Like many nonprofit organizations, Hope Family Health was born out of a desire to fill a need in a community. In the summer of 2004, two mid-level providers working in the Westmoreland area began to discuss the possibility of starting a completely different kind of clinic: one where patients were treated based on their need of care instead of their ability to pay. The area served by HOPE is poor and medically under-served, and the practitioners noticed many people were deferring health care simply because of decreased local providers and their inability to pay. The desire to care for the patients who were falling between the cracks, a desire to run a clinic which validated the dignity and potential of each person receiving care, and the desire to restore hope as well as health, led practitioners Linvelle and Dittes to open the doors of Hope Family Health in January of 2005.
The first year brought rewards as well as challenges. HOPE survived during the first year by keeping costs contained, which resulted in long hours and low pay for the staff. The office started out in a little double-wide-mobile home-turned-clinic filled with people, employees, donated furniture, and charts. No fancy equipment was available, but our staff’s intelligence and heart held strong convincing us that love, respect and compassion are immeasurably more important in the healing process than state-of-the-art medical facilities. This trial by fire assured the founders and staff that they possessed the flexibility, dedication, devotion, and love to make it through even the hardest of times.
Since that humble beginning, HOPE has grown by leaps and bounds - seeing twice as many uninsured patients than that first year. The past couple of years have been full of challenges and change for HOPE. The downward turn in the economy has hit the area hard, resulting in even more poverty and uninsured residents. The generosity of individuals, groups, foundations and organizations through grants and gifts has enabled HOPE to continue to offer high quality health care at an affordable rate to the community.
Here is a small list of just some of
the great things that have taken place at HOPE over the past year…
was awarded $1,748,189.00 of annual funding through the
HRSA Federally Qualified Health Center grant to treat the medically and
mentally underserved in our community for on-going annual base funding as an FQHC (eff.
grant year 2016).
HOPE strives to continue to raise crucial resources that will help close the gap between what an office visit costs the organization and what a patient can pay for that visit. On average, a medical visit at HOPE costs the organization approx. $150 to provide, and in return an average of $60 is collected. Close to 40% of HOPE's patient base is uninsured, and more than 95% of those that are uninsured fall below 200% of the federal poverty-line. HOPE treats patients each and every day who in some cases are forced with the decision of putting food on the table, or filling life sustaining medication. HOPE seeks to increase resources to help provide for these patients, who even with the assistance of a sliding fee scale, often times struggle to afford medical and mental health treatment.
HOPE operates in the Northern section of Sumner County, the Western section of Macon County, and the southern most parts of Kentucky. Through two locations, HOPE seeks to increase access to healthcare throughout Macon, Sumner, Trousdale, and other rural counties in Tennessee and southern Kentucky.
To Whom it May Concern,
HOPE would like to thank you for the time you have taken to learn more about our organization. It is both an honor and a privilege to serve as the chairman of the board for this amazing organization and I personally am thankful for the work the staff of HOPE Family Health does each and every day. HOPE is a unique place that operates selflessly and by faith serving those in our community who need medical and mental healthcare the most. This organization would cease to exist with the loving and faithful contributors, foundation, and supporters who believe in what we do and continue to insure our existence. We encourage you to contact us today to learn more about how you can become involved in the life change work that happens at HOPE Family Health.
Hope Family Health is located in Westmoreland, TN just over the county line in Macon County. We serve patients in both Macon and Sumner Counties. This is a rural area that was re-classified by the Tennessee Department of Health in 2005 as a medically under-served area (MUA). This is the only privately established non-profit facility in the region that offers reduced fee primary health care services for the uninsured. Judging by the overwhelming response from patients during HOPE’s first year of operation, the need for reduced fee services in this area is enormous and has continued to grow in 2012. In June of 2012, 45% of HOPE's patients were uninsured. The founders and staff of HOPE firmly believe that each member of the community should be given the opportunity to participate in the healing process. This empowers individuals not only to receive care but also to be part of the healing of their neighbors. From its inception, HOPE has encouraged community involvement in fulfilling its mission and the response has been overwhelming. Our Board is selected carefully to reflect the diverse socioeconomic makeup of the population served. Along with providing excellent primary care to the community by being open extended afternoon hours, there is a provider available by phone 24/7. True to the founders’ vision, no one is turned away from HOPE because of their inability to pay.
The daily number of patients treated by HOPE's providers average around 15 per provider. Currently, approximately 35-45% of our patient visits are for the uninsured people of the area. HOPE plans to dramatically increase the number of office visits provided in the second FQHC funded year.
HOPE intends to provide 4,863 patient visits in the first 11 months of FQHC funding and anticipates 2,137 of those visits be provided to the uninsured. No one has EVER been turned away from HOPE due to financial restrictions, and no one has ever been turned over to a collection agency due to outstanding account balances. The long-term definition of success for this program includes immeasurable facets - better access to health care for this community, increased self-esteem for individuals, improved health, and balanced lives for our patients.
Patient data and analysis are performed using Doctors' Access software and reports generated by our billing company. Searches are performed using certain parameters to help identify each payor, illness, visit date, etc. Patient satisfaction surveys have been randomly distributed among HOPE's patients. In the most recent survey conducted in July and August of 2012, the providers and staff received an 89% satisfaction from patients.
Many of HOPE's patients have difficulty being able to afford their medications. For some, there is simply NO money available, and they must decide between buying food or medication. Being unable to get needed medications can negatively impact health and creates a sense of despair. Fortunately, HOPE has a full-time patient advocate who helps these patients obtain life sustaining medications, empowering them to take control over their illnesses. Through HOPE's Patient Assistant Program (PAP), the patient advocate researches a wide range of programs that offer people medications for free or at a reduced rate. The patient advocate completes forms for the patients, orders medications, and ensures the patients are receiving those medications. For many, this lifts a huge burden and instills a sense of HOPE.
The long term success of this program is immeasurable. When people are able to get their medications, they feel a sense of empowerment. With all of the other problems they may have in their life, they do have control over one thing - taking their medications. With this sense of control they are able to change their health by decreasing their blood pressure, managing their blood sugars, and improving other chronic conditions. By helping people obtain their medications, chronic diseases will be better controlled and, in turn, decrease morbidity.
Detailed records are kept of each PAP intervention, and on follow up visits with the providers, the success of the medications is evaluated. Data collection and analysis are obtained by using PAP RX tracker software.
Not long ago, a patient came to HOPE with a A1C of 12.0, which is a very, very high blood sugar level. Through the PAP, HOPE's patient advocate obtained Lantus insulin for this patient, and her next A1C dropped to 9.3. Although this blood sugar level is not considered under control, this was a tremendous improvement. After further evaluation, Januvia was obtained through the PAP. With proper diet, exercise, and access to medications, this patient's A1C level eventually dropped to 7.5 - which is amazing!!!
· HOPE wrote a $70,000 federal grant to hire an Affordable Care Act Patient Navigator and was awarded that grant in July of 2013. With this funding HOPE plans to search for a highly qualified, seasoned and experienced insurance professional (with top priority and strategic recruitment given to a quailed veteran) who can both prove and demonstrate applicable knowledge in both the health insurance industry in Tennessee as well as a deep knowledge and ability to learn and comprehend new healthcare legislation, programs, resources and tools that are now available and will become available through the Affordable Care Act. As an FQHC and a soon to become Patient Centered Medical Home, HOPE Family Health is very well positioned in our local community and service area to be the single and most qualified source for information and assistance as it pertains directly to the Affordable Care Act and enrollment in qualified programs associated and designed for both HOPE’s patients and other patients in the community. With a contract already being established with Tennessee’s first federally qualified health insurance exchange, HOPE has already began preparations to assist our uninsured and underinsured patient population with enrollment and educational assistance in this process. We plan to utilize both current resources and training coupled with the new 1.0 FTE Program Specialist provided by this funding to dramatically increase opportunities for enrollment and education for both our patients and other patients in the community directly affected by the Affordable Care Act.
The patient population served by HOPE largely has no access to affordable prescription drugs outside of the Prescription Assistance Program (PAP); which served 290 uninsured patients in 2015 more than 2,300 prescriptions...a value of over two million dollars. HOPE providers prescribed over 60,000 prescriptions in 2015 (including refills). Many of HOPE’s patients (insured & uninsured) go without life-sustaining/changing medications because of existing barriers to cost & access to Pharmacy Services. On July 11th 2016, The Pharmacy at HOPE Family Health will open. Working with the existing PAP program, the pharmacy can gain access to thous&s of prescriptions drugs for a large discount; making them more accessible & affordable for patients. Through this new program, HOPE will reach more patients with accessible & affordable healthcare services in addition to dramatically increasing access & affordability of these services to those already being served by HOPE.
Hope Family Health will have completed 7 years in business on December 31, 2012. The number of new uninsured patients has grown dramatically in the past few years, largely due to the state of the economy. As the nation’s economy worsens, the rural, already poverty stricken, population we serve seems to be hit the hardest. Many of our patients have lost their jobs causing them to lose their insurance, cars, and homes. This is one of the largest challenges we face here at HOPE. How do you inspire hope to hard working people who have no visible way to get back on their feet? We simply do what we can. We listen and NEVER turn anyone away.
Hope Family Health began with humble beginnings on December 31, 2012. The growth of HOPE has been rapid in 2012 and this growth will continue in 2013. Since receiving FQHC funding in June 2012, many changes have taken place in the center, and the timing could not be better for the community. As the nation's economy hits a staggering low, we have seen more first-time patients - due to losing their insurance, losing their job, or already being uninsured or underinsured. We turn no one away for lack of financial resources, and HOPE has become known for their compassionate care and their treatment of individuals with integrity and value. HOPE is a place people can come, be listened to and receive great medical treatment.
Most of the employees and board members are from the immediate Macon/Sumner/Trousdale counties. Our patients and clients know our employees and board members on a personal basis. We diligently and discreetly seek board members who can help move the clinic forward. We presently have 8 board members and plan to add to this number in the near future. HOPE’s Board is a hard-working group who WANT to learn how to be effective board members, learn how to contribute financially and otherwise, and who are committed to seeing HOPE take care of the needs of those "most in need." We have expanded our donor base, slowly but surely, to make sure that the people, organizations, foundations, and corporations we approach have not just the capacity to give, but have the inclination to support our mission because it reflects their mission and goals.
Since June 2012, HOPE has been hard at work, improving existing programs and planning development strategies for new service programs. These changes will take time to implement, as HOPE is just beginning to develop as an FQHC organization, but will be invaluable to the community. It is a fact, not conjecture, that without HOPE in rural Macon County, many people would go untreated - sadly some would be turned away.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
"Women in Tennessee are in the middle of a health crisis. What are YOU going to do?"
Dr. Stephaine Walker's call to action followed the launch of the TN Women's Health Report Card, which showed some clear areas of progress since the previous snapshot of women's health in our state, but also a number of areas in which there is still significant work to be done. While we are getting more mammograms and have significantly decreased our rates of breast and lung cancers, for example, cervical cancer rates have increased, and 42% of Tennessee's women have high blood pressure. Almost 1 in 5 of us smoked while we were pregnant, and 1 in 3 of us are obese. African American women experience striking disparities in rates of breast cancer, STD contraction, and infant mortality.
The full 2013 report can be accessed through the link below. Read carefully, and decide what YOU are going to do to improve the health of women in Tennessee.
The dramatic achievements of public health in the 20th century have improved our quality of life in a myriad of ways, including an increase in life expectancy, worldwide reduction of infant and child mortality rates, and the elimination or reduction of many communicable diseases. In Middle Tennessee, improvements in preventive medicine and advanced medical technology have resulted in increased life expectancy and improved health for many residents. However, significant health disparities exist in our region, resulting in poor health status often related to economic status, race, and/or gender.
“I’ve never shared my story with anybody.” -- The first step toward recovery can be the most difficult. The ability to engage in productive activities, to find relationships with other people fulfilling, and to adapt to change and cope with adversity are each vital to enjoying a happy and healthy life. But each of these facilities can be significantly impaired by mental health disorders. A mental health diagnosis should not define who a person is, or what a person can achieve through treatment and support. Middle Tennessee nonprofit organizations are ready to help make that first step toward good health a little easier.
In Tennessee, gang presence has been on the rise since the late 1980s and early 1990s, when gangs first made a concerted push into the state. Since 2011, police have identified at least 5,000 gang members in Davidson County, and gang-related crimes have increased by 25%. Meanwhile, cities with 50,000 or fewer inhabitants have seen gang-related crimes triple in frequency nationally since 2005.
The United States stands out among nations as a melting pot of cultures and ethnicities. Demographers predict that by 2050, no single majority group will exist in the United States. Diversity is a key part of Middle Tennessee’s past, present and future. Nashville, especially, is a model of the American "melting pot," with an active Native American population, thriving Hispanic community and growing Middle Eastern and Asian presence. Different cultures, religions, ideas and customs come together harmoniously in Music City.
Copyright © 2014 The Community Foundation of Middle Tennessee
3833 Cleghorn Avenue, Nashville, TN 37215