1. + Dolores Alvarado, MSW, MPH Chief Executive Officer, Community Health Partnership ITUP 19 th Annual Conference February 17, 2015 Remaining Uninsured- Provider Counties: Community Health Partnership (CHP) Member Health Centers and Santa Clara County

2. + 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)

3. + 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

4. + 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

5. + 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 non- profit partners to strengthen the health care safety net

6. + 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

7. + 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

8. + Patient Trends in CHP Health Centers 2011-14

9. + Patient Trends in Health Centers 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. 9

10. + Improve Quality of Care Improve Quality of Care, by leading a creative, solutions-oriented approach to patient- centered 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)

11. + Measure A- Percent of Total Project Funding by Objective Category (Total: $3.2 million)

12. + 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

13. + Next Joint Initiative- Payment 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

14. + Thank You! Dolores Alvarado (408) 556-6605 dolores@chpscc.org www.chpscc.org