2018 AACHC Annual Report

2 0 1 8 ANNUAL REPORT

Proven Quality | Cost-Effective | Innovative

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AACHC 2018 Annual Report

TABLE OF CONTENTS

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MESSAGE FROM THE AACHC CEO AND BOARD

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ARIZONA RURAL WOMEN’S HEALTH NETWORK

PRESIDENT

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BUSINESS DEVELOPMENT

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BOARD OF DIRECTORS

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COMMUNICATIONS

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WHO WE ARE

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DOMESTIC AND SEXUAL VIOLENCE

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STRATEGIC PLAN 2018-2020

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FINANCIAL SUSTAINABILITY

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LOCAL, REGIONAL, STATE AND NATIONAL

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HEALTH CENTER DEVELOPMENT

GROUPS

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QUALITY PROGRAM

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AACHC FULL MEMBERS

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NAVIGATOR AND ENROLLMENT SERVICES

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AACHC ASSOCIATE MEMBERS

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ORAL HEALTH

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AACHC SPONSOR MEMBERS

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POLICY, LEGISLATIVE RELATIONS AND

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2018 HEALTHCARE HEROES

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HEALTH CENTERS STATEWIDE

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SPECIAL POPULATIONS

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HEALTH CENTERS BY CONGRESSIONAL DISTRICT

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TRAINING AND TECHNICAL ASSISTANCE

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2017 UDS IMPACT

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WORKFORCE DEVELOPMENT

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2017 QUALITY OF CARE DATA

GRASSROOTS

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MESSAGE FROM THE AACHC CEO AND BOARD PRESIDENT As 2018 comes to a close, we reflect on a year of hard work and successes supporting Arizona’s health centers through high quality training, technical assistance, and advocacy.

This has been a year of transitions, which are still under way. We have been active participants in the Arizona Health Care Cost Containment System’s (AHCCCS) transition to the Complete Care model and continue to work towards the vision of integrated care for Medicaid beneficiaries. We have worked collaboratively with AHCCCS to develop an Alternative Payment Methodology that reimburses health centers for value, taking into account health center performance on designated quality indicators. We have updated our strategic plan, maintaining focus on key priorities in support of Arizona health centers in the next two to three years, with the recognition that the areas of Value Based Reimbursement; Positioning Health Centers as Providers of Choice; Innovative Practice Models; Health Informatics; and Positioning Health Centers as Employers of choice are crucial to creating and sustaining the health center of the future.

And as we adapt to meet the diverse and evolving demands placed upon us as part of the larger healthcare system, health centers continue to be leaders in providing an integrated, patient-centered care experience that addresses complex health needs and social determinants of health. The number of Arizonans served by health centers increased from 500,940 in 2015 by over 17% to 587,459 in 2017 and continued to grow in 2018. Additionally, 100% of Arizona’s health centers now utilize Electronic Health Records, and 80% are certified as Patient-Centered Medical Homes. In 2018, we provided a

John McDonald Chief Executive Officer, Arizona Alliance for Community Health Centers

wide variety of individualized technical assistance as well as trainings, including the Annual Conference, Invaluable Medical and Dental Assistant Day, and others, to provide tools and resources to health centers. AACHC also expanded its collaborations on conferences, working with the Northwest Regional Primary Care Association, AHARO Hawaii, Waianae Coast Comprehensive Health Center, and the Association of Asian Pacific Community Health Organizations in 2018 to bring information and resources to a wider audience.

AACHC’s multiple Peer Networking Committees continued to meet throughout 2018 and served as a venue for health center leaders and staff to benchmark, share data and best practices, and identify opportunities for collaboration. These committees are an important benefit to AACHC members, and we are so pleased to see such active engagement, including in our newest committee dedicated to addressing opioid use and substance use disorder.

As we enter 2019 and respond to the changing healthcare environment, AACHC will continue to support Arizona health centers in leading the provision of exceptional population-based healthcare for all those we serve. Thank you to the amazing AACHC staff and committed Board of Directors that make this work possible.

We recognize the valuable contributions of our team and our members to our continued success. Arizona’s health centers represent the largest primary care network in the state, and along with their counterparts nationally, comprise the largest primary care network in the country. There is tremendous power in this network and in the value that health centers provide. We look forward to continued collaboration and success in 2019.

Ed Sicurello Chief Executive Officer, Mariposa Community Health Center, 2018 AACHC Board President

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AACHC 2018 Annual Report

AACHC BOARD OF DIRECTORS OFFICERS PRESIDENT Ed Sicurello Chief Executive Officer Mariposa Community Health Center

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

MEMBER AT LARGE Peggy Chase Chief Executive Officer Terros Health

MEMBER AT LARGE Clinton Kuntz, DBH Chief Executive Officer MHC Healthcare

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

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

Sharon Rickman, MPA Director Community Health Center of Yavapai

BOARD MEMBERS Avein Tafoya, MD, MBA, HCM, EDAC President, Chief Executive Officer Adelante Healthcare

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

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

Barbara J. Harding, BAN, RN, MPA, PAHM, CCM Senior Vice President of Ambulatory Services/FQHC LAL Clinics CEO Maricopa Integrated Health System

David Rogers, MBA Chief Executive Officer Sunset Community Health Center

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

Fred Karst, PsyD Chief Operating Officer Horizon Health and Wellness

Betty Mathis Chief Executive Officer Wesley Community Center

Jeff Axtell Chief Executive Officer Native Americans for Community Action

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

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

Jonathan Leonard Chief Executive Officer Desert Senita Community Health Center

Nancy Johnson, RN, PhD Chief Executive Officer El Rio Community Health Center Rodolfo Jimenez, DO Chief Executive Officer United Community Health Center

Travis J. Robinette Chief Executive Officer Sun Life Family Health Center Walter Murillo Chief Executive Officer Native Health Wendy Armendariz, MBA Chief Executive Officer Neighborhood Outreach Access to Health (NOAH)

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WHO WE ARE

AACHC STAFF

ARIZONA’S PRIMARY CARE ALLIANCE The Arizona Alliance for Community Health Centers (AACHC) has served as Arizona’s Primary Care Association (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 networking committees, which provide a forum for sharing of best practices among member colleagues for optimal healthcare delivery.

“Wouldn’t it be nice if, in pursuing [value-based transformation], we had a set of partners that had a track record of delivering quality care at a significantly lower cost? Wouldn’t it be nice if we had partners who had taken the lead in using electronic health records—achieving almost universal adoption? Wouldn’t it be great to learn from providers who excel at coordinating and integrating different levels of care? The good news is that, as you can probably tell, we do have such a set of partners. It’s all of you—America’s community health centers.”

-Secretary of Health and Human Services Alex Azar, March 16, 2018

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

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AACHC 2018 Annual Report

STRATEGIC PLAN 2018-2020 POSITION HEALTH CENTERS AS EMPLOYERS OF CHOICE Support health center workforce development efforts through advocacy, partnerships, and training and technical assistance (T/TA) that position health centers as employers of choice in their communities.

VALUE BASED REIMBURSEMENT Lead and monitor payment reform and business development efforts that position and prepare Arizona health centers to adopt new payment models that utilize common outcome measures to ensure appropriate reimbursement.

PURPOSE

HEALTH INFORMATICS Effectively use data to support health center performance and collectively demonstrate the value that health centers provide.

Support Arizona health centers in leading the provision of exceptional population-based healthcare for the communities we serve.

MISSION

POSITION HEALTH CENTERS AS PROVIDERS OF CHOICE

Promote and facilitate the development and Increase visibility and delivery of affordable and accessible community credibility of the Alliance to oriented, high-quality, culturally effective position health centers as primary healthcare for everyone in the state leaders in primary care across of Arizona. This will be accomplished Arizona.

Strengthen through advocacy, education engagement with current and technical assistance. and potential members, partners, payers, policymakers, and stakeholders.

INNOVATIVE PRACTICE MODELS

Provide relevant education and technical assistance (TA) to health centers as they implement innovative care and service coordination models that promote personcentered, comprehensive care.

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AACHC PARTNERS WITH LOCAL, REGIONAL, STATE AND NATIONAL GROUPS AND COALITIONS ON BEHALF OF OUR MEMBERS •

AACHC PEER NETWORKING COMMITTEES • • • • • •

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Arizona Health Care Cost Containment System (AHCCCS) American Association of Public Health Dentistry American Dental Education Association American Network of Oral Health Coalitions Arizona Action Coalition Arizona American Lung Association Arizona Advisory Council on Indian Health Care Arizona Cancer Coalition Arizona Chapter of American Academy of Pediatrics Community Resource Group Arizona Child and Family Advocacy Network Arizona Coalition for Health Emergency Response, Central Region Leadership Team Arizona Coalition to End Sexual and Domestic Violence Arizona Community Health Workers Association Arizona Community Health Worker Workforce Coalition Arizona Health Collaborative Board of Directors Arizona Health Current Board of Directors Arizona Oral Health Coalition AZDHS Preconception Health Alliance Arizona Pregnancy Risk Assessment Monitoring System Steering Committee Arizona Public Health Association Arizona Health Alliance for Language Access Rights Arizona Area Health Education Centers Arizona State Health Improvement Plan Arizona Interagency Farmworkers Coalition Arizona Partnership for Healthy Communities Arizona Prevention Research Center Arizona Network of REACH Communities Arizona Rural Health Association Arizona Rx Misuse and Abuse Initiative Health Care Advisory Team Arizona Student/Resident Experiences and Rotations in Community Health Program Arizona State Medicaid Advisory Committee Arizona State University Health Advisory Board for the College of Health Solutions AZDHS/HRSA Health Equity Advisory Board AZDHS Bureau of Women’s and Children’s Health AZDHS Early Detection and Prevention Workgroup AZDHS Office of Chronic Disease CHW Advisory Council Asian Pacific Community in Action Association for the Clinicians for the Underserved Campaign for Dental Health Children’s Action Alliance Chinle Comprehensive Health Care Facility CMS Certified Application Counselor Group Committee on the Impact of Domestic Violence and the Courts Community Catalyst Cover Arizona Coalition Cover Kids Coalition Coyote Crisis Collaborative DentaQuest Foundation National & Regional Oral Health Connection Teams Dignity 2MATCH Consortium Families USA Federal Office of Rural Health Policy Governor’s Office for Youth, Faith, and Family Greater Phoenix Chamber of Commerce Health Equity Roundtable Health Improvement Partnership of Maricopa County HOPE (Helping Other Promotores Excel) Network Inter Tribal Council of Arizona LGBTQ/GSM State Advisory Board MAFO Conference Planning Committee Maricopa County Hard-to-Reach Populations Maricopa County Oral Health Leaders, Advocates, and Resources National Association of Community Health Centers National Cooperative of Health Networks Association National Health Service Corps National Network for Oral Health Access National Rural Health Association National Oral Health Innovative Integration Network Navajo Apache Zuni Hope Coalition Against Sexual Assault and Family Violence NAU Project Zero Advisory Board Northern Navajo Medical Center Phoenix Health Care Sector Partnership Planned Parenthood of Arizona Primary Care Association Leadership Committee National Rural Recruitment & Retention Network (3RNet) Southwest Indigenous Women’s Coalition Southwest Telehealth Resource Center Vitalyst Public Policy Committee TAPI/AACHC Task Force Oral Health Cancers and HPV Connections TAPI Steering Committee University of Arizona - Center for Rural Health Western Migrant Stream Forum Planning Committee Western Region Public Health Training Center Winged Hope Young Invincibles

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Agricultural Worker Serving Health Centers Behavioral Health Billing and Coding Chief Operations Officer (COO) Clinical Committee Community Outreach and Marketing Education Team (COMET) Dental Committee Eligibility, Enrollment and Engagement Team (Triple E) Finance Officers Group (FOG) Grants Health Care for the Homeless Human Resources Officers (HRO) Patient-Centered Medical Home (PCMH) Pharmacy Quality Committee Substance Use Disorder Committee

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.

During 2018 AACHC worked with five medical and dental suppliers or purchasing groups to provide all CHCs with the best possible option to meet their unique needs. New supplier agreements with Relias, Medline and CommonWealth Purchasing Group were implemented during the year.

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AACHC 2018 Annual Report

AACHC FULL MEMBERS

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Tuba City Regional Health Care Corporation

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AACHC 2018 Annual Report

AACHC ASSOCIATE MEMBERS

AACHC SPONSOR MEMBERS

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2018 HEALTHCARE HEROES

2018 Innovation Award

El Rio Community Health Center’s Southwest Clinic Pediatric Performance Improvement Team

2018 On Site Rotation Placement Staff Recognition Luncheon Awardees

Dr. Saika Somjee-Sunset Community Health Center (far left), Diana Adams-Adelante Healthcare (second from left), Tom Murphy-United Community Health Center (third from left), Darcy McCraken-Sun Life Family Health Center (second from right)

2018 Preceptor of the Year

Dr. Connie Tucker, NOAH

2018 Medical and Dental Assistant Day Awardees

From left to right: Tonya Lavender-North Country HealthCare, Team member accepting on behalf of Sindy Manzaneres-El Rio Community Health Center, Team member accepting on behalf of Claudia VegaNeighborhood Outreach Access to Health (NOAH)

2018 Outstanding Grassroots Advocacy Award El Rio Community Health Center

2018 Legislator of the Year Senator Andrea Dalessandro

2018 Legislator of the Year Senator Kimberly Yee

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AACHC 2018 Annual Report

HEALTH CENTERS STATEWIDE AACHC MEMBERSHIP REACH AACHC has 24 full members and nine associate members with over 230 physical locations throughout the state of Arizona where people can receive services. Of those, 22 are Community Health Centers or Look-Alikes with over 175 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, community directed 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.

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.

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

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HEALTH CENTERS BY CONGRESSIONAL DISTRICT CONGRESSIONAL DISTRICT ONE

• Canyonlands Healthcare (10) • Desert Senita Community Health Center (1) • MHC Healthcare (4) • North Country HealthCare (9) • Sun Life Family Health Center (10) • Tuba City Regional Health Care Corporation (2) • Horizon Health and Wellness (1)

CONGRESSIONAL DISTRICT TWO • Chiricahua Community Health Center (11) • El Rio Community Health Center (5) • MHC Healthcare (8) • United Community Health Center (6)

CONGRESSIONAL DISTRICT THREE • Adelante Healthcare (4) • Desert Senita Community Health Center (3) • El Rio Community Health Center (9) • Mariposa Community Health Center (4) • MHC Healthcare (5) • St. Elizabeth’s Health Center (1) • Sunset Community Health Center (8)

CONGRESSIONAL DISTRICT FOUR • Adelante Healthcare (1) • Canyonlands Healthcare (1) • Community Health Center of Yavapai (3) • Horizon Health and Wellness (2) • North Country HealthCare (6) • Sunset Community Health Center (1) • Sun Life Family Health Center (3)

CONGRESSIONAL DISTRICT FIVE • Horizon Health and Wellness (1) • Terros Health (1)

CONGRESSIONAL DISTRICT SIX

• Adelante Healthcare (1) • Mountain Park Health Center (2) • Neighborhood Outreach Access to Health (7)

CONGRESSIONAL DISTRICT SEVEN • Adelante Healthcare (1) • Circle the City (4) • Maricopa Integrated Health System (16) • NATIVE HEALTH (1) • Neighborhood Outreach Access to Health (1) • Terros Health (2) • Valle del Sol (2)

CONGRESSIONAL DISTRICT EIGHT • Adelante Healthcare (2) • Maricopa Integrated Health System (1) • Mountain Park Health Center (1) • Neighborhood Outreach Access to Health (2) • Terros Health (1)

CONGRESSIONAL DISTRICT NINE • Adelante Healthcare (1) • Maricopa Integrated Health System (3) • Mountain Park Health Center (1) • NATIVE HEALTH (3) • Neighborhood Outreach Access to Health (2) • Sun Life Family Health Center (1) • Valle del Sol (2)

*Numbers within parentheses indicate the number of sites that particular Community Health Center has in the congressional district.

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AACHC 2018 Annual Report

2017 UDS STATEWIDE IMPACT 680,649

Total Patients Served

GENDER

59% Female

41% Male

AGE

31%

Under 18

2,536,126 Patient Visits

58%

18 to 64

6,155.29

All Staff Full Time Equivalent

11%

65 and Older

ETHNICITY

52%

Hispanic/ Latino

45%

Non-Hispanic/ Latino

RACE Native Hawaiian/ Pacific Islander

0.4%

Asian

1.4%

More than one race

1.7%

PAYER MIX

American Indian/ Alaskan Native

4.2%

Black/African American

6.3%

White

74.4%

FEDERAL POVERTY LEVEL Medicaid 50%

100% & Below FPL 36%

151%-200% FPL 4%

Private 22%

201% and Over FPL 4.5%

Uninsured 16% Medicare 11%

101%-150% FPL 7.8%

Unknown 47.6%

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2017 QUALITY OF CARE DATA 100%

PRENATAL AND CHILD HEALTH

Electronic Health Records

77%

Patient Centered Medical Home (PCMH)

15%

Health Center Quality Leaders

71%

Entry into Prenatal Care in First Trimester

6.6%

37%

Childhood Immunizations (0-3 years old)

67%

CHRONIC DISEASE MANAGEMENT HIV Linkage to Care Heart Attack/Stroke Treatment (18+ years old) Asthma Treatment Plan (5-40 years old) 85% 78% 71%

Cholesterol Treatment (18+ years old) Blood Pressure Control (18-85 years old) Diabetes Control (18-75 years old) (HbA1c<8%) 81% 83% 80% 72%

54%

Cervical Cancer Screening (Females, 24-64 years old) Colorectal Cancer Screening (51-74 years old) Adult Weight Screening and Follow-up (18+ years old) 83% 78% 76%

54%

52% 45%

2017 Data

Tobacco Use Screening and Cessation Intervention Depression Screening and Follow-up (18+ years old) Dental Sealants to First Molars 83% 77% 61%

53%

48%

2016 Data

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

HEALTH SCREENINGS

60% 48%

Low Birth Weight

54% 45%

2016 Data

2017 Data

56%

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AACHC 2018 Annual Report

ARIZONA RURAL WOMEN’S HEALTH NETWORK NETWORK BUSINESS AND GOALS

• Conducted four Network Quarterly meetings • Expanded the Network with two new members • Conducted the third annual Women’s Health Symposium titled Women’s Health Through the Life Cycle • Established the SBIRT pilot site with Canyonlands Healthcare in Page, through the HRSA Rural Health Opioid Program Grant • Conducted two Opioid Statewide Stakeholder meetings in collaboration with the Arizona State Office of Rural Health

OUTREACH

• Staffed a table (March 1-2, 2018) in Phoenix at the From Trauma to Transcendence conference • Staffed a table (March 16, 2018) in Phoenix at the Promotores HOPE Network conference • Staffed a table (April 1, 2018) in Phoenix at the Arizona Public Health Association Spring conference • Staffed a table (June 21-22, 2018) in Tucson at the Arizona Community Health Workers Association annual conference • Staffed a table (August 22-23, 2018) in Prescott at the Community Health Representatives Summit IV • Staffed a table (September 25-26, 2018) in Tubac at the Arizona Interagency Farmworkers Coalition, Inc. annual conference • Staffed a table (September 27-28, 2018) in Phoenix at the AZ HEP C Tribal Conference

TRAININGS AND WEBINARS

• Third annual Women’s Health Symposium in Sedona, Arizona with 100 participants (August 7-8, 2018) • The Network presented four Rural Health Champion Awards to: –– Emerging Leader in Rural Women’s Health - Hallie Bongar White, Southwest Center for Law and Policy –– Innovative Approach to Rural Women’s Health – Mary Howe, Fort Mohave Indian Tribe –– Outstanding Achievement in Rural Women’s Health – Leanne Guy, Southwest Indigenous Women’s Coalition –– Rural Women’s Health Practitioner of the Year – Dr. Renee Ornelas, Tséhootsooí Medical Center • Postpartum LARC training for rural providers in collaboration with the Arizona Family Health Partnership on August 21, 2018 in Tuba City (5 participants) and on September 7 in Chinle (28 participants) • Addressing Vaccine Hesitancy (October 18, 2018) webinar with 55 participants

PRESENTATIONS

• Presentation on results from the Network Development Survey at the NRHA Health Equity Conference (May 8, 2018) in New Orleans, LA with 20 participants present

Third Annual Women’s Health Symposium: Women’s Health Through the Life Cycle

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BUSINESS DEVELOPMENT U.S. Department of Health and Human Services Health Resources and Services Administration 1. State and Regional Primary Care Associations HRSA funding for State and Regional Primary Care Associations that allows AACHC to continue serving as Arizona’s Primary Care Association (PCA).

2. Rural Health Network Development - In partnership with Canyonlands Healthcare as the fiscal agent, AACHC houses the Arizona Rural Women’s Health Network, which completed its work around sexual violence in rural areas under its Rural Health Network Development Grant.

3. Rural Health Opioid Program - The Arizona Rural Women’s Health Network continues to administer the Rural Health Opioid Program to expand outreach and training to stakeholders providing support and care for substance abuse as well as increasing knowledge and utilization of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model.

U.S. Department of Health and Human Services Center for Medicare and Medicaid Service 4. Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Marketplaces - Continuation of funding to provide support for Navigators in enrollment and outreach assistance programs.

5. PI Institute - Continuation of funding from Arizona Health-e-Connection (AzHEC) through their Transforming Clinical Practice Initiative to support AACHC in its collaborative efforts to engage health centers in practice transformation.

U.S. Department of Health and Human Services Office on Women’s Health 6. The IPV Provider Network: Engaging the Health Care Provider Response to Interpersonal Violence Against Women - Continuation of partnership with Johns Hopkins University to collect data on Intimate Partner Violence and provide screening and intervention tools in community health centers as part of a national evaluation project for determining

the effectiveness of integrating IPV intervention in clinical settings.

U.S. Department of Health and Human Services Office on Violence Against Women 7. Rural Program Grant - Support to house domestic and sexual violence advocates at four rural health center sites within the state to respond to needs of patients and communities. This project ran from 2007 to 2017 and received new funding in 2018.

Arizona Department of Health Service 8. Quality Improvement Project - Continued funding to provide support to reduce cancer disparities and other quality improvement measures with health centers in the state.

9. Workforce Development Support - Continued funding to support statewide recruitment and retention strategies and rotation placement of National Health Service Corps Scholars.

Arizona State University National Safety Net Advancement Center (SNAC) 10. Community Health Worker Train the Trainer - Funding to complete the development and dissemination of the Community Health Worker (CHW) Core Competency Curriculum.

Cardinals Charities 11. MA/DA Day - New funding to support the delivery of AACHC Invaluable Medical and Dental Assistant Day. Delta Center for a Thriving Safety Net 12. State Learning and Action Collaborative - AACHC and Collaborative Ventures Network participation in a collaborative focused on advancing value based payment and care with four goals: building internal capacity of state associations, building state association capacity in policy and advocacy, fostering collaboration between primary care and behavioral health, and building capacity of state associations to provide technical assistance and training to their members.

Delta Dental of Arizona 13. Arizona Oral Health Coalition - Funding to support

website development (www.azohc.org) for and the expansion of the Arizona Oral Health Coalition through early 2018.

DentaQuest Foundation 14. Oral Health 2020 State Coalition - Continuing support to develop the Arizona Oral Health Coalition to reduce disparities in oral health and improve the oral health status of all Arizonans through an integrated approach to whole person care.

15. National Oral Health Innovation and Integration Network (NOHIIN) - Continuing support to collaborate with PCAs around the nation to unify and empower a network of PCAs and safety net providers to advocate for oral health as part of overall health.

16. State Representative - Continuing support to serve as the Arizona State representative in national efforts spearheaded by the DentaQuest Foundation.

First Things First 17. Service Coordination - In partnership with Children’s Action Alliance as the fiscal agent, participation in efforts to increase outreach for and enrollment into KidsCare.

National Association of Community Health Centers 18.

PRAPARE Academy - Continuing AACHC staff participation in the PRAPARE Train the Trainer Academy to build the capacity of PCAs and HCCNs to assist health centers in implementing and championing the PRAPARE tool as a means of accelerating policy, payment, and delivery system changes.

19. COMMIT/MEND - Support from the Centers for Disease Control and Prevention to implement an evidence-based childhood obesity program within four health center sites.

20. Elevate - Pilot project with NACHC that allows health centers to assess their level of progress in 15 key “change areas” identified in NACHC’s Value Transformation Framework and access targeted resources for improvement.

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AACHC 2018 Annual Report

COMMUNICATIONS SOCIAL MEDIA REACH

PRIMARY NEWS FOR PRIMARY CARE

AACHC’s Monthly Newsletter

919 Likes

466

751 Followers

24.6%

subscribers

average open rate

DAILY E-NEWS

AACHC’s daily news clipping service

190

208 Followers

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ebo Fac

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In

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subscribers 139 Followers

am agr t s In

22 Subscribers

e Tub You

SOCIAL MEDIA IMPRESSIONS 118,337

3,083

101,676

1,715 1,264

WWW.AACHC.ORG

AACHC’s website

104,941

387,556 page views

unique page views

85,357

216

33

website sessions

users

jobs posted on behalf of AACHC Members

AUDIOEYE

Website audiovisual aid

164

visits with readers engaged

171,616

grant opportunities posted

www.aachc.org

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DOMESTIC AND SEXUAL VIOLENCE IPV Provider Network: Engaging the Health Care Provider Response to Interpersonal Violence Against Women Grant from Johns Hopkins University (July 31, 2015 – July 31, 2018) • Johns Hopkins approved expanded scope of work from July 31, 2018 – July 31, 2019 for unspent funds.

• The expanded scope of work project objective is to provide education to additional health centers in Arizona on best practices to serve patients that have or are experiencing intimate partner violence.

• Leadership team of AACHC, AZDHS Office of Women’s Health, Arizona Coalition to End Sexual and Domestic Violence, and Mariposa Community Health Center to provide guidance and support for the project.

• Six additional health centers participated, including Circle the City, Russell and Myra Strand speaker at the Intersection of IPV and Health Symposium.

El Rio Community Health Center, Mountain Park Health Center, Sun Life Family Health Center, Terros Health, and Wesley Health Center, physicians, nurse practitioners, medical assistants, front desk with the support of local domestic violence providers, including staff, behaviorists, and administrative staff were trained, with A New Life Center, Shelter Without Walls, Eve’s Place, Emerge, and positive evaluations. The two remaining health centers were Against Abuse. unable to move forward due to competing priorities, but still • Major activities included: remain in contact for resources and additional information so –– “Trauma Informed Approaches to Addressing Intimate Partner they may move forward at a later date.

Violence in Community Health Centers”Train the Trainer (April 27, –– Intersection of Intimate Partner Violence (IPV) and Health 2018) led by Futures Without Symposium (June 27, 2018). 75 individuals attended from Violence to 25 individuals from health centers, domestic violence providers, county health participating health centers, departments, and other government agencies. Topics included domestic violence partners, SW a keynote presentation from Olga Trujillo, Domestic Violence and Indigenous Center, and other Health, Vicarious Trauma, Trauma-Informed Care: Neurobiology, partner agencies. Each agency Health Care after Violence, a panel of providers, and a panel of would be able to utilize this IPV survivors, with positive evaluations on the usefulness of the training to have a dedicated symposium and desire for additional information. staff person to champion the –– Shoe cards in English and Spanish, developed by Futures training of all staff within their Without Violence, were purchased and distributed to the four respective agencies. clinics that received on-site training, with an additional request –– Leadership Team provided for translation into Somali. the training to additional staff at four of the six health centers Rural Advocacy Program Grant from Department of Justice (October in order to model the training 1, 2018 – September 30, 2021) one more time for the lead • AACHC awarded funding to restart this program on October 1, 2018. staff person and assist with • North Country HealthCare (St. Johns and Holbrook), Chiricahua training more staff members Community Health Centers (Elfrida), and Mariposa Community as quickly as possible.

During Health Center (Nogales) will resume participation in this three year Olga Trujillo speaking at the Intersection these four on-site trainings, 110 project. of IPV and Health Symposium.

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AACHC 2018 Annual Report

FINANCIAL SUSTAINABILITY AACHC continues to assist health centers with the transition to Value-Based Care (VBC), including technical support on changing payment methodologies. AACHC is working closely with health centers, the National Association of Community Health Centers (NACHC), 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 ASSISTANCE

Including operating best-practices, health center board of directors’ development, Federally-required reporting, and health center-specific billing issues.

POPULATION HEALTH MANAGEMENT

Implement and maintain on-going operations of a health information network using the data reporting and analytics tool, Azara DRVS (Data Reporting and Visualization System). Participating health centers upload Electronic Health Records data, which is normalized for compilation and network reporting. Individual health centers use DRVS for patient visit planning, quality management, and reporting. AACHC continues to support Member and Collaborative Ventures Network (CVN) participation in statewide Health Information Exchange and population health analytics.

TRANSFORMING CLINICAL PRACTICE INITIATIVE

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

ACTIVITIES

• Live group trainings and webinars • Health center peer group on-site meetings and regular teleconferences • Annual Invaluable Medical & Dental Assistants recognition event

PERCENT OF REVENUE

AHCCCS 2018

Worked closely with AHCCCS to develop a VBC Alternative Payment Methodology (APM) based on the achievement of certain agreed-upon UDS measures. The new 5-year APM became effective October 1, 2018. In addition, AACHC continues to assist the health centers with the agency’s contracted health plans to ensure health centers’ concerns are addressed, including the transition to AHCCCS Complete Care, the Annual Reconciliation process, and timely payment for billable FQHC services.

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.

COLLABORATIVE VENTURES NETWORK (CVN)

AACHC closely partners with our sister organization, Collaborative Ventures Network (CVN), for contracted services related to meaningful use, technology-enabled QI strategies, Health Information Exchange, and value-based care. For more information, please see CVN’s Annual Report.

HRSA PCA Cooperative Agreement Grant 21% Administrative Contracts 20% CMS Navigator Cooperative Agreement Grant 13% HCCN Pass-through Grant 13% Other Federal Grants 9% Azara Participation 5% Events 4% Dental Grants (privately funded) 4% All Other Grants 2% Member Dues 4% All Other Revenue Sources 4%

www.aachc.org

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HEALTH CENTER DEVELOPMENT Five New Organizations

14 Organizations

received technical assistance on Health Center Program/Look-Alike requirements

58 Attendees

received technical assistance related to board requirements; including two face-to-face trainings

representing 16 distinct organizations at the 2018 Annual Board Governance Training

20 Organizations

Eight Health Centers

received training and/or technical assistance on Health Center Requirements or OSV preparation/ follow-up for more than 85 issues

had Operational Site Visits (OSV); AACHC participated in all eight

QUALITY PROGRAM 21 HEALTH CENTER QUALITY IMPROVEMENT AWARDS TOTALING

$2,293,537

12 EHR Reporter Awards

19 Clinical Quality Improver Awards

3 Health Center Quality Leader Awards

1 National Quality Leader Award

9 Enhancing Access to Care Awards

2 Delivering High Value Health Care Awards

16 PCMH Recognition Awards

3 Addressing Health Disparities Awards

20 Advancing HIT for Quality Awards

$60,000 $48,264

$830,000

$672,157 $145,000 $92,500

$286,616 $50,000

$109,000

Quality Improvement is a strong focus of AACHC through the Quality Improvement Peer Networking Committee (QIC). This committee meets regularly to promote best practices for quality improvement and evaluate tools and messages from partners and vendors to determine usefulness and applicability in health centers. Since 2016, the QIC has been looking strategically at how to improve the screening rates of colorectal, breast and cervical cancer and promote the increase of HPV vaccines for females and males. In 2018, diabetes management was added as one of the clinical focuses of the committee. AACHC works closely with Collaborative Ventures Network (CVN) and Healthy Communities Collaborative Network (HCCN) to track the screening rates of the participating health centers through the use of Azara.

21

AACHC 2018 Annual Report

NAVIGATOR AND ENROLLMENT SERVICES SERVICES FROM SEPTEMBER 2017 TO AUGUST 2018

1.

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

2.

More than 220 individuals from Community Health Centers and Navigator grantees attended four Cover AZ Training Sessions, held in four Arizona cities. AACHC presented a session on New Coverage Options and coordinated presentations by Affordable Care Act (ACA) Marketplace insurance companies.

3.

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

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.

5.

Developed Arizona-specific social media and messaging materials to support health insurance outreach among Navigator and Community Health Centers.

6.

Presented Healthcare.gov information at multi-state Indian Health Services regional meeting reaching more than 150 people.

7.

AACHC staff and Navigators generated more than 5.9 million media and outreach impressions/contacts regarding access to coverage and care during the year.

8.

Provided daily technical assistance to Community Health Center (CHC) and Navigator staff regarding CAC certification processes, insurance, coverage qualifications, AHCCCS changes and Health-e-Arizona.

9.

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

COLLABORATION • Provided technical assistance to the Cover Arizona Coalition regarding outreach and enrollment best practices.

• Participated in committee work and leadership for Cover Arizona and the Workforce Committee.

• Collaborated with NACHC and several PCAs across the country to share best practices and plans for Open Enrollment #6.

• Approximately 21,618 applicants were assisted with applications for coverage by AACHC members.

BY THE NUMBERS

22,231

25,168

General inquiries (in-person, telephone, emails) about health insurance options

Specific inquiries (calls/emails) about health insurance options

12,874

3,838

Health Insurance Literacy

Partial re-enrollment assistance

LANGUAGES OTHER THAN ENGLISH Spanish

Vietnamese

952

103

Cantonese

Mandarin

Other

23,124 96

89

Korean

39

www.aachc.org

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ORAL HEALTH DENTAL PEER NETWORKING COMMITTEE Webinar training on March 23 on the Affiliated Practice Dental Hygienist, presented by Michelle Panico. This discussion was well received and most Cmmunity Health Centers (CHC) are taking advantage of the expanded scope of Affiliated Practice hygienists. A legislative update was provided.

INTERNSHIP The Oral Health Coordinator is the preceptor to ASU-DNP students working on the ‘Pregnancy and Oral Health’ project. The results and recommendation of the project will be beneficial to the health centers and statewide advocacy of dental benefits to pregnant women.

2018 ANNUAL INVALUABLE MEDICAL/DENTAL ASSISTANT SEMINAR

On September 28th, AACHC hosted the FQHC Dental Practice Management – Strategies to Help Fuel Success meeting. Da-Nell (Rogers) Pederson reviewed and updated information from Safety Net Solutions on this topic. A legislative update was provided.

On October 27, Dr. Jack Dillenberg presented the opening Plenary Session and brought The Committee discussed plans to hold an all- the large crowd together with laughter, day forum on Dental Therapy in conjunction information and inspiration. with ASDOH (AT Still). This is vital as Arizona passed legislation in 2018 to create this midlevel provider.

2019-2022 ARIZONA STATE ORAL HEALTH ACTION PLAN The 2019-2022 Arizona State Oral Health Action Plan, Finding the Keys to Arizona’s Oral Health Issues, is available on the AACHC website. This important document will help guide the future focus of oral health improvement for all Arizona residents.

PRESENTATIONS/PROJECTS/ ADVISORY BOARDS

• Families USA 2018 Conference, Oral Health Pre-conference, Jan. 23-26 - Washington D.C. • DQF Infrastructure Launch, Feb. 5-7 Houston • DQF Public Perception Conference, Mar. 14-16 – Orlando • DQF Regional Convening, May 16-18 – Phoenix • NOHIIN Semi-annual Conference, May 2123 – Charleston • Community Resource Group, Arizona

Chapter of American Academy of Pediatrics, July 25- Arizona • Hackathon for Health, Arizona Chapter of American Academy of Pediatrics, Sep. 15Arizona • Arizona Health Equity Conference, Oct. 11 - Phoenix • DQF National Annual Conference, Oct. 2326 – Denver • NOHIIN Semi-Annual Conference, Nov 1011 – New Orleans

GRANTS AZOHC (Arizona Oral Health Coalition) Planned and hosted monthly meetings from January to September. The DentaQuest Foundation funding for the Coalition project ended in September.

The Leadership Council continues to meet and plan the future of oral health improvement in Arizona. AACHC will continue to support the work of the AZOHC through membership.

NOHIIN (National Oral Health Innovation & Integration Network) NOHIIN is a learning collaborative to identify challenges and share best practices for integrating oral health with primary health at FQHCs. Arizona is one the original Core Team states (14 Core states and 24 member PCAs) leading the Network PCAs to learn from challenges and celebrate our successes.

During 2018, the focus was on Policy, Payment & Person-centered care.

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AACHC 2018 Annual Report

POLICY, LEGISLATIVE RELATIONS, AND GRASSROOTS ADVOCACY 2018 LEGISLATIVE SESSION

1,206

116

Days of Session

Bills Posted

369

May 4 Bills Passed

Session Adjourned

346

Bills Signed

GRASSROOTS ADVOCACY

2018 AACHC LEGISLATIVE AGENDA

3,584 Total advocates in 2018 and social media connections with legislators 120 Email in regards to the 2018 Funding Cliff (January-

33 Community Health Worker (CHW) Voluntary Certification 33 Licensure Changes to the Board of Behavioral Health Examiners 33 Tele Pharmacy 33 Monitor State and Federal Changes to Medicaid 22 Dental Coverage for Pregnant Women on Medicaid 22 Medicaid Buy-In 22 Raise Tobacco Age to 21

February)

18 Advocacy Update emails sent and meetings to talk about the public 14 Presentations charge issue and its impact on Community Health

Centers, including efforts around the postcard campaign in partnership with the Association of Arizona Food Banks

13 Visits by Members of Congress and/or their staff 11 Visits by state and local elected officials 10 Advocacy Alert emails sent Health Center’s with ACE (Advocacy 2 Community Center of Excellence) Status: • El Rio Community Health Center • Adelante Health Care

2019 AACHC LEGISLATIVE AGENDA • Retaining KidsCare • Medicaid Oral Health Coverage for Pregnant Women • Telehealth parity for commercial health plan reimbursement • Update the Health Information Organization (HIO) statutes • Engage in opioid epidemic laws and regulations • Monitor ACA/Medicaid and 1332 waivers on alternative health plans • Work with The Arizona Partnership for Immunization (TAPI) and the Arizona Department of Health Services on vaccine issues regarding the vaccine exemption request for public school enrollment

www.aachc.org

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SPECIAL POPULATIONS VETERANS

SPECIAL POPULATIONS SERVED IN 2017 People best served in a language other than English: 158,568 (+25% from 2016)

Children in Schools: 11,694 (-2.5% from 2016)

Veterans: 13,608 (+33% from 2016) Individual Experiencing Homelessness: 29,258 (+7% from 2016)

Gender and Sexual Minorities: 14,414 (+290% from 2016)

Agricultural Workers: 11,176 (+6% from 2016)

People living in or adjacent to Public Housing: 90,182 (2016 comparison not available)

• Continue to provide information on VA programs for health centers, as well as general veterans’ information on newsletter and website, as appropriate.

GENDER AND SEXUAL MINORITIES

• Provided transgender youth best practice sharing session at Annual Meeting (via El Rio Community Health Center).

• Provided improving care to the LGBTQ community session at Medical and Dental Assistant Seminar.

PEOPLE EXPERIENCING HOMELESSNESS

• Provided Housing is Health Care session at Annual Meeting (via National Health Care for the Homeless Council).

VULNERABLE POPULATIONS

• Provided Adverse Childhood Experiences (ACEs) and health session at Medical and Dental Assistant Seminar.

• Provided session on reaching vulnerable and migratory populations at Medical and Dental Assistant Seminar.

AGRICULTURAL WORKERS

• Arizona Interagency Farmworkers Coalition –– Ongoing board representation –– Annual educational conference –– Scholarship program • Participation in the Pinal County Agricultural Workers Coalition

PERSONS LIVING WITH HIV/AIDS

Two Special Populations Medical Assistants of the Year Awards presented at the Annual Medical/Dental Assistant Seminar for Care of transgender youth and care for patients in suboxone and Hepatitis C programs.

• Continue to provide information on website and newsletter, as appropriate.

• Updated Clinical Care Guidelines for People Living with HIV/AIDS fact sheet.

LANGUAGE ASSISTANCE

• Updated Point to Your Language Sheet to include Assyrian, German, Japanese, and Navajo and able to be customized by organization.

25

AACHC 2018 Annual Report

TRAINING AND TECHNICAL ASSISTANCE FEBRUARY 2018 AACHC ANNUAL MEETING • 189 Attendees • 22 Health Centers

BOARD GOVERNANCE TRAINING • 65 Attendees

NHSC SCHOLARS MEETING • 20 Attendees

CVN ANNUAL MEETING • 45 Attendees

APRIL MEDICARE COST REPORTING FOR FQHCS • 33 Attendees • 18 Health Centers • 20 Organizations

YOUR ROLE AS A LEADER

• 150 Attendees

ASSESSING YOUR HEALTH CENTER WEBINAR

2018 AZ RECRUITMENT AND RETENTION CONFERENCE

SEPTEMBER

AACHC ANNUAL BOARD RETREAT

FQHC CODING AND BILLING

DATA DRIVEN CARE COORDINATION WEBINAR

HEALTH INFORMATION TECHNOLOGY SYMPOSIUM

AUGUST WOMEN’S HEALTH SYMPOSIUM • 100 Attendees

• 27 Attendees • 13 Health Centers

NWRPCA SPRING PRIMARY CARE CONFERENCE

• 25 Attendees • 13 Health Centers

• 33 Attendees • 18 Health Centers

LEADERSHIP AND DIRECT REPORT TRAINING: HOW TO BRING OUT THE BEST IN YOUR PEOPLE

• 45 Attendees • 13 Health Centers

IDENTIFYING HIGHPERFORMING TEAMS WEBINAR

JULY

MAY

• 80 Attendees • 20 Health Centers

• 73 Attendees • 18 Health Centers • 12 Other Organizations

2018 ARIZONA INTERAGENCY FARMWORKERS COALITION (AIFC) CONFERENCE • 80 Attendees

• 270 Attendees

• 21 Attendees • 13 Health Centers

JUNE FINANCE OFFICERS TRAINING • 35 Attendees • 20 Health Centers

THE INTERSECTION OF INTIMATE PARTNER VIOLENCE AND HEALTH SYMPOSIUM • 75 Attendees • 27 Health Centers

CERVICAL CANCER PREVENTIONQI STRATEGIES FOR FQHCS • 60 Attendees • 28 Health Centers

CARE COORDINATION THROUGH TEAMS AND TEAMWORK • 30 Attendees • 12 Health Centers

OCTOBER

DECEMBER

17TH ANNUAL MEDICAL AND DENTAL ASSISTANT SEMINAR

UNIFORM DATA SYSTEMS (UDS) TRAINING

OTREACH AND ENROLLMENT TRAINING

AHARO HAWAII, AACHC, AND AAPCHO PARTNERING FOR CONSUMER BOARD MEMBER CONFERENCE

• 160 Attendees • 15 Health Centers

• 220 Attendees • 40 Organizations

• 120 Attendees • 21 Health Centers

• 187 Attendees • 55 Health Centers

www.aachc.org

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WORKFORCE DEVELOPMENT ent uitm Recr rence izona onfe al Ar ion C ce Annu etent for and R ork ons a W ati on iz riz gan n A Or r gs n i nd ke in tio s a or in ipa ion W ra h dT rtic lit Pa oa C alt an He ms ity ra un og m Pr m ce Co for k or W

Community Health Center Workforce Staff Development and Training Programs

2018 EVENTS

d an s m ce ra ir enProg e xpalth E t e en H is d ity CH) e n / R mu EAR n t tio CHC, n om ZS n e e d A Retve: AA tu in C ( d S i n s t a oratr for na ion n e b o iz at tm lla te rui a Coa Cen Ar rot c e R on n ral) Ariz Arizo ealth u R H t nal3RNeS, andRural o i t ( Na ork ADH tw e N Arizona National Health Service Corps Scholars Conference and Support Services

Wo Trairnkforce ings Deve and lopm Web ent Re Fed inar pa er s ym al a e n a Pa nd nt P d S Pre rog tate Pa rtic sen ram Lo rtn ipa tat Su an t er io ion pp sh n s ort ip in sa N nd ati Coona lla l W bo o ra rkfo tiv r es ce

R an ural d C Ca Sup linic re po al Stu rt Ro de Se tat nts rvi ion an ces s, S d P for tip rec Pri en ep ma ds Parti tor ry c s Recr ipation uitm and ent a Spo n n Evend Job Fsaorship ts irs an of d

WORKFORCE COLLABORATIVE PARTNERSHIP

Primary Care Association (PCA) Arizona Alliance for Community Health Centers (AACHC) and the Primary Care Office (PCO) Arizona Department of Health Services (ADHS) WORKFORCE PROGRAMS AND EVENTS

RECRUITMENT AND RETENTION • Rural/urban underserved rotation assistance to 164 primary care students • 1,419 Primary Care Providers indicated interest in practicing in Arizona • AZ Recruitment Website Launch: www.azcfc.org • Participation and presentations at nine recruitment events for 867 primary care providers and students • Development and distribution of whiteboard recruitment video

STATEWIDE IMPACT • NACHC primary care recruitment fair sponsorship for five Rural FQHCs • 10 NHSC Scholar Rotation Placement Stipends • 10 Primary Care Student Rotation Placement Stipends • Five Rural Primary Care Preceptor Stipends

• AZ Recruitment and Retention Conference including national and local experts and presenters • AZ NHSC Scholars Conference –– 40 Scholars have participated in these conferences since 2015 –– 25 of those Scholars are now in practice: 18 are practicing in Arizona, 14 of those practicing in Arizona are practicing at a FQHC. One at a Tribal Clinic and three at non-profit settings • On Site Rotation Placement Staff Awards Luncheon and Forum • Staff Development Trainings for Staff members from 15 FQHCs

Contact AACHC 602.253.0090

700 E. Jefferson St. Suite 100 Phoenix, AZ 85034

www.AACHC.org

This publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,468,831. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.