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Crescent Community Health Center: Impact Report 2022City of Dubuque City Council Meeting ITEM TITLE SUMMARY: SUGGESTED DISPOSITION: Copyrighted June 5, 2023 Consent Items # 07. Crescent Community Health Center: Impact Report 2022 City Manager providing a copy of Crescent Community Health Center's Impact Report 2022. Suggested Disposition: Receive and File ATTACHMENTS: Description Type I mpact Report 2022 Supporting Documentation 4 EAR OF GROWTH, QI4M INNOVATION, AND PRIDE CRESCENT COMMUNITY HEALTH CENTER I M PACT REPORT 2022 Ir X6. 4 TABLE OF CONTENTS 5 DEAR FRIENDS 6 FUNDAMENTAL LEADERSHIP 9 EMPLOYEE ENGAGEMENT 10 COMPASS COMMENTS 13 QUALITY COUNTS 14 KEEPING OUR COMMUNITY HEALTHY 16 DEFINING MOMENTS 20 AHEAD PROGRAM 22 LEADING WELLNESS EQUITY 24 DENTAL EXPANSION 26 OUR DONORS C� 0 v LEFT TO RIGHT: Michelle Udelhofen, Patient Experience Manager Peggy Fischer, Patient Support Team Lead Carolyn Rees, Patient Service Rep Tracy Runde, Patient Service Rep Beth Farrey, Patient Service Rep Terri Lehnhardt, Patient Service Rep Roberto Miranda, Patient Service Rep Heryliss Ambert, Patient Service Rep Joyce Evans, Patient Service Rep Linda Schneider, Patient Service Rep MISSION Crescent Community Health Center provides high -quality, respectful, and affordable medical, dental, and brain health care to improve the health and well-being of our community. VISION Quality care for all, resulting in a healthy community. VALUES Accessibility We believe all individuals, regardless of ability to pay, should have access to quality healthcare services and the opportunity to be integrated with people who have the means to pay. Collaboration We believe collaboration and affiliation with other providers/agencies will strengthen our program with regard to levels of care and breadth of services. Diversity and Dignity We value diversity and believe in the dignity of each person. Education and Empowerment We believe in providing our patients with the medical, financial, and technological education they need to improve their sense of self -efficacy and promote the behaviors necessary to achieve optimal health outcomes. Quality We believe that the highest standard of care should be available for all. We exist to enhance and promote the health and well-being of everyone through education, prevention and treatment. Advocacy We will represent the people we serve and promote the right of everyone to receive the highest quality healthcare. Service We believe every aspect of our services provided by a caring staff should reflect that meeting the needs of each client is paramount to the dignity of each person. Support We believe families are successful with community support, and our communities can and should work together for the needs of all in the tri-state area. 0 r 16. 41 Iowa 2= Unsurog HeroAward M L,uAnn Duran am ry Collins, Chief Executive Officer Ann Decker, Board Chair DEAR FRIENDS OF CRESCENT COMMUNITY HEALTH CENTER, Growth, diversity, innovation, pride, and celebration Dental Foundation to assist with service expansion were the key themes in 2022, and we are grateful in the dental department. To finish the year, Crescent to the community for another transformational year purchased the assets of Infocus Pharmacy to ensure at Crescent! our patients continue to receive uninterrupted access to life-saving and affordable prescription medications. Our patient base grew nearly13% in 2022-the second year in a row of double-digit growth. The organization has grown 43% since the move to the new building in 2019. Health center utilization in the Marshallese patient community increased by 48% in 2022, and our Hispanic patient population increased by15%. We also saw a nearly 9% increase in the Black/African American population served in 2022. We noted a 24% increase in serving patients in a language other than English. In addition, our LGBTQ+ population increased by more than 25% in 2022, and the number of patients below 200% of the Federal Poverty Level increased by nearly 26%to approximately 77%of our total population served. Quality indicators for nine patient measures improved in 2022; three others were within 93% or higher of the prior year's outcomes. In addition, Crescent received a Gold Health Center Quality Leader award in 2022 for recognition as one of the top 10% of all health centers in the country in 2021. The dedicated inter -agency team brings forward opportunities for enhancing the metrics each month and works with the care teams to set continuous improvement goals. We continued our investment in training with our teams in 2022. The team completed its first Lean Six Sigma project. The medical teams are working through the final stages of process improvement techniques, partnering with the industry leader in this area of expertise to minimize missed opportunities, lower cycle time, and reduce no-shows. Our team is simply incredible! According to the 2022 team survey, 95.6% of respondents look for opportunities to support others they work with, 94.1% have great pride in their job, and 92.6% are glad theyjoined the organization. In October, we received a grant from the Dubuque Racing Association (DRA) to support the wellness center's expansion toward a more inclusive model for the entire community. In November, Crescent received one of the largest grant awards in the history of Delta Looking back, 2022 will be remembered for pride and celebrations. Crescent was on top of the leaderboard for the Community Foundation of Greater Dubuque Great Give Day in May, showing our incredible community support! The Dancing with the Stars team took home the trophy (thank you, Temwa and Joanna). They danced into our hearts with their perfect score. The Crescent team also danced their way to national recognition during National Health Center Week in August, winning the national TikTok competition out of1,400 health centers! Finally, our own LuAnn Duran, Financial Counselor, was named the "Unsung Hero" at the Iowa Primary Care Association awards ceremony in October, recognizing awardees in several categories from the 14 Iowa centers. We are so grateful for each of these accomplishments! 2023 and beyond will bring an updated strategic plan for 2023-2026, a new patient -centered electronic medical records system, the new mobile dental clinic, ongoing work towards Advancing Health Equity and Addressing Disparities with our agency -wide Diversity, Equity & Inclusion project, and continued transformation of our amazing medical center to best serve our tri-states patients. We simply could not do what we love doing each day without you - thank you for partnering with us on this incredible journey! I look forward to working with our new board chair, Ronelle Clark! Special thanks to Ann Decker for her leadership for the past three years. Ann led the volunteer Board through the pandemic and immense growth - we will be forever grateful to Ann for her leadership gifts to our organization. With gratitude and in health, Gary Collins Ann Decker Chief Executive Officer Board Chair s BOARD OF DIRECTORS Ronelle Clarke, Board Chair 'U NDAM . Ann Decker, Immediate Past Chair John McAndrew, Vice Chair Mike Muench, Vice Chair Robin Kennicker, Vice Chair ADERSHIP Deb Hickmon, Secretary Lynee Robson, Treasurer Mary Rose Corrigan, Emeritas Kenny Garlow Stephanie Martin Miguel Modeste boardvolunteer Matt Schmid /iders guide each department,•- - and service Bob Shafer chieve Crescent's vision of quality care for all, resulting in a Dan White Mike Wright community.Ithy EXECUTIVE LEADERSHIP r half of our ••. • of directors is c• • -• of patients • Gary Collins majorire decisions Crescent _ made with patient Chief Executive Officer Dr. Ursula Livermore, MD result, we are • accountable • the unique of our Chief Medical Director valuedimunity. In addition to -r input, our board has Barb O'Hea _ _ in marketing, healthcare, _ health, legal counsel, Director of Mission Advancement and Community Relations ,11 business, finance - • non -prof its. Jennifer Raber, CPA Chief Financial Officer tther, with their direction, our teams are improving the patient Dr. Marco Rouman, DDS Dentist, Chief Dental Officer trience through increased access to affordable, respectful and i-quality care. PROVIDERS Brain Health Jon Decker, LMHC Director of Brain Health Katie Campbell, PMHNP Suzanne Chukas, LMHC, CADC Allison Schwab, LISW 'AR. OF DIRECTOPS Benjamin Shaw, LISW Kiresten Theill, LMSW TracyTschudi, PMHNP Dental Penny DeBuhr, RDH Juanita Furry, RDH Dr. Lydia Goodson, DDS Cathy Hawyard, RDH Tammy Kloser, RDH Dr. Kevin Stingley, DDS Dr. Thomas Williams, DDS, MD, FACS - Medical Dr. Brandon Bourgeous, MD r Caitlyn Hicks, ARNP Dr. Heather Kruse, MD Shay Lehman, ARNP Dr. James Livermore, MD Rachael Ploessl,ARNP Amanda Renne, ARNP Dr. Karissa SanchezTraun, MD Ann Weltin, ARNP Dr. Reagan Wolbers, MD Jennifer Zalaznik, ARNP Clinical Pharmacy Dr. Heather Rickertsen, PharmD Director of Clinical Pharmacy Services Dr. Kebba Bojang, PharmD Dr. Joshua Feldmann, PharmD Director of Midwest Medical Pharmacy Services Dr. Emma Kraayenbring, PharmD Dr. Kristen Timmerman, PharmD EXECUTIVE LEADERSHIP PROVIDERS Brain Health f� Dental e Medical Clinical Pharmacy OPERATIONS MANAGEMENT OPERATIONS MANAGEMENT FRONT, LEFT TO RIGHT: Geri Schilling Johnson, Director of Clinical Operations Carol Caldwel, Director of Human Capital & Culture Mary Kay Kirgis, Human Resources Business Partner Linda Willging, Pharmacy Administrator Diana Gau, Oral Health Manager BACK, LEFT TO RIGHT: Gary Sewell, Compliance Manager Jeremy Runde, Director of Finance Jennifer Raber, Chief Financial Officer Corbin Nielsen, Director of Information Technology Jake Bartholomew, Director of Quality & Informatics Barb O'Hea, Director of Mission Advancement & Community Relations Gary Collins, Chief Executive Officer Dr. Ursula Livermore, MD, Chief Medical Officer Damon Maiers, Revenue Cycle Manager Chad Frank, Director of Patient Experience NOT PICTURED: James Ridley, IT Systems Coordinator Angela Petsche, Outreach and Enrollment Coordinator Ann Morris, Population Health Manager Dr. Heather Kruse, MD, Director of Specialty Clinical Services Dr. Heather Rickertsen, PharmD, Director of Pharmacy Services Jon Decker, Director of Brain Health Joshua Feldmann, Director of Midwest Medical Pharmacy Services Dr. Marco Rouman, DDS, Chief Dental Officer Megan Feldpausch, Medical Clinic Manager Michelle Udelhofen, Patient Experience Manager Sherri Edwards, Project and Grants Manager Tami Koons, Lead Care Coordinator EMPLOYEE ENGAGEMENT At Crescent, we believe that the key to fulfilling our mission is our people. our employees' feedback is crucial for employee retention and fundamental in our pursuit of fostering a culture of innovation, communication, and growth. Employee engagement is the simultaneous employment of an individual's preferred self through physical, cognitive, and emotional means. What does preferred self mean? Employees are faced with countless decisions in the workplace. When an individual invests in their preferred self, they express their real identity, thoughts and feelings (authenticity). This brings their entire being to their role. This brings them alive to their role. "Crescent has grown quickly over the past three years, surpassing national and state averages. This growth is challenging as we are also still faced with the side effects of the global pandemic. The staff at Crescent is a committed and caring group of professionals that have chosen this career path for the high points and low points that come with working in public health. There is a sense of pride with our team that is reflected in the care provided and makes Crescent a special place in our community and service area. I am immensely proud of the team for all they have accomplished during these challenging times." -Crescent Team Member MISSION MOMENTS PATIENT TESTIMONIALS "I was treated kindly, everyone there was respectful, and right away called you up. I saw Shay Lehman, I was immediately comfortable with her. She explained the infection and what to watch for, and go to the ER if certain symptoms showed up. I just cannot say enough good things to people about Crescent Community Health. I have never looked back. Everything is right there, but most of All the STAFF." "Dr. Sanchez Traun is an outstanding Doctor. Very appreciative to be one of her patients." "Nothing but kindness and sincerity through the entire office. "Katie Campbell is really just amazing. I've had several mental health providers and she's the reason I came to Crescent. Her knowledge, care, and ability to put people at ease even when discussing topics that, in my life experience, would get you stigmatized are unparalleled. My overall opinion of Crescent is quite good and I really appreciate it, both 1st hand and in the larger scheme of things, the positive impact they are having on the community." "Shay was very efficient, resourceful, and scheduled me with all the appointments that 1 needed. We covered a lot information and she made sure that 1 was connected with each resource that 1 needed to make sure that everything was fully covered before I left and 1 think she's awesome." "I just wanted to leave this message to thank you very much for the doctor's attention to my children, really. This is very, very happy. I felt very comfortable. I am very happy to see that while they grow up, I finally have a doctor with whom I can make an excellent connection with myself and with my children, thank you very much." "Our family really appreciate All of the really nice people So, thank you very much for "Dr. Goodson is very nice, very professional, and 1 am so happy that there is a female provider that 1 can see. She is great!" "Penny is hands down one of the BEST I have encountered in this field. She is always fantastic to and with me. I feel completely at ease with her and know that she understands my irrational fear of the dentist and always makes sure whichever dentist comes in or I have to make an appointment with is equally understanding. I can't recommend Penny enough!!" Smiles and fast care." "Dr. Livermore has been awesome with my children. He's very friendly. He makes them laugh. Makes them feel comfortable very knowledgeable. He makes me feel confident as a parent that I'm doing the right thing and we really appreciate him. He's been the best pediatrician that we have had thus far. And we will continue to visit with him for their upcoming child wellness checks. And any other needs that we may have as far as their health goes and yeah we just really appreciate Crescent, overall, everybody there's been friendly helpful in every aspect. It's a wonderful facility. All the people, the staff and great. We definitely give it two thumbs up. Thank you." "Dr. Williams was awesome! My tooth has been giving me problems for over two months. Dentist in two different states said that 1 would need surgery and they couldn't do it. 1 came into crescent and they scheduled me with Dr. Williams on Monday after thanksgiving and with in 75 minutes my tooth was out and he was awesome. 1 needed no surgeryjust a dentist that knew what he was doing!" "I appreciate you squeezing me in for appointment to get my tooth pulled. Everyone was very nice and polite. Dentist, she was awesome, the assistant was awesome. They just made me feel comfortable because I'm scared to death of the dentist. So great job kudos to them. You have an awesome place. Thank you." "I've always gone here so it's nothing new. Still the best in Dubuque!" the Crescent Community Health Center and all the Care that they provide. that we need there. And also seems like state-of-the-art equipment. being there for us." "I was treated kindly, everyone there was respectful, and right away called you up. I saw Shay Lehman, I was immediately comfortable with her. She explained the infection and what to watch for, and go to the ER if certain symptoms showed up. I just cannot say enough good things to people about Crescent Community Health. I have never looked back. Everything is right there, but most of All the STAFF." "I recommend Crescent to all of my friends and colleagues. Thank you for your service and helping me along my new path." Z2 12 2022 QUALITY METRICS TO NOTE • 93% of eligible patients were screened for depression and, if positive, had a follow-up plan documented • 87% of children received a weight assessment and participated in a physical activity and nutrition counseling if needed • 69% of patients with hypertension now have controlled blood pressure • 72% of patients with diabetes have gained control of the condition LEFTTO RIGHT: Danielle Waldbillig, Data Analyst April Lange, Informatics & Training Coordinator Jake Bartholomew, Director of Quality & Informatics Kylie Henkels, Data Analyst QUALITY COUNTS In September 2022 Crescent was awarded five Community Health Quality Recognition (CHQR) badges. CHQR badges recognize Health Center Program awardees and look-alikes (LALs) that have made notable quality improvement achievements in the areas of access, quality, health equity, health information technology, and COVID-19 public health emergency response for the most recent Uniform Data System (UDS) reporting period. "I am extraordinarily proud of the entire Crescent team for their ongoing dedication to serving our patients. Their passion for providing high -quality care is what keeps our clinic earning these top awards year after year," said Gary Collins, Chief Executive Officer. "It is also important to recognize our patients in this process. With accessible tools and knowledge offered by Crescent and our providers, they are taking ownership of their health and making strides to live long, healthy lives." Crescent was awarded the Gold Health Center Quality Leader, Access Enhancer, Health Disparities Reducer, Advancing Health Information Technology (HIT) for Quality, and Patient Centered Medical Home badges. Below is further detail on each badge. �VA Health Center Quality Leaders achieve the best overall clinical quality measure (CQM) v3NFtSA — N = performance among all health centers. They are recognized in the following tiers: n LEA F Gold (top 10%), Silver (top 11-20%), or Bronze top (21-30%). Q . om Access Enhancer recognizes health centers that increase the total number of patients they serve and the number of patients who receive at least one comprehensive service (mental health, substance abuse, vision, dental, and/or enabling) by at least S%. Health Disparities Reducer recognizes health centers that: QHFtSA Meet benchmarks for all racial/ethnic groups served within the most recent UDS HEALTH MMIAMIE9 reporting year in the areas of low birth weight, hypertension, or uncontrolled diabetes. FE MER Demonstrate at least a 10% improvement in the areas of low birth weight, hypertension, or uncontrolled diabetes for at least one racial/ethnic group. Advancing Health Information Technology (HIT) for Quality recognizes health centers QHRSAthat meet all criteria to optimize HIT services. Eligibility is calculated using 2021 UDS data. A� Health centers must meet the following five criteria: FQR q/AUR Adopted an electronic health record (EHR) system Offers telehealth services Exchanges clinical information electronically with key providers health care settings Engages patients through health IT Collects data on patient social risk factors Patient Centered Medical Home Recognition (PCMH) recognizes health centers with PCMH recognition in one or more delivery sites. 13 KEEPING OUR COMMUNITY HEALTHY Crescent first opened in October of 2006, led by a group of dedicated board members and generous community supporters who identified the need for primary medical and dental care for underserved populations. For more than 15 years, Crescent has been providing access to primary healthcare services to those in our tri-state communities who need them most. Our doors are open to everyone including families and children, elderly, homeless, those who are uninsured, on Medicaid or have private insurance. No one is ever turned away. 2022 PATIENT METRICS TO NOTE • 49.9% of Crescent patients are at or below the 100% Federal Poverty Line (increase of 23.3%) • 79.9% of Crescent patients are at or below the 200% Federal Poverty Line (increase of 25.8%) • 24% of patients are served in a language other than English • 4,208 uninsured patients (increase of 6.9%) • 3,699 Medicaid patients (increase of 15.8%) • 402 LGBTQ+ patients (increase of 25.2%) • 776 patients were tested for HIV • 146 children between ages 6-9 had dental sealants applied • 892 patients participated in a cervical cancer screening • 567 patients participated in a colorectal cancer screening • 293 patients participated in a breast cancer screening TOP FIVE DIAGNOSES (% OF PATIENTS) • Anxiety Disorders - 16.20% • Depression-13.50% • Hypertension - 12.90% • Diabetes - 7.50% • Overweight/Obesity - 6.10% 14 -4f 2022 BY THE NUMBERS 33,106 CLINIC VISITS* 13,735 12,911 6,460 24,877 2,619 502 Dental Visits Medical Visits Brain Health Prescriptions Open Enrollment Enabling Visits Written Assists Services 9,248 PATIENTS SERVED • • i • 5,108 4,140 752 2,444 241 Women Men Age 65 & Older Children Veterans h I 5,862 1,500 958 483 325 120 White Black/African Hispanic/ Pacific More than Asian American Latino/a Islander One Race TRI-STATES SERVICE AREA Illinois Jo Daviess County ALLAMAKEE COUNTY Iowa Allamakee County 52 CRAW FORD Clayton County 154 COUNTY Delaware County 53 Dubuque County 6,972 CLAYTON COUNTY IOWA Jackson County 224 GRANT COUNTY Jones 14 COUNTY Wisconsin LAFAYETTE COUNTY Crawford County 49 DELAWARE DUBUQUE Grant County 570 COUNTY COUNTY Iowa County 29 JO DAVIESS Lafayette County 167 COUNTY Other 316 JACKSON JONES COUNTY COUNTY `Includes 7,670 Telehealth Visits ia- DEFINING MOMENTS INFOCUS ACQUISITION Crescent Community Health Center completed the acquisition of Infocus Pharmacy after many years of partnership. The timing of this partnership is critical because it allows Crescent patients to have full access to discounted medications in the 340B drug pricing program. "This acquisition of Infocus Pharmacy is a strategic move that helps us best serve our patients. Without access to affordable medications provided through the 340B program, many of our patients would have nowhere to turn and would suffer immeasurably. All Crescent patients have a choice in where to access their prescriptions; there are many pharmacy options in Dubuque. The outstanding service and patient focus of the Infocus team and the convenience of having Infocus in the same building where they receive their care is a major factor in our patients' decision on where they want to have their prescriptions filled! Throughout our discussions, Crescent and Infocus have kept the patient as the priority in all decisions," said Gary Collins, Crescent's Chief Executive Officer. "We are grateful for this partnership and look forward to welcoming and transitioning the entire Infocus team to Crescent." 16 -- I 7 7, F( R J. 1!1° R � I F LEFT TO RIGHT: Sheree Cups, Pharmacy Clerk Dr. Kebba Bojang, PharmD Jennifer Husemann, Pharamcy Technician II Molly McLuaghlin, Pharmacy Technician II Dr. Kristin Timmermann, PharmD Dr. Josh Feldermann, PharmD, Director of Midwest Medical Pharmacy Services Linda Willging, Pharmacy Administrator Amanda Bartjens, Pharmacy Technician II Kendall Mayne, Pharmacy Technician II Sherry Turner, Driver Tom Turner, Driver MR OR - a 17 What is 340B and why is it important to Crescent patients? The federal 340B Drug Pricing Program allows qualifying hospitals and clinics that treat low-income and uninsured patients to buy outpatient prescription drugs at a discount rate. Beginning in July2020, pharmaceutical manufacturers, including Eli Lilly and AstraZeneca halted delivery of medications to all 340B contract pharmacies. At Crescent, we were fortunate to have adequate storage, flexibility, and staff to order supplies for the near future. Crescent providers and Infocus Pharmacy worked together to change regimens when needed; however, as time progressed, additional manufacturers joined the rank and our options and overstock dwindled. Medications with limited access include diabetes medications, breathing medications, blood thinners, and many more. Due to the risk of losing medication that is critical for our patients, we began to work together with Infocus Pharmacy to transition from a contract pharmacy to an entity -owned pharmacy. This partnership will allow Crescent access once again to full offerings of 340B medications. Although this partnership will help, there continues to be ongoing pressure on the 340B program from manufacturers and insurers. The 340B Program enables Crescent patients to access medications they otherwise would not be able to afford. Since 2015, our prescription volume was approximately 10,000 prescriptions annually, over double the volume. 'it 30 years of combined community pharmacy experience that our i5 cut, —, , employees bring, we will be able to add to Crescent's expertise in the areas of patient assistance, access to life-saving medications and patient safety. We here at Infocus Pharmacy are committed to the care teams and the patients they care for. This opportunity will further advance and strengthen the mission of enhancing care in our community to those that are at risk." -Dr. Joshua Feldmann, PharmD, Co -Owner and Pharmacist -in -Charge of Infocus 18 9 The National Association of Community Health Centers conducted a survey to better understand the negative impact on patient outcomes due to the loss of 340B savings. This survey found: 92% of respondents utilize 340B savings to increase access for low-income and/or rural patients by maintaining or expanding services in underserved communities. 90% of respondents report that their 340B program has led to improved medication adherence, improved clinical outcomes, and improved access to care. r� 340B Health center patients with diabetes, heart disease, and behavioral health needs rely on drugs purchased through the 340E program more than other patient populations. 32% 32% of respondents believe that over HALF of their patients would lose access to needed medication without the 340B program discounts. 19 AHEAD PROGRAM Health equity is the ideal of having everyone in a population have the same access and opportunities to health care services. This means everyone should have access to health care that meets their needs, regardless of gender, age, race, ethnicity, sexual orientation, religion, socio-economic status, or geographic location. This movement is essential for promoting social justice, reducing health disparities, and improving public health. It ensures everyone has access to quality health care, regardless of socioeconomic, geographic, or other personal factors. Health equity is necessary for creating a healthy and safe society. Health equity is also crucial for promoting economic growth and development. By eliminating health disparities and providing universal access to health care, countries can be more productive and create a stronger workforce. This can help to reduce poverty and improve living standards. Ultimately, health equity is essential for creating a healthier and more equitable society. By ensuring that everyone has access to quality health care, regardless of social or economic status, we can help to improve public health, reduce health disparities, and promote economic growth. To advance health equity in our community, Crescent has partnered with the Iowa Primary Care Association (PCA) in 2022 to kick off the Advancing Health Equity and Addressing Disparities (AHEAD) program. This work supports five deliverables: 1 A health equity needs assessment 2 A unified health equity implementation plan 3 Data support, including the establishment of metrics for measuring progress in health equit across the network 4 Strategic consultation to support diversity, equity, and inclusion, and health equity implementation 5 Health equity training, education, and support AHEAD Accomplishments and Next Steps Yazmin Miranda, CHW, and Chad Frank, Director of Patient Experience, have been selected to champion the AHEAD program with patients, staff, and community partners. Working together with the Iowa PCA and other community health centers, the team has achieved program accomplishments including: Completion of the health equity needs assessment survey with patients Development of a communications plan to identify work for internal and external stakeholders • Contracted with the Chartis Just Health Collective to develop network -wide education Moving forward, the AHEAD project team will work toward a unified health equity implementation plan. This includes addressing the themes identified in the assessment as a network and incorporating strategic agility session takeaways, network -wide results, and current strategic plan priorities. They will develop content for education and training with Chartis JHC, and develop data standardization, quality assurance and social determinants of health system planning. "The AHEAD program looks at health equity from different angles. I'm excited for this initiative and the pioneering efforts that Yazmin and other supporting staff create to drive this program forward." -Chad Frank Director of Patient Experience 20 Chad Frank, Director of Patient Experience Yazmin Miranda, Community Health Worker 21 LEADING WELLNESS EQUITY BY ENGAGING THE COMMUNITY IN HEALTHY HABITS Crescent is located within a new and growing wellness corridor in the City of Dubuque, within an area with one of the highest poverty levels in Iowa. Since its inception as a community health center, Crescent leaders recognized that an affordable wellness and fitness center was lacking in this area. This led to the establishment of our free onsite center. This service became part of patients' treatment plans as the prescription to boost healthy habits and address and prevent illness. Thanks to a generous grant from the Dubuque Racing Association, Crescent will be enhancing and expanding the wellness center to include: Additional fitness equipment More open gym hours Increased timeslots for consultations Opportunities for social connections and behavioral support Increased access to Crescent services Physician -led lifestyle medicine program Incentives for participation and progress Through this project, Crescent's goal is to add 500 new patients and 200 community members in the first year of expanded operations which is expected to be completed by Fall 2023. Wellness center participants will be assisted in accessing resources such as food insecurity programs, workforce development, educational options, transportation, and more. •. n II. I� ��•�,��II••.I:.,i: I''Irl Scan QR code to learn more I: ���: r•.I . I1-11•.II •.:. about Dr. Wolbers n I.I. I,I'r:... �r.I• a 1 � 11 L Outcomes will include more individuals preventing The result will be to increase community members' physical/mental illnesses or improving existing engagement in healthy habits and serve as a conditions. When we promote regular activity and gateway to comprehensive services that improve healthy changes in eating habits and make accessible individual quality of life and the strength of the support options available, we can help individuals entire community. prevent or recover from conditions such as heart disease, diabetes, cancer, hypertension, obesity, By supporting target populations, Crescent depression, and other chronic illnesses. will further assist them in addressing social determinants of health and healthcare challenges. The center also will link participants with other This advances the vision of creating equitable essential services at Crescent and beyond, facilitating healthcare opportunities, resulting in a stronger, long-term changes for at -risk populations. All more inclusive community. wellness center services will be available regardless of insurance status, income level, or ability to pay. 23 DENTAL EXPANSION Crescent Community Health Center has been awarded a $850,000 grant from Delta Dental of Iowa Foundation and an additional $500,000 dollar -for -dollar matching fundraising campaign to outfit dental operatives in their new clinic expected to open in fall of 2023. As part of the dental expansion, Crescent will be expanding the existing space to broaden oral health services to include dedicated oral surgery and pediatric dental suites and create a state-of-the-art onsite dental lab, making high -quality medical and dental care more accessible than ever. In 2022 Crescent had over 33,000 clinic visits by 9,248 unique patients. Of the clinic visits,13,735 were in the dental department. Additionally, the dental leadership team has established an Advanced Education in General Dentistry Residency Program (AEGD) for a one-year certificate, post -doctoral training program in affiliation with New York University Langone Dental Medicine (NYU Langone). We are also working with Northeast Iowa Community College (NICC) to create a two-year dental hygiene program. These opportunities will significantly enhance the dental residents' and hygienists' knowledge and clinical skills, which will positively impact access, treatment outcomes and quality of care provided to the community. Fr. r Delta Dental of Iowa is the largest and most experienced provider of dental benefits in the state. As a not -for -profit insurance company, Delta Dental of Iowa invests in oral health and wellness projects through the Delta Dental of Iowa Foundation that focus on access to care, prevention, education and research. Delta Dental of Iowa Foundation's mission is to support and improve the oral health of Iowans. Delta Dental of Iowa is a member of the Delta Dental Plans Association, the leading national network of independent dental service corporations. The Delta Dental member companies provide dental benefits to more than 70 million Americans in more than 120,000 employee groups throughout the country. LEFT TO RIGHT: Kara Simon, Dental Assistant Susan Reding, Dental Assistant Christine Geers, Dental Care Coordinator Aleah Maiers, Administrative Assistant Eliza Ludovissy, Dental Assistant OUR DONORS Crescent would like to thank the many families, individuals, local healthcare providers, employees, businesses and foundations whose contributions make our work possible. The following list includes donors who made gifts or grants during calendar year 2022. Anonymous Dr. Peter and Cynthia Alt Amazon Smile Org Central Andersen Corporation Apple Inc. B1 Yoga Don and Jayne Banfield Wilma (Sam) Bauer David and Amy Becker Tricia Behnke Veronica Bender Michael and Rebecca Berg Reverends Dr. Ken and Nancy Bickel Paul and Jean Blaser Paul and Judy Brandt Dr. John and Regina Brennan Shirley Briggs Teresa Burgmeier Dr. Scott and Sandra Cairns Colleen Callahan Katie Campbell Marcelline Capesius Caterpillar Foundation Center Grove United Methodist Church Anne Chesterman Eric and Maureen Christiansen Dr. Frank Cicciarelli Gary Collins and Clay Gibson JoAnn Cook Sharon Kress and Keith Cook Cottingham & Butler Helen Cremer Crescent Electric Charitable Foundation Joey Crowley Diane Davis Ann and Rick Decker Dr. Paul and Myra DeLong Wayne and Joan Demmer Diamond Jo Casino Gail Chavenelle and William Dicken John Donovan Margaret and Patrick Dunham LuAnn Duran Richard and Bobbie Earles Dr. Thomas and Judith Edmonds Sherri and Dave Edwards Paul Ellerbeck Empower Shelbie Engler Ken and Sharon Erickson Tom Feller Fidelity Bank and Trust Finnin Family Foundation Flatin Rusty Taco Eric and Kimberly Foy Fraternal Order of Eagles Don and Jan Freymann Friedman Group Paula and Terry Friedman Dr. Joe and Julie Fuller Geisler Brothers Company Bill and Rachel Gerber Mary Gibbs Linda Chapman and Henry Goldstein Barbara Gormley Alexa Goss Grandview Gallop Jane Hanson Sarah Harris Alan and Sue Hattel Sr. Janet Haverkamp John and Margaret Hendry Henry Family Foundation Mary Elizabeth Heying Hillary Sandy Hirstein Sarah Hobbs Randy and Shelly Hoff Elaine Holthaus Jason Hoppenjan Lynne Houy Interiors -by Design Chuck Isenhart James A. & Mary Schmid Family Charitable Foundation Pam Jochum Ric and Sue Jones Brian and Kathy Kane Sr Kate Keating James and Ellen Kennedy Kiefer Family Endowment Fund Dr. Tim and Laura King Ron and Carla Klosterman Daniel Knepper Diane Knockel Kevin and Dianne Koch Sudhir and Sudha Koneru Robert and Angela Krall Keith Cook and Sharon Kress Mary Kretz Rob and Beth Kundert Leanne Golinvaux and Lisa Landgraf Jeanne Lauritsen Shay Lehman Dr. and Mrs. R W Lengeling Bill and Colleen Lester Glenn and Diane Lichti Susan Lindsay Dr. Sara Loetscher Jon Luckstead John and Joan Lux Sister Mary Anne Lynch, BVM Dr. Ross and Sally Madden Elizabeth Martin Denis Martinez Mike and Judy McCoy Trish McDonald Beth McGorry Richard and Mary McKay Kathryn McWethy Medical Associates Clinic Foundation of Dubuque Mike and Libby Sullivan Danielle Miller Don and Shirley Moody Ann Morris Morrison Bros Cc Endowed Donor Advised Fund Mark Niemer Randal and Doris Nigg Keith Nilles Connie Norby Paula Norby John and Mary Beth O'Connor Barb and Dave O'Hea Jack O'Hea Derek Olberding Patrick and Darlene O'Neill Paula Connors and Paul Opperman Oracle Matching Gift Foundation Wendy O'Rourke Our Lady of the Mississippi Abbey Chris and Nancy Patrick Angela Petsche Prudential Retirement Greg and Patty Reiman Janet Rhomberg Jim and Nancy Rhomberg Lou Ann Richardson Heather Rickertsen James Ridley Rinderknecht Family Giving Fund Ed and Susan Butler Pitts Mindy Roberts Rod and Lynee Robson Arthur and Dianne Roche Dr. Ben and Angie Poling 26 Dr. Marco Rouman, DDS GRANTS Phillip and Judy Ruppel Association of Asian Pacific Jane Rusk Community Health Organzations Charles and Margret Ryan Business Leadership Network, Joan and Al Sampson University of iowa College of Ron and Julie Schlader Public Health Carrie Schmid City of Dubuque Julie Schmid Community Foundation of Greater Karen Schmid Dubuque, Womens Giving Circle Mary Schmid Dubuque Racing Association Matt and Eva Schmid Dupaco R.W. Hoefer Foundation Mike and Elizabeth Schmid Envision Mental Health Endowment Paul and Sue Schramm Franciscan Sisters of Perpetual Sharon Scully Adoration Bob and Barb Shafer Iowa Cancer Consortium Amanda Shaffer Iowa Dept. of Natural Resouces Sherwin Williams Iowa Delta Dental Foundation Randy and Kathy Sigman McDonough Foundation Randy Sirk Mental Health/Disability Services of Sisters of Charity of the BVM the East Central Region (ECR) Sisters of Charity, BVM MercyOne Dubuque Foundation Sisters of Mount Saint Francis United Way of Dubuque Area Tri-States Sisters of the Presentation Variety - The Children's Charity Nora Snook Wahlert Foundation Spahn and Rose Lumber Company The Yappers Renee Speaker Carol Spinoso Sr. Mary Arnold Staudt Chris and Kristy Stille Sr. Dorothy Stoll Ann Sweeney Shirley Takacs Ken and Marlene Tekippe The Blackbaud Giving Fund/ Your Cause Chris and Pamela Theisen Jim Theisen Cathy Triervieler Union Hoermann Press Unitarian Universalist Fellowship of Dubuque Jonathan Uzel Michael and Nancy Van Milligen Larry and Julie Vogt Donna Wahlert Dr Dave and Amy Weber Kathleen Weber Phil and Joan Weber Dr. Liang Chee Wee Wertzberger Family Endowment Dick and Linda Wertzberger Greg and Marci Wertzberger Every effort has been made to Jack Wertzberger ensure the accuracy of this Michael Wertzberger list. For errors or omissions, please contact Barb O'Hea at Tom and Mary Wertzberger 563.690.2432. Dennis and Susan Williams IN MEMORIAM Our heartfelt condolences to those that lost loved ones in the last year. May the memories of your loved ones bring you comfort during these difficult times. "I was very pleased with my experience at Crescent Dental Clinic. 1 usually am very nervous going to the dentist but the staff and dental assistant all made me feel very comfortable and completely at ease. The place was clean and bright. Dr. Breitbach was so very kind and understanding. I was VERY pleased with everything at Crescent Dental Clinic. Thank you!" -Dental Patient OF-' _ - rr No N LEFT TO RIGHT: Dr. Lydia Goodson, DDS Cathy Hayward, Dental Hygienist Diana Gau, Oral Health Manager Tammy Kloser, Dental Hygienist 4