Monthly Update
November 2013
The Central Health Prop 1 Anniversary Event will be held: 
Thursday, Nov. 21st 
Palm Door (401 Sabine St.) 
 5:00 - 7:00pm

CCC Board of Directors Meeting Dates:

 All Board meetings will be held at 2:00pm at 1111 E. Cesar Chavez St., Austin, TX 78702 and are subject to change as needed.

  • December 10, 2013 
  • January 14, 2014 
  • February 11, 2014 
  • March 11, 2014 
  • April 8, 2014 
  • May 13, 2014 
  • June 10, 2014 
  • July 8, 2014 
  • August 12, 2014 
  • September 9, 2014 
  • October 14, 2014  
All meetings of the Board of Managers of Central Health and the Board of the CCC are open to the public. 


One of two monthly meetings of the BOM of Central Health is streamed live. Audio of Central Health Board meetings is available on 


  * The BOM of Central Health must approve budgets of the CCC in an open meeting.

:: 512-978-8464

Contact: Laura Miles
A Note from the CMO
Mark Hernandez, MD
Chief Medical Officer

Well, the holiday season fast approaches, that time of the year when we begin to focus on the things most precious to us, our relationships. And it is in that context that I ask each of us to think about how we can build better relationships with our patients. The CCC is committed to providing person centered care. This is not possible without each of us connecting with each other as people first. In other words, we need to care, intentionally. Dr. Peabody perhaps expressed it best: "The secret of the care of the patient is in caring for the patient." 


- Mark 

CCC Focused on Women's Health


The CCC is implementing three Delivery System Reform Incentive Payment (DSRIP) projects that address sexual, reproductive, and women's health. Two of these projects - STI Testing & Treatment and Pregnancy Planning - are underway; the third, CenteringPregnancy, will be submitted in a few weeks and implemented in the Spring of 2014.


The Sexually Transmitted Infection (STI) Testing & Treatment DSRIP project will provide expanded, free STI testing to 8,000 additional low income Travis County residents. Those who screen positive will receive treatment. Coupled with targeted outreach and education, this project will provide more screening and treatment, reduced infection rates, and improved utilization of services in Travis County - especially among populations that face measurable disparities in the incidence and treatment of STIs.


The Pregnancy Planning project will use social media and education strategies to inform uninsured and under-insured adolescents and young adult women about the prevention of pregnancies and long-acting, reversible contraception (LARC). Over the next year, this project will increase the number of LARC consultations for women younger than 25, and increase LARC insertions for an additional 500 women in Travis County who are under 25 years old. This safe and reversible contraception will be made available to them at no charge. Over the entire course of the project, an additional 1,200 young women will receive these services. Through this outreach, education and access, women will be better able to prevent unintended pregnancies.


CenteringPregnancy is an evidence-based prenatal education and care program that will be expanded in Travis County through a DSRIP project to be submitted in December. Over the course of this project, the CenteringPregnancy program will provide almost 200 African-American women with ten weeks of group education and routine visits with a provider that will occur within the group meeting time. The CenteringPregnancy program has been shown to reduce preterm births, increase birth weights, and increase patient and provider satisfaction. 

Leader Spotlight   

Ted Held, MD, serves as Assistant Professor, OB/GYN for UTSW Residency Programs in Austin, Director of Women's Health for CommUnityCare, and as the Women's Health Lead for the Community Care Collaborative. Ted's interest in medicine and health system design began while he was in college at UT Austin in the mid 1980's, during which time he helped design and implement an anonymous HIV testing program at People's Community Clinic.  That experience led to a US Public Health Service scholarship in Medicine at UTMB, where he graduated in 1992.  He completed his residency in OB/GYN at the University of Kentucky in Lexington in 1996 , and returned to Austin to as faculty in the OB/GYN department, where he continues to practice as an assistant professor at the UT Southwestern OB/GYN residency program at Seton. His research interests include studying policy and other structural factors affecting access to care, which he does in collaboration with the departments of social work and sociology at UT Austin.


He has a strong interest in care for the underserved- not just locally, but globally: he has served as a consultant and medical provider for USAID and Doctors of the World in Mexico, Peru, the former Soviet Union, and the Philippines.  Locally, he has served as the Director of Women's Health for CommUnityCare since 2003, is a long-time volunteer at El Buen Samaritano clinic, and was the Medical Director of Austin Women's Hospital from 2004 until it's closure in 2012. 


In addition to his teaching, clinical, and research responsibilities, he is near completion of his Master's in Public Health at UTHSC's Austin Campus, which he undertook to improve his skill set around health systems design and reform.  As the Women's Health lead of the CCC, he intends to incorporate public health and social science perspectives into the group's work, reflecting his view that health outcomes- including women's health outcomes- are often the result of forces and factors beyond the control of the individual woman or her health care provider, and thus require systemic and structural approaches in addition to medical approaches.

Quarterly Update Meeting Recap  


"In healthcare for Travis County, we find ourselves at a particular crossroads... An opportunity to decide whether we will continue to provide care in the same way in which we have always done, or to break away from that and go down the 'road less traveled.' I hope in ages hence I look back and think, 'We made the right decision to be innovative and try something new.'"


- Mark Hernandez, MD


On Tuesday, November 12th, 2013, Dr. Mark Hernandez hosted the first CCC Quarterly Update Meeting. The purpose of this gathering was to provide an update to the clinical stakeholders who are involved in the important and meaningful work of developing and implementing the Integrated Delivery System in Travis County. There was a robust conversation around improving care as well as critical and thought provoking questions.


Dr. Hernandez, in conjunction with several other CCC Workgroup leaders, spoke on some of the current and future work of the CCC. Topics that were covered included health information technology, CCC DSRIP projects, clinical protocol development, navigation, women's health, health promotion, pharmacy, dental health, children's health, service delivery, alignment, and  research enterprise.


Central Health Medicaid Waiver Director, Sarah Cook, reported that because the CCC successfully achieved all associated DSRIP project milestones for the planning phase of Demonstration Year 2 (DY2), $49 million will be received from the federal government, and that implementation work can now begin for DY3.


The meeting wrapped up with a preview of plans for the new teaching hospital and an announcement that meetings are currently being held involving UT and Seton to create a research enterprise for the CCC.


The next meeting is tentatively scheduled for the third week of January. 

Southeast Health and Wellness Center


Central Health will open a new state of the art health and wellness center in the fall of 2014 at the location of the former VA clinic on Montopolis Drive in the 78741 ZIP code. 


The new Southeast Health and Wellness Center is a model for providing high quality, cost effective, person centered care in the integrated delivery system. This site exemplifies the CCC's vision for the future of care delivery in Central Texas. 


The SEH&WC will be essential to the expansion of access to primary, specialty, behavioral health and dental care within the existing system for this traditionally underserved area in Travis County.