Health—General & Rehabilitative

Health Services of North Texas Inc.

Medical Care for You

aka HSNT/Health Services of North Texas

Denton, TX

Mission

Improving the quality of life for all North Texans through medical care, support services and advocacy.

Notes from the Nonprofit

Health Services of North Texas was recognized with the Quality Leadership award in 2017 by the Health Resources and Services Administration (HRSA). This is the third time the organization has received this recognition. With this recognition, the organization is ranked in the top 30% of all federally qualified health centers in the nation.

2018 is the 30th year of service in Denton County and the 5th year of serving Collin County.

HSNT's care team is united by a common philosophy – the needs of the patient come first. This philosophy has served us for 30 years and is reflected in our dramatic growth of patients treated and patient visits in Collin and Denton Counties. HSNT makes databased decisions based on our patient needs, strategy, quality standards and goals.
• 2,500 patients were served in 2012; 14,148 patients were treated in 2017 (465% increase)
• Patient visits increased from 6,240 in 2012 to 44,454 in 2017 (612% growth)

Ruling Year

1989

CEO

Ms. Doreen M Rue

Main Address

4401 N. I-35 Suite 312

Denton, TX 76207 USA

Formerly Known As

AIDS Services of North Texas

Keywords

Healthcare, Primary healthcare, women's clinic services, pediatrics,HIV, AIDS, community clinic, food pantry, transportation, testing, mental health, support, transportation services, guardianship

EIN

75-2252866

 Number

6141736275

Cause Area (NTEE Code)

Health Treatment Facilities (Primarily Outpatient) (E30)

AIDS (G81)

Human Service Organizations (P20)

IRS Filing Requirement

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

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Social Media

Programs + Results

What we aim to solve

Denton and Collin county residents living in poverty or without health insurance have limited access to preventative or primary health care, making them particularly vulnerable to acute or chronic disease. The rates for communicable and chronic lower respiratory diseases, whooping cough, and chicken pox in these counties are higher than the state average according to the Texas Department of State Health Services. Death rates for treatable diseases (i.e. influenza and pneumonia) are almost twice that of the state average. These conditions directly impact a person's ability to work and earn a living, creating a vicious cycle of poverty and poor health. Ongoing illnesses force children to miss excessive days at school, which causes them to fall behind academically. With inadequate education, options for a child's future become severely limited. The entire community is affected when residents go without the care they need.

Our programs

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

SOURCE: Self-reported by organization

HIV/AIDS Support Services

Outpatient Primary Care

Care Management

Health Insurance Assistance

Behavioral Health Counseling

Pediatrics

Women's Clinical

Prescription Assistance

Where we work

Our Results

How does this organization measure their results? It's a hard question but an important one. These quantitative program results are self-reported by the organization, illustrating their committment to transparency, learning, and interest in helping the whole sector learn and grow.

SOURCE: Self-reported by organization

number of patients: 2012 = 2,500; 2017 = 14,148 (an increase of 465%)

TOTALS BY YEAR
Population(s) served

No target populations selected

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context notes

Number of patients treated

number of patient visits: 2012 =6,240; 2017 = 44,454 (612% growth)

TOTALS BY YEAR
Population(s) served

No target populations selected

Related program

Outpatient Primary Care

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context notes

Number of unduplicated medical visits

46% of patients have no insurance

TOTALS BY YEAR
Population(s) served

No target populations selected

Type of Metric

Context - describing the issue we work on

Direction of Success

Decreasing

Context notes

Percent of patients without insurance

45% of patients rely on Medicaid or Medicare

TOTALS BY YEAR
Population(s) served

No target populations selected

Type of Metric

Context - describing the issue we work on

Direction of Success

Decreasing

Context notes

Percent of patients insured by Medicaid or Medicare

52% of patients living at or below the federal poverty level ($12,140 per year for an individual)

TOTALS BY YEAR
Population(s) served

No target populations selected

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context notes

Percent of patients reporting income living at or below the federal poverty level ($12,140 per year for an individual)

33% of patients living between 101% and 200% of the federal poverty level ($12,141 - $24,280 per year for an individual)

TOTALS BY YEAR
Population(s) served

No target populations selected

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context notes

Percent of patients reporting income who live between 101% and 200% of the federal poverty level

Charting Impact

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 they accomplished so far and what's next?

To improve health outcomes for individuals who experience multiple barriers to care, HSNT uses a comprehensive model of care designed not only to provide primary medical services, but also to address social issues affecting each patient's health and ability to remain in care. The agency addresses physical and mental health issues, lack of health insurance, housing instability issues, lack of transportation, and other barriers to care. Goals for the primary medical care program are as follows: 1) 63% of adult diabetic patients will have a HbA1c level less than or equal to 9 2) 60% of diagnosed hypertensive patients will have a systolic blood pressure measurement of < 140 mmHg and a diastolic blood pressure measurement of < 90 mmHg 3) 75% of 3-17 year old patients who had a medical visit during the current year will have a Body Mass Index (BMI) percentile documentation, counseling for nutrition, and counseling for physical activity during the measurement year.

-Create a Medical Home Model of health care including primary care, preventative care, and management for chronic diseases.
-Serve as a lead in our community in developing Health Information Technology systems whereby improving the collection, use, and sharing of Health IT.
-Provide direct health services in a culturally and linguistically appropriate manner.
-Respond to community - Identify physical, behavioral health and social needs of target population.
-Partner with patients and the community to develop and provide health education and promotion.
-Serve as resource for the community on health and healthcare related matters.
-Educate and advocate for health care needs.
-Decrease health disparities as delineated in Healthy People 2020.

In 2012, HSNT was designated as a Federally Qualified Health Center (FQHC). Being an FQHC strengthens our ability to provide accessible healthcare to underserved individuals and means that we meet the quality and performance standards required by the Health Resources and Services Administration. HSNT provides quality care for patients of all ages, with a focus on establishing a medical home for comprehensive healthcare. Services include preventive care, well-child and well-adult exams, chronic disease management, family planning, prenatal care, education, and immunizations. Treatment is available for a wide range of acute and chronic physical, mental and social health conditions such as infectious diseases, diabetes, and high blood pressure. The agency has a long history of providing expert specialty care for HIV/AIDS, including disease management and treatment adherence. The clinical team includes physicians, mid-level providers, nurses, certified medical assistants, and other professionals. Insurance, Medicaid, Medicare, CHIP, and sliding fee patients are accepted.

The organization's support services also assist patients in overcoming barriers to care, and enable them to remain in care. Through case management services, patients are linked to internal and external referral resources, such as food pantries, homeless shelters, and specialty services. When individuals have access to these resources, they are more likely to remain in care and experience improved health outcomes. Insurance enrollment assistance supports patients in determining their eligibility for various insurance programs and completing enrollment forms. Prescription assistance enables patients to receive needed medications that they could not otherwise afford. For qualifying patients, insurance assistance provides financial support for copays, deductibles, and premiums, which enables them to remain insured. Housing Assistance helps qualifying patients to remain inadequate housing, which provides them with the support they need to remain healthy and get back on the path towards economic self-sufficiency. Transportation services remove a critical barrier to care by enabling patients to access medical and social service appointments. Patient feedback gives HSNT ongoing insight into the implementation of each program, so programs are continuously being optimized to better serve our patients.

HSNT evaluates progress towards these goals by collecting patient information via lab values, patient health status, careful observation during personal interviews with patients, and medical records.

Additional evaluation and performance measures include patient satisfaction surveys, which evaluate the agency's ability to provide quality care for all patients. Patient feedback gives HSNT ongoing insight into the implementation of each program, so programs are continuously being optimized to better serve our patients. All evaluation and performance measures are designed to lead patients toward improved health outcomes to eliminate health disparities and empower individuals to live healthier, more productive lives.

Since its start in 1988, Health Services of North Texas has helped people with nowhere else to turn for their medical needs. Formed in Denton by local citizens seeking ways to support people living with HIV/AIDS, HSNT has grown to become the sole healthcare safety net in our service area – particularly for the uninsured and underinsured.In 2012, HSNT was designated as a Federally Qualified Health Center (FQHC). Being an FQHC strengthens our ability to provide accessible healthcare to underserved individuals and means that we meet the quality and performance standards required by the Health Resources and Services Administration. To this day, HSNT is the only FQHC in Denton and Collin County. In 2014, HSNT acquired the Plano and Wylie Children's Medical Clinics in Collin County, as well as the Family Health Clinic and Elm Street Center in Denton.

Today, HSNT is a place where anyone can receive high-quality care, regardless of their economic status or their ability to pay. It is staffed with expert, caring medical professionals and support staff who not only care for the immediate healthcare needs of their patients but also provide ongoing care and additional resources in order to improve their long-term quality of life. As a non­profit community health center, HSNT provides medical and behavioral healthcare through 7 clinics in Denton and Collin counties. In 2016, the organization served 12,636 patients, representing 40,735 medical visits. HSNT's doctors and staff follow a comprehensive approach to healthcare, which includes adult and pediatric medical care, women's specialty services, prenatal care, mental healthcare, and health education – all on an affordable, sliding-fee scale. To thoroughly care for ALL patients, HSNT also offers prescription assistance, medical transportation, translation services, and insurance enrollment assistance. By providing these essential services through a case management model, HSNT addresses social issues that affect patients' health and wellbeing.

HSNT expects to serve 15,000 patients in 2017, an increase of 2,364 patients from 2016 (12,636 patients served). Nearly 50% will be medically uninsured; 85% of patients are projected to live below 200% of the federal poverty level ($23,760 per year for an individual). In order to serve more patients, HSNT needs greater resources to offset the increased direct-service costs. Additional funds will expand our healthcare and support services to additional uninsured, underinsured, and low-income individuals by supporting the cost of additional provider salaries, medical supplies, and administrative costs associated with serving more patients.

External Reviews

Accreditations

Federally Qualified Health Centers (FQHC) 2012

Centers for Medicare and Medicaid Services (U.S. Department of Health and Human Services) - Medicare Certification 2012

United Way 2005

Awards

Quality Leader 2017

Health Resources and Services Administration (HRSA)

Financials

Health Services of North Texas Inc.

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Operations

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

Need more info?

FREE: Gain immediate access to the following:

  • Address, phone, website and contact information
  • Forms 990 for 2018, 2017 and 2016
  • A Pro report is also available for this organization.

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Board Leadership Practices

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

BOARD ORIENTATION & 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 & 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