11

IF

NOT

YOU…

WHO?

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Presentation to Presentation to Office of Rural Health PolicyOffice of Rural Health Policy

Rural Health Care Services OutreachRural Health Care Services Outreach Grantee MeetingGrantee Meeting

August 22, 2008August 22, 2008Washington, D.C.Washington, D.C.

bybyRachel A. Gonzales-HansonRachel A. Gonzales-Hanson

Chief Executive OfficerChief Executive OfficerCommunity Health Development, Inc.Community Health Development, Inc.

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Where the “heck” is

Uvalde,Texas

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5

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ARE YOU…. Committed? OR Involved?

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My Dear Children

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9

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The Community

Health Center Movement

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12

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COMMUNITY HEALTH

DEVELOPMENT, INC.

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Our LocationsOur Locations Our Health/Nuestro

Centro de Salud – Uvalde

Rolling Hills Health - Leakey

Canyon Health Center - Camp Wood

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CHDI Growth Indicators: 2000-CHDI Growth Indicators: 2000-20062006

IndicatorIndicator 20002000 20062006 IncreasIncreasee

Unduplicated Unduplicated Clients ServedClients Served

5,7235,723 8,9508,950 3,2273,227

Dental Clients Dental Clients Served Served

2222 2,1962,196 2,1742,174

OB/Prenatal Clients OB/Prenatal Clients Served Served

00 184184 184184

State Services State Services Contracts Contracts

22 66 44

Operating Budget Operating Budget $1,309,83$1,309,8322

$5,616,70$5,616,7055

$4,306,87$4,306,8733

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Scope of Service Comparison: Scope of Service Comparison: 2000-20062000-2006

Service Delivery Method Service Delivery Method (( = Provided on-site by CHDI) = Provided on-site by CHDI)

Pre-2000Pre-2000 20062006General Primary Medical CareGeneral Primary Medical Care On-Site X-rayOn-Site X-ray By ReferralBy Referral Obstetrics/Prenatal CareObstetrics/Prenatal Care By ReferralBy Referral Family Planning ServicesFamily Planning Services By ReferralBy Referral Dysplasia ServicesDysplasia Services By ReferralBy Referral General Dental ServicesGeneral Dental Services By ReferralBy Referral Oral Surgery Oral Surgery By ReferralBy Referral Denture ServicesDenture Services By ReferralBy Referral

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Comprehensive Health Care Comprehensive Health Care ServicesServices

Family Oriented Adult, Pediatric and Elderly Family Oriented Adult, Pediatric and Elderly Care ServicesCare Services

OB/GYN CareOB/GYN Care Primary/Preventive Dental, including Primary/Preventive Dental, including

denturesdentures Annual Physical ExamsAnnual Physical Exams Preventive Services (Pap Smears, Preventive Services (Pap Smears,

Mammograms, etc.)Mammograms, etc.) ImmunizationsImmunizations Family Planning ServicesFamily Planning Services Health Promotion/Disease PreventionHealth Promotion/Disease Prevention

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Comprehensive Health Care Services (cont’d)

Pharmacy

Laboratory and X-ray

Inpatient care and Referrals to Specialty Care

Health Fairs and Community Screenings

Glaucoma Screenings

Disease Screening and ManagementHealth Education

2020

Comprehensive Health Care Comprehensive Health Care Services (cont’d)Services (cont’d)

Medical Clinic at County JailMedical Clinic at County Jail Outreach and Volunteer ProgramOutreach and Volunteer Program Outstationed Eligibility WorkerOutstationed Eligibility Worker

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Where Where

We We

Are Are

Today…Today…

Anniversary

th

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2007 and Today2007 and Today In 2007: In 2007: Medical and Dental home to Medical and Dental home to

9,174 9,174 unduplicated unduplicated clients (almost 1/3 clients (almost 1/3 of of service area population)service area population)

Generated 24,555 Medical Generated 24,555 Medical EncountersEncounters

Generated 4,666 Dental Generated 4,666 Dental EncountersEncounters

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2007 and Today 2007 and Today (cont’d)(cont’d)

♦♦ Served 83% of the area’s Served 83% of the area’s residents determined residents determined

to be to be living in povertyliving in poverty

♦ ♦ Served 62% of the area’s Served 62% of the area’s uninsureduninsured

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2007 and Today 2007 and Today (cont’d)(cont’d)Fiscal Year 2007-08:Fiscal Year 2007-08:

♦ ♦ Annual Operating Budget of Annual Operating Budget of over $6.1Mover $6.1M

♦♦ Operating 3 full-time service Operating 3 full-time service sites & an Administration Officesites & an Administration Office

♦♦ Budget supports approx. 100 Budget supports approx. 100 health health professionals and staffprofessionals and staff

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Current Funding Current Funding PartnersPartnersSection 330 e. & g. FundsSection 330 e. & g. FundsState of TexasState of TexasCounty of UvaldeCounty of UvaldeCity of UvaldeCity of UvaldeFriends of the Congressional Friends of the Congressional

Glaucoma Caucus FoundationGlaucoma Caucus FoundationPfizer’s Share the Care ProgramPfizer’s Share the Care Program

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CIP IICIP II

CHDI has implemented CHDI has implemented an aggressive capital an aggressive capital fundraising campaign fundraising campaign to support its second to support its second Capital Improvement Capital Improvement

Project.Project.

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Wellness Campus Rendering

WWW.CHDI4HEALTH.orgServing the Community for 25 years

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Phase 1

Completed

Acquisition of property for expansion. Purchased 2.52 acres

located at 908 S. Evans and

at 209 S. Evans.

Phase 2

In-Progress

Renovation of 908 S. Evans

into a Wellness Center to add Mental/Beha-

vioral Health & expand our

dental & health education programs.

Phase 3

2009

Construction of an Exercise

/Fitness Facility & a new admin. office building at the 908 S.

Evans campus.

Phase 4

2010

Addition of a Women’s

Health Wing at 200 S. Evans.

Capital Improvement

Project II

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CIP II: Expected CIP II: Expected OutcomesOutcomes

Total Staff : Total Staff : 151.5 FTE’s151.5 FTE’s Total Patients to be Total Patients to be

served: served: 20,000 20,000 (approx)(approx)Total projected Total projected encounters: encounters: 74,90074,900

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CIP II is estimated to have a total cost of $6.7 M.

The cost of Phase II & III is $5.4M; 63% has

already been secured from various

partners/sources.

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LESSONS LEARNEDLESSONS LEARNED

Tell Your Story – To Everybody, All Tell Your Story – To Everybody, All The Time, Over and Over AgainThe Time, Over and Over Again

Make Decision-Makers “Care” Make Decision-Makers “Care” About What Is Important To You About What Is Important To You

Establish Your Credibility with Establish Your Credibility with Current & Potential Funders, the Current & Potential Funders, the Communities You Serve, Your Communities You Serve, Your Clients (ok – Everybody!)Clients (ok – Everybody!)

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LESSONS LEARNED (cont’d)LESSONS LEARNED (cont’d)

Networking is keyNetworking is key It is not enough to care; you It is not enough to care; you

must care enough to do must care enough to do somethingsomething

It is about “Comunidad” – Giving It is about “Comunidad” – Giving Back to CommunityBack to Community

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LESSONS LEARNED (cont’d)LESSONS LEARNED (cont’d)

The Community Comes FirstThe Community Comes First

andandEverything is Possible with Everything is Possible with

Perseverance, Politics, and …Perseverance, Politics, and …

Lots of Prayers!Lots of Prayers!

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WHAT IF…WHAT IF…What if no one had shared their What if no one had shared their

concerns?concerns?

What if no one had been courageous What if no one had been courageous enough to create the vision?enough to create the vision?

What if no one had believed enough to What if no one had believed enough to make the vision become a reality?make the vision become a reality?

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WHAT IF… WHAT IF…

What if no one cared enough to do What if no one cared enough to do something? something?

What if YOU weren’t doing what you What if YOU weren’t doing what you do best back home?do best back home?

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IF IF NOT NOT

YOU…YOU…

WHO?WHO?

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S0, ARE YOU…. Committed? OR Involved?

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““We cannot seek achievement for We cannot seek achievement for ourselves and forget about ourselves and forget about progress and prosperity for our progress and prosperity for our community... Our ambitions must community... Our ambitions must be broad enough to include the be broad enough to include the aspirations and needs of others, aspirations and needs of others, for their sakes and for our own.“for their sakes and for our own.“

- Cesar Chavez- Cesar Chavez

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GRACIAS!

THANK YOU!