AACHC 2019 Annual Report

MESSAGE FROM THE AACHC CEO AND BOARD PRESIDENT As we reflect on 2019, it has been a year of growth for AACHC and our member health centers. It has also been a year of challenges as we worked side-by-side to secure timely and appropriate reimbursement, employ clinical and health center support staff to meet the increased volume and demands for health care, and to assure recognition of the importance of whole person care, such as adult dental care. As we move forward into 2020, AACHC will celebrate 35 years serving Arizona health centers as the largest primary care health center network in the state of Arizona. Since 1985, AACHC and its devoted staff have remained dedicated to its mission to provide advocacy, education, technical assistance and other needed resources to assist our health centers and members of the communities they serve.

With AACHC’s focus on the overall health care needs of our communities, our health centers dedicate their efforts to help patients with substance use disorder, behavioral health, oral health, HIV/AIDS prevention/ management, chronic disease management and preventive care. Health centers are increasing their efforts to collect and comprehend social and economic factors that impact health, as well as understanding how to help address the health and wellbeing of people from a population management perspective. The most recent Uniform Data System (UDS) reporting for 2018 reveals that Arizona health centers had over 2.6 million visits for over 708,000 individuals seeking care. Health center staff are meeting and communicating regularly on ways to continue to improve the effectiveness and efficiency of patient care around critical community health care needs. In addition, AACHC supports more than 14 various peer networking groups that routinely meet to assure there is sharing of best and promising practices around many topics, some of which include clinic operations, ancillary services, and financial stability, as well as, patient care process, pharmacy, recruitment and retention of staff, and other important health center activity and needs.

John McDonald Chief Executive Officer, Arizona Alliance for Community Health Centers 02

In 2019, AACHC offered 21 training and educational sessions, six substance use disorder webinars around recovery and treatment, a Revenue Cycle Learning Collaborative with the National Association of Community Health Centers, and partnered with DentaQuest to offer a valued based training around oral health. AACHC’s portfolio of partnerships has also expanded with other likeminded organizations such as the Arizona Department of Health Services, American Cancer Society, American Heart Association, and the Maricopa County Department of Public Health, to assure our continued evolvement in providing high quality and cost effective care throughout the state of Arizona.

We are very proud of all whom work with AACHC to help us realize the many accomplishments achieved over this past year. We participated in nine operational health center site visits, including our own where we received no findings and accolades for our forwardthinking and innovative trainings. Due to new grants in 2019, AACHC added 1.4 million dollars to our FY budget ending March 31, 2020. Accordingly, we have increased staffing by seven positions to manage these new endeavors for 2019 and moving into 2020. And, we are very pleased that we were able to secure the Central Arizona Area Health Education Center designation and look forward to continued development around workforce needs in the near future.

We have an exciting year ahead of us. It will be another busy year fulfilling our grant obligations as we work through several transitions. Ed Sicurello, current Board Chair of AACHC’s Board of Directors, will move to Past Chair in 2020. We all thank him for his dedication and ongoing commitment to the viability of AACHC and member health centers. And, as I enter into my last full year as CEO, and work on positioning AACHC for continued success, it will be a bittersweet year for me filled with both endings and new beginnings. I feel blessed to be able to serve in a position that believes in full access to care for all Arizonans.

Ed Sicurello Chief Executive Officer, Mariposa Community Health Center, 2019 AACHC Board President

TABLE OF CONTENTS MESSAGE FROM THE AACHC CEO AND BOARD PRESIDENT

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AACHC BOARD OF DIRECTORS

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WHO WE ARE

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AACHC STRATEGIC PLAN 2018-2020

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PARTNERS - LOCAL, REGIONAL, STATE AND NATIONAL GROUPS AND COALITIONS

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AACHC FULL MEMBERS

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AACHC ASSOCIATE MEMBERS

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AACHC SPONSORS

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HEALTH CENTERS STATEWIDE

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2019 HEALTHCARE HEROES

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2018 UDS STATEWIDE IMPACT

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2018 QUALITY OF CARE

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ARIZONA RURAL WOMEN'S HEALTH NETWORK

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COMMUNICATIONS

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DOMESTIC AND SEXUAL VIOLENCE

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FINNCIAL SUSTAINABILITY

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GRANTS AND BUSINESS DEVELOPMENT

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ORAL HEALTH

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OUTREACH AND ENROLLMENT SERVICES

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POLICY, LEGISLATIVE RELATIONS, AND GRASSROOTS ADVOCACY

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QUALITY PROGRAM

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SPECIAL POPULATIONS

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TRAINING AND TECHNICAL ASSISTANCE

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WORKFORCE DEVELOPMENT

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CENTRAL ARIZONA AREA HEALTH EDUCATION CENTER (CAAHEC)

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AACHC BOARD OF DIRECTORS OFFICERS PRESIDENT VICE PRESIDENT

Ed Sicurello, Chief Executive Officer, Mariposa Community Health Center Christopher Hansen, MHA, Chief Executive Officer, Canyonlands Healthcare

TREASURER

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

SECRETARY

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

MEMBERS AT LARGE

Clinton Kuntz, DBH, Chief Executive Officer, MHC Healthcare Peggy Chase, Chief Executive Officer, Terros Health

BOARD MEMBERS Barbara Harding, BAN, RN, MPA, PAHM, CCM Senior Vice President of Ambulatory Services Valleywise Health

Jonathan Melk, MD Chief Executive Officer/ Chief Medical Officer Chiricahua Community Health Center

Blaine Bandi, MLS, MHSA Chief Executive Officer Wesley Commmunity & Health Center

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

David Rogers, MBA Chief Executive Officer Sunset Health

Laura Larson Huffaker, MC, LPC Chief Operating Officer Horizon Health and Wellness

Jeff Axtell, M Ed Chief Executive Officer Native Americans for Community Action

Linda Ross, MBA, MPM Chief Executive Officer Circle the City

Jonathan Leonard Chief Executive Officer Desert Senita Community Health Center

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Lynette Bonar, RN, MBA, BSN Chief Executive Officer Tuba City Regional Health Care Corporation Nancy Johnson, RN, PhD Chief Executive Officer El Rio Health

Robert Babyar, MD Interim Chief Executive Officer Adelante Healthcare Robert Seamon Chief Executive Officer, Copper Queen Community Hospital Rodolfo Jimenez, DO, MBA Chief Executive Officer United Community Health Center Sharon Rickman, MPA Executive Director Community Health Center of Yavapai Travis 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)

ARIZONA ALLIANCE FOR COMMUNITY HEALTH CENTERS 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 community-oriented, 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.

“America’s health centers are essential to producing results on our actionable public health challenges, like HIV/AIDS and the opioid crisis, as well as to building a healthcare system that delivers better value and puts the patient at the center.”

- Secretary of Health and Human Services Alex Azar, August 20, 2019

AACHC STAFF John C. McDonald, RN, MS, CPHQ, Chief Executive Officer Allen Gjersvig, MS, Director of Outreach and Enrollment Services Da-Nell Pedersen, Director of Clinical Programs Dorothy Hastings, Women’s Health and Compliance Standards Manager Emily Oake, MHSM, Director of Special Populations and Population Health Erika Mach, Public Affairs and Communications Manager Frances Kaplan, Grants and Contracts Manager Ginny Roberts, Senior Director of Clinical Programs Jan Grutzius, RDH, Oral Health Manager Janeth Gamez, MA, Front Desk Administrative Support Joanna Garrison, Senior Accountant Karen Hardy, Controller Karey Lyn Maciha, Health Center Enrollment and Outreach Coordinator Kat Bergman, Director of Human Resources Kathy Tremonto, Executive Assistant to the CEO Lainie Plattner, Quality Improvement Manager

Leah Meyers, MSW, Director of Arizona Rural Women’s Health Network Lisa Nieri, MS, Senior Director of Health Center Development Lourdes Montéz, Workforce, CAAHEC Health Professions Education Program Manager Lorraine Ramirez, MPH, Arizona Rural Women’s Health Network Coordinator Marni Rawiszer, MPH, Outreach and Development Program Manager, CAAHEC Meredith Foulds, Training and Technical Assistance Coordinator Meryl Deles, MSW, Navigator Coordinator Patricia Macias, Administrative Assistant Sean Clendaniel, MPH, Director of CAAHEC Shelli Ross, Senior Director of Operations and Trainings Suzanne Gilbert, CPA, CGMA, Chief Financial Officer Tara McCollum Plese, MPA, Chief External Affairs Officer Vanessa Stoll, Continuing Education Coordinator, CAAHEC Victoria Burns, Director of Financial Analysis and Reimbursement

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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

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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POSITION HEALTH CENTERS AS PROVIDERS OF CHOICE

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

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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 Hospital and Healthcare Association 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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AACHC PEER NETWORKING COMMITTEES • Agricultural Worker Serving Health Centers • Alternative Payment Methodology (APM) • 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) • Equity • Finance Officers Group (FOG) • Grants • Health Care for the Homeless • Human Resources Officers (HRO) • Pharmacy • Quality Committee • Substance Use Disorder Committee

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GROUP PURCHASING ORGANIZATION (GPO) Current GPO Partners AACHC strives to work with quality suppliers to meet our members’ needs. Each of our current GPO partners provides preferred pricing to AACHC full and associate members.

• Bromberg Translation Company (language services) • Commonwealth Purchasing Group • Henry Schein Dental • Intalere • McKesson GPO (pharmacy) • MedLine • Relias • RetroCAID by FixHT • Value in Purchasing Program (Henry Schein medical supplies) 07

AACHC FULL MEMBERS

Tuba City Regional Health Care Corporation

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AACHC ASSOCIATE MEMBERS

AACHC SPONSORS

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HEALTH CENTERS STATEWIDE AACHC MEMBERSHIP REACH AACHC has 25 full members and eight 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 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.

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2019 HEALTHCARE HEROES 2019 INNOVATION AWARD

Debra Kudelka Beavers – Community Health Center of Yavapai

2019 LIFETIME ACHIEVEMENT AWARD

Betty Mathis – Wesley Community Center, pictured center

2019 ON-SITE ROTATION PLACEMENT STAFF RECOGNITION LUNCHEON AWARDEES

From left to right: Gloria Sanchez, Human Resources Assistant (Desert Senita Community Health Center), Dawn Golden, Sr. Medical Recruiter & Medical Operations Liaison (Terros Health), Andrea Ochoa, Human Resources Partner (Mountain Park Health Center). Not pictured: Jennifer Kennedy, Employee Wellness and Student Placement Manager (Mountain Park Health Center)

2019 PRECEPTOR OF THE YEAR

Lt. Col. Lynn Murphy – United Community Health Center

2019 LEGISLATOR OF THE YEAR

Senator Heather Carter, pictured center

2019 MEDICAL AND DENTAL ASSISTANT, COMMUNITY HEALTH WORKER DAY AWARDEES

From left to right: Lupita Rodriguez, Community Health Worker (Mariposa Community Health Center), Jackie Gonzalez, Dental Assistant (Chiricahua Community Health Center), Jheris Williams, Medical Assistant Mountain Park Health Center), Vanessa Cardenas, MA – Special Populations (Circle the City), Jennifer Caldwell, MA – Special Populations (Valleywise Health)

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2018 UDS STATEWIDE IMPACT

708,544

2,632,025

6,336.8

Total Patients Served

Patient Visits

All Staff Full Time Equivalent

GENDER

AGE

ETHNICITY

59% Female 41% Male

31% Under 18 52% Hispanic/Latino 58% 18 to 64 45% Non-Hispanic/Latino 11% 65 and older

RACE Native Hawaiian/ Pacific Islander 0.4% Asian 1.4% African American 6.2% American Indian/ Alaskan Native 3.9% White 72.3%

PAYER MIX

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FEDERAL POVERTY LEVEL

2018 QUALITY OF CARE 100%

81%

15%

Electronic Health Records

Patient Centered Medical Home (PCMH)

Health Center Quality Leaders

PRENATAL AND CHILD HEALTH 73% 36% Entry Into Care, 1st Trimester

Childhood Immunizations (0-2 yrs. old)

7%

70%

Low Birth Weight

Child/Adolescent Weight Counseling

HEALTH SCREENINGS

CHRONIC DISEASE MANAGEMENT

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ARIZONA RURAL WOMEN’S HEALTH NETWORK ACCOMPLISHMENTS

Network Business and Goals

• Conducted four Network Quarterly meetings.

• Expanded the Network with three new members.

• Conducted the fourth annual Women’s Health Symposium: Enhancing Women’s Health and Wellness.

• Through the HRSA Rural Health Opioid Program Grant, continued support for the SBIRT pilot site with Canyonlands Healthcare in Page, AZ and signed an MOU with Mariposa Community Health Center to start screening.

Publications and Outreach

• March 3-4, 2019, Chandler, AZ - Staffed a table and supported the first Arizona Tribal Opioid Conference.

• June 22, 2019, Tucson, AZ - Staffed a table at the Arizona Community Health Workers Association annual conference.

• August 1-2, 2019, Flagstaff, AZ - Staffed a table at the 46th Annual Rural Health Conference.

• August 21-22, 2019, Tucson, AZ - Staffed a table at the CHR Summit V. • September 24-25, 2019, Prescott, AZ - Staffed a table and supported the AIFC Conference.

• September 25, 2019, Tempe, AZ - Staffed a table at the ACES, Trauma & Substance ExposureStandards of Care for Infants and Toddlers Convening.

• October 30, 2019, Tucson, AZ - Staffed a table and supported the Southern Arizona Opioid Symposium.

• Distributed 840 PillPods, 1,270 Deterra bags and 240 Narcan to rural communities in Arizona.

Trainings and Webinars

• April 16, 2019, Globe, AZ - Sonoran Prevention Works Harm Reduction Training with 12 participants.

• May 16, 2019, Webinar - Syphilis 2019: Return of the Great Masquerader with 75 participants.

• June 26, 2019, Sedona, Arizona - Pre-Symposium Workshop on Harm Reduction by Sonoran Prevention Works with 26 participants.

• June 26-June 27, 2019 - Fourth annual Rural Women’s Health Symposium: Enhancing Women’s Health and Wellness in Sedona, Arizona with 130 participants. The Network presented four Rural Health Champion Awards to: − Emerging Leader in Rural Women’s Health: Yara Castro, Mariposa Community Health Center − Innovative Approach to Rural Women’s Health: Lorena T. Halwood, Ama Doo Alchini Bighan, Inc − Outstanding Achievement in Rural Women’s Health: Antoinette (Toni) Means, Arizona Department of Health Services − Rural Women’s Health Practitioner of the Year: Sara Rumann, Arizona Department of Health Services

Presentations

• November 21, 2019, webinar - Presentation on a webinar panel for National Rural Health Day with 150 participants.

Fourth Annual Rural Women’s Health Symposium: Enhancing Women’s Health and Wellness

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COMMUNICATIONS SOCIAL MEDIA AUDIENCE

SOCIAL MEDIA IMPRESSIONS

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PRIMARY NEWS FOR PRIMARY CARE

DAILY E-NEWS

AACHC’s daily news clipping service

AACHC’s monthly newsletter

478

203

23.6%

subscribers average open rate

subscribers

AUDIOEYE

Website audiovisual aid

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WWW.AACHC.ORG AACHC’s website

360,574

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website sessions

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DOMESTIC AND SEXUAL VIOLENCE IPV PROVIDER NETWORK

Engaging the Health Care Provider Response to Interpersonal Violence Against Women Grant from John Hopkins University • The funding for this grant was extended from July 30, 2018 to July 30, 2019, allowing additional training and education.

• A second “Trauma Informed Approached to Addressing Intimate Partner Violence in Community Health Centers” Train the Train (May 2019) led by Futures Without Violence to 12 individuals from health centers was held.

• Provided a Trauma Informed Approaches training to Medical Assistants and medical providers at the North Country Health clinic in Holbrook.(March 2019) • Intersection of Intimate Partner Violence and Health Symposium, Trauma Informed Care. (June 18, 2019) 96 individuals attended from health centers, domestic violence providers, Universities, and other state and local agencies. Mathew Bennett, keynote, spoke on Trauma’s Impact on Mental and Medical Health and Self Care is Quality Care. Dr. Kimberly Chang presented on working individuals being trafficked.

Erin Callinan presented on Mental Health and Wellness: Recovery Based Intervention for Survivors of Violence, discussing the ways that living with a mental illness impacts the emotional, physical, and psychological well-being and safety of survivors. Doreen Nichols presented on Working with People Different Than You, discussing the Diversity of People Served and reinforce an individual approach for advocacy and intervention. A panel of survivors told their stories on getting health care. The Symposium was highly evaluated.

The Department of Justice Rural Advocacy grant was re-funded and began on October 1, 2018. Mariposa, Chiricahua and North Country are the three health centers that participate in this program. Chiricahua was able to re-hire the Advocate that had worked on the program under the previous funding; the other health centers hired new Advocates. The clinic sites involved in the program screen client for abuse, provide advocacy for those who screen positive, as well as provide training and education in the communities they serve. Two face to face meeting have been held with the Advocates where the program was discussed, information was shared, and education was provided. Held 10, monthly calls with the Advocates and our partners at the Arizona Coalition to End Sexual and Domestic Violence to check in with the Advocates and assist them with any challenges they are having.

3,670 192 167 95 24 20 17 1 16

Individuals Receiving Training or Education Females Served Served for Domestic Violence Training and Educational Events Served for Sexual Violence Stalking Victims Served Males Served Child Abuse Victim

2019 Intersection of Intimate Partner Violence and Health Symposium, Trauma Informed Care

FINANCIAL SUSTAINABILITY AACHC looks beyond its HRSA base grant funding to support its mission. For fiscal year 2019, AACHC received funding from federal and state agencies, private foundations, and other non-profit organizations. Further support was generated from Azara network funding, event revenue, member dues, and group purchasing administrative fees.

PERCENT OF REVENUE

TRAINING AND TECHNICAL ASSISTANCE (TTA)

AACHC provided TTA to support the financial sustainability of its members. Topics included operating promising practices, health center board of directors’ development, federally-required reporting, health center-specific billing issues, new site financing, and changes to taxes and financial reporting.

COLLABORATIVE VENTURES NETWORK (CVN)

AACHC closely partnered with its sister organization, CVN, for contracted services related to meaningful use, technology-enabled QI strategies, Health Information Exchange (HIE), and value-based care. All Arizona health centers eligible to participate in CVN's Health Center Contolled Network (HCCN) joined in 2019. For more information about CVN, please visit their website at www.healthyarizona.org.

POPULATION HEALTH MANAGEMENT

AACHC implemented and maintained 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 continued to support member and CVN participation in statewide HIE and population health analytics.

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FINANCIAL SUSTAINABILITY - CONTINUED TRANSFORMING CLINICAL PRACTICE INITIATIVE

representatives with MCOs experiencing technical claims adjudication issues.

AACHC supported CMS's TCPI-PTN Grantee, "Practice Innovation Institute," and CVN’s Healthy Communities OPPORTUNITIES In 2019, an Azara risk stratification module was Collaborative Network. implemented based on criteria developed by participating health centers. Late 2019, the HIE began sending facility admit/transfer/discharge alerts to ACTIVITIES Azara for upload into DRVS. The Transition of Care • Live group trainings and webinars • Health center peer group on-site meetings and module and daily patient planning reports provide these alerts to clinicians to better manage patient regular teleconferences • Annual Invaluable Medical & Dental Assistants and care.

Community Health Workers recognition event Looking forward to 2020, AACHC will leverage these tools to measure and report clinical/quality and AHCCCS 2019 financial value of primary care delivered through AACHC assisted health centers with the agency’s Arizona’s health centers. contracted health plans to ensure health centers’ concerns were addressed, including the transition Using technology-driven population health to AHCCCS Complete Care (effective October 1, management and analytics, AACHC will support 2019), the Annual Reconciliation process, and timely health center clinical transformation for improved payment for billable FQHC services. AACHC has on- integrated primary care. The use of DRVS will be going meetings that bring together health center expanded with the implementation of enrollment and claims data modules.

GRANTS AND BUSINESS DEVELOPMENT RURAL HEALTH

• Rural Health Opioid Program (previously funded) • Rural Sexual Assault, Domestic Violence, Dating Violence and Stalking Program (previously funded) • Rural Communities Opioid Response Program (RCORP) Implementation - New funding for a multi-year cooperative agreement aimed at reducing the morbidity and mortality of substance use disorder (SUD), including opioid use disorder (OUD), in rural communities at the highest risk for SUD. This funding will help to strengthen and expand SUD/OUD prevention, treatment, and recovery service delivery in highrisk rural communities. AACHC will be working in partnership with Sonoran Prevention Works and existing local partnerships to launch communitybased initiatives in the rural designation areas of Mohave County, Graham County, and Gila County, which are amongst the most impacted rural counties in Arizona.

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ORAL HEALTH

• Oral Health Integration within the Maternal and Child Health Safety Net - New funding for a multi-year cooperative agreement whereby AACHC is one of four coordination sites for the Western region of the country to improve access to and delivery of comprehensive, quality oral health care for children, 0–17 years of age, by testing and establishing models of care.

• Office of Oral Health Healthy Smiles Healthy Bodies Survey - Funding to conduct a survey of preschool and third grade children in Arizona using a standardized cross-sectional, openmouth screening developed by the Association of State and Territorial Dental Directors and conducted by trained dental staff.

• Oral Health 2020 State Coalition (previously funded) • National Oral Health Innovation and Integration Network (NOHIIN) (previously funded) • Serves as State Representative for Arizona (previously funded)

GRANTS AND BUSINESS DEVELOPMENT CONTINUED OUTREACH AND ENROLLMENT

• Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Marketplaces (previously funded) • Cooperative Agreement for Connecting Kids to Coverage Outreach and Enrollment (Healthy Kids) - New multi-year funding to reduce the number of children who are eligible for, but not enrolled in, Medicaid and the Children’s Health Insurance Program (CHIP), and to improve retention of eligible children who are enrolled in the programs.

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

• Promotores HOPE Network (previously funded) • Support from different Managed Care Organizations (MCOs) to assist AACHC in answering the centralized consumer, toll-free phone number, “Cover Arizona” for consumers to get their questions answered and make appointments to see Application Assisters statewide. This contract will include collaborating with AACHC in recruiting and developing a training system for CHWs to answer the toll-free line.

PRACTICE TRANSFORMATION

• PI (Practice Innovation) Institute (previously funded) • 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.

• Project Elevate - Participation in a Learning System 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.

SOCIAL DETERMINANTS OF HEALTH

• The IPV Provider Network: Engaging the Health Care Provider Response to Interpersonal Violence Against Women (previously funded) • PRAPARE Academy (previously funded)

QUALITY IMPROVEMENT

• Quality Improvement Projects - Received new funding through the Office of Chronic Disease to focus on hypertension and hyperlipidemia through process improvement with health centers in the state.

• Title X Reproductive Health - Funding to plan and implement the Arizona Women’s Health Conference to bring together individuals from across the state to engage, network, and learn from local and national experts on emerging or ongoing issues in women’s health.

• COMMIT/MEND (Childhood Obesity management with MEND Implementation Teams/Mind, Exercise, Nutrition... Do It!) (previously funded) • Substance-Abuse Infrastructure in FQHCs - New funding for a multi-year contract to support and improve the substance-abuse infrastructure for FQHCs and Look Alikes in Maricopa County by identifying training needs and gaps related to substance abuse and especially OUD, design and administer a training program for the FQHCs based on the results of the needs assessment, and identify at least one health center per year to create a systems change related to OUD.

WORKFORCE

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

• Area Health Education Center (AHEC) Program New funding for a multi-year contract to support the Central Arizona Area Health Education Center (CAAHEC) that serves Maricopa County, the greater Valley, and portions of Pinal County and Yavapai County for health workforce development. The mission of the Arizona AHEC is to improve access to quality healthcare, particularly primary and public health, by improving the supply, diversity, and distribution of healthcare professionals through academiccommunity partnerships.

• AZ-HOPE Program - New funding for a multi-year contract to coordinate programming to support disadvantaged and underserved students into entering higher education with a focus on health professions that includes a Health Professions Club.

OTHER

• State Primary Care Association (previously funded) 19

ORAL HEALTH INTERNSHIP

ORAL HEALTH VALUE-BASED CARE

AACHC completed the preceptorship with ASU-DNP TRAINING WORKSHOP: CREATING A student. She presented her project at an AACHC Staff meeting in June 2019. The project focused on the oral VALUE-BASED ORAL HEALTH CARE health of pregnant women in several FQHCs and was so successful that another ASU-DNP student picked DELIVERY SYSTEM This well attended workshop was given by a team up the work to continue a second phase. from the DentaQuest Partnership for Oral Health Advancement and included speakers from AACHC and some of our CHCs. This is the beginning of a GRANTS Learning Collaborative that will engage CHCs from NOHIIN (National Oral Health Integration and many states.

Innovation Network)

2019 is the fourth year of the NOHIIN. This year we held a strategic planning meeting to identify priorities for the next three years. Applications for year five are due January 3rd. The 14 state Core Team decided to hold a side-bar session at CHI (August) for CEOs and C-suite directors. We had 42 attendees (three from Arizona) who voted for two of the five strategic areas to also be their PCA priority: access to care and value-based payment transformation. A follow-up side-bar session was held at the PCA/HCCN meeting (November) and a full session is planned for the Policy and Issues Forum in March of 2020.

HRSA grant 2019-2024 Rocky Mountain Network of Oral Health (RoMoNOH)

This five-year project will develop a regional network of oral health medical-dental integration with 30 Community Health Centers (CHCs) across Arizona, Colorado, Montana and Wyoming. The RoMoNOH CHCs will partner with and receive support from Denver Health (RoMoNOH lead), the Primary Care Associations (PCAs) within each of these states. The target population for this project will be pregnant women and children ages 0-2 years. AACHC will work with seven CHC sites.

ARIZONA DEPARTMENT OF HEALTH SERVICES CONTRACT

AACHC contracted with ADHS to coordinate and implement the 2019-2020 Healthy Smiles Healthy Bodies Survey. This Arizona survey will screen children in kindergarten and third grade from a representative sample of public elementary schools in non-reservation communities in Arizona. Screening results are compiled to determine health status and focus for future health programs.

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PRESENTATIONS, PROJECTS, ADVISORY BOARDS

• AACHC was honored to have Dr. Paul Glassman speak at our 2019 Annual Meeting on the topic of Virtual Dental Homes and how teledentistry can improve the reach of the CHCs in rural and unserved areas.

• The Oral Health Program Manager is involved in the DentaQuest’s Partnership OPEN (Oral Health Progress and Equity Network). OPEN re-branded from OH2020. OPEN has grown to over 2200 members across the US. Its targets and goals align with oral health priorities of NOHIIN and AACHC. Jan Grutzius was elected to serve on the advisory Board of Directors during OPEN's transformation to a 501c3 (2020-2022).

• Other conferences attended (some giving presentations, some involved in planning) include: − March 21, 2109, Tucons, AZ - Silver Diamine Fluoride Workshop − April 15-18, 2019, Memphis, TN - National Oral Health Conference − April 29-May 2, 2019, Denver, CO - NOHIIN Strategic Planning − May 20-23, 2109, Houston, TX - DQP Mid-Year meeting − August 15-19, 2019, Chicago, IL - Community Health Institute (CHI), PCA side bar session − October 13-16, 2019, Las Vegas, NV - NNOHA Annual Conference − October 21-25, 2019, Baltimore, MD - DQP OPEN Annual Conference − November 20-21, 2019 - RoMoNOH Learning Network Kick-off

OUTREACH AND ENROLLMENT SERVICES SERVICES FROM SEPTEMBER 2018 TO AUGUST 2019 •

• •

•

•

•

• •

•

Applied and received a $1.5 million, 3-year Connecting Kids to Coverage grant. Partnered with 11 AACHC Member Organizations and three navigator partners to deliver expanded outreach and enrollment to uninsured children.

Awarded CMS 2 year Navigator grant for seventh consecutive year.

More than 300 enrollment specialists, Certified Application Counselors and Navigators trained in collaboration with the Cover AZ Coalition and HHS Region IX. More than 175 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.

AACHC staff and partners managed more than 5,100 inbound consumer calls from the Cover AZ 800 number regarding AHCCCS and health insurance coverage.

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

Presented Healthcare.gov information at multistate Indian Health Services regional meeting reaching more than 100 people.

AACHC staff and Navigators generated more than 12.6 million media and outreach impressions/contacts regarding access to coverage and care during the year.

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.

• Participated in CMS Connecting Kids to Coverage conference where we shared and learned best practices

NAVIGATOR GRANT BY THE NUMBERS

15,873

13,290

Specific inquiries (calls/emails) about health insurance options

General inquiries (inperson, telephone, emails) about health insurance options

2,280

1,003

Health Insurance Literacy

Partial re-enrollment assistance

People Served in Languages Other Than English Through the Navigator Grant Spanish

Vietnamese

Mandarin

Other

Cantonese

Korean

14,475 1,072 60

53

72

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Outreach and Enrollment Results for New/ Renewed Insurance for Arizonans Years 2018 2019

2019 Cover AZ Training in Phoenix, AZ.

2013 2019

Community Health Centers 12,633 (1,456 116,386 MP; 11,177 (AHCCCS) AHCCCS) Navigator

167,192

504,385

Total 129,019 671,577 21

POLICY, LEGISLATIVE RELATIONS, AND GRASSROOTS ADVOCACY 2019 LEGISLATIVE SESSION

May 28 Session Adjourned 134 1,318 Bills Posted 331 Bills Passed

320

Bills Signed

GRASSROOTS ADVOCACY

2019 LEGISLATIVE AGENDA

3,257 21 19 15

3 Retaining KidsCare 3 Telehealth parity for commercial health plan reimbursement 3 Update the Health Information Organization (HIO) statutes 3 Engage in opioid epidemic laws and regulations 3 Monitor the Affordable Care Act, Medicaid and 1332 waivers on alternative health plans 3 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 2 Medicaid Oral Health Coverage for Pregnant Women

11 9 2

Total advocates in 2019 Advocacy Update emails sent Advocacy and Legislative Alert emails sent Presentations, media opportunities and meetings to talk about the public charge issue and its impact on Community Health Centers Visits by state and local elected officials Visits by Members of Congress and/or their staff Community Health Center’s with ACE (Advocacy Center of Excellence) Status: • El Rio Community Health Center • Adelante Health Care

AACHC Staff during the 2019 National Health Center Week

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Days of Session

2020 LEGISLATIVE AGENDA ο Retaining KidsCare ο Medicaid Oral Health Coverage for Pregnant Women ο Telehealth parity for commercial health plan reimbursement ο Engage in opioid epidemic laws and regulations ο Monitor the Affordable Care Act, Medicaid and 1332 waivers on alternative health plans ο 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

HEALTH CENTERS BY CONGRESSIONAL DISTRICT CONGRESSIONAL DISTRICT ONE

Representative Tom O’Halleran

• Canyonlands Healthcare (10) • Desert Senita Community Health Center (1) • Horizon Health and Wellness (3) • MHC Healthcare (5) • North Country HealthCare (8) • Sun Life Family Health Center (10) • Tuba City Regional Health Care Corporation (2)

CONGRESSIONAL DISTRICT TWO

Representative Ann Kirkpatrick

• Chiricahua Community Health Center (14) • El Rio Health (3) • MHC Healthcare (8) • United Community Health Center (8)

CONGRESSIONAL DISTRICT THREE

Representative Raúl Grijalva

• Adelante Healthcare (3) • Desert Senita Community Health Center (3) • El Rio Health (8) • Mariposa Community Health Center (5) • MHC Healthcare (2) • St. Elizabeth’s Health Center (1) • Sunset Health (9) • United Community Health Center (3) • Valleywise Health (1)

CONGRESSIONAL DISTRICT FOUR

Representative Paul Gosar

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

CONGRESSIONAL DISTRICT FIVE

Representative Andy Biggs

• Horizon Health and Wellness (1) • Terros Health (1)

CONGRESSIONAL DISTRICT SIX

Representative David Schweikert

• Adelante Healthcare (1) • Mountain Park Health Center (1) • Neighborhood Outreach Access to Health (5)

CONGRESSIONAL DISTRICT SEVEN

Representative Ruben Gallego

• Adelante Healthcare (1) • Circle the City (6) • Mountain Park Health Center (5) • NATIVE HEALTH (1) • Neighborhood Outreach Access to Health (1) • Terros Health (2) • Valle del Sol (3) • Valleywise Health (11) • Wesley Community & Health Center (2)

CONGRESSIONAL DISTRICT EIGHT

Representative Debbie Lesko

• Adelante Healthcare (4) • Mountain Park Health Center (1) • Neighborhood Outreach Access to Health (2) • Terros Health (1) • Valleywise Health (1)

CONGRESSIONAL DISTRICT NINE

Representative Greg Stanton

• Adelante Healthcare (1) • Mountain Park Health Center (2) • NATIVE HEALTH (3) • Neighborhood Outreach Access to Health (2) • Sun Life Family Health Center (1) • Valle del Sol (2) • Valleywise Health (3)

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

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QUALITY PROGRAM Quality improvement is a strong focus of AACHC through the Quality Improvement Peer Networking Committee (QIC) and other initiatives AACHC is working on with a variety of partners. The QIC 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.

• In 2018, diabetes management was added as one of the clinical focuses of the committee based on HRSA’s updated areas of interest.

• Additionally, there is an emphasis on heart health due to an Arizona Department of Health Services/CDC grant through which AACHC is partnering with the American Heart Association and pre-determined CHCs. The goal of this partnership is improving compliance for patients with hypertension and/ or hypercholesterolemia by working with CHCs to optimize their data, to develop targeted quality improvement initiatives and by providing applicable training and technical assistance.

• Beginning in 2019, and continuing into 2020, AACHC partnered with the American Cancer Society and 17 FQHCs on a Learning Collaborative that aims to improve colorectal cancer screening (CRC) rates.

This collaborative consists of monthly Zoom calls where didactic quality improvement information is presented and interactive presentations are given by the FQHCs where they can showcase their CRC work and ask for help determining how to overcome recurring barriers. The second half of this Learning Collaborative will have FQHCs conducting Plan-Do-Study-Act cycles based on the foundational work done so far.

• AACHC continues to work closely with Collaborative Ventures Network and Healthy Communities Collaborative Network to optimize use of the Azara DRVS reporting tool so clinics have consistent and up to date access to their screening rates, quality measures and patient gaps in care.

QUALITY IMPROVEMENT AWARDS IN 2019 20 HEALTH CENTERS RECEIVED QUALITY IMPROVEMENT AWARDS TOTALING

$1,823,925

Health Center Health Center Quality Quality Leader - Gold Leader - Silver

5%

5%

35% 10% 24

5%

Health Disparities Reducer

Access Enhancer

Value Enhancer

Health Center Quality Leader - Bronze

30%

Advancing HIT for Quality

80%

PCMH

85%

SPECIAL POPULATIONS SPECIAL POPULATIONS SERVED IN 2019

112,797

163,823

30,236

15,616

15,106

Individuals in or adjacent to Public Housing

Language other than English

Individuals Experiencing Homelessness

Gender and Sexual Minorities

Veterans

AGRICULTURAL WORKERS

• Arizona Interagency Farmworkers Coalition – Ongoing board representation – Annual educational conference – Scholarship program • Participation in the Pinal County Agricultural Workers Coalition • Convened Agricultural Worker Serving Health Centers Peer Networking Committee

ASIAN POPULATIONS

• Provided session around data disaggregation among Asian populations to address health inequities at Annual Meeting

INDIVIDUALS EXPERIENCING HOMELESSNESS

• Convened Health Care for the Homeless Peer Networking Committee

11,448 Migrant and Seasonal Agricultural Workers

LANGUAGE ASSISTANCE

• Provided session on working with patients that are deaf and hard of hearing at Medical and Dental Assistant and Community Health Worker Seminar

PERSONS LIVING WITH HIV/AIDS

• Provided best practices around universal HIV and Hepatitis C screening at Annual Meeting (via El Rio Health)

VULNERABLE POPULATIONS

• Provided session on trauma-informed care at Medical and Dental Assistant and Community Health Worker Seminar • Provided session around substance use disorder and impact on patients in regards to race and ethnicity at the Annual Meeting

Two Special Populations Medical Assistants of the Year Awards presented at the Annual Medical and Dental Assistant and Community Health Worker Seminar for care of refugee populations and individuals experiencing homelessness

HEALTH CENTER DEVELOPMENT 6 New Organizations

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

8 Health Centers

had Operational Site Visits (OSV); AACHC participated in seven

11 Health Centers

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

3 New Access Points

awarded in Arizona: Valleywise Health, Terros Health, and Creek Valley Clinic

56 Attendees

representing 13 health centers at the 2019 Annual Board Governance Training

15 Health Centers

received training and/or technical assistance on Health Center Requirements on over 237 issues/topics 25

TRAINING AND TECHNICAL ASSISTANCE FEBRUARY 2019 AACHC Annual Meeting • 189 Attendees • 23 Health Centers

Board Governance Training • 56 Attendees • 13 Health Centers

NHSC Scholars Meeting • 15 Attendees

MARCH

MAY Revenue Cycle Learning Collaborative • 28 Attendees (Same group from March and April) • 13 Health Centers

Triple E Group Meeting and Outreach and Enrollment Debrief • 20 Attendees • 9 Health Centers

APRIL Revenue Cycle Learning Collaborative • 28 Attendees (Same group from March) • 13 Health Centers

Recruitment and Retention Conference: Hiring and Engaging Arizona’s Healthcare Heroes • 69 Attendees

Annual Finance Officer Training • 21 Attendees • 15 Health Centers

Medicare Cost Report

• 37 Attendees • 17 Health Centers

Bridging the Gap Between Prevention and Treatment of Opioid and Substance Misuse Webinar • 25 Attendees • 11 Health Centers

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2019 AIFC Conference • 80 Attendees • 3 Health Centers

2019 Medicare Updates Webinar • 39 Attendees • 22 Health Centers

2019 AZ SEARCH Partners Meeting • 19 Attendees

An Overview of Medication Assisted Treatment and Stigma Webinar • 17 Attendees • 8 Health Centers

Revenue Cycle Learning Collaborative • 28 Attendees • 13 Health Centers

SEPTEMBER

JUNE The 2nd Annual Symposium on Health and Violence • 96 Attendees • 11 Health Centers

Recovery and Medication Assisted Treatment – Dispelling the Myths Webinar • 14 Attendees • 9 Health Centers

Best Practices and Pitfalls in Cervical Cancer Prevention Webinar • 23 Attendees • 10 Health Centers

JULY 2019 Annual Board Retreat

• 31 Attendees, including 24 Health Center Board Members

OCTOBER FQHC Coding and Billing Symposium • 56 Attendees • 19 Health Centers

HIT Symposium

• 50 Attendees • 16 Health Centers

18th Annual Medical and Dental Assistant and Community Health Worker Seminar

• 131 Attendees − 23 were Dental Assistants • 13 Health Centers

NOVEMBER Oral Health Value-Based Care Training Workshop • 44 Attendees • 11 Health Centers

DECEMBER 2019 Uniform Data Systems (UDS) Training • 116 Attendees • 22 Health Centers

Visit our website at www.aachc.org/events-training/events/ for details on 2020 events and trainings and to register.

WORKFORCE DEVELOPMENT RECRUITMENT AND RETENTION

Arizona National

Community Health

• 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 • Hosted 12 Rural Health Professions Program Students and CAAHEC Scholars

WORKFORCE PROGRAMS AND EVENTS

• AZ Recruitment and Retention Conference including national and local experts and presenters • AZ NHSC Scholars Conference – 83 Scholars have participated in the conference from 2013 to 2019 • Of the 40 Scholars who participated from 2015 to 2019: – 25 are in practice – 18 practice in Arizona – 14 practice at a Community Health Center – One at a Tribal Clinic and three in non-profit settings • On Site Rotation Placement Staff Awards Luncheon and Forum • Staff Development Trainings for staff members from 15 FQHCs

Pr Com (PC imar mu A) - y Ca nity Ariz re A Hea ona sso lth Alli ciat Cen anc ion ters e fo (AA r C HC )

STATEWIDE IMPACT

th eal ) a H HEC Are AA na r (C izo te l Ar Cen tra ion Cenducat E

Center Workforce • Rural/urban underserved Health Service Corps Staff Development rotation assistance to 196 National Rural Scholars Conference and Training primary care students and Support Recruitment and Programs Participation • 1,817 Primary Care Providers Services Retention Network and Sponsorship indicated interest in practicing (3RNet) AZ Collaborative: of Recruitment in Arizona AACHC, ADHS, and AZ and Job Fairs and • AZ Recruitment Website Center for Rurral Events Launch: Health www.azcfc.org Arizona Student/ • Participation and Rural Clinical Rotations, Resident Experiences presentations at nine Stipends and Support and rotations in recruitment events for 880 Services for Primary Community Health primary care providers and Care Students and Program (AZSEARCH) students Workforce Preceptors • Development and Collaborative distribution of whiteboard Participation in Community Health Partnership: recruitment video National Workforce Worker Workforce 2019 Events Partnerships and Programs and Collaboratives

Federal and State Loan Repayment Program Support and Presentations

Trainings

Primary Care Office (PCO) Arizona Department of Health Services (ADHS) Workforce Development Trainings and Webinars

Participation in Arizona Workforce Coalitions and Organizations

Annual Arizona Recruitment Rural Health and Retention Professions Conference Program/AHEC Scholars Immersion Program

Participants of the 2019 AZ NHSC Scholars Conference

27

CENTRAL ARIZONA AREA HEALTH EDUCATION CENTER (CAAHEC)

The purpose of the Central Arizona Area Health AACHC eagerly anticipated the arrival of CAAHEC Education Center (CAAHEC) is to develop and which was established on July 1, 2019. enhance education networks, programs, and services to improve the supply, quality, diversity, Major milestones so far include: and distribution of health professionals who serve • Received Notification of Center award from the rural and underserved populations and can provide University of Arizona: Arizona Health Sciences quality care in the context of a transforming health Center. This included going through the care system. contractual and procurement process, setting up purchase orders, and formalizing all financial PROGRAM OBJECTIVES arrangements • Academic-Community Partnership • Hired initial staff, including seasoned health • Core Services administrators, previous AHEC leaders, and – K-12 Health Career Preparation health workforce subject matter experts – Community Based Clinical Rotations • Assembled CAAHEC Advisory Board and – Community Based Non-Clinical Rotations developed Organizational Charter – Interprofessional Education • Engaged Program Office, stakeholders, and other – Continuing Education partners on identification of what needs to be – Community Health done to ensure a smooth transition of current • Priorities programs and services – Diversity of Health Workforce • Began a myriad of formal needs assessments, – Distribution of Health Workforce asset inventory, and readiness response for – Practice Transformation onboarding current AHEC programs and services • Commenced the development of strategic, CAAHEC will strive to be a Center of Excellence business, and operational plans focused on: • Engaged Community Health Centers, academic • CHC Health Profession and Medical Students/ partners, and all stakeholders on programmatic Resident Rotations and Applied Experiences; design and implementation • AHEC Scholars Community Health Center • Formulated evaluation plan, including the Program; development of data collection instruments, data • Graduate Medical Education (GME): Teaching entry workflows to meet reporting requirements Health Center; • Leverage existing resources to align with AHEC • InterProfessional Education (IPE); Scope of Work, including the addition of four • Clinical and Community Based Research; funding sources focused on health workforce • Health Professional Education (i.e. CME) and development programs and services Faculty Development; • Development of curriculum and applied experiences focused on Social Determinants of Health (SDOH); and • Advocacy on Health Professions Workforce policies and issues.

Simply put...

It's all about the workforce

Growing our Own

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NOTES

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.

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