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Building a National Agenda for
CHC Leadership on Primary Care
and Engaging CHC Healthcare
Providers as Advocates
Dr. Daniel Miller
Chief of Clinical Integration and Graduate Medical Education,
Hudson River HealthCare and Board Member, US National
Association of Community Health Centres (Tarrytown, NY)
Cliff Ledwos
Director of Primary Care, Access Alliance Multicultural Health and
Community Services (Toronto, ON)
Hoda Mankal
Nurse Practitioner, Carlington Community Health Centre (Ottawa,
ON)
• 30 min presentation by Dr. Miller on experiences
from U.S. CHCs and associations engaging and
supporting clinicians around leadership & advocacy
• 30 min moderated discussion with all three panelists
• Goals:
• Identify challenges and opportunities for engaging CHC
clinicians beyond service delivery
• Learn from experiences and successes in the U.S.
• Identify opportunities for action and progress at individual
CHCs and CHC associations in Canada
The Community
Health Center
Movement
A Clinician’s
Perspective
Daniel Miller, MD
June 2019
The Health Cente
The CHC Movement
WHY?
Who Are
We?
What Is It
That We
Do?
The Health Cente
Drs. Jack Geiger & Count Gibson
Dr. Robert Smith
The Struggle Continues
National Vital Statistics Reports, Vol. 66, No. 4, August 14, 2017
The Struggle Continues
Changes in race- and ethnicity-adjusted life expectancy by income group, 2001 to
2014. JAMA. 2016 April 26; 315(16): 1750–1766. doi:10.1001/jama.2016.4226.
The Health Cente
The Health Cente
What Is It That We Do?
The Health Cente
CHCs Care for People
✚ Individuals and Populations
✚ Excellent Quality
✚ Respect and Dignity
✚ Justice and Equity
✚ Sustainable
 Finance
 Personal
 Operational
✚ We Evolve and We Improve
The Health Cente
We Are Better, Stronger Together
The Health Cente
NACHC Evolution
✚ We Are Better Together
✚ Committees
✚ Board of Directors
The Health Cente
NACHC Value Transformation
Framework
The Health Center
Social Drivers of Health
The Health Cente
The Most Important Thing is to Keep
The Most Important Thing
The Most Important Thing
Donald Coduto
Justice
Access
Equity Poverty
RacismMovementPatient
“The opposite of poverty is not wealth;
the opposite of poverty is justice.”
Building a National Agenda for CHC Leadership on Primary Care and Engaging CHC Healthcare Providers as Advocates
Thank You
Daniel Miller, MD
Chief, Clinical Integration & GME
Hudson River HealthCare, Inc.
dmiller@hrhcare.org

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