CHAMPS EXECUTIVE COMMITTEE CONFERENCE CALL AGENDA … · 2016. 5. 13. · CHAMPS EXECUTIVE...

CHAMPS EXECUTIVE COMMITTEE CONFERENCE CALL AGENDA TUESDAY, MAY 17, 2016 @ 10:00 AM MT/11:00 AM CT

Dial-In Number: 866-453-5550 / Participant PIN: 4382269#

I. CALL TO ORDER – John Mengenhausen II. CHAMPS SECRETARY'S REPORT – John Santistevan

A. Establish Quorum B. Review/Approve 1/26/16 CHAMPS Executive Committee Conference Call Minutes

III. CHAMPS TREASURER'S REPORT – John Santistevan

A. Review/Accept 1/16, 2/16, and 3/16 CHAMPS Unaudited Financial Reports B. Review/Approve 2016/2017 Budget

IV. CHAMPS STAFF REPORT – Julie Hulstein/Andrea Martin/Jen Anderson

A. CHAMPS 2016/2017 Organizational Membership B. CHAMPS Corporate Compliance Workplan C. CHAMPS/NWRPCA Fall Primary Care Conference D. CHAMPS/NWRPCA Education Health Center Initiative E. CHAMPS Workforce Development and Member Services F. Mountain/Plains Clinical Network (MPCN)

V. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) REPORT

VI. NACHC BOARD MEMBERS’ REPORT – John Mengenhausen/John Santistevan

VII. CHAMPS PRESIDENT'S REPORT – John Mengenhausen A. CHAMPS Strategic Plan B. CHAMPS Executive Committee Membership / Nominating Committee

VIII. REGION VIII STATE PRIMARY CARE ASSOCIATION REPORTS

A. Association for Utah Community Health / AUCH B. Colorado Community Health Network / CCHN C. Community HealthCare Association of the Dakotas / CHAD D. Montana Primary Care Association / MPCA E. Wyoming Primary Care Association / WYPCA

IX. OTHER BUSINESS

X. ADJOURNMENT

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EXECUTIVE COMMITTEE ROLL CALL 2014–2016

PRESIDENT John Mengenhausen VICE PRESIDENT Keith Horwood, MD TREASURER/SECRETARY John Santistevan MONTANA REPRESENTATIVE Cindy Smith NORTH DAKOTA REPRESENTATIVE Kristi Halvarson

WYOMING REPRESENTATIVE Melissa Ipsen CLINICAL REPRESENTATIVE Kim McFarlane, PA-C

CHAMPS Mission The mission of CHAMPS is to provide opportunities for education and training,

networking, and workforce development to Region VIII Community Health Centers so we can better serve our patients and communities.

CHAMPS Vision

All patients and communities benefit from the impact of the resources that CHAMPS provides to Community Health Centers.

CHAMPS Values

Support Excellence Responsiveness Vision Integrity Collaboration Effectiveness

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COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES (CHAMPS) EXECUTIVE COMMITTEE CONFERENCE CALL MINUTES

TUESDAY, JANUARY 26, 2016

MEMBERS PRESENT John Mengenhausen, President Keith Horwood, MD, Vice President (proxy) John Santistevan, Treasurer Kristi Halvarson, ND Representative Kim McFarlane, PA-C, Clinical Representative

STAFF PRESENT Julie Hulstein Andrea Martin Jen Anderson MEMBERS ABSENT Cindy Smith, MT Representative

CALL TO ORDER The meeting was called to order at 3:05 PM MT. CHAMPS SECRETARY’S REPORT It was determined that a quorum was present. The minutes from the CHAMPS Executive Committee meeting on October 17, 2015 were reviewed. John Santistevan moved to approve the minutes. Kristi Halvarson seconded the motion, which passed unanimously. CHAMPS TREASURER’S REPORT The unaudited financial reports for the months of September, October, November, and December 2015 were reviewed. John Santistevan moved to approve the financial reports. Kim McFarlane seconded the motion, which passed unanimously. CHAMPS STAFF REPORT The CHAMPS membership year began April 1st; as of January 20th, 78% of Region VIII CHCs have paid their CHAMPS organizational membership dues and all State PCAs are CHAMPS members (80% of eligible CHCs and PCAs are CHAMPS organizational members). The goals of the CHAMPS’ Corporate Compliance program are to develop and implement a monitoring system designed to ensure that CHAMPS is in compliance with relevant state and federal laws; and, identify and correct compliance issues on an ongoing basis. John Santistevan moved to approve the Corporate Compliance report for the period ending March 31, 2016 as of January 20, 2016. Kristi Halvarson seconded the motion, which passed unanimously. The 2015 CHAMPS/NWRPCA Fall Conference held in Seattle in October had approximately 390 paid registrants (not including staff and speakers) of which 34% were from Region VIII which is fairly typical when the conference is held in Region X. The Performance Compensation in CHCs day-long session held in conjunction with the Fall Conference had 45 registrants. Eight of the conference sessions were videotaped and are now available for viewing on the CHAMPS YouTube channel as well as via the CHAMPS website. The 2015 conference evaluation results were included in the meeting packet. The 2016 Fall Conference will be held in Denver. In partnership with Region VIII SPCAs, CHAMPS applied to and was selected to host FTCA University (FTCAU) this summer. Details such as location and topics are being finalized for the two-day training which will take place June 16-17. Data collection for the third iteration of the Region VIII Annual Measure of Finance, Operations, and Productivity (AMFOP) in partnership with CliftonLarsonAllen (CLA) is currently underway. So far 11 CHCs have submitted data – it is hoped several more will participate again this year. Education Health Center Initiative (EHCI) continues to explore opportunities to partner with CHC, Inc. (the new National Cooperative Agreement funded to provide T/TA to help health centers identify and implement innovative models and effective practices to train health profession students, residents, and licensed clinicians to provide high quality care to vulnerable populations in team-based primary care settings) and other like-minded organizations in pursuit of its mission to develop training and workforce solutions for the provision of quality primary care to

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underserved populations through support and transformation of primary care health workforce training partnerships. CHAMPS Outreach & Enrollment (O&E) Coordinator, Sophie Hagberg, is working with her Region VIII SPCA peers to assist CHCs with O&E activities including helping facilitate SPCA O&E sessions/meetings and maintaining webpages containing O&E, Affordable Care Act (ACA), and health insurance literacy tools and resources; a report of O&E activities was included in the packet. The evaluation summary report for the sixth O&E webinar in the summer webinar series hosted by CHAMPS and CCHN, “Communication Strategies for OE3”, was included in the meeting packet as were the evaluation summary reports for the two CHAMPS O&E webcasts held in conjunction with NWRPCA in December: “Making Heads or Tails Out of Immigration and Eligibility” and “H-2A Workers: Who, What, and Outreach Resources”. Andrea Martin gave the Workforce Development and Member Services update; the Recruitment Activities Report for April 2015-January 2016 was included in the packet. Also included was a flyer highlighting CHAMPS’ upcoming Critical Skills for Mid-Level Managers Course which will be held in partnership with NWRPCA beginning this April with a face-to-face meeting in Golden, CO. In conjunction with all Region VIII SPCAs, and in compliance with BPHC Cooperative Agreement requirements for PCAs, CHAMPS conducted the 2015-2016 training and technical assistance (T/TA) needs assessment; the Region VIII Health Center T/TA Needs Assessment summary report was included in the packet and reviewed. Data for the needs assessment was collected between November 4-22, 2015 and 282 individuals responded representing 62 Region VIII health centers. Some of the top areas of need include recruitment of providers, staff retention, billing/coding issues, clinic operations, and data analytics. Other highly ranked topics include preparing for payment reform, supervisor/manager training, and staff engagement/satisfaction. The most preferred method for receiving T/TA is PCA webinars/webcasts closely followed by PCA face-to-face trainings. Between August 4th and November 23rd, CHAMPS requested that newsletter readers complete an evaluation of the CHAMPS Quarterly Newsletter; the CHAMPS Quarterly Newsletter 2015 Evaluation Summary Report was included in the packet. CHAMPS is utilizing the results of the evaluations to improve and enhance the newsletter. The follow-up survey results for events one through five of the 2015 CHAMPS/CCHN Lunchtime Learning Professional Skill Development Distance Learning Series were included in the meeting packet. Andrea noted that she is working with CCHN to explore the possibility of creating a preferred pricing program for Human Resources background screening and reference checks. Region VIII CHC HR staff have been surveyed as to their interest and a workgroup has been convened to discuss how best to proceed. It was also noted that 2016 is a Region VIII CHC salary survey year and to that end a salary survey advisory committee has been convened to assist with any necessary updates to the salary survey. Data collection for the salary survey will begin in May. Jen gave the Mountain/Plains Clinical Network (MPCN) update. The MPCN Strategic Plan was included in the meeting packet; the four goals of the 2015-2016 MPCN Strategic Plan are: Increase awareness and communicate value of MPCN, Provide clinical education/training opportunities and resources, Build/nourish partnerships, and Keep MPCN members informed of the changing health care landscape. The MPCN Steering Committee is recruiting representatives from Montana, North Dakota, and South Dakota so please let Jen know if you are aware of any clinicians who would like to be a part of the Steering Committee.

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On February 11th CHAMPS is hosting a 90 minute webinar entitled “Exploring Behavioral Health Integration Models throughout Region VIII” which will include presentations from three Region VIII CHCs. And April 22-25 CHAMPS will host its annual Spanish Language Training for Health Care Professionals in conjunction with the Denver Medical Society. Registration is open for both learning opportunities and additional information was contained in the packet. CHAMPS continues to offer the UpToDate Preferred Pricing Program for CHAMPS Organizational Members and since the number of Region VIII CHCs participating has increased, the discount has also increased to $100 off of the individual subscription price for 2016. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) REPORT On December 18th, Kirsten Argueta emailed all health centers in Regions VIII and X to notify them of changes taking place in the Project Officer role. Beginning December 28th, all health centers in the BPHC Office of Northern Health Services’ Northwest Division (Regions VIII and X) will be a part of a Project Officer pilot which will transition CHCs from the traditional one-one Project Officer-health center model to a team-based approach to providing support. The NWD Support Center will be staffed by a team of experienced Public Health Analysts (AKA Project Officers) who will be supported by Team Leads and advisors, who will work together to respond to the CHC inquiries. BPHC is requesting feedback on this pilot, so please share your experiences and recommendations directly with BPHC or via CHAMPS or your SPCA. NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) REPORT The NACHC Policy and Issues Forum (P&I) schedule was included in the packet – it will be held March 15-19 in Washington, DC. A Region 18 Leadership meeting will be held during the P&I. Also included in the packet was information on the new NACHC Advocacy Center of Excellence (ACE) program. An ACE is any health center that has achieved certain measures of advocacy success and demonstrated ongoing commitment to advocacy by making it an organizational priority. The NACHC Winter Strategy Meeting will occur later this week in Delray Beach, FL. CHAMPS PRESIDENT’S REPORT The 2014-2016 CHAMPS Strategic Plan was included in the packet. Also included in the packet were letters of resignation from Pam Locken who retired from Prairie Community Health earlier this month and Liz Willson who resigned from HealthWorks at the end of December; Pam and Liz will be greatly missed. Liz’s resignation creates a vacancy on the Executive Committee for a Wyoming Representative. Per the CHAMPS bylaws: “A vacancy in any office, however occurring, may be filled by the Executive Committee for the unexpired portion of the term.” Kim McFarlane moved to appoint Melissa Ann Ipsen, Program Director of Crossroads Clinic in Cheyenne, WY, as the WY Representative to the CHAMPS Executive Committee. Kristi Halvarson seconded the motion, which passed unanimously. President John Mengenhausen appointed John Santistevan to serve as Secretary in addition to his role of Treasurer. REGION VIII STATE PRIMARY CARE ASSOCIATION (SPCA) REPORTS Dates of upcoming SPCA meetings were included in the Calendar of Events which was contained in the meeting packet and brief SPCA updates were given by Executive Committee members including the selection of a new CEO for CHAD effective March 7th: Shelly Ten Napel. CHAMPS staff participate in SPCA meetings/conferences and convene regular conference calls with their SPCA peers/colleagues to ensure coordination of Region VIII PCA programs and services and open, ongoing communication. ADJOURNMENT The meeting was adjourned at approximately 3:50 PM MT. Respectfully submitted, President John Mengenhausen

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MTD MTD YTD YTD BudgetedFederal Income Amount % Amount % AmountCHAMPS 42,591.20 8.19% 472,720.23 90.92% 519,941.00 Sub-Total Federal Income 42,591.20 8.19% 472,720.23 90.92% 519,941.00

Non-Federal IncomeInterest - Investments 977.49 65.17% 1,879.94 125.33% 1,500.00 Interest - Checking & Savings 7.36 4.60% 114.07 71.29% 160.00 UW COPE-REMS - 0.00% - 0.00% 2,250.00 Donated Website Services - 0.00% 3,000.00 0.00% - CORE Competency Training - 0.00% 37,000.00 100.00% 37,000.00 Spanish Language Training - 0.00% 2,350.00 100.00% 2,350.00 Annual Conference - 0.00% - 0.00% 20,000.00 Education Health Center Initiative 1,245.35 0.00% 3,913.20 0.00% 15,000.00 Miscellaneous Product Income 200.00 6.67% 922.50 30.75% 3,000.00 Membership Dues - 0.00% 87,819.00 125.46% 70,000.00 Sub-Total Non-Federal Income 2,430.20 1.61% 136,998.71 90.57% 151,260.00

TOTAL INCOME 45,021.40 6.71% 609,718.94 90.84% 671,201.00$

ExpensesSalaries 22,840.31 7.51% 263,270.58 86.60% 304,000.00 Fringe Benefits 4,949.74 9.38% 45,490.76 86.24% 52,750.00 Payroll Taxes 2,872.63 8.70% 21,749.32 65.91% 33,000.00 Sub-Total Labor Expense 30,662.68 7.87% 330,510.66 84.80% 389,750.00

Contract Labor 6,006.73 6.12% 71,954.76 73.27% 98,200.00 Sub-Total Contract Expense 6,006.73 6.12% 71,954.76 73.27% 98,200.00

Board & Committee Meetings (Non-Federal) - 0.00% 1,732.13 43.30% 4,000.00 Gifts, Luncheons, Etc. (Non-Federal) 169.17 4.83% 2,987.31 85.35% 3,500.00 Gifts for Officers (Non-Federal) - 0.00% 822.35 68.53% 1,200.00 Insurance & Bonding 258.76 7.39% 2,583.20 73.81% 3,500.00 Continuing Education - 0.00% 1,561.00 156.10% 1,000.00 Registration Fees 150.00 1.88% 7,275.00 90.94% 8,000.00 Office Expenses 3,026.68 9.46% 23,838.11 74.49% 32,000.00 Accounting Fees - 0.00% 5,058.44 101.17% 5,000.00 Occupancy/Rent 1,702.66 8.11% 16,465.91 78.41% 21,000.00 CORE Competency Training - 0.00% 18,886.72 94.43% 20,000.00 Staff Travel 1,640.22 6.31% 15,886.51 61.10% 26,000.00 Clinician Travel to Annual Conference (NF) - 0.00% 10,900.00 128.24% 8,500.00 Reg. Reimb. for Annual Conference (NF) - 0.00% 9,561.00 100.64% 9,500.00 Annual Conference (Non-Federal) - 0.00% 40,000.00 114.29% 35,000.00 Receptions (Non-Federal) - 0.00% 531.25 10.63% 5,000.00 Sub-Total Other Expense 6,947.49 3.79% 158,088.93 86.29% 183,200.00

TOTAL EXPENSES 43,616.90 6.50% 560,554.35 83.52% 671,150.00$

Financial Report FY 2015-2016 (FY 16)Ten Periods Ending January 31, 2016 (83% of Year Gone)

COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES

With 83% of the year gone, 91% of income has been earned and 84% of budget has been expended.

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Description Face Value Unit Price MaturesInterest

Payments Market ValueUnrealized Gain/(Loss)

Estimated Annual Income Yield %

CERTIFICATES OF DEPOSITComenity Bank Jumbo 100,000.00$ 100.01$ 3/17/2016 Monthly 100,008.00$ 8.00$ 750.00$ 0.12%DTD 09/17/14

Ally Bank - UT 20,000.00$ 100.02$ 3/18/2016 Semi-Annually 20,004.60$ 4.60$ 140.00$ 0.34%DTD 09/18/14


ST Bank of INDIA - NY 50,000.00$ 101.25$ 4/27/2017 Semi-Annually 50,625.50$ (93.91)$ 1,000.00$ 1.97%DTD 04/27/12

Ally Bank - UT 40,000.00$ 99.85$ 11/14/2017 Semi-Annually 39,938.80$ (61.20)$ 420.00$ 1.05%DTD 05/14/15

Cap One NA - VA 60,000.00$ 100.44$ 8/27/2018 Semi-Annually 60,265.80$ (275.96)$ 1,050.00$ 1.74%DTD 8/26/15

Capital One Bank - VA 60,000.00$ 100.44$ 8/27/2018 Semi-Annually 60,265.80$ (275.96)$ 1,050.00$ 1.74%DTD 8/26/15

Amex Centurion - UT 100,000.00$ 100.35$ 12/31/2018 Semi-Annually 100,349.00$ (413.00)$ 1,750.00$ 1.74%DTD 12/30/15

220,000.00$ 481,468.50$

Cash & money funds closing balance for this period: 1,854.95$

Balance in Non-Federal Account 12/31/15 168,388.03Education Health Center Initiative (EHCI) 1,245.35Miscellaneous Income 200.00Interest 7.16Balance in Non-Federal Account 1/31/16 169,840.54$ $100,822.02 Matures 3/26/16

Interest 0.15%

Total in CHAMPS Non-Federal Accounts (MorganStanley + UMB Bank): 753,986.01$

Opening Balances in Non-Federal Account: Change:4/1/1991 26,013.93$ 4/1/1992 9,563.19$ (16,450.74)$ 4/1/1993 31,893.35$ 22,330.16$ 4/1/1994 38,480.59$ 6,587.24$ 4/1/1995 31,639.15$ (6,841.44)$ 4/1/1996 33,785.65$ 2,164.50$ 4/1/1997 77,869.88$ 44,084.23$ 4/1/1998 106,405.11$ 28,535.23$ 4/1/1999 116,615.80$ 10,210.69$ 4/1/2000 141,607.21$ 24,991.41$ 4/1/2001 199,013.39$ 57,406.18$ 4/1/2002 188,048.82$ (10,964.57)$ 4/1/2003 243,335.66$ 55,286.84$ 4/1/2004 265,005.06$ 21,669.40$ 4/1/2005 314,636.36$ 49,631.30$ 4/1/2006 375,309.88$ 60,673.52$ 4/1/2007 382,104.56$ 6,794.68$ 4/1/2008 343,417.01$ (38,687.55)$ 4/1/2009 414,549.40$ 71,132.39$ 4/1/2010 419,747.38$ 5,197.98$ 4/1/2011 483,726.84$ 63,979.46$ 4/1/2012 523,664.46$ 39,937.62$ 4/1/2013 599,003.08$ 75,338.62$ 4/1/2014 621,369.25$ 22,366.17$ 4/1/2015 663,110.66$ 41,741.41$

CHAMPS UMB Bank of Colorado Account (Non-Federal)

CHAMPS MorganStanley AccountJanuary 1-31, 2016

CHAMPS UMB CD

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Assets

Cash ‐ CO State Bank 23,090.56$

Cash ‐ UMB 169,840.54$

Investments ‐ MorganStanley 484,961.21$

CD ‐ UMB 100,822.02$

Accounts Receivable 24,660.23$

Prepaid Expenses 4,463.26$

Prepaid Insurance 1,017.59$

Prepaid Workers' Compensation Insurance 100.51$

Prepaid Health Insurance 1,346.06$

Deposit ‐ Letter of Credit CD for Office 2,332.36$

Total Assets 812,634.34$

Liabilities

Accounts Payable 25,869.39$

Denver Use Tax ‐ Property 74.00$

Medical Savings Contributions 1,249.92$

Childcare Deduction/Reimbursement 120.00$

Medical Savings Reimbursement (2,250.00)$

Accrued Vacation Payable 38,484.42$

Total Liabilities 63,547.73$

Net Assets

Retained Earnings ‐ Current Year 49,164.59$

Fund Balance ‐ Prior FY 364,922.02$

Designated Operating Reserves 335,000.00$

Total Net Assets 749,086.61$

Total Liabilities & Net Assets 812,634.34$


Balance Sheet as of January 31, 2016

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Non-Federal IncomeInterest - Investments 1,599.52 106.63% 3,479.46 231.96% 1,500.00 Interest - Checking & Savings 6.90 4.31% 120.97 75.61% 160.00 UW COPE-REMS - 0.00% - 0.00% 2,250.00 Donated Website Services - 0.00% 3,000.00 0.00% - CORE Competency Training - 0.00% 37,000.00 100.00% 37,000.00 Spanish Language Training - 0.00% 2,350.00 100.00% 2,350.00 Annual Conference - 0.00% - 0.00% 20,000.00 Education Health Center Initiative - 0.00% 3,913.20 0.00% 15,000.00 Miscellaneous Product Income - 0.00% 922.50 30.75% 3,000.00 Membership Dues - 0.00% 87,819.00 125.46% 70,000.00 Sub-Total Non-Federal Income 1,606.42 1.06% 138,605.13 91.63% 151,260.00

TOTAL INCOME 39,592.83 5.90% 649,311.77 96.74% 671,201.00$



Board & Committee Meetings (Non-Federal) - 0.00% 1,732.13 43.30% 4,000.00 Gifts, Luncheons, Etc. (Non-Federal) 84.12 2.40% 3,071.43 87.76% 3,500.00 Gifts for Officers (Non-Federal) - 0.00% 822.35 68.53% 1,200.00 Insurance & Bonding 258.76 7.39% 2,841.96 81.20% 3,500.00 Continuing Education - 0.00% 1,561.00 156.10% 1,000.00 Registration Fees - 0.00% 7,275.00 90.94% 8,000.00 Office Expenses 1,278.94 4.00% 23,567.05 73.65% 32,000.00 Accounting Fees - 0.00% 5,058.44 101.17% 5,000.00 Occupancy/Rent 1,629.69 7.76% 18,095.60 86.17% 21,000.00 CORE Competency Training - 0.00% 20,436.72 102.18% 20,000.00 Staff Travel 10.00 0.04% 15,896.51 61.14% 26,000.00 Clinician Travel to Annual Conference (NF) - 0.00% 10,900.00 128.24% 8,500.00 Reg. Reimb. for Annual Conference (NF) - 0.00% 9,561.00 100.64% 9,500.00 Annual Conference (Non-Federal) - 0.00% 40,000.00 114.29% 35,000.00 Receptions / Meet & Greet (Non-Federal) 1,750.00 35.00% 2,281.25 45.63% 5,000.00 Sub-Total Other Expense 5,011.51 2.74% 163,100.44 89.03% 183,200.00

TOTAL EXPENSES 40,277.68 6.00% 600,832.03 89.52% 671,150.00$

Financial Report FY 2015-2016 (FY 16)Eleven Periods Ending February 29, 2016 (92% of Year Gone)



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CERTIFICATES OF DEPOSITComenity Bank Jumbo 100,000.00$ 100.00$ 3/17/2016 Monthly 100,002.00$ 2.00$ 750.00$ 0.06%DTD 09/17/14



ST Bank of INDIA - NY 50,000.00$ 101.28$ 4/27/2017 Semi-Annually 50,640.00$ (33.48)$ 1,000.00$ 1.97%DTD 04/27/12


Cap One NA - VA 60,000.00$ 100.86$ 8/27/2018 Semi-Annually 60,514.80$ (10.64)$ 1,050.00$ 1.73%DTD 8/26/15

Capital One Bank - VA 60,000.00$ 100.86$ 8/27/2018 Semi-Annually 60,514.80$ (10.64)$ 1,050.00$ 1.73%DTD 8/26/15

Amex Centurion - UT 100,000.00$ 100.82$ 12/31/2018 Semi-Annually 100,824.00$ 82.46$ 1,750.00$ 1.73%DTD 12/30/15

220,000.00$ 482,541.10$


Balance in Non-Federal Account 1/31/16 169,840.54WYPCA Contribution to AAFP Exhibit Table 800.00Interest 6.74Balance in Non-Federal Account 2/29/16 170,647.28$ $100,822.02 Matures 3/26/16

Interest 0.15%


Opening Balances in Non-Federal Account: Change:4/1/1991 26,013.93$ 4/1/1992 9,563.19$ (16,450.74)$ 4/1/1993 31,893.35$ 22,330.16$ 4/1/1994 38,480.59$ 6,587.24$ 4/1/1995 31,639.15$ (6,841.44)$ 4/1/1996 33,785.65$ 2,164.50$ 4/1/1997 77,869.88$ 44,084.23$ 4/1/1998 106,405.11$ 28,535.23$ 4/1/1999 116,615.80$ 10,210.69$ 4/1/2000 141,607.21$ 24,991.41$ 4/1/2001 199,013.39$ 57,406.18$ 4/1/2002 188,048.82$ (10,964.57)$ 4/1/2003 243,335.66$ 55,286.84$ 4/1/2004 265,005.06$ 21,669.40$ 4/1/2005 314,636.36$ 49,631.30$ 4/1/2006 375,309.88$ 60,673.52$ 4/1/2007 382,104.56$ 6,794.68$ 4/1/2008 343,417.01$ (38,687.55)$ 4/1/2009 414,549.40$ 71,132.39$ 4/1/2010 419,747.38$ 5,197.98$ 4/1/2011 483,726.84$ 63,979.46$ 4/1/2012 523,664.46$ 39,937.62$ 4/1/2013 599,003.08$ 75,338.62$ 4/1/2014 621,369.25$ 22,366.17$ 4/1/2015 663,110.66$ 41,741.41$


CHAMPS MorganStanley AccountFebruary 1-29, 2016

CHAMPS UMB CD

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Assets


Cash ‐ UMB 168,353.66$


CD ‐ UMB 100,822.02$



Prepaid Insurance 758.83$





Liabilities


Payroll Payable 1,249.02$


Denver Use Tax ‐ Food 1.00$






Net Assets







Balance Sheet as of February 29, 2016

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Non-Federal IncomeInterest - Investments 1,265.02 84.33% 4,744.48 316.30% 1,500.00 Interest - Checking & Savings 6.80 4.25% 127.77 79.86% 160.00 UW COPE-REMS - 0.00% - 0.00% 2,250.00 Donated Website Services - 0.00% 3,000.00 0.00% - CORE Competency Training - 0.00% 37,000.00 100.00% 37,000.00 Spanish Language Training - 0.00% 2,350.00 100.00% 2,350.00 Annual Conference 70,353.79 351.77% 70,353.79 351.77% 20,000.00 Education Health Center Initiative 1,552.57 0.00% 5,465.77 0.00% 15,000.00 Miscellaneous Product Income 90.00 3.00% 1,012.50 33.75% 3,000.00 Membership Dues - 0.00% 87,819.00 125.46% 70,000.00 Sub-Total Non-Federal Income 73,268.18 48.44% 211,873.31 140.07% 151,260.00

TOTAL INCOME 82,502.54 12.29% 731,814.31 109.03% 671,201.00$



Board & Committee Meetings (Non-Federal) 2,054.52 51.36% 3,786.65 94.67% 4,000.00 Gifts, Luncheons, Etc. (Non-Federal) 448.65 12.82% 3,520.08 100.57% 3,500.00 Gifts for Officers (Non-Federal) - 0.00% 822.35 68.53% 1,200.00 Insurance & Bonding 258.76 7.39% 3,100.72 88.59% 3,500.00 Continuing Education 101.32 10.13% 1,662.32 166.23% 1,000.00 Registration Fees 600.00 7.50% 7,875.00 98.44% 8,000.00 Office Expenses 1,613.06 5.04% 25,180.11 78.69% 32,000.00 Accounting Fees - 0.00% 5,058.44 101.17% 5,000.00 Occupancy/Rent 2,101.80 10.01% 20,197.40 96.18% 21,000.00 CORE Competency Training - 0.00% 20,436.72 102.18% 20,000.00 Staff Travel 7,262.50 27.93% 23,159.01 89.07% 26,000.00 Clinician Travel to Annual Conference (NF) - 0.00% 10,900.00 128.24% 8,500.00 Reg. Reimb. for Annual Conference (NF) - 0.00% 9,561.00 100.64% 9,500.00 Annual Conference (Non-Federal) - 0.00% 40,000.00 114.29% 35,000.00 Receptions / Meet & Greet (Non-Federal) - 0.00% 2,281.25 45.63% 5,000.00 Sub-Total Other Expense 14,440.61 7.88% 177,541.05 96.91% 183,200.00

TOTAL EXPENSES 57,574.81 8.58% 658,406.84 98.10% 671,150.00$

Financial Report FY 2015-2016 (FY 16)Twelve Periods Ending March 31, 2016 (100% of Year Gone)



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CERTIFICATES OF DEPOSITAlly Bank - UT 50,000.00$ 100.09$ 9/19/2016 Semi-Annually 50,042.50$ 42.50$ 325.00$ 0.32%DTD 03/19/15

ST Bank of INDIA - NY 50,000.00$ 101.28$ 4/27/2017 Semi-Annually 50,639.50$ 15.11$ 1,000.00$ 1.97%DTD 04/27/12


Cap One NA - VA 60,000.00$ 101.10$ 8/27/2018 Semi-Annually 60,660.60$ 152.86$ 1,050.00$ 1.73%DTD 8/26/15

Capital One Bank - VA 60,000.00$ 101.10$ 8/27/2018 Semi-Annually 60,660.60$ 152.86$ 1,050.00$ 1.73%DTD 8/26/15

Amex Centurion - UT 100,000.00$ 101.14$ 12/31/2018 Semi-Annually 101,136.00$ 416.33$ 1,750.00$ 1.73%DTD 12/30/15

100,000.00$ 363,198.40$


Balance in Non-Federal Account 2/29/16 170,647.28WYPCA & AUCH Contributions to FTCAU 3,000.00Transfer to CHAMPS Federal Bank Account -32,293.62Interest 6.54Balance in Non-Federal Account 3/31/16 141,360.20$ $100,910.27 Matures 10/26/16

Interest 0.1%


Opening Balances in Non-Federal Account: Change:4/1/1991 26,013.93$ 4/1/1992 9,563.19$ (16,450.74)$ 4/1/1993 31,893.35$ 22,330.16$ 4/1/1994 38,480.59$ 6,587.24$ 4/1/1995 31,639.15$ (6,841.44)$ 4/1/1996 33,785.65$ 2,164.50$ 4/1/1997 77,869.88$ 44,084.23$ 4/1/1998 106,405.11$ 28,535.23$ 4/1/1999 116,615.80$ 10,210.69$ 4/1/2000 141,607.21$ 24,991.41$ 4/1/2001 199,013.39$ 57,406.18$ 4/1/2002 188,048.82$ (10,964.57)$ 4/1/2003 243,335.66$ 55,286.84$ 4/1/2004 265,005.06$ 21,669.40$ 4/1/2005 314,636.36$ 49,631.30$ 4/1/2006 375,309.88$ 60,673.52$ 4/1/2007 382,104.56$ 6,794.68$ 4/1/2008 343,417.01$ (38,687.55)$ 4/1/2009 414,549.40$ 71,132.39$ 4/1/2010 419,747.38$ 5,197.98$ 4/1/2011 483,726.84$ 63,979.46$ 4/1/2012 523,664.46$ 39,937.62$ 4/1/2013 599,003.08$ 75,338.62$ 4/1/2014 621,369.25$ 22,366.17$ 4/1/2015 663,110.66$ 41,741.41$ 4/1/2016 728,768.95$ 65,658.29$


CHAMPS MorganStanley AccountMarch 1-31, 2016

CHAMPS UMB CD

13

Assets


Cash ‐ UMB 141,360.20$


CD ‐ UMB 100,910.27$



Prepaid Insurance 500.07$





Liabilities


Payroll Payable 4,996.00$


Denver Use Tax ‐ Food 2.00$


Unearned Revenue 7,000.00$





Net Assets







Balance Sheet as of March 31, 2016

14

FY16 DRAFT FY17Federal Income Budget BudgetCHAMPS-BPHC Cooperative Agreement 519,941.00 519,941.00 100%Sub-Total Federal Income 519,941.00 519,941.00 100%

Non-Federal IncomeInterest - Investments 1,500.00 4,750.00 317%Interest - Checking & Savings 160.00 130.00 81%UW COPE-REMS 2,250.00 - 0%CORE Competency Training 37,000.00 - 0%Mid-Level Managers Training - 3,500.00 0%Spanish Language Training 2,350.00 1,950.00 83%FTCA University - 17,500.00 0%NWRPCA/Region X Salary Survey - 20,000.00 0%Annual Conference 20,000.00 45,000.00 225%Education Health Center Initiative 15,000.00 5,500.00 37%Miscellaneous Product Income 3,000.00 1,000.00 33%Membership Dues 70,000.00 80,000.00 114%Sub-Total Non-Federal Income 151,260.00 179,330.00 119%

TOTAL INCOME 671,201.00$ 699,271.00$ 104%

ExpensesSalaries 304,000.00 314,000.00 103%Fringe Benefits 52,750.00 54,500.00 103%Payroll Taxes 33,000.00 26,900.00 82%Sub-Total Labor Expense 389,750.00 395,400.00 101%

Contract Labor 98,200.00 98,200.00 100%Sub-Total Contract Expense 98,200.00 98,200.00 100%

Board & Committee Meetings (Non-Federal) 4,000.00 4,000.00 100%Gifts, Luncheons, Etc. (Non-Federal) 3,500.00 3,750.00 107%Gifts for Officers (Non-Federal) 1,200.00 1,200.00 100%Insurance & Bonding 3,500.00 4,000.00 114%Continuing Education 1,000.00 1,000.00 100%Registration Fees 8,000.00 8,500.00 106%Office Expenses 32,000.00 32,000.00 100%Accounting Fees 5,000.00 5,200.00 104%Occupancy/Rent 21,000.00 27,000.00 129%Staff Travel 26,000.00 27,000.00 104%FTCA University - 17,500.00 0%Mid-Level Managers Training - 3,500.00 0%CORE Competency Training 20,000.00 - 0%Clinician Travel to Annual Conference (NF) 8,500.00 11,000.00 129%Reg. Reimb. for Annual Conference (NF) 9,500.00 10,000.00 105%Annual Conference (Non-Federal) 35,000.00 45,000.00 129%Receptions (Non-Federal) 5,000.00 5,000.00 100%Sub-Total Other Expense 183,200.00 205,650.00 112%

TOTAL EXPENSES 671,150.00$ 699,250.00$ 104%

COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATESDRAFT Budget FY 2016-2017 (FY17)

For Executive Committee Review - May 17, 2016

15

Participation of Region VIII CHCs and SPCAs in CHAMPS as Organizational Members - Last Five Membership Years

Colorado Community Health Centers (CHCs)Year Gained FQHC Status City ST

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

Axis Health System 2013 Durango CO N/A X X XClinica Family Health 1977 Lafayette CO X X X X XClínica Tepeyac 2015 Denver CO N/A N/A N/A X XDenver Health Community Health Services 1966 Denver CO X X X X XDove Creek Community Health Clinic 1975 Dove Creek CO X X X X XHigh Plains Community Health Center 1995 Lamar CO X X XMarillac Clinic, Inc. 2015 Grand Junction CO N/A N/A N/AMetro Community Provider Network 1989 Englewood CO X X X XMountain Family Health Centers 1978 Glenwood Springs CO X X X X XNorthwest Colorado Community Health Center 2008 Craig COPeak Vista Community Health Centers (acquired Plains Medical Center, 04/14) 1971 Colorado Springs CO X X X X XPlains Medical Center (acquired by Peak Vista CHCs, 04/14) 2003 Limon CO X X N/A N/A N/APueblo Community Health Center, Inc. 1983 Pueblo CO X X X X XRiver Valley Family Health Center 2012 Olathe CO X X X X XSalud Family Health Centers 1970 Fort Lupton CO X X X X XSheridan Health Services 2012 Denver CO X X X XStout Street Health Center 1984 Denver COSummit Community Care Clinic (formerly LAL) 2015 Frisco CO N/A N/A X X XSunrise Community Health, Inc. 1973 Evans CO X X X X XUncompahgre Medical Center 1979 Norwood CO X X X X XValley-Wide Health Systems, Inc. 1976 Alamosa CO X X X X X

Montana CHCs

Ashland Community Health Center (acquired by Bighorn Valley, 08/15) 1997 Ashland MT X X X N/A N/ABighorn Valley Health Center (acquired Ashland CHC, 08/15) 2012 Hardin MT X X X XBullhook Community Health Center 2007 Havre MT X X X X XCentral Montana Community Health Center 2008 Lewistown MT X X X X XCommunity Health Care Center, Inc. 1994 Great Falls MT X X X XCommunity Health Partners 1997 Livingston MT X X X X XFlathead Community Health Center 2009 Kalispell MT X X X X XGlacier Community Health Center 2003 Cut Bank MT X X X X XMarias Healthcare Services, Inc. (formerly LAL) 2015 Shelby MT N/A N/AMineral Regional Health Center (acquired by Partnership Health Center, 07/15) 2012 Superior MT N/A N/AMontana Migrant & Seasonal Farmworkers Council, Inc. (acquired WY migrant grant, 09/15) 1971 Billings MT X X X X XNorthwest Community Health Center 2002 Libby MT X X X X XoneHealth 2003 Miles City MT X X X XPartnership Health Center (acquired Mineral Regional Health Center, 07/15) 1992 Missoula MTPureView Health Center 1994 Helena MT X X X X XRiverStone Health 1986 Billings MT X X X X XSapphire Community Health, Inc. 2015 Hamilton MT N/A N/A N/ASouthwest Montana Community Health Center 1986 Butte MT X X X X XSweet Medical Center 2003 Chinook MT X X X X

North Dakota CHCsCoal Country Community Health Center 2003 Beulah ND X X X X XCommunity Health Service Inc. 1973 Grafton ND X X X XFamily HealthCare 1990 Fargo ND X X X X XNorthland Community Health Center 2002 Turtle Lake ND X X X XValley Community Health Centers 2004 Northwood ND X X X X

South Dakota CHCsallPOINTS Health Services 1985 Elk Point SD X X X XCommunity Health Center of the Black Hills 1992 Rapid City SD X X X XFalls Community Health 1980 Sioux Falls SD X X X XHorizon Health Care, Inc. (acquired Prairie Community Health, 01/16) 1978 Howard SD X X X X XPrairie Community Health, Inc. (acquired by Horizon Health Care, 01/16) 1976 Isabel SD X X X X N/ARural Health Care, Inc. 1987 Fort Pierre SD X X X X

Utah CHCs4th Street Clinic - Wasatch Homeless Health Care, Inc. 1988 Salt Lake City UTBear Lake Community Health Centers 2003 Garden City UTCarbon Medical Service Association, Inc. 1992 East Carbon UT X X X X XCommunity Health Centers, Inc. 1979 Salt Lake City UT X X X X XEnterprise Valley Medical Clinic 1983 Enterprise UTFamily Healthcare 2002 Saint George UTGreen River Medical Center 1985 Green River UT X X X X XMidtown Community Health Center 1995 Ogden UTMountainlands Community Health Center 1993 Provo UTPaiute Indian Tribe of Utah 2013 Cedar City UT N/A X X XUtah Navajo Health System, Inc. 2000 Montezuma Creek UT X X X XUtah Partners for Health 2013 Magna UT N/AWayne Community Health Center 1978 Bicknell UT X X X X

Wyoming CHCs

12th Street Health Care for the Homeless Clinic 1992 Casper WY X X X X

Community Action's Health Care for the Homeless - Crossroads Healthcare Clinic 1992 Cheyenne WY X X X X XCommunity Health Center of Central Wyoming 2000 Casper WY XEducational Health Center of Wyoming LAL 2014 Laramie WY N/A N/A X X XHealthWorks 2004 Cheyenne WY X X X X XPowell Health Care Coalition - Heritage Health Center 2015 Powell WY N/A N/A N/A X XSweetwater Health Center and Pharmacy (formerly LAL) 2013 Rock Springs WY N/A X XWY Health Council/WY Migrant Health Prog. (WY migrant grant acquired by MT MSFW Council, 09/15) 1997 Cheyenne WY X X X N/A N/A

Current Membership as of 05/04/16 1

16

Participation of Region VIII CHCs and SPCAs in CHAMPS as Organizational Members - Last Five Membership Years

Region VIII State Primary Care Associations (SPCAs)Year

Founded City ST2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

Association for Utah Community Health 1985 Salt Lake City UT X X X XColorado Community Health Network 1982 Denver CO X X X XCommunity HealthCare Association of the Dakotas 1986 Sioux Falls SD X X X X XMontana Primary Care Association 1991 Helena MT X X X X XWyoming Primary Care Association 1995 Cheyenne WY X X X X XIndividual membership dues received from the following Primary Care Offices:Colorado, Montana, South Dakota

FIVE YEAR MEMBERSHIP METRICS (as of 05/04/16)2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2012-2013 CHC Members: 49 of 61 eligible Percentage of Region VIII CHCs that were/are CHAMPS Organizational Members

2013-2014 CHC Members: 50 of 65 eligible 80.3% 76.9% 80.6% 77.9% 55.2%

2014-2015 CHC Members: 54 of 67 eligible % Region VIII CHCs Members Last Year, as of 5/04/15 39.4%2015-2016 CHC Members: 53 of 68 eligible 2016-2017 CHC Members: 37 of 67 eligible Annual CHC Membership Renewal Percentage

93.8% 95.9% 100% 94.4% 67.9%

Number of CHCs not renewing 3 2 0 1 TBD

One 2015-2016 member was absorbed by a 2016-2017 member.

Number of New CHC Members in Year (not members in previous year)

3 2 5 2 1

Percentage of Region VIII CHCs and SPCAs that were/are CHAMPS Organizational Members81.8% 78.6% 81.9% 79.5% 55.6%

Current Membership as of 05/04/16 2

17

CHAMPS Corporate Compliance

FY 2016 (04/01/15 - 03/31/16) Workplan - Updated 03/31/16

Approved by the CHAMPS Executive Committee 05/20/15

ACTION ITEM

Target

Completion

Most Current/

Notes

CHAMPS Corporate Compliance Officer and Staff

Corporate Compliance Officer for CHAMPS will ensure staff are aware of

Corporate Compliance activities.

Ongoing Ongoing

Corporate Compliance Officer and Executive Director will meet at least one

time annually to review Corporate Compliance workplan.

January

annually

April 2015

Conduct a Corporate Compliance risk assessment one time annually. January

annually

March 2016

Conduct internal Corporate Compliance training with all staff one time

annually.

February

annually

Scheduled for

May 2016Board of Directors

Conduct debarment verification review against the OIG web site for

participation / exclusion status of current Board of Directors (BOD) members

each month.

Monthly Ongoing

All CHAMPS BOD members receive BOD Position Summary, Standards of

Conduct (SOC), and Conflict of Interest and Compensation Disclosure

Statement (COI) annually, and are given access to the CHAMPS Bylaws and

policies electronically.

May

annually

Ongoing;

BOD Position

Summary, SOC, and

COI Updates

Approved by EC

May 2015

Current CHAMPS BOD Position Summary kept on file. Signed Standards of

Conduct and Conflict of Interest/Compensation Disclosure Statements are

kept on file for each CHAMPS BOD member in accordance with Form 990

regulations.

June

annually

Ongoing

Review CHAMPS Bylaws every two years and submit recommendations for

change to Executive Committee for consideration.

March 2016 March 2016

Review CHAMPS Articles of Incorporation every five years and submit

recommendations for change to EC and BOD for consideration.

December 2015 January 2016

Financial

Review 401(k) Managing Fiduciary Responsibility Policy one time annually

with action items completed and documentation placed in Central Files.

December/

January

annually

June 2015

Review and update as needed CHAMPS' Financial Policies every two years.

Submit changes to CHAMPS' Executive Committee for consideration.

March 2016

March 2018

March 2016

Conduct internal reviews of other approved policies and update as needed. Ongoing Ongoing

Ensure Form 990 is reviewed and approved by the CHAMPS Executive

Committee and filed with the IRS prior to the annual deadline.

November 15

annually

November 2015

Ensure timely completion of annual financial audit. September

annually

August 2015

Complete 401(k) 5500 plan discrimination / compliance testing submission

by January month-end annually.

January

annually

In process

January 2016

Distribute 404(a) fee disclosure notices for CHAMPS 401(k) plan to CHAMPS

staff annually.

February

annually

November 2015

Distribute notices regarding Automatic Enrollment, Qualified Default

Investment Alternative (QDIA), and Safe Harbor as they pertain to CHAMPS

401(k) Retirement Plan at least 30 days prior to new plan year annually.

December

annually

November 2015

For more information, please contact Julie Hulstein (303) 867-9582 or [email protected]. 1

18




ACTION ITEM

Target

Completion

Most Current/

Notes

Financial, continued

Complete flexible spending account discrimination / compliance testing

submission by April annually.

April-May

annually

June 2015

Update SAM (System Award Management; previously CCR) registration

annually.

July

annually

May 2015;

March 2016

File / register with Colorado Secretary of State annually. February

annually

January 2016

Review and update as needed insurance policies annually to ensure liability

limits meet overall business needs and state / other funder requirements.

July/August

annually

June 2015

Complete a Request for Proposal (RFP) for all procured services over

$25,000; release competing RFPs every five years for existing contractual

relationships.

Ongoing

Prepare, release and award an auditor services RFP every five years. FY 18

Human Resources

All CHAMPS staff members receive Standards of Conduct (SOC) and Conflict

of Interest and Compensation Disclosure Statement (COI) annually. Signed

SOC and COI forms are kept on file for each CHAMPS staff member.

May

annually

SOC and COI

Updates Approved by

EC May 2015

Review the Employee Handbook every two years; submit recommendations

for change to the Executive Committee for consideration.

December 2015 In process

Review and update as needed staff job descriptions one time annually.

Evaluate exempt vs. non-exempt designations annually.

August

annually

CPD: 06/15;

ED: 09/15;

OEC: 04/15;

PCC: 04/15;

WDMSD: 09/15*

Ensure new staff review and sign all, and all staff review and sign any

new/updated, required signature pages from the Employee Handbook.

Ongoing New Non-Exempt

Employee Meal Break

Acknowledgement

Form, April 2015

Complete voluntary internal audit of I-9 and Colorado Affirmation

employment eligibility forms every two years.

April 2015

April 2017

April 2015

Conduct staff performance reviews one time annually. Ensure each staff

completes a review verification form.

Variable - upon

anniversary

dates annually

Ongoing

Conduct supervisor training one time annually (employment law,

performance documentation, conflict strategies, etc.)

First Quarter

annually

April 2015;

March 2016


participation / exclusion status of current employees and contractors each

month.

Monthly Ongoing

Review and update as needed CHAMPS' Executive Director Emergency /

Retirement Succession Policy one time annually.

February

annually

March 2016

Distribute notices regarding health insurance (e.g., CHIPRA, Newborns' and

Mothers' Disclosure, United HealthCare Notices, etc.) annually.

December

annually

November 2015

Conduct EEO / harassment / standards of conduct staff trainings one time

annually.

Third Quarter

annually

March 2016

With CCHN

*CPD: Clinical Programs Director; ED: Executive Director; OEC: Outreach & Enrollment Coordinator;

PCC: Programs & Communications Coordinator; WDMSD: Workforce Development & Member Services Director


19




ACTION ITEM

Target

Completion

Most Current/

Notes

HIPAA Compliance

Conduct HIPAA Privacy and Security Awareness staff training one time

annually.

Fourth Quarter

annually

May 2015

With CCHNReview, and update as needed, the HIPAA Policy annually to ensure

compliance with state and federal legislation.

July annually April 2015

Conduct HIPAA internal PHI audit one time annually. July annually December 2015

Operational

Conduct records retention audit annually as defined within CHAMPS' Records

Retention Audit Policy.

December

annually

February 2016

Conduct IT / AV / Telecom inventory audit annually as defined within

CHAMPS' Inventory Audit Policy.

December

annually

February 2016

Review, and update as needed, CHAMPS' Emergency Business Continuity

Plan (EBCP) one time annually.

January annually In process

Conduct employee safety and emergency preparedness training (including

OSHA if/when appropriate) one time annually.

Second Quarter

annually

To be completed by

Q2 2016; With CCHN


20


FY 2017 (04/01/16 - 03/31/17) Workplan - Draft 04/01/16

Approved by the CHAMPS Executive Committee xx/xx/16

ACTION ITEM

Target

Completion

Most Current/

Notes

CHAMPS Corporate Compliance Officer and Staff

Corporate Compliance Officer will ensure staff are aware of Corporate

Compliance activities.

Ongoing

Corporate Compliance Officer and Executive Director will meet at least one

time annually to review Corporate Compliance workplan.

Q4

Corporate Compliance risk assessment will be conducted one time annually. Q4

Executive Committee / Board of Directors


participation / exclusion status of current Board of Directors (BOD) members

each month.

Monthly Ongoing

All CHAMPS BOD members receive BOD Position Summary, Standards of

Conduct (SOC), and Conflict of Interest and Compensation Disclosure

Statement (COI) annually, and are given access to the CHAMPS Bylaws and

policies electronically.

Q1 Ongoing

Signed Standards of Conduct and Conflict of Interest/Compensation

Disclosure Statements are kept on file for each CHAMPS BOD member in

accordance with Form 990 regulations.

Q1 Ongoing

Review CHAMPS Bylaws every two years and submit recommendations for

change to Executive Committee (EC) for consideration; EC-approved updates

to the Bylaws require full BOD approval.

Q4 2018

Review CHAMPS Articles of Incorporation every five years and submit

recommendations for change to EC and BOD for consideration.

Q3 2020

Policies

Review, and update as needed, the CHAMPS HIPAA Policy annually to ensure

compliance with state and federal legislation.

Q1

Review, and update as needed, the CHAMPS Emergency Business Continuity

Plan (EBCP) annually.

Q4

Review the CHAMPS 401(k) Managing Fiduciary Responsibility Policy annually

with action items completed and documentation placed in Central Files.

Q4

Review, and update as needed, the CHAMPS Executive Director Emergency /

Retirement Succession Policy annually. Submit recommendations for change

to the Executive Committee for consideration.

Q4

Review, and update as needed, the CHAMPS Financial Policies every two

years. Submit recommendations for change to CHAMPS Executive Committee

for consideration.

Q4 2018

Conduct internal reviews of other approved policies and update as needed. Ongoing


21




ACTION ITEM

Target

Completion

Most Current/

Notes

Financial, Operations, and Human Resources

Ensure timely completion of annual financial audit. Q2

Complete flexible spending account discrimination / compliance testing

submission prior to the deadline.

Q2

Ensure Form 990 is reviewed and approved by the CHAMPS Board President,

shared with the Executive Committee, and filed with the IRS prior to the

annual deadline.

Q3

Review, and update as needed, the CHAMPS 401(k) plan documents to

ensure compliance with state and federal laws, regulations and standards of

operating.

Q3

Complete 401(k) 5500 plan discrimination / compliance testing submission

by January month-end annually.

Q4

Update SAM (System Award Management; previously CCR) registration

annually.

Q4

File / register with Colorado Secretary of State annually. Q4

Review, and update as needed, insurance policies annually to ensure liability

limits meet overall business needs and state / other funder requirements.

Q4

Prepare, release, and award an auditor services RFP every five years. FY 18

All CHAMPS staff members receive Standards of Conduct (SOC) and Conflict

of Interest and Compensation Disclosure Statement (COI) annually. Signed

SOC and COI forms are kept on file for each CHAMPS staff member.

Q1

Review, and update as needed, staff job descriptions one time annually.

Evaluate exempt vs. non-exempt designations annually.

Q2 CPD: TBD;

ED: TBD;

OEC: TBD;

PCC: TBD;

WDMSD: TBD*

Ensure new staff review and sign all, and all staff review and sign any

new/updated, required signature pages from the Employee Handbook.

Ongoing

Conduct staff performance reviews one time annually. Ensure each staff

completes a review verification form.

Variable - upon

anniversary

dates annually

Ongoing


participation / exclusion status of current employees and contractors each

month.

Monthly Ongoing

Review the CHAMPS Employee Handbook every two years. Submit

recommendations for change to the Executive Committee for consideration.

Q3 2017

*CPD: Clinical Programs Director; ED: Executive Director; OEC: Outreach & Enrollment Coordinator;

PCC: Programs & Communications Coordinator; WDMSD: Workforce Development & Member Services Director


22




ACTION ITEM

Target

Completion

Most Current/

Notes

Annual Audits

Conduct records retention audit annually as defined within the CHAMPS

Records Retention Audit Policy.

Q3

Conduct HIPAA internal PHI audit annually. Q3

Conduct IT / AV / Telecom inventory audit annually as defined within the

CHAMPS Inventory Audit Policy.

Q4

Annual Staff Trainings

Conduct supervisor training one time annually (employment law,

performance documentation, conflict strategies, etc.)

Q1 With CCHN

Conduct employee safety and emergency preparedness training one time

annually (including OSHA if/when appropriate).

Q2 With CCHN

Conduct EEO / harassment / standards of conduct training one time

annually.

Q3 With CCHN

Conduct internal Corporate Compliance training one time annually. Q4 With CCHN

Conduct HIPAA Privacy and Security Awareness training one time annually. Q4 With CCHN


23

CHAMPS Executive Committee Approval of Long Term Debt per Financial Policies

Per Section VIII, Long Term Debt, of the CHAMPS Financial Policies revised and approved by CHAMPS Executive Committee on July 24, 2014:

“The Executive Committee will approve all loans and other financial obligations such as lines of credit and leases when the following conditions exist: the term of the

debt exceeds one year and the total amount of payments to be made over the life of the loan exceeds $100,000.”

Therefore, the Executive Committee’s approval is requested for the CHAMPS new sublease for office space as outlined below.

CHAMPS would like to continue to sublease office space from Colorado Community Health Network (CCHN) at 600 Grant Street in Denver, Colorado.

The length of the sublease is for five years (through 5/31/21), with an option to renew for an additional five year period.

The total cost for CHAMPS’ sublease over the five years concluding May 31, 2021 is anticipated to be approximately $145,000.

CHAMPS and CCHN have shared office space and administrative, operational, and financial staff and services for over thirty years. CHAMPS and CCHN achieve economies of scale through this decades-old mutually beneficial and advantageous relationship.

24

SAVE THE DATES

CHAMPS/NWRPCA

2016 PRIMARY CARE CONFERENCE

Saturday, October 15 – Tuesday, October 18, 2016

Denver, CO

This multi-day, multi-track conference offers a variety of sessions

designed to meet the needs of health center staff at all levels.

Join your Region 18 peers to learn more about

current issues and the latest in patient care!

AREAS OF CONCENTRATION Administration

Board/Governance Clinic Operations Clinical Practice

Financial Management Human Resources Outreach & Enrollment

SPONSORED BY Community Health Association of Mountain/Plains States (CHAMPS) &

Northwest Regional Primary Care Association (NWRPCA) In partnership with Western Clinicians Network (WCN)

FOR CONFERENCE UPDATES

http://champsonline.org/events-trainings/annual-primary-care-conference

Or Contact CHAMPS [email protected] / 303-867-9582

We look forward to seeing you in October!

CALL FOR ABSTRACTS

Do you have an innovative program, policy, or

other best practice that would be of interest to other health center staff or board members?

Please consider presenting during the conference!

For more information about submitting an abstract, please visit:

http://www.nwrpca.org/events/EventDetail

s.aspx?id=766202&group=#abstract

Submission Deadline: Friday, June 17, 2016

25

http://champsonline.org/events-trainings/annual-primary-care-conference

mailto:[email protected]

http://www.nwrpca.org/events/EventDetails.aspx?id=766202&group=#abstract

http://www.nwrpca.org/events/EventDetails.aspx?id=766202&group=#abstract

Community Health Association of Mountain/Plains States

2016 Annual Primary Care Conference Awards Nomination Information

Please join CHAMPS in recognizing outstanding individuals in Region VIII (CO, MT, ND, SD, UT, and WY) by nominating a colleague for an award to be presented at

the CHAMPS Annual Primary Care Conference in Denver, CO, October 15-18, 2016.

The CHAMPS Executive Committee will review all nominations, and awards will be

presented at the CHAMPS Board of Directors meeting during the conference.

Award Categories:

Exceptional Administrative Leadership

Exceptional Board Leadership

Exceptional Clinical Leadership

Outstanding Advocate of the Underserved

Outstanding Legislative Leadership Stanley J. Brasher Legacy

The Stanley J. Brasher Legacy Award was created by the CHAMPS Executive

Committee in 2013 to honor individuals who have dedicated their careers to

solving the problems of health, poverty, and human rights and who have contributed toward the mission and recognition of community and migrant

health centers in the Mountain/Plains States.

Please forward your award nominations (using the attached form) to Andrea Martin

at CHAMPS by Wednesday, July 13, 2016.

[email protected]

Phone: (303) 867-9581

Fax: (303) 861-5315

600 Grant Street, Suite 800

Denver, CO 80203

Thank you!

26

http://champsonline.org/events-trainings/annual-primary-care-conference#2016


COMMUNITY HEALTH ASSOCIATION OF

MOUNTAIN/PLAINS STATES

2016 AWARDS NOMINATION FORM

Please return your completed form to [email protected]

or fax it to (303) 861-5315 by Wednesday, July 13, 2016.

Community Health Association of Mountain/Plains States (CHAMPS)

NOMINEE

Name:

Title:

Organization:

Years of Service:

Address:

E-mail:

Phone/Fax:

CATEGORY OF AWARD/NOMINATION

Check the name of the award you are nominating this candidate for:

____ Exceptional Administrative Leadership Award

____ Exceptional Board Leadership Award

____ Exceptional Clinical Leadership Award

____ Outstanding Advocate of the Underserved Award

____ Outstanding Legislative Leadership Award

____ Stanley J. Brasher Legacy Award

NOMINATED/SUBMITTED BY

Name:

Title:

Organization:

Address:

E-mail:

Phone/Fax:

Please continue to the Nomination Statement on the following page.

27


COMMUNITY HEALTH ASSOCIATION OF

MOUNTAIN/PLAINS STATES

2016 AWARDS NOMINATION FORM

Please return your completed form to [email protected]

or fax it to (303) 861-5315 by Wednesday, July 13, 2016.


NOMINATION STATEMENT

Please describe why you are nominating this person for an award. You may type

your nomination statement below, or submit it on a separate form. However,

please limit your nomination to a total of one page. Thank you!

28


( F T C A U ) F O R R E G I O N V I I I C H C s

S p o n s o r e d b y a l l R e g i o n V I I I P C A s( A U C H , C C H N , C H A D , C H A M P S , M P C A , W Y P C A )

1 7 5 0 W E L T O N S T R E E T , D E N V E R , C O 8 0 2 0 2G R A N D H YAT T D E N V E R

JUNE 17+

FTCA UNIVERSITY

OVERVIEW:The Federal Tort Claims Act University (FTCAU) for Region VIII Health Centers is an innovative and new training conference that provides a great opportunity for seasoned quality and risk management professionals and new professionals to learn from experts, leaders, and government o�cials about FTCA, healthcare quality and risk management, and related subjects. Over the course of two days, attendees will participate in interactive presentations and exercises that are specially geared toward health center grantees in the states of Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming.

REGISTRATION:Registration Fee for Region VIII Health Center Grantees & Look-Alikes: $195.00

Deadline for registration is June 3, 2016 or until class is �lled.

ACCOMMODATIONS:Grand Hyatt Denver1750 Welton StreetDenver, CO 80202

To reserve sleeping rooms call 303-295-1234 or 800-233-1234, or visit https://resweb.passkey.com/go/champstraining or mention CHAMPS or Rate Code GCCHA for the $199 group rate.

Deadline to reserve rooms at discounted rate is Wednesday, May 25, 2016.

29

http://champsonline.org/events-trainings#FTCAU

Thursday, June 16, 2016

8:00 am to 9:00 am Registration & Continental Breakfast

9:00 am to 9:10 am Opening Remarks

9:10 am to 10:00 am Session: FTCA 101: Basic Policy and Program Procedures

Summary: Since its enactment in 1946, the Federal Tort Claims Act

(FTCA) has been the legal mechanism for compensating people who have suffered personal injury by the negligent or wrongful action of employees of the U.S. Government. Under Section 224 of the Public Health Service Act, as amended by the Federally Supported Health Centers Assistance Act of 1992 and 1995, employees of eligible health centers may be deemed to be federal employees qualified for protection under the FTCA. This informative session will enhance your knowledge of the FTCA program and key program requirements.

Speaker(s): Christopher Gibbs, JD, MPH, LHCRM

10:00 am to 10:15 am Break

10:15 am to 12:00 pm Session: Claims Management 101

Summary: An unanticipated outcome leading to a compensable event or notice of a claim against a healthcare center or individual provider is a disturbing occurrence for all staff members. This session will briefly address identification and initial management of an unanticipated outcome, care of staff members involved in unanticipated outcomes, and preparation for a deposition as a component of the claims management process.

Speaker(s): David Levin, Esq.

12:30 pm to 1:15 pm Lunch/Keynote Address: Importance of Patient Safety

Summary: This keynote address will focus on patient safety in the

current health care environment; highlight vulnerabilities found in community based care and discuss the cost of inaction. From executive leadership to frontline staff, the presenter will emphasize the role all healthcare professionals play in promoting patient safety.

Speaker(s): Lee Patrick, RN, BHA, MBA, CPHRM

30

1:30 pm to 3:00 pm Session: Risk Management 101 & 102: Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis

Summary: Adverse events—clinical incidents that may pose the risk of injury to a patient as the result of a medical intervention, rather than the patient’s underlying health condition—can occur in all

health care delivery settings. This session will provide an overview of how to establish appropriate clinical policies and procedures in areas such as triage and tracking hospitalizations, referrals, and diagnostic test results. Key strategies for improving procedures related to test, hospitalization, and referral tracking will be reviewed. The later part of the session will focus diagnostic errors that are frequent and that can be potentially fatal to health center patients. Activities will focus on addressing various causes of diagnostic errors and will identify structured protocols which may lead to improved diagnostic outcomes.

Speaker(s): Christine Callahan, RN, MBA

3:00 pm to 3:20 pm Break

3:20 pm to 4:30 pm Session: Risk Management 103: Adverse Incident Analysis Summary: Many health care errors are not just a series of random, unconnected events. Many adverse incidents are provoked by weak systems and often have common root causes. This interactive session will identify the importance of having a process to analyze adverse events, identify responsible parties and various methodologies to assess risks, identify adverse events, and implement corrective action plans.

Speaker(s): Lee Patrick, RN, BHA, MBA, CPHRM

4:30 pm to 4:35 pm Closing Remarks

Draft Agenda as of May 11, 2016

Agenda is Subject to Change

31

Friday, June 17, 2016

7:30 am to 8:30 am Continental Breakfast

8:30 am to 11:00 am Session: Credentialing and Privileging 101 & 102

Summary: Federally qualified community health centers are responsible for taking reasonable actions to assure that the care provided to the patients who are treated within its confines will be provided by competent health care professionals. This interactive session will provide participants education on critical elements of the credentialing and privileging process. This session will also cover the importance of establishing and maintaining credentialing files to support quality improvement and patient safety. In evaluating the clinical performance of licensed independent providers, HRSA emphasizes the use of protected processes that are confidential and nonpunitive, which they believe better facilitate quality management efforts at the individual provider level. The peer review for quality management is a process designed to evaluate the care delivered and the actions taken by the provider. The presenter will explore the benefits and identify best practices for performing peer review within your own health center.

Speaker(s): Lee Patrick, RN, BHA, MBA, CPHRM and Patricia Stahura, RN, MSN

11:00 am to 12:00 pm Lunch Break

12:00 pm to 1:00 pm Session: Healthcare Data and Privacy/Protection

Summary: In the increasing digital health landscape, healthcare providers are storing and monitoring patient information in electronic health records (EHR) and other tracking systems. Patients rely on healthcare providers to secure this data to ensure privacy of their records, protection from identity theft and use of their health information without their consent. This session will provide an overview the digital health landscape and identify key strategies healthcare providers can safeguard patient information.

Speaker(s): Patricia Stahura, RN, MSN

32

1:00 pm to 2:00 pm Session: Claims Management 102 Summary: A representative from the Office of General Counsel/General Law Division will provide an overview of the uniform procedure for handling claims made against Federally Qualified Health Centers. This informative session will enhance your knowledge of the Federal Tort Claims Process for Deemed HRSA Funded Health Centers. Topics covered will include an overview of claim filings, required documents for premature lawsuits and claims disposition, and other considerations within the litigation process.

Speaker(s): Lisa Datta, Esq.

2:00 pm to 2:20 pm Break

2:20 pm to 3:35 pm Session: Pharmacy and Legal Concerns Summary: Patients managing chronic diseases require clear and direct access to their medications. By providing pharmacy services onsite, health centers can both provide access and ensure reconciliation of patients’ medications. This session will discuss quality assurance and risk management strategies health centers can use to mitigate pharmacy errors, track inventory, and handle other associated risks.

Speaker(s): Donna Horn, RPh, DPh

3:35 pm to 4:00 pm Closing Remarks

Draft Agenda as of May 11, 2016

Agenda is Subject to Change

33

CHAMPS Outreach and Enrollment Activities January – May 2016

Completed Resources

o Using 2015-2016 enrollment data, created an interactive heat-map of enrollments at the county level for all of Region VIII

o Created a Voter Registration and Issue Advocacy webpage for health center staff

Ongoing Resource Creation o Update Affordable Care Act (ACA) / Outreach and Enrollment / Health

Insurance Literacy web pages regularly o Compile Region VIII Health Center news stories

Communications o Host twice monthly calls with Region VIII PCA Outreach and Enrollment staff. o Send weekly information and resource updates to Region VIII PCA colleagues. o Write weekly Outreach and Enrollment LinkedIn posts. o Send monthly outreach and enrollment resource emails to health center

outreach and enrollment staff. o Send Region VIII Outreach and Enrollment updates to HRSA and NACHC,

when appropriate. o Send Region VIII Outreach and Enrollment updates and CHAMPS updates to

contacts at Families USA, when appropriate. o Write Outreach and Enrollment articles for the CHAMPS quarterly newsletter.

Partnerships o Attend calls and webinars on Outreach and Enrollment issues from local and

national partners, send notes to Region VIII PCA Outreach and Enrollment staff.

o Engage and collaborate on educational events and resource creation and distribution with the Outreach and Enrollment Project Manager at Northwest Regional Primary Care Association (NWRPCA).

o Participate in Partnerships and Engagement PCA Learning Team, where appropriate.

o Collaborate with Enroll America representatives in Region VIII. Meeting/Conference Attendance

o Attended the Colorado Community Health Network (CCHN) triannual meeting Outreach and Enrollment Managers Workgroup, May 5, 2016.

o Attended and presented on what O/E staff can do outside of open enrollment during the WYPCA Enroll Wyoming Debrief, April 1, 2016.

o Attended the Enroll America: State of Enrollment Conference in Washington, DC, May 11-13, 2016 including attended and helped facilitate NACHC PCA O&E Leads meeting, May 11, 2016.

Trainings o Partnering with CCHN to present the CHAMPS/CCHN O&E Distance Learning

Series, four trainings total, one offered each month June thru September 2016.

34

Providing Effective Assistance to Survivors of Domestic Violence

Assisting Clients with Complex Medical Needs

Engagement and Issue Advocacy for O&E Staff

Habits of Highly Effective Assisters

SSaavvee tthhee DDaatteess Outreach and EnrollmentDistance Learning Series 2016

Community Health Association of Mountain/Plains States

BBrroouugghhtt ttoo yyoouu bbyy::Colorado Community Health Network

CCHHAAMMPPSS OO&&EE CCoooorrddiinnaattoorrSSoopphhiiee HHaaggbbeerrggLLiizz TTaannsseeyy

JJuullyy 1144

AAuugguusstt 1188

SSeepptteemmbbeerr 2222

(CHAMPS)

(CCHN)

ssoopphhiiee@@cchhaammppssoonnlliinnee..oorrggllttaannsseeyy@@cccchhnn..oorrgg

JJuunnee 2233

FFoorr mmoorree iinnffoorrmmaattiioonn,, ccoonnttaacctt::

CCKKFF OO&&EE CCoooorrddiinnaattoorr

All events take place on Thursdays at 11:00 am MT (12:00 pm CT) and will be 60 minutes in length.Events are free for staff of Region VIII PCAs, Health Center Grantees, and Look-Alikes.

35

Don’t Miss These Spring/Summer 2016

CHAMPS Distance Learning Events!

2016 Lunchtime Learning Professional Skill Development Series

These six one-hour webcasts are designed to provide professional development and skills

improvement as a component of a continuous process of advanced practice transformation, with

the goal of positively impacting retention rates at Region VIII health centers. These events are primarily targeted at health center administrative and clinical support staff, although all health

center staff members are welcome. Participants may attend any selection of events.

All events take place on Wednesdays at 12:00-1:00PM Mountain/1:00-2:00PM Central

April 20 Utilizing Mindfulness to Reduce Stress and Prevent Burnout May 18 Creating a Productive Healthcare Environment: Enhancing Teambuilding

June 15 Creating a Productive Healthcare Environment: Decreasing Negative Attitudes

July 20 Creating a Productive Healthcare Environment: Establishing Boundaries August 17 Managing and Caring for Difficult Patients

September 21 Interpersonal Considerations for Care of Elderly Persons

Offered in collaboration with Colorado Community Health Network (CCHN).

2016 Outreach and Enrollment Series

This series of four one-hour outreach and enrollment (OE) distance learning events is intended to

highlight effective OE strategies and discuss specific issues affecting health center enrollment staff.

These events are intended for outreach and enrollment staff; however, other health center staff members may find the content of some webinars applicable to their positions. Participants may

attend any selection of events.

All events take place on Thursdays at 11:00AM-12:00PM Mountain/12:00-1:00PM Central

June 23 Providing Effective Assistance to Survivors of Domestic Violence July 14 Assisting Clients with Complex Medical Needs

August 18 Engagement and Issue Advocacy for OE Staff September 22 Habits of Highly Effective Assisters

Offered in collaboration with Colorado Community Health Network (CCHN).

2016 Immunization Update

This event will provide an update on vaccine-preventable diseases, immunization recommendations

with highlights of recent changes in recommendations, and resources to assist health centers with providing appropriate and safe vaccines to their patients. It is intended for those involved in

immunization delivery, including physicians, PAs, NPs, nurses, medical assistants, and other

interested health professionals.

Tuesday, June 14 at 11:30AM-12:45PM Mountain/12:30-1:45PM Central

Visit http://champsonline.org/events-trainings/distance-learning/upcoming-live-distance-learning-events

for speakers, learning objectives, registration, and more! Cost: Participation in the LIVE versions of these events is FREE for health centers (Health Center

Program Grantees and FQHC Look-Alikes) and Primary Care Associations (PCAs) in Region VIII (CO, MT, ND, SD, UT, and WY).

Questions? Contact [email protected]

36

http://champsonline.org/events-trainings/distance-learning/upcoming-live-distance-learning-events

http://champsonline.org/events-trainings/distance-learning/upcoming-live-distance-learning-events


Community Health Association of Mountain/Plains States (CHAMPS) 1

CHAMPS TRAININGS SUMMARY

April 2015 – March 2016

APRIL 2015

Face-to-Face Training – CORE Competency Training for (Relatively) New CHC

Supervisors/Managers

41 attendees from 6 states; 40 from Region VIII Average overall satisfaction score of 8.7 (on a 10 point scale)

Partnership with CCHN, Montana Primary Care Association (MPCA), and Wyoming Primary Care Association (WYPCA)

Face-to-Face Training - Spanish Language Intensive for Health Professionals 43 attendees from 5 states; 35 from Region VIII

Average overall satisfaction score of 8.5 (on a 10 point scale)

1,720+ hours of Continuing Medical Education (CME) credit awarded Partnership with Denver Medical Society (DMS)

Webcast – Student Loan Management and Repayment Options

57 Region VIII attendees from 6 states Average overall satisfaction score of 8.1 (on a 10 point scale)

Lunchtime Learning Series; Partnership with CCHN

MAY 2015

Webcast – Customer Service: The Art of Caring 173 Region VIII attendees from 7 states

Average overall satisfaction score of 9.0 (on a 10 point scale) Lunchtime Learning Series; Partnership with CCHN

Webcast – Integrating O&E into the CHC Workflow 29 Region VIII attendees from 5 states

Average overall satisfaction score of 7.8 (on a 10 point scale) Outreach and Enrollment Series; Partnership with CCHN

JUNE 2015

Webcast – 2015 Immunization Update 100 attendees from 8 states; 98 from Region VIII

Average overall satisfaction score of 7.6 (on a 10 point scale) 45 Continuing Medical Education (CME) credits awarded

Partnership with Centers for Disease Control and Prevention (CDC)

Webcast – Building Effective Community Partnerships

20 Region VIII attendees from 3 states


Webcast – Civility in the Workplace: Creating a Friendlier and More Productive Work Environment

193 attendees from 7 states; 192 from Region VIII Average overall satisfaction score of 8.9 (on a 10 point scale)


37


JULY 2015

Webcast – Asking for What You Want 68 attendees from 7 states; 67 from Region VIII


Webcast – School-Based Outreach: a Recipe for Success 20 Region VIII attendees from 5 states


Outreach and Enrollment Series; Partnership with CCHN

AUGUST 2015

Webcast – Facilitation of Problem Solving 76 Region VIII attendees from 6 states


Webcast – Taxes and Consumer Education

30 Region VIII attendees from 6 VIII states Average overall satisfaction score of 8.9 (on a 10 point scale)


SEPTEMBER 2015

Webcast – Achieving Equity in Health Care for LGBT People 47 Region VIII attendees from 5 states



Webcast – Cultural Competency: The Foundation for an Inclusive Environment



Webcast – Motivating Consumers to Enroll in Coverage

26 Region VIII attendees from 3 states


OCTOBER 2015

Webcast – Serving America’s Veterans: How Health Centers Can Answer the Call

52 attendees, 30 from Region VIII Average overall satisfaction score of 7.3 (on a 10 point scale)

Partnership with Northwest Regional Primary Care Association (NWRPCA) and National Association of Community Health Centers (NACHC)

Webcast – Communication Strategies for OE3



2015 Annual Primary Care Conference

386 attendees from 21 states; 132 from Region VIII 87% of overall conference evaluators felt the information presented in the conference would

enhance their professional effectiveness (rating of 4+ on 5 point scale)

38


OCTOBER 2015, continued

2015 Annual Primary Care Conference, continued

800+ hours of Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Professional Education (CPE – Accounting), and Continuing Human Resources

Education (PHR/SPHR) credit awarded Partnership with NWRPCA and Western Clinicians Network (WCN)

Face-to-Face Training – Performance Compensation in Community Health Centers 45 attendees from 8 states; 12 from Region VIII

92% of evaluators reported gaining knowledge and skills applicable to their work.

Partnership with NWRPCA and Western Clinicians Network (WCN)

DECEMBER 2015

Webcast – Making Heads or Tails Out of Immigration and Eligibility 40 attendees, 7 from Region VIII

Average score of A Outreach and Enrollment Series; Partnership with NWRPCA

Webcast – H2A Workers: Who, What, and Outreach Resources

27 attendees, 8 from Region VIII Average score of A

Outreach and Enrollment Series; Partnership with NWRPCA

FEBRUARY 2016

Webcast – Exploring Behavioral Health Integration Models throughout Region VIII 83 attendees from 8 states; 68 from Region VIII


ADDITIONAL OFFERINGS Spring/Summer 2015: Provider ICD-10 Top 25 Diagnostic Code Webinars, CCHN

October 2015: Managing for Success Trainings, MPCA

39

2016 Mid-Level Managers Face-to-Face Training - Evaluation Summary


2016 Critical Skills for Mid-Level Managers

Face-to-Face Training April 18-19, 2016 Golden, Colorado Hosted by Community Health Association of Mountain/Plains States and Northwest Regional Primary Care Association

Presented by: Lisa Mouscher, Sogence Training and Consulting

Betsy David, Clinica Family Health Steven Gutierrez, Holland and Hart

Robin Amadei, Common Ground Mediation and Coaching

Evaluation Summary Report 36 participants attended the training

Alaska: 5 Colorado: 21

Idaho: 4 Oregon: 5

Wyoming: 1

Representing 14 different health center organizations

35 participants completed the evaluation (97.2% response rate)

1) Please rate your overall satisfaction with the face-to-face component of the Critical Skills for Mid-Level Managers course on a scale of 1-10.

Scale # Responses 10 (Best Possible) 10 (28.6%) Average: 8.9

9 12 (34.3%) Median: 9 8 6 (17.1%)

7 6 (17.1%)

6 1 (2.7%) 5 0

4 0 3 0

2 0 1 (Worst Possible) 0

Comments: Lisa is a very effective presenter/trainer.

Great intro. I think it would ideally be 3-4 days and more interactive.

The first day gave me maybe two things I can use.

Very helpful and engaging.

A lot of good use information.

Information was pertinent and useful.

I received very good materials. I feel I can do my job so much better now.

Only change would be longer.

An incredibly interesting, useful, and engaging entire course.

40



2) The training gave me practical tools I can use while working:

Scale # Responses Strongly Agree 21 (60.0%)

Agree 13 (37.1%) Neutral 0

Disagree 0 Strongly Disagree 1 (2.9%)

Comments: I found the second day to be much more practical than the first.

It felt like more of a refresher training rather than anything new.

I feel very good tools were provided for us to take back.

Although I have done this for many years, I always feel like you can learn something new.

SO much so.

3) Please indicate how confident were you BEFORE and AFTER attending this training in your ability to demonstrate Objective #1: "Hire the right people for long-term success.”

Confidence Level BEFORE the Training

Very Confident

Confident Somewhat Confident

Not Very Confident

Not at All Confident

2.9% (1) 23.5% (8) 50.0% (17) 23.5% (8) 0.0% (0)

Confidence Level AFTER the Training

Very Confident


Not Very Confident


32.4% (11) 58.8% (20) 8.8% (3) 0.0% (0) 0.0% (0)

Combined – Very Confident and Confident:

BEFORE: 26.4% (9) AFTER: 91.2% (31)

Combined – Not Very Confident and Not at All Confident: BEFORE: 23.5% (8)

AFTER: 0.0% (0) Comments:

Need for an interviewing process at BFC! Capstone Project!

Great training – really important! The practice exercise was very useful.

Excellent information. I am sure once I practice behavioral interviewing I will be confident.

Hiring can be a very challenging decision. Hiring is one of my stronger suits although we’ve really struggled lately with some staff

issues. The behavioral interviewing section was one of my favorites; incredible way to easily and

naturally elicit more information from candidates.

41



4) Please indicate how confident were you BEFORE and AFTER attending this training in

your ability to demonstrate Objective #2: "Understand key factors for financial stability."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

8.8% (3) 11.8% (4) 38.2% (13) 38.2% (13) 2.9% (1)


Very Confident


Not Very Confident


17.7% (6) 47.1% (16) 29.4% (10) 5.9% (2) 0.0% (0)


BEFORE: 20.6% (7) AFTER: 64.8% (22)



While a helpful topic, the speaker felt very scattered, the exercise was not very helpful nor

well-communicated. I would prefer a speaker who addresses budgeting.

Great.

I don’t work in this area – I don’t know much about it at all. Information is a business manager role so this was fairly easy.

This was the weakest presentation of the two days in terms of clarity and information I came away with. I liked the idea behind the coding exercise, however it would have been

much more useful to have/do coding for the various payers (Medicaid, private, uninsured, Medicare) for the same patient/case instead of all different ones to see how they vary.

5) Please indicate how confident were you BEFORE and AFTER attending this training in your ability to demonstrate Objective #3: "Maintain legal compliance when handling

day-to-day issues."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

8.8% (3) 17.7% (6) 41.2% (14) 23.5% (8) 8.8% (3)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

26.5% (9) 58.8% (20) 14.7% (5) 0.0% (0) 0.0% (0)

Combined – Very Confident and Confident: BEFORE: 26.5% (9)

AFTER: 85.3% (29) Combined – Not Very Confident and Not at All Confident:

BEFORE: 32.3% (10) AFTER: 0.0% (0)

Comments: This training went a little long.

Loved this. Particularly interesting (and somewhat discouraging) re: employee statement

of disability and what this can lead to in terms of legal repercussions. Also loved

information on the legality around interviewing and the importance of documentation

(always).

42




your ability to demonstrate Objective #4: "Implement accountability strategies that work."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

0.0% (0) 23.5% (8) 47.1% (16) 29.4% (10) 0.0% (0)


Very Confident


Not Very Confident


26.5% (9) 67.7% (23) 2.9% (1) 2.9% (1) 0.0% (0)


BEFORE: 23.5% (8) AFTER: 94.2% (32)



So helpful – very applicable to my role at work!


your ability to demonstrate Objective #5: "Coach, manage, and retain flexible and

responsible teams."


Very Confident


Not Very Confident


5.9% (2) 17.7% (6) 61.8% (21) 11.8% (4) 2.9% (1)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

32.4% (11) 61.8% (21) 5.9% (2) 0.0% (0) 0.0% (0)


BEFORE: 23.6% (8)

AFTER: 94.2% (32) Combined – Not Very Confident and Not at All Confident:

BEFORE: 14.7% (5) AFTER: 0.0% (0)

Comments: Also very helpful!

I always like to hear new ideas.

43




your ability to demonstrate Objective #6: "Strengthen communication skills."


Very Confident


Not Very Confident


2.9% (1) 29.4% (10) 50.0% (17) 14.7% (5) 2.9% (1)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

44.1% (15) 55.9% (19) 0.0% (0) 0.0% (0) 0.0% (0)


BEFORE: 32.3% (11) AFTER: 100.0% (34)

Combined – Not Very Confident and Not at All Confident:

BEFORE: 17.6% (6) AFTER: 0.0% (0)

Comments: Great.

I need to learn to listen better. Excellent.

Loved this. Such useful and applicable information. Intend to roll out a training modeled after this at my organization (for everyone).

9) Please indicate how confident were you BEFORE and AFTER attending this training in your ability to demonstrate Objective #7: "De-escalate and resolve conflict."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

5.9% (2) 11.8% (4) 58.8% (20) 23.5% (8) 0.0% (0)


Very Confident


Not Very Confident


36.4% (12) 54.6% (18) 9.1% (3) 0.0% (0) 0.0% (0)


BEFORE: 17.7% (6) AFTER: 91.0% (30)



I loved the trainer!

I wish Robin’s PowerPoint had a bit more detail that I could refer to later.

I still want to avoid conflict, it’s ingrained. It depends on the employee.

Excellent, would have liked more time. This was my favorite talk of the two days; entertaining, useful, easily applicable to various

parts of life. Hilarious and poignant video examples that I will certainly use in future

presentations.

44



Additional Analysis of Learning Objectives

To further compare Confidence Level responses for Learning Objectives, average results were calculated using the following weights per selection:

Very Confident: 5 points Confident: 4 points

Somewhat Confident: 3 points

Not Very Confident: 2 points Not at All Confident: 1 point

Learning Objective (Abbreviated) BEFORE Training

Average AFTER Training

Average Change Score

Obj. 1 Interviewing/Hiring 3.15 4.36 1.21

Obj. 2 Financial Factors for Stability 2.94 3.88 .94

Obj. 3 Legal Compliance 3.03 4.24 1.21

Obj. 4 Accountability Strategies 3.03 4.30 1.27

Obj. 5 Flexible/Responsible Teams 3.21 4.39 1.18

Obj. 6 Communication Skills 3.24 4.58 1.33

Obj. 7 De-escalate/Resolve Conflict 3.09 4.27 1.18

Notes:

The Learning Objective with the greatest increase in overall confidence level was “Strengthen communication skills” (Communication Skills, from 3.24 to 4.58 on average, giving a change

score of 1.33). This objective also had the highest overall confidence level averages of any

objective, both before and after the training. The Learning Objective with the least amount of increase in overall confidence level was also

the objective with the lowest averages both before and after the training, “Understand key factors for financial stability” (Financial Factors for Stability, from 2.94 to 3.88 on average,

giving a chance score of 0.94).

10) Please rate your overall satisfaction with the following trainers.

Presenter Very Satisfied Satisfied Neutral Not Satisfied Disappointed

Lisa Mouscher 82.9% (29) 17.1% (6) 0.0% (0) 0.0% (0) 0.0% (0)

Steven Gutierrez 73.5% (25) 23.5% (8) 2.9% (1) 0.0% (0) 0.0% (0)

Elizabeth (Betsy) David 48.6% (17) 34.3% (12) 14.3% (5) 0.0% (0) 2.9% (1)

Robin Amadei 73.5% (25) 23.5% (8) 2.9% (1) 0.0% (0) 0.0% (0)

Comments: I appreciated all of the speakers.

All excellent, engaging. Betsy’s information was good, it just paled in comparison to the other more energetic and

engaging speakers.

11) The trainers fostered active participation in learning:

Presenter Strongly

Agree

Agree Neither Agree

nor Disagree

Disagree Strongly

Disagree

Lisa Mouscher 91.4% (32) 8.6% (3) 0.0% (0) 0.0% (0) 0.0% (0)



Robin Amadei 94.3% (33) 5.7% (2) 0.0% (0) 0.0% (0) 0.0% (0)

Comments:

Should spend more time on conflict resolution and management.

Q&A was great. I am an introvert, but it was good for me that Lisa got me out of my

comfort zone.

45



12) The trainers were knowledgeable on the topic:

Presenter Strongly

Agree

Agree Neither Agree

nor Disagree

Disagree Strongly

Disagree

Lisa Mouscher 91.4% (32) 8.6% (3) 0.0% (0) 0.0% (0) 0.0% (0)



Robin Amadei 94.1% (32) 5.9% (2) 0.0% (0) 0.0% (0) 0.0% (0)

Comments:

I liked the communication style packet and the behavioral interviewing packet. Most certainly.

13) The educational materials (workbooks, learning activities, etc.) promoted my

understanding of the topic:

Scale # Responses Strongly Agree 22 (62.9%)

Agree 13 (37.1%) Neutral 0

Disagree 0 Strongly Disagree 0

Comments: I feel there could have been more notes to take. I find I remember more when I take

notes/write it down.

Really thankful for the booklet. The materials were excellent and very well organized/presented. Also VERY happy to have

the communication styles booklet.

14) Briefly describe the best aspects of this face-to-face Critical Skills for Mid-Level Managers Training:

Hearing people’s experiences (successes, challenges), interactive.

A lot of the situations discussed are things I am dealing with currently at work.

Information that I feel I can really take back and try in the work place.

Active participation, take home tools, length of sessions (except legal), fidgets at table,

and capstone.

Collaboration and discussion with other participants.

Guest speakers.

I learn and retain better knowledge in a face to face setting.

I felt like the most useful topics had to do with how to make goals, address conflict,

strengthen teams, and effectively communicate. Very interactive and engaging overall!

Networking with other managers.

Active participation, real situations, good advice with strong suggestions on handling these

situations.

Really loved the conflict management and behavioral interviewing.

Very well organized, good facility and location for training.

Food was awesome.

The topics were interesting and I felt I learned a lot.

Hearing others experiences and the opportunity to talk through things/topics. Very interactive, practical.

Nice hotel.

The interactive examples played out by the trainer with trainees. Got a lot of good information.

Hands on experience, talking to the guest speakers, meeting new people.

46



14) Briefly describe the best aspects of this face-to-face Critical Skills for Mid-Level

Managers Training (continued): Practical tools and advice for conflict resolution, behavioral interviewing, PIPs.

Legal review was very informative. Sharing ideas with other managers.

Role play scenarios. Discussion of real-life scenarios.

There are lots of things on day 2 that I am excited to use – communication types, helping employees not get burned out.

Communication and conflict resolutions are always beneficial, whether it is new or

refresher of information. Communication style training, conflict management training.

I think the interaction was beneficial even though it brought me out of my comfort zone. Interaction, having others opinions.

The tools and practice of the tools. Participation was good. I learn more that way versus just having someone stand up and

talk to me. Several small breaks helped keep me focused. Just hearing that we all have the same issues and ways to handle them.

I enjoyed all aspects, really took a lot from the second day, conflict, communication,

setting goals, engaging employees. SMART, GROW, communication styles training, legal education, conflict management.

Great practice, role play, open and encouraging questions, discussion. Everything that Lisa facilitated was stellar. Incredible experience application and

examples, very engaged speaker. I also really enjoyed Robin in her animated and frank examples of conflict and its resolution. I also think CHAMPS thought of everything, in

terms of hosting a great event. Pipe cleaners, markers, snacks, appropriately timed breaks, nice location, good pre-event communication, excellent lunches.

15) Briefly describe how this face-to-face Critical Skills for Mid-Level Managers Training could be improved:

More exciting.

More cushion on the chairs.

I found the clapping to call our attention to be somewhat demeaning, consider another

method such as a bell, switching the lights, etc.

More movement

Legal section was VERY long, especially for those of us who have HR departments and

don’t need to manage at that level for personal

Please tell folks, in advance, what food will be provided in advance.

Financial session could focus on budgeting rather than billing for an activity.

More examples provided – forms.

The legal training should be cut in half – this info is important but not a primary function of

my role.

More interactive activities. Perhaps teach team building activities and icebreakers.

Something more hands-on less sitting! Please offer Kleenex and hand sanitizer at each

table.

More conflict management time and less time on law.

I really can’t think of anything other than the HRDQ section was a little bit too brief for me

to get a good grasp.

Making the financial piece more relevant and easier to follow. Microphones and bigger projector screen.

More on your feet activities. More interactive – Popular Education Style! (Paolo Freire)

47



15) Briefly describe how this face-to-face Critical Skills for Mid-Level Managers Training

could be improved (continued): Fewer slides and more exercises.

Include tips/advice for self-care and preservation e.g. How do we care for ourselves in this challenging role??

More of what day 2 held. I found that much more useful. Have the legal portion split into two parts; one before and one after lunch. Too long to

digest otherwise, but great info. No suggestions.

N/A.

The conflict resolution tools could be more depth. Perhaps a different way to bring people back together after a break or an exercise other

than clapping. There is a lot of material to cover, but I think the timing was good.

One day longer maybe, otherwise great training. More explanation on doing financial activity.

Having a financial stability talk was fantastic and I think it should be continued, however this particular talk didn’t quite get it done. I think back on it now (3 days later) and can’t

remember even one point from it, which is far from the case with all other presentations.

16) Please rate your experience with the American Mountaineering Center facility for

this training. Scale # Responses

Very Good 22 (66.7%) Good 9 (27.3%)

Neutral 2 (6.1%) Poor 0

Very Poor 0

Comments: Room was very cold on first day.

Second day was distracting with kids climbing outside of room.

Lovely facility.

Microphones and bigger screen could be helpful. Lots of noise outside when kids were climbing.

No signage on south side of the building.

Better than expected. First day good, second day too noisy with wall right outside.

Very clean. Interesting facility. Let’s do the climbing wall next time. Golden is lovely. The library in the AMC was really cool. Plus loved all the dogs who had

joined their people at work.

17) Please rate your experience with the onsite CHAMPS staff that assisted with this

training. Scale # Responses

Very Good 29 (87.9%) Good 4 (12.1%)

Neutral 0

Poor 0 Very Poor 0

Comments: One staff member remembered when I made an inquiry last year and personally emailed

and invited me. I’m so thankful. This training was excellent! Arrangements were made for me for a discounted room after the deadline.

Super polite and helpful.

48



17) Please rate your experience with the onsite CHAMPS staff that assisted with this

training (continued): I wasn’t able to eat much. I wish there were more of a choice. I didn’t put down eating

restrictions because I didn’t know what kinds of food were going to be provided. Everyone was awesome!

Everyone was extremely friendly and helpful.

18) How did you hear about this event? Method # Responses

Email Announcement 8 (24.2%)

CHAMPS Website 2 (6.1%) CHAMPS Newsletter 3 (9.1%)

NWRPCA Website 1 (3.0%) NWRPCA Newsletter 2 (6.1%)

Event Flyer 1 (3.0%) Supervisor 24 (72.7%)

Comments: At another NWRPCA event.

Executive Director.

19) List other training topics that would meet the needs of your job:

Communicate with other department managers (clinical with operation).

Life balance (home vs work), always working from home on days off or evening.

Budgeting.

Job description development.

CHC policies – required by HRSA, up to date correct language.

How to do yearly reviews.

More practice with conflict resolution.

Work on identifying strengths and areas of improvement.

Dealing with upper management.

Excellent.

As noted, avoiding self-burnout.

Cultural competency and conflict – resolving conflict across cultural and language barriers. More team-building exercises, ideas, etc.

Time management within a busy, chaotic clinic. CORE.

Building stronger relationships with team members. Redeeming management mistakes.

Diversity in the workplace, cultural aspects with co-workers and patients. Reducing burnout, a follow-up conference for continued work on issues presented here,

planning projects within CHCs.

20) Other Comments:

It was a great conference.

Thank you to all who put this together.

Less sugary/high calorie foods! Muffins, cookies, etc. have low nutrition and lead folks to

have sugar crashes; not conducive to staying focused/full throughout day. How about

veggies and hummus, salads with grains/proteins, etc.

This was my first supervisor training and it was very informative.

Was under the impression this would be an advanced training compared to the CORE

manager training but it felt like a refresher.

Great seminar! Very good information! Very useful.

49



20) Other Comments (continued):

Great experience for me. Thank you!

Great work!! Thanks!

Would love to see healthier breakfast and snacks – more veggies, please! Lunch on

Monday was great. Thanks!

Thanks for putting this together. As silly as it sounds, the food was great. I’ve been to numerous seminars where the food is all pastries and cookies. The variety was great!

Great job, really enjoyed myself. Took a lot from this training. Thank you for such a thoughtful and well carried out training.

50

Utilizing Mindfulness 04/20/16 – Evaluation Questions Summary


Utilizing Mindfulness to

Reduce Stress and Prevent Burnout

“Lunchtime Learning” Professional Skill Development

Distance Learning Series Event #1 CHAMPS & CCHN Live and Archived Webcast

Live Broadcast on April 20, 2016 Presented by Lisa Hardmeyer Gray,

Intrinsic, LLC and Neighborcare

Evaluation Questions Summary Report

As of April 27, 2016

207 links to the live webcast, with 330 verified individual participants

Colorado: 260

Idaho: 1

Montana: 26

North Dakota: 1

South Dakota: 24

Utah: 6

Wyoming: 12

Representing 47 different organizations

127 completed the Evaluation Questions.

Evaluation Questions

1) Please provide your contact information. This is required if you would like to receive

a Certificate of Participation.

Response # Responses

Provided 125

Skipped 2

2) Which version of this event did you watch in advance of completing this

Evaluation/Credit questionnaire?


Live Online Event 127

Online Archive 0

CD Archive 0

3) Please rate your overall satisfaction with this training:

Scale # Responses

10 (Best Possible) 28 (22.1%) Average: 8.2

9 33 (26.0%) Median: 8

8 30 (23.6%)

7 21 (16.5%)

6 6 (4.7%)

5 6 (4.7%)

4 2 (1.6%)

3 1 (0.8%)

2 0

1 (Worst Possible) 0

51




your ability to demonstrate Objective #1:

"Identify factors contributing to burn-out and the risks both personally and to the

organization."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

6.4% (8) 22.4% (28) 48.0% (60) 18.4% (23) 4.8% (6)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

32.3% (40) 51.6% (64) 16.1% (20) 0.0% (0) 0.0% (0)


BEFORE: 28.8% (36)

AFTER: 83.9% (104)


BEFORE: 23.2% (29)

AFTER: 0.0% (0)



"Experience core mindfulness practices for self-care."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

4.0% (5) 18.6% (23) 44.4% (55) 21.8% (27) 11.3% (14)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

23.6% (29) 53.7% (66) 20.3% (25) 1.6% (2) 0.8% (1)


BEFORE: 22.6% (28)

AFTER: 77.3% (95)


BEFORE: 33.1% (41)

AFTER: 2.4% (3)

52





"Experience skills to cultivate focus and resilience under pressure."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

3.2% (4) 12.9% (16) 47.6% (59) 32.3% (40) 4.0% (5)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

14.6% (18) 61.0% (75) 21.1% (26) 3.3% (4) 0.0% (0)


BEFORE: 16.1% (20)

AFTER: 75.6% (93)


BEFORE: 36.3% (45)

AFTER: 3.3% (4)



"Improve capacity for compassion with self and others.”


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

8.1% (10) 43.6% (54) 37.9% (47) 8.1% (10) 2.4% (3)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

31.7% (39) 56.9% (70) 9.8% (12) 1.6% (2) 0.0% (0)


BEFORE: 51.7% (64)

AFTER: 88.6% (109)


BEFORE: 10.5% (13)

AFTER: 1.6% (2)

53





"Understand the benefits of practicing mindfulness.”


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

2.4% (3) 26.4% (33) 39.2% (49) 23.2% (29) 8.8% (11)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

33.9% (42) 54.0% (67) 11.3% (14) 0.8% (1) 0.0% (0)


BEFORE: 28.8% (36)

AFTER: 87.9% (108)


BEFORE: 32.0% (40)

AFTER: 0.8% (1)



"Understand stress physiology and develop tools to respond rather than react to daily

stress.”


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

2.4% (3) 19.2% (24) 42.4% (53) 29.6% (37) 6.4% (8)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

18.6% (23) 59.7% (74) 18.6% (23) 3.2% (4) 0.0% (0)


BEFORE: 21.6% (27)

AFTER: 78.3% (97)


BEFORE: 36.0% (45)

AFTER: 3.2% (4)

10) The speaker was knowledgeable on the topic:

Scale # Responses

Strongly Agree 65 (52.0%)

Agree 56 (44.8%)

Neutral 4 (3.2%)

Disagree 0

Strongly Disagree 0

54



11) The speaker was interesting to listen to:

Scale # Responses


Agree 56 (45.5%)

Neutral 17 (13.8%)

Disagree 1 (0.8%)

Strongly Disagree 0

12) The speaker fostered active participation in learning:

Scale # Responses


Agree 56 (44.8%)

Neutral 13 (10.4%)

Disagree 0

Strongly Disagree 0

13) Rate your experience registering for, logging on, and participating in this webcast:

Scale # Responses

Very Easy 56 (45.5%)

Easy 51 (41.5%)

Neutral 13 (10.6%)

Difficult 2 (1.6%)

Very Difficult 1 (0.8%)

14) The educational materials (handouts, learning activities, etc.) promoted my

understanding of the material:

Scale # Responses


Agree 57 (46.0%)

Neutral 23 (18.6%)

Disagree 2 (1.6%)

Strongly Disagree 2 (1.6%)

15) This webcast gave me practical tools I can use while working:

Scale # Responses


Agree 63 (52.1%)

Neutral 17 (14.1%)

Disagree 0

Strongly Disagree 2 (1.7%)

55



16) How did you hear about this event?



Supervisor 44 (35.5%)

Event Flyer 1 (0.8%)

CHAMPS Website 6 (4.8%)

CCHN Website 8 (6.5%)

Kaiser Loan Repayment Program 11 (8.9%)

Other (please specify) 7 (5.7%)

Other:

NWCOVNA agency.

Co-worker forwarded email announcement to me.

Coworker.

HR Director.

Human resources sent me a link.

Program manager recommended it.

HR.

17) How likely are you to attend another CCHN or CHAMPS distance learning event?

Scale # Responses

Very Likely 75 (60.0%)

Likely 36 (28.8%)

Somewhat Likely 13 (10.4%)

Not Very Likely 1 (0.8%)

Not at All Likely 0

18) Briefly describe the best aspects of this webcast.

Handouts for exercises I can do to practice mindfulness and reduce stress.

You have the option to view at later date.

Learning how to relax my body.

Access.

Very enlightening and kept brief.

Easy to access during lunch hour.

The exercises to cope with stress, very helpful.

Experiential learning.

I like the practical use, what can I do now things.

It was interesting to learn how to reduce stress and help a person live a healthier lifestyle

by not having so much stress.

Importance of taking care of ourselves and really practicing some of the concepts that

were taught.

I was able to expand my knowledge of mindfulness. I enjoyed the interactive practices.

Overall good.

Ease of access. Reinforce some of the knowledge have received in the past and new

information to relate to staff.

Brief mindfulness segments.

Speaker was knowledgeable and interesting to listen to, and I enjoyed practicing some of

the techniques presented during the training.

Relaxing techniques.

Practicing technique during webinar.

How to react to stress.

Pleasantness of speaker.

I like that I was able to follow along with the slides easily. The information was easy to

understand and the exercise recommendations were very helpful.

Practicing mindfulness.

Being body aware.

56



18) Briefly describe the best aspects of this webcast (continued).

The handout tools provided to put into practice after the webinar.

Techniques to deal with stress.

Everything was great.

A+ for Resources.

Body scan was interesting, length of time appropriate.

Easily relatable.

The flow was very nice and each subject flowed into the next.

Great technology, no hiccups with connecting.

Relevant problem with realistic assistance to change habits in a healthy, positive manner.

Look forward to trying to cultivate this skill and will look for additional guidance.

It directly pertained to all healthcare professionals.

The visuals were nice. I was unable to listen in.

Almost everything.

The exercise for stress.

I really enjoy when questions are asked and we are able to respond.

For me, the best aspect was learning how to de-stress.

Learning to listen to my body better / learned how to start overcoming the stress / burn

out.

It helped understand how important it is to breathe.

I loved that the presentation had time for us to participate in the presentation even though

it was all done online and we did not have the presenter right in front of us.

Teaching what mindfulness is and different ways to try it.

Slides.

Knowing you’re not the only one with these kind of issues.

This was very well organized and easy to follow.

The actual interaction the questions and doing techniques.

Speaker’s knowledge of the subject.

It was very interesting and gave great ideas!

Body Scanning.

Learning how to cope and relax with stress and in stressful situations.

What "mindfulness" entails and what tools to use to be mindful.

Teaching us the importance of self-care and that it is not selfish.

The ability to learn and take back the information to my staff. Also, learning how to take

time for myself and be mindful of my responsibilities.

The tools it gave me for reducing work-related stress.

It is a good reminder to take care of our inner selves.

The speaker.

Very informative and interactive.

Validation for the work we do and caring for ourselves as well as patients.

Description of ways to experience mindfulness.

The relaxing way we were learning. It felt good.

The information was useful and could be applied to daily life both professionally and

personally. Lisa had a vast knowledge on the subject.

Reminded me I need to be mindful of stresses and not let them overcome me. I can be in

control.

Becoming more mindful.

I really loved the breathing exercises and taking a moment to assess your body and what

it’s telling you. I think more often than not if we were more tuned into this that we would

notice our bodies warning us that we are on the edge of snapping and giving us time to

correct it.

Experiential - answering questions and experiencing mindfulness.

Allowing to practice being mindful.

Taking a moment to relax and reflect during the webcast.

Being able to practice relaxing in the middle of the day.

57




Where we have to take care of ourselves before thinking about taking care of theirs.

N/A.

To learn what mindfulness is about.

Providing tools to practice.

Very informative.

Could schedule it during lunch.

Breathing techniques.

I didn't know too much about evidence for mindfulness practice that was helpful.

Interactive questions and brief/not overwhelming content.

Fascinating about mindfulness.

Topic is practical for us as well as our patients.

Give us tools to use.

The slides were easy to follow and beneficial to the topic.

It was pretty interactive for an on-line training - good participation opportunities.

The interactive questions and the exercised. Kept me focused on the presentation.

Calming and good material presented.

Opportunity for practical learning.

Research behind mindfulness.

Techniques.

The information.

The training of taking time out, being mindful.

Resources and practical applications

All of it.

19) Please describe how this webcast could be improved.

N/A (11).

Sound.

Volume was a bit low.

Possibly seeing the speaker during the webinar to have live movement to keep focus to

the screen. Personally, my mind easily wanders and once I am done reading the current

slide I sometimes have a hard time staying in the moment with nothing else to focus on

visually.

To have more interaction with the audience.

More experiential learning, arrange later webinar to connect more long-term practicing.

How did Google and other business create mindfulness in their large organization?

Difficult topic to be an online/no visual.

Could ask more questions to keep us more involved into the webcast.

Really nothing.

Knowledge is power, most I already knew but there is always room for improving on these

skills daily :)

No suggestions.

Visual.

It was quite short, and therefore it may have felt a little bit superficial. I'm not sure it

went very far beyond other trainings I've taken on this topic.

Audio could have been better and more uplifting.

More live video than pictures.

Conciseness.

More tools.

No improvement needed.

Is good enough already.

I don't know how it could be improved, interesting.

There were too many pages in the handout to print for everyone.

I think the awareness was great but I do not feel I can share this with staff in a way that

will help them recognize ways to avoid burnout only to acknowledge it.

58



19) Please describe how this webcast could be improved (continued).

Nothing comes readily to mind.

No thoughts on this.

The Webcast needed closed captioning. I was unable to listed in due to not being able to

listen all I was able to do was read the slides.

Nothing – more of the same webinars.

Maybe sending us email before the webinar to let us know who to log in or where we can

find the 1800 number if we couldn't hear online.

Maybe allow for more time for webcast, 1 hr. was short and not enough time for Q&A. I

had a patient at 1pm and I had to leave my computer.

Wished it could have been in person -- otherwise was great.

Giving more scenarios on stress at work.

This webcast was great! I loved everything about it but I do think that we could have had

more time for Q & A.

More detail on how to meditate. There is a lot of information out there on it and it would

be nice to hear what is good vs. garbage.

Audio was not good - volume changed depending on the speaker.

More interactive.

More examples.

I wish we had more time to discuss and practice tools to de-stress.

It was really a great presentation, we just need more time!

There was a lot of information on the slides moved really fast through them.

Statistics showing improvement in real organizations to support the benefits. Speaker

didn't sound very enthused about the topic.

It may depend on what the employer does with this information. A one hour seminar

probably isn't going to make too many changes, need ongoing time to change.

Daily dose of meditation to go with it :)

Some research articles were outdated (2007).

NA- It was very positive.

A little more time on practice/methods than research or proving that mindfulness is

important.

Longer so that better understanding of different practices that could be developed were

better explored.

I think if the meeting facilitator was more engaging and lively it would garner more

interest in listening to the topic being discussed. It is hard to stay focused in a webinar

setting when there are many people around you to distract you or you are sitting at your

workstation looking at a pile of work to be done. If the speaker is not totally engaging

with their inflections and topic it is easy to get lost.

Does not need improvement.

Really have no other suggestions.

Education part longer because this is a big topic. Although I know these are geared to be

attended during the lunch hour.

Great presentation.

It was very good. Looking forward to the next one.

Not sure, maybe live camera, instead of just audio.

It could have been much longer.

Nothing it was great.

I felt like the last 5 or so slides from the presenter were a bit rushed and those to me,

seemed the take-away I wanted from the whole presentation.

Live Q&A discussion instead of question then answer only.

Interactive rather than emailing questions.

None.

Nothing really.

Even more interaction - creative ways to reach on online community and engage active

participation.

59



19) Please describe how this webcast could be improved (continued).

I wanted to take more time to read some of the slide but some were skipped over kind of

fast.

All was great.

Take time away for myself.

Given more examples of how to do it.

No comment.

60

CHAMPS Executive Committee

2015 – 2016 Recruitment Activities Report, April 2015 – March 2016 CHAMPS advertises Region VIII Health Center career opportunities through the

CHAMPS online Job Opportunities Bank (JOB). 470 positions were advertised on JOB between April 1, 2015 and

March 31, 2016, posted by 61 different Health Centers and

Primary Care Associations (PCAs) from all six Region VIII states: o 87 Administration/Management (AM) positions (18.5% of total)

o 40 Behavioral Health (BH) positions (8.5%)

o 39 Clinical Dental (CD) positions (8.3%)

o 137 Clinical Medical (CM) positions (29.1%)

o 75 Clinical Support (CS) positions (16.0%)

o 92 Non-Clinical Support (NCS) positions (19.6%)

These open postings were viewed 11,152 times between April 1, 2015 and March 31, 2016.

Between April 1, 2015 and March 31, 2016, 28 candidates utilized JOB’s “self-identify” feature

to contact posting organizations.

CHAMPS advertises the positions posted on JOB and promotes the Health Center model of care through attendance at career fairs and conferences and via e-marketing to a growing

distribution list of job seekers and regional and national educational institutions. April 2015-March 2016: Monthly JOB E-mail Blast to an average of 592 job seekers

advertising CHAMPS Member openings posted on JOB in the previous month plus job-seeking

tips, resources, and upcoming events

November 2015, March 2016: Biannual E-mail Blast advertising JOB openings and health

center careers to 44 representatives of regional and national educational institutions

April 2015: Career MD Job Fair, targeting physicians and physician assistants – 18 contacts

made

May 2015: Non-Commissioned Officers Association (NCOA) Career Expo, targeting

veterans, students, EMT/medics, etc. – 25 contacts made

July 2015: American Academy of Family Physicians (AAFP) National Conference,

targeting family medicine students and residents – 104 contacts made

August 2015: Returned Peace Corps Volunteer Career Fair, targeting service-minded

professionals – 20 contacts made

August 2015: Metro Denver Healthcare Job Fair, targeting nurses, medical assistants,

physician assistants, and veterans – 72 contacts made

September 2015: Regis University Health Professions Career Fair, targeting nursing and

health administration students – 37 contacts made

October 2015: AAFP Family Medicine Experience (FMX) Meeting, targeting family practice

physicians and residents – 75 contacts made

November 2015: AT Still University Annual Campus Recruitment Fair, targeting dentist, DO

and physician assistant students – 37 contacts made

March 2016: Uniformed Services Academy of Family Physicians, targeting physicians and

veterans – 73 contacts made

CHAMPS collaborates with Region VIII state PCAs, National Health Services Corps (NHSC), and

other partners to coordinate activities and develop recruiting events. May, August, and November 2015: Region VIII PCA Recruitment & Retention Networking

Call, quarterly call to discuss upcoming activities and future collaborations

May and August 2015: Denver Area Health Care Recruiters Association (DAHCRA),

meeting to discuss recruiting issues and resources

April, July, August, October, and November 2015: Region VIII Veterans Workforce Steering

Committee calls to plan and implement activities aimed at lowering the rate of unemployment

among returning veterans in Region VIII by connecting eligible veterans to vacancies and

training opportunities in HRSA-supported programs, and increasing the number of veterans

receive health care in Region VIII health centers

October 2015: Corps Community Day celebrated current and past Corps members and created

interest in potential future Corps members – 128 attendees

January 2016: Meet & Greet: Community Health Career Connection provided an

opportunity for students and staff from area health profession educational institutions to network

with health center and PCA representatives – 63 attendees

AM

BH

CD

CM

CS

NCS

61

http://www.champsonline.org/JobBank/JobOpportunitiesBank.html

Job Opportunities Bank Data Comparison Report

Behavioral Health

6%

Clinical

Dental

8%

Clinical

Support

15%

Non-

Clinical

Support

17%

Admin./

Management

21%

Clinical

Medical

33%

Average Recruiting Length of

Closed Positions (In Months)

2015—2016

Top Recruiting Resources

Employee Referral

11.9%

Local Referral/Word of Mouth

6.2%

Newspaper/Local Advertising 5.1%

Contacted by Candidate Directly 3.4%

Clinical Medical

Non-Clinical

Support

Behavioral Health

Clinical Support

Clinical Dental

Administrative/

Management

2.8

4.1

6.9

11.2

11.9

18.8

Read the complete JOB Data Comparison Report at www.CHAMPSonline.org/ToolsProducts/PublicationsMedia/Publications.html#job

368 Positions Posted (Up 21% from previous year)

239 Positions Closed (Up 41% from previous year)

177 Positions Filled (Up 17% from previous year)

Types of Positions

Posted

Data is from 02/2015 - 01/2016

Online

Listing 21.5%

Internal

Hire 21.5%

62

Region VIII CO MT ND SD UT WY Region VIII CO MT ND SD UT WY

POSITIONS POSTED ON JOB DURING YEAR*

Total Number All Positions+

321 212 39 26 18 13 13 385 269 50 12 18 20 16

Total Number CHC-Specific Positions 304 203 38 25 16 12 10 368 255 49 12 17 19 16

CHC Positions Carried Over from Previous Year 113 74 14 11 9 3 2 125 83 25 2 6 6 3

CHC Positions Newly Posted During Year 191 129 24 14 7 9 8 243 172 24 10 11 13 13

Number of CHCs Posting Positions 53 18 15 5 5 6 4 58 20 18 5 3 7 5

All Posted CHC-Specific Positions - Breakdown by Position Type***

Posted Administrative/Management Positions 64 46 7 6 4 1 0 77 58 9 1 2 5 2

Posted Behavioral Health Positions 15 10 4 1 0 0 0 21 14 7 0 0 0 0

Posted Clinical Dental Positions 24 17 2 1 4 0 0 31 21 4 2 4 0 0

Posted Clinical Medical Positions 115 60 22 8 8 10 7 122 66 26 6 7 7 10

Posted Clinical Support Positions 41 34 2 2 0 1 2 56 45 3 1 3 2 2

Posted Non-Clinical Support Positions 45 36 1 7 0 0 1 61 51 0 2 1 5 2

CHC-SPECIFIC POSITIONS CLOSED DURING YEAR**

Total Number CHC-Specific Positions Closed 170 119 13 15 10 6 7 239 181 26 5 7 9 11

Percentage of Total Posted During Year 55.9% 58.6% 34.2% 60.0% 62.5% 50.0% 70.0% 64.9% 71.0% 53.1% 41.7% 41.2% 47.4% 68.8%

Average Recruitment Length in Months 6.7 6.0 5.8 10.0 10.5 4.1 8.4 8.9 6.6 25.9 6.3 20.3 6.3 3.7

Positions Filled 151 109 8 14 10 5 5 177 153 7 4 6 2 5


Positions Withdrawn, Not Filled 5 4 0 1 0 0 0 27 18 5 0 1 1 2

Average Recruitment Length in Months 6.7 7.3 - 4.3 - - - 18.5 8.5 66.7 - 0.8 11.3 0.3

Positions Status Unknown 14 6 5 0 0 1 2 35 10 14 1 0 6 4

All Closed CHC-Specific Positions (Filled, Withdrawn, and Unknown) - Breakdown by Position Type***

Closed Administrative/Management Positions 45 33 4 5 3 0 0 62 47 8 1 2 2 2

Average Recruitment Length in Months 4.0 4.0 3.2 5.3 2.2 - - 4.1 4.1 4.3 7.1 2.0 6.3 0.6

Closed Behavioral Health Positions 7 6 0 1 0 0 0 11 9 2 0 0 0 0

Average Recruitment Length in Months 9.8 6.9 - 27.4 - - - 11.2 6.9 30.4 - - - -

Closed Clinical Dental Positions 9 5 0 1 3 0 0 20 16 3 0 1 0 0

Average Recruitment Length in Months 12.2 10.4 - 35.6 7.6 - - 11.9 8.7 32.1 - 2.0 - -

Closed Clinical Medical Positions 45 19 8 4 4 6 4 60 37 10 3 2 2 6


Closed Clinical Support Positions 24 22 0 0 0 0 2 38 33 3 0 1 0 1

Average Recruitment Length in Months 6.9 7.5 - - - - 0.6 6.9 6.4 14.3 - 4.3 0.0 4.4

Closed Non-Clinical Support Positions 40 34 1 4 0 0 1 48 39 0 1 1 5 2

Average Recruitment Length in Months 3.3 3.4 0.4 3.6 - - 1.1 2.8 3.2 - 1.5 0.9 0.9 0.1

Filled Clinical Positions - Breakdown by Title

Filled Dentist/Dental Director Positions 5 1 0 1 3 0 0 14 12 1 0 1 0 0

Average Recruitment Length in Months 12.9 6.0 - 35.6 7.6 - - 9.4 10.4 4.7 - 2.0 - -

Filled Physician/Medical Director Positions 23 12 3 2 4 2 0 20 13 1 1 2 0 3

Average Recruitment Length in Months 10.6 8.3 13.2 7.9 19.0 6.5 - 18.5 12.1 49.7 18.2 65.4 - 4.5

Filled PA/NP/CNM Positions 11 1 3 2 0 3 2 12 10 0 2 0 0 0

Average Recruitment Length in Months 7.2 7.6 6.6 15.4 - 3.2 5.6 8.6 9.8 - 2.2 - - -

*Positions posted on JOB do not represent all Region VIII CHC positions available.

**Filled or otherwise closed positions may not have been de-activated immediately by posting organizations.

***Refer to page 2 for a breakdown of posted and closed positions by discipline within each type.+Includes postings by Region VIII Primary Care Associations (PCAs).

February 2014 - January 2015 February 2015 - January 2016

Region VIII Job Opportunities Bank (JOB) Data Comparison Report


63

Region VIII Job Opportunities Bank (JOB) Data Comparison Report, continued

02/2014 - 01/2015 02/2015 - 01/2016

POSTED CLOSED FILLED** POSTED CLOSED FILLED** RECRUITMENT RESOURCES FOR FILLED CHC-SPECIFIC POSITIONS

CHC-SPECIFIC POSITIONS POSTED, CLOSED, & FILLED DURING YEAR Total Number Closed 170 239

Total Number 304 170 151 368 239 177 Positions Filled 151 177

CHC-Specific Positions - Breakdown by Discipline Recruitment Resources for All Filled CHC-Specific Positions

Admin./Management Positions 64 45 41 77 62 49 Recruitment Resource Unknown 28 41

Chief Executive 5 2 1 10 9 6 Online Listing 39 38

Finance Executive/Manager 16 14 12 12 7 5 Internal Hire 26 38

Operations Executive/Manager 9 6 6 5 4 2 Employee Referral 15 21

Clinical Operations Executive/Manager 4 1 1 14 12 11 Local Referral / Word of Mouth 11 11

Clinical Programs Executive/Manager 8 7 6 4 4 3 Newspaper / Local Advertising 3 9

Quality Improvement (QI) Executive/Manager 5 3 3 4 4 4 Contacted by Candidate Directly 20 6

Human Resources Executive/Manager 4 3 3 2 2 1 Recruiter / Locums 4 5

Other Executive/Manager 13 9 9 26 20 17 Hired Former Employee / Intern / Extern 2 4

Behavioral Health Positions 13 6 6 21 11 8 Educational Facility 0 2

Behavioral / Mental Health Executive/Manager 3 3 3 0 0 0 National Health Service Corps 4 2

Behavioral Healtlh Provider1

11 3 3 21 11 8 Top Recruitment Resources by Position Type***

Clinical Dental Positions 24 9 8 31 20 16 Total Filled Admin./Management Positions 41 49

Dental Director 3 2 2 1 1 1 Internal Hire 12 16

Dentist 15 4 3 25 14 13 Online Listing 12 9

Dental Hygienist 6 3 3 5 5 2 Newspaper / Local Advertising 0 7

Clinical Medical Positions 115 45 34 122 60 34 Recruiter / Locums 1 3

Medical Director 15 8 8 13 10 6 Employee Referral 3 1

Physician (see below for specialties) 62 21 15 60 27 13 Local Referral / Word of Mouth 3 1

Nurse Practitioner &/or Physician Assistant 36 16 11 45 21 13 Previous Employee 0 1

Pharmacist/Pharmacy Manager 2 0 0 4 2 2 Total Filled Behavioral Health Positions 7 8

Physician Positions - Breakdown by Specialty Employee Referral 0 1

Physician Positions 62 21 15 60 27 13 Internal Hire 0 1

Family Practice 24 6 4 28 10 5 Newspaper / Local Advertising 1 1

Family Practice with OB 3 1 1 3 1 1 Online Listing 2 1

Family Practice or Internal Medicine 3 0 0 3 2 0 Total Filled Clinical Dental Positions 8 16

Internal Medicine 3 2 0 2 1 0 Employee Referral 1 3

Extended Care 1 1 1 0 0 0 Contacted by Candidate Directly 1 2

Faculty 3 1 1 2 2 1 Internal Hire 0 2

OB/GYN 1 0 0 3 1 1 Hired Former Employee / Intern / Extern 1 1

Pediatrics 3 2 2 1 1 0 Educational Facility 0 1

Primary Care 4 2 2 2 2 0 National Health Service Corps 1 1

Senior Care 1 1 0 0 0 0 Total Filled Clinical Medical Positions 34 34

Sports Medicine 0 0 0 1 0 0 Internal Hire 3 6

Urgent Care 0 0 0 1 0 0 Online Listing 3 6

Unspecified 16 5 4 14 7 5 Employee Referral 7 4

Contacted by Candidate Directly 3 2

Local Referral / Word of Mouth 3 2

Recruiter / Locums 2 2

Educational Facility 0 1

Hired Former Employee / Intern / Extern 1 1

National Health Service Corps 3 1

Total Filled Clinical Support Positions 23 30

Online Listing 5 9

Employee Referral 3 8


Internal Hire 5 3


Total Filled Non-Clinical Support Positions 38 40

Online Listing 17 11

Internal Hire 6 10

Employee Referral 1 4



Hired Former Employee / Intern / Extern 0 1

Newspaper / Local Advertising 1 1

1Includes postings with the credentials of LCSW, LCPC, LPC, MSW,

Clinical Psychologist

*Positions posted on JOB do not represent all Region VIII CHC

positions available.

**Includes positions that were specifically reported as filled; other

closed positions may also have been filled, but are not listed unless

specifically reported as such.

***Numbers of filled positions with unknown recruitment resources

are not shown.

Successful Recruitment Resources for Filled PositionsPosted, Closed, & Filled Positions by Discipline within Each Type*

02/2014 - 01/2015 02/2015 - 01/2016


64

Page Title

Welcome

to CHAMPS

About

Us

Job

Bank

Events &

Training

Tools &

Products

Contact

Us

Members

Only Links

Site

Map

'14-'15 '13-'14

April '15 5,405 3,884 3,690 5,831 18,392 413 1,674 1,132 669 41,200 41,894 33,304

May '15 4,876 3,645 9,786 5,131 16,814 312 1,375 377 247 42,659 40,216 37,610

June '15 6,516 5,443 4,503 7,792 24,408 662 2,564 744 925 53,702 34,773 41,311

July '15 6,617 9,145 2,116 7,548 28,292 695 2,892 1,624 579 59,523 46,077 41,413

Aug. '15 7,184 5,423 2,065 5,865 22,682 348 899 380 143 44,989 36,670 33,037

Sept. '15 7,312 5,038 1,543 6,406 19,509 398 1,025 267 168 41,666 36,593 30,026

Oct. '15 11,732 6,293 1,750 5,884 22,547 540 2,073 793 248 51,860 40,079 33,076

Nov. '15 10,440 5,386 1,699 6,391 21,931 381 1,005 388 198 47,819 35,259 32,474

Dec. '15 10,288 7,759 1,505 5,875 22,524 630 1,925 1,036 576 52,118 39,243 35,974

Jan. '16 13,157 8,942 2,329 6,652 23,871 876 3,402 1,850 390 61,469 42,754 38,001

Feb. '16 12,915 6,891 2,397 7,665 28,967 401 1,414 235 235 61,120 34,775 35,678

Mar. '16 13,871 5,590 1,676 5,907 24,215 606 773 354 247 53,239 39,012 38,858

110,313 73,439 35,059 76,947 274,152 6,262 21,021 9,180 4,625 611,364 467,345 430,762

611,364Monthly

Average 9,193 6,120 2,922 6,412 22,846 522 1,752 765 385 50,947 243.4%

5 yr. growth

Overall SiteUnique

Visitors # of Visits

Visits/

Visitor Pages

Pages/

Visit Hits

Hits/

Visit Bandwidth 14-'15

Unique

Visitors

# of

Visits

April '15 3,885 7,774 2.00 38,141 4.91 99,656 12.82 6.41 April '14 3,568 6,927

May '15 3,904 7,087 1.82 35,390 4.99 95,262 13.44 7.01 May '14 3,761 6,875

June '15 3,956 6,931 1.75 46,001 6.64 116,311 16.78 11.87 June '14 3,594 6,505

July '15 4,125 7,620 1.85 59,055 7.75 139,345 18.29 9.37 July '14 3,568 6,353

Aug. '15 4,011 7,937 1.98 54,850 6.91 137,561 17.33 9.29 Aug. '14 3,928 6,921

Sept. '15 4,391 8,140 1.85 59,731 7.34 145,926 17.93 10.43 Sept. '14 3,838 7,268

Oct. '15 4,796 9,194 1.92 54,546 5.93 135,493 14.74 9.64 Oct. '14 4,092 7,486

Nov. '15 4,069 7,738 1.90 57,083 7.38 126,245 16.31 9.87 Nov. '14 3,530 6,475

Dec. '15 3,757 7,488 1.99 59,091 7.89 123,972 16.56 9.10 Dec. '14 3,448 6,297

Jan. '16 5,867 11,479 1.96 90,560 7.89 174,940 15.24 10.25 Jan. '15 3,963 7,038

Feb. '16 4,236 8,105 1.91 55,579 6.86 149,132 18.40 14.16 Feb. '15 3,686 6,434

Mar. '16 4,453 8,641 1.94 56,839 6.58 142,360 16.47 9.63 Mar. '15 4,095 7,828

TOTAL 51,450 98,134 1.91 666,866 6.80 1,586,203 16.16 TOTAL 45,071 82,407

Definitions

NOTE: Upgraded CHAMPS website launched July 2015

Hits: This term refers to the number of files that are downloaded from a Web server. Keeping track of hits is a way of measuring traffic to a Web site. The number of

hits a site receives is usually much greater than the number of actual visitors. That's because a Web page can contain more than one file.

Bandwidth: The maximum amount of data that can be transferred in a given time, usually measured in seconds. It determines how much data can flow through

your site.

CHAMPS Website Usage 2015-2016

65


0

20,000

40,000

60,000

80,000

100,000

120,000

About Us Events &

Training

CHC

BOD

Resources

Clinical Resources Cross-

Disc.

Resources

R&R Resources Job

Bank

2013-2014 2014-2015 2015-2016

www.CHAMPSonline.org

Overall Website Usage, April 1 – March 30 (Five and Three Year Trends)

Region VIII Website Sessions (Time Using Site) by State, July 2015 – March 2016

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

CO MT ND SD UT WY

% of Region VIII Website Sessions % of Region VIII FTEs (per 2014 UDS)

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

Entire Site

2011-2012 2012-2013 2013-2014 2014-2015 2015-2016

66

http://www.champsonline.org/

CHAMPS 4/7/16

MPCN MOUNTAIN/PLAINS CLINICAL NETWORK 2016 STEERING COMMITTEE MEMBERS

MEMBER CHC PHONE E-MAIL START DATE

COLORADO Matthew Allen, DDS Clinica Family Health (303) 665-2962 [email protected] 8/14 Angela Green, PsyD Metro Community Provider Network (303) 762-6546 [email protected] 5/12 Chad Hess, PA-C Pueblo Community Health Center, Inc. (719) 543-8711 [email protected] 2/09 Lesley Brooks, MD Sunrise Community Health (970) 353-5884 [email protected] 4/15

MONTANA

Megan Littlefield, MD RiverStone Health (406) 247-3214 [email protected] 5/12 NORTH DAKOTA Chastity Dolbec, RN (Vice-Chair) Coal Country Community Health Centers (701) 873-4445 [email protected] 5/12 SOUTH DAKOTA Jim McNeely, CFNP Rural Health Care, Inc. (605) 669-2121 [email protected] 10/05

UTAH Keith Horwood, MD (Past-Chair) Community Health Centers, Inc. (801) 964-6214 [email protected] 10/05

Kim McFarlane, PA-C (Chair) Green River Medical Center (435) 564-3434 [email protected] 4/07 WYOMING

Ryan Bair, MSW, LCSW Community Health Ctr of Central Wyoming (307) 233-6023 [email protected] 2/14 Tharanie Sivarajah, MD HealthWorks (307) 635-3816 [email protected] 10/15 QI* CONSULTANT Ken Davis, PA-C Northwest CO Visiting Nurse Association (970) 879-1632 [email protected] 2/15 CHAMPS PRESIDENT

John Mengenhausen Horizon Health Care, Inc. (605) 772-4525 [email protected] 10/12

CHAMPS STAFF Julie Hulstein (303) 867-9582 [email protected] Jen Anderson (303) 867-9583 [email protected] Andrea Martin (303) 867-9581 [email protected] Chelsea Skovgaard (303) 867-9584 [email protected]

Sophie Hagberg (303) 867-9544 [email protected] *QI – Quality Improvement

67















../October%202015%20Meeting%20Packet/[email protected]




Colorectal Cancer Screening for CHCs An ECHO Learning Community for Region VIII Health Centers

Join TodayConnect, Engage, Learn & Share Participate from anywhere Free registration & CME credits Collaborate with experts & CHC colleagues

Learn more and register at: www.ECHOColorado.org/CRC

SERIES DETAILS

Sessions start on June 7, 2016 and meet every third Tuesday of the month through September 2016. Sessions are conducted via live video 12-1pm MDT (1-2pm CDT).

Session Dates: June 7, June 21, July 19, August 16, September 20

AUDIENCE

CRC Screening success is dependent upon the entire CHC staff:

•Clinical Leadership•QI Specialists•Administrators

WHAT YOU WILL LEARN

• How to develop a clinic strategyand coordinate care to improve CRCscreening rates in your CHC.

• How to create clinic policies tostreamline the staff roles andprocesses.

• Tools and tips to bettercommunicate with patients theimportance of CRC screening andthe different available screeningoptions.

WHAT TO EXPECT

Live web-based, video-conference sessions that you can easily access using your smart phone, tablet or laptop with camera. Connect from your home or office.

During each 60-minute session, a subject matter expert will lead a short (15 minute) presentation. Participants will then present a case for feedback, recommendations and discussion.

68

How is an ECHO Learning Community Different?

ECHO Learning Communities’ are not like a regular webinar series.

Participants will need a computer with a webcam to log onto a live video conference

meeting platform where they will see, hear, and interact with content experts and other

participants in the learning community.

Health centers are encouraged to invite a cross disciplinary team of professionals from

their health center to participate in this quality improvement focused ECHO series.

Health centers who participate are strongly encouraged to attend every session to

benefit from the whole clinical transformation process.

Each ECHO series is limited to participants from 15-20 Region VIII (CO, MT, ND, SD,

UT, WY) health centers so register early to secure your health center’s place in the

learning community.

For more information about CHAMPS ECHO Learning Communities, visit www.champsonline.org or

email CHAMPS Clinical Programs Director, Jen Anderson, at [email protected].

69



Behavioral Health Integration for CHCs An ECHO Learning Community for Region VIII Health Centers

Join TodayConnect, Engage, Learn & Share Participate from anywhere Free registration & CME credits Collaborate with experts & CHC colleagues

Learn more and register at: www.ECHOColorado.org/BHI

SERIES DETAILS

Meets every 2nd and 4th Monday for three months starting July 11, 2016. Sessions are conducted via live video 12-1pm MDT (1-2pm CDT).

Session Dates: July 11, July 25, August 8, August 22, September 12, September 26

AUDIENCE

Integration strategies are focused on the entire CHC leadership team including:

•Administrators•Medical Directors•Behavioral Health Leadership

WHAT YOU WILL LEARN

• To evaluate your facility’s currentlevel of integration.

• To identify and implement practicalstrategies to increase behavioralhealth integration into the primarycare workflow.

• To address the team dynamic as animportant component in achievingsuccessful progress towardsbehavioral health integration.

WHAT TO EXPECT

Live web-based, video-conference sessions that you can easily access using your smart phone, tablet or laptop with camera. Connect from your home or office.

During each 60-minute session, a subject matter expert will lead a short (15 minute) presentation. Participants will then present a case for feedback, recommendations and discussion.

70

How is an ECHO Learning Community Different?

ECHO Learning Communities’ are not like a regular webinar series.

Participants will need a computer with a webcam to log onto a live video conference

meeting platform where they will see, hear, and interact with content experts and other

participants in the learning community.

Health centers are encouraged to invite a cross disciplinary team of professionals from

their health center to participate in this quality improvement focused ECHO series.

Health centers who participate are strongly encouraged to attend every session to

benefit from the whole clinical transformation process.

Each ECHO series is limited to participants from 15-20 Region VIII (CO, MT, ND, SD,

UT, WY) health centers so register early to secure your health center’s place in the

learning community.

For more information about CHAMPS ECHO Learning Communities, visit www.champsonline.org or

email CHAMPS Clinical Programs Director, Jen Anderson, at [email protected].

71



Exploring Behavioral Health Integration Models – Evaluation/CME Credit Questions Summary


Exploring Behavioral Health Integration Models

throughout Region VIII

CHAMPS Live and Archived Webcast Live Broadcast on February 11, 2016

Moderated by Angela Green,

PsyD, Director of Behavioral Health, Metro Community Provider Network

Presented by Johnathan Muther, PhD, Director of Behavioral Health and Psychology Training, Salud Family Health Centers;

Sandi Larsen, M.Ed., LCPC, LAC, Behavioral Health Program Manager,

RiverStone Health; and Norma Randall, BSN, Clinical Operations Manager, HealthWorks

Evaluation & CME Credit Questions Summary Report

As of February 18, 2016

56 links to the live webcast, with 83 verified individual participants

Colorado: 39

Montana: 18

North Dakota: 2

Pennsylvania: 1

South Dakota: 2

Utah: 5

Washington: 14

Wyoming: 2

Representing 38 different organizations

29 completed the Evaluation questions.

19 participants requested CME credit, and were awarded a total of 28.5 credits

Evaluation Questions

1) Please provide your contact information. This is required if you would like to receive

a Certificate of Participation or CME Credit for this event.


Provided 27

Skipped 2

2) Are you requesting CME for this event?


Yes 19

No 10

3) Which version of this event did you watch in advance of completing this

Evaluation/Credit questionnaire?


Live Online Event 29

Online Archive 0

CD Archive 0

72



4) Please rate your overall satisfaction with this training:

Scale # Responses

10 (Best Possible) 7 (24.1%) Average: 8.4

9 10 (34.5%) Median: 9

8 5 (17.2%)

7 5 (17.2%)

6 1 (3.5%)

5 0

4 1 (3.5%)

3 0

2 0

1 (Worst Possible) 0

Comments:

Interesting because at UCNW we are already doing most of the IBH protocols.

Thank you for the presentation. It was beneficial for our clinic and our efforts of

integration.

Very informative and clearly presented.

We are just starting out in behavioral health and this webcast was very informative.

Excellent webinar. I really appreciated hearing from multiple practices. Thank you.

Great set of speakers to watch. I am inspired to go back to my medical leaders to discuss

ideas.

Bridging the medical and mental health cultures is a huge issue. We have a blended

community mental health and integrated model.

Very informative, I do suggest more time for Q&A.

Thank you! It was informative.



"Identify the Six Levels of Integration."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

3.7% (1) 22.2% (6) 29.6% (8) 29.6% (8) 14.8% (4)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

7.4% (2) 63.0% (17) 29.6% (8) 0.0% (0) 0.0% (0)


BEFORE: 25.9% (7)

AFTER: 70.4% (19)


BEFORE: 44.4% (12)

AFTER: 0.0% (0)

Comments:

We recently did a survey to identify our level of integration.

We very recently did this assessment in our clinic!

Already very familiar with this resource.

Still learning the process, more knowledge will be acquired as we go through it.

We didn’t really address this, though I know it’s addressed in the second handout.

73





"Identify tools to evaluate current level of integration."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

11.1% (3) 14.8% (4) 29.6% (8) 25.9% (7) 18.5% (5)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

18.5% (5) 44.4% (12) 37.0% (10) 0.0% (0) 0.0% (0)


BEFORE: 25.9% (7)

AFTER: 62.9% (17)


BEFORE: 44.4% (12)

AFTER: 0.0% (0)

Comments:

Using this resource.

Ditto.



"Understand how to start the process of behavioral health integration."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

3.7% (1) 25.9% (7) 29.6% (8) 22.2% (6) 18.5% (5)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

29.6% (8) 44.4% (12) 18.5% (5) 7.4% (2) 0.0% (0)


BEFORE: 29.6% (8)

AFTER: 74.0% (20)


BEFORE: 40.7% (11)

AFTER: 7.4% (2)

Comments:

We were already started.

Liked ideas from Wyoming on pre-assessment.

Learning experience for me.

Some good new ideas.

74





"Understand how to design a workflow with highly integrated behavioral

health/primary care collaboration, including roles of the behavioral health provider."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

3.7% (1) 18.5% (5) 44.4% (12) 22.2% (6) 11.1% (3)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

14.8% (4) 51.9% (14) 33.3% (9) 0.0% (0) 0.0% (0)


BEFORE: 22.2% (6)

AFTER: 66.7% (18)


BEFORE: 33.3% (9)

AFTER: 0.0% (0)

Comments:

Understanding that each practice does things to modify their needs.

Had one in place.

Again, exposure to different models was helpful.



"Utilize three strategies to contribute to increasing behavioral health staff integration

into the primary care workflow."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

3.9% (1) 26.9% (7) 38.5% (10) 23.1% (6) 7.7% (2)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

23.1% (6) 46.2% (12) 26.9% (7) 3.9% (1) 0.0% (0)


BEFORE: 30.8% (8)

AFTER: 69.3% (18)


BEFORE: 30.8% (8)

AFTER: 3.9% (1)

Comments:

Will see how these different approaches will stand with leadership.

Feel like I’ve learned this elsewhere.

75



10) Please indicate how confident were you BEFORE and AFTER attending this training

in your ability to demonstrate Objective #6:

"Identify specific brief assessment and screening measures and strategies for use,

including efficient documentation."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

16.0% (4) 36.0% (9) 24.0% (6) 8.0% (2) 16.0% (4)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

40.0% (10) 36.0% (9) 16.0% (4) 8.0% (2) 0.0% (0)


BEFORE: 52.0% (13)

AFTER: 76.0% (19)


BEFORE: 24.0% (6)

AFTER: 8.0% (2)

Comments:

I like the idea of a behavioral health staff person performing these screens. It could really

free up my schedule and my nursing staff.

Need to learn more of the assessments and how to utilize each.

I’d love to see the PCOMS.

11) Please indicate how confident were you BEFORE and AFTER attending this training

in your ability to demonstrate Objective #7:

"Understand how to utilize a clinical pharmacist to expand access to evidence-based

psychotropic medication management."


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

3.7% (1) 14.8% (4) 18.5% (5) 18.5% (5) 44.4% (12)


Very

Confident Confident

Somewhat

Confident

Not Very

Confident

Not at All

Confident

11.1% (3) 44.4% (12) 33.3% (9) 11.1% (3) 0.0% (0)


BEFORE: 18.5% (5)

AFTER: 55.5% (15)


BEFORE: 62.9% (17)

AFTER: 11.1% (3)

Comments:

N/A.

What is the clinical training of pharmacists with diagnosis/formulation?

Not sure if we have one within our organization, but will find out. I believe that it’s an

asset to have on-site.

I’d like to explore this further.

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12) The speaker was knowledgeable on the topic:

Presenter Strongly Agree Agree Neutral Disagree

Angela Green, PsyD 69.6% (16) 26.1% (6) 4.4% (1) 0.0% (0)

Norma Randall, BSN 59.1% (13) 31.8% (7) 4.6% (1) 4.6% (1)

Sandi Larsen, M.Ed. 81.8% (18) 18.2% (4) 0.0% (0) 0.0% (0)

Johnathan Muter, PhD 77.3% (17) 22.7% (5) 0.0% (0) 0.0% (0)

Comments:

I felt all four of the presenters were very informed.

All great.

Angela was brief, didn’t get much from her, the last two were actually very knowledgeable

in all areas.

13) The speaker was interesting to listen to:




Sandi Larsen, M.Ed. 70.0% (14) 25.0% (5) 5.0% (1) 0.0% (0)


Comments:

All the speakers were interesting.

14) The speaker fostered active participation in learning:




Sandi Larsen, M.Ed. 50.0% (10) 35.0% (7) 15.0% (3) 0.0% (0)


Comments:

Questions with obvious answers did not promote active participation.

All great.

Both Sandi and Dr. Muther fostered more of a want to participate in learning.

15) The content was presented in a balanced manner:

Scale # Responses


Agree 12 (46.2%)

Neutral 1 (3.9%)

Disagree 0

Strongly Disagree 0

16) Rate your experience registering for, logging on, and participating in this webcast:

Scale # Responses

Very Easy 15 (60.0%)

Easy 9 (36.0%)

Neutral 0

Difficult 1 (4.0%)

Very Difficult 0

Comments:

My clinic manager registered.

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17) The educational materials (handouts, learning activities, etc.) promoted my

understanding of the material:

Scale # Responses


Agree 13 (50.0%)

Neutral 0

Disagree 0

Strongly Disagree 0

18) This webcast gave me practical tools I can use while working:

Scale # Responses


Agree 13 (50.0%)

Neutral 1 (3.9%)

Disagree 1 (3.9%)

Strongly Disagree 0


Scale # Responses


CHAMPS Website 2 (7.7%)

CHAMPS Newsletter 6 (23.1%)

Event Flyer 0

Colleague or Supervisor 6 (23.1%)

20) How likely are you to attend another CHAMPS distance learning event

(teleconference or webcast)?

Scale # Responses

Very Likely 19 (73.1%)

Likely 5 (19.2%)

Somewhat Likely 2 (7.7%)

Not Very Likely 0

Not at All Likely 0

21) Briefly describe the best aspects of this webcast.

It was accessible without having to travel. It helped to see how everyone else is working

in there practice and giving other perspective of utilizing currently what we do have in our

practice.

It was interesting to learn how other CHC's are using their resources to develop

integration.

Easy to use and follow discussion.

I enjoyed hearing about the different ways behavioral health has been integrated in

primary care settings and some of the considerations that have been taken when starting

a new site.

I appreciated the presenter and the beneficial information as our organization/clinic

explores integration of the BH model.

The information I can use for our agency.

I liked hearing about the different ways that behavioral health is being integrated into

health systems.

It was very informative.

Role of pharmacist bridging two cultures (PCP/BH-MH).

Supportive comments/info as we continue our way onward with growing an Integrated

Behavioral Health program here.

The great speakers and variety.

Variety of presenters and real-time examples.

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Ideas and workflow ideas.

The importance of Mental Health integration in Primary and Preventive care.

Exposure to different programs with different solutions.

I liked that you had three presenters that were in different places implementing

Integrative Behavioral Health.

Time of day.

Ease of access and presentations.

22) Please describe how this webcast could be improved.

I think it was all good

No comment.

The sound quality was poor at some times in the webcast and would cut out.

N/A.

Ask more interactive questions not just “all of the above” answers.

I felt it was a very good webcast.

Role of psychiatrist use of benzodiazepine.

It was great.

None.

Polls were not useful to learner.

More interaction would be helpful, but I don’t know how to accomplish this.

I do not think that anything needs to be changed.

None.

23) What additional types of follow-up activities addressing “Exploring Behavioral

Health Models throughout Region VIII” might you be interested in (to allow us to

provide additional training and/or assistance in this area)?

Options # Responses

Additional Webcast 18 (75.0%)

Fall Conference Session 9 (37.5%)

Email Listserv 10 (41.7%)

ECHO Learning Communities 9 (37.5%)

None 2 (8.3%)

24) List other training topics that would meet the needs of your job.

How does one bill these services?

Anything community health.

Any training related to customer service or cultural competency. Thank you!

Services BH clinicians can bill for besides the assessments, consults, and therapy in order

to count towards expected productivity.

Retaining staff.

More on 42 CFR.

Quality Improvement Project Management.

None.

25) Other Comments.

None.

Is NWRPCA working with you on similar integration issues?

Thank you!

Thank you!

None.

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CME Credit Questions

26) What percentage of patients with behavioral health needs see their primary care

provider yearly?


10% 1 (5.3%)

40% 3 (15.8%)

80% 13 (68.4%)

90% 2 (10.5%)

27) What is the first step you need to take when considering integrating behavioral

health into your office?


Assess your needs 18 (90.0%)

Hire a behavioral health provider 0

Train your staff 1 (10.0%)

28) Pharmacists can become board certified in areas such as pharmacotherapy,

psychiatry, oncology, and pediatrics.


True 20 (100.0%)

False 0

29) Each of the following are aspects of a highly integrated behavioral health program

except:


A fully integrated EHR in which both medical and behavioral 1 (5.0%)

health providers document and have shared access

A co-located therapist in the same building available for 15 (75.0%)

therapy referrals at a later date

A model that promotes medical and behavioral health clinicians 3 (15.0%)

having equal value as healthcare providers

Formal and informal meetings between behavioral health and 1 (5.0%)

medical providers related to shared treatment planning

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Exploring Behavioral Health Models Webcast – Pre-/Post-Test Comparison


Exploring Behavioral Health Integration Models throughout Region VIII

CHAMPS Live and Archived Webcast Live Broadcast on February 11, 2016

Moderated by Angela Green, PsyD, Director of Behavioral Health,

Metro Community Provider Network

Presented by Jonathan Muther, PhD, Director of Behavioral Health and

Psychology Training, Salud Family Health Centers;

Sandi Larsen, M.Ed., LCPC, LAC, Behavioral Health Program Manager,

RiverStone Health; and

Norma Randall, BSN, Clinical Operations Manager, HealthWorks

Pre-Test / Post-Test Comparison

Pre-Test: Online-only form displayed before the start of the webcast

15 participants completed the Pre-Test

Post-Test: Portion of online Evaluation/Credit Questions Form

20 participants completed the Post-Test

1) What percentage of patients with behavioral health needs see their primary care

provider yearly?

# Pre-Test # Post-Test Options

7 1 a. 10%

2 3 b. 40%

2 13 c. 80%

4 2 d. 90%

Answer: c

Pre-Test: 13.3% responded correctly Post-Test: 68.4% responded correctly

2) What is the first step you need to take when considering integrating behavioral health

into your office?


2 2 a. Train your staff.

13 18 b. Assess your needs.

1 0 c. Hire a behavioral health provider.

Answer: b


3) Pharmacists can become board certified in areas such as pharmacotherapy,

psychiatry, oncology, and pediatrics


10 20 a. True

5 0 b. False

Answer: a


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Exploring Behavioral Health Models Webcast – Pre-/Post-Test Comparison


4) Each of the following are aspects of a highly integrated behavioral health program

except:


1 3 a. A model that promotes medical and behavioral health clinicians

having equal value as healthcare providers.

1 1

b. A fully integrated Electronic Health Record (HER) in which both

medical and behavioral health providers document and have

shared access

3 1 c. Formal and informal meetings between behavioral and medical

providers related to shared treatment planning.

10 15 d. A co-located therapist in the same building available for therapy

referrals at a later date.

Answer: d


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2016 Spanish Language Training – Evaluation


2016 Spanish Language for Health Professionals Training April 22-25, 2016 Denver, CO Hosted by CHAMPS and Denver Medical Society (DMS) Presented by Rios Associates Evaluation & CME Credit Questions Summary Report As of May 9, 2016 43 participants Colorado: 34 Connecticut: 1 Michigan: 1

Nebraska: 1 South Dakota: 2 Utah: 3

Wyoming: 1

Representing 22 different organizations 17 completed the Evaluation questions. Approximately 43 participants requested CME credit, and were awarded a total of 1,935 credits. Evaluation Questions 1) Please provide your contact information.

Response # Responses Provided 17 Skipped 0

2) Are you requesting CME credit for this training? If yes, which type?

Scale # Responses AMA 11 (64.7%)

AANP 4 (23.5%) AAFP 2 (11.8%)

ACEP 0 Not Requesting CME Credit 0 3) Please rate your overall satisfaction with this training on a scale of 1-10 (1 being the worst possible rating and 10 being the best possible rating):

Scale # Responses 10 (Best Possible) 9 (52.9%) Average: 8.3 9 3 (17.7%) Median: 10.0 8 2 (11.8%) 7 0 6 0 5 1 (5.9%) 4 0 3 1 (5.9%) 2 0 1 (Worst Possible) 1 (5.9%)

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3) Please rate your overall satisfaction with this training on a scale of 1-10 (1 being the worst possible rating and 10 being the best possible rating). Comments:

Excellent instructor. Was advertised as offering a beginner class but this was not done. Using today at work! It was advertised that there would be 3 class levels, but there were only 2. This left the

beginners, like myself, unable to follow the class and in return found it useless as no instruction was given at a basic beginner level.

Great instructors, very fun and energetic. Enhanced my vocabulary and understanding. Instructor (Tamara Rios) was fantastic! She had a great energy which made the class

fund to be in. Information presented was extremely useful to my work setting. Presentation was done in a logical manner. I will definitely attend future classes given by this speaker in the future.

I am already practicing my Spanish. Really good.

4) The training gave me practical tools I can use while working: Scale # Responses

Strongly Agree 12 (70.6%) Agree 1 (23.5%) Neither Agree nor Disagree 0 Disagree 0 Strongly Disagree 1 (5.9%)

Comments: Please see previous comment.

5) The training achieved the following goal stated in the course description: "Acquire/strengthen the ability to interview patients in Spanish."

Scale # Responses Strongly Agree 11 (68.8%) Agree 3 (18.8%) Neither Agree nor Disagree 0 Disagree 1 (6.3%) Strongly Disagree 1 (6.3%)

Comments: Please see previous comment. I’m ready to introduce myself, do a complete history, ROS and HPI!!!

6) The training achieved the following goal stated in the course description: "Be exposed to Spanish vocabulary of at least 1,500 general and medical words."

Scale # Responses Strongly Agree 10 (58.8%) Agree 6 (35.3%) Neither Agree nor Disagree 0 Disagree 0 Strongly Disagree 1 (5.9%)

Comments: Please see previous comment.

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7) The training achieved the following goal stated in the course description: "Develop a good flow of speech."

Scale # Responses Strongly Agree 9 (52.9%) Agree 6 (35.3%) Neither Agree nor Disagree 1 (5.9%) Disagree 0 Strongly Disagree 1 (5.9%)

Comments: Please see previous comment. Too advanced. Still feel like I am using broken sentences, but much more fluent than before course

8) The training achieved the following goal stated in the course description: "Develop awareness of difference in attitudes and cultures between Latinos and other Americans."

Scale # Responses Strongly Agree 14 (82.4%) Agree 3 (17.7%) Neither Agree nor Disagree 0 Disagree 0 Strongly Disagree 0

Comments: Loved the cultural competency aspect of the course!! Really helped a lot with my

understanding of culture attitudes that affect care. 9) The content was presented in a balanced manner:

Scale # Responses Strongly Agree 10 (58.8%) Agree 5 (29.4%) Neither Agree nor Disagree 0 Disagree 0 Strongly Disagree 2 (11.8%)

Comments: Too advanced. Please see previous comment. No instruction was given at a beginner’s level.

10) Please rate your overall satisfaction with the trainer(s) from Rios Associates:

Scale # Responses Strongly Agree 14 (82.4%) Agree 1 (5.9%) Neither Agree nor Disagree 1 (5.9%) Disagree 0 Strongly Disagree 1 (5.9%)

Comments: Tamara Rios is an excellent presenter and instructor. She was amazing and fun but it was too advanced.

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10) Please rate your overall satisfaction with the trainer(s) from Rios Associates (comments continued):

I left this conference feeling as if it was a waste of money and time as it was not instructed in 3 levels like it was supposed to be, forcing the beginners into the intermediate class and leaving us very behind, confused, and frustrated. I would not recommend this class to anyone and would like my money back I am so dissatisfied as it did not meet the requirements it set out.

Very knowledgeable, energetic, helpful.

11) The trainer(s) was knowledgeable on the topic: Scale # Responses Strongly Agree 16 (94.1%) Agree 1 (5.9%) Neither Agree nor Disagree 0 Disagree 0 Strongly Disagree 0

12) The trainer(s) fostered active participation in learning:


Comments: The trainer did an excellent job keeping me interested and actively participating in the

class. 13) Please rate your experience with registering for this training:

Scale # Responses Very Easy 7 (41.2%) Easy 7 (41.2%) Neither Easy or Difficult 3 (17.7%) Difficult 0 Very Difficult 0

Comments: Please allow us to pay with credit card in the future.

14) Please rate your experience with receiving communication from CHAMPS staff once you registered for the training:

Scale # Responses Very Good 13 (76.5%) Good 3 (17.7%) Neutral 1 (5.9%) Poor 0 Very Poor 0

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15) The educational materials (books, workbooks, learning activities, etc.) promoted my understanding of the topic:


Comments: The book was the only way I learned anything in the class. Love the book, especially the dialogues and the USB.


Options # Responses Email Announcement 11 (78.6%) CHAMPS Website 1 (7.1%) CHAMPS Newsletter 3 (21.4%) Event Flyer 0

Comments: MCPN (2). My employer told me about it.

17) How likely are you to attend another CHAMPS learning event:

Scale # Responses Very Likely 11 (64.7%) Likely 4 (23.5%) Somewhat Likely 1 (5.9%) Not Very Likely 0 Not At All Likely 1 (5.9%)

18) Briefly describe the best aspects of this training:

The mix of speaking activities, reading, and also listening. Instruction was lively, entertaining, captivating. Great instructor, practical advice from someone who has obviously been in the medical

setting. The instructor (Tamara Rios) was great – very enthusiastic and knowledgeable. The enthusiasm and approach of the trainers. Instructor was energetic and fun. Practical knowledge. Practical application, practice scenarios were varied and very well structured. The book was mildly helpful, but didn’t put the phonetic spelling next to words, so when

this is the only thing one has to learn from since the class was never at the beginner level and the verbal instruction was this useless, it still fell short of the course goals.

Very fun, useful, learned a lot in a short amount of time. Location was good, close to restaurants, hotels, transit, etc.

Being able to learn key phrases to utilize during my appointments with patients. The interacting as a group. Being able to ask question and go over sentence structure. Paced well excellent content.

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19) Please describe how this training could be improved: It’s probably not possible due to the format of the class, but 8-hour days are very long.

My retention went down significantly by the end of the day. Less forced interaction one on one. It appeared that the intermediate and beginner classes were combined – made for very

overwhelming couple of days. Also, I would have liked to have the book before the class to read/study the basics.

If offering 3 training levels then that should be the case. It was split in two levels and I would consider it to be intermediate and advanced. I was not prepared for the level of Spanish that most participants already knew.

Entertain fewer questions – although it was nice. For the cost, I would have thought lunch could have been included, but that is a very

minor concern. There needs to be 3 classes as advertised so the beginners can actually learn something

that they paid for. N/A. Nothing to suggest a very good class. Separate the beginners from the intermediates.

20) List other training topics that would meet the needs of your job:

N/A (2). Mostly all covered. Pediatrics including mental health. None.

21) Other comments:

N/A. I am recommending this to all my colleagues! Intense pace suitable for a motivated learner. My partner and I actually left the second day as we were feeling completely overwhelmed

at the level of the class and did not really feel we could get any more from the class. Far more advanced than presented in flyer.

The Spanish training was excellent. Thank you very much. The class was such a disappointment that I would like to request reimbursement as it did

not meet the course goals as advertised and thus I do not feel I can use this as CME as I did not learn what I paid for.

None. Well done.

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Changes to CHAMPS UpToDate Preferred Pricing Program

2016 Past Program Details

The CHAMPS UpToDate Preferred Pricing Program (PPP) allowed CHAMPS member health centers to purchase individual subscriptions of the UpToDate clinical decision support tool for a discount of $100 off the retail price for a one-year subscription. The retail price in 2016 was $499 and the CHAMPS PPP price was $399 (plus a one-time $15 processing fee). The PPP also allowed subscribers to renew subscriptions in the following year for a discount of $50 off the retail renewal rate. The retail renewal rate was $449 and the CHAMPS PPP rate was $399 per renewal subscription. We were given this rate because we have more than 100 subscribers in our group.

We currently have 125 subscribers from 17 health centers participating in the PPP.

Changes as of Spring 2016

UpToDate is moving towards a seat-based model and doing away with personal subscriptions.

Each health center that has 11+ subscriptions will be asked to move to the seat program upon their renewal. CHAMPS will not play any part in that process. The seat rate will be $450 per seat but FQHCs will be given a discount and will pay $405 per seat.

As these large health centers are removed from our group, we will lose the 100 providers needed to maintain our $399 price for renewals by the end of May 2016.

Changes Coming Summer 2016

UpToDate will release a store front option for health centers with 2-10 providers to purchase seats. The price for these health centers is not yet known, nor is the exact date that this new process will launch. As health centers are up for renewal they will be informed of the new system.

Next Steps

It is our intention not to add any new health centers into the Preferred Pricing Program at this time, regardless of the size of the health center. CHAMPS will communicate the changes in UpToDate as it pertains to our Preferred Pricing Program to participating health centers as their renewal data approaches.

CHAMPS will also investigate comparable clinical decision support tool products as well as the potential of a preferred pricing arrangement if a suitable alternative is found.

89

Health Resources & Services Administration (HRSA) Report

HHS Awards over $260 Million to Health Centers Nationwide to Build and Renovate Facilities to Serve More Patients

On May 4, 2016, HHS Secretary Sylvia M. Burwell announced over $260 million in funding to 290 health centers in 45 states, the District of Columbia, and Puerto Rico for facility renovation, expansion, or construction. These awards will allow health centers to renovate or acquire new health center clinical space to help provide care to over 800,000 new patients nationwide. This investment builds on the nearly $150 million awarded to 160 health centers from the Affordable Care Act’s Community Health Center (CHC) Fund for construction and/or renovation in September 2015. To view a list of the award winners, click here.

HHS Awards $94 Million to Health Centers to Improve Substance Abuse Services

On March 11, 2016, HHS Secretary Sylvia M. Burwell announced $94 million in Affordable Care Act funding to 271 health centers in 45 states, the District of Columbia, and Puerto Rico to improve and expand the delivery of substance abuse services in health centers, with a specific focus on treatment of opioid use disorders in underserved populations. This investment is expected to help awardees hire approximately 800 providers to treat nearly 124,000 new patients. For more information on these awards, including a list of award winners, click here.

New Access Point Funding Opportunity

On April 18, 2016 HRSA announced the 2016 New Access Point (NAP) funding opportunity, which provides operational support for new primary health care service delivery sites. Subject to the availability of appropriated funds, HRSA anticipates awarding approximately $50 million to support an estimated 75 New Access Point awards in Fiscal Year 2017. The maximum annual funding that can be requested in a NAP application is $650,000. NAP applications must be submitted via Grants.gov by June 17, 2016. Supplemental materials are due July 15, 2016. Awards will be announced prior to the January 1, 2017 start date. The funding opportunity announcement and guidance can be found here.

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Federal Funding Report - Federal Fiscal Year (FFY) 2016

FY2016 Substance Abuse Service Expansion Awardshttp://www.hhs.gov/about/news/2016/03/11/hhs-awards-94-million-to-health-centers.html

Date State Organization Amount

3/11/2016 CO Colorado Coalition for the Homeless $325,000

3/11/2016 CO Denver Health And Hospitals Authority $325,000

3/11/2016 CO Metro Community Provider Network, Inc. $310,654

3/11/2016 CO Plan De Salud Del Valle, Inc. $378,521

3/11/2016 CO Regents of the University of Colorado $405,950

3/11/2016 MT Bighorn Valley Health Center, Inc. $379,167

3/11/2016 MT Bullhook Community Health Center, Inc. $379,167

3/11/2016 UT Midtown Community Health Center, Inc. $349,917

3/11/2016 WY Cheyenne Health and Wellness Center $379,167

Region VIII Total $3,232,543

National Total $93,943,992

Region VIII % of National 3.4%

FY2016 Health Infrastructure Investment Program Awards

Date State Organization Amount

5/4/2016 CO Clinica Campesina Family Health Services $1,000,000

5/4/2016 CO Metro Community Provider Network, Inc. $1,000,000

5/4/2016 CO Olathe Community Clinic, Inc. $1,000,000

5/4/2016 CO Regents of the University of Colorado, The $999,688

5/4/2016 MT Community Health Partners Clinic $345,840

5/4/2016 MT Glacier Community Health Center, Inc. $999,582

5/4/2016 ND Valley Community Health Centers $516,971

5/4/2016 UT Carbon Medical Service Association, Inc. $989,319

5/4/2016 UT Community Health Centers, Inc. $885,970

5/4/2016 UT Paiute Indian Tribe of Utah, The $1,000,000

5/4/2016 UT Utah Partners For Health $492,699

Region VIII Total $9,230,069

National Total $262,381,034

Region VIII % of National 3.5%

GRAND REGION VIII TOTAL FFY 2016 $12,462,612

GRAND NATIONAL TOTAL FFY 2016 $356,325,026

GRAND REGION VIII % OF NATIONAL FFY 2016 3.50%

http://www.hhs.gov/about/news/2016/05/04/hhs-awards-over-260-million-health-centers-nationwide-build-and-

renovate-facilities-serve-more.html?utm_campaign=hrsa&utm_medium=email&utm_source=govdelivery

As of 05/04/16 1

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http://www.hhs.gov/about/news/2016/05/04/hhs-awards-over-260-million-health-centers-nationwide-build-and-renovate-facilities-serve-more.html?utm_campaign=hrsa&utm_medium=email&utm_source=govdelivery

http://www.hhs.gov/about/news/2016/05/04/hhs-awards-over-260-million-health-centers-nationwide-build-and-renovate-facilities-serve-more.html?utm_campaign=hrsa&utm_medium=email&utm_source=govdelivery

NOTE: The official dates of the CHI & EXPO are August 28-30, 2016. The CHI serves as the official Annual Meeting of NACHC and therefore has certain committee meeting obligations prior to the Board of Directors and House of Delegates Meetings on the days leading up to the official start of the CHI.

NACHC Committee Meetings and Special Pre-Conference Events

Thursday, August 25, 20167:00pm – 8:00pm Credentials Committee

Friday, August 26, 20168:00am – 1:00pm PCA and HCCN General Session

(Invitation only. Special registration required.)

9:30am – 11:30am LGBT Task Force 10:00am – 11:00am Conference for Agricultural Worker Health Planning Committee 11:00am – 11:45am Nominating Committee11:00am – 1:00pm Committee on Health Center Excellence and Training 11:00am – 1:00pm Healthcare for the Homeless Committee 11:00am – 1:00pm Rural Health Committee 11:00am – 1:00pm Health Professions Education in Health Centers Task Force11:00am – 1:00pm Subcommittee on Health Center Financing 11:00am – 1:00pm Subcommittee on Elderly Issues 12:00pm – 1:00pm Bylaws Committee 12:30pm – 5:00pm Registration and Credentialing 1:30pm – 3:30pm Health Center Controlled Networks Task Force 1:30pm – 3:30pm Committee for Agricultural Worker Health 1:30pm – 3:30pm Healthcare in Public Housing Task Force 1:30pm – 3:30pm Committee on Service Integration for Behavioral Health

and HIV

1:30pm – 3:30pm Membership Committee 4:00pm – 6:00pm Health Policy Committee

Saturday, August 27, 20167:30am – 4:00pm Registration and Credentialing 8:00am – 10:00am Finance Committee 8:00am – 10:00am Clinical Practice Committee 8:00am – 10:00am Community HealthCorps Steering Committee Meeting 8:00am – 2:45pm NACHC Board Member Boot Camp*10:30am – 12:30pm Legislative Committee 10:30am – 12:30pm Consumer/Board Member Committee 12:30pm – 1:30pm State Legislative Coordinators 12:30pm – 2:00pm NACHC eClinical User Group3:00pm – 5:30pm NACHC Board of Directors Meeting

*Board Member Boot Camp. This is the ONLY training included in the CHI conference registration fee. It is also available as a stand-alone training. Registration is REQUIRED for all Boot Camp participants. Refer to “Section D” of the CHI registration form.

Conference Schedule(as of April 11, 2016 and is subject to change)

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Community Health Institute (CHI) & EXPO

Sunday, August 28, 20168:00am – 10:00am Credentialing 8:00am – 4:00pm Registration8:30am – 10:00am NACHC GE Centricity User Group8:30am – 10:00am Orientation for New Members and First-Time Attendees 10:00am – 12:00pm NACHC House of Delegates Annual Meeting (doors open at 9:30am) 12:00pm – 2:00pm NACHC NextGen User Group 1:00pm – 6:30pm EXPO HALL OPEN 3:00pm – 5:00pm Opening General Session 5:00pm – 6:30pm EXPO Grand Opening 5:00pm – 6:30pm Poster Presentations 6:00pm – 7:00pm New Member Welcome Reception 6:30pm – 7:30pm LGBT Primary Care Alliance Reception 6:30pm – 8:00pm Young Professionals Leadership Exchange

Monday, August 29, 20167:30am – 3:00pm EXPO HALL OPEN 7:30am – 4:00pm Registration 8:00am – 9:30am Education Sessions9:30am – 10:00am Refreshment Break in EXPO Hall 10:00am – 12:00pm General Session 12:00pm – 1:00pm Poster Presentations (continued) 12:00pm – 1:00pm Refreshment Break in EXPO Hall (lunch on your own) 1:00pm – 2:30pm Education Sessions2:30pm – 3:00pm Refreshment Break in EXPO Hall 3:00pm – 4:30pm Education Sessions 6:00pm – 10:00pm Conference Reception

Tuesday, August 30, 20167:30am – 10:30am EXPO HALL OPEN 7:30am – 11:00am Registration 8:00am – 10:00am Education Sessions 10:00am–10:30am Refreshment Break in EXPO Hall 10:30am – 12:30pm General Session 12:30pm – 1:30pm Lunch (on your own)1:30pm – 3:00pm Education Sessions

Registration Hours

Registration Credentialing Speakers and ExhibitorsFriday, August 26 12:30pm – 5:00pm 12:30pm – 5:00pm 12:30pm – 5:00pm Saturday, August 27 7:30am – 4:00pm 7:30am – 4:00pm 7:30am – 4:00pm Sunday, August 28 8:00am – 4:00pm 8:00am – 10:00am 8:00am – 4:00pm Monday, August 29 7:30am – 4:00pm 7:30am – 4:00pmTuesday, August 30 7:30am – 11:00am 7:30am – 2:00pm

Registered attendees can pick up their registration packets, badges, and credentialing for the House of Delegates during the hours listed below.

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1 CHAMPS 2014-2016 Strategic Plan; October 2014

CHAMPS 2014-2016 Strategic Plan (Approved by Executive Committee 10/2/14 & Board of Directors 10/20/14)

Goal 1: CHAMPS’ value proposition is recognized by Region VIII CHCs and SPCAs. Objective 1.1: Maintain 75%-80% membership of Region VIII Community Health Centers (CHCs) and FQHC Look-Alikes, and 100% membership of Region VIII State Primary Care Associations (SPCAs).

Proposed Strategies 1.1.a. Communicate the value of CHAMPS membership. CHAMPS will contact new Region VIII CHCs and new CEOs to introduce them to CHAMPS. CHAMPS will target communications so they are timely and relevant for the appropriate audience. CHAMPS will increase vertical penetration of communications to Region VIII CHC staff. CHAMPS and Executive Committee members will facilitate peer to peer networking. Executive Committee members will provide CHAMPS reports at their respective SPCA meetings.

1.1.b. Provide services for Region VIII CHCs that are unique and valued. CHAMPS will remain current with the latest health care trends and CHC training needs. CHAMPS will tailor services to the specific needs of Region VIII. CHAMPS will create and maintain appropriate partnerships in order to expand offerings. CHAMPS will investigate the feasibility of developing a new CHC CEO orientation workbook. CHAMPS will investigate the feasibility of developing a CHC CEO certification program. CHAMPS will expand data offerings via the Region VIII CHC salary survey, annual Region VIII needs assessment, Region VIII health care outcomes data, etc. CHAMPS will investigate the possibility of creating mutually beneficial/reciprocal membership promotions between Region VIII SPCAs, NACHC, and CHAMPS. 1.1.c. Increase involvement of non-Executive Committee Board Members. Executive Committee will examine the appropriateness of CHAMPS’ Board structure. Executive Committee will investigate providing a range of membership types. CHAMPS and the Executive Committee will explore avenues to increase Board engagement. CHAMPS will explore creation of a quarterly Board digest highlighting recent CHAMPS activities.

Goal 2: CHAMPS is a financially sustainable organization. Objective 2.1: Maintain, enhance, and diversify funding.

Proposed Strategies

2.1.a. Increase advocacy efforts to protect federal funding. CHAMPS will support NACHC’s efforts to protect federal funding.

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2 CHAMPS 2014-2016 Strategic Plan; October 2014

CHAMPS will encourage Region VIII CHC involvement in NACHC and Region VIII SPCA grassroots efforts. 2.1.b. Maximize staff/resources to help increase funding. CHAMPS will investigate recruiting/retaining staff with expertise in advocacy. CHAMPS will investigate recruiting/retaining staff with expertise in data analytics. CHAMPS will investigate recruiting/retaining staff with expertise in development.

2.1.c. Utilize reserves strategically. CHAMPS and the Executive Committee will investigate the use of non-federal reserves to further the goal of maintaining financial viability. The Executive Committee will explore the possibility of creating a reserves subcommittee. The Executive Committee will monitor/review CHAMPS’ reserves at each meeting.

Goal 3: CHAMPS is known as a leading resource on CHC issues in/for Region VIII by health care professional associations/organizations. Objective 3.1: Strengthen CHAMPS image and value in professional associations to which Region VIII CHC staff belong.

Proposed Strategies 3.1.a. Increase collaborations/partnerships with health care professional

organizations. CHAMPS and Executive Committee members will identify potential partner organizations. CHAMPS and Executive Committee members will utilize compelling data/information to communicate the strength of Region VIII CHCs with non-CHC health care professional organizations. CHAMPS staff and/or members will submit data/information/articles for publication in health care professional organization journals and newsletters. CHAMPS will invite health care professional organizations to submit articles to CHAMPS for the CHAMPS quarterly newsletter. CHAMPS staff and/or members will attend/present at health care professional organization conferences. CHAMPS will invite staff from health care professional organizations to attend/present at the Fall Conference and other appropriate CHAMPS trainings.

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Access provided by Association of Clinicians for the Underserved (8 Feb 2016 19:09 GMT)

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© Meharry Medical College Journal of Health Care for the Poor and Underserved 27 (2016): x–xii.

Dr. Virgilio Licona—A Crusader for Health and Social Justice

Jennifer Anderson, MPH Julie Hulstein, MNM

Dr. Virgilio Licona is a national treasure. He was a pioneer in the early days of the movement to create health equity through community health centers and he has

dedicated his life to caring for the medically underserved and serving as the voice for those who are often not heard. He recently retired, after serving as Vice President of Medical Services at Salud Family Health Centers in Fort Lupton, Colorado since 2000. Salud is committed to providing an affordable, high quality medical home to families and individuals in the nine northern Colorado communities they serve.

A gifted speaker, Dr. Licona can motivate and inspire those around him with words that so succinctly paint a picture that his listener cannot help but take up his cause. With this skill he has treated those most in need, administered health centers, impacted public policy, and changed the overall landscape of community health.

“We were still burning on fumes from the sixties.”

Born as the son of farmworkers in California, Licona came to Colorado in the early 1970s as a community organizer and political activist. After earning a degree from Colorado State University, he founded and served as director of La Clinica del Valle in Rocky Ford, Colorado largely to serve the needs of migrant and seasonal farmworkers. Licona and the countless others who were working for social justice intended to change the country. These defenders of the underserved were fueled by the efforts of the 1960s and President Johnson’s War on Poverty. He fully believed that through programs like Head Start, Medicaid, and job training through the Office of Economic Opportunity, that they could eliminate poverty. He believed that one day everyone could compete on a level playing field. Dr. Licona’s place in this movement would unfold over 40 years of dedicated service to community health centers.

As director of La Clinica del Valle, Licona struggled to find a Physician Assistant (PA- C) to work in his clinic. Undeterred, he enrolled in school to become a PA- C. After graduation, he began his clinical career at Pueblo Community Health Center

ACU COLUMN

JENNIFER ANDERSON is the Clinical Programs Director of the Community Health Association of Mountain/ Plains States, Denver, CO. JULIE HULSTEIN is the Executive Director of the Community Health Association of Mountain/ Plains States, Denver, CO. Jennifer Anderson is the corresponding author and can be reached at Community Health Association of Mountain/ Plains States, 600 Grant Street #800, Denver, CO 80203, Tel: 303-867-9583, or by Email: jen@champsonline .org.

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providing high quality, culturally competent health care. Not long after, the health center was unsuccessful in finding a physician to serve their rural community. Perhaps unsurprisingly, Licona enrolled in medical school at the Autonomous University of Hidalgo. Not one to waste an opportunity to build new partnerships, Dr. Licona was among the first residents to participate in a new collaboration between medical schools in Mexico and rural residencies in the United States. After completing his residency in family medicine he returned to Pueblo Community Health Center as a physician to serve those most in need.

“Healthcare is for people and not for profit.”

Dr. Licona doesn’t only provide care as a family physician. He has long been an ardent advocate for the medically underserved. He testified before the Colorado state legislature for the first time in 1975 on behalf of the community health center movement. In the late 1990s, he returned to the state capitol to successfully lead the advocacy efforts for a bill that would provide prenatal care for undocumented women.

Dr. Licona also served on the National Advisory Council of the National Health Service Corps as well as on the National Rural Health Advisory Committee. He con-tributed as a member of the Legislative Policy Committee before being elected to the board of directors of the American Academy of Family Physicians. In his home state, he served as president of the Colorado Academy of Family Physicians and on the Board of The Colorado Health Foundation as well as Colorado Community Health Network and Community Health Association of Mountain/ Plains States. Dr. Licona used these leadership positions to champion higher quality healthcare and increased access to care for those who need it the most.

“We’re helping move the health care status of the country forward.”

Dr. Licona has been recognized by his peers throughout his illustrious career. In 2000, he was the recipient of the Colorado Minority Health Forum’s “Outstanding Contributor to Minority Health Care in Colorado Award.” This distinction so encapsulated the life of Dr. Licona that today it is known as the “Dr. Virgilio Licona Award.”

For Dr. Licona’s legacy as a community leader and health rights activist, as a distin-guished primary health care provider and accomplishments at the national, state and local levels, he was honored by the National Association of Community Health Centers with the Samuel U. Rodgers Achievement Award in 2015. It was presented at the 46th annual Community Health Institute & EXPO in Orlando, FL, a national conference attended by nearly 2,000 community health leaders from across the country.

In his acceptance speech, Dr. Licona took the opportunity to look back on his remarkable accomplishments on the march towards quality healthcare for everyone. He remarked, “It has become very clear to me, 42 years later, that what we accomplished and what we are accomplishing is not just moving the health care status of our patients forward. We’re helping move the health care status of the country forward.”

The egalitarian principles of this self- described “foot soldier” are beyond inspirational. His lifetime of contributions and commitment to social justice and equality positively

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impacted thousands of individuals and families in the communities he served, and had indisputable reverberations to hundreds of thousands throughout his home state of Colorado, and millions across the nation.

Ever the visionary, Dr. Licona continues to inspire the next generation to take up this cause. His successors owe a great deal of gratitude to the work of Dr. Virgilio Licona. We are closer than ever to achieving his dream of health equity yet much remains to be accomplished. While Dr. Licona was fueled by the spirit of the 1960s, those who take up the mission of community health today can be spiritually nourished to push on by the legacy of this great and honorable man. The remarkable dedication and passion of Dr. Licona will endure and serve as a guiding light for his colleagues in the Community Health Center Movement and beyond.

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CHAMPS EXECUTIVE COMMITTEE CONFERENCE CALL AGENDA … · 2016. 5. 13. · CHAMPS EXECUTIVE...

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