Excelsior Wellness

Excelsior Family Medicine: Successfully implemented the Collaborative Care Model within Primary Care by embedding a Licensed Social Worker, Registered Nurse and Community Health Worker into the clinic. A data registry supporting the model was organized and tracked through an Excel spreadsheet, with hopes that in the future an EHR compatible module could be purchased. This care model served approximately 85 patients whose depression and anxiety screeners showed improvement of over 3 points. In August we completed all milestones for the Behavioral Health Integration grant.(Continued on Schedule O)The key activities performed under the Federal Promoting Integration of Primary Care and Behavioral Health (PIPBHC) grant included education for providers and staff in adoption of integrated care models, expansion/refinement planning for integration to include all service lines, and increased patient support through portal messaging and simplified telehealth connectivity.To further our efforts in integrated health, the Epic electronic health record was launched in August for psychiatric services. The purchase and implementation of the system brings more transparency to providers across disciplines, improves patient communications, allows for more accurate patient data exchange, and gives increased visibility to medical and behavioral health services being sought externally.We met a major goal by bringing primary care to the Excelsior main campus. The move increases access to preventative care medical services for Excelsior's broader clientele and to the Indian Trail neighborhood as a whole. The renovated north wing of the building highlights our model of physical and mental wellness care integration. In 2024, providers across our service disciplines completed 10,409 visits. Primary care welcomed 864 new patients into services. We narrowed the focus of outpatient mental health counseling to only serve internal referrals due to the volume of people seeking care and performed 1,407 sessions. In early 2024, we had turnover of all providers in the psychiatric service line and backfilled two of the vacancies with newly graduated PMHNPs. This resulted in less than 300 completed services and this low number is a direct reflection of the scarcity of psychiatric resources in our region.We hired 1.6 additional providers including a part time primary care nurse practitioner and an LMHC Clinical Programs Manager. Support staff numbers remained stable though we experienced typical turnover rates in front desk staff and medical assistants.

Excelsior Integrated Care Center: Inpatient and Residential Services through the Excelsior Integrated Care Center successfully increased access by doubling the available capacity of LifePoint's residential services from eight to 16 units. The team has grown to include substance use services to create a co-occurring enhanced program. The team also celebrated the success of one participant securing housing and another preparing for graduation. These milestones highlight the LifePoint team's effective collaboration and the positive outcomes. The focus remains on hiring part-time staff to enhance delivery service and increasing referrals through sustained outreach.

Wellness Properties: Wellness Properties is an entity to provide real estate income, affordable housing, and property management services that aid in our response to the housing crisis, access to services within neighborhoods, and meeting community needs within the social dimension of health.

New Developed Nations: New Developed Nations (NON) continues to thrive, steadily increasing access for artists. This growth is complemented by the introduction of meditation and yoga sessions, integrating the Evidence Based Practice (EBP) Healing Through Hip Hop elements. The community's response has been overwhelmingly positive, with high attendance rates reflecting the program's impact. NON recently received the Behavioral Health Agency (BHA) certification through the Washington State Health Care Authority. This will enable NON to contract directly with Managed Care Organizations to provide behavioral health services including WISE services. NON also contracted for prevention services with the Spokane County Juvenile Court.

Excelsior Holistic Schools: Excelsior has nearly 40 years of experience providing education services through our fully accredited onsite elementary, middle, and high school. Excelsior Holistic Schools provides special and regular education services, GED, re-engagement and credit retrieval services, and school-based healthcare services to promote education equity for under-served students. Excelsior is the only private entity federally approved to provide special education to the public of Eastern Washington. Current programs in development are early learning services and vocational learning services.