Annual Report 2012

MATERNAL AND CHILD HEALTH CONSORTIUM OF CHESTER COUNTY

Helping Kids Start Healthy, Stay Healthy and Succeed in School

Dear Friends,

I am pleased to bring you this report on MCHC’s accomplishments in

2012, which was a busy and exciting year. As you will read in the pages

that follow, MCHC is more committed than ever to improving birth

outcomes for Chester County’s most fragile women, and to measuring our

results to ensure that our programs have as much impact as possible on

family health and wellness. Together, our three major programs—Healthy

Start, Family Benefits, and the Kennett Square Family Center—help all

of our county’s children start healthy, stay healthy and succeed in school.

As the Affordable Care Act begins to be implemented, MCHC is well

positioned as a community leader in health care access for low-income

populations. Our 20 years of experience have shown us that access to

health coverage enables people to receive the preventive care that save

health care dollars in the long run, especially for pregnant women and

their infants. We also know that home visiting during the critical prenatal

and postpartum periods provides major health returns. Children that are

born healthy have much better odds of enjoying better health and

economic success in their futures.

As you know, MCHC’s founding Executive Director, Pam Bryer, retired from

the organization in 2012, and our Board conducted an extensive search

resulting in my appointment as Chief Executive Officer. I have been

committed to women’s health and well-being for my entire career and

am thrilled to be part of such a vibrant and impactful organization. I look

forward to leading MCHC to new heights of strength and effectiveness,

and to continuing its profound impact on the lives of the families we serve.

I also look forward to meeting all of you in the year to come and working

with you to help Chester County stay healthy and strong. MCHC is grateful

for your support over the years.

Monique Howard, Ed.D., MPH Rae Morgan

Chief Executive Officer Board Chair

Board of Directors

Rae Morgan Board President

Deborah A. McKenty, EsquireBoard Secretary

Julia Malloy-Good, EsquireBoard Treasurer

Luis Colmenares

Kevin Downing, CPA

Connie Fogarty, MBA

Rosemary Helm

Tammy James, Ph.D.

Kristin Molavoque, Esquire

Beverly Moyer

Mary Lou Sterge

Steven Wilmot, MSW

Helping all children starthealthy, stay healthy and

succeed in school.

Our Promise

Healthy Start

Healthy Start is a prenatal and postpartum home visiting program designed to ensure that low-income women can access the medical care, health education, andcommunity resources they need to deliver healthy babies. MCHC provided services tomore than 1,100 women and their children in 2012, including 475 new participants.

An independent Impact Report of the first fourteen years of our Healthy Start programresults compared birth outcomes experienced among women in the communities weserve who were enrolled in Healthy Start with birth outcomes experienced by women inthe same communities who were not enrolled in the program.

The Impact Report demonstrated a significant improvement in birth outcomesexperienced by women who enrolled in Healthy Start, and the improvement wasespecially dramatic for African American and Hispanic women. During the period1996-2009, African American women living in our Healthy Start communities hadlow birth weight babies at a rate of 11.2%, but African American women in thosecommunities who were Healthy Start participants had a rate of 10.5%. Of Hispanicinfants born in our communities, 7.9% were born at low weight, while 4.6% ofHispanic Healthy Start babies were born at low weight.

Babies who are born too small are much likelier to die before their first birthday or have lifelong physical problems and learning challenges. By helping womenaccess health care and learn about healthy behaviors, Healthy Start closes the gapbetween the birth outcomes of minority women and white women in our county.

Maternal depression is the most common complication of pregnancy, and ourdepression screening, support groups, and individual emotional support forHealthy Start moms continues to be important to participating women. In 2012,68% of the women we screened for depression both prenatally and postpartumhad an improvement in symptoms of depression during their time in our program.

Our Programs

Focusing Our Efforts for Maximum Impact

With a special grant from the Longwood Foundation, our Healthy Start program developed new enrollmentcriteria in 2011–2012, with the goal of serving all of the women most in need of our services, while stayingwithin our limited program budget. These criteria are now in use at all of our sites, and are helping to ensurethat the pregnant women who are at the highest risk of experiencing poor maternal and child health get the care they need to stay healthy and deliver and raise healthy babies.

Annual Report 2012 1

“More waiting at the doctor’s office… It’s a lot of Neesa’s life.” —Natosha

This photo was taken by Natosha, one of nine HealthyStart moms who participated in our Community Voices

Project. Through the support of the ValentineFoundation, MCHC launched the Project to put a face

to the issues our families experience and showpolicymakers how their decisions- both positive and

negative- affect their communities.

Kennett Square Family Center

The Family Center worked with 104 families in 2012 to provide early childhoodeducation, developmental screenings, and a Kindergarten Transition Program toensure that children from Hispanic families in southern Chester County startschool well prepared to learn and succeed.

2012 was an exciting year for the Family Center, which received two major grantsenabling us to focus on specific needs of the families we serve. In 2010, therewere nearly 250 teen pregnancies in Chester County. To serve these especiallyvulnerable young women, the Family Center now has a full-time bilingual ParentEducator focusing on the particular needs of teen and young adult parents.Young people preparing to be first-time parents often need special help withparenting education and family issues, as well as time dedicated to addressingtheir own educational and career prospects.

We are very excited about our new Fatherhood Program. Our new bilingualParent Educator works one-on-one with fathers in their homes and at groupmeetings. Our goal is to increase fathers’ effective engagement in their children’s growth and development.

In 2012, the Family Center served 20 young moms and their families, and enrolled 15 fathers into our Fatherhood Program. We expect both of these numbers to increase in the year to come.

Showing Impact

In the summer, we held our annual Kindergarten Transition Program (KTP), an intensive summer program working with participating five-year-old childrento prepare them for entry into kindergarten in the fall. We used a newevaluation toolkit, developed in partnership with St. Joseph’s University, to measure the progress of the 19 children taking part in the KTP, testingchildren on their mastery of skills they need to have to begin schooladequately prepared, such as language skills, learning and cognition abilities,

motor/ physical skills, social and emotionalabilities, and math skills.

All of the children were tested in September2011, to establish a baseline of theirabilities. At that time, children demonstrateda mastery rate of 67%. At the end of theKTP, children showed a mastery rate of 88%.We are confident that these children are nowwell positioned to begin kindergarten readyto learn and thrive, and that their parents arebetter equipped to help them continue tosucceed academically.

Annual Report 2012 3

Children and families served at MCHC come from different cultures and walks of life and come to depend on MCHC to bridge not only language barriers, but many other factors the consortiumprovides as a coordinated system. As a Medical Interpreter, I had the joy of watching children conquera higher level of development which might have been unattainable without MCHC’s services…Interacting with MCHC’s capable and dedicated staff was a true joy. — Cristina Wilcox

Family Benefits Program

MCHC’s Family Benefits Program had its busiest year yetin 2012. Our health insurance enrollment services havebecome an increasingly important part of our work toimprove the health of women and children by ensuringtheir access to health care. The number of individuals wehave assisted into CHIP or Medicaid have risen markedlyeach of the past few years, from 1,217 in 2006, to 2,692in 2012 (2,140 of these were uninsured children).

In addition to health insurance enrollment, our FamilyBenefits staff enroll eligible families struggling withhunger into SNAP (food stamps). In 2012, our staffhelped enroll 1,339 individuals into SNAP, 1,145 ofwhom were children. Access to SNAP benefits providechildren with a stable source of regular, healthy food, andSNAP benefits have been proven to improve children’shealth and educational futures.

MCHC has also expanded our reach regionally. Throughour special children’s health insurance grant from theU.S. Department of Health and Human Services (Centersfor Medicare and Medicaid), we partnered with 14 health

clinics and community-based organizations across the region to assist 1,323 children from Montgomery,Philadelphia, and Delaware counties gain Medicaid orCHIP coverage.

0

500

1000

1500

2000

2500

MCHC Health Insurance Enrollments

Grants 45%

Seminar and Workshop Fees

0.14% Contributions 11%

Investment Income 0.29%

Net Assets Released

from Restrictions 44%

Healthy Start 45%

Family Center 13%

Family Benefits 23%

Training and Education

.30%

Management and General

13%

Fundraising 6%

81% OF EXPENSES SUPPORTED DIRECT SERVICES

REVENUES AND SUPPORT$2,819,965

EXPENSES$2,769,417

Individual DonorsMr. and Mrs. Francis Abbott, Jr. Sandra Aguilera Kathryn and Marvin Andersen Cecilia Arce Nelly Jimenez-Arevalo Ann Armstrong in honor of Grace Baines

William Atkins, M.D. Maria Augustin Irma Bailey Dr. and Mrs. Donald Barr Nadine Bean Therese Bentley Mr. and Mrs. Mahlon Bierly Crystal Boggs-Jennings Judge and Mrs. David Bortner Kim Bradley Robin Briggs Mary and Stuart Brooks Denise and John Bryer Pamela and Jeffrey Bryer Dr. C. John Bryer Barbara and Joseph Bryer Elizabeth and John Caggiano in honor of Max Campos

Jennifer Cannon Lenda Carrillo Maribel Castro Aurea and Luis Comas Anne Congdon Sara B. Corbishley Mr. and Mrs. Thomas Corcoran Kathy and David Craven in honor of Pam Bryer

Aracely Crespo Drs. Katherine and Paul Crits-Christoph

Karen D’Agusto and Steve Bernasconiin honor of Anna Heilenman

Dr. Celeste DeBaptiste in memory of Inez Elizabeth DeBaptiste

Mr. and Mrs. Robert DiGiacomo

Tonya DiGiuseppe Pam Dixon Brett Dolente Erin and Kevin Downing Linda Dunis-Forrester Melissa Dupre Susan and Alan Elko Lars and Lisa Eller Dr. Christina Ellis and Dr. Andrew Sitkoff

Margaret Ewing Barbara Fitzgerald Turner Dr. and Mrs. William Foxx Willa Friday Alison and Howard Frysinger Anne and Howard Fussell Dr. Ellen Gacomis Corazon Gemil M.D. Karen and James Giuliano Jennifer Giunta Barnett Goodstein in memory of Mira Goodstein

Heather Goodstein in memory of Mira Goodstein

Rochelle Grossman Suzanne Guinter Elizabeth and Peter Guman in honor of Lillian Guman

Mr. and Mrs. Evan Hambleton Anne and Matt Hamilton Julie and Richard Hankin Rosemary Helm Mr. and Mrs. Curvin Hollimon Deborah Holt Weil Dr. Monique Howard Colleen Hurley in honor of Max Campos

Judi and Jon Ivins in honor of Pam Bryer

Dr. Tammy James Ruth Jensen Dr. Rita Jones Barbara Jordan Natalie Katz

Denise and Stephen Keefer Quindara King Mr. and Mrs. Bruce Knapp Elizabeth Knowlton Brian and Diana Kornet Dr. Linda Lamwers Joyce and Ronald Landon Celia Lang Milena and Enrique Lanz Marta Laynas Frances LisowskiMrs. Thecla LisowskiJane MacElree Christine Marchini Melanie McAteer Deborah McKenty Nancy and MichaelMcLelland

Stephannie Beemers McLimansRobert McMackin in honor of MaryMcMackin

Jennifer and Robert McNeil Heidi and Richard McPherson in honor of Pam Bryer

Marc and Ann Melso Maryann and Joseph Mesure Alice Moorhead Mrs. J. Maxwell Moran Rae Morgan Serena Morrissey Joanne and Robert Moser Moira and Ken Mumma in honor of Pam Bryer

Christine Mummert Marion Murphy LaToya Myers Maureen Nacey, Esq.Janet Nash Mr. and Mrs. Lawrence O'Donnell Camille Olela Luisa Ortiz Sonia Ortiz Maria Ortiz Roger Palmer Catherine Palmquist Leo and Maryanne Parsons Glenn and Rohna PaskowDaniela Pena-Restrepo Joanne PeskoffLinda Peters Dr. MaryEllen Pfeiffer Gail Pickett, CRNP Colleen Pimer Mr. and Mrs. Mark Piro Mr. and Mrs. Richard Pointer Beatrice Polk Mrs. Emily Purnell-Johnson in memory of Rhea Purnell

Leslie and Bill Rahling in honor of Kathleen Rahling

Cristin ReeserCarol Revak M. Ann Ricksecker LeeAnn Riloff Maritza Rivera Cochran Linda Robertson Margaret Roth in memory of Andreaand Elizabeth O’Toole

Meryle and Fred Rothman Richard Rubin, Esq. in honor of Leila Katz

Lucia SanchezMichelle Legaspi Sanchez and Juan Sanchez

Dr. and Mrs. Gopal Sankaran Lowell Saunders Dr. Stacey Schlau Dr. and Mrs. Arthur Schless Frances Sheehan and Ricardo Gelman

Debra Shupp

Nettie Wolfe Silva Alicia Singleton Mr. and Mrs. Frederick Smith Esther and Bernard Sobel Mrs. Joseph Somers in honor ofKathleen Rahling

Mary Lou Sterge Homa and Alex Tavangar Maia and Chris Tolsdorf Jaan Troltenier Ubel Velez, Esq.Cheryl Vermey Lisa Voicheck Catherine Voit, Esq. in honor of Julia Malloy-Good

Mary Ann and Samuel Wagner in honor of Pam Bryer

Betsy Walls Mr. and Mrs. Thomas Walsh Joan Walsh Debra Ward Sparre Carol Ware John Weaver Dawn Welch Lois and Barry Wiggins Steven Wilmot Penelope Wilson Melissa and Kevin Wilson Connie Winchester Katie Wooten-Bielski Robert Yayac Patricia Yoder Carolyn Zack in honor of Julia Malloy-Good

Neydary Zambrano Elaine Zanikos Rebecca Zerr Michele Zowney in honor of Mary Corrigan

Foundations and Corporations1675 Foundation1N BankAdams Sterge Family Fund, a Fund of The Philadelphia Foundation

AstraZenecaBard FoundationBarra FoundationBeneficial BankBJ’s Charitable FoundationBrandywine Health FoundationBriggs, Bunting and Doherty, LLPBugel Family Fund, a Fund of theChester County CommunityFoundation

Charles Wentz Carter MemorialFoundation

Chester County Fund for Women and Girls

Citadel Federal Credit UnionClaneil Foundation

Thank you to our generous donors, volunteers, and supporters!

West Chester Healthy Start staff with donations from New Century Trust.

Annual Report 2012 5

new quoteConnelly FoundationCountryside ConsultingCVS/PharmacyDanskoRobert and Joan Dircks Foundation, Inc.

Dolfinger-McMahon FoundationExelon GenerationFirst Cornerstone FoundationFirst Hospital FoundationFirst Niagara BankGenuardi Family FoundationGlaxoSmithKlineGunard Berry Carlson Memorial Foundation

Health and Welfare Foundation ofSouthern Chester County

HeLP Fund, a Fund of the ChesterCounty Community Foundation

Herr Family Foundation, a Fund ofthe Chester County CommunityFoundation

Holt Family FoundationRobert E. Lamb FoundationLeland Leadership GroupLongwood FoundationMacElree HarveyMarch of Dimes of Southeastern PAMerrill LynchNational Penn BankNeptune Moon, LLCNew Century TrustNewtown Office and Computer SupplyOxford Area FoundationPatricia Kind FoundationPennsylvania Children’s Trust FundPennsylvania Trust CompanyThe Pew Charitable TrustsPew OMG Center for Collaborative Learning

Philadelphia FoundationPhoenixville Community Health Foundation

PNC FoundationPottstown Area Health and Wellness Foundation

QVC, Inc.Saba Chai Five FoundationSiemens Caring Hands FoundationSoho Technologies, LLCSovereign Bank FoundationSpringbank FoundationTD Charitable FoundationTransition Guides, Inc.United Way of Chester CountyUnited Way of Greater Philadelphiaand Southern New Jersey

United Way of Southern Chester CountyValentine FoundationWilliam Penn FoundationWillig, Williams and DavidsonWomen’s WayWSFS Bank

Community and Faith GroupsBeth Chaim SisterhoodBrandywine Valley Girl Scout ServiceUnit 610

Church of the Holy Trinity, West Chester

First Presbyterian Church of West Chester

Kennett Friends MeetingKennett Square Rotary Club Lan-Chester Chapter of PCUAMOMS Club of Chadds FordMOMS Club of OxfordOptimist Club of Goshen-West ChesterPower We ShareRotary Club of West ChesterUnitarian Fellowship of West ChesterUnited Methodist Women of West Chester

Valley Forge Middle SchoolWest Chester Area Communities That Care

West Chester Area EducationAssociation

West Chester Civic AssociationWoman’s Exchange

Local, State, and Federal GovernmentPennsylvania Department of Public Welfare

U.S. Department of Health andHuman Services (Healthy Start)

U.S. Department of Health andHuman Services (Centers forMedicare and Medicaid)

Volunteers and In-Kind DonorsAFSCME Local 2345America's PieMedina Anel Diego AponteJohanna Arevalo Bayada PediatricsLuis Benites Juliah Bertowitz Blanket Circle of Maris GroveJoann BoduarAmaya BoggsSandra BorjasSarah BradyAnna Branch Brandywine Valley Elementary SchoolBrandywine Valley Girl ScoutsBrandywine Valley QuiltersEmily BryantEmily BryerMadie Cahill Calvary Lutheran ChurchCalvary Lutheran Sewing GroupSuzanne CamposDorothy Carney Sandra CarrilloAnita Charles Chester County Estate Planning Council

Chester County Health DepartmentDavid ColemanChristina Comly Cornerstone ChurchJohn and Julie CottageApril DaileyConcetta DaleyChrista Daubney

Maria De La Luz Gigi DiMucciGina DiSabatinoKelli DomizioKristen DonnerEmilee DuckworthBarbara Dunigan Eveline EadsBryce EllerCasey Eller Sydney EllerEpiscopalAcademy

Joann EvansFamily ServicesAmanda Feld Aimee FernandoJonathan Finafrock Debra FishMariluz Flores Tammy FrybergerSheena Gabriel Francis Galvin Jack GannGenesis HealthcareGirls on the RunGirl Scouts Huntfield Service UnitGirl Scouts of Greater CoatesvilleJuan Carlos Ovalle Gonzales JoeAnna Gray Ella HambletonMary Hambleton Peggy HennessyEden Hernandez Luz Hernandez Isela HerreraOdilia HerreraDenaya HollandMary HorvathAntonio Jennings Daniel JimenezDiane KaneMaureen Rose Kazemi Brian Kelly Kristi Kinzeiler Caroline KrupanskyTim and Kathleen KutchLatina Moms Group Las VagasKrista LewisKathleen Levy Suzanne Levy Annalie Korengel LorgusJami LynchMackenzie Maas Paige Maloney Jennifer ManningMars DrinksAna Mata-CoronaMarissa McIntyre Anel Medina MOMS Club of Kennett SquareNew Century Trust Board MembersOffice of Representative Dan TruittOffice of Senator Andy DinnimanOfficer Rodger Ollis, CoatesvillePolice Department

Jordyn Palmer Maureen Pankowski Paoli HospitalAdriana Park

Stephanie PattonPenn Wood Elementary SchoolPeople’s Light and TheatreRachel PetykPierce Middle SchoolJessica Pike Sarah Quynn Kathleen Rahling Doris Ramirez Richnow Lifestyle TransitionsIdaina RodriguezSt. Peter’s United Church of ChristHillary SchmidNadejda Scutaru Robyn Shelton Carrie SimunowAnita SinghLiz Single Aimee Stango Jennifer Stavrakos Erin SteelSunnyside Kid’s SaleSusan SwansonSycamore International, Inc.Magali Taborda Melissa ThachAndrea ThompsonJaime TribbettUnited Methodist Children’s CenterRubi VazquezVictory Bank EmployeesKimberly WaldmanWellington Square BookshopWest Chester Area AlumniAssociation

Anne WilhelmCara Williams Jamie WyattT. WyattLucia ZavalaJason Zimmer

MCHC’s Annual Luncheon celebrated retired Executive Director,Pam Bryer’s long tenure and many accomplishments at MCHC.On behalf of MCHC’s Board and staff, many thanks to Pam forhelping Chester County’s kids start healthy, stay healthy andsucceed in school. Pam, second from left, was honored by (left to right) County Commissioners Ryan Costello, Terence

Farrell, and Kathi Cozzone during the Annual Luncheon.

If you have given to orvolunteered with MCHC andyour listing is incorrect ormissing, please let us know

at mchc@ccmchc.org. Thank you!

Maternal and Child HealthConsortium of Chester County

30 West Barnard Street, Suite #1West Chester, PA 19382610-344-5370mchc@ccmchc.orgwww.ccmchc.org

NON-PROFIT ORG.

U.S. POSTAGE

PAID

WEST CHESTER, PA

PERMIT NO. 479

MCHC Staff

Chief Executive OfficerMonique Howard, Ed.D., MPH

Director of FinanceMyrteny Metzger

Director of Development LeeAnn Riloff, CFRE

Director of Program Reporting and EvaluationMichelle Legaspi Sanchez, MSW, MPH

Manager of Administrative OperationsJennifer M.S. Giunta

Manager of Human ResourcesChristine Marchini

Administrative AssistantGuadalupe Garcia Grajeda

Senior Director of Healthy Start and Family BenefitsMilena Lanz

Healthy Start ManagersCecilia Arce, M.Ed. Crystal BoggsChristine Mummert, MSNettie Wolfe Silva, M.Ed.

Healthy Start CommunityEducation and Volunteer ManagerCourtney L. Coleman

Healthy Start Community Outreach CoordinatorLaToya Myers, MPH

Data CoordinatorLinda Peters

Family Health AdvocatesSandra AguileraKesha HayesNicole JonesAmanda MartinezAnabel OcegueraMaria OrtizSonia OrtizAnna PucciarelliTiana Turner, MPHErica WeatherleyRosa Zavala Zavala

Healthy Start Administrative AssistantsMaribel CastroAbigail Figueroa

Family Benefits Program CoordinatorBecky Zerr

Family Benefits Data CoordinatorFrances Lisowski

Family Benefits AdvocatesJose Karlo AnteparraAracely CrespoClaire McCullough

Family Benefits Administrative AssistantDaniela Pena-Restrepo

Director of Family Center and Community RelationsNelly Jimenez Arevalo

Family Center Parent EducatorsMaria MataLuisa OrtizMaritza Rivera-CochranJose Luis Zavala Zavala

Family Center Program AssistantJanine Kreiss

Maternal and Child Health Consortium is a member agency of the United Way of Southern Chester County and the United Way of Chester County and is funded by the United Way of Southeastern Pennsylvania.

Supported in part by grant No. 93.926.E from the Healthy Start Initiative, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services.

Citadel Federal Credit Union provided generous support for the production of this report.

Printed on recycled paper.

I'm a mother of two lovely children, a boyone year old and a girl two months old. I'm writingthis humble letter to tell you how thankful I am toreceive this computer from you. When my FHA(Family Health Advocate) called me and told meabout the possibility of receiving a laptop, I wasvery excited. I immediately filled out an applicationto earn my high school diploma online. I plan tobetter myself in order to give my children a betterfuture by setting good examples, and get the bestout of this great opportunity. – Healthy Start mom

I have been volunteering with MCHC at the Coatesville Healthy Startoffice. I have been impressed with the level of professionalism and dedicationof the women who work there. Their work with expectant mothers and newmothers gives these women a sense of stability as they go through major lifechanges. I have also been impressed with the level of compassion they showthe women and their families. – Emilee, MCHC Volunteer