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Dear Stakeholders,

We are pleased to present to you our 2018 Annual Report. 

Community Care has been a visionary leader in long-term care for more than 40 years.  Everything we do is driven by our mission to provide quality care to seniors and adults with disabilities to help them live as independently as possible, in their homes and communities.

It is truly an honor and privilege to lead an organization like Community Care.  Each day I get to work with talented professionals who are committed to the people we serve – rarely do I go a few days without hearing how a staff member went above and beyond their job responsibilities to help a member.

2018 brought new conversations, outreach opportunities, partners, supporters, and friends, which are all important to promote a healthy and thriving organization.

Our future remains filled with opportunity as we continue to grow and expand.  Our reputation remains strong with our members, with our state and federal governments and in the health care and social services communities.

I want to thank our dedicated Board of Directors, the compassionate and committed staff and outstanding community partners for helping to change the lives of the individuals we serve – one member at a time.

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- Kenneth Munson, Chief Executive Officer

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In early 2018, we expanded our PACE services to Racine County.  Several years ago, the Racine Dominicans, a group of vowed religious sisters, reached out to Community Care expressing interest in a partnership to support the health care delivery system of the sisters.  As a result of this interest we thought that it would not only be a good idea to partner with the sisters but it also a great opportunity to expand our comprehensive medical and long-term care services to the community of the Racine residents.  

Community Care now provides PACE services in an Alternative Care Setting at the clinic space of Sienna on the Lake retirement community to those eligible and interested in receiving PACE.  Currently, there are 122 PACE programs available in 31 states.  Community Care is the only PACE provider in the state of Wisconsin. 

At Community Care we enjoy being involved in our community. We participate in community outreach projects whenever possible.  In 2018, we represented Community Care at several events throughout Wisconsin. 

We also hosted a Community Heath Matters event at both our Milwaukee and Waukesha locations.   The event was free to the public and provided education, health screenings and resources to the community. Attendees also received information about Community Care’s programs and services.

- Robert Goldstein, Chairman of the Board of Directors

 

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Impacting More Lives in Wisconsin

In early 2018, we expanded our PACE services toIcon_MapExpansion Racine County.

  Several years ago, the Racine Dominicans, a group of vowed religious sisters, reached out to Community Care expressing interest in a partnership to support the health care delivery system of the sisters. As a result of this interest we thought that it would not only be a good idea to partner with the sisters but it also a great opportunity to expand our comprehensive medical and long-term care services to the community of the Racine residents.  

Community Care now provides PACE services in an Alternative Care Setting at the clinic space of Sienna on the Lake retirement community to those eligible and interested in receiving PACE. Currently, there are 122 PACE programs available in 31 states. Community Care is the only PACE provider in the state of Wisconsin. 

Effective Outreach Efforts

Icon_healthmattersWe were proud to host a free Community Heath Matters event at both our Milwaukee and Waukesha locations.

The event was free to the public and provided education, health screenings and resources to the community. Attendees also received information about Community Care’s programs and services.

As an additional outreach effort, Community Care increased its social media presence. We are actively involved on Facebook, LinkedIn and encourage you to follow our pages!

Sponsorships

In 2018, we proudly supported organizations that help improve the lives of our members either through the support of independence or safety and wellness. We participated in a few state-sponsored events with community partners as well as  non-profit organizations whose goal is to help older adults and adults with disabilities. Some of these organizations included:  the Southeastern Wisconsin Chapter Alzheimer’s Association , InControl Wisconsin: Aging Empowerment Conference and the National PACE Association Conference.

Hard Working, Talented and Caring Staff

More than 900 individuals serving the health and long-term care needs of more than 10,000 members in 14 counties.  That’s the 2018 Community Care team.  A team with a purpose composed of medical, social, technical and administrative professionals who strive to enhance the quality of life and maximize the allocation of community resources for seniors and adults with disabilities.  Community Care has long been a progressive employer, offering compensation, benefits and an internal promotion policy designed to attract and retain hard-working, talented and caring employees. 

According to the mission statement of our Human Resource Department, Community Care provides “a work environment characterized by fair treatment of staff, open communications, personal accountability, trust and mutual respect…We are committed to excellence in service and strive to continue to develop our diverse workplace.”

In an effort to acknowledge those employees who demonstrate excellent service, Community Care held a CCI Excellence Awards Program in 2018 to recognize staff that have had a critical and positive impact in helping achieve the objectives associated with Community Care’s Mission, Values and Strategic Planning Initiatives.  Selected recipients for the award were honored by Kenneth Munson, CEO of Community Care as well as fellow peers, and received a framed certificate and a cash award.  Community Care holds the annual CCI Excellence Awards each November.

 


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The Quality Management Department has achieved significant accomplishments over the last year.

Findings from the 2017 Annual Quality Review (AQR) which was a full standard cycle, drove many of the improvement activities in 2018. In 2017 Community Care scored 81 out of a possible 88 points on the Quality Compliance Review (QCR) portion of the AQR. This was the highest of any of the Managed Care  Organization. The 2018 QCR reviewed the seven remaining standards that were not fully met, and resulted in the conversion of five of the seven standards to “met”. Included within the “met” standards was the Quality Assessment Performance Improvement (QAPI) Program QCR standard. Meeting this standard means that Community Care has an ongoing comprehensive QAPI program for the services it furnishes to its members which meets requirements as outlined by the contract.

The 2018 AQR Care Management Review (CMR) results were much improved from the prior year resulting in the composite score for all three programs to result over 90% with zero DHS immediate referrals.

Community Care successfully completed three formal projects in 2018 each of which resulted in improvements.  The projects are as follows:

Reducing Antipsychotic Medication Use in Members with Dementia [CMS Chronic Care Improvement Project (CCIP)]  

2018 Analysis: The project pharmacists reviewed anti-psychotic medications with the team to determine if the member needed the medication and at what level. Behavioral health staff reviewed member need for a Behavioral Support Plan (BSP) for behaviors exhibited. An attempt was made to encourage providers caring for members living with dementia to attend programing and/or to use the Community Care website for information related to members living with dementia. The medication review intervention was successful. The BSP had minor success and it is not known if providers accessed the web site. This initiative will continue as an informal project in 2019.

Increasing Family Care Dementia Screening [DHS Performance Improvement Project (PIP)]

2018 Analysis: 

Average percentage of screenings has improved from 30% to 36%. Barriers identified:  Comparing yearly averages vs. year beginning compared to year end (goal met with this alternative perspective), unforeseen growth in the 2018 test region. The plan is to continue this project informally in 2019.

Increasing Colorectal Cancer Screening [DHS Performance Improvement Project (PIP)/CMS Quality Improvement Project (QIP)]

2018 Analysis: Community Care’s Partnership Program achieved a 6.3% increase in their compliance rates for members getting screened for colorectal cancer due to perseverance and adapting successfully to the barriers. Process improvements have been made to the electronic medical record which is also a success. This formal project will not continue in 2019.

CCI will continue two of these projects as informal initiatives in 2019 and plans to streamline its efforts with one formal initiative for all three programs focusing in improving Advance Care Planning. 



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Serving the Unique Needs, Values and Culture or Religious Orders

The sisters we serve have lived their entire lives responding to the critical needs of others and Community Care is honored that they have entrusted us to tend to their long-term and health care needs for more than 25 years.

The care we offer to religious orders is the same care we provide to other members in our programs. A Community Care team helps each sister develop a care plan and together we identify long-term and health care needs. We provide the appropriate long-term care services, health care services and prescription drugs that are appropriate for each sister based on her individual care plan.

Sisters served receive services through PACE – a program that aligns with the goals of religious communities who value living in the community and working together to support the community.  These services include an on-site PACE clinic, dental operatory, in home and on site supportive care and an alternative PACE clinic on site.  

We currently serve four religious orders in Milwaukee, Waukesha and Racine counties:  School Sisters of St. Francis, serving since 1995, Sisters of St. Francis Assisi, serving since 2005, School Sisters of Notre Dame, serving since 2005 and the Racine Dominicans, serving since 2018. 

Also, with the support and collaboration between the School Sisters of Notre Dame and the School Sisters of St. Francis, Community Care provides 24 hour direct care and supervision at Our Lady of Angels – a 48 bed home facility devoted solely to the needs of sisters with dementia and memory loss symptoms.  There, the sisters receive comprehensive health care services through PACE.



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