Health Centers On The Front Lines National Association of Community Health Centers

In this episode, we hear from Dr. John W. Hatch about the history of Community Health Centers and how it intersects with the Civil Rights Movement. Dr. Hatch is a professor emeritus of public health at the University of North Carolina, Chapel Hill, and a legend in the health center movement. He was instrumental in establishing one of the nation's first community health centers in Mound Bayou, Mississippi, which was an all African American town founded in the 1860s.

Dr. Hatch pioneered approaches to addressing social drivers of health and describes building latrines, installing window screens, and starting a farm cooperative to provide affordable, nutritious food to the community. He explains how community input was part of the health center model from the very beginning. He also calls for more activism and policy change to address the challenges facing health centers and their patients today.

Featured in this Episode

Benjamin Money Jr
Senior VP, NACHC
Linkedin: https://www.linkedin.com/in/ben-money-6133436
Profile: https://www.ncdhhs.gov/about/leadership/benjamin-money

Dr. John W. Hatch
Professor Emeritus of Public Health
University of North Carolina, Chapel Hil

Chapters

00:00 Introduction
01:31 The changing of terms
02:35 The social drivers and how to address them
12:30 Moving in the area of environmental health
15:18 Establishing the Co-op
16:49 Adding benefits like non-medical things
21:18 Envisioning what Health Centers could become
25:12 Continuing the legacy
29:42 Addressing racial inequality
34:18 Communities addressing the public health issues
45:54 The incredible community health workers
52:54 The communities of today
56:05 Giving Thanks

Produced by Heartcast Media.
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The pandemic made our nation aware of the importance of the people who raise, pick, and process our food. We now understand that farmworkers, as well as grocery store cashiers and shelf stockers can be counted among our country’s Essential Workers. However, it’s not always clear to the Community Health Center care team what a patient’s occupation is. Occupation is one of the most important social drivers of health, affecting patients’ health and access to healthcare in many different ways. This episode of Health Centers on the Front Lines takes us behind the scenes at a health center and their partner network as they change the culture around disclosure of occupation among patients. Our guests talk about what it takes to collect data about a patient’s occupation and why it improves care when the care team knows what work their patients do.


Featured in the Episode

Katherine Chung-Bridges, MD
Director of Research at Health Choice Network
Linkedin: https://www.linkedin.com/in/katherine-chung-bridges-8a0127170/

Daniel Parras
Research Data Scientist
Health Choice Network
Website: https://www.hcnetwork.org/

Yvonne Armijo
Director of Operations/Information System Analyst
La Casa Family Health Center
Website: https://www.lacasahealth.com/

Giddel Thom, MD
Chief Medical Director
La Casa Family Health Center
Website: https://www.lacasahealth.com/

Chapters
00:00 Introduction
01:56 The story of dairy farm workers
07:49 What is occupational data and how does it affect health care?
10:18 The difficulty of collecting these data
12:19 The challenge of integrating occupational data into the E-health records
15:44 The importance of occupation in health and in socioeconomics
20:00 Reactions when meeting new patients having to know their past medical records
24:03 Takeaways from our guests

Produced by Heartcast Media
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After a long wait, children younger than 5 are finally eligible to get vaccinated for COVID-19. What does this mean for parents and caregivers? Wanda Montalvo, PhD, RN, FAAN, a senior fellow and team lead for public health integration and innovation at NACHC, interviews pediatrician Lisa Costello, M.D., MPH, about vaccine benefits as well as answers some commonly asked questions.

For more resources about vaccines, view the U.S. Department of Health and Human Services’ COVID-19 Public Education Campaign, We Can Do This provider and patient education materials on pediatric COVID-19 vaccines: Resources About COVID-19 Vaccinations for Children

Key Takeaways
The systematic process for approving the COVID-19 vaccine for children
The risk assessment on children getting vaccinated
The definition of Long CoVid and what it means to children
Engaging with parents and communities to promote vaccination for children

Quotes
From what I've experienced, choosing vaccination is the safest path for the protection of your children - Dr. Costello

The communities trust their local health care provider and if we provide them with resources, we can do a great deal in improving vaccine confidence - Dr. Costello

Featured in the Episode
Wanda Montalvo, PHD, RN, FAAN
Senior Fellow, Public Health Integration,
National Association of Community Health Centers
Linkedin: https://www.linkedin.com/in/wmontalvophdrn
Twitter: https://twitter.com/Montalvo501
Company Website: Nachc.org

Lisa Costello MD, MPH, FAAP
Pediatrics Dept. West Virginia University School of Medicine
Profile: https://directory.hsc.wvu.edu/Profile/35594
Linkedin: https://www.linkedin.com/in/lisa-m-costello-b1329391
Twitter: https://twitter.com/lisacostellowv?lang=en
Contact Details 304-598-4835

Chapters
00:00 Intro and Guest's background
02:28 the process of approval
06:37 Risk assessment
11:25 Long Covid, and what it means to children
13:34 Promoting children's vaccination
18:25 post-vaccination for children
21:43 Final thoughts

Produced by Heartcast Media
https://www.heartcastmedia.com

Vaccine hesitancy has been on the rise due to COVID and the lack of information about this kind of medication. Vaccine hesitancy is not always new. It is especially common among parents who are reluctant to get their children immunized. Added to misinformation and disinformation, children are at risk of getting sick if they will not get vaccinated.

In this episode, Dr. Wanda Montalvo invited Dr. Jennie McLaurin and she explained what Emergency Use Authorization is and its purpose. Moreover, Dr. McLaurin talks of the rising vaccine hesitancy among parents and the risk if children will not get vaccinated on time. She also emphasized that the hesitancy is caused by misinformation and disinformation campaigns in the public.

Key Takeaways

Emergency Use Authorization and what is it all about
Increased vaccine hesitancy among parents
Explaining the risks of unvaccinated children among parents
Rising cases of disinformation and misinformation about drugs and vaccines

Quotes

"Emergency use authorization is not rushing of preparation and skipping oversight. The drugs have to get through a number of clinical trials before they're allowed to be part of an emergency use authorization."- Dr. McLaurin

"Parents are always thinking about what they allow their children to receive in their bodies, whether a vaccine or a drug or a certain type of food nutrition." - Dr. McLaurin

"Vaccines have gotten safer and safer."- Dr. McLaurin

Featured in the Episode

Wanda Montalvo, PHD, RN, FAAN
Senior Fellow, Public Health Integration,
National Association of Community Health Centers
Linkedin: https://www.linkedin.com/in/wmontalvophdrn
Twitter: https://twitter.com/Montalvo501
Company Website: Nachc.org

Jennie McLaurin, MD, MPH, MA
Senior Fellow Public Health Integration and Innovation
National Association of Community Health Centers
Linkedin: https://www.linkedin.com/in/jennie-mclaurin-5111b6133/
Twitter: https://twitter.com/MclaurinJennie
Company Website: Nachc.org

Chapters

00:00 Intro
02:41 What is Emergency Use Authorization?
05:56 The rising vaccine hesitancy among parents
07:34 Vaccines that most parents dislike
10:53 Children's risk against unvaccinated and COVID
14:35 Simple picture for protecting your child
19:30 Disinformation and misinformation
26:14 Final thoughts

Produced by Heartcast Media
https://www.heartcastmedia.com

Coming off another surge in COVID cases, health care workers who may have been stressed and strained before are now experiencing emotional exhaustion. This is no less true for the staff of the nation’s 1,400 health centers. Supporting the emotional and mental health of health center workers has been a focus of two of NACHC's Senior Fellows, Dr. Jennie McLaurin and Dr. Grace Wang. 

Dr. McLaurin is a pediatrician with 30 years of experience caring for underserved families at the local, state, and national level, including as medical director of migrant and community health centers. Dr. Wang is a family physician who worked for more than 30 years at health centers and public health departments in New York City and Seattle, most recently at International Community Health Services in Seattle. 

They talk about the dynamics of "moral distress" and "moral injury" affecting health care workers right now, made more acute during the pandemic. And offer some answers to the question: When so much is out of their control, what are some practices that health center staff can use to deal with the stress of work? And what can health center leaders be doing to support staff?

📍Key Takeaways
☑️Understanding the Mental and Emotional Health of Health Center Employees
☑️Addressing Moral Injury and Distress, What is it and Where it comes from
☑️Supports and Recommendations for Dealing with the Problem Among Health Care Personnel and Their Organization
☑️Changes in policy and new programs to address the problem at healthcare facilities, among healthcare workers, and in the people of color community

 

📍Quote Takeaways
📣“It's critical that the health center's leaders understand what's going on in the workforce, and that they provide both time assistance and a healing environment to improve the situation. 
- Grace
📣“So when the leadership denies us the capacity to provide high-quality treatment or contradicts the knowledge that underpins our care, we've suffered a moral injury. - Jennie


 📍Our Host and Guest for this Episode
🎙️Alexandra Walker | Linkedin
Director of Digital Communications, National Association of Community Health Centers (NACHC)
Nachc.org


🎙️Dr. Jennie McLaurin | Linkedin | Twitter
Senior Fellow Public Health Integration and Innovation at National Association of Community Health Centers (NACHC)
Nachc.org

🎙️Dr. Grace Wang | Profile
Senior Fellow Public Health Integration and Innovation at National Association of Community Health Centers (NACHC)
Nachc.org 

📍Time Stamp
⌛[00:00] Introduction
⌛[01:49] Mental And Emotional Health
⌛[07:45] Moral Injury for oneself
⌛[12:10] Moral Injury in a Healthcare setting
⌛[17:09] Effects of the distress 
⌛[19:16] supports and recommendations
⌛[28:03] Policy and Programs
⌛[34:38] Conclusion


This podcast was produced by Heartcast Media

 

 

Community health centers are a national network of low-income primary care clinicians who play a key role in national, state, and local responses to the coronavirus pandemic. Health centers generally contribute to response efforts by delivering testing, triaging patients, and decreasing the pressure on hospitals, but they also play a role in meeting demand for behavioral health services and providing ongoing primary care to patients with chronic diseases.

In this podcast episode, We welcome Jim Macrae, an associate administrator for primary health care in the U.S. Department of Health and Human Services' Health Resources and Services Administration. Jim will speak about his experience throughout the one-year pandemic while assuring equity in COVID vaccinations.

📍Key Takeaways
🌟The importance of Community Health Centers during the roll-out of Covid Vaccine
🌟Lessons and Challenges faced during the Pandemic at the Community Level.
🌟Data and Resolution during the Implementation of Covid Vaccination Program
🌟Effective Systems and Models developed during the Vaccination Program

📍Quote Takeaways
📣“Most importantly, health centers are trusted. They're trusted in their communities because their boards are actually patient majority, but also many of the employees at the health center are local residents.” - Jim

📍Special Terms and Websites mentioned in the episode
☑️FDA - Food and Drug Administration
☑️CDC - Center for Disease Control and Prevention
☑️Bureau Primary Health Care - bphc.hrsa.gov

 

 


📍Our Host and Guest for this Episode
🎙️Ben Money | Profile | Linkedin
Next Senior Vice president of Public Health Priorities

🎙️Jim Macrae | Profile 
Associate administrator for primary health care in the U.S. Department of Health and Human Services' Health Resources and Services Administration.

📍Time Stamp
⌛[00:00] Introduction
⌛[00:57] Roles and Challenges of Community Health Centers 
⌛[07:05] Lessons learned from a Bureau Standpoint
⌛[14:08] Health Center COVID 19 Vaccination Program
⌛[21:47] Statistical Data and Analysis on Vaccine Program
⌛[24:51] Effective Service Models that will stick around in the future
⌛[28:49] Conclusion

This podcast was produced by Heartcast Media