Monica Garcia, CHW, CHWI October 18, 2016 Larry Combest Community Health & Wellness Center and East Lubbock Promise Neighborhood A Texas Tech University School of Education and Texas Tech University Health Sciences Center School of Nursing Partnership Monica Garcia, CHW, CHWI October 18, 2016

Larry Combest Community Health and Wellness Center Established in 1988 to provide TTUHSC student health services Changed focus to provide primary care services to underserved populations in East Lubbock in 1998 A Nurse-managed FQHC that is a public entity Co-Applicant Governing Board – Combest Health and Wellness Center Community Alliance (CHWCCA) TTUHSC acts as fiscal unit Administered by the School of Nursing for TTUHSC All employees are hired by the SON

Primary Care Clinic This Center is funded by the Bureau of Primary Health Care, Health Resources and Services Administration of the US Department of Health and Human Services. Adult and Children Case Management Sick and well visits Physicals for all ages Immunizations Minor injuries Onsite Laboratory Transportation Prescription Assistance Counseling Chronic Disease Management Programs Nutritional Education

East Lubbock Promise Neighborhood The East Lubbock Promise Neighborhood is a US Department of Education funded initiative committed to working with the residents of East Lubbock, Texas to support and advocate for our children – ensuring that both children and parents have access to the resources they need to grow, learn and succeed. http://www.eastlubbockpromise.org/about/

The Partnership Program Goals for the ELPN Health Component: Increase the number and percent of children, from birth to kindergarten entry, who have a place where they usually go, other than an emergency room, when they are sick or in need of advice about their health Utilized a Community Health Worker to: Work exclusively with members of the East Lubbock community Establish rapport between community members and stakeholders Identify needs of the community Offered extended clinic hours Wednesday, Thursday and Friday’s open from 5:00 p.m. – 10:00 p.m. Sunday’s open 1:00 p.m. – 6:00 p.m.

The Partnership Program Goals for the ELPN Health Component (continued): Increase the number and percent of children who participate in at least 60 minutes of moderate to vigorous physical activity daily Increase the number and percent of children who consume five or more servings of fruits and vegetables daily Community Health Worker Outreach Activities Attended health & resource fairs; including various community events Provided “Lunch-N-Learn” with Pre-K students Provided outreach at affordable housing complex Utilized the Ten Tips Nutrition Education Series Chronic Disease Management handouts

Prosper Waco: Collective Impact for Public Health Matthew Polk, Executive Director Wraparound Services & Social Determinants of Health: The Value of Strong Community Partnerships (panel) Texas Association of Community Health Centers Annual Conference October 17, 2016

   

Prosper Waco Health Goals: Access to Care increase insurance enrollment and limit use of ED for primary care Obesity  decrease percentage of population considered overweight or obese by 5% Women’s Health  increase rates of preventative care; decrease teen pregnancy rate; decrease birth outcome disparities Mental Health  decrease usage of ED for mental health needs; improve RWJF County Health Rankings “poor mental health days”

Community Leadership

Service Innovation

Integrated Behavioral Health and Advanced Care Management

Community Partnerships

Grants announced include: $586,735 to Waco Foundation/Prosper Waco EHF’s grant supports a pilot project that uses Community Health Workers to help at-risk residents become connected to the health system in Waco. The project connects residents who were often going without care to community clinics and doctors. The goal is to improve their access to medical and mental healthcare, adopt healthier lifestyles and manage chronic health conditions.  The project was created after the Prosper Waco initiative asked a group of residents about what change was necessary to help those most in need throughout their community. Along with connecting residents to clinics, the grant helps strengthen clinics’ ability to serve more patients.