The Community Clinic Voice News Digest highlights a selection of recent news, resources and events from our online community.

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CCV NEWS DIGEST FOR NOVEMBER, 2006
** BUILDING CAPACITIES
** CLINIC OF THE MONTH
** FUNDING
** HEALTH POLICY & TRENDS
** HELP WANTED
** IT & HEALTHCARE
** LEADERSHIP DEVELOPMENT
** MEDICARE - MEDICAID
** PATIENT CARE
** QUALITY
** WORKFORCE

** BUILDING CAPACITIES:

COMMUNITY CLINICS INITIATIVE MAJOR CAPITAL CAMPAIGN GIFT RFP 10 - To be released December 20.

http://www.communityclinics.org/section/rfp/

2006 MAJOR CAPITAL PROJECT SEMINAR MATERIALS - Resources and presentations from CCI's November 2 seminar in Berkeley are available online. They include Capital Campaigns: Creating Capacity Through Fundraising; Building Ongoing Fundraising Support for Your Organization; Debt Financing and Business Planning.

http://www.communityclinics.org/content/article/detail/896

TRANSFORMING THE FUTURE HEALTH OF RURAL COMMUNITIES THROUGH ECONOMIC DEVELOPMENT - California State Rural Health Association launches a USDA-funded capital campaign project. The project will help position participants to begin fundraising efforts that will ultimately lead to expanded facilities and enhanced ability to provide healthcare.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42939

BEST PRACTICES FOR RECRUITING CONSUMER BOARD MEMBERS - Public Counsel is researching and documenting the unique benefits and challenges presented by community-directed governance. As part of this research, they are conducting a brief ten question survey.

http://www.communityclinicvoice.org/discussion/discussion_list_flat.htm?parent_doc_id=43112

JAMES IRVINE FOUNDATION CA LEADERSHIP AWARDS - Recognizing Californians who are advancing innovative and effective solutions to significant issues for the state's future in fields such as education, health, housing, economic development, or the environment. Nominations are due by January 19, 2007 and award recipients will be announced in June 2007.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43164

THE CALIFORNIA WELLNESS FOUNDATION SABBATICAL PROGRAM HONORS NONPROFIT EXECUTIVES - Nonprofit health sector executives honorees are: Speranza Avram, Northern Sierra Rural Health Network; Louis Chicoine, Tri-City Homeless Coalition; Brian Contreras, 2nd Chance Family & Youth Services; Xavier Flores, Pueblo Y Salud; Harry Foster, Family Healthcare Network; Michael Green, Center for Environmental Health; Rojane Jackson, Community Interface Services; and Pheng Lo of Lao Family Community of Stockton.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42868

** CLINIC OF THE MONTH:

CONGRATULATIONS TO COUNTY OF MONTEREY HEALTH DEPARTMENT - CCV's Clinic of the Month for December. And a round of thanks to all who served as clinics and consortiums of the month during the past year.

http://www.communityclinicvoice.org/discussion/discussion_list_thread.htm?attrib_id_list=1958

If you would like to share information about your mission and work as a 2007 clinic of the month, please contact Sarah at: sfrankfurth@tides.org.

** FUNDING:

CDHS HEALTH CARE COVERAGE INITIATIVE - The Coverage Initiative is a component of the five-year section 1115 Medi-Cal Hospital/Uninsured Care Demonstration that makes available $180 million of federal funds each year for years three, four, and five of the Demonstration. The application due date has been extended to 5pm on January 5, 2007.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43266

FY 2007 NEW ACCESS POINT - Applications are due December 6. Replays of HRSA's Oct 23 New Access Point Technical Assistance Call available through Dec 6. CPCA has developed a resource guide for the NAP, including examples of a business plan, health care plan, and needs assessment worksheet. This funding opportunity completes the New Access Point program under the first President's Health Center Expansion Initiative that was begun in FY 2002. Application guidances are expected in the winter of 2007 for a new expansion program, the President's High Poverty Counties Initiative, to include both New Access Point and health center planning grants.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42303

SERVICE AREA COMPETITION - The deadline for project periods starting June 1, 2007 and July 1, 2007 is December 15, 2006.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=41092

SEED GRANTS: COMMUNITY-BASED EFFORTS TO PROMOTE BREAST CANCER AWARENESS AND EARLY DETECTION - The Nancy R. Gelman Foundation funds community-based efforts to promote breast cancer awareness and early detection among populations at increased risk; or development of information materials to encourage appropriate screening and to help guide patients through treatment options, among other projects. Applications due January 17, 2007.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43301

COMMUNITY ACCESS TO CHILD HEALTH IMPLEMENTATION FUNDS PROGRAM - American Academy of Pediatrics will make six-month grants of up to $10,000 to pediatricians in the planning or pilot stages of community-based child health initiatives that increase access to medical homes and other needed services. Apply by January 31.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43551

AHRQ, NIH MOVE TO E-APPLICATIONS FOR GRANTS - Beginning with grant proposals due Feb. 5, the National Institutes of Health and two other Department of Health and Human Services agencies, Agency for Healthcare Research and Quality and the CDC's National Institute for Occupational Safety and Health, will require their largest groups of potential grant recipients to submit applications electronically, using Grants.gov. A free webcast training on Dec 5. will focus on the transition.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43582

CALIFORNIA FOUNDATIONS: TRENDS AND PATTERNS - Report finds that foundations have weathered the economic downturn and giving has exceeded the high levels set in 2000. Large regional disparities exist--resources are concentrated in the Bay Area and Los Angeles, with not enough funding going to the state's neediest areas.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43148

** HEALTH POLICY & TRENDS:

THE IMPACT OF THE CONGRESSIONAL ELECTIONS ON HEALTH CARE - Expansion of children’s health care coverage and improvements to the Medicare Part D will receive a tremendous boost when the new Congress convenes in January, writes Families USA. Major changes in Medicaid are unlikely to be adopted. National Association of Community Health Centers writes that new Members of Congress need to be educated about the history and value of America's health centers, and on our policy agenda for 2007. Congress has yet to approve the full $181 million increase requested by the President, which would extend affordable health care services to 1.5 million new patients in communities across the country. Lawmakers also need to reauthorize the Health Centers program for another five years.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43162

HEALTH CENTERS' FY07 APPROPRIATION STILL TO BE DECIDED - It appears likely that programs in Labor-HHS (including health centers) will continue to be funded at last year's levels under a "Continuing Resolution," reports NACHC.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43487

ELECTION RESULTS MAY HELP MOVE U.S. TOWARD A HIGH-PERFORMANCE HEALTH CARE SYSTEM - The Commonwealth Fund writes that a truly bipartisan approach to health care could help the country begin to address serious problems like the rising numbers of uninsured and soaring health care costs--issues which Americans have identified as top priorities. New efforts to speed the adoption of information technology may also move into the spotlight.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43127

CA GOVERNOR AIMS TO EXPAND HEALTH COVERAGE - Gov. Arnold Schwarzenegger has announced that his second-term goals include reducing health care costs and extending coverage to all 6.7 million uninsured California residents. His proposal is expected to focus on expanding coverage for children, promoting a healthy lifestyle, reducing costs and utilizing technology.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43480

CALIFORNIA HEALTH-RELATED BALLOT MEASURES FAIL - Both Prop 85 Waiting Period and Parental Notification and the Prop 86 Tobacco Tax were rejected by California voters in November.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43061

EVERY CHILD, EVERY PROMISE: TURNING FAILURE INTO ACTION - America’s Promise Alliance has enlisted the National Association of Community Health Centers in a partnership to ensure that children receive the promise of a healthy start through America’s Health Centers. The first comprehensive study of how well our children are receiving key developmental resources that correlate with success finds that one third of teens lack access to a doctor, dentist, and heath insurance.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43306

INSURERS PROPOSE HEALTH CARE COVERAGE EXPANSION - America's Health Insurance Plans this month released "A Vision for Reform" that seeks to extend health insurance to all children within three years and to almost all adults within 10 years. About 46.6 million U.S. residents lacked health insurance in 2005, a 17% increase from 2000. The proposal, which would cost an estimated $300 billion over 10 years, does not include a plan to finance it, and it fails to address several key issues, such as how to reduce health care costs, and industry practices that exclude people in poor health. Equally important are steps to make sure that every American has a health care home, writes NACHC.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43253

A TEAR IN THE SAFETY NET - Many hospitals lack financial assistance policies to aid low-income and uninsured patients, according to a report recently released by Health Consumer Alliance and funded by The California Endowment. The report also highlights "best practices" that offer financial assistance and make information about programs available to patients.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43147

** HELP WANTED:

Central Valley Health Network has a position open for a Quality Improvement Director. Clinicas de Salud del Pueblo in Brawley seeks an experienced Billing Manager. Valley Community Clinic needs a Development and Communications Officer and full-time Registered Dental Assistant in North Hollywood. West County Health Centers (Sonoma County) has openings for a Fundraising Manager, Licensed Clinical Social Worker and Associate Clinical Social Worker / Intern, and full-time Family Practice Physician for the Russian River Health Center. Find details on these positions, or post your own job openings in the CCV Discussion area:

http://www.communityclinicvoice.org/discussion/discussion_list_flat.htm?parent_doc_id=10318&startrow=6

IT & HEALTHCARE:

NEW! HEALTH CENTER USE OF ELECTRONIC HEALTH INFORMATION, 2006 - NACHC has updated state fact sheets on health centers' adoption of electronic health information and barriers to adopting health information technology. The state-level findings are based on a 2006 national survey of health centers.

http://www.communityclinicvoice.org/library/library_resources_show.htm?doc_id=43485

CCV DISCUSSION - There is little doubt that to commit to an EMR is a major culture and operations change, writes Dean Germano of Shasta Community Health Center. We need the State and Feds to recognize this as a major commitment of resources where most of the payback is to the payor (State and Feds) and the patients (better patient care) and not really to the practice given all that needs to happen... Having said that, I believe in the next few years the technology and implementation strategies will improve and the roll-out with other partners will make more sense. In the meantime wish us well. To join this discussion, visit;

http://www.communityclinicvoice.org/discussion/discussion_list_flat.htm?parent_doc_id=42641

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43129

SURVEY: MANY EXPECT HIT LEGISLATION TO PASS IN NEW CONGRESS - HIT proponents are turning their hopes to the New Democrat Coalition (NDC), a moderate, pro-growth congressional group promoting economic growth through technology, science, and research and development. NDC also hopes to be instrumental in the adoption of EHRs, grants to support HIT networks, and reduced regulatory barriers for implementing e-health information.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43066

CMS MIGHT SEEK TO PROMOTE HEALTHCARE IT THROUGH REGULATION - Lacking enactment of legislation to promote healthcare IT, CMS might have to help forward health IT on a regulatory basis, according to Acting CMS Administrator Leslie Norwalk, who says CMS might seek to promote healthcare IT through demonstration projects that test new forms of reimbursement and healthcare delivery and through Medicare Quality Improvement Organizations.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43002

CAN OPEN SOURCE ADVANCE HEALTH INFORMATION EXCHANGE? - The California HealthCare Foundation and CalRHIO hosted a forum to explore the possibilities of an "Open Regional Health Information Network." Presentations from the Nov 15 forum are available online.

http://www.communityclinicvoice.org/news/news_show.htm?doc_ID=43233

NATIONAL HIT NETWORK PREVIEW COMING SOON - Robert Kolodner, interim national coordinator for health information technology, expects demonstrations of prototypes on the government's effort to set up a Nationwide Health Information Network will begin in January.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43594

SIX MONTHS REMAINING TO GET YOUR NPI - It is estimated that use of the NPI can require a transition period of no less than 120 days.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43497

PROFILES OF PROGRESS: STATE HEALTH IT INITIATIVES - The National Association of State CIOs provides a state-by-state "snapshot" of progress, including the California eHealth Action Forum.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43284

STATE E-HEALTH ALLIANCE ESTABLISHES TASK FORCES - Task forces on health information exchange, health-information confidentiality, and practice of medicine to meet in February.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43523

HHS REQUEST FOR INFORMATION: HEALTH IT AND GENOMIC INFORMATION IN POPULATION- AND COMMUNITY-BASED HEALTH CARE DELIVERY - HHS requests input on plans for developing and using resources involving health information technology and genetic and molecular medicine, with specific reference to incorporating these capacities in evidence-based clinical practice, health outcomes evaluations, and research. Responses due January 2.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43032

MIXED REACTION TO FIRST 'HARMONIZED' HEALTH IT STANDARDS - Officials at AHIC praised the effort but said they weren't ready implement the standards; others said the work was flawed because the panel was influenced by vendors.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42911

STUDY: TRENDS IN MOBILE COMMUNICATIONS AMONG CLINICIANS - Clinicians are experimenting with a wide variety of different mobile devices, and report difficulties due to lack of standardized tools and processes to collaborate with colleagues.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43034

UPDATED WEB DESIGN AND USABILITY GUIDELINES TO IMPROVE WEB SITES - HHS announced the publication of the 2006 edition of the popular research-based guidelines, a primary resource for government and other Web communicators.

http://www.communityclinicvoice.org/library/library_resources_show.htm?doc_id=43254

NIST RELEASES INFORMATION SECURITY HANDBOOK FOR MANAGERS - Broad overview assists in understanding how to establish and implement an information security program.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43143

** LEADERSHIP DEVELOPMENT:

ROBERT WOOD JOHNSON EXECUTIVE NURSE FELLOWS PROGRAM - Three-year program will provide advanced leadership training. Applications due February 1, 2007.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43314

PHYSICIANS INVITED TO APPLY FOR ROBERT WOOD JOHNSON CLINICAL SCHOLARS PROGRAM - Research and work with communities, organizations, practitioners, and policy makers on important healthcare issues. Apply by February 15, 2007.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43449

** MEDICARE - MEDICAID:

THE MEDICARE DRUG BENEFIT: CHANGES IN CALIFORNIA FOR 2007 - Open enrollment for the Medicare Part D prescription drug benefit runs through December 31, 2006; analysis shows many beneficiaries will have to switch plans to take advantage of lower Medicare drug premiums in 2007. A CHCF fact sheet highlights several important changes to the drug benefit and the options available to Medicare beneficiaries in California for 2007.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43142

MEDICARE PAYMENTS TO PHYSICIANS WILL DECREASE 5% ON AVERAGE NEXT YEAR - Under the final version of CMS rules made public on Nov 1, 2006, payments will increase for most "evaluation and management" services, such as preventive care. Payments will increase by one-third for office visits, the most frequently billed physician service.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42923

MEDICAID COMMISSION ISSUES RECOMMENDATIONS - A federal Medicaid commission appointed last year by HHS Secretary Leavitt on issued a report to Congress that recommended placement of the sickest beneficiaries in managed care plans and additional flexibility for states to administer benefits under the program. NACHC expressed disappointment with the proposal to allow states to shift dual eligible patients in Medicaid Advantage plans.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=31698

CALIFORNIA DELAYS ENFORCING MEDICAID PROOF-OF-CITIZENSHIP LAW - The state is reviewing concerns that county officials and health care providers raised before issuing regulations for counties. About 20 other states also have not yet implemented the law. And, an Administrative policy change threatens coverage for poor infants, writes Center for Budget and Policy Priorities: CMS has instructed states that they may no longer provide automatic coverage to some babies who are born in the United States and are U.S. citizens, if the mother does not herself meet citizenship requirements for Medicaid.

http://www.communityclinicvoice.org/news/news_show.htm?doc_ID=43318

** PATIENT CARE:

AHRQ LAUNCHES ELECTRONIC PREVENTIVE SERVICES SELECTOR (ePPS) TOOL FOR PRIMARY CARE CLINICIANS - Designed for use on a PDA or desktop computer to allow clinicians access to the latest recommendations from the AHRQ-sponsored U.S. Preventive Services Task Force. And, AHRQ recently announced distribution of the 2006 Guide to Clinical Preventive Services, a pocket-sized book featuring the Task Force's latest preventive screening recommendations, and has also released the Adult Preventive Services Timeline, a wall chart based that can help determine who needs preventive services and when.

http://www.communityclinicvoice.org/library/library_resources_show.htm?doc_id=42914

STUDY: PHARMACY CARE PROGRAMS BOOST REGIMEN ADHERENCE - Study finds adherence increased to 96.9% from 61.2% six months after a pharmacy care program was implemented. Researchers recommend health care delivery systems promote programs that increase medication adherence when dealing with populations that are less likely to comply with treatment regimens.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43319

CONNECTING WORLDS CURRICULUM NOW AVAILABLE ONLINE - An introduction to health care interpreting from The California Endowment.

http://www.communityclinicvoice.org/library/library_resources_show.htm?doc_id=43534

NEW WELL-CHILD CARE RESOURCES, CME CREDITS AVAILABLE - Webcasts on screening in primary care for Maternal Depression and Child Behavior; online manual on linking families with community resources.

http://www.communityclinicvoice.org/library/library_resources_show.htm?doc_ID=42938

** QUALITY:

ON THE FRONT LINES OF CARE: PRIMARY CARE DOCTORS' OFFICE SYSTEMS, EXPERIENCES, AND VIEWS IN SEVEN COUNTRIES - U.S. physicians are among the least likely to have extensive clinical information systems or quality-based payment incentives, according to a new Commonwealth Fund/Harris Interactive survey.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42933

CREATING A FRAMEWORK TO IMPROVE CHRONIC DISEASE CARE - In the absence of a comprehensive unified health care system, regional initiatives are taking shape to improve the cost and quality of health care for local populations, says a new report from California HealthCare Foundation.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43580

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43298

IT PART OF FOCUS ON QUALITY - Citing HIT among four cornerstones to improved quality of care and lower costs, HHS Secretary Mike Leavitt this month reinforced his call for a multi-pronged effort by patients, large private employers, the federal government and hospitals and physicians.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43592

PAY-FOR-PERFORMANCE: RISKS AND RECOMMENDATIONS - Quality measures still reflect a tiny segment of clinical practice; little attention is devoted to building an evaluation framework that would allow us to learn from our inevitable mistakes, according to a member of the Institute of Medicine committee that produced the recent P-4-P report, "Rewarding Provider Performance: Aligning Incentives in Medicare."

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42959

NEW PAY-FOR-PERFORMANCE DEMO TO FOCUS ON SMALL TO MEDIUM PHYSICIAN PRACTICES IN CALIFORNIA - The HHS Medicare Care Management Performance Demonstration will begin in 2007 in four states, including California.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=42770

** WORKFORCE:

NEW REPORT: U.S. HEALTH WORKFORCE PROFILE - As the nation confronts a shortage of nurses that is predicted to grow with the retirement of baby boomers, a new report by the Center for Health Workforce Studies at the University at Albany's School of Public Health finds that California has the fewest registered nurses per capita of all the states. Only 5%t of the nation's RNs are minorities. The report details the supply, distribution, and education of health personnel in all 50 states and D.C.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43486

HEALTH CARE WORKFORCE CHARTBOOK - The Center for the Health Professions at UCSF has released a comprehensive chartbook on the frontline health care workforce in collaboration with the Robert Wood Johnson Foundation. It offers a synthesis of useful information across the frontline occupations, including occupational growth, per capita employment, demographic, and wage data.

http://www.communityclinicvoice.org/library/library_resources_show.htm?doc_id=42943

HEALTH PROFESSIONS DIVERSITY LEADERSHIP SUMMIT - Discussion comes amid rising concerns about the nation’s primary care workforce, with a projected steep decline in the number of primary care physicians, and significant clinical vacancies reported at Community Health Centers around the country. NACHC calls for reauthorization of the National Health Service Corps programs, and greater participation of health centers in the Health Careers Opportunity Program (HCOP) and the Centers of Excellence (COE), two diversity programs.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43555

PHYSICIANS INCREASINGLY WORK BEYOND RETIREMENT AGE - Data from the American Medical Association indicates that about 18% of doctors in 2004 were age 65 and older, an increase of 2% since 1993 and 5% since 1975. However, two recent studies have countered the assumption that experienced physicians provide better care.

http://www.communityclinicvoice.org/news/news_show.htm?doc_id=43231

** UPCOMING EVENTS:

For information on all events, see the CCV Calendar:

http://www.communityclinicvoice.org/calendar/calendar.htm

National Influenza Vaccination Week - November 27 - December 3, 2006

Proposal Writing Seminar II: Tailoring Proposals to Maximize Success - December 1, San Francisco

Advances in Chronic Care Management: Partnering Across Systems - December 2, San Francisco

Proposal Writing Seminar - December 4, Los Angeles

CSRHA's Rural Health Conference - December 4-6, Sacramento (and via Teleconference)

Managing Ambulatory Health Care: A Program for Physicians in Community Health Centers - December 4-7, Boston, MA

Mobile Dentistry Statewide Planning Meeting - December 5, Sacramento

Free NIH Training: Preparing for Electronic Grant Application Webcast - December 5

California Association of Public Hospitals and Health Systems Annual Conference - December 6-8, Marina del Rey

Mapping Your Community: Using Data for Action - December 7, San Diego

Making Cultural and Linguistic Services Work for Your Organization - December 8, Oakland

CPCA's OSHPD and UDS Training Series - December 11-12 in Los Angeles; December 13-15 in Sacramento (Deadline for 2006 UDS submission will be February 15, 2007)

Free Webinar: How to Drive Efficiency and Cut Costs with Your Healthcare IT Investment - December 12

National Quality Forum Conference: Implementing Measures for Ambulatory Care - December 18-19, Washington, DC

Community Clinics Initiative Major Capital Campaign Gift RFP 10 Released - December 20

Online Health IT Training Course - Begins January 3, 2007

Health Action 2007 - January 25-27, Washington, D.C.

Improving Handoffs to Reduce Patient Harm - February 5, San Francisco

HIMSS Annual Conference February 25 - March 1, New Orleans

2007 National Conference on Health and Domestic Violence - March 15-17, San Francisco

National Hispanic Medical Association Annual Conference - March 22-25, San Antonio, TX

CCI Collaborative Leadership Program for Medical Directors and their Executive Directors/CEOs - March 26-29, San Francisco

For information on all events, see the CCV Calendar:

http://www.communityclinicvoice.org/calendar/calendar.htm