COMMUNITY HEALTH SERVICES

1. COMMUNITY HEALTH SERVICES Promoting Health Care Access One Community at a Time 414,322 Patients Served in 2008 September 2009

2. International Community Health Neighborcare Health Neighborcare Health OUR MISSION Community Health Services (CHS) is a safety net grant program. Our mission is to promote access to quality and affordable health care for uninsured and underinsured Washington State residents.

3. Choice Regional Health Network Yakima Neighborhood Health Services Neighborcare Health GRANT PROGRAMS Our grants support the delivery of quality medical, dental, and community based services

4. International Community Health Cowlitz Family Dental GRANT PROGRAMS CHS grants allow tribal, urban Indian, and community health clinics to provide direct patient care services Grant Programs • CHS grant programs - Medical - Dental - Migrant • Dental Residency • Community Health Collaboratives • Adult Dental Access • Health Literacy

5. Neighborcare Health GRANT PROGRAMS • Program Goals • Provide access to primary care for the uninsured • Improve quality of care • Expand network of community health clinics • Offer technical, consulting, outreach, and other support services

6. Neighborcare Health CHS MEDICAL PROGRAM In 2008, CHS medical grants funded primary care services in 28 of 39 counties • Primary Care Services • Chronic disease management • Immunizations • Well child check-ups • Women’s health services • Physicals • Diagnostic testing • Medication management • Other services

7. Community Health Care CHS MEDICAL PROGRAM PROGRAM IMPACT • Funded 34 tribal, urban Indian, and community health clinics • Services at 123 locations • 128,624 sliding fee medical patients • 337,706 sliding fee medical visits • Averaged 3 sliding fee visits per patient • Increased number of patients with medical homes

8. Valley View Dental Clinic CHS DENTAL PROGRAM Communities in 26 of 39 counties receive dental primary care services through CHS dental grants • Dental Services • Diagnostic • Preventive care • Oral surgery • Restorative services • Oral health education • Other services

9. Mason Dental Clinic CHS DENTAL PROGRAM PROGRAM IMPACTS • 32 tribal, urban Indian, and community health clinics • 75 locations in Washington State • 58,435 sliding fee dental patients • 175,168 sliding fee dental visits • Increased outreach services • Oral health education • School sealant programs

10. Community Health Care CHS MIGRANT PROGRAM CHS funding supports migrant outreach services at 16 community clinics in 23 of 39 counties • Migrant Services • Outreach • Education • Interpreter services • Pesticide exposure screening • Social services referrals • Other services

11. Neighborcare Health CHS MIGRANT PROGRAM PROGRAM IMPACTS • 25,304 migrant patients • Services at 114 locations • Medical and dental homes • Outreach to migrant day camps • Medical and oral health education

12. Yakima Valley Farm Workers Clinic DENTAL RESIDENCY Dental Residency funding provides expanded primary dental care and resident training in 5 counties Dental Services • Diagnostic • Preventive care • Oral surgery • Restorative services • Oral health education • Specialty services • Other services

13. Yakima Valley Farm Workers Clinic DENTAL RESIDENCY PROGRAM IMPACTS • 11,166 patients in 2008 • 12 dental residents in 7 underserved communities • Patients receive expanded primary dental services • 8 dental residency graduates remain in rural areas • Outreach to people with disabilities, seniors, and high risk children • Hospital dentistry with sedation

14. Family Health Clinic COMMUNITY HEALTH CARE COLLABORATIVES 14 Community Health Care Collaborative (CHCC) programs providing services in 28 counties • Services • Primary care/medical home • Coordination of services • Specialty care referrals • Affordable prescription drugs • Culturally appropriate services • Health literacy-outreach • Health insurance enrollment assistance • Behavioral health referrals • Chronic disease management

15. Community Health of Snohomish County COMMUNITY HEALTH CARE COLLABORATIVES • PROGRAM IMPACTS • 41,193 clients served • Enrollment services for insurance and other programs • 33 types of medical, dental and social services referrals • 7,592 clients received prescription related services • 5,611 specialty care referrals • 2009 Legislature approved continued funding

16. Cowlitz Family Dental Clinic ADULT DENTAL ACCESS Funding expanded access to dental care for low income adult patients in 15 of 39 counties • Dental Services • Diagnostic • Preventive care • Oral surgery • Restorative services • Oral health education • Other services

17. Yakima Neighborhood Health Services ADULT DENTAL ACCESS • PROGRAM IMPACTS • Dental care for 18,516 new adult patients • Expanded clinic capacity and services by: • Purchase and upgrade of equipment • Remodel of existing facilities • New facility construction • Provider recruitment/retention • Reduced costs of patient visits • Established dental care networks in new communities

18. Lower Columbia Head Start HEALTH LITERACY Building a better future for the most vulnerable children by providing parents with health care skills and knowledge • Program Objectives • Become better caregivers by improving knowledge and skills • Empower parent’s decision making • Enhance self esteem and confidence • Reduce healthcare costs • Provide a model for health literacy education programs CHS in collaboration with UCLA to implement the UCLA Health Literacy model program.

19. HEALTH LITERACY • IMPACTS • 18 agencies completed 47 parent trainings • 2,500 families trained • Training conducted in 7 languages • Doctor visits (child/month) decreased 31% • ER visits (child/month) decreased 71% • School days missed (child/month) decreased 33% • Work days missed (parent/month) decreased 64%

20. Valley View Community Health Care International Community Health CHS CUSTOMERS

21. Neighborcare Health Neighborcare Health Neighborcare Health Neighborcare Health CHS CUSTOMERS

22. CONTACT CHS Find a medical or dental clinic near you

23. CHS TEAM Loly Reyes-Gonzalez, Director Connie Mix Clark, Dental Program Manager Jan Ward Olmstead, Collaborative Grant Manager Lisa Anderson, Adult Dental Access Program Manager Dinah Neumann, Management Analyst Lucy Crow, Administrative Assistant