Families First of the Greater Seacoast

Support for Families ... Health Care for All

aka Families First Health & Support Center, Greater Seacoast Community Health   |   Portsmouth, NH   |  www.familiesfirstseacoast.org
This organization has not appeared on the IRS Business Master File in a number of months. It may have merged with another organization or ceased operations.

Mission

Families First Health & Support Center is now part of Greater Seacoast Community Health. Our mission: “To deliver innovative, compassionate, integrated health services and support that are accessible to all in our community, regardless of ability to pay.” Families First still operates under the same name and provides the same services as before the merger. The most recent information from the IRS Business Master File can be found at Greater Seacoast Community Health's Guidestar profile (EIN 02-0304203). Greater Seacoast Community Health is one of New Hampshire’s largest community health centers, providing 20,000 Seacoast residents each year with primary, prenatal, and oral health care; behavioral health care, including substance misuse treatment; and parent education and family support.

Ruling year info

1987

Chief Executive Officer

Ms. Janet Laatsch

Main address

100 Campus Drive Suite 12

Portsmouth, NH 03801 USA

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Formerly known as

Portsmouth Prenatal Clinic

EIN

22-2757341

NTEE code info

Community Health Systems (E21)

Family Services (P40)

Homeless Services/Centers (P85)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Programs and results

What we aim to solve

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Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Primary and Prenatal Health Care

A family practice offering affordable medical care for men, women and children, including chronic disease management, preventive exams, acute-illness care and round-the-clock coverage. Also, comprehensive prenatal care for teens and low-income women, including obstetric care, nutrition counseling, substance abuse counseling and social work services.

Population(s) Served

Ongoing preventive, restorative and emergency care, provided in a community health center setting. Also, a school-based oral health education, screening, cleaning and sealant program and a mobile dental program for people experiencing homelessness.

Population(s) Served

Mobile health care teams provide primary care, substance abuse counseling, dental care and social work services to people at shelters, public housing facilities and other sites convenient for homeless and other people with low incomes, throughout a two-county area in New Hampshire.

Population(s) Served

Parenting classes and parent support groups, with free child care to make it easier for familes to attend.

"Family Fun Night," a weekly dinner and activity program for homeless families

Play/education groups for parents with their babies, toddlers and preschoolers

Individualized family support, including care coordination and home visiting, targeted at families with special needs such as being at risk for child abuse and neglect, having a chronically ill child, or having other risk factors.

Population(s) Served

In 2008, Families First Health Center added a full-time behavioral/mental health counselor to our primary-care team. We were among the first practices in our region to use this integrated model. This not only increases access to behavioral and mental health services (which are in short supply locally), but fully integrates them with primary care, addressing the strong link between mental and physical health and the prevalance of comorbid medical and mental conditions. Families First also provides substance-abuse counseling, an Intensive Outpatient Program and Medication-Assisted Treatment.

Population(s) Served

Where we work

Awards

Dunfey Award for Excellence in Management 2003

Corporate Fund (New Hampshire)

Smith Award for Excellence in Service to Children and Families 1998

NH Children's Trust Fund

National HIMSS Davies Community Health Award 1998

Healthcare Information and Management Systems Society

Patient-Centered Medical Home Recognition 2011

National Committee for Quality Assurance (NCQA)

Patient-Centered Medical Home Recognition 2015

National Committee for Quality Assurance (NCQA)

Affiliations & memberships

National Association of Community Health Centers (NACHC) 1997

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of patient visits

This metric is no longer tracked.
Totals By Year
Related Program

Primary and Prenatal Health Care

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

The number of visits is much larger in 2018 because it reflects all of Greater Seacoast Community Health, the organization created when Families First and Goodwin Community Health merged on 1/1/18.

Number of families served

This metric is no longer tracked.
Totals By Year
Related Program

Parenting and Family Programs

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

"Number of families" is an estimate based on the number of children and adults served in these programs (1,872 in 2018).

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

The following goals and objectives re from our Strategic Plan for 2012-2015:

Goal A: Ensure that integrated primary health care and dental services address growing community needs as well as requirements and opportunities that arise through health care reform.

Goal B: Provide supportive services that contribute to the health and well-being of parents, families and seniors – especially those experiencing stress or isolation.

Goal C: Implement care-coordination and quality-improvement programs that enhance clients' experience at Families First, improve outcomes, and reduce overall health care costs.

Goal D: Invest in the organizational capacities necessary to assure the excellence and sustainability of Families First's services.

The Strategic Plan lists several objectives under each goal. Sample objectives include:

Continue strengthening clinical and reporting capabilities to maximize our benefit from payment-reform programs and to renew our highest-level national recognition as a Patient-Centered Medical Home.

Recruit a physician and nurse practitioner in order to maximize patient revenues and to better meet demand for services – both existing unmet need and increased demand that may result from more people becoming insured under the ACA.

Open our dental practice to more senior citizens.

Continue adding more health and support programs for seniors, and increase marketing to seniors.

Increase patient recruitment efforts and encourage patient retention in order to benefit from the growth in number of people who have health insurance due to the ACA.

Utilize Strategic Development Committee to conduct ongoing environmental scanning and strategic positioning discussions.

Goal A Strategies (Primary Care and Dental Care)

A1) Primary Care
Families First will maintain and enhance comprehensive, integrated primary-care services including medical, behavioral health, care coordination, nutrition, substance abuse, developmental screenings for children, cancer screenings, and disease-management education. Families First will support access to these services through a sliding fee scale for the uninsured, transportation, translation, child care and medication assistance.

A2) Prenatal Care
Families First will maintain and enhance comprehensive, integrated clinical services, including obstetric care, care coordination, nutrition counseling, substance abuse counseling, and home visiting. Families First will support access to these services through assistance with Medicaid-enrollment, a sliding fee scale for the uninsured, transportation, translation, child care and medication assistance.

A3) Health Care for the Homeless
Families First will maintain and enhance comprehensive, integrated clinical services, including mobile vans for community-based medical care and dental care, care coordination, substance abuse counseling and mental health counseling. Families First will support access to these services through vehicles, drivers and mobile equipment needed to provide care in the field; translation; prescription assistance; and no-cost, drop-in appointments offered at sites convenient for the homeless.

A4) Dental Services
Families First will maintain and enhance preventive, restorative and emergency dental care and oral health education for children and adults, and will integrate these services with the agency's primary care, prenatal, mobile health care for the homeless and family support programs.

Goal B Strategies (Support for Parents, Families and Seniors)
Families First will maintain and enhance parent and family programs, including parenting classes, parent groups, playgroups and other parent-child programs, one-to-one coaching and support in the home, and child care for families using services at the Community Campus.

Goal C Strategies (Care Coordination and Quality Improvement)
C1) Care Coordination
Families First will maintain and enhance embedded (“point of service") care coordination services across primary care, prenatal, health care for the homeless, dental, and family support home-visiting programs.
C2) Quality Improvement
Families First will maintain or create Quality Improvement (QI) plans for the primary care, prenatal, homeless, dental, behavioral health and family support programs.

Goal D Strategies (Organizational Capacity)
To support the programs and services described under the preceding goals, Families First will maintain and enhance its capacities in Human Resources; Financial Resource Development; Marketing and Communications; Information Technology, Facilities and Fleet; Financial Management; and Monitoring and Planning.

Families First is a key player in addressing the biggest public health problems confronting our region and state and in advocating for increased access to care. When a group is formed at the state or regional level to address public health problems or service gaps, Families First Executive Director Helen Taft and/or other staff are very often included -- because of our reputation for capacity, expertise and a can-do attitude. We are committed to continuing to play that role even in this difficult economic climate. Ms. Taft and other staff have long participated in groups working on such issues as promoting and advocating for the integrated and comprehensive model of health care; assuring quality of care and outcomes measurement; access to oral health care; and ending homelessness.

Our board and staff's willingness to be proactive in identifying unmet community needs and finding ways to meet those needs has led to us to integrate many complementary services with primary care. Examples include on-site dental care (in 2003) and behavioral health care (in 2008).

Staff retention is strong, resulting in a wealth of expertise and institutional memory. Ms. Taft has led the organization through significant growth since joining the agency in 1989. She chairs the NH Oral Health Coalition Steering Committee and has been an officer of the Board of Directors of the Community Health Access Network and BiState Primary Care Association. Eight of our 13 Management Team members have worked at Families First for at least a decade.

Our Board is diverse, active and engaged. More than half of the 19 members are Families First patients, lending an important consumer perspective.

Families First is a past recipient of the Dunfey Award for Excellence in Nonprofit Management.

In February 2014, we obtained renewed recognition from the National Committee for Quality Assurance as a Patient-Centered Medical Home at Level 3, the highest level.

In 2013, we accomplished the following in support of objectives from our 2012-2014 Strategic Plan:

• Continuing to improve our clinical systems and reporting capabilities in order to benefit from payment-reform programs that tie reimbursement to health outcomes. These include Medicaid Meaningful Use (use of electronic medical records to track and improve outcomes); a medical home demonstration project under which we receive a per-member-per-month reimbursement from Medicare; and Medicaid Care Management, which the State of New Hampshire is implementing this fall.
• Expanding eligibility for our Dental Center to selected high-risk populations even if not Families First Health Center patients — including some senior citizens, patients referred through Exeter Hospital's ER; and cancer patients.
• Providing a multidisciplinary group for overweight children and their parents.
• Partnering with the City of Portsmouth, Wentworth Home, ServiceLink and others to bring new programs for seniors, caregivers and dementia patients to the Community Campus.
• Completing a very comprehensive agency self-assessment in preparation for making decisions about appropriate partnerships with other service providers.

Program outcomes are also an important indication of success, and as more insurers institute payment-reform programs, these outcomes are also key to our financial sustainability. Examples include these outcomes from fiscal year 2013:
 96% of babies delivered to women in our prenatal program weighed at least 5.5 pounds.
 91% of 2-year-olds were up-to-date on their immunizations.
 91% of eligible children are enrolled in Medicaid.
 70% of patients with hypertension had sustained control of their blood pressure.
 Parents who participated in our parent & family programs said these programs helped with encouraging good behavior (88%), knowing how to discipline children without shaming, yelling, name-calling or putting down (93%), and knowing what helps children learn (82%).

In an October 2012 Kaiser Health News analysis of federal data on the nation's nearly 1,200 community health centers, Families First exceeded the national average on all seven health-outcome measures studied. (The seven measures related to diabetes, early entry to prenatal care, infant birthweight, cervical cancer screening, hypertension, childhood vaccinations and asthma.) We are particularly proud that the rate of low-birth weight for those born through our prenatal program is always in the very low single digits, as compared to a national average of 7.4%.

One area from our Strategic Plan that has not yet been accomplished is meeting our need for more space to provide programs. We have a Space Committee working on this.

Financials

Families First of the Greater Seacoast
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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Families First of the Greater Seacoast

Board of directors
as of 5/17/2019
SOURCE: Self-reported by organization
Board co-chair

Valerie Cunningham


Board co-chair

Barbara Henry

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes