1. 1 IF NOT YOU… WHO?

2. 2 Presentation to Office of Rural Health Policy Rural Health Care Services Outreach Grantee Meeting August 22, 2008 Washington, D.C. by Rachel A. Gonzales-Hanson Chief Executive Officer Community Health Development, Inc.

3. 3 Whe re the “heck” is Uvalde,Texas

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6. 6 ARE YOU…. Committed? OR Involved?

7. 7 My Dear Children

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10. 10 The Community Health Center Movement

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13. 13 COMMUNITY HEALTH DEVELOPMENT, INC.

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15. 15 Our Locations Our Health/Nuestro Centro de Salud – Uvalde Rolling Hills Health - Leakey Canyon Health Center - Camp Wood

16. 16 CHDI Growth Indicators: 2000-2006 Indicator20002006Increase Unduplicated Clients Served 5,7238,9503,227 Dental Clients Served 222,1962,174 OB/Prenatal Clients Served 0184184 State Services Contracts 264 Operating Budget $1,309,832$5,616,705$4,306,873

17. 17 Scope of Service Comparison: 2000-2006 Service Delivery Method ( = Provided on-site by CHDI) Pre-20002006 General Primary Medical Care On-Site X-rayBy Referral On-Site X-rayBy Referral Obstetrics/Prenatal CareBy Referral Obstetrics/Prenatal CareBy Referral Family Planning ServicesBy Referral Family Planning ServicesBy Referral Dysplasia ServicesBy Referral Dysplasia ServicesBy Referral General Dental ServicesBy Referral General Dental ServicesBy Referral Oral Surgery By Referral Oral Surgery By Referral Denture ServicesBy Referral Denture ServicesBy Referral

18. 18 Comprehensive Health Care Services  Family Oriented Adult, Pediatric and Elderly Care Services  OB/GYN Care  Primary/Preventive Dental, including dentures  Annual Physical Exams  Preventive Services (Pap Smears, Mammograms, etc.)  Immunizations  Family Planning Services  Health Promotion/Disease Prevention

19. 19 Comprehensive Health Care Services (cont’d)  Pharmacy  Laboratory and X-ray  Inpatient care and Referrals to Specialty Care  Health Fairs and Community Screenings  Glaucoma Screenings  Disease Screening and Management  Health Education

20. 20 Comprehensive Health Care Services (cont’d)  Medical Clinic at County Jail  Outreach and Volunteer Program  Outstationed Eligibility Worker

21. 21 WhereWeAreToday… Anniversary th

22. 22 2007 and Today In 2007:  Medical and Dental home to 9,174 unduplicated clients (almost 1/3 of service area population)  Generated 24,555 Medical Encounters  Generated 4,666 Dental Encounters

23. 23 2007 and Today (cont’d) ♦ Served 83% of the area’s residents determined to be living in poverty ♦ Served 62% of the area’s uninsured

24. 24 2007 and Today (cont’d) Fiscal Year 2007-08: ♦ Annual Operating Budget of over $6.1M ♦ Operating 3 full-time service sites & an Administration Office ♦ Budget supports approx. 100 health professionals and staff

25. 25 Current Funding Partners  Section 330 e. & g. Funds  State of Texas  County of Uvalde  City of Uvalde  Friends of the Congressional Glaucoma Caucus Foundation  Pfizer’s Share the Care Program

26. 26 CIP II CHDI has implemented an aggressive capital fundraising campaign to support its second Capital Improvement Project.

27. 27 Wellness Campus Rendering WWW.CHDI4HEALTH.org Serving the Community for 25 years

28. 28 Phase 1 Completed Acquisition of property for expansion. Purchased 2.52 acres located at 908 S. Evans and at 209 S. Evans. Phase 2 In-Progress Renovation of 908 S. Evans into a Wellness Center to add Mental/Beha- vioral Health & expand our dental & health education programs. Phase 3 2009 Construction of an Exercise /Fitness Facility & a new admin. office building at the 908 S. Evans campus. Phase 4 2010 Addition of a Women’s Health Wing at 200 S. Evans. Capital Improvement Project II

29. 29 CIP II: Expected Outcomes  Total Staff : 151.5 FTE’s  Total Patients to be served: 20,000 (approx)  Total projected encounters: 74,900

30. 30 CIP II is estimated to have a total cost of $6.7 M. The cost of Phase II & III is $5.4M; 63% has already been secured from various partners/sources.

31. 31 LESSONS LEARNED  Tell Your Story – To Everybody, All The Time, Over and Over Again  Make Decision-Makers “Care” About What Is Important To You  Establish Your Credibility with Current & Potential Funders, the Communities You Serve, Your Clients (ok – Everybody!)

32. 32 LESSONS LEARNED (cont’d)  Networking is key  It is not enough to care; you must care enough to do something  It is about “Comunidad” – Giving Back to Community

33. 33 LESSONS LEARNED (cont’d)  The Community Comes First and  Everything is Possible with Perseverance, Politics, and … Lots of Prayers!

34. 34 WHAT IF… What if no one had shared their concerns? What if no one had been courageous enough to create the vision? What if no one had believed enough to make the vision become a reality?

35. 35 WHAT IF… What if no one cared enough to do something? What if YOU weren’t doing what you do best back home?

36. 36IFNOTYOU… WHO? WHO?

37. 37 S0, ARE YOU…. Committed? OR Involved?

38. 38 “We cannot seek achievement for ourselves and forget about progress and prosperity for our community... Our ambitions must be broad enough to include the aspirations and needs of others, for their sakes and for our own.“ - Cesar Chavez

39. 39 GRACIAS! THANK YOU!