Presentation by Mark Masselli to the Sloan Program in Health Administration at Cornell University

1. Creating World Class Delivery
System to Improve the Health of
Vulnerable Populations
Transforming Primary Care at the Community Health Center

2. Our Vision:
Health Care is a Right not a Privilege
Our Mission
CHC is building a world class primary health care system, that is
committed to caring for special populations, and that is focused
on improving health outcomes for our patients as well as building
healthy communities.
Our Toolbox
Our People
Our Partners
Our Infrastructure
Our Innovations
2
Our Vision, Mission, and Toolbox

3. Community Health Center, Inc.
Middletown, CT
Cartoon Video

4. CHC’s Background
The best of…
• Local and University Activism
• Nationally, The Free Clinic Movement
• Internationally, The Community Health Center Movement

5. Locally, CHC grew out of the student and community activism in Middletown.
Key aspects of this activism include social entrepreneurialism working together
for social justice.
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The Student and Community Activism In Middletown

6. Origins of the National Free Clinic Movement
The Free Clinic Movement began in the
1960s in San Francisco when Dr. David
Smith founded the Haight Ashbury Free
Clinics during the summer of love in the
Haight Ashbury district.
Free clinics quickly spread to other
California cities and the rest of the United
States. In 1972 a meeting was held in
Washington DC where clinic staff from
around the country gathered and listened to
speakers including Dr. Smith. At this
meeting the slogan “Health Care is a Right
Not a Privilege” emerged as a theme.

7. Origins of the
International Community Health Center
Movement
Medical students Sidney Kark and
Emily Jaspan, found the Society of
Medical Conditions and create the
“Pholela Health Unit” which
integrates individual clinical care with
health promotion.
The Karks developed a social theory
of medicine with the Pholela unit as a
model which includes education for
self help, recruiting and training
community workers, and creates
multi disciplinary teams.

8. Jack Geiger secures a Rockefeller Foundation fellowship to
go to South Africa to learn about community oriented
primary care the Karks. Based on this, he writes a proposal
for a comprehensive, contemporary community health
center in the United States.

9. Community Health CentersToday
• CHCs serve the primary healthcare needs of 23 million
patients in over 9,000 locations across America
• Affordable health services for millions of uninsured, the
working poor and newly jobless Americans
• Each health center takes a tailored approach to meet the unique
needs of the people in its surrounding community.
• $24 billion in annual savings to the healthcare system

10. CHC has taken the entrepreneurial and activist passion from the
local community, principles and ideals of the National Free Clinic
Movement and combined them with advances in primary care
growing out of the international community health center
movement. We continue to work at making top quality integrated
care accessible to underserved populations across Connecticut.

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Our Waiting Rooms, Then and Now
1972 2015

12. Since 1972, Community Health Center, Inc. has been building a world-class primary
health care system committed to caring for underserved and uninsured populations
and focused on improving health outcomes, as well as building healthy communities.
Three Foundational Pillars
• Clinical Excellence
• Research & Development
• Training the Next Generation
CHC Inc. Profile:
•Founding Year - 1972
•Primary Care Hubs – 13
•No. of Service Locations – 251
• Licensed /Total SBHC locations –
21 comprehensive/28 behavioral
health only/189 mobile dental
•Organization Staff - 605

13. Care Delivery
Medical Care & Ancillary Services
Dental Care
Behavioral Health Care
Prenatal Services
Top Chronic Diseases
Cardiovascular Disease Obesity/Overweight
Diabetes Chronic Pain
Asthma Depression
• Patients who consider CHC their health care home: 130,000
• Health care visits: 500,000 per year
CHC Patient Profile
0%
25%
50%
75%
100%
90.80%
22%
64.8%
42%
6%
65%
CHCPatient Demographics

14. CHC Model Of Primary Care
• Patient-centered healthcare home
– (Level 3 NCQA Recognition, Joint Commission Gold Seal)
• Comprehensive care, integrating primary medical care,
dentistry and behavioral health on teams
• Care wherever you are (W.Y.A)
• Timely efficient care, advanced access scheduling, expanded
hours
• Transparent data driven; outcome focused using clinical
microsystem approach
• Planned care and chronic care model
– Clinical Excellence
– Research and Development
– Training the next generation of healthcare providers to this
model of care

15. Team-Based Care
Key Innovations

16. Fully Integrated EHR Behavioral Health Warm Handoffs
Key Innovations

17. Quality Improvement Infrastructure

18. Data Driven Care

19. Linking Specialists with Primary Care via
eConsults
Patient’s
EHR
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Web-Based
eConsult
Platform
Web Based
Platform
Building National Models of Care

20. Building National Models of Care

21. Building National Models of Care

22. Building National Models of Care

23. CHC’s Educational, Technical & Innovation Projects

24. Contacts
Mark Masselli
President/CEO
ph: 860.347.6971 x3620
email: mark@chc1.com
Margaret Flinter, APRN, PhD
Senior Vice President/Clinical Director
ph: 860.347.6971 x3622
email: margaret@chc1.com
Tim Kearney, PhD
Chief Behavioral Health Officer
ph: 860.347.6971 x3507
email: kearnetr@chc1.com
Daren Anderson, MD
Vice President/Chief Quality Officer
ph: 860.347.6971 x3740
email: andersd@chc1.com
Heather Crockett-Washington, DDS, MPH
Chief Dental Officer
ph: 860.347.6971 x3059
email: crockeh@chc1.com
Mary Blankson, APRN
Chief Nursing Officer
ph: 860.347.6971 x3008
email: mary@chc1.com
Veena Channamsetty, MD
Chief Medical Officer
ph: 860.347.6971 x3009
email: channav@chc1.com