Telling the Health Center Story

By Jonathan W. Brown, Indian Stream Health Center

In April of 2011, I dreamed the wild notion that our health center, Indian Stream Health Center, would create and submit a video for NACHC’s National Health Center Week competition. I had seen that NACHC sponsored such an event the year before, but during 2010 our health center was in the midst of a renovation and expansion project from funding we had received through the American Reinvestment and Recovery Act and the entire organization was consumed with that project.

So, beginning in May 2011, my IT assistant (Allie White) and I began brainstorming a video to submit in the 2011 NACHC Video Contest. Our state Primary Care Association had put out a YouTube video titled “16 minutes” a few months earlier discussing “the positive impact that New Hampshire’s Community Health Centers have had on their communities, as well as the challenges they face.” This video inspired us to tell our health center’s story and at the same time submit it to NACHC’s video contest, with a local-feel and a light comedic spin.

Never did I imagine the amount of work it would take to put something like this together. We polled staff and worked with our management team to come up with ideas. We asked for volunteer actors and put together a storyboard. Filming was done throughout our community  and at our Health Center during business hours and non business hours. At some stages of filming the two of us were filming with three different cameras and we accumulated about 16 hours of raw footage (to be condensed to a three minute video). The entire months of June and July were spent filming and editing right up until the July 29, 8:00pm EDT deadline.

This project was a zero-dollar endeavor using free applications for editing and royalty-free music from the Internet. We didn’t have the technology, video lenses, or techniques to produce a cinema quality film. So instead of going for Oscar winning effects, we began to rely heavily on the message rather than the process.  Our storyboard went from humorous and dramatic, to pure and real.  There was no smoke and mirrors, only real people, portraying real difficulties that they face every day.  And real providers showing them that dependable care really can be accessed in the most rural of places.

We were very anxious to find out if our video had been selected as a finalist and were very excited when we were notified it had been. Once the videos were open to voting we spent the first few days sitting back watching each video receive votes. I remember casting the first “like” for our video. I also remember watching two videos in particular begin to accumulate many more votes than ours. There was a health center from Hawaii and another from California whose videos were excellent. Their populations, I imagine, are much larger than our own, and their videos were quickly amassing Facebook “likes”. In Colebrook, NH where our health center is located, we have a population of about 2,200. One of our board members e-mailed me the population of the city the California Health Center is located in; with a population almost six times larger than our entire county, I figured we had no chance to collect the most Facebook “likes”.

Something I’ve learned from this experience which I think is an important message to all health centers, rural and urban, is that social media is a great tool to share your message. Our health center staff and board worked tirelessly to connect with friends and strangers through social media and I believe our efforts paid off. This video project has enabled the health center to share our story and gain some recognition on a national stage. We received votes for our video from neighbors, friends, staff, colleagues, and strangers across the country. What NACHC has enabled us to do, comes straight from their mission statement, and that is “to promote the provision of high quality, comprehensive and affordable health care that is coordinated, culturally and linguistically competent…”

NACHC has developed a fun and educational program through National Health Center Week and the National Health Center Advocate Video Contest. But what’s great about the video contest is the experience of using social media and other outlets that Community Health Centers might not tend to gravitate to. I’ve seen our website and Facebook page visits increase significantly over the course of this contest and hope to keep the momentum moving forward. I’ve personally seen a huge number of my own Facebook friends, many of whom have no connection to my health center or Community Health Centers in general, learn something about health centers, and that exposure is tremendous for us.

In a conversation, Allie stated “I think the video was a learning experience in many ways.  Not only did I become aware of how a Patient Centered Medical Home operates and provides services to community members, but I was able to send that message to the public through a media that everyone can understand: human relationships and interactions.” So, not only did we engage the community to learn more about the community health centers, as staff we also gained more insight into what it is we do and why we do it.

It’s been a great deal of fun using social media to connect people with the Community Health Center mission. No matter the results of the video contest, I think each of the health centers that submitted a video have won, through national recognition for their hard work in creating a video and for the local support of community members who were involved in the creation of their project. Regardless of the medium in which Community Health Centers deliver their message, what’s truly important is that we deliver that message and get it out to as many people as possible.

Here’s a Community Health Center in a frontier community growing Community Health Center support with social media one Facebook user at a time!

Posted in Grassroots, National Health Center Week, Social Media | Leave a comment

National Health Center Week 2011 A Huge Success! Thank You & Congratulations!

Every year, with high hopes and stiff expectations, the planning for National Health Center Week (NHCW) begins months and months in advance. NACHC, State Primary Care Associations, Health Centers and even individuals begin brainstorming often as early as January, about what their NHCW celebrations will entail that year and how to best showcase the good work of health centers and the critically important role they play in the community. This year was no exception. Despite endless deadlines, challenges and demands, health centers from coast to coast planned some the best celebrations yet!

Nearly every state in the nation participated in NHCW this year and close to 500 health centers and affiliate sites held close to 1000 events during NHCW 2011. The Administration also helped to kick off NHCW this year. President Barack Obama issued an official statement proclaiming August 7th -13th National Health Center Week 2011. HHS Secretary Kathleen Sebelius also helped kick off celebrations issuing an official video in recognition of the good work of America’s Health Centers and in observation of NHCW 2011. Others from the Administration, including HRSA Administrator Mary Wakefield and CMS Administrator Don Berwick as well as several regional HHS Directors joined in the NHCW fun attending various events around the nation.

The NHCW success story goes on; more than twenty state, county and local resolutions and proclamations were obtained in recognition of this year’s celebration. 60 Members of Congress participated in NHCW events, sharing kind words of support and pointing to the critical role health centers play in our communities and to the patients they serve.  And, hundreds of print, radio and broadcast media pieces appeared throughout the week covering the wonderful events and celebrations happening around the nation.

We’ve done our best to document the success of NHCW 2011 by adding links to media coverage and posting event photos on the Health Center Week website and NACHC Facebook page. If you haven’t yet had a chance, checkout the updated website(s) to see this year’s NHCW in the News section. NHCW 2011 was also a big hit in the world of social media, garnering posts from eight members of Congress, one Governor, and dozens of partner organizations. All in all, close to 800 NHCW tweets went out using the NHCW# hashtag, helping to spread the word about health centers and in recognition of NHCW 2011.

Year after year we have proudly organized and celebrated National Health Center Week, and there is one thing we know for sure: NHCW is a success because of the tremendous hard work and dedication of the staff, board members and patients at health centers everywhere. We want to take this opportunity to THANK YOU for another wonderful year of celebrations and success and congratulate you on a job extremely well done.

We are already thinking about National Health Center Week 2012 (August 5th – 11th) and we hope you’ll join us next year to raise the bar once again and make NHCW 2012 even bigger and better than each year prior.

Thank You.

The NACHC Advocacy Team

Marc Wetherhorn – National Advocacy Director

Amanda Pears – Assistant National Advocacy Director

Lindsey Ruivivar – Associate National Advocacy Director

Yvette Ammerman – Associate Director for Western Operations

Becky Fowler – NACHC Field Representative

Danny O’Neill – NACHC Field Representative

Lynn Williams – NACHC Field Representative

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Governors Across the Political Spectrum Support National Health Center Week 2011

As communities across the nation celebrate Community Health Centers this week, state and federal leaders have also spoken out to draw recognition by issuing proclamations.  President Obama issued a Presidential Proclamation, stating, “Across our Nation, over 19 million Americans look to community health centers for medical checkups, education, advice, and critical services that keep them healthy. Throughout National Health Center Week, we recommit to supporting this vital resource for underserved communities, and we recognize the critical role community health centers play in our health-care system.”

The following Governors have also issued proclamations in recognition of National Health Center Week:

Governor Mike Beebe (D-AR)

Governor Chris Christie (R-NJ)

Governor Mitch Daniels (R-IN)

Governor Mary Fallin (R-OK)

Governor Christine Gregoire (D-WA)

Governor Nikki Haley (R-SC)

Governor John Kasich (R-OH)

Governor John Lynch (D-NH)

Governor Daniel P. Malloy (D-CT)

Governor Bev Perdue (D-NC)

Governor Rick Perry (R-TX)

Governor Pat Quinn (D-IL)

Governor Rick Scott (R-FL)

Governor Peter Shumlin (D-VT)

Governor Earl Ray Tomblin (D-WV)

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National Health Center Advocate Video Contest

Vote for Your Favorite during National Health Center Week, August 7-13

The NACHC Advocacy Team has selected 8 fantastic video entries from your health center colleagues, and now we need your vote to determine this year’s video contest winners!

“Educate and Activate!” is the theme for the second annual Health Center Advocate Video Contest.  The goal of the contest is for health center advocates, staff and patients to creatively educate about Community Health Centers and the legislative hurdles health centers face, and to activate new and existing health center supporters to stand up and take action.  With that in mind, which video do you feel best meets this year’s contest theme and goal?

How to vote:

During the week of National Health Center Week, August 7-13…

1. Like the Community Health Centers Facebook Page: www.facebook.com/communityhealthcenters

2. From the Video tab, watch the 8 video entries

3. Click “Like” on the video you vote for

4. Tell your friends about the contest and ask them to vote for their favorite National Health Center Advocate Video Contest entry!

Voting takes place during National Health Center Week, August 7-13, 2011. Video entries will not be posted on Facebook until Sunday, August 7, and they will be taken down at the conclusion of the contest on Saturday, August 13.  Contest winners will be chosen based on the number of votes made by clicking “Like”. The videos that receive the most votes by 5pm PT / 6pm MT / 7pm CT / 8pm ET on Saturday, August 13th, as determined by the NACHC Advocacy Team, will be the winners.  Winning videos will be announced during the 2011 NACHC Community Health Institute in San Diego, California.

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#CHCchat Schedule

By Lindsey Ruivivar

The August 4-September 15, 2011, #CHCchat schedule has just been released!  Click here to check out upcoming topics by date, including detailed descriptions.

New to the #CHCchat schedule are several upcoming guest moderators, including Lee Aase @leeaase, Director of the Mayo Clinic Center for Social Media, on September 8!

#CHCchat is a weekly chat on Twitter that began this year as a collaboration between the Association of Ontario Health Centres, the Canadian Alliance of Community Health Centre Associations, and the National Association of Community Health Centers (NACHC).  The chat, which takes place every Thursday at 3pm ET, is an opportunity for Community Health Center organizations and interested individuals from around the world to connect on topics of interest related to local, community-based primary and preventive health care.

Upcoming chat topics include…

August 4: Back to School – initiatives Community Health Centers have developed with local school systems

August 11: Serving Locally, Leading Nationally – the theme for this year’s National Health Center Week

August 18: Blogging for Community Health Centers

August 25: Using Social Media to Enhance Staff/Volunteer Recruitment and Organizational Capacity Development

September 1: Elections and Advocacy

September 8: Integrating Social Media Platforms for Maximum Leverage – with special guest moderator Lee Aase @leeaase, Director of the Mayo Clinic Center for Social Media

September 15: Using Geo-Location Social Media for Community Health Centers – with special guest moderator Aldon Hynes @ahynes1, Social Media Manager at Community Health Center, Inc. @CHCConnecticut

If you have never participated on a tweet chat before, click here to learn more about twitter and how to follow the #CHCchat conversation.  We hope you will join us for an upcoming chat!

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A Grassroots Blueprint from the Midwest

By Marc Wetherhorn

Washington, DC is not the only place where funding for Health Centers has been under attack. In state capitals around the country, budget cutters have looked at health centers and the patients they serve as ripe for cutting.

Two states, Missouri and Ohio,  where Health Centers, led by their Primary Care Associations (PCAs), offer outstanding examples of how, even in the fiscal and political climates of states with significant budget issues,  effective grassroots  organizing can lead to victory.

During the FY 2012 budget fight in Missouri, one legislator offered an amendment that would have completely eliminated state funding for Health Centers, claiming it was unconstitutional and it created unfair competition.  The Health Centers had prepared for this challenge with a grassroots education effort by having Health Center staff, board members and Primary Care Association staff make the case for the value of supporting Health Centers. The Health Centers and PCA orchestrated a full range of meetings at the Capitol, in home districts and at the health centers themselves.  The PCA hosted legislative days during both January and April that had supporters from around the state descend on the Capitol to demonstrate the broad support that existed for health centers. Grassroots advocates were kept up to date about the impending amendment through their Grassroots Advocacy Online Network.

What was the result of this massive and prolonged grassroots effort? Other legislators immediately challenged the amendment and their colleague who offered it with dramatic and intense rebukes. In the end, the amendment was defeated in a voice vote by a chorus of thunderous Nos. Only the amendment’s sponsor voted for it. So, Missouri’s Health Centers chalked up a victory due to grassroots support from board and staff at the health center and PCA levels. Oh, by the way, when the final votes on the budget were finished, every one of the Health Centers’ priorities were funded with a total of almost $16 million. Not a bad return on the time and effort invested.

In Ohio, they aren’t quite ready to declare final victory, but they had a huge win as the Ohio House Finance Committee completely restored $5.36 million for Community Health Centers that had been cut by the Governor! Once again, this did not happen by accident or divine intervention, but was the result of a well organized, ongoing and orchestrated grassroots effort.  Starting well before the funding cut was ever proposed, the Health Centers developed a champion on the committee through several years of ongoing relationship building.  The Health Center in his district has regular communications with the legislator and hosted visits for him at the health center.  When their champion heard that funding had been eliminated, he took it upon himself to convene a meeting with PCA and the Ohio Department of Health to talk about health center funding. This set the stage for an amendment in committee.

The Ohio Health centers then cranked up the grassroots with calls to action that generated 900 patient letters and multiple emails from over 200 individuals to their legislators and members of the committee. Several Health center CEOs and clinicians also testified before the finance subcommittee and, as in Missouri, the PCA coordinated visits by legislators to health centers back home. The result was a major step in saving millions of dollars of funding for health centers.

These two successful grassroots campaigns simply reinforce what we already know – while effective grassroots advocacy does not always ensure victory, establishing an ongoing grassroots communication, education and activation grassroots program provides a powerful and irreplaceable tool in any legislative battle health centers may face. Let us know how your grassroots have made a difference.

Posted in Grassroots, PCA, State Activity | 1 Comment

It’s Not What Happened, It’s What Happens Next

By Marc Wetherhorn

Success is not final, failure is not fatal: it is the courage to continue that counts.–Winston Churchill

I am not at all happy with the $600 million cut in Health Center funding that the Congress and President Obama agreed to. I haven’t spoken to anyone who is and I hope you aren’t. I try to rationalize that it could have been worse – and it certainly could have. I am pleased that it looks like none of the current 23 million health center patients will lose access to their health care home. But at the end of the day, this was a loss and I can’t help feeling both angry and sad when I think of the more than 5 million people who will be denied their access to a health care home as a result of these cuts.

As always, when something bad happens, there is second guessing and questioning of what was and wasn’t done. I do it all the time. However, I do not have any doubt that in this political and economic environment that without the unparalleled grassroots effort of Health Center advocates, it would indeed have been worse. I and all of us at NACHC, are grateful beyond words for the effort and commitment our grassroots showed in this fight and it is impossible to overstate the level of advocacy that took place. In less than two months, some 15,000 Health Center advocates generated over 50,000 emails, calls, letters, and other contacts to Members of Congress. Over 2000 advocates came to Washington to meet with Congressional staff during the Policy & Issues Forum and nearly 3 dozen Members of Congress came face to face with our advocates.  Combine this with the news coverage, letters to the editor and Op-Eds that appeared in virtually every state and Health Centers were certainly on everyone’s radar screen.

Yet, after an historic effort, we still came up short. So what happens now? Do we just say you win some and you lose some and forget it? Do we get depressed and hunker down hoping they won’t cut us again? Or, do we step up and do what we have always done only with more effort and passion than ever. Do we remember that we are not fighting for buildings or equipment or to be a “popular” program, but rather for the people that need health care, the people we exist to serve?

No deal or fiscal problem changes the fact that the need for more Health Centers remains and our vision to make sure everyone in America has access to a health care home has not changed. Yes, last November we all understood the changing political environment would make our job more difficult, but not impossible. What we did in the past two months was amazing, but it was not enough and where we are with our advocacy is not where we need to be. So, let’s get over this fight and get bigger, stronger and better for the ones to come – there will be many.

Organize your health centers. Let’s sign up 100,000 advocates now, not next year. Reach out to the communities that as a result of the cuts will not get the health centers they need and encourage them to join our effort. Commit to do doing whatever it takes to get in front of your Members of Congress and let them know we weren’t happy with this “deal” and don’t want another cut of any size in Health Center Funding.

Finally, let’s learn the lesson this loss should teach us: Elections matter. Voting matters. Empowering our communities matters and we need to be doing that as well.

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This is No Time to Back Down – Or Back Off

By Marc Wetherhorn

“Well I know what’s right
I got just one life
In a world that keeps on pushin me around
but I’ll stand my ground
And I won’t back down”

- Tom Petty

I have rarely been more concerned about our advocacy than when someone recently forwarded me this message from a Health Center CEO in response to one of our advocacy Calls to Action last week (This is the actual quote)

“I just do not see the need to send the same email or like emails over and over.  More emails will not result in more action.”

My response to this attitude is simple: If you don’t want to the same thing again, do something different, but DO SOMETHING

1)      If you have already sent just an unedited email, then personalize  one and send it.

2)      If you have already sent a personalized email, then pick up the phone and call. Just because you CAN easily send an email, does not mean that is ALL you need to do. A phone call is more effective than an email but takes a little longer.  You can do it for free using the NACHC Advocacy Toll-free Hotline number included in every action alert. If you didn’t call, you missed a chance to be a more effective advocate

3)      Just because you sent an email does not meant that everyone at your center or in your community who should have sent a message has sent one. Have you forwarded the Call to Action to everyone who should be taking action and asked them to do it? If not, you missed a chance to help build our advocacy power.

4)      More emails MAY in fact mean more action. In a process that has lasted as long as the fight over the FY 2011 funding for Health Centers, Members of Congress and their staff need to be continually reminded that folks back home care. There have been 5 Continuing Resolutions, with at least one more to come, meaning six or more  separate times our funding could have been cut, so if you have not communicated with your Members of Congress at least six times, then you missed a chance to remind them how important maintaining Health Center funding is to you.

Every time we ask you to take action, there are a lot of things you CAN do to that will help strengthen our advocacy effort and only one thing that can weaken it.  Doing nothing – ignoring or deleting the Call to Action – leaves a hole no one else can fill and makes us a little weaker and a little more likely to fail.

Those who would cut health centers or programs that our patients need, in fact,   count on a long, drawn out, complicated and unpredictable  process to simply wear us down. They hope we will simply say we’ve done enough and move on to something else.  They need to know that the fight will not be over until they stop their efforts because we won’t say we’ve done enough until they stop! This is no time to back down or back off.

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Simple Does Not Mean Easy

By Marc Wetherhorn

“Life is really simple, but we insist on making it complicated.” – Confucius

Over a week ago, the House of Representatives passed a Continuing Resolution (CR) to fund the United States government through September 30th of this year. That bill contained $1.3 billion in cuts to funding for health centers, but that CR is NOT law and, as I have said before, it was only the first shot in a long and ongoing battle. It was, however, a shot that when fired brought thousands of health center advocates into the fight.

Now the Senate has to act on its version of a CR and it will most certainly not be the same as the House bill. You will now hear about “short term CRs” and  “long term CRs” in both the House and the Senate. You will hear about negotiations between the Senate and the House and between the White House, the Senate and the House.  You will hear about a government shut down and the need to raise the government’s debt ceiling. You’ll hear about differences and agreements, rules and filibusters.  Finally, just when you think the fight might be over and the future certain, someone (maybe me) will tell you it’s time to start worrying about health center funding for the next fiscal year – 2012. I can tell you that  NACHC’s Federal Affairs staff will do it’s very best to keep you updated and to explain what is going on in Washington, but what is going to happen in Washington in the next few weeks and months is going to be complex, uncertain and sometimes beyond the understanding of mortal men.

I, however, am now going to make it all simple for you. While the complexities of Washington swirl around us, as health center advocates, our work, our message and our efforts will not, must not change or slacken.  Here’s what you need to do and keep doing:

1.       Stay informed. Go to our Health Centers on the Hill Blog and our FY 2011 Funding Cuts Information Center to get the latest updates.

2.       Keep your health center staff, board and patients informed.

3.       Get your Senators and your Representative and their staff to your health center. You can view the Congressional Calendars here so you know when they are supposed to be home.

4.       Keep your community informed with press releases, letters to the editor, Op-Ed pieces, radio interviews and other media activities.

5.       Recruit allies to help you advocate. The churches, hospitals, businesses, schools, civic organizations and local governments that know how important your health center is should be asked to speak out and stand up.

6.       Finally, continue to empower your staff, board and patients to advocate as this process moves forward.  More 5,000 new advocates joined us in the month of February alone, but we need tens of thousands more. Have them sign up as part of the Health Center Advocacy Network or create a petition, or ask them to write personal letters you can fax to your Members of Congress.

You see, advocacy really is simple, but it is not easy. To win we will need all the help we can get. That means you!

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We Have Not Yet Begun to Fight

By Marc Wetherhorn

“Through perseverance many people win success out of what seemed destined to be certain failure.” – Benjamin Disraeli

In my last post, I urged every health center advocate to “Saddle up” and get to work to stop the cuts in health center funding proposed by the House of Representatives. In my nearly 12 years at NACHC I have NEVER seen so much activity, so much effort and so much passion displayed by our grassroots. Thousands of people generated literally tens of thousands of emails and calls to Members of Congress and urged their friends to do the same. You recruited over 4000 new advocates to our cause and you enabled thousands of patients to weigh in as well. I think I speak for all of us at NACHC when I say thank you for a powerful grassroots effort.

However, as you probably know by now, the House passed a Continuing Resolution that would cut health center funding by $1.3 billion in the current fiscal year (see NACHC’s statement) and you may be feeling, as we describe it down South, like a horse that’s been rode hard and put up wet.  Just remember that while this particular battle may be over, the war is still being fought. There are weeks, if not months or years, left to fight for the millions of patients we serve and could serve.  The proposed cuts are just that – proposed – and they are not going to take effect anytime soon (or ever, if we can have a say in it).  Thanks to your efforts, we are in a better to position to ultimately win than we were just a week ago, but we will have to ask you for more and we will need you to do more.

So, after you catch your breath (and there’s not a lot of time for that) here’s what we need you to do:

1.       Go to our Health Centers on the Hill Blog and our FY 2011 Funding Cuts Information Center to get the latest updates from our Federal Affairs staff. Share these with your health staff, board and patients.

2.       Send a letter to the editor of your local newspapers telling  everyone in your community what this cut would mean to you or your health center (We have templates for you here)

3.       Do everything you can to get your Representative to visit your health center and see for themselves what you do and what the cuts they passed would mean. If you can’t get them to your center go see them. Congress is out next week and at least one week every month. You can view the Congressional Calendars here so you know when they are supposed to be home.

4.       Commit to find ways to empower your staff, board and patients to advocate as this process moves forward. Have them sign up as part of the Health Center Advocacy Network or create a petition, or ask them to write personal letters you can fax to your Members of Congress. Do whatever works for your center and your community, but do something.

What we can NOT do is to back down or back off from our advocacy. Senators are our next targets, but we cannot stop letting the Representatives who voted for these potentially devastating cuts off the hook.  Make it clear to anyone who will listen that we do not view this vote as the end, but the beginning, and that, to paraphrase a real American patriot, we have not yet begun to fight!

More To Come!

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