TIBURCIO VASQUEZ HEALTH CENTER, INC. Quarterly Newsletter - Fall 2013 In this Issue: ▪ Government Shutdown: How Will it Affect Health Centers like



Quarterly Newsletter - Fall 2013


In this Issue:

Government Shutdown: How Will it Affect Health Centers like TVHC?
Upcoming Events & Announcements
Message from the CEO
Pediatric Dental Services Begin at Silva
Patient Success Stories
Follow us on Social Media!

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Government Shutdown: How Will it Affect Health Centers like TVHC?

David B. Vliet, CEO & Lori Baptista, Director of Policy

The Federal government has shut down. What does this mean for TVHC?

As most of you are aware, the big news of the week centers around the shutdown of the federal government.

On Monday, September 30th, Congress missed a midnight deadline to avert the shutdown, as the Republican-led House and the Democratic-led Senate battled through the night on legislation to keep the doors open and the lights on.

National parks and museums were closed beginning Tuesday morning and hundreds of thousands of federal employees remained home on furlough with no financing in place at the start of this new federal fiscal year.

As a federally-qualified health center (FQHC), TVHC relies on federal agencies such as the Health Resources and Services Administration for reimbursement and the drawdown of funds, as well as other administrative support. We have been informed that HRSA will maintain a limited crew of essential staff during this shutdown period in order to assist health centers in obtaining their funds. According to the National Association of Community Health Centers:

"With a shutdown of limited duration, most CHCs should be able to access their grant funds through the Payment Management System and funds should be available. It is our understanding, however, that not all health centers may be able to access funding through the Payment Management System, exceptions include: those with drawdown requests/restrictive terms and conditions that trigger one of the Payment Management System edit checks and/or the drawdown limit controls may not be able to access funds."

Federally-funded programs like WIC, as well as applications we have submitted for new or continuing programs, may be affected if the shutdown lasts longer than a week. However, TVHC's broader primary care services should continue as usual.

Updates to follow on our Facebook page and our Twitter page

Please sign NACHC's petition to ensure that community health centers retain their funding and keep their doors open to the community.


Upcoming Events & Announcements

TVHC to Participate in Senator Ellen Corbett's Upcoming Affordable Care Act Town Hall Meeting on October 6th, 2013

TVHC's Community Health Education Department will provide an information table with materials in English and in Spanish about Covered California, Medi-Cal Expansion, and other coverage options under the Affordable Care Act. The event takes place on Sunday, October 6th, 2013 from 10am - 2pm at St. Rose Hospital Campus, under the big white tent. Free health screenings will also be available to attendees. For more information, please call Senator Corbett's office at (510) 577-2310.

TVHC Mentioned in Press Regarding Plans for Firehouse Health Center in Hayward

TVHC was recently mentioned in a Daily Review article describing plans for the construction of a firehouse health center in Hayward's Tennyson Corridor. This new firehouse access point model was jointly proposed by the Alameda County Health Services Agency and the local Fire Department, with TVHC signing on as a partner in service delivery. The health center is seen as a way to increase and hasten access to acute healthcare services in underserved communities. For more information on the plans for the new firehouse access point, check out the original article here.

TVHC Featured on PBS NewsHour & Univision Noticias 14

TVHC welcomed a film crew from PBS NewsHour last Wednesday to film a segment on Latinos and the Affordable Care Act. The crew briefly filmed operations at our Hayward site, which serves a majority Latino patient-base. The news segment featuring TVHC can be found here.

Our health promoters and outreach staff were also invited by our longtime sponsor, Univision, to participate in their phonathon Tuesday evening and answer live questions about the Affordable Care Act. A video of that program (in Spanish) can be viewed here.


Message from the CEO: Preparing for the Affordable Care Act

David B. Vliet, MBA

As the fall season of 2013 approaches, TVHC continues to prepare for not only the implementation and execution of its new 2013-2014 budget approved by the Board in August of this year, but for what may be a significant shift in the way Americans access healthcare. In California, October 1, 2013 is a milestone date: pre-enrollment for what is frequently called ObamaCare (also known as the “Affordable Care Act”, or “ACA”) begins.

What role will Tiburcio Vasquez Health Center, Inc., play in ObamaCare? A significant one.

Our Board of Directors has prepared for several years in advance of the implementation of the new law, and wisely adopted a strategic plan in its anticipation. Expanding capacity and creating access have been primary goals of that plan, and our organizational leadership has been tasked with its implementation over the past four years. While there have been many questions as to what the impact will actually be, we have known all along the importance of preparing for the influx of new healthcare seekers and continuing to do what we do best: taking care of the community in which we live and serve.

We understand that no matter what happens with this health care reform effort, community health centers have been, and will remain, a key component to healthcare access in over 1,200 locations across the United States. It is now truly crunch time.

As I write this, TVHC is involved in reaching out to the community to assess eligibility and begin the enrollment process; our hope is to help ease the transition for the many families and individuals who will now enter our healthcare system—many for the first time—with new healthcare coverage.

During the past year as the CEO for this exceptional organization, it has been my charge to advance the strategic plan, moving TVHC to a higher level of access, quality, integration, and efficiency while managing the implementation of a large cultural shift. There have been a lot of changes, new projects, new themes, accomplishments, and opportunities to grow over the past year. These opportunities, along with a responsibility to create the new access points and to leverage our status as a Federally Qualified Health Center (FQHC) with community partners, will continue long past the January 1st implementation of the ACA. It will be a defining moment for all of us who are committed to serving those who have not had access to care and those who will still not have access to care even with the implementation of the new law. I believe our fiscal year budget for 2013 to 2014 reflects our commitment to building the needed infrastructure as the implementation of ObamaCare arrives and allows Tiburcio Vasquez Health Center, Inc., to continue to be the long-standing provider of community healthcare, disease prevention, and health promotion, which are the basis of our mission and what we stand for.


Pediatric Dental Services Begin at Silva

by Lori Baptista, Director of Policy

Tiburcio Vasquez Health Center, Inc., (TVHC) continues to meet the healthcare challenges facing our community, and we are pleased to announce that Pediatric Dental Services have officially opened at our Silva Pediatric Clinic as of September 23, 2013. The clinic is conveniently located at Ruus Road, Hayward, CA.

TVHC's work to continue to improve the health of our community is further realized in this latest effort to provide pediatric dental services at Silva Pediatric Clinic. The new services will ensure that vulnerable children from low-income families will have access to quality dental healthcare. Under the direction of TVHC’s Chief Executive Officer, David B. Vliet, the health center assembled a premier Dental Team in order to guarantee a successful and efficient implementation of oral healthcare services at the site.

"This is a significant step forward in helping our children to grow, thrive, and succeed in school and in life," said Vliet. "Early childhood caries (cavities) are the number one chronic disease affecting young children, and tooth pain keeps many children home from school or distracted from learning. We are proud to promote safe, cost-effective methods of preventing tooth decay, supporting lifelong healthy oral care habits, and preventing long-term health problems among children."

According to TVHC Dental Director, Dr. Sridevi Ponnala, children are recommended to have their first dental visit by age 1 and dental problems are significantly associated with reductions in school performance and psychosocial well-being.

The Silva Pediatric Dental team will consist of one dentist, two registered dental assistants, two dental receptionists and three dental chairs. The Department will be open from 8am-5pm, Monday through Friday, and is estimated to serve at least 500 unduplicated patients, with a total of 1100 visits by the end of the fiscal year.

The addition of dental care to this long-standing site will further integrate TVHC's services and ensure access to high quality care for the more than 3,000 children in this community who have been served by Silva Clinic since TVHC took over operations earlier this year. In addition to excellent oral healthcare, TVHC's Silva Clinic will continue to focus on primary care efforts including well child checks, improving clinical outcomes, promoting a higher quality of life for children with chronic disease, and reducing barriers to efficient, affordable health care for the underserved.

TVHC leads the community in primary and preventive care and strives to be foremost in fully implementing the complex, sweeping changes of healthcare reform by 2014, which includes how healthcare is delivered and financed.

For any further information, please contact David B. Vliet, CEO, at (510) 690-6050.


A Few Patient Success Stories

Christina* is an 18 year old Latina female. When she enrolled in TVHC's Family Support Services program, she was a 13 year old parent of a newborn baby. Although Christina described her family as "loving and supportive," when she first told them about her pregnancy, it put a strain on their relationship . The father of her baby was both verbally and physically abusive, and through the support of the FSS program, she ultimately found the courage to leave the relationship and raise her son on her own. Since then, the child's father has had no contact with Christina or their son. During Christina’s school career she studied hard, participated in extra- curricular activities like ballet folklorico, and held a part-time job. She also maintained a 4.0 grade point average throughout high school. At times it was very challenging for her to manage life as a teen mother, an adolescent, and student, but she was very motivated in attaining her educational goals and in becoming the best mother she could be. Throughout her time in the FSS program she was very active as a parent; she worked with her FSS Case Manager to learn ways she can support the physical and social developmental capacities of her now 5 year old child and would often proudly relate his accomplishments in sports and at school. Currently, Christina is preparing to attend a local community college to study nursing and was awarded a scholarship. She continues to participate in the FSS program and we are all very proud of her.


Chantel* has been in our Youth Health Services' peer support program, G.O.D.E.S.S., since the beginning of the year. During the first few sessions she disclosed having family problems, specifically due to her parents' separation. During one session, she described how it felt to be homeless and temporarily living in a car with her 3 younger siblings and her mother. Although she has been through much more than most youth her age, she has not allowed those situations to hold her back. She uses the G.O.D.E.S.S. program as a platform from which she can motivate other young women to stay positive and be involved in their school and community. Due to her resiliency and success, she was nominated by a teacher and was selected as Student of the Year. According to her teacher, “Chantel is a bright, compassionate, multi-talented young woman who inspires others to be better and overcome obstacles." We are very proud of Chantel and her success, as well as the positivity she radiates at the Tennyson Health Center.

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DJ* first entered the Logan Health Center back in November 2012. During DJ’s new patient appointment with the Health Educator, she admitted to feeling severely depressed, having suicidal thoughts and general feelings of sadness, despite her previous work with a therapist covered by her health plan. The patient, along with the Health Educator, agreed to a No-Harm Agreement and to check in every few weeks for the next four months. In the meantime, the Health Educator reached out to DJ's primary care physicians and advocated for additional services on her behalf, as the therapy she had been receiving through her health plan had been very limited. When DJ checked in with the Health Educator months later, she reported that the additional care made a big difference and that she was feeling much better. Additionally, she stated that she is working on repairing her strained relationship with others and with her family. DJ feels that the Logan Health Center and Health Educator played a large role in her road to recovery from depression, simply by being there and being willing to listen.

*Names have been changed for privacy purposes and photos provided are not of patients.

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Tiburcio Vasquez Health Center, Inc.