Presentation from Board and staff of the Canadian Association of Community Health Centres (CACHC) from the 2019 CACHC AGM in Ottawa, Canada. Including presentation by AGM guest speaker.

1. WELCOME
BIENVENUE
2019 Annual General Meeting
Assemblée générale annuelle 2019
Ottawa, ON | June 11, 2019
Ottawa Conference & Event Centre

2. 1.0
Welcome
Nicole Chammartin
Board Chair

3. 2.0
Approval
of Agenda
Nicole Chammartin
Board Chair

4. 1.0 WELCOME / OPENING REMARKS
2.0 APPROVAL OF AGENDA
3.0 APPROVAL OF 2018 AGM MINUTES
4.0 FINANCIAL REPORT
5.0 BOARD NOMINATIONS REPORT & NOMINEES
6.0 2018-2019 YEAR IN REVIEW & UPDATES
7.0 GUEST SPEAKER: Richard Napolitano
Building the Grassroots Advocacy Movement for Community Health Centres in
Canada: Inspiration and Insights from the United States
8.0 ADJOURNMENT
APPROVED AS PRESENTED
AGM Agenda

5. 3.0
Approval of
2018 AGM
Minutes
2018 AGM - Victoria
APPROVED AS
PRESENTED
Nicole Chammartin
Board Chair
2018 AGM Minutes
https://www.cachc.ca/wp-
content/uploads/2019/05/CACHC-2018-AGM-
MINUTES.pdf

6. 4.0
Financial
Report
Rick MacDonald
Board Treasurer

7. $-
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
2012 2013 2014 2015 2016 2017 2018
2012-13 to 2018-19 Finances
Revenue Expenses
-$62,224
+$52,027
+$17,244
+$25,595
+$31,132
-$41,861
-$44,265

8. Financial Highlights 2018-19
• After 4 years of balanced budgets and surplus, CACHC Board planned
for a deficit in 2018-19.
• Lots of important work is needed by CACHC and its members. Deficit in
2018-19 was necessary to move this work forward.
• CACHC membership revenue still does not meet operational needs.
Association is staffed by just 2 part time employees: Executive Director
(0.8FTE) and Admin Coordinator (0.6FTE).
• A number of CHCs are not yet participating in CACHC and contributing
to the CHC movement; delays collective stability and progress.
• Increased membership in 2018-19 (7th consecutive year of member
growth). Very encouraging but mainly from very small, emerging CHCs.
• End of year deficit ($41K) fell below deficit that was budgeted ($65K)
due to strong expense management by CACHC staff.

9. Financial Highlights 2018-19
• CACHC’s VIP Program for CHCs (www.cachc.ca/vip) grew in 2018-19
• 30 participating CHCs in 2018-19, up from 22 in 2017-18
• Increased benefits for CHCs and CACHC
• What we’re doing, and what we ask of CHCs
• The CACHC Board is exploring opportunities for further revenue
diversification
• We need all CHCs to be members of CACHC, to provide a solid
foundation.
• CACHC Board budgeted another (smaller) deficit for 2019-20 to
continue moving important work forward. This is not sustainable
beyond this year. Increased membership will enable a balanced core
budget for the association.

10. 4.1 Adoption of Financial Review
MOTION: “BE IT RESOLVED that the membership adopt the
Financial Review for the year that ended March 31st, 2019 as
presented to the Annual General Meeting.” APPROVED
4.2 Appointment of Accountants
MOTION: “BE IT RESOLVED that Loftus Allen & Co. be
appointed as the accountants for CACHC for the fiscal
year 2019-20.” APPROVED
MOTIONS

11. 5.0
Board
Nominations
Report &
CACHC 2019-20
Board Slate
Nicole Chammartin
Board Chair
&
Lynne Raskin
Board Member

12. Thank you to our outgoing
Board Members this year!
IRENE CLARENCE
Executive Director, Mid-Main Community Health Centre (Vancouver, BC)
• Has served three terms on CACHC Board; also served on previous national
association “CACHCA” Board from 2005-2012
• CACHC Board Co-Chair, 2016-2018
• Chair, CACHC Board Policy and Advocacy Committee, 2017-2019
RICK MACDONALD
Executive Director, Pender Harbour District Health Centre (Madeira Park, BC)
• Has served two terms on CACHC Board
• CACHC Board Treasurer, 2016-2019
LYNNE RASKIN
CEO, South Riverdale Community Health Centre (Toronto, ON)
• Has served three terms on CACHC Board; also served on previous national
association “CACHCA” from 2008-2012
• CACHC Representative to International Federation of Community Health
Centres, 2013-2019

13. Michele Bellows - Chief Executive
Officer, Rideau Community Health
Services (Merrickville, ON)
Director At-Large
Nicole Chammartin - Executive
Director, Klinic Community Health and
Sexuality Education Resource Centre
(Winnipeg, MB)
Director At-Large
Bill Davidson - Executive Director,
Langs Community Health Wellness
(Cambridge, ON)
Ontario Constituency
Jan Martin - Integrated Care Manager,
Southwest Ontario Aboriginal Health
Access Centre (London, ON)
Indigenous Services Constituency
Nadine Sookermany - Executive
Director Women’s Health Clinic
(Winnipeg, MB)
Manitoba Constituency
Jeannie Taylor-Page - Human
Resources and Privacy Officer, South-
East Ottawa Community Health Centre
(Ottawa, ON)
Director At-Large (Rep. to IFCHC)
Joanne Thompson - Executive Director,
The Gathering Place (St. John’s, NL)
Newfoundland & Labrador Constituency
Bobbi Turner - Executive Director,
Island Sexual Health (Victoria, BC)
British Columbia Constituency
Board of Directors Slate 2019-20

14. Michele Bellows is standing for her first term on the
CACHC Board of Directors as a Director At-Large. She is the
CEO of Rideau Community Health Services
(www.rideauchs.ca), headquartered in Merrickville, Ontario.
Michele has been a nurse for more than 35 years and has
both lived and worked in rural Ontario. These experiences
have contributed to her understanding of the challenges of
health access, care and equity, which she is eager to carry
forward through a position on the CACHC Board of
Directors.

15. Nicole Chammartin was first elected to the CACHC Board in
2015 and is standing for her third term, as a Director At-Large.
In 2017 she was elected Co-Chair of the association and then
Chair in 2018. Nicole is the Executive Director of two Manitoba
community health organizations: Klinic Community Health
Centre (http://klinic.mb.ca) and Sexuality Education Resource
Centre (https://serc.mb.ca). Previously, she was the Executive
Director of the Canadian Mental Health Association, Winnipeg
Region for seven years, the last year of which she oversaw the
amalgamation of the Winnipeg and Manitoba offices and acted
as Executive Director for both. Nicole is a passionate advocate
for mental health issues, community health and health equity.

16. Bill Davidson was first elected to the CACHC Board in 2017
and is standing for his second term as the Board Constituency
Representative for Ontario. Bill has been nominated for this
role by the Alliance for Healthier Communities under a new
process established this year by CACHC to have provincial CHC
associations identify provincial constituency reps to the
CACHC Board. Bill is a resident of Cambridge and has been the
Executive Director of Langs (www.langs.org) since 1985, a
Community Health Centre will numerous services and sites in
Cambridge and Ayr including the Langs Community Hub, an
innovative 58,000 square foot facility where over 20
community partners are co-located.

17. Jan Martin was first elected to the CACHC Board in 2017 and is
standing for her second term as Indigenous Health Services
Constituency representative. She is the Integrated Care Manager
for the Southwest Ontario Aboriginal Health Access Centre
(https://soahac.on.ca), Chippewas site in Muncey, Ontario. Jan is
a proud member of the Aamjiwnaang First Nation, located on the
St. Clair River, 3 miles south of the southern tip of Lake Huron in
the city limits of Sarnia, Ontario – just across the United States
border from Port Huron, Michigan. Jan is a seasoned senior
leader and has spent her entire career advancing the health and
wellbeing of First Nations people through roles with the Union of
Ontario Indians, the Federal Department of Indian and Northern
Affairs, and Chiefs of Ontario.

18. Nadine Sookermany is standing for her first term on the
CACHC Board and has been nominated as the Manitoba
Constituency representative by her provincial association, the
Manitoba Association of Community Health. Nadine Is the
Executive Director of Women’s Health Clinic
(http://womenshealthclinic.org) in Winnipeg where she first
started her career in the early 1990s as a volunteer Birth Control
and Pregnancy Counsellor and member of their Client Service
Team. She has been an advocate and social justice educator for
over 25 years and has a decade of senior management
experience in the non-profit sector working to end gender-
based violence in Manitoba and Ontario.

19. Jeannie Taylor-Page was first elected to the CACHC Board
and is standing for her second term, as a Director At-Large. For
her second term she has been selected by the CACHC Board to
represent the association as representative to the International
Federation of Community Health Centres. Jeannie is the Human
Resources and Privacy Officer at South-East Ottawa Community
Health Centre (www.seochc.on.ca) in Ottawa, where she has
worked for more than 14 years. Jeannie is also a Peer Reviewer
and Team Leader with the Canadian Centre for Accreditation
and has participated in more than a dozen Community Health
Centre accreditation reviews.

20. Joanne Thompson is the Executive Director of The
Gathering Place (https://kindnesswanted.ca) in St. John’s,
Newfoundland and Labrador, the first Community Health
Centre in the province. She is standing for her first term on
the CACHC Board of Directors, as representative for the
Newfoundland and Labrador constituency. She will be the
first Board representative from the province. Joanne has
worked in both the for-profit and not for profit sectors and is
dedicated to working towards systems and frameworks that
are accountable for outcomes, measured in a manner that
ensures transparency.

21. Roberta (Bobbi) Turner is standing for her first term on
the CACHC Board and has been nominated as the British
Columbia Constituency representative by the British
Columbia Association of Community Health Centres. Bobbi is
the Executive Director of Island Sexual Health
(www.islandsexualhealth.org) in Victoria, BC. She joined
Island Sexual Health 30 years ago as a community educator
and took on the role of Executive Director 25 years ago. Prior
to her work with Island Sexual Health, she earned her
Bachelor of Social Work and worked as a youth and family
counsellor.

22. Adoption of Board Slate
MOTION: “BE IT RESOLVED that the membership approve the
2019-20 slate of directors as presented.” APPROVED
MOTION

23. Full CACHC Board of Directors 2019-20
NOTE: at a Board Meeting immediately following the 2019 AGM,
the CACHC Board appointed their officers for 2019-20
Alberta
Cecilia Blasetti (Edmonton, AB)
British Columbia
Bobbi Turner (Victoria, BC)
Manitoba
Nicole Chammartin (Winnipeg, MB)
- Co-Chair
Nadine Sookermany (Winnipeg, MB)
New Brunswick
Lorri Amos (Doaktown, NB)
Newfoundland & Labrador
Joanne Thompson (St. John’s, NL)
Nova Scotia
Lorraine Burch (Chester, NS)
Ontario
Michelle Bellows (Merrickville, ON)
- Vice-Chair
Bill Davidson (Cambridge, ON)
- Co-Chair
Jan Martin (London, ON)
- Treasurer
Jocelyne Maxwell (New Liskeard, ON)
Jeannie Taylor-Page (Ottawa, ON)
Saskatchewan
Karen Cederwall (Saskatoon, SK)

24. 6.0
Year in
Review &
Updates
Scott Wolfe
Executive Director

25. Growth in CACHC Membership
41
59
78
86 92 98
105
0
20
40
60
80
100
120
2012 2013 2014 2015 2016 2017 2018

26. Diversification of CACHC Membership
0% 20% 40% 60% 80% 100%
2012
2013
2014
2015
2016
2017
2018
Ontario
Rest of Canada
46%
58% 42%
67%
69%
76%
83%
33%
31%
24%
17%
54%
53% 47%

27. A Look at CACHC Membership
in 2018-19
All 105 members by name, town,
province, and operating size
https://infogram.com/cachc-members-1hzj4o5qjn772pw?live

28. Select 2018-19 Highlights
Board
• First full year of Board committee work (Governance; Policy &
Advocacy)
• Implementation of first ever CACHC Board and Staff Operations and
Policy Manual
Operational
• Continued shift toward federal policy and advocacy work
• Increased engagement of members on core policy areas via national
working groups (pharmacare, dental care, housing, newcomer
health)
• Development, launch and advocacy on federal policy and election
platform: www.cachc.ca/election2019

29. Progress on Core Federal
Priority: Advancing CHCs
Essential building blocks
• Established the National CHC Data Working Group and adopted national
CHC evaluation framework https://us2.campaign-
archive.com/?u=7a43c7c3cc34f10750812285c&id=2eb63ce57e
• Established the Federal/Provincial CHC Associations Working Group to
support shared agenda at provincial and national levels
• Continued support to BCACHC and NSACHC to grow provincial capacity
Tools/resources
• Developed federal positioning of CHCs; lead action in federal policy and
2019 federal election platform: www.cachc.ca/election2019/chcs
• Collected national research/evidence on CHCs; developed first in series of
infographics and reports on CHCs https://www.cachc.ca/wp-
content/uploads/2019/06/2019-CACHC-CHC-Infographic-EN-FINAL.pdf
• Initiated development of new short film on role and impact of CHCs across
Canada (expected Fall 2019)

30. Progress on Core Federal
Priority: Advancing CHCs
Advocacy & Partnerships
• Distributed federal election platform to all federal MPs, Senators and
political parties
• Grew international partnerships and knowledge-exchange via IFCHC
(www.ifchc.org) with strong emphasis on Canada / U.S. CHCs and CHC
association partnerships (see: www.ifchc.org/victoriasummit2018 )
• Developed federal leadership angles and partnerships for Community
Health Connections 2019
• Initiated planning for a national grassroots advocacy strategy for CHCs
(see AGM guest speaker)

31. 7.0
GUEST
SPEAKER
Richard Napolitano
Senior Vice President for
External Relations and Chief
Development Officer
Greater Lawrence Family Health
Center (Methuen, MA)
Located in upper Massachusetts near the border with New
Hampshire, GLFHC (https://glfhc.org) is one of over 1,400
not-for-profit, community-governed Community Health
Centers throughout the U.S. (see: www.nachc.org/wp-
content/uploads/2019/01/Community-Health-Center-Chartbook-
FINAL-1.28.19.pdf). GLFHC operates 6 clinical sites, 2 school-
based sites, and cares for clients at 14 homeless shelters
throughout the region, serving close to 60,000 clients.
Richard Napolitano manages a team at GLFHC responsible for
community relations, government relations, communications,
marketing and development. He represents GLFHC in local
initiatives such as the Mayor's Health Task Force and serves
on the Massachusetts League of Community Health Centers’
Government Affairs Committee. Richard also serves on the
U.S. National Association of Community Health Centers’
(NACHC) Advocacy Task Force, its Healthcare for the
Homeless Committee, and its Health Policy Committee.
Through Richard’s, GLFHC has become a grassroots advocacy
leader within the U.S. and is one of a select number of CHCs
that has achieved Gold Level “Advocacy Center of Excellence
(ACE)” and “Hispanic Advocacy Center of Excellence (HACE)”
status through the national grassroots advocacy program
operated by NACHC.

32. GRASSROOTS ADVOCACY FOR
COMMUNITY HEALTH CENTERS:
EXPERIENCES AND LESSONS FROM THE
UNITED STATES
Richard Napolitano @rjnref
Greater Lawrence Family Health Center @GLFHC

33. What we are going
to discuss today
1. Community Health Center
movement in the United
States
2. Grassroots Advocacy – what
is it?
3. NACHC Health Center
Advocacy Network
4. How we see it – Grassroots
Advocacy at Greater
Lawrence Family Health
Center
5. Questions and discussion

34. • It began in 1965 - President
Lyndon B. Johnson’s “War on
Poverty”
• Led by Community Health and
Civil Rights – Drs. Jack Geiger
and Count Gibson
• The first two Neighborhood
Health Centers:
1. Boston, Massachusetts
2. Mound Bayou, Mississippi
The Community Health Center
Movement in the U.S.

35. • The primary medical home
for millions.
• Located in 11,000+ rural and
urban communities across
America.
• Bipartisan support by
administrations and
policymakers.
- All levels, private & public sectors
Today – CHCs serve more than
28 million people in the U.S.
http://www.nachc.org/wp-content/uploads/2019/01/Community-
Health-Center-Chartbook-FINAL-1.28.19.pdf

36. Greater Lawrence Family
Health Center
• Founded in 1980
• Largest primary care network in
region
• 2nd largest in Massachusetts
• 6 clinical locations
• Mobile Health Center
• 14 homeless sites
We are part of the solution…

37. We are part of the solution…
Greater Lawrence Health Center:
• Serves 60,000+ patients
• 650 employees
• 130+ clinicians
• Close to 1000 Health Center Advocates
• Lawrence Family Medicine Residency – first in the nation started in
1994

38. It’s the process of communicating with the general
public and asking them to contact their local, state
or federal officials regarding a certain issue.
Grassroots advocacy – what is it?
Citizen-based activism

39. Advocacy is much more than lobbying
Advocacy
creates its
own positive
publicity
The strength of
the community
health center’s
program
depends on
advocacy
Patient and
community
health depend
on our
advocacy

40. Does the issue require advocacy?
1. Is there a problem in your community?
2. Does the power to create the solution lie with
someone other than yourself?
3. Do services and benefits in your community
depend on the will of decision makers?

41. Advocacy helps to address
social determinants of health.
Transportatio
n
Local
government
Education
School board and
local government
Housing
Local housing
authority
Immigration
Law enforcement
and state and
federal policies
Access to health
care and coverage
Local, state, and
federal policies
Advocacy

42. •Sometimes legislative action is the
only way to accomplish your goal.
•Increase understanding of WHY
community health centers are
valuable.
•Reinforce the dignity and
humanity of people you serve with
the expectation that decision-
makers value patients too.
•A coordinated effort, is more
effective than individual
approaches.
•State, Local, and Federal
Delegation expect it from us.
Grassroots advocacy – why it matters?

43. Community Health Centers Must Advocate!
You can increase understanding of WHY health centers are valuable.

44. Advocacy fixed the
Community Health Center funding cliff
1. $7.8 billion in federal
grant funding for health
centers
2. $600 million dollars to
further support health
center operations and
address unmet need in
communities across the
country
3. $60 million dollars to
assist health centers in
areas impacted by recent
natural disasters.
•Emails230,000
•Calls35,000
•Social Media Impressions25M
•Congressional Meetings200+

45. NACHC – HEALTH CENTER
ADVOCACY NETWORK
A network of 175,000+ advocates
strong.
oA robust grassroots
network, fighting for good policies
and sustainable funding for
America’s Community Health
Centers.
www.hcadvocacy.org

46. ADVOCACY CENTER OF
EXCELLENCE PROGRAM
o Incorporating advocacy as an
element of operational excellence
o Focuses on engaging your diverse
patient population in advocacy
o Establishes a standardized
framework for building
engagement in your community
and an appetite for advocacy
o Make the commitment to
advocacy
o Register staff and board as
advocates
o Participate in NHCW
o Engage elected officials
o Establish an online presence

47. NATIONAL HEALTH CENTER WEEK
• A week of celebration for
Community Health
Centers across the U.S.
• Working with NACHC
and Mass League
• Focused on community,
patients, advocacy
• Invite/influence local,
state, and federal
delegation/stakeholders

48. HOW WE SEE IT…
GRASSROOTS ADVOCACY AT GLFHC
• Officially started advocacy efforts in 2015
• Full leadership support – from board and senior
leadership team
• ALL staff and board are advocates
• Mayor is Honorary Chair of GLFHC Advocacy
Network

49. HOW WE SEE
IT…
GRASSROOTS
ADVOCACY AT
GLFHC
ACE Program –
2nd Gold Level ACE in U.S.
HACE - First Hispanic Advocacy Center
of Excellence
Advocacy Champions Team – ACT
Advocacy Rapid Response Team - ARRT
Don’t be a Lone Ranger!
Collaboration is key to SUCCESS
Work with your Primary Care
Association

50. “THE WORK GOES ON, THE CAUSE
ENDURES, THE HOPE STILL LIVES,
AND THE DREAM SHALL NEVER DIE.”
SENATOR EDWARD M. KENNEDY…A LONGTIME
CHAMPION FOR COMMUNITY HEALTH CENTERS AND THE
PATIENTS WE SERVE EACH AND EVERY DAY.

51. THANK YOU FOR HAVING ME HERE TODAY.
HAPPY TO ANSWER QUESTIONS.
RICH NAPOLITANO
SENIOR VICE PRESIDENT, CHIEF MARKETING & DEVELOPMENT OFFICER
GREATER LAWRENCE FAMILY HEALTH CENTER
Twitter: @rjnref @GLFHC @HCAdvocacy
LinkedIn: www.linkedin.com/in/richnapolitano
Facebook: www.facebook.com/greaterlawrencefhc

52. 8.0
Adjournment
Thank you!