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Community Health Center organizations are continuing expansion efforts; they anticipate people having more health care needs — physical and behavioral — as they wend their way through the storm recovery process.

By Jennifer Fernandez

Read the full article at NC Health News

When the remnants of Hurricane Helene tore through western North Carolina, nurses based in schools and medical personnel from school-based health centers jumped in to help.

One counselor and a colleague visited a family in a home that had been washed downriver, where they listened to a child’s terrifying story about swimming through her bedroom, said Charley Thompson, communications manager with Blue Ridge Health. The Hendersonville-based system supports more than three dozen school-based health centers in western North Carolina.

The counselor spent one-on-one time with each child in the family to help them process what had happened, she said.

“We were all in such shock,” Thompson said of the storm’s aftermath. “Here we were dealing with all of these issues that we hadn’t really dealt with before.”

While schools were closed — some for several weeks — school nurses found ways to connect with students by working in shelters and distribution centers. School-based health centers set up pop-up clinics in the community and went looking for families that needed medical and mental health care.

Behavioral health issues are a concern more than two months later, as students struggle with displacement and, in some cases, losing a friend or family member. (As of Dec. 4, the death toll from Helene in North Carolina stands at 103.) Health professionals are also keeping an eye out for patients’ physical reactions to the flooding — an increase in respiratory illnesses, asthma getting worse or exposure to mold.

Read the full article at NC Health News

Bakersville, NC – January 7, 2025 — Mountain Community Health Partnership is pleased to announce that Dr. Steve North, MD, MPH, FAAFP, FASAM, has joined its team of dedicated healthcare providers. A rural family physician and specialist in addiction and adolescent medicine, Dr. North brings a wealth of experience and a deep commitment to improving healthcare access in Western North Carolina.

Dr. North first came to Bakersville in January 1999 as a third-year medical student for a six-week family medicine rotation at the Bakersville Clinic. Inspired by the community and its needs, he returned in 2006 as a full-time physician and provided care at the Buladean and Tipton Hill School and Family Health Centers from 2007 until the schools closed in 2011.

In addition to his clinical practice, Dr. North is the founder and medical director of Health-e-Schools, a groundbreaking school-based telemedicine program launched in 2011. Initially serving three schools in two counties, the program has grown to provide primary care, behavioral health, and adolescent medicine to over
72,000 students across 130 schools in 11 predominantly rural school districts in North Carolina. Health-e-Schools received the American Telemedicine Association’s President’s Award for Health, Quality, and Innovation in 2014.

Dr. North’s career also includes serving as the Vice President of Medical Strategy for Eleanor Health, an outpatient substance use disorder program, from 2019 to 2024. During this time, he championed harm-reduction strategies and the integration of virtual care to support recovery. From 2014 to 2019, Dr. North was the Medical Director for Mission Virtual Care, where he worked to integrate virtual visits and remote monitoring into Mission Health, North Carolina’s sixth-largest health system.

A recognized leader in telehealth, Dr. North has served as a Rural Telehealth Research Fellow at UNC’s Sheps Center for Health Services Research and contributed to national guidelines on pediatric telehealth and telemental health. He currently serves on the boards of Advocates for Youth, Impact Health, and the Toe River Health
District.

Dr. North’s educational background includes a bachelor’s degree in psychology from the University of Wisconsin-Madison, a medical degree from the University of North Carolina School of Medicine, and a Master’s in Public Health from the University of Rochester. He completed his Family Medicine Residency and Adolescent
Medicine Fellowship at the University of Rochester School of Medicine and Dentistry.

Dr. North resides in Spruce Pine, NC, with his wife Amanda and their four children. Outside of his professional work, he enjoys gardening, board games, and spending time with his family and their dogs. Mountain Community Health Partnership is excited to welcome Dr. North and looks forward to the continued
impact of his expertise and vision on the health and well-being of our communities.

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Mountain Community Health Partnership
Contact: Jamie McMahan
Web: www.mchp.care
Phone: (828) 675-4116 or request an appointment online www.mchp.care/patients

Community Health Center members, send your news to Stacie Borrello, NCCHCA Communications and External Affairs Manager.

 

Contact: Stacie Borrello, Communications and External Affairs, BorrelloS@ncchca.org 

December 3, 2024 – Community Health Centers (CHCs) in Western North Carolina are making an urgent appeal to state and federal lawmakers for Helene recovery funding to stabilize the rural health care workforce. Significant, long-term relief funding is essential to addressing the devastating operational and financial challenges left in the wake of Hurricane Helene, ensuring CHCs can continue providing critical care to underserved and rural communities.

“The biggest concern that I have right now, especially for some of the smaller FQHCs in rural areas, is the retention of our workforce,” said Dr. William R. Hathaway, CEO of Mountain Area Health Education Center (MAHEC). “When considering relief funding, legislators should understand that an investment in health centers isn’t simply an investment in health care, it’s an investment in economic development and stabilization of communities.”

Hurricane Helene inflicted catastrophic damage across Western NC, leaving CHCs grappling with significant challenges. Several facilities sustained significant flood damage, forcing their closure for the foreseeable future while they undergo repair, rebuilding, or relocation. Power outages destroyed essential medications, and ongoing utility disruptions delayed the reopening of certain services. Meanwhile, the closure of schools severely impacted CHC-operated school-based health centers, disrupting care for students and cutting off Medicaid reimbursements.

Despite these obstacles, CHCs have remained unwavering in their mission. Health center teams have deployed mobile units to reach the hardest-hit areas, conducted door-to-door well checks for vulnerable patients, and provided essential care in shelters and low-income housing communities.

“Community health centers are the backbone of the safety net in this region,” said Kim Wagenaar, CEO of Western North Carolina Community Health Services. “We see those who cannot be seen by anybody else. We provide more than just health care; we address food insecurity, housing, and transportation—so losing even one of us would be a loss to the entire region.”

Relief funding will be used to bolster the health care safety net for impacted residents and ensure health centers can maintain services and retain staff to provide care for the more than 192,000 patients who depend on Western NC health centers.

“We are working to fulfill our mission of improving health, inspiring hope, and advancing healing for the people of Western North Carolina,” said Dr. Richard Hudspeth, CEO of Blue Ridge Health. “Additional recovery funding is not just critical for the patients we serve but for the broader community.”

“The road to recovery is long, but the time to act is now,” said Chris Shank, CEO of NCCHCA. “Health centers cannot wait months for relief. Without immediate funding, we risk losing access to care for the most vulnerable in our communities.”

About NCCHCA:

The North Carolina Community Health Center Association represents 43 Community Health Center organizations operating more than 500 clinical sites statewide. CHCs provide comprehensive, affordable primary care—including medical, dental, and behavioral health services—to underserved communities, regardless of insurance status or ability to pay.

 

FOR IMMEDIATE RELEASE: November 11, 2024 | CONTACT: Samone Bullock Dillahunt, sabullock@advancechc.org 

RALEIGH, NC – Advance Community Health and First Choice Community Health Centers have announced the establishment of a strategic service agreement.

Under the terms of this agreement, Advance Community Health will offer essential operational support, which encompasses human resources, clinical and quality management, practice oversight, marketing, and community engagement initiatives. First Choice anticipates that this partnership will lead to enhanced resource allocation, improved staff support, and strengthened connections within the communities it serves.

“This collaboration is not solely about affecting change; it is about embodying that change,” stated Sheila Simmons, Chief Executive Officer of First Choice. “With over 45 years of experience in delivering comprehensive care, this represents an opportune moment for our organization to investigate avenues for expanding our service offerings, streamlining operations, and improving the patient experience.”

This initiative is designed to facilitate the sharing of resources while optimizing best practices to effectively achieve corporate objectives. The agreement underscores the mutual commitment of both organizations to refine healthcare operations and ensuring a seamless experience for patients and staff alike. By delegating critical business functions to Advance, First Choice can concentrate on providing superior care and augmenting its community impact.

“Entering into a partnership with First Choice is an exceptional opportunity,” remarked Scot McCray, Chief Executive Officer of Advance Community Health. “Community health centers are indispensable to our community, and this collaboration exemplifies how we can collectively create a more substantial impact.”
About Advance Community Health

Advance Community Health is a private, non-profit community health center in Wake and Franklin counties with a mission to deliver quality, compassionate primary health care – every patient, every time – in response to the needs of our communities. Since 1972, we have been an anchor of quality, compassionate health care for more than 20,000 patients of all ages, backgrounds, and income levels. Our community-based, patient-driven health centers provide comprehensive primary care, pediatrics, OB/GYN, dental care, nutrition education, behavioral health counseling, a 340B pharmacy, mobile health services, health care for the homeless programs, and more.

About First Choice Community Health Centers
First Choice Community Health Centers (FCCHC) is a non-profit community health center with a mission to provide comprehensive primary healthcare services, with excellence and compassion, for the entire community. Established in 1979, FCCHC is dedicated to providing primary health care and dental services to the underserved citizens of Harnett and surrounding counties. FCCHC provides comprehensive services including primary care, dental, behavioral health, mobile health and more.

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High Country Community Health has mobilized to help residents still reeling from the storm’s calamitous lurch through western North Carolina.

By Jaymie Baxley

Read the full article at NC Health News.

When your house is flooded and all your soggy belongings are piled on the street in front of your home, having a cavity or a toothache might seem like a small problem.

But it could become a bigger problem for residents of Avery County, where one of the primary dental clinics was inundated with floodwaters generated by the remnants of Hurricane Helene in late September.

More than a month after the storm, most stores and restaurants in Newland, the county seat, are still closed. Piles of ruined belongings sit waiting for collection in the yards of battered homes throughout the little town, which lies in a bowl surrounded by mountains and is bisected by the North Toe River.

On a recent afternoon in the lobby of Avery Medical, a clinic near the center of Newland, two women shared stories about the devastation they’d witnessed. One told the other she would have been “assed out” if the floodwaters that surged through her home had risen just a few inches higher.

“I’m just blessed that we made it out alive,” she said.

A total of 102 Helene-related deaths have been confirmed in North Carolina as of Nov. 8. At least five people from Avery County perished in the storm.

Avery Medical is run by High Country Community Health, a nonprofit that provides affordable care to low-income patients who lack health insurance. Many people in this rural county, which has a population of about 17,500, depend on the organization.

Nearly 15 percent of Avery County’s residents live below the federal poverty line, and 14.6 percent are uninsured, according to data from the N.C. Rural Center. The median household income for the county is only $53,500, well below the statewide average of $70,800.

Alice Salthouse, CEO of High Country, said seeing the storm’s toll on the struggling community has been “gut-wrenching.”

“Every day on my way to work, I drive past people’s homes — and everything they’ve owned is outside waiting for somebody to come take it all to the dump,” she said. “We’ve got older adults who have lived in their homes for years and years, and now their homes are gone. People’s lives have changed and will never be the same again.”

Read the full article at NC Health News.

The North Carolina Community Health Center Association extends its deepest gratitude to the Dogwood Health Trust for its generous donation to support the urgent funding needs of Community Health Centers (CHCs) impacted by Hurricane Helene.

CHCs provide comprehensive, affordable care to underserved communities, including rural residents who were among those most heavily affected by the storm. Despite suffering both organizational and personal losses, the Health Center workforce has remained a lifeline for thousands of impacted individuals in the disaster area, providing essential medical care with mobile units in hard-hit communities, performing door-to-door well checks, and reopening health center sites and pharmacies even while staff dealt with unimaginable losses.

Thanks to Dogwood Health Trust’s critical emergency relief funding, seven Federally Qualified Health Centers (FQHCs) within the foundation’s operating area are receiving relief funding to help support operations, pay staff, and provide vital care to impacted residents in the immediate aftermath of the storm.

“Hurricane Helene has affected the people and communities of Western North Carolina in unimaginable ways,” said Dr. Susan Mims, CEO of Dogwood Health Trust. “Our response includes this funding for short-term relief, and we will be here for long-term recovery and rebuilding as well. We are working with our funded partners to get resources to all our neighbors in need throughout the region.”

NCCHCA and the health center recipients are deeply grateful for Dogwood Health Trust’s unwavering commitment to health equity and its continued partnership as we work together to help Western North Carolina recover.

Despite this generous donation and others, the vast scale of devastation left by Helene and prolonged service interruptions mean that additional financial support will be needed to maintain operations in the near term and to support the long-term full recovery for our Western North Carolina Health Centers and communities.

CHC Disaster Relief Fund: To support ongoing recovery, NCCHCA has launched a group CHC Disaster Relief Fund to provide financial assistance to health centers and their staff as they rebuild. Donations to the NCCHCA Disaster Relief Fund will reach multiple impacted health centers with needed resources as they continue providing affordable medical and mental health care, medications, and hope to impacted communities.

See more about how CHCs stepped into the breach to serve their communities after Helene in this PDF: https://www.ncchca.org/wp-content/uploads/2024/11/Community-Health-Centers-on-the-Frontlines-of-Helene-10.23.24.pdf.

Click for the PDF version of this release

Oct. 16, 2024 – Hurricane Helene wreaked havoc on infrastructure, homes, and businesses across Western North Carolina, and severely impacted Western N.C. Community Health Centers (CHCs) and the patients they serve.

Helene Impact on CHCs: Several Western North Carolina health centers experienced significant damage to facilities, including:

These health center property losses have a heavy impact on community access to care. For instance, High Country Community Health lost a dental clinic with seven exam chairs, which was the only local place for uninsured people to seek affordable dental care in Avery County.

NCCHCA CEO Chris Shank with Blue Ridge Health CEO Dr. Hudspeth

At least seven other health center organizations in the impacted area – including Western North Carolina Community Health Services and Appalachian Mountain Health, both serving the Asheville area, and Hot Springs Health Program serving Madison County, have experienced moderate to severe operational disruptions due to utility outages and other storm-related impacts.

Health Care Heroes Respond to Crisis

While suffering immense property and personal losses due to this unprecedented natural disaster, CHC staff rose to bring care to communities in need during this unprecedented natural disaster by:

Health center staff continue to provide comprehensive medical, mental health care, and dental care to impacted communities, while also working to connect patients to food, medicine, water, and other essential supplies.

“Community Health Centers have shown incredible resilience and commitment to their communities,” said Chris Shank, President & CEO of NCCHCA. “Even as many of them dealt with personal and professional losses, they remained focused on providing life-saving care to the people who rely on them.”

See more examples of how NC Community Health Centers stepped into the breach to serve their communities after Helene in this PDF.

Short- and Long-Term Recovery Needs

While CHCs continue to deliver essential services, the scale of the devastation and the impact of disrupted operations means long-term financial support will be essential to support local recovery – and to retain the rural health care workforce in North Carolina.

WNCCHS Pharmacy after reopening

“We are grateful for the immediate support we’ve received, but the road to recovery is long,” Shank said. “We call on state and federal leaders to provide additional resources to help rebuild the health care infrastructure in Western North Carolina.”

NCCHCA and CHC Response

NCCHCA has been coordinating closely with impacted health centers, as well as state and federal agencies to advocate for health centers and connect them with critical supplies. The Association has also submitted a request to the North Carolina General Assembly for a relief funding package to support long-term Health Center recovery.

Supported by partners and other community health centers in the state like Kintegra Health, which donated use of its mobile unit and its warehouse for supply collection and distribution, NCCHCA will continue its work to ensure health centers have the resources and support needed to continue their work.

CHC Disaster Relief Fund

To support ongoing recovery, NCCHCA has launched a group CHC Disaster Relief Fund to provide financial assistance to health centers and their staff as they rebuild. Donations to the NCCHCA Disaster Relief Fund will reach multiple impacted health centers with needed resources as they continue providing affordable medical and mental health care, medications, and hope to impacted communities.

 

Media Contact: Stacie Borrello, Communications and External Affairs Manager, borrellos@nccha.org

None of this, apparently, was going to stop Simpson from leading Appalachian Mountain Community Health Centers in an exhaustive response effort. Or from working to procure not just medicines and supplies for her clinicians, but food boxes for employees in danger of going without. She’d secured therapy for providers returning from the devastation they’d seen in the road, and emergency funding to pay staff salaries after Helene strained budgets and cost nonprofit health providers revenue.

But when Simpson spoke with Direct Relief on Friday morning, she was determined and even cheerful — although she admitted she needed to find some time to look for housing. She’d spent some in-person time with her team that morning, “getting to see their faces” instead of communicating through messaging. The health center had arranged a partnership with local pharmacies, so that medications for new and existing patients would be covered in coming weeks. Although her staff had started out the week with one open clinic and a mobile van, they’d been able to add working sites and expand their hours day by day.

“If we don’t stand up, people go without,” she said. “It’s situations like this that show the true strength of federally qualified health centers.”

“Wherever there is need”

The scale of Hurricane Helene’s impact is only beginning to emerge, but the region’s community health centers were preparing long before the storm hit. They’ve gathered the medications and supplies experience has taught them will be needed, such as through Direct Relief’s Hurricane Preparedness Program. Vulnerable patients have been connected with medication and services. Clinics and mobile medical units have been prepped for response efforts.

Health center leaders describe staff members showing up for work immediately after Helene had passed — even though staff are overwhelmingly locals themselves, and flooded houses, missing or sick relatives, and food shortages were affecting them as well.

Providers at Cherokee Health Systems, a community health center in eastern Tennessee, had spent the last few days moving from place to place to offer mobile clinic services, following guidance they’d received from local officials. In one unincorporated community, they found 200 older people who’d been unable to evacuate and who’d been essentially “locked in” by impassable roads, said Cherokee CEO Dr. Parinda Khatri.

“They are going wherever there is need,” she said.

Read more:

Stakeholders of THIS-NC pictured at Aug. 15 ribbon cutting event at First Choice Community Health Centers in Lillington.

 

A new health research organization held its inaugural event, a ribbon cutting celebration at First Choice Community Health Centers in Lillington, on Thursday, August 15 from 2:00-3:30pm.

Known by the acronym THIS-NC (The Translational Health Institute of the Safety Net in North Carolina), the nonprofit organization partners with safety net providers to support health research and quality improvement projects that are driven by the communities that they serve.

Dr. Becca Hayes, THIS-NC ribbon cutting

“THIS-NC formed from the drive to value lived experiences and elevate community voices. We believe that communities know what they need and have the best solutions for any challenge,” said Dr. Becca Hayes, Director of Health Research at the North Carolina Community Health Center Association (NCCHCA), a main collaborator on the THIS-NC launch. “We support communities by capturing the voices of populations who are often overlooked.”

Along with NCCHCA, which supports First Choice Community Health Centers and other Federally Qualified Health Centers in North Carolina, THIS-NC is affiliated with the North Carolina Association of Free and Charitable Clinics, the North Carolina School Based Health Alliance, Rural Health Centers, North Carolina Central University research programs, and the North Carolina Department of Health and Human Services. THIS-NC plans to work with these partners to co-develop sustainable, data-driven solutions to improve health access and outcomes through community-based research and education.

First Choice Community Health Centers This-NC event

“I look forward to THIS-NC being a community-engaged organization that provides research insights meaningful for safety-net providers working in close partnership with the communities they serve,” said Chris Shank, President and CEO of NCCHCA.

Joining Ms. Shank and Dr. Hayes at the THIS-NC ribbon cutting were April Cook, Board Chair of THIS-NC and CEO of the North Carolina Association of Free and Charitable Clinics (NCAFCC); Sheila Simmons, CEO of First Choice Community Health Centers; Deepak Kumar, PhD, Associate Provost and Dean of Research and Sponsored Programs at North Carolina Central University; and Kathryn Ferguson, Board Chair of First Choice Community Health Centers.

North Carolina State Senator Jim Burgin (R- Harnett, Lee, Sampson) also accepted an invitation to attend the ribbon-cutting as an honored guest and elected official overseeing Lillington and Harnett County, where THIS-NC is based.

 


About This-NC:

Our Vision is to be the partner of choice for North Carolina’s safety-net providers, study sponsors, and funders invested in clinical trial and clinical care quality and serve as a model nationally.

About NCCHCA:

The North Carolina Community Health Center Association represents 43 Community Health Center (CHC) organizations that operate over 500 clinical sites in 85 N.C. counties, and served more than 752,000 patients in 2022. CHCs are federally funded, nonprofits organizations that have a mission of providing integrated primary, dental, and behavioral health care to underserved and rural communities, without regard for insurance status or ability to pay.

About First Choice Health Center:

First Choice Community Health Centers (FCCHC) was established in 1979 as a non-profit community health center and certified as a Federally Qualified Health Center (FQHC). FCCHC is dedicated to providing primary health care and dental services to the underserved citizens of Harnett and surrounding counties. The mission of First Choice Community Health Centers is to provide comprehensive primary healthcare services, with excellence and compassion, for the entire community.

CHCs Need Helene Recovery Support - Give Now

Western NC health centers have stepped up to provide incredible service to their communities, acting immediately after the storm to re-open sites, deliver supplies, and volunteer in shelters, public housing complexes, and senior living centers, bringing care to their most vulnerable neighbors. Now it’s our turn to support these health care heroes and help them rebuild their communities:

Donate to the Disaster Fund