of healthcare integration grants is to treat the patient as whole person by effectively providing and coordinating integrated services through continuum of care models for under-resourced Montgomery County residents.
(1) Improve the Quality of Healthcare and/or Availability of Comprehensive Healthcare in Montgomery County:
Support Triple Aim: Advancing Quality of Patient Care and Experience and Reducing Healthcare Costs;
Promote Service Integration: Somatic Health, Behavioral Health, and Substance Abuse Services; and
Increase the Accessibility of Healthcare to vulnerable residents.
(2) Build Capacity in the Healthcare Network:
Support the Montgomery Cares 2.0 System Redesign – Assist with the development of primary healthcare safety-net system of care that provides equal access to primary healthcare services for low income, uninsured children and adults living in Montgomery County that encompasses a full scope of supportive services including access to medications, preventative and chronic disease management care, specialty care, behavioral health care, vision, and oral health services.
(3) Grow the Healthcare Workforce Capacity in Montgomery County to Meet the Diverse Population and Health Needs:
Provide opportunities for Scholarships, Internships, Fellowships, English as a Second Language Supports; and
Provide Job Placement in the Healthcare Field with Nonprofits.
Grant Cash Amount Paid in FY14
Capacity Building of Healthcare Network in Montgomery County
Aspire Counseling - Integrated Behavioral Healthcare
The ALS Association: DC/MD/VA Chapter - Care Coordination
Circle of Hope - Therapeutic Riding for Individuals with Disabilities
Cabin John Park Volunteer Fire Department (CJPVD) - Supplies to Teach CPR Classes
Healthcare Workforce Development
Community Health & Empowerment through Education & Research (CHEER) - Health Enterprise Zone Convener for Diabetes Wellness and Healthcare Access Services*
Montgomery Hospice - Nursing Care Capacity
Mary's Center - Specialty Care Coordinator
Alzheimer's Association - Care Coordination
Universities at Shady Grove (USG) - Interprofessional Education Internship
Columbia Lighthouse for the Blind - Diabetic Retinopathy Screening & Vision Exam for Uninsured and Underinsured
Community Health & Empowerment through Education & Research (CHEER) - Diabetes Wellness & Healthy Food and Childcare
Hebrew Home Charles E. Smith Life Communities - Senior Living Nursing Care
The Children's Inn at NIH - Supports for Children Being Treated at NIH
Mental Health Association of Montgomery County - Troops and Family Care - Serving Together Project
Gaithersburg HELP, Inc. - Access to Prescription Medication
People Animals Love - Therapeutic Pet Visitation Program
Community Clinic, Inc. - Health Services Integration for Low-Income Residents
Mental Health Association of Montgomery County - Building Capacity for Behavioral Health Medicaid Expansion*
Community Ministries of Rockville - Mansfield Kaseman Health Clinic & Podiatry Services at Homeless Resource Day
St. Ann's Center for Children, Youth and Families - Teen Mother Healthy Baby Program
Glen Echo Fire Department - AED's for the Bicycle Emergency Response Team
People's Community Wellness Center - Building Electronic Medical Record Capacity
Mercy Health Clinic - Enhancing Patient Care and Services & Strategic Planning
Muslim Community Center Medical Clinic - Preventative Dental Care Project
Primary Care Coalition of Montgomery County - Electronic Health Records Implementation* & Montgomery Care 2.0 - Enrollment System Planning
Regional Primary Care Coalition - Supporting Regional Learning Collaborations and Forums
Shepherd's Table - Prescription Assistance Program
Healthcare Integration Total in FY14:
Capacity Building Total in FY14:
Healthcare Workforce Development Total in FY14:
Grand Total Spent in FY14:
FY14 Capacity Building Grant HEDIS Standards Outcomes:
Organizations that fell below the present benchmarks have submitted work plans entailing the efforts they plan to implement to achieve the HEDIS standards in the near term.
*Mercy Health Clinic data is unavailable during this time period due to delays in the full integration of their Electronic Medical Records.
FY14 Healthcare measurement Outcomes
In FY14, HIF, in collaboration with Montgomery Department of Health and Human Services (DHHS), Primary Care Coalition of Montgomery County (PCC), and our grantee organizations, established standardized measurements for patient health outcomes to assist us with assessing the quality of health services being provided. Many of these measurements are premised on the Healthcare Effectiveness Data and Information Set (HEDIS standards). HIF is utilizing the measures to ensure that HIF's nonprofit partners are providing high-quality healthcare and/or behavioral health services. The measures further enable us understand the complex health conditions of Montgomery County’s under-resourced residents and better understand the interventions needed (e.g. healthy access to food, safety, stable housing, enforcement of environmental standards, etc.) to improve the health of our residents.
Diabetes HbA1c Control Less than 8
Hypertension Blood Pressure Control Lower than 140/90 mmHg
Breast Cancer Screening
Healthcare Initiative Foundation and Montgomery Cares Goal
Muslim Community Center Medical Clinic
Cervical Cancer Screenings
Colorectal Cancer Screening
Community Ministries of Rockville
Community Clinic, Inc.
(1) Chronic Disease Management
48.1% of clients with diabetes to have an HbA1c control less than 8
56.8% percent of clients with hypertension have blood pressure control lower than 140/90 mmHg
(2) Prevention Screenings
50.4% of women clients receive a breast cancer screening
66.7% of women clients receive a cervical cancer screening
20% of clients receive a colorectal cancer screening
CCI HEALTH & WELLNESS SERVICES (formally known as Community Clinic, Inc.):
CCI Health & Wellness Services (CCI) is a group practice that empowers patients to partner with staff to provide integrated, high-quality, and affordable healthcare to all patients during every stage of their life. HIF granted CCI $30,000 for their “Health Services Integration for Low Income Residents” project to assist with the integration of TAYA’s Title X family planning services with CCI’s primary care services, after the merger of the two organizations. Through this grant, CCI was able to successfully integrate Title X Family Planning services into their primary care services for vulnerable populations of Montgomery County. As a result of this project, 29% (968/3376) of the TAYA patients without a designated provider before this project had a documented primary care visit through CCI at the end of the grant period. In addition, CCI was able to successfully begin documenting the family planning program through the EMR system, as well as successfully integrate Title X Family Planning services at three CCI primary care sites.
Capacity Building and Multi-Year Grants
Aspire Counseling is committed to helping all clients transform their lives and achieve their mental health and wellness goals by developing the skills they need. Our experienced staff offers high quality, evidence-based therapy, holistic services and training in a warm, welcoming and safe environment.
The primary goal of Aspire Counseling’s “Community Cares: Integrated Behavioral Healthcare for the Underserved in Montgomery County” Program was to expand behavioral health services in a primary care setting. Aspire worked with Mobile Medical Care, Inc., a primary care clinic, helped build each organization’s integration capacities and improved patient behavioral health outcomes. Aspire Counseling achieved an overall screening rate of 72% of Mobile Med’s new patients and provided a total of 277 patients with therapy interventions. An additional 339 patients were tracked by their patient care monitor and 121 patients received a behavioral health prescription. Patients who engaged in three or more mental health therapy sessions reported improved mental health outcomes by 73% from their pre and post-treatment responses on depression and anxiety screening scales (PHQ-9 or GAD-7 respectively). A total of 64% of all patients who received three or more therapy sessions showed an improvement in mental health.
THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY (MHA):
(MHA): Mental Health Association of Montgomery County (MHA) promotes mental wellness and supports residents of Montgomery County with mental illnesses through implementation of advocacy, education, and community service programs. HIF awarded a (4) four-year (FY11-FY14), $20,000 grant in support of MHA’s Serving Together (ST) program. Over the course of four years, ST worked to rally the community in Montgomery County to proactively identify military, veterans, and their families who were in need of local resources and information.
To this end, MHA:
Developed an Advisory Council of 20 military and community stakeholders to identify areas for systems improvement for veterans;
Launched a website that provides a service directory of nearly 400 service organizations prepared to assist service members, veterans, and their families visited by 46, 666 unique users by the end of FY15;
Provided peer navigation to 252 veterans, service members, and families;
Facilitated briefings with the community and reached over 2,000 participants;
Conducted 20 Mental Health First Aid (MHFA) trainings for a total of 342 participants at military, veteran and nonprofit agencies; and
Held 9 provider trainings covering military culture, the deployment cycle, family challenges, screening for military/veteran status, substance abuse, PTSD, sleep disorders, suicide, and other war-related conditions for more than 600 Montgomery County behavioral health providers.
In 2014, Serving Together began work in Northern Virginia to provide the same level of coordination to approximately 170,000 veterans and their families in the region.
Healthcare integration was a major effort that the Healthcare Initiative Foundation (HIF) focused on implementing in Montgomery County in FY14 through the strategic allocation of grants. The goal of this effort was to create capacity for healthcare and behavioral health integration in healthcare organizations in order to improve the continuity of services for under-resourced residents of Montgomery County. To this end, HIF awarded a $30,000 Capacity Building grant to Aspire Counseling and a $20,000 Multi-Year grant to the Mental Health Association of Montgomery County.
Capacity Building to Help the Uninsured:
HIF funded (8) eight organizations in their efforts to further the capacity to deliver healthcare services to under-resourced Montgomery County residents: (1) Community Clinic, Inc. for $30,000; (2) Community Ministries of Rockville for $20,250; (3) Mary’s Center for $29,841; (4) Mental Health Association of Montgomery County for $74,721; (5) Mercy Health Clinic, Inc. for $25,000; (6) Muslim Community Center Medical Clinic for $30,000; (7) Primary Care Coalition of Montgomery County, Inc. for $30,000.; and (8) Primary Care Coalition of Montgomery County, Inc. of $100,000 over a two-year period.
COMMUNITY MINISTRIES OF ROCKVILLE:
Community Ministries’ Mansfield Kaseman Health Clinic received $20,250 to build organizational capacity to serve the under-resourced residents of Montgomery County through the implementation of Electronic Medical Record (EMR) and preparations to become a Medicaid provider. The Kaseman Clinic successfully completed the Medicaid application to become a Medicaid provider in September 2014. The application at the end of FY14 was pending approval until the Kaseman acquired a 24/7 hours answering service for patients and finalizing contracts with Managed Care Organizations. Throughout the grant year, Kaseman fully implemented the new EMR system completing staff training and effectively transitioning from paper charts. Part of HIF’s grant award was utilized to acquire (3) three new computers to be used in the exam rooms to provide better access to providers while they are serving patients.
Mary’s Center’s mission is to provide high-quality healthcare, education, and social services to diverse communities, regardless of a client’s ability to pay, in order to build better futures. Mary's Center received $29,841 to fund their “Specialty Care Coordinator” program to improve their specialty care referral process. At the end of 2014, 65% of patients received an appointment within 30 days of a specialty care referral, an improvement from 40% from the beginning of the year. 36% of consult reports were received within 30 days of the appointment by the end of 2014, which is an improvement from a 21% average in 2013. On average, Mary’s Center Registered Nurse reviewed 63% of the specialty care referrals with reports received in 2014.
MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY:
HIF granted MHA $74,721 for a (2) two-year Capacity Building Grant to develop a sustainable business model for providing mental health therapy to Medicaid eligible individuals, particularly those who had limited access. During the grant period, MHA explored various potential partnerships with providers working with individuals with Medicaid and served 34 unduplicated individuals. The funding resulted in a successful partnership with a safety-net provider which continues today.
MERCY HEALTH CLINIC, INC.:
Mercy Health Clinic, Inc. (MHC) is a nonsectarian, nonprofit organization dedicated to providing high quality medical care, health education, and pharmaceuticals to uninsured, low-income adult residents of Montgomery County, MD. In FY14, HIF granted MHC $20,000 to support capacity building during MHC’s conversion to an Electronic Medical Record system (EMR) and to hire a Nurse Practitioner (NP) to expand patient care. The Nurse Practitioner provided more than 905 patient encounters from May 2014 through April 2015. This helped to increase available patient appointments and reduce inefficiencies with the EMR implementation. The NP also spent time working on an electronic medical record charting process and assisted the Clinical Director with reviewing policies and procedures, lab and diagnostic results, and medications.
MUSLIM COMMUNITY CENTER MEDICAL CLINIC:
The mission of the Muslim Community Center Medical Clinic is to provide high quality, compassionate care to the under-resourced and uninsured residents of Montgomery County, regardless of their gender, race, religion, or ethnicity. In FY14, HIF granted Muslim Clinic $30,000 to help improve the delivery of dental care to the under-resourced residents of Montgomery County. Muslim established a two-chair Dental Clinic on August 2, 2014 with the financial support of HIF, the Department of Health of Human Services, Montgomery County Government, the State of Maryland, and the Muslim Community Center. Muslim’s Dental Clinic provided oral health education to more than 2,000 low-income, uninsured and under-insured residents of Montgomery County and provided 300 residents with dental toothpastes, dental brushes and floss to patients, and oral health education. The Clinic also provided preventative oral health treatment to 300 patients and oral health treatment to 300 patients with diagnosed oral diseases.
Capacity Building to Help the Uninsured (Continued):
PRIMARY CARE COALITION OF MONTGOMERY COUNTY (PCC):
The Primary Care Coalition of Montgomery County, Inc. (PCC) works to provide high-quality health services and primary care to low-income, uninsured individuals in Montgomery County and the surrounding communities. PCC received a capacity building grant for $30,000 from HIF in FY14 to increase its data analytic capacity for the county safety-net and population health. This grant enhanced capacity to use the data available from the commercial electronic health record (EHR) implemented with HIF support in eight clinics the year before. Through HIF’s support, PCC successfully increased its capacity to collect, analyze, interpret and present Montgomery Cares data by:
Hiring an additional data manager;
Supporting and training local safety-net clinics to maximize the use of the newly implemented EHR including Meaningful Use standards;
Recreating many of the reports available in the prior system, which enabled clinic leaders to review both clinical and management data; and
Supporting data analysis that addresses population health issues, including Triple Aim goals to optimize population health, quality of care, and cost of care.
PRIMARY CARE COALITION OF MONTGOMERY COUNTY (PCC):
PCC received a (2) two-year capacity building grant of $100,000 to assist in the transition to a new commercial electronic health record system (EHR) for eight safety-net clinic organizations. This project built on a collaborative process with the clinics and funders to assess needs and determine the best EHR choice. This was a two-phase project:
(1) The build phase included developing needed reports in the new system and cleaning, extracting, and migrating data from the existing electronic system to the new EHR for 75,436 patient records with 546,850 encounters; and
(2) The training phase included training for staff in each implementation site to use the new system and to maximize advantages for service efficiency. The PCC team held 170 training classes and trained approximately 500 individuals over a period of six months. On average, providers, medical staff, and administrative staff each received 8-10 hours of training. PCC managed logistics and participated in the delivery of all the training courses. In addition, HIF funds allowed PCC to develop an electronic training tutorial for use by new clinic staff members.
Montgomery Hospice is a non-profit organization dedicated to bringing comfort to those experiencing serious illness and loss by providing compassionate, medical end-of-life care and professional grief support. HIF granted $1,000,000 to Montgomery Hospice over the course of (5) five years ending in FY15 to support (5) five new nursing positions for its Hospice at Home service, which employed 60 RNs during that period. The five nurses helped build the capacity of Montgomery Hospice, contributing to 28% growth in the average daily census (281 to 359 patients) and the care of a total of 8,254 patients from September 2010 to May 2015. With HIF’s financial support, Montgomery Hospice helped one-third of those who died in Montgomery County, and their families, during the five-year grant.
Capacity Building to Help the Uninsured (Continued):
Healthcare Workforce Development:
Healthcare Workforce Development is a major theme that HIF worked towards supporting during FY14. The goal of healthcare workforce development grants is to enable the healthcare workforce to provide better access to healthcare for under-resourced Montgomery County residents.
Community Health and Empowerment through Education and Research (CHEER):
CHEER is dedicated to giving Long Branch and Takoma Park residents the resources, knowledge and ability to create a healthy and thriving community. HIF granted CHEER a capacity building grant of $97,520 to fund community health outreach workers to help residents in Long Branch and Takoma Park link to healthcare and health insurance with the implementation of the Affordable Care Act.
To this end, CHEER:
Hired 6 Community Health Outreach Specialists, all from the communities where they work, who were successfully able to connect with 600 Long Branch community members;
Conducted with 30 participants English and Spanish diabetes wellness circles to improve the control of participants’ diabetes; and
Developed an asset inventory map, a tool to find resources and make referrals that was distributed to 86 community partners and published online.
Montgomery Hospice is a non-profit organization dedicated to bringing comfort to those experiencing serious illness and loss by providing compassionate, medical end-of-life care and professional grief support. HIF granted $1,000,000 to Montgomery Hospice over the course of five years ending in FY15 to support five new nursing positions for its Hospice at Home service. The five nurses helped build the capacity of Montgomery Hospice, facilitating 28% growth in the average daily census (281 to 359 patients) and the care of a total of 8,254 patients from September 2010 to May 2015. With HIF’s financial support, Montgomery Hospice helped one-third of those who died in Montgomery County, and their families, during the five-year grant.
Committee for Montgomery
Grantmakers in Health
Board Member & Program Committee Member
Montgomery County Social Services Board
Chair & Board Member
Financial Information Resource Management & Advisory Committee Member
Suburban Hospital Community Advisory Board
Regional Primary Care Coalition
Management Team & Member
Washington Regional Association of Grantmakers
Vice-Chair & Healthy Communities Working Group Member
HIF Staff and Contractors
HIF Board of Trustees
as of January 2016
Crystal Carr Townsend
We are grateful for the individuals and organizations whose collaboration make our work possible.
Robert H. Myers, Jr
David J. Kressler, Ph.D.
Vice Chair & Chair of Investment Committee
Treasurer & Investment Committee (Ex-Officio Member)
Secretary & Grant Advisory Committee Member
Investment Committee Member
Marta Brito Perez
Grant Advisory Committee Member
Designed and Developed by Catherine Oidtman
Healthcare Initiative Foundation
c/o 7910 Woodmont Avenue, Suite 500
Bethesda, MD 20814