Health—General & Rehabilitative
Bethesda Health Clinic is a Christ-centered ministry that provides affordable, high quality care for the working uninsured and others we are able to serve.
Dr. John English
409 West Ferguson
Tyler, TX 75702 USA
bethesda, healthcare, health, clinic, working uninsured, dental, faith-based, tyler, texas, smith, county, medical, Christian
Ambulatory Health Center, Community Clinic (E32)
IRS Filing Requirement
This organization is required to file an IRS Form 990 or 990-EZ.
Bethesda provides medical and dental care to the niche of people who are working but either uninsured or underinsured. We are working to fill this gap by helping these hardworking citizens take care of their health and live better lives. This specific niche is not eligible for government programs but unable to pay for the cost of health insurance.
What are the organization's current programs, how do they measure success, and who do the programs serve?
SOURCE: Self-reported by organization
Primary Medical Care
See over 800 patient encounters a month. This includes general primary care, specialty care services, xray, sonograms, counseling and dentistry services. Along with this, over 300 patient encounters happen in the new monitored exercise program
Chronic Disease and Wellness Program
The specific program began in September 2003 and has matured dramatically after the hiring of a full time nurse in June 2004. The program has grown to incorporate many facets of case management. The program continues to expand thanks to the growing numbers of volunteer nurses and dieticians who provide one on one and group care and services. The program saw over 18,500+ patient visits last year. Over the last quarter of the year, the program once again registered over 100 new patients a month with the outlook going forward of continued increase in patients. The program has now expanded to having more nurses helping both in the clinic and providing one on one services for the patients with a heavy emphasis on diabetes due to its significant problems, particularly in the younger population. In 2012 the nutrition program saw significant growth with the focus on the nutrition component and goal setting and behavioral changes. For 2013, the clinic will look to add further exercise options with a partnership with the YMCA as well as simple exercise options in the nutrition classes.
The purpose of the program is to provide affordable, high quality preventative and chronic disease care to working uninsured adults of Smith County. The program's wellness management includes screening laboratory services to screen for potential problems such as diabetes, high blood pressure, high cholesterol, etc.; provide nutrition education; as well as screening tests such as pap smears and mammograms. For patients with chronic disease problems the program helps with both acute and chronic disease care. The top five medical conditions treated in this program are diabetes, high blood pressure, low thyroid problems, high cholesterol, and depression. The chronic disease program provides greatly discounted lab work, x-rays and dental services along with referrals to specialist when needed. Also the program works to make prescription medication available through a collaboration with the PATH prescription program. The program is working with the YMCA to develop a collaboration to bring exercise to some of these chronic disease patients. This collaboration will allow patients with chronic medical problems or risk of medical problems (obesity, etc.) to have a safe place to begin healthy exercise habits
Where we workNew!
Five powerful questions that require reflection about what really matters - results.
SOURCE: Self-reported by organization
What is the organization aiming to accomplish?
What are the organization's key strategies for making this happen?
What are the organization's capabilities for doing this?
How will they know if they are making progress?
What have and haven't they accomplished so far?
The ultimate goal of the clinic is to empower our patients to play an active role in their health care so ultimately they live healthier, more productive lives. The clinic does this by addressing the underlying medical issues of obesity along with the more debilitating medical problems such as diabetes, hypertension and poor dental care. The clinic works through both medical case managers and social workers to help track the progress of our patients as well as those who are not achieving success. The goal is to partner with our local non profits and churches to connect the patient to the right resource to allow the patient to actively improve their own situation.
The clinic works with local nonprofits, partnering churches, a large number of medical and office volunteers and a small staff to help make this goal a reality. The clinic begins with quality affordable care by partnering with many different medical groups (currently over 20). Then we utilize over 200 medical volunteers to help expand our number of services including a vast array of specialty services provided predominately by donated medical care. We also utilize a significant number of volunteer nurses, front desk personnel and back office volunteers to help expand services while keeping costs to a minimum.
Next, the clinic employees nursing case managers and social workers to work with the clients while in the clinic to improve their care, especially for those needing additional care and also after the office visits to follow those who need close attention and those not at goal. Many of our patients struggle with social and financial issues so our social worker - along with a team of volunteers - works to help the patients overcome these barriers.
We collaborate with our local churches to find volunteers who can work with patients with chronic disease as well as nutritional issues to help set goals and follow the patients over a course of months to help them meet these goals.
Additionally, we work with our local dental community and have a small dental staff to provide general dental care including periodic dental cleanings.
A new effort we are undertaking is the expansion of our Women's health services. We have added a staff OB/GYN who practices 1 day each week. This has also increased our ability to offer more testing to female patients. We are working with a volunteer physician/consultant to discover other ways to expand this specialized care as well.
The clinic has been blessed with a 12,000 square foot, modern facility to allow for over 18,000 patient visits last year. The clinic has continued to increase the number of patients seen as more volunteers are made available to see patients. Also the community has supported the clinic through donated medical equipment, monetary donations and volunteer time. Generous donors enabled a 2015 building expansion and remodel that has increased exam room space and improved patient flow and care. Continued community support has allowed Bethesda Clinic to have an up to date medical facility that includes modern exam rooms, electronic medical records, digital x-ray for medical and dental services, state of the art dental equipment and first class medical staff. Because of the electronic records, the clinic is able to closely track outcomes and patient progress.
The clinic also partners with 6-8 churches that provide volunteer medical care throughout the year on selected Saturdays. Over 40 churches annually support the clinic with finances and volunteers. These volunteers are critical for patient tracking and support as the patients set specific health goals.
The clinic employees a staff of over 20 part and full time staff. These staff members are some of the best in the community in their field and able to help direct the various programs of the clinic. The clinic is able to partner with and refer patients to more than 20 local medical groups and hospitals to provide the needed specialty care and testing to fully impact this community. The Smith County community continues to financially support the efforts of the clinic to allow us to continue to grow as needs arrive.
Finally, the clinic has always looked at innovative sources for funding. Bethesda has opened a resale thrift store (Hangers of Hope) to provide additional operating funds to the clinic. We also host two major fundraising events each year. Along with these outside sources, patient fees cover approximately 1/3 of the expenses and help as the clinic grows to see more patients. Dental patient fees cover a high percentage of the dental expenses as well.
The clinic follows several indicators to monitor success including both inputs and outcomes. Some of the inputs we track are number of patients visits, currently targeted at 20,000+ a year, volunteer hours and estimated value of services and number of cases handled by our case managers. The volunteer hours are in excess of 23,000 hours with an estimated value of over $575,000 a year.
The Clinic also focuses the outcomes on things we can have some control over. Since obesity and diabetes are two of the biggest challenges as well as two of the most disabling problems, we focus the majority of our efforts there. When high blood pressure is included, approximately 70% of the clinic's time is spent dealing with obesity, diabetes and hypertension. The ultimate goal is long-term weight loss in our patients with these problems. This will require years of monitoring. Also, tracking the number of patients requiring hospital stays and the decrease for them since joining the clinic is an ideal goal but requires a significant amount of hospital input along with some challenges with identification and have not successfully mastered this one.
The clinic monitors patients in the nutrition program to see if they can set short term goals and nutritional goals for themselves and complete these. We have also found that most patients can't successfully read food labels and we are working to educate them in this area and monitor this with real life pre- and post-test questionnaires.
For our patients with diabetes and high blood pressure we monitor the 3 month sugar average and blood pressure readings respectively. We have had success in achieving good outcomes in excess of the national averages. Our goal is to have 60% of our diabetic patients at goal and 80% near goal as defined by an hemoglobin A1C of 8.0. The goal is also to get 80% of our hypertensive patients to goal.
Some of our greatest challenges with this are: getting the patients motivated enough, overcoming any social or cultural barriers, and having good access to the medications they need. We do this by having an onsite social worker and also by helping educate patients at a level they can understand so they can be empowered to change their life situation. Life stresses, multiple jobs and other factors make some of this outside of our control.
We monitor these successes and challenges to make changes as needed. Some changes we have already made are: simplifying the nutrition program to include basic food label reading, finding ways to test their improving knowledge, having mentors available for patients who want to set goals for their life, and creating exercise programs that are affordable but require patient accountability.
The clinic continues to make progress toward better healthcare for the working uninsured adults. The outcomes for diabetes remains good with over 50% at goal (above national statistics) and almost 70+% under an unacceptable range. We have learned that controlling this groups diabetes is more than just getting patients medications and labs which is something we have done very well. There are also a lot of social stresses and problems of a lifetime of not setting goals and achieving them. We are working to develop a network of mentors to help patients who would like to set goals, to both help them in setting the goals as well as follow them regularly to be sure they achieve even small goals toward an ultimate step of having them feel fully empowered to continue doing the right steps long term.
The newest challenge has been attempting to get hypertensive patients under control. This group has the least amount of symptoms and generally takes this illness less seriously. We are working to develop some case management tools and also data tracking mechanisms to follow the results. Currently we have near 60% of the patients at their targeted goal. We have hired a person to help with data collection and reporting to help get more up to date information as the year progresses. We have also increased our nutritional classes and include demonstration cooking classes to help patients learn tools to improve their nutrition with items they have at home.
So many of our patients suffer with problems with bad dentition and poor understanding on how to keep their teeth healthy. We have expanded to have 4 1/2 days of dental care and dental hygiene with lots of education with these services. We have begun to get patients to come on more regular basis so that not only is pain and suffering relieved but also able to do some preventative care. We have doubled the size of our dental clinic with a recent building expansion and are able to see many more patients.
The biggest challenges to the program are figuring out the best way to motivate patients to choose healthy lifestyles who are facing such difficult challenges in life, helping patients who are basically without a reason to live, and finally finding funding to continue to expand for a growing number of patients with complicated medical problems. Part of the limited success in our outcomes has to do with patient motivation. We have found more patients through the years trying to do life solo. They have no financial resources, no friends and no specific reason to live. We are trying to approach them by expanding our social work services and utilizing volunteers to call patients with chronic disease regularly. Finding adequate funding sources for programs that generate little income will always be a challenge.
Bethesda Health Clinic
Need more info on this nonprofit?
The people, governance practices, and partners that make the organization tick.
as of 5/2/2018
Mr. Rich Knarr
Chief Financial Officer/Orion Pipeline
Term: 2016 - 2017
Waits Law Firm
Susan Robinson Jewelry
Cox Communications - Retired
John Soules Foods, Inc
University of TX Health Science - Tyler
John Merrill State Farm
H. Don Smith
Brookshire Grocery Company
Prothro, Wilhelmi & Company
Southern Surgical Arts
First Bank & Trust of East Texas
SOURCE: Self-reported by organization
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section, which enables organizations and donors to transparently share information about essential board leadership practices.SOURCE: Self-reported by organization
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?
Has the board conducted a formal, written assessment of the chief executive within the past year?
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year?
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership?
Has the board conducted a formal, written self-assessment of its performance within the past three years?