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Kiran Siddiqui Hamdard Center for Health & Human Svcs.

Printed On: 23 January 2014 General Grants September 2013 Board Meeting 1

Patient Centered Medical HomeGeneral Grants September 2013 Board Meeting

Hamdard Center for Health & Human Svcs.Ms. Kiran Siddiqui 228 E. Lake StreetAddison, IL 60101-2889

[email protected]: 773-465-4600F: 773-465-4666

Ms. Kiran Siddiqui 1542 W. Devon AvenueChicago, IL 60660-1344

[email protected]: 773-465-4600, ext. 27F: 773-465-4666



Application Form

Report FieldsProject Name*Name of Project

Patient Centered Medical Home

Project Description*Please describe the project you are requesting funding for in one or two sentences.

Hamdard seeks to establish a Patient Centered Medical Home for critically underserved individuals, integrating its premier behavioral health and social services with comprehensive primary medical care. Hamdard requests $40,000 to support a Nurse Practitioner and expand primary care access.

Amount Requested*Amount Requested

$40,000.00

Target Population*Various Ages

Internal Grant NumberInternal Grant Number

14_05

Setting*Community-Based Services

Community Settings*If the program is other than home-based, please indicate the setting.

Other Community Clinic

Type of Support*Please indicate which type of support you are seeking.

Salary Only



Nursing*Will this grant support the salary of a nurse, or nurses?

Yes, an NP/Advanced Practice Nurse

Program Type*Primary and/or Chronic Disease Care

Chicago Geographic Area*Please select the geographic area that your project serves. If your program is in the city of Chicago please refer to the maphere to see how VNA defines the North, South and West sides. If the program is in the suburbs or collar counties please choose the county it's it in from the list that pops up.

City & Suburbs

Geographic Area ContinuedIf your project will serve more than one county then please select the other county from the list below.

DuPage

Percent Female*Please indicate the percentage of the population served by your organization that is female. (Note that 1-3 should total 100%)

59%

Percent Male*Please indicate the percentage of the population served by your organization that is male.

41%

Percent Transgender*Please indicate the percentage of the population served by your organization that is transgender.

0%

Percent African/American*Please indicate the percentage of the population served by your organization that is African/American. (Note: The total of question 1-6 should equal 100%)

6%

Percent Asian American/Pacific Islander*Please indicate the percentage of the population served by your organization that is Asian American/Pacific Islander.

44%

http://vnafoundation.net/images/Chicago-Community-Areas.jpg

http://vnafoundation.net/images/Chicago-Community-Areas.jpg



Percent Caucasian*Please indicate the percentage of the population served by your organization that is Caucasian.

36%

Percent Hispanic/Latino*Please indicate the percentage of the population served by your organization that is Hispanic/Latino.

7%

Percent Native American*Please indicate the percentage of the population served by your organization that is Native American.

0%

Percent Other*Please indicate the percentage of the population served by your organization that would be considered under another race/ethnicity.

6%

Homeless*Are the majority of the the people served by the program homeless, or formerly homeless?

No

Internal Geographic AreaIf this is a project for an area outside of the standard geographic area the administrator should enter the geographic area here. Otherwise, enter N/A.

[Unanswered]

Board Meeting Date09/12/2013

Site Visit Date08/07/2013

Fund UsedFund Used

[Unanswered]



Organization Information

Organization Budget*What is the total organization budget for the current year?

$1,932,299.00

Date of Incorporation*What is the organization's date of incorporation?

12/15/1992

United Way Funded*Is the organization funded by the United Way?

Yes

FEIN Number*What is the organization's FEIN number? This must be the FEIN number for the organization whose name you are applying under.

363917885

Section 501(c)(3)*Is your organization tax exempt under Section 501(c)(3)?

Yes

Section 509(a)(1)*Is your organization tax exempt under Section 509(a)(1)?

No

Section 509(a)(2)*Is your organization tax exempt under Section 509(a)(2)?

No

Fiscal AgentIf your organization is not tax exempt, do you have a fiscal agent? If so, please list the organization, contact person and phone number in the area below.

Not Applicable



Organization Mission*Please summarize the organization's mission in the are below. Please limit the information to two to three sentences.

The mission of Hamdard Center for Health and Human Services is to promote the physical and emotional health and psychological well-being of individuals and families by offering hope, help and healing.

Professional and Support Staff Information

Professional and Support Staff*Please provide your agency's staff composition, listing the number of professional and support staff who are paid full time, paid part time, volunteers and interns/others. If the staff member is part time indicate what their full time equivalent is.

Hamdard employs 14 full-time Professional Staff, 4 full-time Support Staff and the following part-time staff:

10 Part-time Professional• Social Worker LCSW .3 FTE• Assessment Coordinator .5 FTE• Nurse .5 FTE• Addictions Counselor .6 FTE• Psychologist .6 FTE• Mental Health Counselor .75 FTE• PAIP Facilitator .14 FTE• Art Therapist .18 FTE• Psychiatrists: 1 at .2 FTE, 1 at .28 FTE

5 Contracted Part-Time Professional• Dir. Of Mental Health .35 FTE• Psychiatrists: 1 at .28 FTE, 1 at .4 FTE• Psychologist .12 FTE• Cardiologist .05 FTE

10 Part-time Support Staff• Shelter Intake Workers: 1 at .75 FTE, 2 at .6 FTE, 2 at .38 FTE, 1 at .3 FTE• Caregivers: 9 ranging from .38 to.75 FTE• Mental Health Intake Worker .6 FTE• Adult Day Program Aid .63 FTE• Youth Program Aid .75 FTE• Driver .2 FTE

1 Volunteer

Project Details



Project Start Date*What is the estimated project start date?

01/01/2014

Project End Date*What is the estimated end date of the project?

12/31/2014

Other Funding Sources*Please either upload a document with a list of other private and public funding sources for this particular request or type in the information in the area below. Please be sure to include the following details:1. Complete name of the source2. Whether the funding has been received or is pending3. Amount4. Date Received5. Or, If pending, the date of notification

Hamdard’s Board of Directors is committed to allocating $53,000 from individual contributions for the Nurse Practitioner salary. Hamdard is also pursuing the following foundation prospects to implement a Patient Centered Medical Home.

1. Blowitz-Ridgeway Foundation, $10,000, To Submit, Notification: December 2013

2. Chicago Community Trust, $100,000, To Submit, Notification: January 2014

3. Anonymous Foundation Pre-Application, $75,000, To Submit, Notification: September 2013

4. Grant Healthcare Foundation Letter of Intent, $40,000, Pending, Notification: August 2013

5. Washington Square Health Foundation, $31,000, Pending, Notification: August 2013

Budget

Organization Expenses*What were the expenses for the last fiscal year?

$1,266,201.00

Organization Revenue*What was the organization's revenue for the last fiscal year?

$1,266,411.00

Project Budget*What is the total budget for this project?



$372,248.00

Electronic Signature

Electronic Signature Step 1*Enter your full name, business title and the date of submission. (e.g.: Erin Smith, Executive Director, 13 June 2009)

Kiran Siddiqui, M.Ed., LCPCExecutive DirectorJuly 25, 2013

Electronic Signature Step 2*By entering your signature information above and clicking "I Agree" below, you certify that the statements contained in this application are true and correct to the best of your knowledge and belief.

I Agree

Proposal NarrativePlease provide the following information. The total space allowed for this section is five pages, including spaces and punctuation.

A. Background

1. Organization's mission, history, overall goals and/or objectives.*Hamdard Center for Health and Human Services (Hamdard) is a not-for-profit health and social service

agency whose mission is “to promote the physical and emotional health and psychological well-being of individuals and families by offering hope, help, and healing.” Hamdard has a 20-year history of unparalleled expertise in providing culturally sensitive and linguistically appropriate care to a highly diverse, heavily immigrant constituency from across Metropolitan Chicago and specializes in meeting the profound social and mental health needs of the predominantly Muslim South Asian, Middle Eastern and Bosnian communities. Hamdard operates facilities in Addison Village, DuPage County and in Chicago’s Rogers Park neighborhood.

Hamdard was established in 1992 by co-founders Mohammad Hamid, PhD, and his late wife, Farzana Hamid, PhD, in response to profound unmet needs in the South Asian and Middle Eastern communities on the North Side of Chicago. They specialized in treating refugees with Post Traumatic Stress Disorder and worked very closely with Bosnian refugees in the early 1990s. They collaborated with World Relief-Chicago and assisted in developing the Horizon’s Clinic, which treated men, women and children with a range of mental health issues. In 1992, they founded Hamdard Center as a multilingual, multicultural and comprehensive health care center.



“Hamdard” means “empathizer” and the Center has made a substantial impact on the community through specialized services in counseling, case management, primary health care, mental health treatment, senior supportive care, domestic violence services, youth services, a batterer’s program and a crisis line. Hamdard’s holistic philosophy promotes treating the whole person through integrated, comprehensive, and culturally and linguistically appropriate services. Hamdard serves racial/ethnic minorities of different ethnicities and faiths; however, its main target populations are predominately Muslim. These doubly marginalized individuals have come to rely on Hamdard because of the agency’s insistence on cultural and linguistic competency as a cornerstone of effective service provision. Hamdard is not a large organization but collectively its personnel speak over 40 different languages and dialects. Specific languages spoken by Hamdard’s staff include the following, listed alphabetically: Arabic, Bosnian, Croatian, English, French, Gujarati, Hindi, Punjabi, Russian, Serbian, Spanish, Telugu and Urdu.

2. Description of current programs, activities and achievments.*In addition to its flagship Behavioral and Mental Health Services, Hamdard offers state-licensed Child

Welfare and Adult Day services for Seniors; In-Home Care for Seniors; After-School and Youth Enrichment; Employment Counseling and Case Management; and Domestic Violence Assistance, Intervention and Prevention, including a 24-hour crisis line, Residential Shelter Facility and Transitional Housing Program. In 2004, Hamdard initiated limited primary health care and has served 2,500 individuals to date.

Highlights of agency achievement in Fiscal Year 2013 include Hamdard Center’s recognition as an outstanding organization by the Illinois Attorney General during Asian Pacific Islander Heritage Month. Hamdard increased capacity for behavioral health services by adding a fourth psychiatrist at the Chicago site and began renovations to expand primary care services. In May 2013, Hamdard Center launched In-Home Care Services for Seniors. Dependable caregivers assist seniors in their homes with household tasks, personal care and accompanying seniors on medical visits. Hamdard hosted its 20th annual fundraiser netting $175,000 and surpassing its fundraising goal by 10%. In addition, Hamdard attracted first-time funding from two private foundations. Hamdard also restructured its Board of Directors to meet FQHC compliance requirements of a patient/consumer majority board.

Number Served Last Year*How many people were served by the program you are requesting funding for (if it's an existing program), and the agency overall, last year?

Hamdard Center served 1,760 unduplicated individuals in Fiscal Year 2013. Thirty-six individuals received cardiology services.

3. Description of formal and informal relationships with other organizations.*Emphasize those relevant to the program or activities for which you seek funding.

As a trusted provider of behavioral health and social services, Hamdard collaborates with many organizations. Hamdard’s decision to implement a Patient Centered Medical Home and pursue FQHC status has been met with enthusiasm. Robust support is reflected in Memoranda of Understanding and Letters of Support submitted with Hamdard’s New Access Point application in April 2013 and uploaded with this proposal. Existing relationships with the Muslim Community Center, Bosnia United and the Coalition of Limited English Speaking Elderly, for example, will be strengthened. Swedish Covenant Hospital and Presence St. Joseph Hospital have agreed to accept admissions regardless of patients’ ability to pay. Erie Family Health Center will provide dental services. Devon Pharmacy, CommunityHealth, (Illinois’ largest free clinic with a pharmaceutical access program) and Inner-City Muslim Action Network (IMAN) Clinic (a free clinic serving the Muslim community) are committed to defining pathways for care coordination. All FQHCs with sites in Hamdard’s proposed service area (Access Community Health Center, Asian Human Services, Erie Family



Health Center, Heartland International Health Center, Heartland Health Outreach) are supportive and committed to ongoing collaboration and care coordination with Hamdard as are the Chicago Department of Public Health, Cook County Health and Hospital System and the Illinois Department of Human Services.

B. Purpose of Funding Request

1. Please state how this grant will be used and its overall goals.*Hamdard proposes the implementation of comprehensive primary health care services to increase access

for the low income medically underserved. Hamdard respectfully requests $40,000 to support a full-time Nurse Practitioner. Hamdard attaches a letter of intent from Renuka Patel, a qualified candidate who would accept employment upon notification of award. Remaining Nurse Practitioner compensation and related costs will be secured from Hamdard’s strong base of individual and corporate donors, which annually contributes $245,000. Hamdard leadership and key donors are committed to a significant fundraising initiative for the Patient Centered Medical Home.

Hamdard Center’s comprehensive primary care strategy is divided into the following three stages:

• Stage 1: As described in this proposal, Hamdard will initiate a sustainable, modest scale of a PatientCentered Medical Home through implementation of primary care services, dental referrals, and integration of primary medical and dental services with Hamdard’s existing behavioral health and social services.

• Stage 2: Become an FQHC Look Alike (LAL), with increased capacity and scope of services, madepossible through enhanced Medicaid reimbursement. Hamdard’s FQHC Look Alike application will be submitted in January 2014, with Health Resources and Services Administration (HRSA) approval anticipated in Spring 2014.

• Stage 3: Become a funded FQHC New Access Point, with further expansion of capacity and scope ofservices. Hamdard’s New Access Point (NAP) application was submitted in April 2013 and could be approved as soon as August 2013, or through subsequent rounds of approvals in 2014 or beyond.

Hamdard is committed to initiating and sustaining Stage 1 of its comprehensive primary care strategy in response to profound unmet community need and Affordable Care Act (ACA) reforms. Hiring a Nurse Practitioner is a powerful and essential first step in manifesting this vision. A full-time Nurse Practitioner will deliver general primary medical care to patients of all ages in consultation with a contracted Family Practice Physician.

2. Needs Addressed and Population Served*Identify the needs or problems that this program will address, including the population served, and describe how the program addresses these needs.

Despite seven FQHCs in Hamdard’s service area, HRSA reports 118,442 low income residents remain unserved. Projected demand for primary care under ACA reforms will exacerbate this profound unmet need. Illinois Health Matters ranks Hamdard’s Chicago service area within the Top Ten Illinois communities for the number of people (84,657) who will be newly eligible for Medicaid or subsidized insurance in 2014. Demand from the newly insured combined with predicted provider shortages will widen the primary care service gap. As a trusted provider, Hamdard is uniquely positioned to educate and enroll the newly eligible in the Illinois Health Marketplace and expand quality healthcare access to a complex population with distinct cultural and linguistic needs.Through a successful application with the Asian Health Coalition for the State’s In-Person Counselor grant, Hamdard will begin education and enrollment in the coming weeks.



Hamdard’s services will be designed especially to meet the needs of South Asian, Bosnian, and Middle Eastern patients, many of whom have experienced domestic violence or trauma, or are refugees or genocide survivors. Hamdard also serves low income Latino residents of the service area and will extend services to the broader population in need. Hamdard’s service area comprises northeast Chicago (Albany Park, Edgewater, Lincoln Square, North Park, Rogers Park, Uptown, and West Ridge) and the Addison Village area in DuPage County.

Hamdard’s target population reveals alarming rates of poverty and uninsurance. Over a quarter (8,656; 25.6%) live below 100% Federal Poverty Level (FPL). An additional 6,871 (20.3%) live between 100–199% FPL. The uninsurance rate for Hamdard’s target population rate is a striking 33.4%. Furthermore, despite high rates of poverty, Medicaid participation is infrequent (7.9%), especially among Hamdard’s South Asian patients.

Hamdard’s target population exhibits a high prevalence of cardiovascular disease, diabetes, hypertension, post-traumatic stress disorder, depression, intimate partner violence and the use of tobacco products. Moreover, among South Asians, disproportionately high rates of diabetes and cardiovascular disease are complicated by low rates of traditional risk factors (e.g. hypertension, obesity, smoking) and genetic predisposition factors.

Hamdard’s target population confronts barriers to healthcare access and utilization as a result of cultural and Muslim religious beliefs that conflict with Western norms including diet and food prohibitions, interpersonal space and modesty concerns, gender roles, and symptom management.

Language is also a principal barrier to care. Nearly half (48.3%) of the service area population speaks a language other than English at home. Moreover, census data reveal uniformly high rates of those who speak a language other than English and speak English “less than well” in Hamdard’s service area with West Ridge, North Park, Albany Park and Addison Village exceeding 50%.

Number Served*How many people would be served by this grant and/or program?

Hamdard will increase access to comprehensive primary health care services for an estimated 997 patients by the end of Year 1 with 2,992 visits provided by the Nurse Practitioner. Additional patient visits will be provided as follows from current staff: Psychology 1,232; Psychiatry 2,722; Cardiologist 176.

3. Methodology*Describe the program methodology or intervention strategy.

The barriers and disparities experienced by Hamdard’s population underscore the critical importance of comprehensive primary care that is linguistically and culturally appropriate, integrated with behavioral health and enabling services, and connected to a continuum of care. Hamdard will establish such a care model by expanding current primary care services, leveraging existing collaborative relationships and establishing new relationships as needed. Hamdard’s model will constitute a Patient Centered Medical Home (PCMH), consistent with National Center for Quality Assurance standards. Demonstrated outcomes of the PCMH Model include improved access, clinical quality, patient satisfaction and reduced emergency room utilization. inpatient admissions, cost and provider burnout.

Under Stage 1 Hamdard will provide a full range of pediatric, general adult and women’s health care, with referrals to Swedish Covenant Hospital for obstetrical care; oral health screenings and education in the primary care setting; on-site cardiology; psychiatry, psychology and counseling; case management, health education, outreach, translation and transportation. An adjoining pharmacy currently serves insured patients; uninsured patients’ will receive medications through CommunityHealth’s MedAccess Program.



Dental services will be provided through referrals to Erie Family Health Center. All other services required of FQHCs and aligned with PCHM expectations will be fulfilled through referral relationships already established by MOUs signed in Spring 2013.

Stage 1 implementation calls for 1 FTE Nurse Practitioner, 1 FTE Medical Assistant, Oral Health, the existing .05 FTE Cardiologist, and a collaborative agreement with a Family Practice Physician. Hamdard will integrate its existing enabling services and behavioral health team into primary care for a PCMH care model. Stage 1 implementation also calls for implementation of an Electronic Health Record that is certified for meaningful use.

4. Outcome Measures*What are the specific outcome measures and related baselines (please see our website for examples).

Hamdard will improve the following health outcomes:

1) 75% of patients age 18 to 75 years with Type 1 or Type 2 diabetes and seen at least twice during theyear will have HbA1c less than or equal to 9%. 75% is chosen as the target, based on Illinois average of 69.3%, and two health centers with comparable patient populations, Heartland International Health Center (69.3%) and Asian Human Services (84.3%)

2) 71% of patients age 18 to 85 years with hypertension and seen at least twice during the year will havesystolic blood pressure less than 140 mm Hg and diastolic blood pressure less than 90 cc Hg. 71% is chosen as the target, as an improvement over Hamdard’s 65% baseline, the Illinois average of 63.8%, and two health centers with comparable patient populations, Heartland International Health Center (62.4%) and Asian Human Services (65.7%). UDS National Performance is 63.3% and Healthy People 2020 goal is 61%.

3) 65% of female patients age 24-64 years and seen at least once during the year will receive at least onePap test during or two years prior to the measurement year. 65% is chosen as the target, based on Illinois average of 61.6%, and two health centers with comparable patient populations, Heartland International Health Center (61.6%) and Asian Human Services (50.0%). UDS National Performance is 57.8% and Healthy People 2020 goal is 90%.

4) 90% of children with their third birthday and at least one visit during the year will be fully immunized.90% is chosen as the target, based Asian Human Services (88.9%) with a comparable patient population. UDS National Performance is 43.8% and Healthy People 2020 goal is 80%.

5) At least 85% of patients age 18 to 75 years who have been seen by the psychiatrist at least twice duringthe year will report taking their medications according to prescription. Adherence to antidepressants, antipsychotics, anxiolytics, mood stabilizers and sedative hypnotics is frequently estimated at 35% to 45% depending on the type of medication. Hamdard’s current patient base has long-established provider-patient relationships and is older than the expected patient base, two variables that would predict a higher-than-average percentage of medication-adherent patients.

5. Staffing*Describe any specific staffing needs to accomplish the activities for which funding is requested. Identify key staff and their qualifications.

The hire of a Nurse Practitioner is key to initiating Hamdard Center’s establishment of a Patient Centered Medical Home. Hamdard has a letter of commitment from Renuka Patel, a Board Certified Family Nurse Practitioner of South Asian ethnicity, to accept employment. Ms. Patel received her Master of Science as a Family Nurse Practitioner from Northern Illinois University and is a member of the American College of Cardiology. She speaks Hindi and Gujrati.



Since 2004, Hamdard Center has contracted cardiologist Dr. Muhammad Saudye to respond to the high prevalence of cardiovascular disease among Hamdard clients. Dr. Saudye currently provides patient care 8 hours/month.

In Stage 1, Hamdard will establish a collaborative agreement with a Family Practice Physician (FP) to consult with the Nurse Practitioner as required by law. A full-time FP will be hired under Stage 2 FQHC Look Alike.

The project will be overseen by Hamdard Center’s Executive Director, Kiran Siddiqui. Ms. Siddiqui has a Masters of Education in Community Counseling from Loyola University and is a Licensed Clinical Professional Counselor. She has 14 years of experience working in the field of behavioral health and nine years of management experience. Prior to coming to Hamdard, she worked at Apna Ghar, a domestic violence organization for South Asian women, as a counselor for four years and as the program’s director for five years. She possesses a wide range of experience including program management and implementation, clinical counseling, geriatric care, and homeless prevention. She is fluent in Hindi and Urdu.

6. Sustainability*Please tell us how you plan to sustain the program for which you seek funding after the termination of this grant.

The addition of a Nurse Practitioner is the cornerstone of Hamdard’s overall strategy to implement a Patient Centered Medical Home as an FQHC. Of the three-stage strategy described above, the FQHC New Access Point is the most robust and well-funded. The NP position would be sustained by Hamdard’s expanded service capacity, FQHC enhanced Medicaid reimbursement rates, and a federal grant. Independent of FQHC status, Hamdard’s planned implementation of an Electronic Health Record that is certified for Meaningful Use will capture bonuses from the Center for Medicaid and Medicare Services for providers who achieve Meaningful Use benchmarks.

Hamdard submitted its FQHC application in April 2013. Multiple award cycles are anticipated. Since competition is particularly keen for New Access Point grants, Hamdard is preparing to submit an FQHC Look Alike application (LAL) in January 2014. LALs also receive enhanced billing rates but no grant funds. Since LALs must offer all primary care services required of FQHCs upon submission, pursuing LAL status only becomes possible once a Nurse Practitioner is in place. Thus a grant from the VNA Foundation is key to initiating Hamdard’s PCMH as it pursues long-term sustainability as an FQHC.

Under each stage of its primary care strategy, Hamdard’s Board of Directors is committed to substantially increasing private contributions. This increase becomes viable due to Hamdard’s new scope of services, and new private prospects whose philanthropy aligns with comprehensive primary care. Furthermore, ACA implementation will lead to significant enrollment into Medicaid and private insurance by currently uninsured clients; increased benefits for substance abuse and mental health services for those currently and newly insured; and a new landscape for provider reimbursement mechanisms. Hamdard will, therefore, capture new, sustainable patient revenue from Medicaid, Medicare and private insurance for primary care.

Required Documents



A. Finances

1. Organization BudgetPlease upload the organization's budget. Please do not use Excel headers on the budget because this application system adds a title over the header, and then they are both difficult to read. Please leave at least 3/4 of an inch blank at the top and bottom of the page.

Hamdard Program Budget VNA

2. Program Budget*Please upload the program budget with narrative. Please do not use Excel headers on the budget because this application system adds a title over the header, and then they are both difficult to read. Please leave at least 3/4 of an inch blank at the top and bottom of the page.

Hamdard Organizational and Program Budget Stage 1.pdf

3. Capital Budget & Campaign Committee MembersIf your organization is in the midst of a capital campaign please upload the capital budget and a list of capital campaign committee members.

[Unanswered]

4. Funding Sources*Please upload a list of foundations, corporations, or government agencies that funded the organization in the last fiscal year, including amounts contributed ($1,000 and above).

Hamdard FY 2013 Funding Sources-Final.pdf

Please e-mail your most recent audited financial statements to [email protected].

B. Other Supporting Materials1. Board List*Please upload a current board list with related employment affiliations.

Hamdard Board of Directors.pdf

2. Staff QualificationsPlease upload the qualifications of professional program staff (if applicable)



3. Agency CollaborationIf the project for which funding is sought is a collaboration with other agencies, include letters of agreement from the collaborating agencies.

Hamdard-MOUs-VNA.pdf (example included)

4. Letters of SupportPlease upload any letters of support or reviews (if applicable).

Letters of Support.pdf (example included)

5. Verification of Tax-Exempt Status*Please upload your most recent IRS Determination Letter stating your status or your fiscal agent's status as a 501(c)(3) organization with a 509(a)(1) or 509(a)(2) designation. If using a fiscal agent, please include Letter of Authorization.

Hamdard Ltr of Determination.pdf

6. Annual Report*Please upload the latest annual report or a summary of the organization's prior year's activities.

Hamdard Annual Report FY2012.pdf

Hamdard Center FY14 Program Budget

EXPENSES Personnel Cardiologist $7,500 Nurse Practitioner $85,000 Certified Medical Assistant $27,000 Facilities/Housekeeping/Driver $1,300 Fringe (14.89%) $17,335 TOTAL PERSONNEL $138,135 Travel Board & Provider Training $500 TOTAL TRAVEL $500 Equipment Clinical Equipment $3,600 Laptops (5) $3,750 EHR Licenses $35,000 TOTAL EQUIPMENT $42,350 Supplies Lab, Medical & Pharmaceutical Supplies

$16,993

Office Supplies $3,000 Cleaning & Maintenance Supplies

$3,000

Health Education Supplies $4,000 Staff Uniforms $960 TOTAL SUPPLIES $27,953 Contractual Lab Services $10,010 Consultation for Revenue Cycle Management, QA, CLIA Compliance

$30,000

Chart Audit $3,000 EHR Implementation Costs $23,000 Contracted Cleaning Service $13,185 Contracted Dental Service $23,000 Contracted Medical & Behavioral Providers

$20,000

TOTAL CONTRACTUAL $122,195 Other Transportation Assistance (Oral Health)

$4,650

Medical Waste Removal $1,800 Reminder Calls/Message $3,729

Hamdard Center FY14 Program Budget

Service Telephone/Pager Communications

$3,600

Software Maintenance $21,591 Organizational Dues & Membership

$12,000

Insurance $8,550 TOTAL OTHER $55,920 TOTAL EXPENSES $387,053

REVENUE Charitable Revenue to be Raised VNA $40,000 (Pending) Chicago Community Trust $100,000 (App. In progress) Blowitz Ridgeway $10,000 (App. In progress) Washington Square Health Foundation

$31,000 (Pending)

Board Fundraising $53,000 (Committed) Additional Board Fundraising $20,750 (Projected) Program Fees $137,498 (Projected) TOTAL REVENUE $392,248

Description for Primary Care

Program

Hamdard Current

Programs and

Administration

Primary Care Program

Total, Including Costs

for EHR in Current

Behavioral Health

Total FY14

Organizational Budget Oral Health Nurse Practitioner Cardiologist

Electronic Health

Record

REVENUE:

Applicant

$ 821,851 $ 821,851

$ 47,000 $ 47,000

$ 243,000 $ 243,000

$ 245,000 7,500$ $ 252,500 7,500$

New Sources of Private

Revenue to support primary

care strategy

227,250$ $ 227,250 43,000$ 93,000$ 7,250$ 43,000$ 41,000$

Billing for nurse practitioner and

cardiologist assumes Medicaid

rates as of July 1, 2013, with

high proportion of new patients,

and small proportion of third

party insurance.

$ 140,200 137,498$ $ 277,698 130,287$ 7,211$

Rental and training income $ 63,000 $ 63,000

TOTAL REVENUE $ 1,560,051 $ 372,248 $ 1,932,299 $ 43,000 $ 223,287 $ 21,961 $ 43,000 $ 41,000

EXPENSES:

Salary & Wages

Family practice physician Hire under LAL scenario $ - $ -

Other Specialty Physcians

Dr. Muhammad Saudye, 8

hours/month, current schedule.

Contracted.

$ 7,500 $ 7,500

Nurse practitioner

1 FTE at $85,000. 5%

dedicated to oral health

education and referral in

primary care

$ 85,000 $ 4,250 $ 80,750

Breakout Portions of Primary Care ProgramAnnual Budget

Federal Grants

Hamdard Center - Stage 1

Budget: Initiate Primary Care

Local Foundations, Individual

and Corporate Gifts (new)

Individual and Corporate Gifts

(usual level of current support)

EHR for Current

Behavioral

Health Services

State Grants

Local City Grants

Local Foundations (usual level

of current support)

Program Fees and Patient

Service Revenue, net of all

discounts and bad debt.


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

Certified Medical

Assistants

1 FTE at $27,000. 5%

dedicated to oral health

education and referral in

primary care

$ 27,000 $ 1,350 $ 25,650 $ -

OTHER STAFF

Facilities/Housekeeping/D

river

5% of exisiting driver dedicated

to driving patients from two

Hamdard locations to dental

visits

$ 1,300 $ 1,300

TOTAL: SALARY & WAGES (A) 857,834$ 120,800$ $ 978,634 6,900$ 106,400$ 7,500$ -$

#### TOTAL: FRINGE (B) 14.89% of salaries and wages 127,731$ $ 17,335 $ 145,066 $ 1,056 $ 16,279 $ - $ -

TOTAL: PERSONNEL (A + B) $ 985,565 $ 138,135 $ 1,123,700 $ 7,956 $ 122,679 $ 7,500 $ - $ -

TRAVEL

Conferences $ -

Board & Provider training $ 2,500 $ 500 $ 3,000 $ 500 $ -

Local Travel 2,500$ $ 2,500

TOTAL: TRAVEL $ 5,000 $ 500 $ 5,500 $ 500 $ -

Equipment

Minor Clinical Equipment

At Each of two sites: 1 EKG

($600) and 1 portable blood

pressure units ($1200)

$ 3,600 $ 3,600 $ 3,600

Laptops for clinic use

Five laptops total - two for NP

and MA; three for behavioral

health and cardiologist as

shared resources

$ 3,750 $ 3,750 $ 1,500 $ 2,250

Copiers Leases &

maintenance $ 5,800 $ 5,800


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

EHR Licenses

eClinicalWorks. Permanent

licenses Total $40,000 {based

on provider levels ($10,000 first

full-time provider, $5,000 each

addtl) and part time providers at

$2,500 each.}

$ 35,000 $ 35,000 $ 12,500 $ 22,500

TOTAL: EQUIPMENT $ 5,800 $ 42,350 $ 48,150 $ - $ 3,600 $ - $ 14,000 $ 24,750

Supplies

Lab supplies, Medical

Supplies and

Pharmaceuticals

Total $4.10 per all medical

visits. (Detail: Lab supplies

$1.10 per medical visit, Medical

supplies calculated on $3 per

visit); plus $5 per self pay visit

for pharmaceuticals.

$ 500 $ 16,993 $ 17,493 $ 16,007 $ 986

Office supplies:

Clinic forms; HIPAA disclosure

statements. Increased use of

regular office supplies]

$ 3,200 $ 3,000 $ 6,200 $ 2,833 $ 167

Cleaning & Maintenance

supplies,

For example, disinfectants and

other materials needed to clean

the two medical center, paper

towels, toilet paper , air

refreshners etc

$ 3,000 $ 3,000 $ 2,833 $ 167


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

Health Education

Supplies:

Posters in exam rooms,

educational DVDs for use in

waiting rooms and outreach

events, waiting room

educational material displays

and educational models, breast

feeding educations, nutrition

supplies for classes, diabetes

educational material, such as

glucometers, lancets etc...

$ 4,000 $ 4,000 $ 2,000 $ 1,750 $ 250

Staff uniforms:

Uniforms for medical and

clinical support staff & on going

cleaning cost ($80/monthly cost)

$ 960 $ 960 $ 850 $ 110

TOTAL: SUPPLIES $ 3,700 $ 27,953 $ 31,653 $ 2,000 $ 24,274 $ 1,679 $ - $ -

Contractual

Contracted lab services

$12.50 average cost per self-

pay patient, cost covers routine

labs , and health promotional

lab tests such as free

pregnancy & diabetic tests

$ 10,010 $ 10,010 $ 9,350 $ 660

Audit and Legal $ 38,000 $ 38,000

Consultation for Revenue

Cycle Management, QA,

CLIA Compliance

Consultation to enhance

revenue cycle and support CLIA

lab set-up.

$ 10,000 $ 10,000 $ 10,000


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

EHR Implementation

Costs -

Practice Implementation:

Installation, project mgt, site

survey/workflow, set-up and

configuration, onsite and go-live

training; business intelligence

consulting, post go-live training)

20 days of consultation:

$21,000. Plus $1000 travel for

Implementation and Training

staff and one-time data

migration $1000.

$ 23,000 $ 23,000 $ 23,000

Contracted coverage for

OB Call service

None. Partner with surrounding

FQHCs for maternal care until

LAL status would be awarded.

$ - $ -

Contracted cleaning

service

Clean the clincs at Devon &

Addison, 3 hrs/day; 293 days@

$15/hour;

$ 13,185 $ 13,185 $ 13,185

Contracted Dental Service

Assume 250 uninsured visits in

yr 1 at $92/visit; Priority will be

selecting diabetic adults, &

other chronically ill patients.

$ 23,000 $ 23,000 $ 23,000

Contracted medical &

behavioral providers,

Contract with oral health expert

($5,000) to educate Hamdard

providers and clinical support

staff regarding oral health

exams and education in primary

care setting. Conract with FP

physician ($15,000) to provide

collaborative agreement and

consultation.

$ 85,920 $ 20,000 $ 105,920 $ 5,000 $ 15,000


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

Chart Audit

2 days of contracted certified

coder to perform a semi annual

internal chart audit for

compliance with Medicaid &

Medicare regulations.

$ 3,000 $ 3,000 $ 2,500 $ 500

TOTAL CONTRACTUAL $ 123,920 $ 102,195 $ 226,115 $ 28,000 $ 50,035 $ 1,160 $ 23,000 $ -

OTHER

Recruitment: $ 1,500 $ 1,500

Fund raising expenses $ 85,000 $ 85,000

Postage, & Courier, $ 6,548 $ 6,548

Alarm System $ 2,000 $ 2,000

Transportation assistance

Oral heatlh transportation =

4,690 miles by Hamdard's driver

(175 trips from Devon and 75

from Addison) at 56.5 cents per

mile; plus 200 one-day bus

passes at $10 each.

$ 15,000 $ 4,650 $ 19,650 $ 4,650

Patient client incentives $ 32,431 $ 32,431

Medical waste removal $150 per month $ 1,800 $ 1,800 $ 1,200 $ 600

Waste and snow removal $ 12,000 $ 12,000

Facility costs $ 220,219 $ 220,219

Reminder calls/message

service

$0.15/call/month first 1000;

$0.10 for all over 1000

(eClinicalMessenger)

$ 3,729 $ 3,729 $ 2,800 $ 929

Telephone/Pager

Communications

$300/month for answering

service for after-hours calls for

primary care

$ 16,000 $ 3,600 $ 19,600 $ 2,000 $ 1,600


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

Software maintenance,

On going cost for EHRS & other

systems such as accounting

system. ASP hosting $115 per

month per provider + $1250 one

time setup, clearinghouse

integration $79/provider/month,

electronic coding searching tool

@ $65 per provider per year

$ 21,591 $ 21,591 $ 5,411 $ 16,180

Organizational dues &

membership

IPHCA membership plus &

CommunityHealth MedAccess

to gain access to free

prescriptions for uninsured

patients (no NACHC

membership)

$ 12,000 $ 12,000 $ 6,000 $ 6,000

InsuranceAdd Commercial Policy for

Professional Liability $ 28,000 $ 8,550 $ 36,550 $ 8,000 $ 550

$ -

TOTAL: OTHER $ 418,698 $ 55,919 $ 474,617 $ 4,650 $ 20,000 $ 9,679 $ 5,411 $ 16,180

$ 1,542,683 $ 367,052 $ 1,909,736 $ 42,606 $ 221,088 $ 20,018 $ 42,411 $ 40,930

$ 17,367 $ 5,196 $ 22,563 $ 394 $ 2,199 $ 1,943 $ 589 $ 71

1.1% 1.4% 1.2% 0.9% 1.0% 8.8% 1.4% 0.2%

TOTAL EXPENSES

Net Operating Margin


Program

Hamdard Current

Programs and

Administration



for EHR in Current

Behavioral Health

Total FY14


Electronic Health

Record




EHR for Current

Behavioral

Health Services

Renovations and One-Time Equipment

Minor Renovations at

Devon $ 20,000 $ 20,000

Minor Revnoations at

Addison $ 17,000 $ 17,000

AutoclaveOne each at two locations,

$15,000 $ 30,000 $ 30,000

Blood AnalyzerOne each at two locations,

$12,000 $ 24,000 $ 24,000

DefibrillatorOne each at two locations,

$1,000 $ 2,000 $ 2,000

Furnish and equip exam

rooms

Two exam rooms at each

location, $4000 each $ 16,000 $ 16,000

109,000$ 109,000$ -$ $ 109,000 -$ -$

$ -

109,000$ 109,000$

TOTAL Renovations and One-

Time Equipment

Capital to Raise from

Foundations, Individuals and

Corporations

Hamdard Center for Health and Human Services Funding Sources Fiscal Year 2013

$1000 and Above

IL Department on Aging 215,314

Department of Children and Family Services 132,500

Illinois Department of Human Services 171,627

Illinois Attorney General 21,365

Illinois Criminal Justice Information Authority 76,359

City of Chicago 39,377

DuPage County (HSGF) 7,580

Northern Trust 25,000

Anonymous Foundation 10,000

Field Foundation 16,000

Community Memorial Foundation 16,140

Exchange Club of Naperville 3,750

Ravenswood Health Care Foundation 10,000

Susan G. Komen Foundation 8,820

Altria 7,116

IL Coalition of Immigrant & Refugee Rights IFRP Program

41,500

Efroymson Family Fund 100,000

United Way 15,000

Total 917,448

Board of Directors

Syed Anwar, M.D. President

Psychiatrist

Robert Cook

Treasurer

CEO Dream Capital Advisors, LLC

Khalid Mahmoud Secretary

Retired Accountant

Irfan Sufi, M.A. Clinical Psychologist

Jela Simic Hamdard client

Draginja Orescanin Hamdard client

Gurucharan Kaur Hamdard client

Ismet Mujkanovic Hamdard client

Bahra Puskar Hamdard client

Fatima Weldingwala Hamdard client

1

Letters of Support -

secured

Letter of Intent-Chief Financial Officer Letter of Intent-Chief Medical Officer

Access Community Health Network Asian Human Services Family Health Center, Inc

Asian Health Coalition

Bosnia United

Cook County Health and Hospitals System

City of Chicago Department of Public Health

Coalition of Limited English Speaking Elderly

Illinois Department of Human Services

Erie Family Health Center

Goldie’s Place

Heartland Health Outreach, Inc

Heartland International Health Center

llinois Primary Health Care Association

Muslim Community Center

Muslim Women’s Resource Center

SGA Youth & Family Services

Mile Square Health Center

Inner-City Muslim Action Network

17

- IPHCA Illinois Primary Health Care Association

www.iphca.org

Bruce A. Johnson President & Chief Executive Officer

Gordon Eggers, PA-C, Chair Crusader Community Health

Henry Taylor, Chair-Elect Mile Square Health Center

Berneice Mills-Thomas, Secretary Near North Health Service Corporation

Linnea Windel, RN, Treasurer VNA Health Care

Kim Mitroka, Immediate Past Chair Christopher Greater Area Rural Health Planning Corporation

March 15, 2013

Dr. Mo hamm ad Hamid, Chairman

Hamdard Center for Health and Hum an Services

228 E. Lake St.

Addison, IL

Dear Dr. Hamid,

On behalf of the Illino is Primary Health Care Association (IPHCA), I am writing in support of the Hamdard Center for

Health and Human Services' New Access Point application to the Bureau of Primary Health Care, to become a Federally

Qualified Health Center (FQHC). For the past 20 years, Hamdard has provided exemplary mental health and social

services primarily to South Asian, Middle Eastern and Bosnian communities. IPHCA welcomes Hamdard's addition of

primary care to its service array, establishing a patient centered medical home.

Hamdard's services include mental health, senior and youth services, case management, and domestic violence

including housing, employment and batterer's counseling, and a 24-hour crisis line. Hamdard's linguis tic competencies

in Bosnian, Serbian, Croatian, Russian, Arabic, Spanish, Hindi, Urdu, Punjabi, Gujarati, Telugu, French and English are

evidence of your ability to serve limited-English profic ient res idents. In addition, Hamdard demonstrates cultural

competency for the Muslim population. Finally, Hamdard's acclaimed psychiatric and psychological services benefit

trauma survivors inc luding Bosnian, Burmese and Iraqi refugees and domestic violence victims. By employing highly

qualified personnel representative of its target population, Hamdard addresses re lig ious, cultural and linguistic barriers

to health services, and its sliding fee scale ensures access regardless of a patient's ability to pay.

As the sole non-for-profit trade association representing Illino is Community/Migrant Health Centers, IPHCA has worked

closely with Hamdard over the years and we look forward to the opportunity this grant provides your organization to

create a new access point to provide quality primary care. IPHCA strives to improve the health status of medically

underserved populations by fostering the provision of high-quality, comprehensive health care that is accessible,

coordinated, community-d irected, culturally sensitive, and linguistically competent.

Hamdard has worked d iligently to take the next s teps to open a community health center to service Chicago by

reaching out to IPHCA for technical support. IPHCA hopes this application receives a favorable review. Hamdard is a vital

link in the Greater Chicago health safety net. IPHCA commends Hamdard's application and looksforward to collaborating

with Hamdard to s trengthen our collective response to healthcare needs across Greater Chicago.

Springfield - 500 S. Ninth St. • Springfield, ll62701 • tel (217) 541-7300 • fax (217) 541-7301

Chicago - 542 S. Dearborn, Suite 300 • Chicago, ll 60605 • tel (312) 692-3000 • fax (312) 692-3001

Serving the Medically Underserved Across Illinois for Over 30 Years

Example

I

communityhealth

BOARD OF DIRECTORS

Joseph B. O'Malley

President

Valery E. Gallagher

Vice President

Rebekah Kohmescher

Treasurer

Leo F. Voet

Assistant Treasurer

Andrew Palumbo

Secretary

Sally Benjamin Young

Assistant Secretary

Babs Waldman. M.D.

Medical Director

Rebecca s. Busch

Michael A. Dunlap,

D.D.S James M. Durkin

Sandra F. Durley,PharmD

Jillian R. Foucre

Joseph M.Hamngtoo

John J. Koenlgsknecht.Esq .

Cheryl Lullas

Karen Nichols, D.O.

David J. Rice.Esq.

H. Scott Sarran. M.D.

Thad E.Smith

Thomas M. Suttredln

Daniel VIcencio, M.D.

EMERITUS DIRECTORS

April 1, 2013

Dr. Mohammad Hamid

Chairman

Hamdard Center for Health and Human Services

228 E. Lake Street Addison, IL

Dear Dr. Hamid,

I am writing in support of Hamdard Center for Health and Human Services' New Access Point application to the Bureau

of Primary Health Care, to become a Federally Qualified Health Center. For the past 20 years, Hamdard has provided

much needed mental health and social services primarily to South Asian, Middle Eastern and Bosnian communities. We

welcome Hamdard's addition of primary care to its service array.

Hamdard provides a range of culturally competent programming including: mental health, senior and youth services,

case management, and domestic violence services (including housing, employment and batterer's counseling), and a 24-

hour crisis line. Hamdard's linguistic competencies (Bosnian, Serbian, Croatian, Russian, Arabic, Spanish, Hindi, Urdu,

Punjabi, Gujarati, Telugu, French and English) are evidence of its ability to serve limited-English proficient residents. In

addition, Ha.mdard's psychiatric and psychological services benefit trauma survivors including Bosnian, Burmese and

Iraqi refugees and domestic violence victims. By employing qualified personnel representative of its target population,

Hamdard addresses religious, cultural and linguistic barriers to health services, and its sliding fee scale ensures access

regardless of a patient's ability to pay.

CommunityHealth is Illinois' largest free medical clinic, and is the leader in delivering comprehensive, high-quality,

patient-centered health care at no cost to low-income, uninsured individuals in need of a medical home. Our unique

service model is supported by three pillars: philanthropy, volunteerism, and partnerships. If approved for NAP funding,

Hamdard and CommunityHealth will collaborate in the following endeavors:

• Community outreach, education and enrollment of newly eligible individuals into Medicaid or subsidized

health insurance.

• Mutual referrals.

• Additionally, CommunityHealth will welcome an application from Hamdard to become a partner in our on-site,

licensed MedAccess Chicago Pharmacy. MedAccess, the only pharmacy of its kind in the region, is designed

To ensure that prescription medications are within reach of those who desperately need but cannot afford them.

SeratlnoGarella. M.D.

Founder John F. Benjamin

Robert K. Mendonsa

Arnold L WIden. M.D.

Hamdard is a vital link in the Greater Chicago health safety net. CommunityHealth commends Hamdard's application

and looks forward to collaborating with Hamdard to strengthen our collective response to healthcare needs across the

region.

Immediate Past President Sincere!y,

EXECUTIVE DIRECTOR

Judith Haasls

Judith Haasis

Executive Director

lllinois' largest volunteer-based health center providing free care to the uninsured www.communityhealth.org

Lederman Family Health Center at West Town 2611 W. Chicago Ave.,Chicago. IL 60622 Admin: 773.395.9901 I Patient Care: 773.395.9900

Englewood Health Center 641 W. 63n:l Street. Chicago. IIL 60621 Patient Care: 773.994.1515

Example

Example

ANNUAL REPORT

2011-2012

FAMILY PRESERVATION PROGRAM

In 1998, Hamdard established a Child Welfare Agency, duly licensed by the Illinois Department of Children and Family

Services. Since 2001, Hamdard Center has been providing services to South Asian, Middle Eastern, and Bosnian

families thanks to a grant from the Illinois Department of Children and Family Services.

The main project activities are:

Violence prevention

Stabilization of high-risk families

Parenting skills training

Supportive counseling

Supervised visitation

Referrals and linkages to community resources

Mentoring and support to mothers

Community based outreach programs for hard-to-reach families

Awareness and education in the target and mainstream communities

Expanded collaboration with all available community resources

Offering an alternative to violence: non-violence conflict and resolution for children.

VICTIMS ASSISTANCE, INTERVENTION, AND PREVENTION

Domestic Violence Services As an increasing number of immigrants and refugees are making their homes in this country and facing difficulties

integrating into mainstream communities, the need for culturally tailored intervention becomes a necessity. Many

families experience high stressors and emotional instability due to the changes in life styles that make it critical to

address issues of domestic violence to maintain health family. The victims representing immigrant minorities have

severe cultural barriers in accessing mainstream services.

Hamdard Center has been providing culturally tailored multilingual services to domestic violence victims and abusers

since 1993. Hamdard Center owns and operates its own licensed shelter facility and a 24-hour toll free crisis line. The

shelter is fully functional and can accommodate up to thirteen individuals at any given time. All shelter staff members

are trained and certified in domestic violence and serve the victims and their children in the most professional and

effective manner possible. The program is designed to prevent and reduce violence and abuse in homes that can destroy

families.

The primary mission of the Hamdard Domestic Violence Program is to ensure the safety of victims, provide early

intervention, and offer services that foster the preservation and stabilization of families. All services are free,

2011-2012

Number of Clients Served 479*

Number of Families Served 263*

ANNUAL REPORT

2011-2012 confidential and culturally compatible.

Available Services for Families of Domestic Violence

Women

Comprehensive and collaborative IDHS protocol compliant program

Onsite residential shelter and off-site shelter with certified staff on duty 24-hour a day

Counseling, advocacy, training in survival and parenting skills in restructuring their lives

Assistance with public benefits, employment skills, training etc.

Legal advocacy for order of protection, victim impact statement, child custody, and immigration issues

24-hour toll-free crisis hotline

Community education and outreach

Hospital and school based programs

Transitional housing facilities based on eligibility

Children

Activity groups to promote learning/self expression

Provide safe, caring, nonjudgmental setting for children to visit with their non-custodial parents

Individual counseling

Training to promote nonviolent problem solving skills

Community

Community outreach and education, volunteer recruitment, and training

Collaboration with regional and local networks in advocacy and raising awareness

Outreaching to schools and universities on issues related to domestic violence and sexual assault

Providing 40-hour training and certification to staff, volunteers, and partner agencies

Transitional Housing for Women and Children Hamdard’s Transitional Housing Program offers hope and help to families (mothers and children) who are victims of

domestic violence and homelessness. Hamdard’s Transitional Housing Program strengthens families by helping them in

areas such as employment assistance, parenting skills, job training, budgeting, and life skills.

The goal of the program is the restoration of self-sufficiency and dignity for women, mostly with children, who have

come through experiences that have shattered their lives. These women are often left in an untenable cycle of

dependence, poverty, homelessness, unemployment, and the responsibility to care for emotionally scarred young

children who cannot be left unmanaged.

Hamdard’s program provides women with the necessary assistance to rebuild their lives. Initially, women and their

dependents receive a safe residence. Relieved from the pressures of monthly rent and utility bills, the domestic violence

survivors then receive counseling and support in reestablishing their emotional and social identities. A case manager is

then assigned to assist them step-by-step through to career training, job placement, child care, placement in local

schools, and eventual employment. Survivors of domestic violence graduate to transitional housing program after their

stay in the emergency shelter and can reside in the transitional housing units for up to 24 months

The Transitional Housing Program at Hamdard began in September 2001. Today, Hamdard Center now operates two

transitional housing units. Since its establishment, all of the clients have successfully completed their stay at the

program and have moved onto independent living. They have jobs, cars, and savings for the future. Their children have

also improved their self-confidence and made significant academic progress.

2011-2012

Total Clients Served 59*

Total Counseling/Advocacy Hours 811

ANNUAL REPORT

2011-2012

24-HOUR TOLL-FREE CRISIS LINE

1-866-305-3933

Hamdard has operated a 24-hour crisis line since 1993, which is staffed 24 hours a day, seven days a week live people

that are trained and certified professionals who speak a variety of languages. Through this line, Hamdard provides

assessment and brief and intermediate crisis intervention, assurance, support, information, and referral. The Center

receives hundreds of crisis calls every year from men, women, and teenagers personal and family crisis, emotional

distress, isolation, depression, and abuse and neglect.

FAMILY INTERVENTION PROGRAM

(PROGRAMS FOR MEN WHO BATTER)

Partner Abuse Intervention Program (PAIP) Hamdard Center began the Family Violence Intervention Program, now the Partner Abuse Intervention Program in July

of 2000. This is a specialized service catering to males who have committed acts of domestic violence against their

spouses or partners. Professionals trained in the area of domestic violence staff the program and are culturally sensitive

to the needs of the target community. Beginning July 2011, this program is now offered from both Hamdard’s Addison

and Chicago offices.

The goal of this program is to help these individuals to recognize, understand, and ultimately change their abusive

behavior. Working toward that goal, the men participate in a psycho-educational program, which consists of a two-hour

session per week over a twenty-six week period. Topics dealing with non-violent interactions are discussed, and

homework assignments are given. The program is based on the internationally recognized Duluth Domestic Intervention

Project Model. This program is Illinois Department of Human Services Program Compliant.

Program Referrals

Clients are either referred through the court system or are self-referrals. In either case, a trained Hamdard staff

determines if they are appropriate candidates for the Family Violence Intervention Program must evaluate participants.

Education Curriculum

All prospective candidates undergo an initial assessment for suitability into the program. Those selected will be required

to sign a contract agreeing to attend prescribed number of sessions, and abide by the rules and spirit of the program. A

release form is also signed allowing Hamdard to share information with the courts and their spouses/partners.

Participants pay for the services rendered and some on a sliding fee schedule according to their financial capabilities.

Some of the topics discussed in weekly sessions include:

Non-violence, non-threatening behavior

2011-2012

Total number of clients served 11*

Completion rate of employment goals 100%

2011-2012

Total Number of Hotline Calls 1,099

ANNUAL REPORT

2011-2012 Respect, support and trust

Honesty and accountability

Sexual respect, partnership

Negotiation and fairness

As part of the program, services are also provided including:

Assessment

Counseling

Anger Management and Abuse prevention

Community Education

Outcome

It is Hamdard’s hope that men who participate in this program will take full responsibility for their behavior and

embrace a more egalitarian approach in partnership, respect for the rights of women and develop skills for handling

conflict in a non-violent manner. Hamdard Center is dedicated to assisting men in putting their lives back in order.

HEALTH SERVICES

Behavioral and Mental Health Services Hamdard’s program philosophy is deeply rooted in our family and community values and our cultural and religious

traditions and practices. One of the highly prioritized goals of our programs and services is the preservation,

stabilization, and rehabilitation of our dysfunctional families. Hamdard program and services are designed to strengthen

and support families and to give people in distress a sense of hope. Hamdard uses a holistic, integrated service delivery

model with a heavy emphasis on prevention and early intervention.

Trained and credentialed mental health counselors, social workers, clinical psychologist, and psychiatric consultants

staff Hamdard’s mental health services. Mental health is the most widely used program by men, women, children, and

elders seeking professional help for depression, anxiety, adjustment at work and at home, acculturation difficulties,

family conflicts, intergenerational conflicts, marital problems, just to name a few. Hamdard helps elderly clients who

feel abandoned and lost. Hamdard also provides assessments and evaluations for disability benefits and Social Security

Income (SSI). The Agency’s professionals frequently run into teenage girls who have attempted to hurt themselves due

to the overwhelming family pressure and multiple stressors, but most notably violence at home.

Hamdard receives referrals from area hospitals, schools, courts, Department of Children and Family Services (DCFS),

religious centers, and other social service agencies. Hamdard sees parents who have been mandated by the courts to

seek help at Hamdard for assessment and counseling, especially when there are children in DCFS custody. Over the last

several years, Hamdard has seen a growing number of men and women initiating self-referrals to seek help for

themselves and their families.

Hamdard’s professionals have seen positive outcomes when clients seek help at an early stage, especially in cases of

marital discord and family violence. The Agency staff has also noted that most community members who seek help at

Hamdard suffer from chronic, multiple problems and have severe barriers accessing mainstream services. All services

are free and strict confidentiality is maintained.

The goal of the Mental Health program is early detection, and intervention to reduce further damage to emotional

health. Chicago area is growing in numbers with the refugee population. Most of the refugees coming to Hamdard to

seek mental health services have severe trauma and Post Traumatic Stress Disorder (PTSD) symptoms. Hamdard staff

understands the unique need of refugees to help them adjust to living in a new culture.

2011-2012

Total Number of Men Served 38*

ANNUAL REPORT

2011-2012

Mental Health Services for Men, Women, Children/Teens and Elderly

All services are offered to everyone, and those without insurance pay according to a federally-approved sliding fee

scale. Bilingual and bi-cultural counselors and psychiatrists provide services. Currently, Hamdard can offer services in

Arabic, Bosnian, Hindi, Urdu, and Punjabi including:

Crisis intervention

Psychiatric evaluation

Medication monitoring

Mental Health Assessment

Education and Outreach

Individual, Couples and Family Therapy

Group Therapy

Case Management

Collaboration with schools, hospitals and social service

agencies

Primary Health Care Clinic The Hamdard Center strives to improve the health status of medically underserved populations by fostering the

provision of high-quality, comprehensive health care that is accessible, coordinated, community-directed, culturally-

sensitive, and linguistically competent. Hamdard began its primary health care clinic in 2004 as a response to the

increasing need for health services in the medically underserved area of Rogers Park and Edgewater. Hamdard’s

physician provides general medical examinations, blood testing, and Echo cardiograms. Due to the growing need for

services in the community, Hamdard is in the process of applying for Federally Qualified Health Center (FQHC) status,

which would allow Hamdard to serve a greater number of clients in need of specialized and affordable medical services.

Internship and Training Program In partnership with surrounding area universities, Hamdard offers intensive internship and practicum programs to the

graduate level of students. This program is supervised by licensed psychiatrists, clinical psychologists and licensed

counselors. Due to the diverse nature of the agency, many students have chosen Hamdard to finish their professional

training. Hamdard fulfills all the requirements of professional training for such students. During the 2011-2012 school

year, a total of 17 interns have successfully finished their internship/practicum requirements with Hamdard.

CASE MANAGEMENT

Hamdard provides comprehensive case management services that are culturally sensitive to serve our target populations

in DuPage and Cook Counties. In April 2009, Hamdard expanded its case management services by opening a Case

Management office out of its Addison office. The Case Managers assist clients with accessing public assistance and

other community resources. Clients receive both internal and external referral sources including Hamdard’s mental

health and domestic violence programs and the Department of Health and Human Services. Hamdard provides

assistance to individuals and families by providing access to the following services: Medicare/Medicaid, Supplemental

Security Income/Disability, Access DuPage, LINK Card, Women Infants and Children (WIC), Temporary Assistance

for Needy Families (TANF), low-income housing, subsidized child care/day care, enrollment for free bus passes for

seniors, legal advocacy, and translation. In addition, Hamdard’s Chicago location serves as a certified Low Income

2011-2012

Total Number of Clients Served 383*

Total Number of Counseling Hours 809

2011-2012


ANNUAL REPORT

2011-2012

Housing Energy Assistance Program (LIHEAP) intake site. Legal advocacy is also provided in the form of providing

referrals to Legal Aid and court accompaniment as well as providing emotional support and translation to clients.

Outreach efforts are also made to raise awareness and to educate the target population further about available

community resources.

EMPLOYMENT SERVICES

Due to the generous contribution of a community foundation, the Employment Counseling Office launched in

September 2011. Stationed in the Addison location, the Employment Counseling office offers one-on-one employment

counseling services and group presentations free-of-charge to individuals looking for assistance with a variety of

employment-search related assistance. Services include: rand cover letter writing, interview skills, general job search

techniques, job hunting in today's economy, and community referrals for ESL, GED, and vocational training courses.

ADULT DAY SERVICES

The Adult Day Services program empowers seniors in the community by providing them with hope, help, and healing.

In response to the growing needs of seniors in Hamdard’s target populations, the Center launched its senior initiative,

Community Outreach Program for Elders (COPE), in October 2002. In 2004, Hamdard’s Adult Day Service Program

was licensed by the Illinois Department on Aging. The Adult Day Program provides structured programs and activities

for 4-5 hours daily to individuals who are sixty years of age or older. Some of the salient features of the Adult Day

Service include: (1) health monitoring (triage by a Registered Nurse), (2) socialization, (3) recreational activities

including outdoor activities, (4) exercise, (5) health education, (6) English conversation and reading, (7) computer

learning, and 8) in-language newspapers and television. All of the clients attending the Adult Day Service Program are

served a hot nutritious, culturally compatible meal daily. Each client has an individualized service plan based on their

unique services. The primary focus of Adult Day Services is to help clients maintain their emotional, cognitive, and

physical functioning and to support independent living.

2011-2012


Total Meals Served 3,663

Health Monitoring, Instruction &

Exercise Hours Provided by Nurse 150

2011-2012


Total Number of Service Hours 2,988

Total Number of Translation Hours 738

Total Number of Outreach Hours 541

2011-2012


Total Number of Community Presentations 4

ANNUAL REPORT

2011-2012

YOUTH SERVICES

Hamdard Center’s Youth Enrichment Program has made great strides in addressing the needs of its target communities

since its inception in 2007. The program serves children ages 6-12, the majority of whom are bi-lingual in Spanish. The

program runs throughout the academic year followed by a six week summer program. The summer program is a literacy

and arts based program featuring workshops on writing shorts stories, improving reading abilities, drama, and various

forms of art. The Hamdard After-School Program includes social skill-building, reading, art, dance, martial arts, youth

led and academic workshops. Our program also focuses on goal setting to improve academic weaknesses. Each month,

tutors and students prepare 2 goals to improve on and do four weeks of workshops to meet their goals. In addition, the

program includes a strong focus on homework help. Hamdard staff, along with tutors from Loyola University Chicago,

work with students during homework time to help answer questions and problem solve. The results anticipated by the

end of the academic school year are: an overall improvement in grades, developed positive study habits, and increased

confidence and independence in completion of schoolwork. The desired results for the following academic year:

improvement in grades, increased overall understanding of material that is being taught in school, and increased

expression through arts and writing.

CONTINUOUS QUALITY IMPROVEMENT (CQI) COMMITTEE

The Continuous Quality Improvement (CQI) committee was formed in February 2006 to help improve documentation

of service delivery, operations and administration, and fiscal and risk management as suggested by the Council of

Accreditation (COA). The CQI committee is composed of program managers and the management at Hamdard Center.

The goal of the Hamdard Center’s quality improvement program is to empower staff to initiate self-determined change

in incremental steps, which will benefit clients through improved service quality and delivery.

The CQI committee meets monthly to assure that a process of regular and systemic review of specific document

program information, service techniques, and agency task performance relative to the delivery of health and human

services. The plan is intended to review, evaluate, and improve the effectiveness and efficiency of services consistently

and incrementally. All departments have put in considerable efforts to increase accuracy of the documentation as well

as improve overall service delivery including client satisfaction.

In 2012, the focus of the CQI Committee has been:

Assessing and improving organizational performance

Monitoring the effectiveness of the services

Replicating model performance

Promoting a task-oriented team approach

Revising the policy and procedure manuals

*Represents unduplicated number

2011-2012

Total Children Registered 43*

Total Number of Program Days 169

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