With Our Hearts
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Deep within us is a need to care and be cared for. Yet even in communities today, people go without the emotional and physical support and care they need. Care is a partnership, a promise, a bond between people and the community. A community is a collection of individuals; working together to understand, accept and provide care moves us forward. Covid-19 taught us many lessons and the one that continues to stand out is the diversity and the complexities of our communities. It has been one of the greatest honors and journeys that we have experienced at OneWorld to care for people in their most fearful moments, and yet as individuals and an organization move forward. Whether we like it or not, we are all different and we are all interconnected. Caring for all people means meeting them where they are at. Able bodied, mental illness or not, racial, ethnic, gender identity, religious and political differences aside, we are part of our community and its future. We know that in family medicine, the patient and primary care physician relationship and its comprehensiveness has the greatest effect on individual and community health care outcomes. We are proud of our outcomes during Covid-19 and ready to move forward. MOVING FORWARD With Our Hearts Words from Our CEO
Andrea Skolkin,
Chief Executive Officer
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MI S S I ON
OneWorld Community Health Centers, in
partnership with the community, provides culturally respectful, quality health care with special attention to the underserved.
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VA LUE S
Access
Community
Providing a broad array of quality health and social services to meet health needs of individuals and families
Inviting residents and other stakeholders to participate in the transformation of the economic, social and physical landscape of the community
Compassion
Excellence
Creating an environment that fosters human dignity, respect and compassion for patients, families and staff
Partnership Nurturing broad collaborative efforts and educating the larger community to leverage resources for vulnerable populations Adding value in every aspect of our work and exceeding the expectations of our patients, employees and community
Stewardship
Practicing careful stewardship to secure the appropriate resources that enable us to meet the needs of those we serve
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SERVICES & PATIENTS
0-19
38%
UNINSURED CHILDREN 4,018
20-64
57%
VISITS 170,513
65+
PRENATAL PATIENTS 1,466
5%
BABIES BORN 868
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UNIQUE PATIENTS 48,348 (WE SEE PATIENTS FROM 70 ZIP CODES)
CORE SERVICES
MENTAL HEALTH VISITS 10,401
PATIENT SUPPORT VISITS 18,647
DENTAL VISITS 20,401
MEDICAL VISITS 121,064
VACCINE DOSES GIVEN 125,112
PRESCRIPTIONS FILLED 136,126
$$$ 2% 63%
47% NONE/UNINSURED 33% MEDICAID 3% 17% PRIVATE INSURANCE MEDICARE OR DUAL ELIGIBLE
13% 23%
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What is OneWorld to YOU?
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“To me, OneWorld is non-judgmental, welcoming and knowledgeable. OneWorld welcomes all people no matter ethnicity, gender, sexual orientation. We provide accurate health information without judgment.” –Melanie Budine, MSN, APRN, Nurse Practitioner, Teen and Young Adult Health Center West Omaha
“To me, OneWorld is caring, welcoming and exceptional. We care about each patient as a person and we welcome all people. We provide high-quality health care with leading-edge care in integrated behavioral health and care for teens and young adults, as well as Covid-19 related outpatient care.” –Donna Faber, MD, Family Medicine Physician “To me, OneWorld is visionary, compassionate and patient-centered. OneWorld makes decisions based on the future outcomes of patients and the community. We are always looking towards innovation and improving quality. Our patients are put at the center, and staff show compassion to patients’ health problems and life situations and go out of their way to meet patients’ needs.” –Shannon Kinnan, MD, Psychiatrist “To me, OneWorld is diverse, welcoming and devoted. We see everyone and anyone in our clinic. We have a large team that is willing to work hard to meet people where they are and help them get their needs met. I consistently see all staff members go above and beyond for each other and for their patients.” –Kelly Ruse, CNM, Midwife “To me, OneWorld is hope, access and adaptable. At OneWorld we are able to provide folks with hope that their complex medical needs can be met competently and affordably. Access because we are trying to provide as much care as we can at many different sites including dental mobile clinics and the Medical Mobile. We adapt to meet the needs of patients to provide safe and quality care like we did during the pandemic with car side visits.” –Jane Teeter, PA-C, Physician Assistant, Teen and Young Adult Health Center West Omaha
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Sophia recovering from an operation at Children’s Hospital.
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Sophia and her siblings received a special delivery from the social work team during the holiday season.
A Safe Space for Care Quality health care means going beyond OneWorld’s walls For the entirety of her daughter Sophia’s life, Rebecca has tried to get the care and medical support her daughter needs. Sophia is 10-years old, has a seizure disorder and is unable to walk independently. Rebecca and her children are originally from Venezuela. While there, Sophia had brain surgery in an effort to improve her seizures, although Rebecca said it did the opposite. They fled to Colombia to get away from violence and corruption, but faced social injustices and discrimination at every turn due to their refugee status. In 2021, Rebecca sought refuge in the United States with nothing but hope for her children to have better opportunities and better medical care for Sophia. Sophia became a OneWorld patient in November 2021. She now sees Dr. Emily Braun, Pediatrician, at the Bellevue Clinic and receives care at the Complex Care Clinic at Children’s Hospital. The OneWorld social work team connected the family to several services to help them access basic resources including OneWorld’s Pharmacy so Rebecca can afford Sophia’s daily seizure medications, OneWorld’s holiday assistance program and transportation services to help with medical appointments. The social work team helped enroll Sophia in school with an Individualized Education Plan so she can have the support, instruction and services she needs to thrive. The team also made accommodations for a temporary wheelchair while working to find a permanent wheelchair for Sophia. Rebecca worked with the enrollment and financial services team so Sophia could continue getting the medical care she needs without the financial barriers. “Despite the negative things that happened in the past, I can say with certainty that OneWorld changed the quality of my daughter’s life, and I am very grateful,” said Rebecca.
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Sandra, OneWorld patient, and her son, Thiago.
OneWorld patients often face many health inequities due to their social determinants of health, the factors that impact a person’s overall quality of life and health outcomes. Nikki West, CSW, Social Work Manager, said
literacy, lack of insurance, immigration status, food insecurities and poor living environments are a few of the common health injustices seen in the OneWorld patient community. “We have a lot of patients whose immigration status is pending or uncertain, and as a result don’t have access to assistance programs, such as food stamps, so it’s difficult for them to access food—especially nutrient dense food,” said Nikki. “In the case where patients have access to a food bank, they often don’t have the means of transportation, they may not have a social security card which is sometimes required or they may not speak English.” To fill these gaps, OneWorld collaborates with local food banks to coordinate food deliveries for patients, and the social work team uses online grocery ordering to deliver food directly to patients’ houses. “Together Inc. continues to partner with OneWorld to provide weekly deliveries for some of our patients who test positive for Covid-19 to make sure families have enough food while they are in isolation,” said Nikki. A few of OneWorld’s medical clinicians and the social work team maintain a small food closet on the Livestock Exchange Health campus and a freezer for patients in emergent need of food. In addition to food insecurity, patients’ living conditions can contribute to poor health. Families may not have stable income to afford a safe home, or they may live with multiple other families in one apartment. “When you are afraid of your lights being turned off or not being able to pay your rent and/or you are facing an eviction, the result is a lot of stress and anxiety,” said Nikki. “We see that the social determinants of health are very multi-faceted. Patients worry about their resources and that stress causes them to have poor physical and mental well-being.” OneWorld integrates screening for social determinants of health into medical exams to make sure patients have their basic needs met. Follow-up appointments for services including behavioral health are added to treatment plans if patients need additional help outside of a clinical setting. “All of our efforts are dedicated to help patients feel seen,” said Nikki. “Despite the health disparities, discrimination or oppression they face, we are a safe space for them. When patients walk through our doors, they know they will be treated with dignity and respect and we are going to do our best to help them because we truly care for each individual.”
At OneWorld, We Care for All People.
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Wesley holding Thiago during an appointment.
In 2021: 300+ patients received food deliveries from OneWorld, grocery stores and local food pantries because of donor support. 207 patients received assistance with the cost of medications with the average cost of $115 per patient. 92 families received rent/utilities assistance; average amount of $400 per patient.
SOC I A L WORK NUMB ERS
2,390 patients were connected to resources by three social workers.
5,056 face-to-face patient appointments were coordinated by three social workers.
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The Meaning of Connection OneWorld Covid-19 outreach team brings trust, humility and compassion to South Omaha
Mary McConnaughey and a Community Health Worker knocking on a door of a residence in South Omaha. Photo courtesy of Flatwater Free Press.
What began as a two-person team of OneWorld employees knocking on doors in South Omaha to offer Covid-19 education and vaccines has transformed into a web of community connections interlaced by trust, humility and compassion. Funded by the National Alliance for Hispanic Health and the state of Nebraska, the OneWorld outreach team has not only helped vaccinate the South Omaha community, but also learned how to better partner with and help the community from a whole person care perspective. “Ximena Barrera, a Covid-19 Immunization Registered Nurse, went to the home of a gentleman to administer his first Covid-19 vaccine, and during the visit she learned he had not been able to leave his house for five years,” said Vivian Garcia, Outreach Manager. “He was paralyzed from the neck down due to an accident, but he didn’t have a ramp or access to anything to help him get out of his house.” Ximena explained the situation to Dr. Alex Dworak, Family Practice Physician, to see how OneWorld could help the patient. Now, several OneWorld clinicians are helping build a ramp so the patient can leave his home as well as finding the patient a new wheelchair, as his current wheelchair is sized for a child.
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2021 Outreach Team Covid-19 Vaccine Numbers
Mary McConnaughey administering a Covid-19 vaccine to a member of the South Omaha community. Photo courtesy of Flatwater Free Press.
From July 1-Dec. 31, 2021, the Covid-19 Outreach team provided vaccines for: 383 home visits 3,398 outreach visits 133 organization and small business visits **Of the 133 organizations and businesses, some were visited multiple times throughout 2021. “Our Covid-19 Outreach program focuses on educating the community about Covid-19 and administering vaccines,” said Vivian. “But in the end, it’s so much more than that. We get to know the people in our community and learn about the other social determinants of health that are preventing them from seeking health care. We have the opportunity to guide them to what they need.” While the Outreach team administers the vaccines, the recipients’ humility and compassion further unite the South Omaha community. “During a visit to the Stephen Center, we gave Dwight, a quiet, 68 year old career serviceman, his second dose of the Pfizer Covid-19 vaccine,” recalled Mary McConnaughey, EMT and Covid-19 Immunization Support Specialist. “After receiving his vaccination, I presented him with a gift card for getting vaccinated. He shook his head and said, ‘No thank you. My parents raised me to be thankful for what I have, and if that is only a place to sleep and one meal a day, then that’s enough!’” Mary said she encouraged Dwight to take the gift card, but he would not accept it. “Finally, Dwight chose someone from a nearby table who was visually impaired,” said Mary. “He said, ‘Give it to him. I have use of my eyes and he does not. But do not tell him who it is from!’ I had seen other patients donate their gift cards to those who had less, but I had never witnessed someone who has so little give so much.” At OneWorld, care goes beyond the walls of the clinic. The ability to provide healing is the product of trust, humility and compassion, helping tomorrow be better for everyone. And it all begins with a knock on a door.
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LCC instructors and parent participants in class and with their children.
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Hope for Tomorrow Learning Community Center empowers parents and their children through literacy
When Patricia first came to the Learning Community Center of South Omaha (LCC), a partnership with the Learning Community of Douglas and Sarpy Counties, she wanted to improve her English so she could be a better advocate for her son who has autism. Today, she is working at the OneWorld Quick Sick Clinic using English and Spanish and is finishing her GED. “She was working so hard to better her family’s life when I first met her and now she’s using her English skills at work, accomplishing her educational goals and helping her family thrive,” said Carolina Ibarra Nielsen, LCC Program Manager. The LCC of South Omaha uses a two-generation approach to increase English literacy for non-English speaking parents and their young children, ages 0-4 years old. “Having the knowledge of where to go, how to ask questions and form connections stem from the ability to read and write,” said Carolina. “We work with families that have young children or women who are pregnant to give them the ability to build their confidence in their own literacy and transfer that confidence to their children.” In addition to English as a Second Language courses, participants can earn their GED, form connections with other community organizations for college and participate in workforce development and other family-centered activities including music classes. Learning a new language can be intimidating, but Carolina said the LCC’s welcoming atmosphere and team members, in addition to onsite childcare, provide a positive learning environment for parents and their children. “A lot of our team members are graduates of our Center, so they understand what it is like to be on the other side,” said Carolina. “It is great for current participants to have people to look up to that once stood in their shoes and are now able to mentor them.” With Covid-19, schools turned to remote learning. The LCC noticed many of the parents did not know how to use a computer or tablet, which consequently affected their children. “Parents were thrown into this situation and there were no other options,” said Carolina. “If they didn’t have access to technology, or know how to use the technology, their children would simply no longer be a part of the education system.” To address the technology knowledge gap, digital literacy was introduced into the curriculum. “We are working with the future leaders of America, so touching their lives when they’re younger and sending them off with their parents who now have the tools and resources to continue learning is so powerful.” Literacy, by definition, is the ability to read and write. Literacy, by application, is hope for tomorrow.
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Sam Balk, PA, Kellie and Genevieve Sanchez-Hidalgo, LiMHP, in the Behavioral Health office at the Northwest clinic.
Choosing Joy
Gratitude drives OneWorld patient’s positive attitude
through her medical journey OneWorld patient, Kellie D., radiates joy despite facing many challenges every day due to her Chronic Obstructive Pulmonary Disease. COPD is a progressive lung disease that obstructs airflow from the lungs and can cause difficulty breathing, chronic coughs, mucus production and wheezing. Due to the nature of the disease, regular checkups at the doctor are recommended to monitor symptoms and adjust treatment plans. Kellie moved to Nebraska in 2017 but did not have health insurance or a local primary care physician. In 2019, she experienced a serious COPD flare-up and had to go to Methodist Hospital’s emergency room. After explaining her financial concerns to the ER physicians, OneWorld was mentioned as a potential solution for Kellie to receive the medical care she needed without the financial strain. Soon after, Kellie had her first appointment at OneWorld’s Northwest Clinic with Sam Balk, Physician Assistant. “I had 12 years of medical experience, so I’m very picky about who cares for me,” said Kellie. “I want people to care for me how I would care for people and that’s been my experience every time I’ve gone to OneWorld.” Kellie also met with the OneWorld enrollment and financial services team, who helped Kellie qualify for the Sliding Scale discount program to afford her medical care. During one of her clinical appointments, Kellie screened positive for depression. After discussing her assessment results, Sam recommended she speak with a therapist. Kellie was referred to Genevieve Sanchez-Hidalgo, LiMHP, Associate Director of Behavioral Health, and she became a participant in OneWorld’s AIMS program, a collaborative care program that integrates primary care, behavioral health and psychiatry services.
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Kellie and Genevieve Sanchez-Hidalgo in the Behavioral Health room at the Northwest clinic.
“I often tell patients that our mind and body are connected,” said Genevieve. “Our clinics have an integrated process for screening for mental health concerns so we can identify need areas that patients may have difficulty identifying themselves.” Through the AIMS program, Kellie worked with Genevieve, Sam and Dr. Shannon Kinnan, OneWorld’s Psychiatrist, and was able to address and improve her depression in a four-month timespan. “Taking care of a person’s physical care is pretty routine,” said Sam. “But if a person isn’t in a good place from a mental health perspective, they don’t care as much about their physical health. The AIMS program has been a positive option for some of our patients who may not have the access they need or want when dealing with their day-to-day physical or mental health challenges.” Early on in 2022, Kellie tested positive for Covid-19. With her COPD, Kellie has a higher risk for severe infection and hospitalization. Kellie said she went to the OneWorld testing center for her Covid-19 test on a cold, busy day, but knew OneWorld was where she wanted to go. Brad Doll, PA, called Kellie to check in on her the day after her positive test for Covid-19 and said Kellie would not let him hang up the phone until he passed on a message of gratitude to everyone at OneWorld. “I’m very thankful and grateful for everyone at OneWorld, especially in these times,” said Kellie, reflecting on that conversation. “I can’t imagine working in the medical field right now, and I just wanted to thank everyone for coming in every day to take care of myself and so many others.” Kellie has since recovered from Covid-19, and her light continues to shine brighter each day.
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Dr. Burton performing a dental exam.
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A Dental Home for Children OneWorld is expanding pediatric dental services to improve oral health for children in Omaha area For Brian Penly, DDS, Dental Director, and the rest of the OneWorld dental team, the future of oral health starts now. Dr. Penly said the need for pediatric dental services has always been greater than resources can accommodate. With the need continuing to grow, the OneWorld dental team is stepping up to offer a higher level of care by providing more services for children at OneWorld with a new clinic specifically designed for children and teens. “We want to increase oral health education and involvement amongst young children now so we can see a reduction of severe dental needs moving forward,” said Dr. Penly. “By getting pre-kindergarten or grade-school-aged kids healthy and teaching them how to stay healthy, we hope to see improved oral health with the next generation of adults.” Tooth decay is currently one of the leading chronic diseases in children. Around 60% of children experience tooth decay in their primary teeth by the age of five, and 78% by the age of 17 per the American Academy of Pediatric Dentistry. Of those children, 42% of tooth decay instances within the 2-5 year old age group occur in low-income families. “Adding Dr. Spencer Burton, Pedodontist and Associate Director for Pediatric Dental Services, moves the needle in the right direction,” said Dr. Penly. “Dr. Burton is able to provide valuable pediatric expertise and support to our talented general dentists in clinic and those on our dental mobile clinics.” OneWorld’s partnership with Children’s Hospital also allows Dr. Burton to perform oral surgery under general anesthesia at Children’s Outpatient Surgical Center at Village Point. He is currently treating two children per week, with the goal of eight children per week as operating room availability increases. “Hospital-based dental care is an integral part of pediatric dentistry,” said Dr. Burton. “It allows us to treat children who have extensive treatment needs, special health care needs or behavioral needs that prevent the safe delivery of dental care in a traditional clinic setting.” In addition to expanding services, OneWorld will open a new pediatric dental clinic at 84th and Q streets in early 2023. The clinic will offer a child-friendly environment for pediatric patients to establish a dental home. “Deepening our commitment to pediatrics is really about increasing treatment plan completion,” said Dr. Penly. “When we transition children to other providers, we run the risk of that child not making it to that dentist. By expanding our scope of services to include hospital care, we reduce that risk. Since we have trusting relationships with families and can now schedule the care required, care will be completed. We will continue to work closely with our existing partners, including Children’s Hospital, to make sure that all patients have access to care.”
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F I NANC I A L SUMMARY
23% Philanthropy & Contributions
46% Patient Billing
20% Federal Grants
10% State & Local Govt. Grants 1% Other
2021-2022
2022 - 2023 BUDGET: 67M
REVENUES Patient Billing
$27,947,692 28,095,186 11,640,938 5,562,465
Grants & Contracts
Contributions
Other
Total Revenue
$73,246,281
SERVICES & PROGRAMS
EXPENSES Salaries
$28,525,677
Benefits
5,843,816
Professional Fees & Purchased Services
5,529,325 19,758,874
91%
ADMINISTRATION
Supplies & Other
Rent
463,465 1, 845,309
Depreciation
Total Expenses
$61,966,466
9%
*Several Covid grants were received during this time period for which substantial expenses will occur in FY2022-2023.
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As we look to the future, we continue to focus on prevention and intervention to improve the quality of life for as many in our community as possible. We are more than health care; we are the beacon of hope and trust for individuals and families, connecting with partners to bring essential support services to multiple generations that do not have access. We are integral in alleviating poverty and focused on the care and support of individuals, families and communities. Our commitment to transforming lives brings our mission to life every single day and in every way. Your support is life changing. Together we can create healthier communities.
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MOVING FORWARD With Our Hearts
OneWorld Livestock Exchange Campus 4910, 4920, 4930 South 30 th Street, Omaha, NE 68107
OneWorld West 4101 South 120 th Street, Omaha, NE 68137 (402) 505-3907 Learning Community Center of South Omaha Family Literacy Center 2302 M Street, Omaha, NE 68107 (402) 502-5512 Mexican Consulate Health Window 7444 Farnam Street, Omaha, NE 68114 (402) 595-1844 OneWorld School-Based Health Centers Bryan High School (402) 991-3904 Buena Vista High School (402) 952-4050 Indian Hill Elementary
(402) 734-4110 - Appointments (402) 502-8845 - Administration
OneWorld Bellevue 2207 Georgia Avenue, Bellevue, NE 68005 (402) 502-8855 OneWorld Northwest 4229 North 90 th Street, Omaha, NE 68134 (402) 401-6000 OneWorld Northwest Walk-in Dental Care 4229 North 90th Street, Omaha, NE 68134 Phone: (402) 401-6000 OneWorld Plattsmouth 122 South 6 th Street, Plattsmouth, NE 68048 (402) 296-2345 OneWorld Quick Sick Clinic Livestock Exchange Building Campus 4910 South 30 th Street, Omaha, NE 68107 1st Floor (North Building) (402) 502-8859 OneWorld Teen & Young Adult Health Center South 4310 South 24 th Street, Omaha, NE 68107 (402) 502-8880 OneWorld Teen & Young Adult Health Center West 2520 South 130 th Avenue, Omaha, NE 68144 (402) 769-7077
(402) 933-4968 Liberty Elementary (402) 505-8180 Spring Lake Elementary (402) 932-7014
OneWorld Mobile Clinics The Fluo-ride OneWorld Medical Mobile OneWorld Smiles
OneWorldOmaha.org
@oneworldchc
facebook.com/oneworldchc
FTCA P SLIDING FEE SCALE
PATIENT CENTERED MEDICAL HOME
PATIENT CENTERED MEDICAL HOME
OneWorld Community Health Centers complies with applicable Federal civil rights laws and does not discriminate on the basis of race, religion, color, national origin, sexual orientation, pregnancy, age, gender identity, disability, military status, veteran status, ancestry, immigration status or ability to pay.
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