May 2019

In this issue...

CEO Connection
C HealthConnex
Deputy Director
Director of Quality & Clinical Support
Upcoming Events
NAFC Update

Quick Links
Welcome new student clinic leaders from Greenville Community Shelter Clinic
Emily Cunningham, Yasamin Sanii, and Katherine Mulligan

Board Member News
Special thanks to Jacquie Rose for her service on the NCAFCC board. Replacing Jacquie is Lisa Bottomley from the Community Care Clinic in Boone.

Clinic Videos
Looking for ideas for a clinic video, here are a couple from member clinics.

Samaritan Health Center


Have a video you would like to share? Email the link to Mark.

Clinic Birthdays
Crisis Control Ministry - 46 years

Moore Free and Charitable Clinic - 15 years
NAFC National Health Care Symposium
In case you missed the news, one person from each clinic is eligible to receive, from the Association, $175 to help offset the cost of the registration fee. Once you register, email the Symposium confirmation to Mark and $175 will be sent to you. It's that easy!

See who's going

April Cook
Tracy Salisbury
Bri Niggel
Sherri Fisher
Tony Price
Sandy Motley
Jerry Hermanson
Cindy Cole
Leona Doner
Andy Kurtzman
Janet Jarrett
Margaret Elliott
Molly Jordan
Tracey Pu
Sissy Lee-Elmore
Edie Reed
Lori Giang
Laura Lever
Nancy Litton
Mandy Horner
Krista Woolly
Randy Jordan
Mark Scheerer
Cindy Jones

CEO Connection
Randy Jordan, CEO

The Importance of Collaborative Learning
This month, State Executives from free and charitable clinic from around the United States will be gathering in Galveston, Texas for a State Association Leadership Forum sponsored by Americares. I’ve been asked to contribute to a panel discussion on the topic of “How to Build and Promote an Annual Public Policy Agenda for Your Association.” In preparing my remarks, I quickly realized how dependent we are upon other groups in North Carolina to help us set our public policy agenda at NCAFCC. Because in the area of public policy, you are almost guaranteed to fail if you stand alone with singular ideas. So, to learn from others we spend a lot of time in meetings with various groups to explore ideas like rural health, Medicaid expansion, telemedicine and population health. After gleaning the best ideas from these discussions, we have a more complete context for considering the ideas that emerge out of our work in helping the medically underserved in our communities.
A similar idea for collaboration is being operationalized by North Carolina’s Medicaid program through regional pilots that are designed to coordinate the delivery of medical and social services. Although only a few of our Member clinics accept Medicaid patients, we remain engaged in learning from regional pilot initiatives underway across the state. Near our headquarters office in Winston-Salem is a regional pilot initiative involving three counties from the Piedmont Triad region. If awarded, hundreds of millions of dollars of human services benefits will be administered through these developing regional pilots. By attending the meetings, we are being introduced to new potential partners working in the human and social services fields. We are meeting statewide leaders from the State Health Department and the NCCARE360 resource platform. We are also being introduced to state and national leaders from the state’s new Medicaid Prepaid Health Plans. All of these opportunities help us identify those public policies that are best for us to support to represent the interests of NCAFCC’s Member clinics and the people you serve each day. We will be meeting next month on the afternoon of June 26 in Asheville for the Annual Members Meeting. You will see in other articles in this newsletter that we have a diverse and interesting panel of speakers that promise to inform you of many emerging health policy issues in North Carolina. Please make plans to join us for a special time of collaborative learning!

Update on NC HealthConnex

You'll want to read the latest update from NC HealthConnex. Interesting information on a potential change in the law impacting the connection deadlines and studies showing the effectiveness of health information networks. Click here to read more.
Meetings and More
Mark Scheerer
Deputy Director

When is the last time we've seen each other? For some of you, it was just last month at our emergency preparedness workshop. For others it's been much longer. In the calendar section you will see our annual membership meeting, the Primary Care Conference, our Leadership Retreat, and the National Symposium on the horizon. My hope is to see many of you at each meeting.

A couple months ago, I sent a survey link asking where you would like to hold this year's Leadership Retreat. The choices were keep it in Triad or move it to the coast. Interestingly, the results were practically half and half. After discussions with the staff and the board, it was decided to keep the Leadership Retreat in Winston-Salem and then hold a meeting (still to be determined) next spring on the coast. The reasoning was directly related to the hurricane that devastated many communities in the east last fall.

Medicaid Managed Care and Expansion
Randy was recently quoted in an article about Medicaid Expansion. Read the article.

Medicaid Managed Care is coming as are issues that arise during the process. This short article gives a good summary of what is happening now.
Quality and Clinical Support Updates
Cindy Jones, Director of Quality & Clinical Support

NCAFCC Annual Outcomes Survey and the Blue Cross Blue Shield of North Carolina Foundation Grant
The 2018 survey is currently undergoing the data management process. We anticipate the Blue Cross Blue Shield of North Carolina Foundation Outcomes Grants to be awarded in June.
NCAFCC Patient-Centered Medical Home (PCMH) Transformation Initiative
The two NCAFCC PCMH Pilot Clinics, Alliance Medical Ministry and the Cape Fear Clinic have been participating in the NCAFCC PCMH Support Program since August of 2018 and will be applying with the National Committee for Quality Assurance (NCQA) in pursuit of NCQA PCMH Recognition status, this summer.
As of March 31, seventeen other eligible clinics have received on-site PCMH Readiness Assessments. Fourteen of these clinics are currently participating in the NCAFCC PCMH Transformation Support Program. The objective is to assist these member clinics with adopting as many of the National Committee for Quality Assurance (NCQA) PCMH standards/concepts that relate to their current capabilities and if possible, help to advance their capabilities as they move along the pathway of PCMH transformation. The PCMH model is a useful quality improvement tool that complements the way free and charitable clinics approach holistic patient care. We feel that those clinics that embrace the PCMH model and engage in PCMH transformation are demonstrating their commitment to quality, though they may not pursue NCQA PCMH Recognition status at this time.
NCAFCC Accreditation Program
Congratulations to The Broad Street Clinic for achieving NCAFCC Accreditation status for the first time!
Congratulations to Community Free Clinic in Concord! As of April 12 th, they were granted NCAFCC Re-Accreditation status.
NCAFCC Membership Meeting
Renaissance Asheville Hotel
June 26, 2019
1:00 - 4:00 p.m.
Please include in your email the names of everyone attending the meeting.

Everyone is invited to our annual membership meeting. On the agenda are Adam Zolotar, MD, DrPH who will provide an overview of the Healthy North Carolina 2030 project; and Deepak Palashappa, MD who will present on free and charitable clinics addressing food insecurity and screening for determinants of health. Other highlights include Association awards and Outcomes grants.
Adam Zolotor, MD, DrPH
President and CEO,
North Carolina Institute of Medicine
Deepak Palakshappa, MD, MSHP
Assistant Professor of Internal Medicine
Wake Forest School of Medicine
Primary Care Conference
June 26-28
Renaissance Asheville Hotel

In partnership with the North Carolina Community Health Center Association and the North Carolina Office of Rural Health, you are invited to the Primary Care Conference.

Come and join other safety-net professionals dedicated to providing quality health care services to the medically underserved and uninsured of North Carolina.

Registration is now open. Click here for the agenda and registration and hotel information.

Please note that when registering for the Primary Care Conference, all NCAFCC member clinics qualify for the Member registration rate.

NCAFCC Annual Members' Meeting
June 26 / Renaissance Asheville Hotel
Register by emailing Katie.

June 26-28 / Renaissance Asheville  Hotel

Leadership Retreat
September 19-20 / Historic Brookstown Inn - Winston-Salem

October 27-29, 2019 / Atlanta
The Pharmacy Connection: Software to Increase Access to Free Brand Name and Low Cost Generic Medications

There is a beginner TPC Training in Raleigh on Tuesday, May 7 th from 10 a.m. - 3:00
p.m. at The Office of State Human Resources Learning and Development Center, 101 W. Peace Street, Raleigh, NC 27603. It’s a four hour training in a computer lab plus an lunch hour break. T ypically new purchasing organizations or existing organizations using the program that may have new staff or need a refresher participate in the training. Use this link to register.

If you would like a personal introduction to what TPC has to offer you can contact Lisa Hueston, Program Manager at the Pharmacy Connection. Her email  or by phone at (804) 828-5803. Website:

 To register, please visit the Symposium’s site by visiting here.
Board of Directors 

Board Chair
April Cook
Lake Norman Community Health Clinic

Vice Chair
Tony Price
Moore Free and Charitable Clinic

John Price, ORH - Retired

Tracy Salisbury
Open Door Clinic of Alamance County

Lisa Bottomley
Community Care Clinic

Sissy Lee-Elmore
WATCH Healthcare Program

P atient-Centered Medical Home Transformation Initiative Video
Community Partners

Jerry Hermanson
Community Care Clinic of Highlands-Cashiers

Andy Kurtzman
Scotland Community Health Clinic

Michael Lischke, Ed.D., MPH
Northwest AHEC
WFU School of Medicine

Theo McClammy
Caring Community Clinic

John Mills

Krista Woolly
Community Care Clinic of Rowan County


ext. 104

Deputy Director
ext. 101

Cindy Jones , RCP
Director of Quality & Clinical Support
ext. 103

Office Manager
ext. 102