2021 New Hampshire Primary Care Sourcebook - Bi-State Primary Care Association
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2021
Bi-State Primary Care Association
525 Clinton Street Bow, NH 03304
(603) 228-2830
New Hampshire
www.bistatepca.org
Primary Care Sourcebook
TABLE OF CONTENTS
Introduction to Bi-State Page 3 Ammonoosuc Community Health Services Page 25
Bi-State PCA NH Members Page 4 Amoskeag Health Page 26
Bi-State PCA NH Members (continued) Page 5 CHAN Page 27
2021 NH Public Policy Principles & Priorities Page 6 Charlestown Health Center Page 28
CHCs, FQHCs, FQHC LAL, and RHC Page 7 Coos County Family Health Services Page 29
Snapshot of Bi-State’s NH Members Page 8 Greater Seacoast Community Health Page 30
Investing in Primary Care Page 9 Harbor Care Page 31
CHC Data Page 10 Health Care for the Homeless Program Page 32
FQHC Data Page 11 HealthFirst Family Care Center Page 33
FQHCs Improve Access to Integrated Care Page 12 Indian Stream Health Center Page 34
A Growing Demand for FQHC Services Page 13 Lamprey Health Care Page 35
FQHC Clinical Quality Measures in 2019 Page 14 Mid-State Health Center Page 36
FQHC Funding Page 15 NH AHEC Page 37
Bi-State PCA NH Member Map Page 16 North Country Health Consortium Page 38
Bi-State’s Workforce Recruitment Center Page 17 Planned Parenthood of Northern New England Page 39
Supporting Communities in COVID-19 & Beyond Page 18 Weeks Medical Center Page 40
Strengthening Public Health During the Pandemic Page 19 White Mountain Community Health Center Page 41
Community Health Center Flu Clinics Page 20 Resources Page 42
Prioritizing Food Security as Part of Overall Health Page 21 FQHC Federal Requirements Page 43
Breaking Down Barriers to Care Amidst COVID-19 Page 22 FQHC Sliding Fee Scale Page 44
Telehealth: A Bright Spot During the Pandemic Page 23 Who’s My Legislator? Page 45
NH Member Profiles Page 24 Acknowledgements Page 46
2
What is a Primary Care Association?
Each of the 50 states (or in Bi-State’s case, a pair of states) has one nonprofit Primary Care Association (PCA) to serve as the voice for
Community Health Centers. These health centers were born out of the civil rights and social justice movements of the 1960s with a clear
mission that prevails today: to provide health care to communities with a scarcity of providers and services. That includes bringing
comprehensive services to rural regions of the country.
Bi-State’s Mission Bi-State’s Vision
Promote access to effective and affordable Healthy individuals and communities with quality
primary care and preventive services for all, with health care for all.
special emphasis on underserved populations in
Vermont and New Hampshire.
Who We Are
Bi-State Primary Care Association is a 501(c)3 nonprofit organization that was formed by two health and social service leaders in 1986 to
expand access to health care in Vermont and New Hampshire. Today, Bi-State represents 31 member organizations across both states that
provide comprehensive primary care services to over 300,000 patients at 142 locations. Our members include federally qualified health
centers (FQHCs), clinics for the uninsured, rural health clinics, Area Health Education Center (AHEC) programs, and Planned Parenthood of
Northern New England. We provide training and technical assistance for improving programmatic, clinical, and financial performance and
operations. We provide workforce assistance and candidate referrals for providers including physicians, dentists, nurse practitioners, and
physician assistants. We also work with federal, state, and regional policy organizations, foundations, and payers to develop strategies,
policies, and programs that support community-based primary health care.
NH Public Policy Workforce & Recruitment
Bi-State is committed to improving the health status of Granite Bi-State’s Recruitment Center has sourced 1,490 candidates
Staters and ensuring that all individuals have access to interested in practicing in VT and NH over the last year. We
affordable and high-quality primary medical, mental health, helped recruit 32 providers to New Hampshire and Vermont
substance use, and oral health care, regardless of insurance between July 2019 – June 2020 (FY20).
status or ability to pay.
Annual Events
In 2020, Bi-State hosted several annual conferences and trainings that provided important learning and networking opportunities for our
colleagues from both states. The NH Public Policy team hosts our annual Legislative Breakfast to highlight the important roles our members
play in their communities and the need for comprehensive health care and a robust health care workforce in NH. Our UDS Training in the fall
discusses the new measures and requirements for Uniform Data System reporting and successful submission strategies. In December 2020,
Bi-State held its first-ever multi-day, virtual Clinical Quality Symposium that focused on topics that were selected by NH and VT clinical teams
in order to achieve better clinical outcomes and improve the health of patients. Bi-State also held our 2020-21 Leadership Development
Program, tailored to training the next generation of community health center leaders.
3
Bi-State Primary Care Association’s New Hampshire Members
Ammonoosuc Community Health Services, Inc. Community Health Access Network Harbor Care (FQHC)
(FQHC) Newmarket (Rockingham County) Nashua (Hillsborough County)
Franconia, Littleton, Warren, Whitefield, Joan Tulk, Executive Director Peter Kelleher, Executive Director
Woodsville (Coos and Grafton Counties) (603) 292-7205, (603) 292-7284 Jonathan Brown, Clinical Director
Edward D. Shanshala II, Chief Executive Officer jtulk@chan-nh.org (603) 821-7788 (main)
(603) 444-8223, ed.shanshala@achs-inc.org 207A South Main Street, Newmarket, NH 03857 p.kelleher@harborcarenh.org
25 Mt. Eustis Road, Littleton, NH 03561 www.chan-nh.org (603) 816-7983, j.brown@harborcarenh.org
www.ammonoosuc.org 45 High Street, Nashua, NH 03060
Coos County Family Health Services (FQHC) www.harborcarenh.org
Amoskeag Health (FQHC) Berlin, Gorham (Coos County)
Manchester (Hillsborough County) Ken Gordon, Chief Executive Officer Health Care for the Homeless Program
Kris McCracken, President/Chief Executive (603) 752-3669 Ext. 4018, kgordon@ccfhs.org (FQHC)
Officer 54 Willow Street, Berlin, NH 03570 Manchester (Hillsborough County)
(603) 935-5210, (603) 935-5229 www.coosfamilyhealth.org Amy Pratte, Director, External Affairs/
kmccracken@mchc-nh.org Fiscal Manager HCH
145 Hollis Street, Manchester, NH 03101 Greater Seacoast Community Health (FQHC) (603) 663-8716, amy.pratte@cmc-nh.org
www.amoskeaghealth.org Dover, Exeter, Hampton, Portsmouth, Rochester, 199 Manchester Street
and Somersworth (Rockingham and Strafford Manchester, NH 03103
Charlestown Health Center (FQHC) Counties – includes Mobile Health Clinics) www.catholicmedicalcenter.org/Community-Health
Charlestown (Sullivan County) Janet Laatsch, Chief Executive Officer
Anila Hood, Director, Charlestown Health (603) 516-2550, jlaatsch@goodwinch.org HealthFirst Family Care Center (FQHC)
Center; www.GetCommunityHealth.org Franklin, Laconia, and Tilton (Belknap and Merrimack
Josh R. Dufresne, Acting Chief Executive Counties)
Officer, Families First Health and Support Center (FQHC) Russell G. Keene, President/Chief Executive Officer
Springfield Medical Care Systems 100 Campus Drive, Suite 12, (603) 934-0177 Ext. 107
(603) 826-5711, ahood@springfieldmed.org; Portsmouth, NH 03801 rkeene@healthfirstfamily.org
(802) 885-7620,jdufresne@springfieldmed.org www.familiesfirstseacoast.org 841 Central St, Ste 101, Franklin, NH 03235
250 CEDA Road, Charlestown, NH 03603 www.healthfirstfamily.org
www.springfieldmed.org/charlestown-health- Goodwin Community Health (FQHC)
center 311 Route 108, Somersworth, NH 03878
www.goodwinch.org
Lilac City Pediatrics
80 Farmington Rd, Rochester, NH 03867
www.lilaccity.goodwinch.org
4
Bi-State Primary Care Association’s New Hampshire Members
Indian Stream Health Center (FQHC) NH Area Health Education Center Weeks Medical Center (RHC)
Colebrook (Coos County) Lebanon (Grafton County) Groveton, Lancaster, North Stratford,
Sergio Zullich, Chief Executive Officer Kristina Fjeld-Sparks, Director Whitefield (Coos County)
(603) 237-4170 (603) 653-3278 Michael Lee, President
szullich@indianstream.org Kristina.E.Fjeld-Sparks@Dartmouth.edu (603) 788-5026, (603) 788-4911
141 Corliss Lane, Colebrook, NH 03576 One Medical Center Drive, WTRB Level 5 Michael.Lee@northcountryhealth.org
www.indianstream.org Lebanon, NH 03756 173 Middle Street, Lancaster, NH 03584
www.tdi.dartmouth.edu/education/professional- www.weeksmedical.org
Lamprey Health Care (FQHC) education/new-hampshire-area-health-
Nashua, Newmarket, Raymond education-center-ahec White Mountain Community Health
(Hillsborough and Rockingham Center
Counties) North Country Health Consortium (FQHC LOOK-ALIKE)
Greg White, Chief Executive Officer Littleton (Grafton County) Conway (Carroll County)
(603) 292-7214 Becky McEnany, Interim CEO Ken “JR” Porter, Executive Director
gwhite@lampreyhealth.org (603) 259-4785, (603) 259-3700 (603) 447-8900 Ext. 321,
207 South Main Street, Newmarket, bmcenany@nchcnh.org jrporter@whitemountainhealth.org
NH 03857 262 Cottage St, Suite 230 298 White Mountain Highway, Conway,
www.lampreyhealth.org Littleton, NH 03561 NH 03818
www.nchcnh.org www.whitemountainhealth.org
Mid-State Health Center (FQHC)
Bristol, Plymouth (Grafton County) Planned Parenthood of Northern New England
Robert MacLeod, Chief Executive Claremont, Derry, Exeter, Keene, Manchester
Officer (Cheshire, Hillsborough, Rockingham, and Sullivan
(603) 238-3525 Counties)
rmacleod@midstatehealth.org Meagan Gallagher, Senior Advisor
101 Boulder Point Drive, Plymouth, (802) 448-9778
NH 03264 meagan.gallagher@ppnne.org
www.midstatehealth.org 136 Pleasant Street Claremont, NH 03743
www.plannedparenthood.org/planned-parenthood-
northern-new-england
5
2021 New Hampshire Public Policy Principles
Bi-State is committed to improving the health of all New Hampshire residents. We work to ensure that Granite Staters have
access to appropriate, high-quality, integrated primary and preventive health care, regardless of insurance status or ability to
pay. Integrated primary and preventive care includes behavioral health, substance use disorder treatment, and oral health
services. Bi-State strives to educate policymakers, non-profit leaders, and the business community on the value community
health centers provide to the Granite State. We accomplish our goals by partnering with the state, health care providers, non-
profit advocacy organizations, and business leaders.
During this pandemic, our State has opportunities to bolster its response to COVID-19. The ability of our health care system
to respond to COVID-19 is dependent on a powerful health care workforce, adequate Medicaid reimbursement rates, a
robust safety-net provider system, and Granite Staters practicing public health safety measures to prevent the spread of
COVID-19. Bi-State’s 2021 New Hampshire Public Policy Principles and Priorities reflect the fact that stabilizing our Granite
State’s public health and safety-net system while increasing access to integrated health care services is critical in stopping
the spread of COVID-19.
2021 New Hampshire Public Policy Priorities
➢ Support local and statewide policies designed to stop the spread of COVID-19, with a focus on the disproportionate
impact to racial-ethnic minority populations and other high-risk populations;
➢ Increase investments in health care workforce development and recruitment, particularly those that target medically
underserved areas;
➢ Adequate funding of the adult Medicaid dental health benefit to include educational, preventive, and restorative
services;
➢ Ensure the success of the Granite Advantage Health Care Program as a reliable source of health insurance for low-
income Granite Staters;
➢ Increase state support for integrated primary and preventive care, and reproductive health care services for our
underserved populations;
➢ Support access to telehealth and reimbursement parity for services provided via telehealth; and
➢ Support policy changes that eliminate racial injustice, poverty, and discrimination to ensure inclusiveness, diversity,
and health equity for all.
6
Community-based primary and preventive health care
Comprehensive means primary and preventive medical, dental, oral, Enabling services are non-clinical services designed to increase access to
mental health, and enabling services. health care and improve health outcomes. Examples include: translation
and interpretation, help accessing transportation, and assistance
navigating financial issues.
Community Health Centers Federally Qualified Health Centers
Community Health Centers (CHCs) provide comprehensive and In 2019, 14 CHCs: In 2019, 11 FQHCs:
enabling services in medically underserved regions. CHCs offer Federally Qualified Health Centers (FQHCs) are non-
profit, community-based health care organizations
services to all residents in their service areas, determining charges • Served 119,735 • Served 94,776 patients
based upon the resident’s ability to pay. Every CHC is unique, that provide comprehensive and enabling services
patients in NH. in NH.
tailoring programs and services to the needs of their communities. in medically underserved areas throughout the
• Conducted 511,103 country. FQHCs are supported by the federal • Conducted 417,265
Collaborations with community partners allow CHCs to go above and patient visits. patient visits.
beyond in delivering high quality of primary care. In many government through a competitive grant process to
• Offered services in provide health care services to the un- and • Offered services in 8
communities, CHCs are the only comprehensive, patient-centered
every NH county, underinsured in rural and urban areas. FQHCs are NH counties, across 47
medical home open to all patients without restrictions, especially
underinsured and Medicaid patients. across 57 sites. governed by a board of directors, of whom a sites.
majority of the members receive care at the FQHCs.
Bi-State’s Community Health Centers in FQHCs accept patients regardless of ability to pay,
New Hampshire include: offer a sliding fee scale to persons with incomes
- 11 Federally Qualified Health Centers below 200% of the federal poverty level, and work
- Planned Parenthood of Northern New England with their communities to address a range of
- Weeks Medical Center, a Rural Health Clinic barriers to health.
- White Mountain Community Health Center, an FQHC LAL
Rural Health Clinics Federally Qualified
Health Center Look-Alikes
The Rural Health Clinic Services Act of 1977 (Public Law 95-210)
was enacted to address an inadequate supply of physicians serving In 2019, 4 RHCs: Federally Qualified Health Center Look-Alikes (FQHC
Medicare patients in rural areas and to increase the use of non- LALs) are Community Health Centers that meet the In 2019, 1 FQHC LAL:
physician practitioners such as nurse practitioners and physician • Served 9,375 requirements to be FQHCs (including having a
assistants in rural areas. Rural Health Clinics (RHCs) can be public, patients in NH. patient-majority board), but do not receive grant • Served over
nonprofit, or for-profit heath care facilities. They must be located in • Conducted 65,322 funding from HRSA. They provide services in 2,498 patients in NH.
rural, underserved areas. They are required to use a team approach patient visits. medically underserved areas, provide care on a • Conducted over 10,000
of physicians working with non-physician practitioners such as • Offered services in sliding fee scale, and operate under a governing patient visits.
nurse practitioners, physician assistants, and certified nurse mid- board that includes patients. • Offered services in
Coos county across
wives to provide services. RHCs are required to provide outpatient Carroll county.
4 sites. Bi-State’s member, White Mountain Community
primary care services and basic laboratory services.
Health Center, is an FQHC LAL with a site in Carroll
Bi-State’s member, Weeks Medical Center, is an RHC with 4 sites in county. 7
Coos county.
Snapshot of Our New Hampshire Members
➢ Community Health Centers include: Bi-State’s 14
Community Health
➢ Federally Qualified Health Centers (FQHCs): Centers and clinics
11 New Hampshire FQHCs encompassing 47 serve 119,735 patients
sites in 8 counties – includes mobile health at 57 locations across
clinic sites every county in New
Hampshire.
➢ Planned Parenthood of Northern New England:
5 locations
➢ Weeks Medical Center (RHC):
4 Rural Health Clinics 1 in 5 uninsured
Granite Staters, as well
➢ White Mountain Community Health Center: as 1 in 5 Granite
A Federally Qualified Health Center Look-Alike Staters enrolled in
(FQHC LAL) Medicaid, receives care
at a New Hampshire
➢ Community Health Access Network (CHAN) Community Health
Center.
➢ NH Area Health Education Center Program (AHEC)
➢ North Country Health Consortium (NCHC)
8
Investments in primary and preventive care help to contain the growth of
the total cost of care in New Hampshire.
Community health centers are CHCs serve about 20% of (1 in 5)
Investing in primary and
economic engines in their NH Medicaid enrollees and 1 in 5
preventive care is the most
communities, often serving as the uninsured Granite Staters.
effective way to reduce the
growing costs of care in our largest local employer. CHCs
employ over 1,440 employees in the CHCs ensure that Medicaid enrollees
state – keeping people well
Granite State, while creating jobs in receive cost-effective, comprehensive
instead of paying to fix
other industries. primary care.
problems after they occur.
(2019 NH UDS data and self-reported data (2019 NH UDS data, self-reported
in BSPCA member surveys) data in BSPCA member surveys, and
statewide data from Kaiser Family
Foundation)
CHCs are part of the solution in
A landmark study found that in 13 Our members offer sliding fee tackling vaccine hesitancy. They
states, CHCs save, on average, scales, including free care, to have a long and solid history of
$2,371 (or 24%) per Medicaid ensure that everyone can afford optimizing immunization coverage in
patient when compared to other their services. at-risk populations, and partner
providers. closely with public health,
pharmacists, dental providers, and
(NACHC Blog, "Health Centers Serving other community partners.
More Medicaid Patients Than Ever," 2019)
(NACHC, “Community Health Centers and
the COVID-19 Vaccination Effort,” 2020.)
9
New Hampshire’s Community Health Centers serve
119,735 Granite Staters
➢ 14 New Hampshire community health enters –
including 11 FQHCs, Planned Parenthood of
Northern New England, Weeks Medical Center, and Community Health Center
White Mountain Community Health Center - serve as Payer Mix
the medical home for approximately 120,000 Granite
Staters who made over 511,000 visits in 2019.
➢ In the past 5 years, New Hampshire’s CHCs have
Uninsured
experienced a growing demand for services:
15%
29% in Medicare patients served Medicaid
19% increase in total patient visits 30%
8% increase in total patients served
Medicare
➢ 1 in 11 Granite Staters receives care at a New 20%
Hampshire CHC.
➢ 1 in 5 uninsured Granite Staters receives care at a Commercially
New Hampshire CHC. insured
35%
➢ 1 in 5 Granite Staters enrolled in Medicaid receives
care at a New Hampshire CHC.
➢ 1 in 10 Granite Staters enrolled in Medicare receives
care at a New Hampshire CHC.
2019 NH UDS Data and Self-Reported data in BSPCA member surveys
NH Statewide Data from Kaiser Family Foundation
This CHC data does not include Springfield Medical Care Systems’ NH Site: Charlestown Health Center.
10New Hampshire’s Federally Qualified Health Centers serve
94,776 Granite Staters
➢ 11 New Hampshire federally qualified health Federally Qualified Health Center
centers (FQHCs) serve as the medical home for
approximately 95,000 Granite Staters who made Patient Mix
over 417,000 visits in 2019.
➢ In the past 5 years, New Hampshire’s FQHCs have Uninsured
experienced a growing demand for services: 14%
25% increase in total patient visits Medicaid patients
15% in Medicare patients served 32%
13% increase in total patients served Medicare
19%
➢ 1 in 14 Granite Staters receives care at a New
Hampshire FQHC.
➢ 1 in 6 Granite Staters enrolled in Medicaid Commercially insured
receives care at a New Hampshire FQHC. 35%
➢ 1 in 6 uninsured Granite Staters receives care at a
New Hampshire FQHC.
➢ FQHCs are a subset of community health centers.
2019 NH UDS Data and Self-Reported data in BSPCA member surveys
2019 NH Statewide Data from Kaiser Family Foundation
This FQHC data does not include Springfield Medical Care Systems’ NH Site: Charlestown Health Center.
11FQHCs improve access to integrated primary care services
Percent of NH Population Served by FQHCs
8.00%
7.00%
6.00%
5.00%
4.00%
3.00%
2.00%
1.00%
0.00%
2009 2014 2019
12Demand for FQHC services continues to grow in New Hampshire. Integrated primary
and preventive care includes mental health, substance use disorder treatment, oral health,
and vision services.
Vision Patients Vision Office Visits Dental Patients Dental Office Visits
2000 2500 12000 30000
2000 10000 25000
1500
1500 8000 20000
1000 6000 15000
1000
4000 10000
500 500
2000 5000
0 0 0 0
2014 2019 2014 2019 2014 2019 2014 2019
376% increase in NH patients 479% increase in office visits 43% increase in NH patients 46% increase in office visits
receiving vision services provided for vision services receiving oral health services provided for dental services
Substance Use Disorder Substance Use Disorder Mental Health Patients Mental Health
Patients Office Visits Office Visits
10000 14000 70000
1200
8000 12000 60000
1000
10000 50000
800 6000
8000 40000
600 4000 6000 30000
400 4000 20000
2000
200 2000 10000
0 0 0
0
2014 2019 2014 2019 2014 2019
2014 2019
98% increase in NH patients 388% increase in office visits 130% increase in NH patients 234% increase in office visits
treated for substance use provided for substance use disorder receiving treatment for mental provided for mental health
disorder treatment health treatment 13New Hampshire’s FQHCs exceeded national FQHC average
for many clinical quality measures in 2019
Diabetes Poor Control Rate Hypertension Control Rate Tobacco Use Assessment & Cessation Counseling
2019 US: 32%; NH: 23% 2019 US: 65%; NH: 72% 2019 US: 87%; NH: 91%
LOWER=BETTER
Kids Immunization Rate Cervical Cancer Screening Rate Colorectal Cancer Screening Rate
2019 US: 40%; NH: 54% 2019 US: 56%; NH: 65% 2019: US: 46%; NH: 60%
14FQHC Funding
FQHCs are eligible to receive federal 2019 Sources of Revenue for
appropriations to support services that are not New Hampshire FQHCs
reimbursed by Medicaid, Medicare, commercial
payers, and patient self-pay. Some of these Foundation/Private
Other
Revenue
services may include care provided to uninsured Grants/Contracts
3%
Self-Pay Patients
4% 5%
and underinsured low-income patients, and
State Contracts
enabling services, outreach, transportation, and 6%
Medicare
15%
interpretation.
• Federal FQHC grants are awarded based upon
a very competitive national application
process.
• When FQHCs are awarded federal funds, they
must meet strict program, performance, and Federal
accountability standards. Almost 100 24%
additional regulations are connected to FQHC
status. Medicaid
• Federal FQHC appropriations are not 24%
transferable to any other entity.
• Medicare and Medicaid FQHC reimbursement
is a prospective encounter rate.
Commercial
• FQHCs bill commercial insurers just like any 19%
other primary care practice.
• No payer reimburses FQHCs for the full costs 2019 UDS Data
of providing services.
15Our members serve Granite Staters in every corner of the state.
Our goal is for geography to never be a barrier to accessing comprehensive, quality services in New Hampshire.
Our members operate in 57 sites across the state, in every county. Our members also look for creative ways to
extend their coverage, such as mobile clinics, school visits, and expanding use of telehealth connections.
Our members had more than 511,000 visits in 2019.
Ammonoosuc Community Health Services, Inc. (FQHC)
Amoskeag Health (FQHC)
Coos County Family Health Services (FQHC)
Greater Seacoast Community Health (FQHC)
Harbor Care (FQHC)
Health Care for the Homeless Program of Manchester (FQHC)
HealthFirst Family Care Center (FQHC)
Indian Stream Health Center (FQHC)*
Lamprey Health Care (FQHC)
Mid-State Health Center (FQHC)
Springfield Medical Care Systems (FQHC)
Weeks Medical Center (RHC)
White Mountain Community Health Center (FQHC Look-Alike)
Planned Parenthood of Northern New England (CHC)
Community Health Access Network
North Country Health Consortium
Area Health Education Center (AHEC) Regions Shaded by County
Northern New Hampshire
16
Southern New Hampshire *Indian Stream Health Center has a location in Canaan, Vermont.Bi-State’s Recruitment Center & Workforce Development
Bi-State’s Recruitment Center combines local outreach with national strategic marketing campaigns
to recruit clinicians in primary care, oral health, mental health, and substance use disorder
treatment. This workforce program was established in 1994. Since then, we have worked with more
than 100 sites and our work has helped recruit 592 providers to practice in Vermont and New
Hampshire communities. BiStateRecruitmentCenter.org
25+ Years of Recruitment Experience Workforce Development and Adaptability
Our recruitment advisors identify physicians, nurse practitioners, The COVID-19 pandemic created unique challenges for the health care
physician assistants, dentists, and mental health and substance use workforce, fundamentally changing the way care is delivered. Providers
disorder treatment providers who will thrive in our rural and patients alike are adapting to our new reality through the use of
communities. In FY20 alone we identified 1,490 providers with audio and video telehealth platforms to deliver and receive care.
interest in our two states. Adaptability has been key for the Recruitment Center as we seek to
We monitor national and regional recruitment and retention trends in attract and recruit clinicians for our two states. The Recruitment Center
order to advise practices on ways to be innovative and competitive in expanded our virtual promotional efforts this year, allowing us to
hiring and retaining clinicians. continue to connect with candidates across the country to promote
openings in VT and NH while supporting our clients in a way that best
We are a resource for information on State and Federal Loan
meets their needs.
Repayment programs and the J1 Visa Waiver program, and we
connect eligible providers with qualifying health care facilities. Throughout the year Bi-State engages with staff and clinicians working
in health centers in our region to support retention and professional
development. We do this by facilitating peer-to-peer groups in areas
Comprehensive Workforce such as clinical quality improvement, billing and coding, and care
Planning Workforce coordination; as well as through interprofessional trainings such as our
development and planning for health care organizations is more Clinical Quality Symposium and our Leadership Development Program.
important now than ever before. The Recruitment Center recently
initiated a 3-year project with community health centers across NH
and VT to develop comprehensive recruitment and retention
plans. Bi-State’s Recruitment Center serves all interested NH and VT health
care organizations, placing special emphasis on rural and
We are helping health centers to develop sound strategies for long underserved areas. In 2020, we were actively recruiting for an
range workforce planning so they can continue to provide average of 48 vacancies in NH and 61 vacancies in VT. For more
comprehensive medical, dental, mental health and substance use information, contact Stephanie Pagliuca, Director of Workforce
disorder treatment services in their communities. The plans are Development and Recruitment, spagliuca@bistatepca.org.
based on recognized best practices in recruitment, hiring, and
onboarding, that are designed to facilitate from the start of the
recruitment process. 17Supporting
Communities in COVID-
19 and Beyond
18Expanding capacity for community testing &
strengthening public health during the pandemic
Community health centers remain open!
NH community health centers remain open throughout the emergency, expanding
hours, ramping up telehealth visits to meet patient needs, and doing outreach to
make sure families do not forego routine care (i.e. child immunizations, treatment
of chronic diseases, dental care, and well-child visits). Some health centers have
on-call clinicians who provide patients 24-hour advice by phone.
Car-side screening & testing for COVID-19
NH’s community health centers offer outdoor and drive-thru COVID-19 testing for
Amoskeag Health offers pediatric care at four community members, health care workers, and first responders as part of a
sites. Here is a young patient having a little fun statewide strategy to expand capacity. Some also offer transportation vouchers to
during her well-child visit. patients.
Community health centers have conducted over 15K COVID-19 tests
NH’s community health centers have conducted over 15,500 COVID-19 tests to
Granite Staters. As of January 1, 2021, they are testing about a thousand Granite
Staters each week.
Providing health care outside their four walls
Many NH health centers have mobile health vans to take immunizations,
COVID-19 testing, and other services including behavioral health out into
the community.
“We understand better now that we have an opportunity to get out into the
community to deliver our services outside our four walls – and I think we have
Ammonoosuc Community Health Services photos of proven we can do that.” – Greg White, CEO of Lamprey Health Care
caring for staff throughout the Public Health
Emergency.
19Community Health Center Flu Clinics
Convergence of the flu and COVID-19
Getting a flu vaccine during 2020-2021 is more
important than ever, to reduce the burden of flu
illnesses, hospitalizations, and deaths on the health
care system and conserve scarce medical resources
for the care of patients with COVID-19.
Health centers vaccinated over 17K Granite Staters in
2020
NH’s community health centers host flu shot clinics to
make it as easy as possible for Granite Staters to get Indian Stream Health Center and Upper Connecticut Valley
vaccinated! Health centers provided over 17,700 flu Hospital partnered to offer drive-thru flu shot clinics.
vaccinations to their patients and community
members of all ages in 2020.
Flu clinics for the whole family
NH’s community health centers have outdoor curbside
and drive-thru flu clinics. Many partner with schools to
provide school-based flu clinics and make vaccinations
available to patients who come in for their regular
health and wellness visits.
New patients welcome!
Flu shot clinics are open to patients of all ages.
Community health centers welcome new patients who
Lamprey Health Care's Free Drive-Up Adult Flu Clinic in
are looking for a new primary care provider. Newmarket, NH
20Prioritizing food security as part of overall health
Maintaining food pantries
Community health centers mitigate the impact of food
insecurity on children and families, maintaining pantries and
delivering food to people experiencing homelessness.
Community efforts and ingenuity
Health centers work with the NH Food Bank, food pantries, co-
ops, grocery stores, and farmers’ markets to bring delicious
and nutritious recipes and meals to the community. They host
cooking classes and use donations from their neighbors to
provide meals for essential workers in need – in NH and Mid-State Health Center partnered with the NH Food Bank
beyond. They participate in initiatives like the Essential Meals to host a Fresh Food Pantry.
Initiative to donate prepared meals to health care workers in
New York City, demonstrating that “kindness has no Mid-State has a
boundaries.” – Ammonoosuc Community Services Community drop- off location for
Relations Director, Jill Kimball dry goods and cans
at Market Basket to
collect donations for
Many health centers have buttons on their websites for food their food security
donations and food drop-off locations at their local grocery program. They have
a “Help us Feed the
stores. They also work with restaurants and businesses to offer Need” page on their
donated treats for staff who are putting their lives on the line website for food
every day! donations.
“The response was overwhelming: Over 200 community members
received healthy fresh food for their families. For our health center, this
event brought to light the need for to do more to help those we serve who
are food insecure.” – Mid-State Health Center staff speaking about their
Fresh Food Pantry. 21Breaking down barriers to care during the pandemic
In the Spring of 2020 when COVID-19 turned our world upside down, Bi-State’s NH-based staff transitioned from its typical public
policy agenda to strategizing alongside members of the NH Health Care Consumers and Providers COVID-19 Coalition, comprised of
over 50 health care and social service advocates and providers, to address the challenges the public health emergency created for
the health care sector and for Granite Staters in general. The Coalition identified telehealth as the #1 tool that must be utilized to
mitigate the barriers to accessing health care that the pandemic created, and to ensure people continue to receive the services they
need.
In response, a bipartisan group of legislators developed a bill that made permanent the interim guidance from an emergency order
established by Governor Sununu at the outset of the pandemic, to ensure that telehealth continues to be available to Granite Staters.
The bill, HB 1623, includes the following provisions and more:
I. Ensures coverage and reimbursement parity, expands site of service, and enables all providers to deliver services through
telehealth for Medicaid and commercial health coverage.
II. Enables access to medication assisted treatment (MAT) in specific settings by means of telehealth services.
III. Amends the Physicians and Surgeons Practice Act to expand the definition of telemedicine.
IV. Amends the Nurse Practice Act to expand the definition of telemedicine.
V. Enables the use of telehealth services to deliver Medicaid reimbursed services to schools.
The hard work and ability of community health center staff to so quickly change
over to telehealth - a whole new model of care - is a testament to their
dedication to their patients and their fellow NH citizens.
Pictured right: Dr. Joann Buonomano, chief medical officer for Greater Seacoast Community
Health, was interviewed by Seacoast Online, and said televisits by phone or video will be one
enduring benefit of the pandemic.
“Telemedicine has been on the edge for
the past five years. This pandemic has
turned it into a mainstay reality.”
22Throughout the public health emergency, health center patients can access a
variety of services from the comfort of their own homes via telemedicine.
During COVID-19, telehealth helps keep patients and staff safe and allows health centers to reserve their personal protective
equipment (PPE) for testing patients who may be COVID-positive. Telehealth has resulted in expansion of behavioral health
services: Several health centers, for the first time, are seeing a 0% no-show rate for behavioral health. Patients who come in
every week or month, like cancer patients or those receiving Medication-Assisted Treatment, have shared that telehealth
means they do not miss as much time from work. For these reasons and many more, health care providers including the
health centers are making changes in their offices to accommodate for telehealth as the way of the future.
Community health center staff telehealth stories:
23NH Member Profiles
24Ammonoosuc Community Health Services, Inc.
Edward D Shanshala II, MSHSA, MSEd,
Executive Director/Chief Executive Officer
603-444-2464 • www.amoskeag.org ACHS SERVICES
25 Mt. Eustis Road, Littleton, NH
202 Cottage Street, Littleton, NH ➢ Integrated Primary Medical Care
333 Route 25, Main Street, Warren, NH ➢ Prenatal Care
79 Swiftwater Road, Woodsville, NH
➢ Women’s Health: Birth Control,
14 King’s Square, Whitefield, NH
STD Checks, Pap/Pelvic Exams,
1095 Profile Rd, Suite B., Franconia, NH
HIGHLIGHTS IN ACHS HISTORY Long-Term Contraceptives
ABOUT OUR CLIENTS ➢Behavioral Health: Counseling,
Where They Live: ACHS patients come from 1975: Established to provide family planning, WIC, prenatal, Drug and Alcohol Treatment,
40 communities in Grafton and Coos and child health care in northern NH Medication- Assisted Treatment
Counties, as well as neighboring towns in 1995: Designated as a Federally Qualified Health Center for Substance Use
Vermont - a service area of approximately providing comprehensive primary care services ➢Oral and Dental Health Services
68,000. 1998: Received initial JCAHO accreditation (recertified in 2001) ➢Health and Nutritional Education,
Socioeconomic status: 12% of residents in 2002: Added fifth health center site in Franconia, NH
the county of Grafton, and 10% of residents Promotion, and Counseling
2007: Woodsville Expanded Medical Capacity grant and ➢ Chronic Disease Management
in Coos County have household incomes at implementation
or below 200% of the federal poverty level. ➢Prescription Drug Program
2015: Added Dental and Oral Health Center in Littleton, NH
Insurance Status (2019): 2016: In partnership with area optometrists, offers an
➢Cancer Screening
9% were uninsured affordable Vision Program ➢Hospice and Palliative Care
18% were covered by Medicaid 2019: ACHS Collaborative with RIT on Repetition Rebellion, ➢Medical Legal Partnership
28% were covered by Medicare HRSA Funded Collaborative on AI/Behavioral Health ➢Patient Navigation
45% were covered by private insurance ➢Vision Services
FINANCIAL INFORMATION ➢Support Programs
NUMBERS OF PATIENTS SERVED Agency Revenue (2019): $11,305,606 ➢Breast and Cervical Cancer
Total Medical Patients: 10,781 Employees (2019): 105 FTEs Screenings
Total Visits (includes all services): 43,327
➢Text 4 baby: Free Educational
Total Dental Patients: 1,492 VALUE OF DISCOUNTED SERVICES PROVIDED TO PATIENTS
Medicaid Dental Patients: 231 Program of the National Healthy
Total: $644,540 Mothers, Healthy Babies Coalition
Commercially Insured Dental Patients: 218 Medical: $219,057
Uninsured Dental Patients: 355 ➢HIV/STD Counseling and Testing
Dental: $339,338
Total Dental Visits: 4,532 Behavioral Health: $41,725
Total Mental Health Visits: 5,279 Pharmacy: $44,420
A GROWING DEMAND FOR SERVICES
(2015-2019):
12% increase in total patients
48% increase in dental patients 25
45% increase in mental health patientsAMOSKEAG HEALTH SERVICES
• Primary Medical Care
Highlights in Amoskeag Health History Healthcare for adults and children of all
1981: Dr. Selma Deitch establishes Child Health Services ages, regardless of insurance status
Kris McCracken, President/Chief Executive Officer (CHS) to provide family-oriented primary health care • Prenatal Care
145 Hollis Street Manchester, NH to the uninsured, underinsured or to those lacking Care through pregnancy and childbirth in
184 Tarrytown Road Manchester, NH access to quality health care. collaboration with Bedford Commons OB/GYN
1245 Elm Street Manchester, NH 1993: Manchester Community Health Center (MCHC) opens for high-risk patients
1555 Elm Street Manchester, NH ProHealth as a joint endeavor of Elliot Hospital and Catholic • Specialty Care
88 McGregor Street Manchester, NH Medical Center (CMC) with the support of many local Podiatry services, dental referral services, and
non-profit leaders, including Dr. Deitch. other special medical programs such as care
www.amoskeaghealth.org • 603-626-9500
1999: CHS achieves Joint Commission on the Accreditation coordination, developmental screenings and
About Our Patients of Healthcare Organizations and Primary Care nutritional care
Where They Live: 85% in Manchester and Effectiveness Review accreditation, the first facility of • Chronic Disease Care
neighboring towns; 15% are from various other its kind in the nation to achieve this joint recognition. Services such as diabetic eye care, chronic
counties. 2004: Citizens Bank and WMUR name MCHC the disease self- management courses and high
‘Community Champion in Healthcare’. blood pressure program
Socioeconomic Status: Approximately 94% of 2008: MCHC moves from its original Elm St. location to the • Behavioral Health Services
Amoskeag Health patients are known to be at current Hollis St. location. CMC and Dartmouth Services such as mental health therapy,
200% of the Federal poverty level or below Hitchcock create West Side Neighborhood Health substance misuse counseling, medication
located in the CMC Medical Building on McGregor St. assisted therapy and perinatal substance use
Outpatient Insurance Status 2013: MCHC adds a second location at Tarrytown Rd. disorder (SUD) care
24% were uninsured; 6% were covered by 2014: MCHC and CHS combine operations. • Optometry Care
Medicare; 50% were covered by Medicaid. 2015: MCHC assumes management of the West Side Vision care for patients ages five and older,
20% were covered by private insurance. Neighborhood Health Center on McGregor Street. including routine eye care for diabetic patients,
2018: MCHC opens first FQHC-based Optometry Clinic in NH and free glasses for children who qualify
for eye health and vision services. • Preventive Care
Languages Spoken 2019: MCHC, CHS, West Side Neighborhood Health Center, Lifestyle changes programs, nutritional
44% (over 6,500 Amoskeag and Tarrytown are brought together under one name: counseling, breast feeding education,
Health patients) do not use Amoskeag Health. screening for breast, cervical and colorectal
English as their primary 2019: ProHealth, co-located physical and mental health cancer
language. The predominant services with the Mental Health Center of Greater • Social Services and Support
non-English languages are Manchester, opens its doors. Case management, transportation, language
Spanish, Arabic, Nepali, interpretation, food pantries, teen clinic,
French, Portuguese and Financial Information medical/legal partnership, ACERT & Family
Kiswahili. Agency Revenue: $17,936,317, ; Employees: 195 FTEs Justice Center collaborations
Number of Adult and
Children Served Last Year
Total Patients: 14,686
Total Visits: 73,052 26Community Health Access Network (CHAN) CHAN SERVICES
Joan Tulk, Executive Director Electronic Health Record
207A South Main Street Electronic health record system that enables
Newmarket, NH 03857-1843 clinicians and staff to document patient visits,
603-292-7274 www.chan-nh.org streamline clinical workflow and securely
exchange data; a patient portal and integration
with patient engagement and telehealth
systems
ABOUT US HIGHLIGHTS IN CHAN HISTORY
Practice Management
CHAN is the only Health Center Controlled Network 1995: Five community health care centers Patient scheduling, registration and revenue
(HCCN) in NH. CHAN has developed and supports an with a collective history of over 75 years of cycle management provides all the tools
integrated clinical and administrative system experience in providing primary care needed to manage the specific needs of
infrastructure that affords innovative opportunities for services to the uninsured, underinsured, practices and boost efficiency
its Federally Qualified Health Center (FQHC) members, and Medicaid populations formed an
Integrated Services Network (ISN), called Data Warehouse
which include 2 Healthcare for the Homeless programs.
CHAN. Updated daily with clinical, operational and
CHAN’s endeavors, particularly in the Health financial data. Supporting quality management
1996: A NH Health Care Transition Fund
Information Technology arena, enable the provision of & measurement, operational and financial
Grant helped to expand the HCCN and
enriched patient experiences and quality care. reports, analysis; member-generated ad hoc
develop shared services.
1997: Two additional community healthcare reports and data visualization tools.
OUR MEMBERS centers joined the network, and CHAN was
• Amoskeag Health Clinical Standards
awarded our first Bureau of Primary Health
Supporting clinical operations and providing
• Greater Seacoast Community Health Care grant. support for chronic disease management and
• Health Care for the Homeless Program, Catholic 2008: CHAN was awarded the HIMSS prevention.
Medical Center Nicholas E. Davies award for improving
• Health First Family Care Center healthcare through the use of HIT. IT Services
• Lamprey Health Care, Inc. 2010: CHAN expanded across state lines Services such as systems maintenance,
• Shackelford County Community Resource Center, and welcomed a health center from Texas upgrades, disaster recovery, electronic
dba Resource Care (TX) into the network reports and custom data entry screens/forms
2016: CHAN began hosting the IT development. Data submissions to regulatory
• Ammonoosuc Community Health Services,
infrastructure for a VT health center agencies & payers
• Coos County Family Health Services,
2020: Expanded data visualization
• Indian Stream Health Center and Quality Improvement technical assistance,
capabilities & welcomed our tenth member
• The Health Center (VT) training and audits
27Charlestown Health Center
Anila Hood, Director
250 CEDA Road, Charlestown, NH 03603
603-826-5711
www.springfieldmed.org/charlestown-health-
center/ CHARLESTOWN HEALTH
CENTER SERVICES
INSURANCE STATUS ➢ Integrated Primary Medical Care
10.3% Uninsured
19.8 %Medicaid ➢ Walk-in Access 7 days a week
24.7% Medicare
45.1 %Commercial Insurance ➢ Preventive Health Screenings
NUMBER OF PATIENTS SERVED ➢ Chronic Disease Management and
Total Patients (2019): 4,601 Diabetes Education
Total Visits (2019): 16,238
➢ Support programs for Breast and
ABOUT OUR CLIENTS GENERAL INFORMATION Cervical Cancer screenings
Where they live: Patients served reside in Employees: 22
Charlestown, NH and surrounding communities in New facility opened in July, 2017
➢ Nutrition Counseling
Sullivan County, portions of Cheshire County, NH, as
A GROWING DEMAND FOR SERVICES ➢ Smoking Cessation Counseling
well as some residents of adjacent Vermont ➢ Patient count grew 13.8% from
communities. 12/31/18 to 12/31/19. ➢ Discount Pharmaceuticals
Socio-economic Status: Sullivan County, population ➢ Patient visits grew by 32.8 from
43,742, is rural with the second least populous county 12/31/18 to 12/31/19. ➢ Behavioral Health and Substance Use
Disorder Counseling
in the state. The unemployment rate is 2.0.
2014-2018 median household income is $60,780.
➢ On-site Lab and X-ray services
Per capita income in past 12 months, 2014-2018 is
$31,668. ➢ SMCS In-Network Dental and
Percent in poverty is 11.2% Vision Care Access
Persons without health insurance, under age 65 years,
7.2%.
Persons with disability, under age 65, 2015-2018,
9.4%
Source: www.census.gov/quickfacts/sullivancounty 28Coos County Family Health Services
Ken Gordon, Chief Executive Officer
www.coosfamilyhealth.org
133 Pleasant Street Berlin, NH 03570 603-752-2040 CCFHS SERVICES
2 Broadway Avenue Gorham, NH 03581 603-466-2741
73 Main Street Berlin, NH 03570 603-752-2424 ➢ Primary Medical Care/Family Medicine
59 Page Hill Road Berlin, NH 03570 603-752-2900 ➢ Prenatal Care & Obstetrics: In
54 Willow Street Berlin, NH 03570 603-752-3669 Partnership with Androscoggin Valley
Hospital
➢ Family Planning: Reproductive Health
Services
➢ Breast & Cervical Cancer Screenings
➢ HIV Testing & Counseling
➢ Diabetes Education & Support
➢ Chronic Disease Management
HIGHLIGHTS IN CCFHS HISTORY ➢ Behavioral Health Services
1974: Started as a Title X Family Planning Agency. ➢ Substance Use Treatment
WHO WE PROVIDE CARE FOR ➢ Reduced-Cost Prescription Drugs
1980: Merged with Family Health Programs to provide
Where They Live: Patients come from over 13 ➢ Women, Infant and Children (WIC)
prenatal and infant care and added WIC and RESPONSE.
communities of Coos County and neighboring Nutrition/Health Services
1993: Designated as a Federally Qualified Health Center
towns in Maine, which are federally-designated ➢ Dental/Oral Health Services
(FQHC), providing comprehensive primary care services.
Medically Underserved Population (MUP) areas, ➢ Health Promotion and Education
2004: Expanded to an additional site in Berlin and one in
and both Medical and Dental Health Professional ➢ Nutrition Counseling Services
Gorham, adding an additional 10,000 patients.
Shortage Areas (HPSAs). ➢ On-site Laboratory Services
2016: Coos County Family Dental Clinic established.
Socioeconomic Status: Approximately 62% of 2018: Medication Assisted Treatment program began ➢ Medical Social Work
CCFHS patients have household incomes below operations. ➢ Podiatry
200% of the federal poverty level. 2020: CCFHS becomes an accredited Diabetes Self- ➢ Telehealth: in Partnership with the
Management Education and Support Provider Organization. Dartmouth Hitchcock Medical Center
➢ Medical Appointment Offered 7 Days
Insurance Status (2019)
9% were uninsured. FINANCIAL INFORMATION per Week
22% were covered by Medicaid. Agency Revenue (2020): $14,430,536 ➢ RESPONSE: Advocacy and counseling
29% were covered by Medicare. program for survivors of domestic
40% were covered by private insurance Employees: 105 FTEs violence and sexual assault, shelter for
Annual Savings to health care system (2015-2019): battered women and their children,
NUMBERS OF CHILDREN and transitional housing
AND ADULTS SERVED (2019) A GROWING DEMAND FOR SERVICES (2015-2019)
Total Patients: 12,678 20% increase in patient visits
Total Visits: 58,200 30% increase in mental health patients
1,177% increase in dental patients 29GREATER SEACOAST SERVICES
PRIMARY & PRENATAL CARE
2019 Data • Primary care for adults
• Pediatric care
• Total Patients Served: 15,933
• Prenatal care
• Medical: 13,106 patients, 45,254 visits • Mobile health care for people experiencing
• Dental: 4,725 patients, 10,540 visits homelessness and others with low incomes
• Mental Health: 1,371 patients, 7,749 visits • Child-development screenings
Greater Seacoast Community Health • Substance Use: 186 patients, 1,621 visits • Breast and cervical cancer screenings
Janet Laatsch, CEO GetCommunityHealth.org • Home Visits, Parent Education: • Nutrition education and counseling
1,645 children and parents, 9,541 visits • Chronic-illness education and support
Mission: To deliver innovative, compassionate, • Health Center patients with incomes below 200% • Acupuncture
integrated health services and support that are of the federal poverty level: 83%
• Insurance status: 16% uninsured, 41% Medicaid DENTAL CARE
accessible to all in our community, regardless of • On-site hygiene, treatment and urgent care
ability to pay. • Patients experiencing homelessness: 735
• School-based education, screening, cleaning,
sealants
Health Center Locations 2019-2020 Accomplishments • Mobile dental clinics
• Families First Health & Support Center • Quickly adapted to demands of the COVID-19
100 Campus Dr, Portsmouth pandemic, including adding patient and staff BEHAVIORAL HEALTH SERVICES
• Goodwin Community Health screening and other safety measures at our sites; • Behavioral health counseling
311 Route 108, Somersworth offering telehealth medical, behavioral and dental • Psychiatric care
• Lilac City Pediatrics visits; opening a learning center for staff children • Substance Use Disorder counseling
doing remote schooling; and moving many • Medication-assisted SUD treatment
80 Farmington Rd, Rochester
services to online, phone or curbside (including • Intensive Outpatient Program
• Mobile Health Clinics Rochester, Dover,
Portsmouth, Hampton and Exeter parent and family programs, SOS Recovery
PARENT & FAMILY PROGRAMS
services, pharmacy pickup, and the WIC and CSFP
• Parenting classes and groups, with child care
Program Partner Locations nutrition programs). • Playgroups and family programs
• SOS Recovery Community Organization • Became the first Community Health Center in • Individual support for families under stress,
Office: 311 Route 108, Somersworth New Hampshire to serve as a professional including families with a chronically ill child
Service sites: Dover, Rochester, Hampton outpatient home for a physician residency • Support for grandparents raising grandchildren
• Strafford County Public Health Network program as part of Portsmouth Regional
311 Route 108, Somersworth Hospital’s new Graduate Medical Education … AND MORE
• Women, Infants, and Children Nutrition program (affiliated with Tufts University School of • Social work services and care coordination
Medicine) • Insurance and benefits enrollment
Program 311 Route 108, Somersworth
• Renewed highest-level Patient-Centered Medical • Prescription assistance
• In-house pharmacy and 340B drug discount
2019 Budget and Staffing Home recognition (Somersworth and Portsmouth
program
• Agency Operating Budget: $19.7 million locations)
• On-site lab services
• Employees: 300
30Peter Kelleher, President and CEO
45 High Street Nashua, NH 03060 HARBOR CARE SERVICES
615 Amherst Street Nashua, NH 03063
Mobile Health Van, Hillsborough County
Access to a comprehensive set of services
603-882-3616
designed to address social determinants
www.harborcarenh.org
of health and end or prevent homeless
Highlights in 2019/2020:
ABOUT US Harbor Care, formerly known as the Partnership for Successful ➢ Housing (Permanent, Temporary,
Harbor Care Health and Wellness Center Living (PSL) recently rebranded with a focus to more effectively Veteran)
integrate community and patient-centered social and health care ➢ Primary and Acute Medical Care,
(HCHWC) is the Federally Qualified Health Center services to Greater Nashua’s most vulnerable.
(FQHC) of Harbor Care. Harbor Care the new including Same Day Visits
shared name and brand of Harbor Homes, ➢ Women’s Health and Pediatrics
In the midst of the COVID-19 Pandemic, Harbor Care’s Federally
Keystone Hall, Healthy at Home and Southern NH Qualified Health Center (FQHC), Harbor Care Health and ➢ Behavioral Health Care, including Mental
HIV/AIDS Task Force. We have built success Wellness Center (HCHWC), quickly pivoted to Telehealth Medical Health Medication Management, Mental
through innovation, collaboration and an and Behavioral Health services without shutting off services for a Health Counseling
unwavering commitment to our most vulnerable single day during the transition. Additionally, Harbor Care ➢ Medication Assisted Treatment
provides curbside COVID Testing, Flu Vaccinations, and rapid (MAT) including Substance Use
community members. Over the next months, we COVID-19 Antigen Tests.
will continue our journey and become Harbor Disorder Treatment and Withdrawal
Care, a recognition of our roots, and a glimpse of Management Services
HCHWC’s dental program is reopening with start-of-the-art
where we are heading. COVID safe protocols and we have expanded dental services to ➢ Substance Use Disorder Outpatient
provide a greater range of care. Services including Intensive Outpatient
As one of only three Health Centers in NH Program (IOP)
designated as a Health Care for the Homeless HCHWC integrated with several Harbor Care programs to deliver ➢ Pharmacy: 340B Low-Cost Prescription
more effective and seamless patient-centered care. The Program
Health Center, HCHWC serves approximately Homeless Outreach Program (HOP), using the “Housing First”
3,200 unique patients through 25,000+ visits ➢ Homeless Outreach Program (HOP)
and Harm Reduction evidence-based approaches to care, HOP
annually with primary care, MAT, mental health, ➢ Motivating and Empowering Recovery
offers ongoing, intensive case management for adults and young
and SUD services. adults in Hillsborough County who are struggling with through Integrated Treatment (MERIT)
homelessness and substance abuse. MERIT, which stands for ➢ Employment Supportive Services
Socioeconomic Status “Motivating and Empowering Recovery through Integrated ➢ Case Management
Approximately 50% of NH’s homeless live in our Treatment,” offers treatment and recovery services for adults in ➢ Early Invention Services including PrEP
Hillsborough County who are struggling with methamphetamine ➢ Patient Navigation and Insurance
Service Area. 75% of the patients we serve are use.
homeless. 93% of the patients we serve are Enrollment
below 200% of the Federal Poverty Level. FINANCIAL INFORMATION (2019) ➢ Sliding Fee Scale, Payment Plans and
48% of our total visits were substance misuse or Full-Time Equivalents: 66.82 Discounted Services
mental health related. Total Uncompensated Care: $2,648,530
24x7x365 After-Hours Coverage
NUMBERS OF PATIENTS SERVED (2019) A GROWING DEMAND FOR SERVICES (2015-2019)
Unique Patients: 3,194 61% increase in Medicaid patients; 48% increase in
Total Visits: 25,491 Behavioral Health; 21% increase in Substance Use Disorder
Dental Visits: 1,582 31
patients; 46% increase in Homeless patients; 134% increase in
Behavioral Health & Substance Misuse Visits: 12,330 Total Visits; 46% increase in Total Patients servedYou can also read
