2017 AACHC Annual Report

ANNUAL REPORT 2017

MESSAGE FROM THE AACHC CEO AND BOARD PRESIDENT As 2017 ends, we reflect on a year full of challenges, uncertainties, and opportunities for health centers in Arizona and nationally. While taking the time to respond to key issues at federal, state, and local levels, Arizona’s health centers have not lost sight of their mission to serve their communities and their patients by providing high-quality, cost-effective primary care.

With an emphasis on effective and efficient care delivery, health centers work to strengthen quality of care and demonstrate the value of the comprehensive care they provide. This year, health centers continued to focus on an integrated, patient-centered care experience in which the services provided created health homes for Arizonans that addressed the complexity of care needs and social determinants of health. The number of Arizonans served by health centers increased from 465,285 in 2014 by over 80,000 to 548,487 in 2016 and continued to grow in 2017. Additionally, 100% of Arizona’s health centers have now implemented Electronic Health Records, and 71% are certified as Patient-Centered Medical Homes. In response to needs identified by Arizona’s health centers, AACHC provided a wide array of trainings, such as the Region IX Leadership Conference, Annual Conference, Invaluable Medical and Dental Assistant Day and others, to provide tools and resources to health centers as they address the needs of their patients within the evolving health care environment.

John McDonald, Chief Executive Officer, AACHC

In 2017, AACHC’s multiple Peer Networking Committees met throughout the year, serving as a venue for health center leaders and staff to benchmark, share data & best practices, and identify opportunities for collaboration.

We are pleased at the active engagement we have seen this year in many of our committees, such as the Behavioral Health Committee, and our newer Peer Networking sub-groups addressing Billing and Grants.

AACHC, as Arizona’s Primary Care Association, exists to support Arizona’s health centers and will continue to refine the scope of our services to meet your needs. We will continue to support our health centers through state and federal advocacy, content-specific seminars, facilitation of peer or best practices networking committees, development and promotion of key partnerships, and other programs and tools designed to meet health center needs.

As we enter 2018, we must stay true to our missions and the importance of serving our patients and communities. AACHC will continue to support Arizona health centers in leading the provision of exceptional population-based healthcare for all those we serve. This work could not be accomplished without our committed Board of Directors and talented AACHC staff. We look forward to continued collaboration in 2018 with the shared vision that all Arizonans will have access to high-quality, affordable healthcare. We invite you to explore how AACHC can continue to assist you and your health center(s).

Clinton Kuntz, Chief Excecutive Officer, MHC Healthcare, and 2017 AACHC Board President 01

TABLE OF CONTENTS 01

MESSAGE FROM THE AACHC CEO AND BOARD PRESIDENT

03

BOARD OF DIRECTORS

04

WHO WE ARE

05

AACHC MISSION AND PURPOSE

06

LOCAL, REGIONAL, STATE AND NATIONAL GROUPS

07

AACHC FULL MEMBERS

09

AACHC ASSOCIATE MEMBERS

09

AACHC SPONSOR MEMBERS

10

2017 HEALTHCARE HEROES

11

HEALTH CENTERS STATEWIDE

13

2016 UDS IMPACT

15

ARIZONA RURAL WOMEN’S HEALTH NETWORK

16

BUSINESS DEVELOPMENT

17

COMMUNICATIONS

18

DOMESTIC AND SEXUAL VIOLENCE

19

FINANCIAL SUSTAINABILITY

20

HEALTH CENTER DEVELOPMENT

20

QUALITY PROGRAM

21

NAVIGATOR AND ENROLLMENT SERVICES

22

ORAL HEALTH

23

POLICY, LEGISLATIVE RELATIONS AND GRASSROOTS

24

SPECIAL POPULATIONS

25

TRAINING AND TECHNICAL ASSISTANCE

26

WORKFORCE DEVELOPMENT 02

AACHC BOARD OF DIRECTORS

OFFICERS

PRESIDENT Clinton Kuntz Chief Executive Officer MHC Healthcare

VICE PRESIDENT Ed Sicurello Chief Executive Officer Mariposa Community Health Center

TREASURER David Rogers, MBA Chief Executive Officer Sunset Community Health Center

SECRETARY John Swagert, MD Chief Executive Officer Mountain Park Health Center

MEMBER AT LARGE Avein Tafoy, (Immediate Past Chair), MD, MBA, HCM, EDAC President and Chief Executive Officer Adelante Healthcare

MEMBER AT LARGE Betty Mathis Chief Executive Officer Wesley Community Center

MEMBER AT LARGE Travis J. Robinette Chief Executive Officer Sun Life Family Health Center

Wendy Armendariz, MBA Chief Executive Officer Neighborhood Outrach Access to Health (NOAH)

Diane DeJonge-Ryan Clinic Supervisor Maricopa County Healthcare for the Homeless

Fred Karst, Psy.D. Chief Operating Officer Horizon Health and Wellness

Anne Newland, MD, MPH Chief Executive Officer North Country HealthCare

Jeff Axtel Chief Executive Officer Native Americans for Community Action

Christopher (CJ) Hansen, MHA Chief Executive Officer Canyonlands Healthcare

Jonathan Leonard Chief Executive Officer Desert Senita Community Health Center

Sharon Rickman Director Community Health Center of Yavapai

Lynette Bonar, RN, MBA, BSN Chief Executive Officer Tuba City Regional Health Care Corporation

Barbara J. Harding, BAN, RN, MPA, PAHM, CCM Senior Vice President, Ambulatory Care and CEO Maricopa Health Center Governing Council

Jonathan Melk, MD Chief Executive Officer/ Chief Medical Officer Chiricahua Community Health Centers, Inc.

Daniel Roe, MD Chief Operating Officer/ Chief Medical Officer Copper Queen Community Hospital

Peggy Chase Chief Executive Officer Terros Health

Rodolfo Jimenez, DO Chief Executive Officer United Community Health Center

Walter Murillo Chief Executive Officer Native Health

Kurt R. Sheppard, MA Chief Executive Officer Valle del Sol

Brandon Clark, MBA, FACHE Chief Executive Officer Circle the City

Nancy Johnson, RN, PhD Chief Executive Officer El Rio Community Health Center

BOARD MEMBERS

03

ARIZONA ALLIANCE FOR COMMUNITY HEALTH CENTERS WHO WE ARE Arizona’s Primary Care Alliance The Arizona Alliance for Community Health Centers (AACHC) has served as Arizona’s Primary Care Assocaition (PCA) since 1985 and strives to promote and facilitate the development and delivery of affordable and accessible communityoriented, high quality, culturally effective primary care healthcare for everyone in the state of Arizona through advocacy, education, and technical assistance.

AACHC comprises the state’s largest network of primary care providers and is committed to working with a variety of partners to expand the availability of tools that health centers and organizations serving those in need can utilize to address the needs of their patient populations and improve the health outcomes while continuing to demonstrate cost savings.

AACHC is committed to serving as a resource for organizations providing primary health care to the underserved, including Health Center Program Grantees, Federally Qualified Health Center (FQHC) Look-Alikes, Rural Health Clinics, Tribal organizations, behavioral health facilities, and others with a vested interest in the primary care safety net.

AACHC also has strong local, state, regional, and federal partners with which it leverages resources to accomplish goals. AACHC provides a variety of educational opportunities for members, including peer newtorking committees, which provide a forum for sharing of best practices among member colleagues for optimal healthcare delivery.

“

In times like these, the health center community provides vital integrated care that includes essential behavioral health services

-Bureau of Primary Health Care Associate Administrator Jim Macrae, October 2017

AACHC STAFF

John C. McDonald, RN, MS, CPHQ, Chief Executive Officer Aya Al-Najjar, Training and Technical Assistance Coordinator Kat Bergman, Human Resources Manager Sandra Curtice, MBA, Controller Meryl Deles, MSW, Navigator Coordinator Jonathan Frederick, Administrative/HR Assistant Suzanne Gilbert, CPA, CGMA, Chief Financial Officer Allen Gjersvig, MS, Director of Navigator and Enrollment Services Jan Grutzius, RDH, Oral Health Program Manager Zeenat Hasan, MPH, MA, Grants and Contracts Manager Dorothy Hastings, Women’s Health and Compliance Standards Manager Meredith Hinds, Administrative Assistant Kelli Joch, Executive Assistant to the CEO Pallavi Jugale, BDS,MDS,MPH, Oral Health Coordinator Erika Martinez, Grassroots Coordinator Antonia McVay, Senior Financial Analyst Leah Meyers, MSW, Director of Rural Women’s Health Network Lisa Nieri, MS, Director of Health Center Development Emily Oake, MHSM, Special Populations Lead Coordinator Lourdes Paez, Health Center Enrollment and Workforce Lead Coordinator Tara McCollum Plese, MPA, Chief External Affairs Officer Lorraine Ramirez, Rural Women’s Health Network Coordinator Ginny Roberts, Senior Director of Managed Care Shelli Ross, Senior Director of Quality and Data Management Jessica Yanow, MPH, Chief Operations Officer

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MISSION

PURPOSE

To promote and facilitate the development and delivery of affordable and accessible community oriented, high-quality, culturally effective primary healthcare for everyone in the state of Arizona. This will be accomplished through advocacy, education and technical assistance.

Support Arizona health centers in leading the provision of exceptional population-based healthcare for the communities we serve. We strive to achieve our purpose through five main strategic goals:

Strategic Goals Value Based Reimbursement

Lead payment reform developments that position and prepare Arizona health centers to adopt new reimbursement models that maintain or improve quality and support fiscal sustainability.

Position Health Centers as Providers of Choice

Innovative Practice Models

Increase visibility and credibility of the Alliance to position health centers as an essential primary care network.

Strengthen ties with current and potential patients, among community partners and payers, and with policymakers/ stakeholders.

Lead and support health centers in implementing and refining care and service coordination models that promote patient-centered comprehensive care.

Health Informatics

Position Health Centers as Employers of Choice

Effectively use data to demonstrate evidence of value based care that AACHC members provide.

Support health center workforce development efforts through advocacy, partnerships, and training and technical assistnace that position health centers as employers of choice in their communities.

PEER NETWORKING COMMITTEES • • • • • 05

Agricultural Worker Serving Health Centers Behavioral Health Chief Operations Officer (COO) Grants Clinical Committee

• • • • •

Community Outreach and Marketing Education Team (COMET) Dental Committee Elligibility, Enrollment and Engagement Team (Triple E) Finance Officers Group (FOG) Billing and Coding

• • • • •

Health Care for the Homeless Human Resources Officers (HRO) Patient-Centered Medical Home (PCMH) Pharmacy Quality Committee

AACHC PARTICIPATES IN LOCAL, REGIONAL, STATE AND NATIONAL GROUPS AND COALITIONS ON BEHALF OF OUR MEMBERS

06

AACHC FULL MEMBERS

Tuba City Regional Health Care Corporation 07

08

AACHC ASSOCIATE MEMBERS

AACHC SPONSOR MEMBERS

09

2017 HEALTHCARE HEROES

Innovation Award Baby Box Program Mountain Park Health Center

Legislator of the Year Representative Charlene Fernandez

Preceptor of the Year Award Sister Michelle Humke St. Elizabeth’s Health Center

Legislator of the Year Representative TJ Shope

Medical and Dental Assistants of the Year Anthony Ramierez, El Rio Community Health Center Reina Lopez, El Rio Community Health Center Adriana Nevarez, Maricopa Integrated Health System Denisse Romero, Mariposa Community Health Center

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HEALTH CENTERS STATEWIDE AACHC MEMBERSHIP REACH AACHC has 25 full members and 9 associate members with over 230 physical locations throughout the state of Arizona where people can receive services. Of those, 23 are Community Health Centers or Look-Alikes with over 150 sites.

WHAT ARE COMMUNITY HEALTH CENTERS? Community Health Centers (CHCs) are a critically important part of the healthcare system in Arizona. CHCs are non-profit, communitydirected health care providers serving low income and medically underserved communities. They share a mission of making comprehensive primary care accessible to anyone regardless of insurance status.

Each dot represents a city with member services available to the public.

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CHCs provide high-quality healthcare services for people throughout the state. They strive to promote healthy communities in a variety of urban and rural locations around Arizona. Each has experienced, caring and compassionate medical, dental, pharmacy, and behavioral health staff to serve as the medical home for Arizona’s families.

“

What I experienced that day was the human side of healthcare.

That’s the kind of care you can’t pay for with a copay at the front desk.

” “

- Cloyd Patient at North Country HealthCare

“

“

Here, in Tucson and Marana, you’re going to change all of healthcare. You’re building the next healthcare system that’s going to help us reconnect with why we do this.

”

- Dr. Zubin Damania Keynote Speaker at MHC Healthcare’s 60th Anniversary event

At NOAH I am part of a multidisciplinary team of providers. This integrated approach allows me to offer the best care for my patients.

As a team, we motivate and empower our patients to imporve thier health to achive their goals.

”“

- Dr. Linda Eller Cholla Health Center, NOAH

What a privilege to be a board member and to be part of an energetic and think outside the box organization that strives to deliver high-quality health care and additional supports in a comprehensive and creative way to Arizonans, especially those in need.

- Linda Redman Board Member, Mountain Park Health Center

I strongly believe in the mission of CTC. I like that there’s a place our most vulnerable can go to in our community.

”

- Jessica Nurse at Circle the City

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2016 UDS STATEWIDE IMPACT 645,768

2,377,826

Patients

Staff

AGE

59% 41% Female

5,620.64

Visits

GENDER

32% 58%

Male

Under 18

18 to 64

FEDERAL POVERTY LEVEL 100% and Below FPL* 101% to 150% FPL* 151% to 200% FPL* 201% and More FPL* *

13

2016 PAYER MIX

Federal Poverty Level

10%

65 and older

Medicaid

Private

RACE AND ETHNICITY

15%

13%

Medicare

Hispanic/ Latino Non-Hispanic/ Latino

66%

7%

Uninsured

Native Hawaiian/ Pacific Islander 0.3%

Asian 1%

More than one race 1.30%

American Indian/ Alaskan Native 4.70%

Black/ African American 4.90%

White 87%

QUALITY OF CARE DATA

96%

Electronic Health Records

CHRONIC DISEASE MANAGEMENT

48%

78%

HIV Linkage to Care

Cholesterol Treatment (18+ years old)

71%

54%

70% Patient Centered Medical Home (PCMH)

26%

Health Center Quality Leaders

HEALTH SCREENINGS

54%

83%

Cervical Cancer Screening (females, 24-64 years old)

Tobacco Use Screening and Cessation Intervention

45%

76%

Heart Attack/ Stroke Treatment (18+ years old)

Blood Pressure Control (18-85 years old)

Colorectal Cancer Screening (51-74 years old)

Depression Screening and Follow-up (18+ years old)

85%

48%

78%

52%

Asthma Treatment Plan (5-40 years old)

Diabetes Control (18-75 years old) (HbA1c <8%)

Adult Weight Screening and Followup (18+ years old)

PRENATAL AND CHILD HEALTH

26%

6.6%

Child and Adolescent Weight Assessment and Counseling (3-17 years old)

Low Birth Weight

68%

Entry into Prenatal Care in First Trimester

Dental Sealants to First Molars

36%

Childhood Immunizations (0-3 yearls old)

14

ARIZONA RURAL WOMEN’S HEALTH NETWORK The second annual Women’s Health Symposium was hosted in Sedona, Arizona. We had 80 participants between June 28 and June 29, 2017.

The Network presented four Rural Health Champion Awards to: –– Emerging Leader in Rural Women’s Health – Marie Peoples, Coconino County Public Health Services District –– Innovative Approach to Rural Women’s Health – Cynthia Norris, Tohono O’odham Dept. of Health and Human Services –– Outstanding Achievement in Rural Women’s Health – Barbara Lang, Community Bridges, Inc. –– Rural Women’s Health Practitioner of the Year – Hopi Health Care Center and Hopi Breast and Cervical Center Early Detection Program 15

NETWORK BUSINESS AND GOALS

• Conducted four Network Quarterly meetings • Conducted the second annual Women’s Health Symposium titled, A Holistic Approach to Health • Hired a summer MPH intern from the University of Arizona, who helped create a summary report of the Network Development Survey and Women’s Health Symposium surveys • Created an online version of the Sexual Violence Curriculum for Community Health Workers/Promotoras • In collaboration with Canyonlands Healthcare, we were awarded the HRSA Rural Health Opioid Program Grant • Leah Meyers received the 2017 NCHN Outstanding Emerging Network Leader award April 26 in Bozeman, Montana

TRAININGS AND WEBINARS

• Sexual Violence Curriculum for Community Health Workers training –– Winslow, AZ (January 11, 2017). 8 participants –– Kayenta, AZ (March 7, 2017). 5 participants • Conducted a Human Trafficking Training –– Nogales, AZ for Wellness-Connection health staff (January 6, 2017) with 8 attendees –– Nogales, AZ for Wellness-Connection members (January 26, 2017) with 14 attendees.

• Webinars –– Vivir Mejor Consortium! Consortium: Preventing and Treating Diabetes in Rural Santa Cruz County (February 21, 2017) with 65 participants

PUBLICATIONS AND OUTREACH

• Staffed a table June 15-16 in Tucson at the Arizona Community Health Workers Association 14th Annual Conference: Our Journey…Expanding the Possibilities • Participated in the Monument Quilt Display at Arizona State University (April 21, 2017)

PRESENTATIONS

• Poster presentation with findings from the Sexual Violence Curriculum for Community Health Workers report at the 4th Annual Arizona Health Equity Conference (October 10, 2017) in Glendale, Arizona. 10 people stopped to ask questions

–– Caregiver Violence: Who are the victims and who are the perpetrators? (June 20, 2017) with 60 participants –– The Power of Rural Communities in Action: Responses to the Opioid Crisis in Rural Arizona (November 16, 2017) with 200 participants –– What I knew: A Survivor Story-Understanding Adverse Childhood Experiences (November 21, 2017) with 150 participants –– HIV Testing and Prevention: How Arizona Health Workers Can Help End the Epidemic (December 19, 2017)

BUSINESS DEVELOPMENT U.S. Department of Health and Human Services

part of a national evaluation project for determining

to reduce disparities in oral health and improve

Health Resources and Services Administration

the effectiveness of integrating IPV intervention in

the oral health status of all Arizonans through an

• State and Regional Primary Care Associations:

clinical settings.

integrated approach to whole person care.

HRSA funding for State and Regional Primary Care

Arizona Department of Health Services

Associations that allows AACHC to continue serving

• Quality Improvement Project: Funding to provide

as Arizona’s Primary Care Association (PCA).

• Rural Health Opioid Program: In partnership with Canyonlands Healthcare as the fiscal agent, AACHC houses the Arizona Rural Women’s Health Network to administer the Rural Health Opioid Program.

• National Oral Health Innovation and Integration Network (NOHIIN): Continuing support to

support to reduce cancer disparities and other

collaborate with PCAs around the nation to unify and

quality improvement measures with health centers in

empower a network of PCAs and safety net providers

the state.

to advocate for oral health as part of overall health.

• Workforce Development Support : Funding to support statewide recruitment and retention

Families USA • ACA Repeal Rapid Response Strategy: Facilitated a

U.S. Department of Health and Human Services

strategies and rotation placement of National Health

rapid response strategy with local partners to build

Center for Medicare and Medicaid Services

Service Corp Scholars.

awareness and mobilize affected local communities

Arizona State University

about the repeal of the Affordable Care Act. Local

in Federally-facilitated and State Partnership

National Safety Net Advancement Center (SNAC)

partners that implemented the communications

Marketplaces: Continuation of funding to provide

• Community Health Worker Train the Trainer:

strategy include Ability 360, Arizona Public Health

support for Navigators in enrollment and outreach

Funding to complete the development and

assistance programs.

dissemination of the Community Health Worker

National Association of Community Health

(CHW) Core Competency Curriculum.

Centers

• Cooperative Agreement to Support Navigators

U.S. Department of Health and Human Services Office on Women’s Health

Delta Dental of Arizona

• The IPV Provider Network: Engaging the Health

• Arizona Oral Health Coalition: Funding to

Association, and KXXT Radio.

• PRAPARE Academy: Support for AACHC staff to participate in the PRAPARE Train the Trainer Academy

Care Provider Response to Interpersonal Violence

supportwebsite development for and the expansion

to build the capacity of PCAs and HCCNs to assist

Against Women: Continuation of partnership

of the Arizona Oral Health Coalition.

health centers in implementing and championing

with Johns Hopkins University to collect data on

DentaQuest

the PRAPARE tool as a means of accelerate policy,

Intimate Partner Violence and provide screening and

• Oral Health 2020 State Coalition: Continuing

payment, and delivery system changes.

intervention tools in community health centers as

support to develop the Arizona Oral Health Coalition

GROUP PURCHASING ORGANIZATION (GPO) Current GPO Arrangements

Provide an array of products and services, including but not limited to: • Preferred or tiered pricing for medical, dental and prescription pharmacy products • In the past year, opportunities were presented for additional savings and increased quality of care through service maintenance contracts, clinical decision support tools, telehealth, training etc.

Continue supporting and administering GPO arrangements

Maximize economies of scale and provide substantial sabings to our health centers while generating revenue to further support strategic goals.

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COMMUNICATIONS Primary News for Primary Care

Page Likes: 804 Reach: 85,869

AACHC’s Monthly Newsletter Reach: 492 Subscribers Average Open Rate: 25.5%

Twitter

AudioEye at AACHC.org

Followers: 632 Tweets: 396 Impressions: 142,774

Website audiovisual aid 329 visits with reader engaged 9 reader interactions per visit

Instagram

Daily E-News

Followers: 88 Impressions: 4,116

AACHC’s daily news clipping service Reach: 188 subscribers

www.AACHC.org

LinkedIn

Website sessions: 76,058 Page views: 321,881 Unique Page Views: 136,406 Users: 58,966 Posted 149 jobs on behalf of members on the AACHC Website.

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SOCIAL MEDIA REACH Facebook

Followers: 150 Reach: 5,682

Posted over 40 grants opportunities on the AACHC website for members.

YouTube Subcribers: 17 Views: 1,573 Watch Time: 2,838 minutes

DOMESTIC AND SEXUAL VIOLENCE AACHC, in conjunction with North County Health Care, is an awardee for the PATHS Project (Providers, Advocates, and Technology for Health and Safety).

We are currently in the third and final year of the project. The project has two facets, research and implementation of universal screening and brief intervention/education. To date, 1,149 women have agreed to be surveyed for the project and 226 of those indicated a history of intimate partner violence and were enrolled in the research co-hort. The research will evaluate the effectiveness of integrated screening and intervention compared to standard practice and examine longitude changes in clinic level assessment and response to IPV. Two of the three clinic sites have received training from Futures Without Violence on universal screening and brief intervention and education and have integrated the activities into their workflow. The third site is considered a control site and will receive the training in the second quarter of 2018. The three clinics have also developed relationships with the local domestic/sexual violence providers to establish close referral partnerships for those patients who identify as victims of intimate partner violence. The overall objective of PATHS activities is to improve the health and safety of diverse intimate partner violence and sexual assault survivors. Universal screening and brief intervention is best practice for the clinics.

ADVOCACY PROGRAM 4 Community Advocates were funded in Holbrook, St. Johns, Elfrida and Nogales

53,829 People Screened for sexual and domestic violence

$10,414.43 in Emergency Service Funds paid for emergency expenses to keep victims safe

Training and education session for 2,423 health professionals and other community members, including law enforcement, through Dec. 2017

PEOPLE SERVED IN 2017

Victims

Of the 283 Victims

Of the 283 Victims

Secondary Victims

THE PRIMARY ACT OF VIOLENCE FOR THOSE SERVED (MALE AND FEMALE):

Sexual Assault Victims - 44

Domestic Violence Victims - 236

Stalking Victims - 7 18

FINANCIAL SUSTAINABILITY

AACHC, continues to assist health centers with the transition to ValueBased Care (VBC), including technical support on changing payment methodologies. AACHC is working closely with health centers, Arizona’s Regional Extension Center, academic institutions, and other partners to develop tools that capture and report cost and quality data, in order to demonstrate the value of FQHCs and measure achieved efficiencies/ savings.

TRAINING AND TECHNICAL ASSITANCE

HEALTH INFORMATION EXCHANGE

Including VBC reimbursement, Federally-required reporting, and health center-specific billing issues.

Support Member and CVN participation in statewide HIE and population health analytics.

TRANSFORMING CLINICAL PRACTICE INITIATIVE

ACTIVITIES

Support HRSA’s TCPI-PTN Grantee, “Practice Innovation Institute,” and CVN’s Healthy Communities Collaborative Network.

Training for: • Payment Reform • Billing • Medicare quality-based incentive payments • Medicare cost reporting

AHCCCS 2017

AACHC continues to work closely with AHCCCS and the agency’s contracted health plans to ensrure health centers’ concerns are addressed, including: PPS Payment Process Change, billable FQHC services, billable Integrated Care, Proposed Delivery System Reform Incenteive Payment (DSRIP) Program.

OPPORTUNITIES

Support health center clinical transformation for improved integrated primary care, supported by technology-driven population health management and analytics.

Measure and report clinical/quality and financial value of primary care delivered through Arizona’s health centers.

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PERCENT OF REVENUE HRSA PCA Cooperative Agreement Grant Administrative Contracts CMS Navigator Cooperative Agreement Grant ADHS Pass-through Grant Other Federal Grants Events Dental Grants (privately funded) All Other Grants Member Dues All Other Revenue Sources

CVN’s Mission is “to foster collaborative business activities which enhance Community Health Centers’ individual abilities to serve their communities to meet the needs of Arizona’s uninsured, underinsured and underserved.” CVN sponsors two collaborative provider networks. Healthy Communities Collaborative Network, a health center controlled network, supports 20 participating health centers to advance MU, technology-enabled QI strategies and HIE. Healthy Arizona Network, a clinically integrated provider network, supports 16 participating health centers in their delivery of value-based care and provides a strong collective voice when negotiating and contracting with third-party payors.

HEALTH CENTER DEVELOPMENT TRAINING AND TECHNICAL ASSISTANCE 3 Organizations

8 Organizations

received technical assitance on Health Center Program/ Look Alike Status

representing 16 distinct organizations at the Annual Board Governance Training

24 Organizations received

5 Organizations

5 Health Centers

QUALITY PROGRAM

21 Health Center Quality Improvement Awards Totaling

received faceto-face board trainings

59 attendees

received technical assistance related to baord requirements

training and/or technical assistance on the 19 Health Center Requirements or OSV preparation/ followup for 70+ issues

had Operational Site Visits; AACHC attended 4

$1,643,415

Nine EHR Reporter Awards $94,500

18 Clinical Quality Improvement Awards $377,529

Six Health Center Quality Leader Awards $270,726

One National Quality Leader Awards $56,910

Seven Access Enhancer Awards $105,000

Two High Value Health Center Awards $52,500

14 PCMH Recognition Awards $660,000

Two Addressing Health Disparities Awards $26,250 20

NAVIGATOR AND ENROLLMENT SERVICES

2017 SERVICES From September to the end of August 1

More than 200 enrollment specialists, Certified Application Counselors and Navigators trained in collaboration with the Cover AZ Coalition and HHS Region IX

6

Presented Healthcare.gov information at two multi-state IHS regional meetings reaching more than 200 people

2

More than 125 individual from Community Health Centers and Navigator sub-grantees trained at four Outreach Planning and Insurance Literacy events

7

AACHC staff provided more than 20 local, state and national media interviews

3

Hosted Open Enrollment debriefing sessions with Application Assisters to explore what worked and what needs improvement

8

Provided one on one technical assistance to Community Health Center to more than 200 inquiries and week resources and updates

4

AACHC staff and partners managed more than 1,700 inbound consumer calls from the Cover AZ 800 number regarding AHCCCS and health insurance coverage

9

Held 12 Eligibility, Enrollment and Engagement (Triple E) peer learning sessions, face to face meetings and webinars

5

Developed Arizona specific social media and messaging materials to support health insurance outreach among Navigator and Community Health Centers and hosted seven Facebook Live broadcasts

10

Participated in a national by invitation only enrollment meeting organized by the Robert Wood Johnson Foundation, Community Catalyst and the Kaiser Family Foundation

COLLABORATION • Provided technical assistance to the Cover Arizona Coalition regarding outreach and enrollment best practices • Participated in committee work and leadership for the Assister Training, the Consumer Insurance Literacy and statewide Steering Committee for the Cover Arizona Coalition 21

• Worked with NACHC, other national organizations and several Navigator grantees and PCAs across the country to plan for significant HHS changes for Open Enrollment

•

Approximately 85,000 applicants assisted

by Community Health Centers for enrollment services –– 15 Navigators –– 6.9 million reached through events and media –– 95,300 applicants and post enrollment help

ORAL HEALTH

DENTAL PEER NETWORKING COMMITTEE

January 13th: Marana (MHC) hosted this meeting that included a tour of the clinic, AACHC, DQF, Delta Dental Foundation updates and a presentation by Tracy Lenartz and Ana Roscetti from ADHS, Shortage Designations 101 (DHPSA, loan repayment and more).

March 3rd: MIHS hosted the DPNC with Dr. Chen giving an overview, Dr. Brendemuhl presenting on McDowell’s Dental Clinic’s mission, Bob Winovich giving us tour of the facility (26th St& Roosevelt), grant updates from AACHC and legislative updates from Tara Plese.

November 3rd: AACHC hosted the meeting giving updates on the AZOHC, NOHIIN, legislative rundown, and possible new integration opportunities. Dr. Jack Dillenberg engaged the participants in a lively discussion of “Dentistry Beyond the Drill” and other current issues.

ARIZONA ORAL HEALTH COALITION

• Furthered the mission, vision and purpose of AZOHC • Planned and hosted monthly AZOHC meetings • Held a statewide Oral Health Summit on May 12 with 140 attendees • The State Oral Health Action Plan is drafted and ready for print and dissemination in January, 2018 • Post Summit, AZOHC expanded from a Steering Committee to inclusion of regional coalition representatives, grassroots organizations and other interested stakeholders

• AZOHC Workgroups were formed: Advocacy, Workforce, Messaging and the State Plan • AZOHC/AACHC hosted an Advocacy Workshop (D. Martinez, St. Mary’s Food Bank) on Nov 1, with 41 registrants

2017 ANNUAL INVALUABLE MEDICAL/DENTAL ASSISTANT SEMINAR

• October 21, 2017: - Large attendance of dental assistants with plenary talks from Community leaders, Oral Health Champions, healthcare providers.

PRESENTATIONS

• DQF National Oral Health Connection Team 2017, Nashville, TN, Feb. 8-10 • Families USA Health Action Conference Washington D.C., Oral Health pre-conference Feb. 15-16 • NOHIIN Training Meeting Albuquerque, NM, April 22-23 • AAP Campaign for Dental Health Conference, Chicago, IL, May 8-9 • Statewide Oral Health Summit, Litchfield Park, May 12 • DQF AZ State Meeting, Phoenix, June 13-14 • Regional Oral Health Connection Team Conference, Austin, TX, July 11-14 • ADHS Tribal Consultation Meeting, Flagstaff, July 27-28 • NIIOH Symposium, Chicago, IL, Oct 9-10 • DQF Annual Meeting, Atlanta, GA, Oct 23-27

ORAL HEALTH GRANTS DentaQuest Foundation Grant: Oral Health for all Arizonans* DentaQuest Foundation Grant: National Oral Health Innovation, and Integration Network (NOHIIN)* Delta Dental of Arizona Foundation Grant: Coalition Expansion and Resource Development Project* Delta Dental of Arizona Foundation Grant: Project PITCH (Perinatal Interventions To prevent Caries and improve oral Health) • Grant ended in February 2017. Educated health center medical and dental staff on the importance of oral health during pregnancy and early initiation of routine preventive care. Nine CHCs participated. The flipchart is available on the AACHC website. *Please view the “Business Development” page for more details on these grants.

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POLICY, LEGISLATIVE RELATIONS, AND GRASSROOTS 2017 LEGISLATIVE SESSION

122 Days of Session

2017 AACHC LEGISLATIVE AGENDA 1,079 Bills Posted

Adjourned May 10, 2017 353 Bills Passed

342 Bills Signed

GRASSROOTS EFFORTS

23

1

Transferred advocacy resources and campagins to Nationbuilder and Phone2Action

6

16 total in-person meetings or health center tours with Arizona’s Legislators

2

Increased the number of advocates to more than 4,000 across Arizona

7

One Advocacy Center of Excellence (ACE) health center in Arizona

3

Created the AACHC Action Network at aachc.org/advocacy

8

47 total Legislative Alert and Legislative Update emails sent to health center advocates

4

27 Advocacy Trainings and meetings across Arizona for our members and partners

9

746 advocates took action through the AACHC Action Network

5

16 total in-person meetings or health center tours with Arizona’s Members of Congress

10

2,926 total emails and social media poasts sent to elected officials through our AACHC Action Network

Community Health Worker (CHW) Voluntary Certification • Helped get the proposal through the Sunris Application Process State Loan Repayment Program (SLRP) • Obtained $350,000 more in state funding to obtain a $1 million federal match

2018 AACHC LEGISLATIVE AGENDA • Community Health Worker (CHW) Voluntary Certification • Dental Coverage for Pregnant Women on Medicaid • Licensure Changes to the Board of Behavioral Health Examiners • Medicaid Buy-In • Tele Pharmacy • Raise Tobacco Age to 21 • Monitor State and Federal Changes to Medicaid

SPECIAL POPULATIONS

Two Special Populations Medical Assistants of the Year Award presented at Annual Medical/Dental Assistant Seminar for care of patients living with HIV and individuals experiencing homelessness.

TRAINING AND TECHNICAL ASSISTANCE Veterans • Continue to provide information on website and newsletter as appropriate Native Americans • Tribal Health Workforce Symposium held in conjunction with AZDHS and the Arizona Advisory Council on Indian Health Care Gender and Sexual Minorities • Providing inclusive care to LGBTQ patients session at Annual Meeting

People best served in a language other than English • Session on working with medical interpreters and certification at Medical and Dental Assistant Seminar Persons living with HIV/AIDS • Educational session at Medical and Dental Assistant Seminar

SPECIAL POPULATIONS SERVED IN 2016 People best served in a language other than English 127,038 Veterans 10,243 Individual Experiencing Homelessness 27,299 Children in Schools 11,979 Agricultural Workers 10,566 Gender and Sexual Minorities 3,695 People living in or adjacent to Public Housing 786

COLLABORATIONS AND OUTREACH Vulnerable Populations • Sessions on social justice, systemic racism, and historical trauma at Annual Meeting and Medical and Dental Assistant Seminar Agricultural Workers • Arizona Interagency Farmworkers Coalition - Ongoing board representation - Annual Education Conference - Scholarship Program • Agricultural- Worker Serving Health Center Peer Networking Committee • Ongoing outreach with three health centers, Department of Economic Security, Community Legal Services in Maricopa, AZ People Experiencing Homelessness • Health Care for the Homeless Peer Networking Committee Culturally and Linguistically Appropriate Services • Provided in-person trainings and webinars on CLAS StandardsMedical and Dental Assistant Seminar Persons living with HIV/AIDS • Educational session at Medical and Dental Assistant Seminar 24

TRAINING AND TECHNICAL ASSISTANCE February 2017 AACHC Annual Meeting • 259 Attendees • 22 Health Centers • 51 Organizations

Board Governance Training

March

May

Medicare Cost Reporting for FQHCs • 35 Attendees • 20 Health Centers

July

Oral Health Summit

AACHC Annual Board Retreat

Women’s Health Symposium

Finance Officers Training

• 140 Attendees • 92 Organizations

• 32 Attendees • 20 Organizations

• 80 Attendees

• 53 Attendees • 17 Health Centers

• 23 Attendees • 20 Organizations

NHSC Scholars Meeting • 15 Attendees • 5 Health Centers

CVN Annual Meeting • 61 Attendees • 22 Health Centers

September Get Covered AZ Training • 259 Attendees • 22 Health Centers • 51 Organizations

Arizona Interagency Farmworkers Coalition (AIFC) • 92 Attendees

National 3RNet Conference • 15 Attendees

HIT Symposium

• 62 Attendees • 21 Health Centers

25

October 16th Annual Medical and Dental Assitant Seminar • 174 Attendees • 20 Health Centers

Intricacies of FQHC Coding and Billing • 69 Attendees • 23 Health Centers

Regional O&E Conferences in Collaboration with CMS • 199 Attendees • 62 Organizations

November Uniform Data Systems (UDS) Training • 259 Attendees • 22 Health Centers • 51 Organizations

Tribal Health Workforce Symposium • 74 Attendees

WORKFORCE DEVELOPMENT RECRUITMENT AND RETENTION PROGRAMS AACHC Partnered with ADHS for the following Recruitment and Retention Programs: • 2017 AZ NHSC Scholars Conference attended by 12 Primary Care Students and Medical Residents • AZ SEARCH Partners Meeting attended by 22 Participants (AZ SEARCH Program consists of 34 Member OrganizationsCommunity Health Centers, Academic Organizations, Arizona Area Health Education Centers, State Healthcare Organizations, Community Organizations & NHSC Scholar Program Alumni) • AZ SEARCH Program and Arizona Area Health Education Centers(AHEC) Workforce Meeting • Recruitment and Retention Conference: Attended by 73 Participants-FQHC’s, Academic Partners, Behavioral Health Organizations, Critical Care Hospitals, Indian Health Services, Rural Clinics & Health Care Providers from State & Federal Prisons • Provided Sponsorship for 15 CHC Staff Member Registrations and 10 Travel Stipends to the National 3RNet Post Conference Recruitment and Retention Workshop for Rural Underserved Community Health Centers • Provided NHSC Scholar Clinical Rotation and Placement Assistance to 7 Scholars: 1 Medical Student, 1 Dental Student, 3 Physician Assistant Students and 2 Nurse Practitioner Students.

• Participated in the Region IX Conference as an exhibitor for Workforce Programs • Participated in the Association of Clinicians for the Underserved National Conference as an exhibitor for Workforce Programs and Provider Recruitment AACHC Workforce Programs & Events: • Provided Staff Development, True Colors, Facilitation Skills & Multiple Intelligence Workshop to participants form 17 FQHCs • Participated in Recruitment Conferences at A.T. Still & Midwestern Universities attended by 350 Primary Care Students • Participated in the Arizona Military Veterans Recruitment Conference attended by 175 Military Veterans and their families • Provided Rotation Placement Assistance and information to 120 Primary Care Students, Medical Residents, NHSC Scholars and Primary Care Physicians • Provided Community Health Worker Core Competency Training to 24 Community Health Center Staff Members • Partnered with the Arizona Rural Health Association to provide internship opportunities to 4 college students interested in healthcare professions • Provided updates on recruitment and retention trainings & events, Workforce Programs, State and Federal loan repayment programs and the 3RNet Program to the Human Resources Peer Workgroup • Provided Community Health Center Presentations to 250 Primary Care and Rural Healthcare Students

STATEWIDE IMPACT 2017 CHW Workforce Development Program Goal A structured and sustainable Community Health Worker Workforce throughout the State of Arizona.

RURAL RECRUITMENT & RETENTION NETWORK (3RNET) Arizona Organizational Members: • Arizona Alliance for Community Health Centers (AACHC) • The University of Arizona State Office of Rural Health (SORH) • The Arizona Department of Health Services (ADHS) Collaborated in the following services in 2017: • Hosted the 2017 National 3RNet Conference in Scottsdale Arizona that included 75 National Participants • Hosted the 2017 Recruitment and Retention Post 3RNet Conference for Rural & Underserved Community Health Centers in Scottsdale Arizona for 55 Participants • Provided 3RNet Candidate Lists to 18 FQHC Requests for a total of 438 Providers interested in Arizona 3RNet Network Accomplishments for 2017: • Over 50,000 Active Candidates • 2,974 New Candidate Registrations • 718,527 Site Views • 63,749 Candidate Views 26

Get in touch Arizona Alliance for Community Health Centers 700 E. Jefferson Street, Suite 100 | Phoenix, AZ 85034 602.253.0090 | www.AACHC.org | info@aachc.org