+
Remaining Uninsured- Provider Counties:
Community Health Partnership (CHP)
Member Health Centers and
Santa Clara County
Dolores Alvarado, MSW, MPH
Chief Executive Officer, Community Health Partnership
ITUP 19th Annual Conference
February 17, 2015
+ Community Health Partnership
 Represent
ten
community health
centers serving 39 sites
in Santa Clara and San
Mateo Counties
 Provide
a collective
voice to shape health
policy and strengthen
the health care safety
net
 Served
181,389 patients
in 2014 (unduplicated)
+
Community Health Partnership:
Our Mission
To advocate for affordable and accessible
health care services for our diverse and
multicultural communities regardless of
socioeconomic, ethnic, religious or cultural
background, and to support our members
organizations in achieving these goals
+ Shared History of Collaboration
and Support with County of
Santa Clara

Shared leadership with County, Non-Profits and Clinics

Since 1985, financial support to 5 community health centers
for general operations

In 1993, as a response to Managed Care, health centers in
collaboration with the City of San Jose and County of Santa
Clara, formed Community Health Partnership

In 2001, joint development and implementation of the
Healthy Kids coverage program for children who do not
qualify for Medi-Cal (up to 300% FPL)*

In 2012, voters of Santa Clara County passed Measure A, a
one-eighth cent sales tax increase, which would raise
$50 million annually to bolster health and safety programs
*In 2014, this was raised to 400%FPL
+
Community Health Partnership
4 Priority Areas

Shape Health Care Policy

Expand Access to Health Care

Improve Quality of Care

Ensure Health Care Workforce Readiness in a Changing
Health Care Environment

Opportunities for collaboration with County systems and nonprofit partners to strengthen the health care safety net
+ Shape Health Care Policy
Shape Health Care Policy, through thought leadership in health care
reform and advocating for our community health centers and their
patients.

Santa Clara County Board of Supervisors

Healthy Kids Coverage Program

Daughters of Charity Hospital Sale

Living Wage Ordinance

Task Forces, Boards and Committees

Cal MediConnect Communications Committee

Health Care Reform Stakeholders Task Force

Long Term Support Services Subcommittee (LTSS)

Outreach & Enrollment Subcommittee

Santa Clara Family Health Plan

Santa Clara HIV Planning Council for Prevention & Care

School-Linked Services
+ Expand Access to Health Care
Expand Access to Health Care by identifying and addressing
barriers within the health care system that prevent access to care

Partnership with Santa Clara Valley Health & Hospital System to
conduct “in-reach” and community education for Valley Care
(Low-Income Health Program aka LIHP)

Specialty Care and E-Consult (Valley Health Plan, Blue Shield of
California Foundation)

Medi-Cal Outreach Program funding (The California Endowment)

Remaining Uninsured Coverage Initiative (Blue Shield of
California Foundation)




Community Health Partnership
Santa Clara County Health & Hospital System
Working Partnerships
Measure A
Patient Trends in CHP
Health Centers 2011-14
+
185000
181389
180000
177835
Number of Patients
175000
170000
166535
165000
160000
156845
155000
150000
145000
140000
2011
2012
2013
Year
2014
+ Patient Trends in Health Centers
9
During October 1, 2013- October 31, 2014*
• 13% decline in uninsured patients
• 26%(approx.) increase in encounters covered by Medi-Cal
• Approximately 8600 patients enrolled in health insurance at community health centers
*Calculations based on self-reported data from member health centers in Santa Clara and San Mateo Counties.
Does not include RotaCare Clinics.
+ Improve Quality of Care
Improve Quality of Care, by leading a creative, solutions-oriented approach to patientcentered health care, advancing systems of data collection and management, and
conducting quality improvement programs across our member health centers

Measure A

Data Governance Committee- established to identify quality
measures for clinical, operational, financial, and patient experience
within health centers and Santa Clara Valley Health and Hospital
System Ambulatory Care (Valley Health Plan)

Electronic Health Records (EHR) Interface (Blue Shield)



Asian Americans for Community Involvement
Gardner Health Network
Valley Medical Center

Preventing Heart Attacks and Strokes Everyday- PHASE (Kaiser)

PCMH Learning Collaborative for member health center and Valley
Medical Center teams to institute large scale change and shared
learning environment (Kaiser and Valley Health Plan)

QI Institute (UCLA/Johnson& Johnson Health Care Executive
Program)
+ Measure A- Percent of Total Project
Funding by Objective Category (Total:
$3.2 million)
Capital
Improvement
5%
Contract
Monitoring
1%
IS/HIE
34%
Increasing
Access
39%
Enabling
Services
5%
QI
0.1%
Workforce
14.1%
Development PCHH/NCQA
2%
+
Ensure Health Care Workforce
Readiness in a Changing Health Care
Environment
Ensure Health Care Workforce Readiness in a Changing Health Care
Environment by offering provider and workforce training

Santa Clara County Health Services Workforce Collaborative



Reports to Santa Clara County Board of Supervisors
Assist non-clinical health care employers develop institutional career pathways
for training and career ladders
Workforce Collaborative
 Community Health Partnership
 Hospital Council of Northern & Central California
 Kaiser Permanente
 San Jose City College
 San Jose Evergreen Community College District
 Santa Clara Valley Medical Center
 SEIU Local 521
 work2future
 Workforce Institute
 Working Partnerships USA
+
Next Joint InitiativePayment Reform!

Capitation Payment Preparedness Program (CP3)

Joint project led by the California Primary Care Association
(CPCA) to prepare for a Payment Reform model for Federally
Qualified Health Centers (FQHCs) in 2014

90 Interested Pilot Sites in California

County of Santa Clara and County of San Mateo

Community Health Partnership Pilot FQHCs

AACI

Gardner Health Services

Indian Health Center of Santa Clara Valley

Ravenswood Family Health Center
+
Thank You!
Dolores Alvarado
(408) 556-6605
dolores@chpscc.org
www.chpscc.org