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Community Clinic Association of Los Angeles County Health Center Controlled Network (HCCN) Project Assessment and Process Improvement Technical Assistance Services – Request for Proposals

Posted: October 1, 2019

Overview

The Community Clinic Association of Los Angeles County (CCALAC) is currently soliciting proposals from organizations to provide project assessment and process improvement technical assistance services to its member health centers in accordance to the Work Plan of the CCALAC Health Center Controlled Network (HCCN). CCALAC was awarded grant funding from the Health Resources and Services Administration (HRSA) HCCN competitive grant opportunity HRSA-19-011, and the technical assistance services will be an integral part of the CCALAC HCCN.

For more information, including service requirements and proposal submission process, please click here.

All proposals must be received at the CCALAC office by 5:00pm Pacific Time on Tuesday, October 22, 2019. Any proposals received after the due date and time will not be considered. Proposals are to be submitted to Raymond Ople by this deadline via email to rople@ccalac.org.

CCALAC reserves the right to reject any or all proposals, as well as to accept the proposal(s) which will be to the best advantage as determined at the sole discretion of CCALAC.

NOTE: CCALAC is NOT requesting direct electronic health record (EHR) technical assistance services in this RFP. Such services will be requested in a separate RFP which is forthcoming.

Timeline

Activity

Timeframe

Request for Proposals (RFP) released on CCALAC.org website in PDF form

October 1, 2019

RFP questions due

October 9, 2019

RFP is due by email at/before 5PM Pacific Time

October 22, 2019

Vendor(s) selected

November 4, 2019

Contract negotiations

November 5, 2019 – November 30, 2019

Contracted work begins

December 1, 2019

Questions and Answers

(Updated 10/10/2019)

The RFP states that the estimated TA hours per month range from 195 to 235 hours. What percentage of that time do you foresee being allocated to project management/admin versus actual TA delivery?
CCALAC expects that, of the 195 to 235 hours of estimated TA, approximately 4 to 5 percent of those hours will be allocated to project management/project administration.

Will consultants be required to submit regular timesheets to CCALAC?
CCALAC will require the consultants to submit timesheets documenting the hours worked at participating health centers; however, the consultants can submit timesheets using their own internal time-tracking reporting system (with CCALAC approval) in lieu of using a CCALAC-developed timesheet document.

Will consultants be paid at a flat monthly rate?
For the TA services CCALAC is requesting in this RFP, it intends to negotiate a milestone-based consultant agreement with the vendor it ultimately selects to provide project assessment and process improvement TA services.

The RFP states that a separate RFP will be forthcoming for direct EHR TA. How many different vendors does CCALAC expect to hire to carry out the entire scope of the HCCN work?
At this time, CCALAC expects to contract with at least two direct EHR TA vendors to cover services for health centers using the two most widely used EHR platforms in our HCCN (eClinicalWorks and NextGen). CCALAC may, at its discretion, decide to contract with other vendors that provide TA services for the other EHR and/or other health IT platforms currently used by HCCN participating health centers if it is determined to be feasible and of benefit to the CCALAC HCCN and its participating health centers.

Can the list of 47 health centers be shared?
The full listing of CCALAC HCCN participating health centers can be found here: https://bphc.hrsa.gov/program-opportunities/funding-opportunities/hccn/awards/ca

Will consultants be required to work on all objectives and sub-objectives with each health center, even if the health center is already meeting that objective? For example in Objective C3, if a health center already utilizes telehealth, can this sub-objective be “checked off”?
If, at any time during the project period, a HCCN participating health center meets or exceeds a project objective, the consultant will coordinate with the CCALAC HCCN project team to focus the remaining hours/resources to address other unmet objectives as appropriate. CCALAC will still require the consultant to continuously monitor and validate that the participating health center is meeting/exceeding these project objectives throughout the project period.

The RFP states that the contract term will begin December 1, 2019. Is it appropriate to expect that the first 1-2 months will be used for project planning and ramp-up rather than direct TA delivery?
December 2019 (and part of January 2020) will be used for project planning and ramp-up rather than direct TA delivery.

How will “competitiveness of organization’s hourly rate for technical assistance services” be evaluated? Will only the organization with the lowest hourly rate receive the full 20 points?
It is in the best interests of CCALAC and its HCCN participating health centers to get the most cost-effective hourly rate it can so it can most effectively use HCCN federal grant funding. Therefore, the proposal with the lowest hourly rate will receive the full 20 points. All other proposed rates will be scored proportionately.

Will a title page, table of contents, and appendices cover pages be included in the 15-page limit?
No. The title page, table of contents, and appendices will not count as part of the 15-page limit.

In section 2.2, page 10, the RFP states that “the vendor shall focus on conducting assessments within the following objective areas to determine the current state of each PHC which will then be used to develop informed work plans: Objectives A3, B1, C1-3. In Section 3.1, the RFP asks vendors to describe expertise supporting community health centers in ALL objectives in each goal listed in Section 2.1. Please confirm if vendors should respond to ALL objectives or just objectives A3, B1, C1-3 as outlined in Section 2.2, page 10.
Vendors submitting proposals should describe their experience and subject matter expertise on ALL objectives listed in Section 2.1., not just objectives A3, B1, and C1-3. CCALAC needs to understand vendors’ competencies regarding all HCCN objective areas, not just those of which they will conduct project assessments.

The RFP states that “the vendor shall focus on conducting assessments within the following objective areas to determine the current state of each PHC which will then be used to develop informed work plans: Objectives A3, B1, C1-3. In Section 3.2, the RFP asks vendors to describe their ability to fulfill ALL project activities and deliverables listed in Section 2.2. Please confirm if vendors should respond to ALL objectives or just objectives A3, B1, C1-3 as outlined in Section 2.2, page 10.
Vendors submitting proposals should describe their ability to support CCALAC and HCCN participating health centers and fulfill the Project Assessments for EACH listed Objective in Section 2.2., not just objectives A3, B1, and C1-3. CCALAC needs to understand vendors’ abilities to fulfill project activities/deliverables on all HCCN objective areas, not just those of which they will conduct project assessments.

Is there an expectation around remote vs. onsite work with the FQHCs? Is there flexibility to perform assessments in part or whole remotely?
Depending on the location of the vendor, CCALAC may provide flexibility for the vendor to perform the project assessments in part remotely. However, our preference is that the majority of the assessments (AND project activities) be done in-person at the health center clinic site locations.

As far as expected consulting time, the RFP reads “Please note that our estimated need of technical assistance service hours (to include project assessment, project management, and project administration time) ranges from 6000 to 7200 hours for the entire project term (December 1, 2019 to June 30, 2022) and 195 to 235 hours per month.” Is this saying that they anticipate the whole project will require up to 7,200 for hours overall for project management AND up to 235 hours per month for technical assistance OR are they saying they anticipate that the hours per month would add up to the total of 7200 hours for the whole project?
CCALAC’s stated need of 195 to 235 hours per month for project assessment/process improvement TA services would potentially add up to the total of 7,200 hours for the whole project period.

Please provide the names of other vendors submitting questions.
CCALAC cannot provide the names of any other vendors submitting questions regarding this RFP.

Could the same organization be chosen for both the clinic TA and EHR TA? If yes, will preference be given to organizations that can complete both parts?
The same organization could possibly be chosen for both the project assessment/process improvement TA and direct EHR TA (in a forthcoming RFP); however, CCALAC will give no preference to organizations that can complete both parts.

Are you expecting that the vendor would work with all clinic sites, or just at the group level, or at the network level with representatives from the groups?
For the project assessment/process improvement TA services, the vendor will be expected to work with all assigned CCALAC HCCN participating health center organizations and all of their clinic site locations. CCALAC will provide the vendor with a HCCN primary/secondary point of contact for each assigned health center.

Is there a plan to release any additional information on baseline status for the stated objectives, or are the assessments assumed to determine the baseline?
CCALAC will provide additional information on baseline status for the stated objectives to the vendor it ultimately selects to provide project assessment/process improvement TA services. The project assessments will validate the baseline information that CCALAC currently holds for its participating health centers.

Will CCALAC be introducing the chosen vendor to the health centers?
Yes. CCALAC will be introducing the chosen vendor to HCCN participating health centers.

Have you collected a baseline data on any of the numerators and denominators from the 47 participating health centers for the measures listed (understanding that not all measures are currently being collected)?
CCALAC has collected baseline data from the 47 participating health centers for the stated objectives and will share this date to the vendor it ultimately selects to provide project assessment/process improvement TA services. The project assessments will validate the baseline information that CCALAC currently holds for its participating health centers.

Are you open to an approach that also includes some learning collaboratives or group training for specific project areas?
Yes.

The hours available suggest roughly 5hrs/month/health center. Is 5 hours per health center an expectation?
The 5 TA hours per health center per month is CCALAC’s current expectation of time required to provide project assessment/process improvement TA services for participating health centers. This is subject to change.

What are your expectations for on-site coaching support?
For the TA services requested in this RFP, on-site coaching support may include, but is not limited to, the following:

      • Provide project management and coordination support to participating health centers so that they are on track and eventually meet HCCN objectives
      • Connect participating health centers to available and appropriate resources and trainings to meet HCCN objectives
      • Facilitate the implementation of health IT tools and interventions as appropriate to meet HCCN objectives
      • Facilitate clinical and/or operational workflow redesign and implementation to meet HCCN objectives
      • Provide coaching support and appropriate training(s) to participating health centers to meet HCCN objectives 

Are you open to rate proposal that differs for on-site rate and off-site services?
No. CCALAC desires to keep rate proposals as simple as possible. As stated in the RFP, the hourly rate must be a standard, all-inclusive rate (i.e. no variable rates for different project personnel) and must cover any mileage, travel, and any other incidental expenses in performing the technical assistance services.

Page 4 of the RFP, Statement of Need, suggests CCALAC is seeking only one vendor. Is CCALAC looking for one vendor to provide all TA services or do you expect multiple vendors will be selected?
CCALAC prefers to work with one vendor to provide project assessment and process improvement TA services as requested in this RFP. However, depending on the proposals received, CCALAC may decide, at its discretion, that it is to the best interests of the HCCN and its participating health centers to select multiple vendors for the requested project assessment and process improvement TA services.

Is Manifest MedEx a qualifying HIE for Goal B activity if health centers have selected this solution?
If a HCCN participating health center has decided or will decide to connect to Manifest MedEx, then yes, it is a qualifying HIE in which the health center can meet the HCCN B1 and B2 objectives.

Based on our knowledge of Meaningful Use, we would expect efforts under B1 to derive from a completed SRA. Do you concur with this assumption?
For a HCCN participating health center to meet the B1 objective, it must have completed its annual HIPAA security risk assessment AND have implemented a breach mitigation and response plan based on their annual security risk assessment.

 

Clinics Decry Release of Official Public Charge Rule

Posted: August 13, 2019

LOS ANGELES – August 13, 2019 – Yesterday the Administration released its final “public charge” rule that would threaten the health and well-being of communities in California and beyond. The final regulation could prevent an immigrant from obtaining a “green card” if they have used certain health, nutrition or anti-poverty programs, such as Medi-Cal and CalFresh. The rule will force immigrant families to choose between accessing these critical support programs and keeping their families safe.

“The public charge rule will deter eligible immigrants from receiving critical services and supports, undermining the health and wellbeing of our communities,” said Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC). “It will force families to choose between their immigration status and putting food on the table. These essential programs help people out of poverty and create economic opportunity for low income communities.”

“LA’s clinics are committed to improving the health and wellbeing of all members of their communities, regardless of immigration status. We are confident that legal challenges will successfully block this rule from going into effect so patients can safely access services.”

CCALAC is a member of the Protecting Immigrant Families (PIF) Campaign and will continue to work with partners to resist any attacks on immigrant communities.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that serve nearly 1.7 million patients throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Clinic Association Awarded Federal Dollars to Support Los Angeles Health Centers

Posted: July 26, 2019

Los Angeles – July 26th, 2019 – The Health Resources and Services Administration has announced awards of $42 million in funding to 49 Health Center Controlled Networks (HCCNs) across the nation. HCCNs provide technical assistance to federally-funded health centers, using information technology to cut costs and improve patient care. These awards will enable the HCCNs to support 1,183 federally-funded health centers across all 50 states. Among the awardees, the Community Clinic Association of Los Angeles County (CCALAC) will receive $1.43 million—its third consecutive award—to continue to serve Los Angeles County.

“Networks advance quality improvement and provide cost savings to the health care system. Members of the Los Angeles network received over $4.9 million in federal quality improvement awards in 2018, and saved nearly $2.9 million in technical assistance costs,” said Louise McCarthy, President and CEO of CCALAC. “We are excited to continue this work going forward with an expanded cohort of health centers.”

The new grant will enable CCALAC to grow its work, assisting 47 health centers in expanding the use of health information technology, empowering patients through patient engagement, and promoting data sharing through health information technology.

The list of the 47 health centers participating in CCALAC’s HCCN can be found here.

The Health and Human Services announcement of awards can be found here.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that serve nearly 1.7 million patients throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Raymond Ople, HCCN Project Manager (213) 201-6512
Community Clinic Association of Los Angeles County
445 S. Figueroa Street, Suite 2100

Statement: Unjustified – LA Clinics applaud Supreme Court decision on Census

Posted: June 27, 2019

LOS ANGELES – June 27, 2019 – Today the Supreme Court rejected the Administration’s reasoning for including a citizenship question on the 2020 census, leaving in doubt whether the question will ultimately be included in the census.

The Community Clinic Association of Los Angeles County (CCALAC) is heartened by the decision of the Court, and hopeful that the Census will proceed without the citizenship question. The inclusion of the question would have deterred people – including underserved, low-income patients – from responding to and being counted in the census. The inclusion of the citizenship question would have undermined the reliability of census data because people in marginalized communities will be undercounted as they have been in past census counts.

“We stand with our patients and communities, as well as our community partners, in ensuring that all people are fairly counted for the 2020 census,” said Louise McCarthy, President and CEO of CCALAC.

“The census is a crucial source of data that determines distribution of resources and representation for our communities; therefore it is imperative that all community members are counted.”

CCALAC is working on several initiatives to promote participation in the census and will continue to work with partners and clinics to reach our community population of 1.7 million patients.

The Supreme Court found that the Administration did not provide a sufficient explanation for adding the question, leaving it unclear whether the Administration will provide what the Court deems an adequate answer in time for it to be included in the questionnaire. In addition to the Supreme Court’s consideration of the Census question, lower courts in New York and Maryland are also considering rulings on the citizenship question.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Statement: Clinics support Governor’s health care expansions, remain concerned by pharmacy proposal

Posted: May 9, 2019

LOS ANGELES – May 9, 2019 – We are encouraged to see the Governor’s May Revise maintains his commitment to expand Medi-Cal coverage for young adults, invest in California’s healthcare workforce, fight homelessness and support families. Expanding Medi-Cal to cover all eligible young adults, regardless of immigration status, is an important step toward the promise of universal coverage, and we look forward to working with the Governor as we move toward the goal of ensuring coverage for ALL Californians. At the same time, we are concerned the budget maintains a change for pharmacy services in the Medi-Cal program which, if enacted, would greatly harm community health centers. While we support the Governor’s goal of lowering the cost of drugs for Californians, the budget calls for transitioning pharmacy services from managed care to fee-for-service by 2021. This would eliminate savings from the 340B Drug Discount Program and result in the loss of hundreds of millions annually to California’s safety net health care providers. Community clinics and health centers rely on these savings to provide critical services to our most vulnerable communities. We urge the Administration to explore alternative strategies to reduce drug pricing and protect safety net providers.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Statement: LA Clinics Oppose Administration’s ‘Conscience Rule’ Which Will Undermine Access to Care

Posted: May 2, 2019

LOS ANGELES – May 2, 2019 – Today, the U.S. Department of Health and Human Services (HHS) released the final so-called “conscience rule” which the administration claims will protect healthcare providers’ right to refrain from participating in health care services, including reproductive health and other basic services, that violate the person’s or entity’s conscience or religious views.

“This rule undermines critical health care protections, invites discrimination, and will hinder access to vital health care services, especially for women and the LGBT community,” said Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC).

“Clinics will continue to provide a wide array of services to diverse communities, including members of the LGBT community and women, and will continue to be safe spaces for all patients seeking care. CCALAC will continue to work closely with our members and partners to further our mission to provide quality, comprehensive care to all individuals, and advance the health and safety of our communities.”

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Opposing Harmful “Public Charge” Rule, Medical and Community Groups Stand In Solidarity With Immigrant Families

Posted: October 10, 2018

Press Statement
For Immediate Release
Contacts: Elaiza Torralba, etorralba@ccalac.org, (213) 201-6529
Carolina Gamero, cgamero@caimmigrant.org, (213) 250-0880 ext. 107

October 10, 2018 – The Trump administration announced a proposed rule change that would undermine the safety and well-being of immigrant families. Through a draft proposal on “public charge,” the administration seeks to punish immigrant families for accessing nutrition, health care, and other vital programs for which they are fully eligible. In response to this harmful proposal, a number of members from the Community Clinic Association of Los Angeles County as well as immigrant advocate and community-based organizations have issued the following statements with deep concern and a commitment to resist any attacks to immigrant communities:

“Trump’s proposed policy is another cruel attack to struggling families across the country, including immigrants. As home to the largest population of immigrants- both documented and undocumented- California’s future lies in ensuring that families are set up to succeed. The administration’s anti-immigrant agenda targets families, forcing them to make the impossible choice of disenrolling from vital programs that serve as a lifeline, or risk being separated from their loved ones.”
– Cynthia Buiza, Executive Director, California Immigrant Policy Center (CIPC)

“Clinics are a safe space for patients to seek help for a wide array of services. This rule would deter patients from accessing critical programs they are entitled to, and have a chilling effect on our efforts to improve the health, well-being and economic security of our communities. This rule would undermine the critical strides California has achieved in improving comprehensive, culturally competent and innovative care.”
– Louise McCarthy, President & CEO, Community Clinic Association of LA County (CCALAC)

 
Other organizations in support added the following:

“As a Federally Qualified Health Center that provides high quality accessible healthcare services to patients dealing with significant trauma and the stressors that come from living in fear and in the shadows as a refugee and undocumented individual, Clínica Romero knows that federal immigration policies often disrupt the delicate fabric of these vulnerable communities; affecting the wellbeing of immigrant families and placing their health at risk. The White House’s most recent policy, Public Charge, is one of many recent affronts to immigrant families, which we will continue to decry as a human rights abuse.

Archbishop Romero once said: ‘We plant the seeds that one day will grow. We water seeds already planted, knowing that they hold future promise.’ At Clínica Romero, we believe that together with our partners we are planting seeds of trust and safety for immigrant families that will hold the promise of a better future for all of us.”
– Carlos H. Vaquerano, Interim Executive Director, Clínica Monseñor Oscar A. Romero

“In response to the public charge proposal, Kheir Clinic is seeing more missed appointments, requests to disenroll from programs, and widespread fear and mistrust of the government. Those who are eligible for programs such as Medi-Cal, CHIP and SNAP are hesitant to enroll, due to misunderstanding and lack of in-language information on this issue. Many believe it has already been decided that enrollment in these programs will jeopardize their family’s future chances of residency. Kheir has been communicating with the local Korean media outlets to provide accurate information about proposed rule change, but some families continue to avoid critical services that they are eligible for.”
– Erin Pak, CEO of Kheir Clinic

“QueensCare Health Centers has a well established precedent of caring for ALL those in need, regardless of race, religion or immigration status. Regardless of the changes to the Public Charge Rule, we will remain steadfast in carrying out our mission of providing health care to the community.”
– Barbara Hines, President & CEO, QueensCare Health Centers

###

Background: The California Immigrant Policy Center and Community Clinic Association of Los Angeles County are actively working to advocate to protect immigrant communities who are facing these attacks, as well as express opposition through the 60-day comment period open for public comment. For more information and to learn how to take action, visit: www.protectingimmigrantfamilies.org.

Resources:

About Community Clinic Association of Los Angeles County:
CCALAC is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services.

About the California Immigrant Policy Center:
CIPC advances inclusive policies that build a prosperous future for all Californians, using policy analysis, advocacy and capacity building. It is the premiere immigrant rights institution in the state that promotes and protects safety, health and public benefits and integration programs for immigrants.

Statement: LA Clinics Denounce Public Charge Rule Threatening Immigrants’ Access to Care

Posted: September 24, 2018

LOS ANGELES – September 24, 2018 – Over the weekend, the Trump administration released a proposal to restrict the ability for lawfully present immigrants to obtain permanent residency if they’ve accessed public assistance programs. The proposed rule would expand the current definition of “public charge” to include nutrition, health care, and other vital services for which they are eligible.

“Clinics are a safe space for patients to seek help for a wide array of services. This rule would deter patients from accessing critical programs they are entitled to and have a chilling effect on our efforts to improve the health, well-being and economic security of our communities,” said Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC).

“This rule would undermine the health, safety and well-being of immigrant families and our communities. It would also reverse the critical strides California has achieved in improving comprehensive, culturally competent and innovative care,” said McCarthy. “The rule has not yet gone into effect. CCALAC will work closely with our partners to fight this proposal, protect our immigrant communities and ensure that our patients remain able to safely access health care services and programs.”

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Statement: CCALAC Joins United Way of Greater LA’s Everyone In Campaign

Posted: August 29, 2018

Los Angeles – August 29, 2018 – Community Clinic Association of Los Angeles County (CCALAC) is proud to join United Way of Greater Los Angeles’s Everyone In, an advocacy campaign led by a diverse coalition of leaders from philanthropy, business, labor, faith, and community organizations fighting for the common goal of ending homelessness across Los Angeles County.

“Community clinics are committed to delivering high quality, comprehensive services designed to improve health and end homelessness. We look forward to working with local leaders on implementing patient-centered and housing-focused solutions to homelessness through the Everyone In campaign,” said Louise McCarthy, President and CEO of CCALAC.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 65 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Statement: Increased State Revenues Positive for CA – CCALAC Urges Administration to Reconsider 340B Program Elimination

Posted: May 14, 2018

LOS ANGELES – May 14, 2018 – Last Friday, Governor Jerry Brown released the May Revision to the 2018-19 State Budget. Despite acknowledging a projected additional $8 billion in higher revenue, the Governor continues his familiar calls for fiscal restraint and warning of future recessions.

Though limited on-going commitments are being made with the additional revenue, we are pleased to see homelessness and mental health services highlighted as areas for new investments. However, we are concerned that the May Revise continues to include the proposed elimination of the 340B Drug Discount Program in Medi-Cal, which allows community health centers to access pharmaceuticals at discounted pricing. Eliminating the use of the 340B program would be extremely detrimental to community health centers that depend on 340B savings to enhance patient services, expand hours of operations, and provide other critical patient support programs in their communities. It would also mean less resources in our communities and in California – when health centers get 340B discounts, all of the savings stay with the health center and its patients; when the state collects drug rebates, only about 1/3 of state drug rebate dollars stay in California, the rest must be shared with the federal government.

We urge the Administration to reconsider its efforts to eliminate use of the 340B program which will take a critical source of savings away from public health care systems and other safety net providers. At a time when our state is fiscally strong, it is even more imperative that we support our safety net by keeping these critically needed funds in our health centers and in our communities.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 63 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Statement: Red Alert Downgraded – Threat Remains High

Posted: February 9, 2018

LOS ANGELES – February 9, 2018 – This morning Congress passed a continuing resolution through March 23, which includes two years of funding for community health centers and other important health programs. While the #RedAlert4CHCs crisis has been averted, the threat level for our communities remains high. We are bracing for the expiration of the Deferred Action for Childhood arrivals (DACA) Program as well as release of the Administration’s rules that would make it harder for legal immigrants to get permanent residency if they or their American-born children use safety net services. CCALAC thanks our Members of Congress for supporting health centers and standing up for our communities.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 63 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Speakers Outline Dire Consequence of Federal Inaction on Health Center Funding, Highlight Impacts on Key Health Care Programs

Posted: January 24, 2018

Remarks from LA Area Health Leaders Press Call

***A recording of today’s discussion is available here***

Los Angeles, CA – The Community Clinic Association of Los Angeles County (CCALAC), The Children’s Partnership (TCP), and the Northeast Valley Health Corporation (NEVHC) held a press briefing today outlining the impact of Congressional inaction on funding for community health centers, and other critical “health care extenders” that comprise the health care safety net.

According to Louise McCarthy, President and CEO of CCALAC, “Congress has funded healthcare for children, but hasn’t funded the systems that serve them. With the passage of a continuing resolution, Congress now only has weeks to act before community health centers run out of funds. That, along with their inaction on Deferred Action for Childhood Arrivals (DACA) is going to undermine the stability of our communities. Health centers are hanging in the balance – they’re doing the best they can to plan for the future, but it’s very uncertain. At the same time, health centers are also stepping up, advocating and reaching out to their communities, to their Members of Congress, and beseeching them to fix this funding cliff.”

Mayra Alvarez, President of TCP, said “Our work to eliminate health disparities and ensure health equity for children is fueled by the success of programs like CHIP and its combined impact with other programs – like health centers – to help families raise their children and to ultimately give every child a fair shot at success. Families in California do not have the luxury to worry about issues one at a time – whether that is CHIP coverage, passage of the Dream Act, wondering if their health center will remain open, or if their home visiting program will be available.”

Vilma Champion, Director of Managed Care at NEVHC, said “Community health centers emphasize comprehensive primary and preventive care, oftentimes becoming the gateway to diagnosing and treating public health issues. Our presence in the community not only benefits residents who need our services but also relieves the strain on emergency rooms at local hospitals.  NEVHC’s federal HRSA grant makes up 13% of its operating budget. Without this funding we have no choice but to cut back on staff, patients and services.  More specifically, a lapse in funding would impact 10,000 patients, over 40,000 patient visits, and the salaries of 125 NEVHC staff members. Although we are happy that CHIP funding has been authorized, our CHIP patients would lose access to care if our doors at NEVHC are closed.”

 

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About CCALAC

The Community Clinic Association of Los Angeles County (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 63 members that operate over 350 clinic sites, serving 1.6 million County residents. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services.

About TCP

The Children’s Partnership (TCP) is a California–based national children’s advocacy organization committed to improving the lives of underserved children where they live, learn, and play with breakthrough solutions at the intersection of research, policy, and community engagement. Since 1993, TCP has been a leading voice for children and a critical resource for communities across California and the nation, working every day to champion policies that provide all children with the resources and opportunities they need to thrive.

About NEVHC

Northeast Valley Health Corporation (NEVHC) was incorporated in 1971 by a group of San Fernando Valley civic leaders who envisioned establishing a healthcare system that catered to the medical needs of the local community. They opened San Fernando Health Center in 1973 and celebrated its dedication with the late U.S. Senator Ted. Kennedy. Today, NEVHC has grown to 14 health centers in the San Fernando and Santa Clarita valleys and continue to serve the uninsured and the medically underserved patients with limited financial resources. Nearly 70,000 patients receive medical, dental and behavioral health care at our health centers every year. NEVHC, one of the nation’s largest community health centers, is a nonprofit Joint Commission accredited Federally Qualified Health Center (FQHC).

Statement: Los Angeles Bracing for Crisis as Shutdown Looms

Posted: January 19, 2018

LOS ANGELES – January 19, 2018 – With the shutdown of the federal government on the horizon, communities across Los Angeles are bracing for crisis. The failure to fund the government, along with critical health programs, comes at a very high price.

In Los Angeles, 1.6 million residents rely on community health centers for their care. These health centers will lose 70% of their federal funding on April 1st. Along with the loss of the Children’s Health Insurance Program and Deferred Action for Childhood Arrivals (DACA), this undermines the stability of our communities. CCALAC urges Congress to come to an agreement that protects our communities.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 63 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact:
Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Statement: New HHS Division Will Have Harmful Effects on Access to Care

Posted: January 19, 2018

LOS ANGELES – January 19, 2018 – CCALAC represents community clinics and health centers, institutions that pride themselves on providing health care to all. We are deeply concerned about the Trump Administration’s announcement this week regarding the establishment of a Conscience and Religious Freedom Division in the Office for Civil Rights of the U.S. Department of Health and Human Services. This new division appears poised to allow health care workers to refuse to perform, accommodate, or assist with provision of services on religious or moral grounds. It is critical that this new HHS division not take any actions that would permit unlawful discrimination or deny access to appropriate health care services based on gender, gender identity, sexual orientation, race, ethnicity or other personal characteristics.

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 63 members that operate over 350 clinic sites throughout LA County. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.
Contact:

Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

Clinic Association Names Courtney Powers as Director of Government and External Affairs

Posted: January 4, 2018

LOS ANGELES – January 5, 2018– The Community Clinic Association of Los Angeles County (CCALAC) has named Courtney Powers as the organization’s new Director of Government and External Affairs, effective January 8th. In this role, Ms. Powers will drive the development, implementation and evaluation of the Association’s government and public relations activities.

“With both threat and opportunity looming at the Federal, State and local levels, CCALAC and LA’s community clinics and health centers are at a pivotal moment in our development,” said Louise McCarthy, CCALAC’s President & CEO. “Courtney Powers brings an exceptional level of experience and expertise to guide our government and external affairs in this critical time.”

Prior to joining CCALAC, Ms. Powers served as Vice President and General Counsel to GRACE (Gather Respect Advocate Change Engage) since 2013. In this role, she advanced the organization’s agenda to reduce child poverty through legislative initiatives and secured federal and local funds to support programs and services. Ms. Powers was also the Vice President of Public Policy and the Director of Advocacy and Government Affairs at the Daughters of Charity Health System, and has served as an adjunct professor at UCLA School of Law, Occidental College, the Los Angeles Community College District and UCLA Extension.

Ms. Powers holds a Juris Doctorate from the UCLA School of Law and earned her Bachelor’s degree in political science from U.C. Berkeley, Phi Beta Kappa. She is the current President of the UCLA School of Law Alumni Association.

 

THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC) is the largest regional association of community clinics and health centers in California. Founded in 1994, CCALAC has 63 members that operate over 350 clinic sites that serve 1.56 million County residents. CCALAC is dedicated to serving and representing the interests of its member clinics as providers of quality health care, including medical, dental and pharmacy services. For more information about CCALAC, visit www.ccalac.org or call (213) 201-6500.

Contact: Elaiza Torralba, Communications Specialist, (213) 201-6529
Community Clinic Association of Los Angeles County
700 S. Flower Street, Suite 3150, Los Angeles, CA 90017

STATEMENT: CCALAC Says Tax Bill will have Profound Effect on Health Care

Posted: December 18, 2017

LOS ANGELES – December 18, 2017 – Today, Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC) released the following statement on the potential effects of the tax bill on healthcare access.

“Caught between a rock and a hard place, this week California Republicans will vote for a tax bill that will have detrimental effects on Californians, in particular our working poor and middle class,” McCarthy said.

The House is anticipated to vote tomorrow on the tax legislation. If it passes, the Senate will vote on Wednesday. The House and Senate have passed different versions of a tax reform bill, and have just released the final text.

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STATEMENT: CCALAC Urges Congress to Act Now to Stabilize our Health Care System

Posted: October 13, 2017

Members of Congress Must Pass Legislation to Protect Our Health Care

LOS ANGELES – October 13, 2017 – Today, Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC) released the following statement urging members of Congress to pass legislation that would protect our health care, in response to the announcement that the Trump Administration will end cost-sharing reduction subsidies – a blow to insurers selling in the marketplaces under the Affordable Care Act and impacting many low-income patients.

“Our future already hangs in the balance, with funding for key safety net programs stalled in Congress,” McCarthy said. Continue reading

Los Angeles Community Health Centers Urge Congress To Secure Health Center Funding

Posted: September 20, 2017

Health Centers Face a 70 Percent Decrease in Funding by September 30th

September 19, 2017 – Los Angeles – Right now, health centers throughout Los Angeles County are threatened with losing 70 percent of their federal funding, which will impact how people access care. The Community Clinic Association of Los Angeles County (CCALAC) and its members are urging Congress to take action to secure this funding for community health centers.

“Congress must act now to protect the key programs that make health centers and the services they provide possible,” said Louise McCarthy, president and CEO, Community Clinic Association of LA County, “Over the past five years health centers have expanded access and transformed care for their communities. They’ve created jobs and made major investments into their local economies. This funding ensures the ongoing viability of our program and the progress we’ve made.” Continue reading

STATEMENT: CCALAC Says DACA Program Integral to American Ideals

Posted: September 8, 2017

Members of Congress Must Pass Legislation to Protect These Youth

LOS ANGELES – September 6, 2017 –  Today Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC) released the following statement urging members of Congress to pass legislation that would make the Deferred Action of Childhood Arrival (DACA) Program permanent.

“We cannot take away the American dream for so many hard working youth, especially those whose passion is serving and strengthening their communities,” McCarthy said. Continue reading

STATEMENT: CCALAC Urges Congress to Prevent Primary Care Funding Cliff

Posted: September 6, 2017

Community Clinics and Health Centers Seek Extended Funding to Provide Care

LOS ANGELES – September 2017– Today Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC) released the following statement urging members of Congress to extend funding for critical health care programs for five more years, at minimum.

“Non-profit community health centers are a trusted source of high-quality, comprehensive care for the nation’s most underserved communities,” McCarthy said. “Without action by Congress to secure funding for the health center program alone, health centers will see a 70 percent decrease in the funding that we receive. Loss of funding means loss of access to care. Continue reading

STATEMENT: CCALAC Calls Senate Decision to Not Repeal ACA ‘A Chance to Strengthen Health Care’

Posted: July 28, 2017

This is An Opportunity to Work in Bipartisan Manner to Improve Access

LOS ANGELES – July 28, 2017– Today Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC) released the following statement after the Senate voted against passage of its plan to repeal the Affordable Care Act (ACA).

“Whether it was called the American Health Care Act, the Better Care Reconciliation Act, or the Health Care Freedom Act these bills were bad policy. The debates on Main Street and in the halls of Congress have proven that we need to improve our health care system, not destroy it like these bills would have done. We now have a chance to strengthen health care in America,” McCarthy said. “During the past few months, we have heard the voices of people and families who have received care for the first time. We have seen how far we have come since the ACA was signed. Families finally have a sense of security. People are getting jobs in health care. Our economy is growing.
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STATEMENT: CCALAC Calls Senate Bill to Repeal ACA “A Step Back for All Americans”

Posted: June 22, 2017

The Fight to Save America’s Health Doesn’t End Today

LOS ANGELES – June 22, 2017– Today Louise McCarthy, President and CEO of the Community Clinic Association of Los Angeles County (CCALAC) released the following statement after the United States Senate presented its plan to repeal the Affordable Care Act (ACA).

“This bill puts at risk current laws that allow millions of Angelenos and other Americans to have consistent access to health care; some for the first time in their lives. To rip that away from them is cruel and a major step back for all Americans. This bill creates damaging cuts in LA County’s public health and places the entire safety net in a precarious position.
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CCALAC Calls House Passage of American Health Care Act ‘Tragedy for Americans’

Posted: May 4, 2017

Fight Continues as Bill Moves to the Senate for Consideration

LOS ANGELES – May 4, 2017– Today the United States House of Representatives moved forward with its plan to dismantle major provisions of the Affordable Care Act (ACA).  The Community Clinic Association of Los Angeles County (CCALAC) is troubled by the passage of the American Health Care Act (AHCA) and its devastating potential on California’s most vulnerable communities. CCALAC is encouraging its member clinics, the public and community leaders to continue their advocacy to keep the AHCA from moving forward.

“The AHCA would disrupt the ability of all Americans to continue to access health care; including the elderly, young adults, veterans, those struggling with addiction, those with pre-existing conditions and many, many more hard working Americans and their families.” Louise McCarthy, President and CEO of CCALAC, said. “The fight isn’t over to save our health care. We now have to make our message heard. Patients and providers alike need to get loud. The Senate needs to know that this bill would have a devastating impact on our communities and the safety net that serves them.”
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Southern California Health Centers Focus on ‘Linking Communities to Quality Care’

Posted: March 3, 2017

Amid Uncertainty, Nonprofit Providers Double Down on Care Transformation and Improving Quality

HUNGTINGTON BEACH, CALI. – March, 3, 2017 – As nonprofit community clinics and health centers face an uncertain future, Southern California providers gathered for a day of learning and best practice sharing at the 16th Annual Health Care Symposium. The event featured sessions on the pressing issues that clinics and their patients face, including health policy in the current political environment, impending payment reforms, social determinants of health, effective care teams, addressing the opioid epidemic and succession planning. Continue reading

CCALAC Awarded Federal Funding to Support Health Center Quality

Posted: July 26, 2016

Three-year program will provide technology support to 40 LA health

LOS ANGELES – July 26, 2016 – The US Department of Health and Human Services’ Health and Human Resources Administration (HRSA) announced that the Community Clinic Association of Los Angele County (CCALAC) is the recipient of a multi-year Health Center Controlled Network (HCCN) award. CCALAC will receive $1.25 million a year under the three year program, making it one of the largest programs in the nation. Continue reading

Nina Vaccaro to Join CCALAC as New COO

Posted: July 15, 2016

Vaccaro brings 18 years of health care experience in Southern California

The Community Clinic Association of Los Angeles County (CCALAC), is pleased to announce that Nina Vaccaro has been selected as its new chief operating officer, effective August 1st. Ms. Vaccaro brings more than 18 years of nonprofit health care experience to the position. Continue reading

HCCN Technical Assistance Services Request for Proposals

Posted: January 11, 2016

Community Clinic Association of Los Angeles County
Health Center Controlled Network (HCCN)
Technical Assistance Services Request for Proposals

Overview:

The Community Clinic Association of Los Angeles County (CCALAC) is currently soliciting proposals from organizations to provide comprehensive technical assistance services to its Members in accordance to the Work Plan of the Los Angeles Regional Health Center Controlled Network (LAR HCCN). CCALAC intends to apply for the Health Resources and Services Administration (HRSA) HCCN competitive grant opportunity HRSA-16-010, and the technical assistance services will be an integral part of its grant proposal. Continue reading

HRSA Awards $21.7 Million in Grants to LA County Clinics for Expansion of Services and Improvement to Infrastructure

Posted: September 15, 2015

41 Clinics Receive Funds to Increase Health Care Access

LOS ANGELES –- September 15, 2015 – Today the US Department of Health and Human Services’ Health Resources and Services Administration (HRSA) announced $500 million in Affordable Care Act funding to support 1,184 clinics across the country. HRSA awarded $350 million to 1,184 clinics nationwide to expand services and $150 million for infrastructure improvements to 160 clinics nationally. In LA County, 41 clinics received a total of $12.7 million in Expanded Services Awards and, of those, 11 clinics received $8.9 million in Health Infrastructure Investment Awards.
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