Health Centers On The Front Lines

A Path to Healing for Health Care Workers

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 Mark One Year of Ensuring Equity in COVID Vaccinations

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

Battling the Pandemic and Systemic Racism in North Carolina

Early in the pandemic when vaccines were scarce, Community Health Centers in North Carolina often had to contend with racial bias regarding who had access to the vaccine. Rocky Mount OIC Health Center managed to mobilize its community to operate outside of local government entities and reach the people impacted the hardest -- Black and brown frontline essential workers and their communities. OIC challenged the traditional public health assumptions about who was at risk from COVID-19 and who needed these vaccines. In this episode NACHC’s Senior Vice President for Public Health Priorities, Ben Money, talks with Reuben Blackwell and Sherri Bryant of Rocky Mount OIC Health Center about how they are battling systemic racism in addition to the pandemic as they protect their community from COVID-19.

The Effort to Vaccinate Kids for COVID

Rising concerns about the spread of the Omicron variant have Community Health Center racing to protect families. As the focus now turns to vaccinating 5 to 11 years against COVID, health centers are figuring out ways to operationalize this effort in underserved communities.  There are over 2,500 School-Based Health Centers (SBHCs) across the US.  We spoke with experts to learn more about SBHCs and why they are critical to protecting the health and well-being of pediatric populations during the COVID-19 pandemic.

 

Featuring:

Paula Fields, MSN, BSN, RN

Vice President of Programs & Technical Assistance

School-Based Health Alliance

 

Anna Goddard, Ph.D., APRN, CPNP-PC  

Vice President of Quality, Research, & Evaluation

School-Based Health Alliance

 

Jennie McLaurin, MD, MPH, MA, FAAP

Senior Fellow for Public Health Integration and Innovation

NACHC

Of the Community, for the Community: Lowell Community Health Center

Recent data from the Kaiser Family Foundation shows the COVID-19 vaccination gap narrowing between white adults and people of color in the United States. Community Health Centers like Lowell Community Health Center in Massachusetts play a big role in closing that gap. In this episode, we talk with two staff members at Lowell about how their community outreach efforts have been critical in helping them vaccinate their patients, 40 percent of whom speak a primary language other than English.

Jeanmerli Gonzalez is Lowell's Community Outreach Coordinator and Brent Carney is Lowell's Communications Director.

The health center has strong roots in its diverse community and these connections have helped Lowell in administering a majority of vaccines to people of color. As the vaccination effort turns now to people who are undecided, children, and people affected by employer mandates, we hear about what’s working and what challenges remain. 

 

 

Quotes Mentioned:

"There's no one magic solution. It really is a one on one time period right now that we, you know, you really do need to reach out to each person individually and based on that person's age, their background, their personal situation at home, the way they're going to get information is going to be unique to each individual."

"This is a a learning process and that we're not on a short trip. We're on a long haul and that we want to make sure that we're just checking in on each other. I think that's a lot of things we've been doing on our end. I'm grateful for the health center and they're thinking about us and they've provided opportunities."

"The biggest barrier right now is really misinformation and that's, you know, across the board. So we're trying to make sure that we battle that misinformation in unique ways by trying to get providers on social media, doing videos, generally going out to events and talking to people and other community health workers doing that."

Learn More Links:

Website: https://www.lchealth.org/

Facebook: https://www.facebook.com/LowellCommunityHealthCenter/

LinkedIn: https://www.linkedin.com/company/lowell-community-health-center/

NACHC Podcasts: https://www.nachc.org/nachc-podcasts/

 

 

 

Health Centers Addressing Social Determinants of Health

This episode is a recording of NACHC's September webinar focused on the continued impact of Social Determinants of Health (SDOH) on our communities and the strategies and partnerships health centers are developing and cultivating to address them head-on. The discussion featured:

 

* Cameron Webb, MD, JD, Senior Policy Advisor for Equity,  White House COVID-19 Response Team 

* Andrea Caracostis, MD, MPH, CEO - HOPE Clinic (TX) Rashad A. Collins, COO - Charter Oak Health Center, Inc. (CT)

* Antony Stately, PhD, CEO - Native American Community Clinic (MN)

 

View the video of this discussion: https://www.youtube.com/watch?v=a0ai6KuHRtg

 

This is the eighth installment of our monthly webinars offered as part of our “Propelling Our Mission Forward in NACHC’s 50th Year” series. View past webinars and learn about upcoming webinars. 

 

 

 

Vaccinating Mississippi As Delta Variant Rages

Rural Americans are dying of COVID-19 at more than twice the rate of their urban counterparts. On the latest episode Health Centers on the Front Lines we get an update from Mississippi and learn how health centers are fighting rampant misinformation to limit the spread of the Delta Variant and build trust in the vaccine. We also talk about how the Delta Health Center achieved 100% vaccination rate of its staff. 

Guests:

* Tara Miller-Gallion of the Delta Health Center in Mound Bayou, Mississippi, the nation's first Community Health Center established by Civil Rights Leaders. 

* Terrence Shirley from the Community Health Center Association of Mississippi 

 

 

 

 

Key Takeaways:
0:00 Intro
1:29 Terrence talks about the current political climate and how it's at odds with the medical community
2:59 Tara talks about how they are trying to educate the community about dangers of COVID and why they should get vaccinated
4:35 Tara explains the struggles of keeping patients correctly informed due to misinformation on social media
5:43 Terrence talks about how the misinformation of the vaccine is when it became politicized
7:12 Terrence talks about how they are partnering with various places around the state to hold training sessions to help assist the community
8:03 Tara talks bout the 19 sites with tents they have set up across the state to help administer the vaccine 
9:29 Terrence talks about people who are against the vaccine and who speak negatively against it and how it hurts stopping the spread of COVID
10:25 Tara talks about overcoming her fear of needles to get the vaccine to protect her family
11:30 Tara talks about the struggle of convincing people to get vaccinated and the hardship of losing people to COVID
13:16 Terrence reflects on how he thinks his fathers outlook on the pandemic would be like
16:11 Terrence talks about the effect the Delta variant has had on the population
17:08 Tara talks about the history of the health center in Mound Bayou

Resources Mentioned:

Mound Bayou - a city in Bolivar County, Mississippi, United States. The population was 1,533 at the 2010 census, down from 2,102 in 2000. It is notable for having been founded as an independent black community in 1887 by former slaves led by Isaiah Montgomery.

Delta Health Center - Dr. H. Jack Geiger and Dr.  Count Gibson (Tufts University Medical School Physicians) secured funding in 1965 from the Office of Economic Opportunity to establish what is now known as Delta Health Center, Inc. in Mound Bayou (then all African- American town), MS to serve Bolivar, Coahoma, Sunflower, and Washington counties, where poverty was widespread. 

Quotes Mentioned:

"Efforts to encourage vaccinations through mandatory policies are perceived as an infringement upon the rights of a lot of people here in the state of Mississippi. And this impacts the ongoing hesitancy campaigns and minimizes participation at our ongoing vaccination events."

"The thing about it is a vaccine that's here to help us. Just like all the other vaccines, polio, measles, mumps, rubella, everything is here to help us. So it is something that's not prevent you from getting COVID but it would help your body to fight against it, and we emphasize the importance to them over and over again and just tell them that you can't listen to the media because a lot of times the people on these different social media platforms."

Social Media Links:

Terrence Shirley
https://www.linkedin.com/in/terrence-shirley-47837530
https://chcams.org/staff/

Protecting Essential Workers from COVID-19: Virginia Garcia Memorial Health Center

Many of the nation’s essential workers – who didn’t have the option of working from home during the pandemic -- rely on Community Health Centers for health care. Virginia Garcia Memorial Health Center in Oregon is the medical home for these workers, with a long history of serving agricultural workers and their families. As one of the first health centers in the state to receive vaccines directly from the federal government, Virginia Garcia took vaccines to the migrant worker camps and partnered with community groups to vaccinate other marginalized populations. We talk with Virginia Garcia about what’s working and what challenges remain in their effort to close the gap in the vaccination rate between the Latinx and Hispanic community and the rest of the population.

Leveraging Partnerships to Fight COVID

Neighborhood Health in Alexandra, VA, is in a race to protect the underserved and the unvaccinated against the Delta variant of COVID-19.  In our second episode, Executive Director and clinician Basim Khan, MD, describes how the ground game against COVID has changed. Their strategy has shifted from operating mass vaccination sites to engaging hard to reach populations where they are and partnering with trusted messengers, such as faith leaders and community organizations, to build confidence in the COVID vaccine and counter misinformation.

Fighting Mistrust about Vaccines in the Rural Georgia

Our first episode shines a spotlight on a health center deep in America's Bible Belt. Albany Area Health Center serves a rural Georgia county that ranked 4th in the world for COVID-19 deaths per capita last summer. Their effort to battle the pandemic brought out the best in their community, but now they face the daunting challenge of vaccinating people who are undecided about the benefits of the vaccine. Hear how they’re approaching the next phase in the pandemic.

Key Takeaways:
0:00 Intro
1:18 Amy shares a short clip created by staff members from Albany Area Primary Health Care explaining how the pandemic hit them unexpectedly 
2:43 Ronda shares a little bit of history about their health center, the population, whom they serve, and the challenges they have faced for the past 18 months addressing the pandemic 
4:13 Ronda also talks about how far the nearest health center was to them and who they really are
4:57 Pam talks about what she was thinking and feeling when the pandemic started to spread in their center quickly and they were in a good position before then 
5:54 Ronda talks about why the State of Georgia has one of the lowest vaccination rates for Covid when they are declared an epicenter of Covid 
7:48 Pam also shares some of the reasons she feels the State of Georgia has the lowest vaccination rates for Covid 
9:37 Ronda and Pam talk about the number of vaccines they think they have administered already 
10:21 Ronda also talks about how the vaccination hesitancy in the people that come to them to get vaccinated looks like and what they do to help them get over it 
12:16 Ronda and Pam explain why it’s the conversation that they have with people to help them get over the fear of being vaccinated that works and not one message 
14:25 Pam talks about if having conversations with the community about the vaccine helped to get rid of the misinformation that they had about the vaccine 
15:55 Ronda and Pam talk about the Pfizer vaccine for 12 and older people and the strategies that they are using to reach this population 
17:25 Pam talks about the passionate group of physicians and nurses who are volunteering to partner with the health center to do the work 
19:40 Ronda talks about switching from the mass vaccination site model to bringing shots to where the people are and how effective it is and if people are still coming to them 
22:02 Pam shares her thoughts on the Biden Administration wanting to get about 70% of the Americans vaccinated by July fourth and if that will be possible 
24:17 Ronda also shares her thoughts on if it will be possible for the Biden administration to vaccinate about 70% of the Americans by July fourth 
27:20 Ronda and Pam talk about what they feel they bring to the table as a health center  that is so important for a successful vaccination process 
30:28 Pam shares the advice that she gives to the people who come to the health center for information and they are listening while they are on the fence 
31:34 Ronda also shares her advice to people who are hesitant of getting the vaccination and what they should do 
32:38 Pam and Ronda share some of their low and high points as providers and volunteers in the past 18 months of fighting the pandemic 

Shows Mentioned:
Phoebe Putney Memorial Hospital is a better way to health and wellness. Our comprehensive network of physicians, nurses, and staff at three hospitals and more than 20 clinics delivers high-quality healthcare to the residents across Southwest Georgia.

The United States Food and Drug Administration is a federal agency of the Department of Health and Human Services.

Pfizer Inc. is an American multinational pharmaceutical and biotechnology corporation headquartered on 42nd Street in Manhattan, New York City. The name of the company commemorates its co-founder, Charles Pfizer.

Quotes Mentioned:
“The driving factor to get vaccinated or to not get vaccinated has been fear.”
“There’s no amount of education or information you can give to someone that fearful that's going to change their mind.”
“Everything’s very doable if you put enough energy into it.”
“You have to be innovative and creative to get patients involved in their care.”
“An informed decision is the best decision.”

Guests Social Media Links:
Ronda Arline
LinkedIn: https://www.linkedin.com/in/ronda-arline-8a36a21b2/ 
Website: https://aaphc.org/ 

Pam Reynolds
Website: https://aaphc.org/