24th Annual Midwest Stream Farmworker Health

F O R U M

November 20-22, 2014 • Hyatt Regency San Antonio Riverwalk Hotel • San Antonio, Texas

Building Blocks: Achieving Excellence in Migrant Health

Produced by:

Dear ColleaguesWelcome to San Antonio and the 24th Annual Midwest Stream Farmworker Health Forum. I hope that you will have awonderful experience, learn a lot from each other and the training sessions, work hard, relax and return home rejuvenated. Ialso hope that you will glean at least one valuable take home message that you will share with your employers and your co-workers when you return to your health centers.

This year’s line-up of sessions and presenters is designed to provide you with specific training opportunities and we hope thatthe two prevailing themes, community engagement and increasing access to quality care for migratory and seasonalagricultural workers (MSAWs) are as important to you as they are for me.

Community Engagement means different things to different people. To me, it means that we must never forget the roots ofthe Migrant Health movement, when that spark came to life in 1962 during the Office of Economic Opportunity’s (OEO) War onPoverty. Community engagement at that time embodied the essence of participatory democracy, with the mandate of a 51%consumer majority board of directors setting Migrant Health Centers apart from health departments and hospital basedclinics. This unique legacy set the stage for integration of Community Health Workers (CHWs) into today’s health center team,and a care delivery model designed to increase farmworkers’ access to appropriate, quality health care in the communitieswhere they live and work.

Long before we had words like social equity, health disparities and population health, those who were engaged in migrant healthknew that without a community response to assure access to a safe home, nutritious food, fair wages, and educationalopportunities, improving health status would not succeed. I am amused today by the perception that this is a new concept, whenit is, in fact, one we all continue to work towards, despite the challenges. Today, farmworkers must also compete with the newlyinsured at the front desks of our health centers for limited provider resources, and they are at a distinct disadvantage.

Please join me and your colleagues from across the Midwest as we explore ways that we can work together to increase accessto quality primary health care for a greater number of agricultural workers and their families. As you participate in this year’sForum, please ask yourselves what you and your peers can do in your communities and at your health centers to serve just 10 – 15% more in the coming year. I hope that this will be the beginning of a national effort to assure that we collectively riseto the challenge of assuring access to care for this wonderfully deserving population.

Table of Contents

General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Meeting and Event Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Schedule-at-a-Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5

Daily Schedule and Program Descriptions . . . . . . . . . . . . . . . . . . . . . .6

Continuing Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Plenary Speakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Stream Forum Planning Committee . . . . . . . . . . . . . . . . . . . . . . . . . .19

Conference Sponsors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Back Cover

Exhibitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Back Cover

E. Roberta RyderPresident & CEONational Center for Farmworker Health, Inc.

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Registration Desk – The registration desk will be open on the followingdays and times:Wednesday, November 19th 4:00 PM - 7:00 PMThursday, November 20th 7:00 AM - 5:00 PMFriday, November 21st 7:00 AM - 5:00 PMSaturday, November 22nd 7:00 AM - 12:00 PM

Interpretation Services – Interpretation services will be available for somesessions. Please check at the registration desk for a list of these sessions or ifyou have any other questions regarding interpretation services.Servicios de interpretación – Contarán con servicios de interpretación enespañol en algunas de las sesiones. Por favor consulte en la mesa de inscrip-ción para obtener una lista de estas sesiones o si tiene alguna otra preguntasobre los servicios de interpretación.

GENERAL INFORMATION

Wednesday, November 19, 2014Voucher Programs Meeting (by invitation only)1:00 PM-5:00 PM Conference Center – Bowie C

Thursday, November 20, 2014Morning Intensives8:30 AM – 12:00 PM The 3 Essential Core Competencies in Providing Healthcare ServicesNueces/FrioPopular Education and Community Organizing with Pancho Arguelles (en español)Live OakConnecting the Dots: My Work and the 19 Health Center Program RequirementsBlanco/LLano

Opening Plenary 1:30 PM – 3:00 PM, Regency EastJoin us for the official conference “kick off” with the latest federal updatesrelated to migrant health along with an update from NACHC. The updates willbe followed by a not-to-be-missed program by Carl Rush. Carl will present“Developments in Policy for Community Health Workers/Promotores:Highlights of Opportunities and Strategies.”

Welcome Reception (Sponsored by BCBS of Texas)6:30 PM – 8:30 PM, Regency EastWe are pleased to have Dr. Esteban Lopez from Blue Cross Blue Shield of Texas. Dr. Lopez will briefly present: Harvesting the Fruit of Health Care Reform: An Organic Approach. Join us for a look into the Affordable Care Act and how it is changing health care coverage for Texans across the state. Immediately following this presentation, join us for networking, live music, and a buffet-style dinner at the welcome reception. Relax and connect with your farmworker health colleagues as you enjoy local music,food and drinks.

Friday, November 21, 2014

Morning/Afternoon Breakouts8:30 AM – 5:30 PM, Hill Country LevelJoin us for cutting edge presentations focusing on the latest in agriculturalworker health. The multi-track program features sessions on agriculturalworker health-specific clinical, research, outreach/lay health, administration,management, and leadership development topics.

Exhibits7:30 AM- 4:30 PM- Garden TerraceExhibitors provide attendees with information and materials for expandinghealthcare services to agricultural workers. Come by the exhibit tables duringmorning and afternoon breaks to learn more.

Keynote Address Luncheon (Sponsored by Amerigroup) 12:00 PM- 1:30 PM Regency EastYou will not want to miss Francisco “Pancho” Argüelles as he discusses buildingpower among community members and how that is central in the process ofcreating sustainable community engagement in our public health work.

Saturday, November 22, 2014

Saturday Plenaries with Breakfast8:30 AM—10:00 AM, Regency EastWall of Wonder – Understanding Agricultural Workers of theMidwest – Roundtable discussions

Closing Plenary10:30 AM- 12:00 PMImmigration Reform on Hold: What Do We Need to Know? How Do Health Centers Best Respond? Come hear Roger Rosenthal discuss the hot topic of immigration reform.

MEETING AND EVENT HIGHLIGHTS

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Schedule-at-a-GlanceWEDNESDAY, NOVEMBER 19

1:00 PM – 5:00 PM Voucher Programs (by invitation) Losoya Conference Center Bowie C

1:30 PM – 7:00 PM Registration Open Hill Country Level

5:00 PM – 7:00 PM Exhibitor Setup Garden Terrace – 1st Floor

THURSDAY, NOVEMBER 207:00 AM – 5:00 PM Registration Open Hill Country Level

7:30 AM – 8:30 AM Continental Breakfast Garden Terrace – 1st Floor

7:30 AM – 4:30 PM Exhibits Open Garden Terrace – 1st Floor

8:00 AM – 12:00 PM Voucher Meeting (Invitation only) Key Largo

8:30 AM – 12:00 PM Nueces/ Frio Pecan Live Oak Pecos Blanco/Llano

INTENSIVESHill Country Level

The 3 Essential Core Competencies

in ProvidingHealthcare Services

Popular Educationand CommunityOrganizing

Connecting the Dots: My Work and the 19 Health Center ProgramRequirements

10:00 AM – 10:15 AM Break with Exhibitors Garden Terrace – 1st Floor

12:00 PM – 1:30 PM Lunch On Your Own

1:30 PM – 3:00 PM Regency East – Ballroom Level

Opening Plenary

Welcome – E. Roberta Ryder, CEO, National Center for Farmworker HealthUpdate from the Bureau of Primary Health Care LT Israel Garcia, MSSW, LICSW Senior Public Health Analyst; Bureau of Primary Health Care/HRSAUpdate from the National Association of Community Health Centers (NACHC)- Joe Gallegos, Sr. Vice President, WesternRegion NACHCDevelopments in Policy for Community Health Workers/Promotores: Highlights of Opportunities and Strategies Carl H. Rush, MRP, Research Affiliate Project on Community Health Worker Policy and Practice, University of Texas- Houston,Institute for Health Policy

3:00 PM – 3:30 PM Break with Exhibitors Garden Terrace – 1st Floor

3:30 PM – 5:00 PM Nueces/ Frio Pecan Live Oak Pecos Blanco/Llano

Breakout SessionsHill Country Level

Migrant Health 101:An Introduction toMigrant Health

Understanding theTriple Aim forPractical Use

Improving the Safetyand Health of

Hispanic PesticideWorkers & Living and Working in

Agriculture – CaseReport of SevereAcute Illness in aToddler Exposed to

Pesticide

Choosing EffectiveHealth EducationTools to Reach Your

Patients

Somebody’s Child:Understanding

Domestic Minor SexTrafficking

6:30 PM – 10:30 PMWelcome Reception – Esteban Lopez, MD, MBA Regional President, Blue Cross and Blue Shield of TexasSponsored by Blue Cross Blue Shield of Texas: Buffet/Live Band/Dancing

Regency East, Ballroom Level

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FRIDAY, NOVEMBER 217:00 AM – 5:00 PM Registration Open Hill Country Level7:30 AM – 4:30 PM Exhibits Open Garden Terrace – 1st Floor7:30 AM – 8:30 AM Continental Breakfast Garden Terrace – 1st Floor8:30 AM – 10:00 AM Nueces/ Frio Pecan Live Oak Pecos Blanco/Llano

Breakout SessionsHill Country Level

Engaging HealthCenters in CommunityBased ParticipatoryResearch to ImproveHealth Outcomes

Addressing Barriersto Healthcare:

Mobilizing BehavioralHealth Delivery in the Interest ofPrevention and Brief Intervention

HombresPreparados, An HIVTraining, Part 1

Chronicles: TheCommunity andMigrant HealthCenter Story

The Importance ofFarmworker

Advocacy and CivicEngagement:Turning Up theVolume on the

Farmworker Voice10:00 AM – 10:30 AM Break with Exhibitors Garden Terrace – 1st Floor10:30 AM – 12:00 PM Nueces/ Frio Pecan Live Oak Pecos Blanco/Llano

Breakout SessionsHill Country Level

Personal Goal Settingand Career Planning:Success in your Health

Center Career

Who Does Farmworkand How has thisChanged: Findingsand Trends From

Census of Agricultureand NAWS & A

National Overview ofAgricultural WorkerMHC Patients in 2012

HombresPreparados, An HIVTraining, Part 2

Medical – LegalPartnerships:Connecting theHealth and Legal

Needs ofFarmworkers

Navigating theCommunity HealthWorker Landscape

12:00 PM – 1:30 PMKeynote Address Luncheon – Sponsored by Amerigroup – Regency East, Ballroom Level (lunch provided)Community Engagement: The Bottomline in What Makes the Difference in our Efforts to Promote Health withAgricultural Workers – Francisco “Pancho” Argüelles, Living Hope Wheelchair Association, Houston, Texas

2:00 PM – 3:30 PM Nueces/ Frio Pecan Live Oak Pecos Blanco/Llano

Breakout SessionsHill Country Level

Best Practices WhenSigning Up MSFW forACA & A CommunityBased Approach toUnderstanding ACA

EffectiveCollaboration toIncrease Access toCare of Underserved

Populations

The Road to GoodHealth Toolkit forPromotores/as:Developed by theNational DiabetesEducation Program

Part 1

Identifying andAddressing Social

Determinants of Healthand Equity AmongMSFW and Their

Families in Wyoming:A Community

Readiness Approach

Workers Health andSafety on US DairyFarms & Seguridaden Las Lecherias

3:30- 4:00 PM Break with Exhibitors Garden Terrace – 1st Floor4:00 PM- 5:30 PM Nueces/ Frio Pecan Live Oak Pecos Blanco/Llano

Breakout SessionsHill Country Level

Implementing PCMHfor Medical Mobile

Populations

A PartnershipBetween Health

Centers and MigrantSeasonal Headstart

The Road to GoodHealth Toolkit forPromotores/as:Developed by theNational DiabetesEducation Program

Part 2

Lost in Translation:Best Practices for

Cultural Competencyin the Austin Latino

Community

Day 2 is adjourned for free time in San Antonio, TX. ENJOY!

SATURDAY, NOVEMBER 227:00 AM – 12:00 PM Registration Open Ballroom Level8:30 AM – 10:00 AM Regency East, Ballroom Level

Breakfast PlenaryWall of Wonder – Understanding Agricultural Workers of the Midwest– Roundtable discussions

Edelmiro Garcia, Board Member, Brownsville Community Health CenterHilda Ochoa-Bogue, Research and Development Director, NCFH

10:30 AM – 12:30 PM Regency East, Ballroom Level

Closing Plenary Immigration Reform on Hold: What Do We Need to Know? How Do Health Centers Best Respond?Mr. Roger Rosenthal, Executive Director, Migrant Legal Action Program

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Title: The 3 Essential Core Competencies in ProvidingHealthcare Services

Time: 8:30 AM – 12:00 PMPresenter(s): Alicia Gonzales – National Center for Farmworker Health, Inc.Room: Nueces/FrioAll health care workers, from outreach staff & front desk personnel to healthcare providers, need core skills to enhance their delivery of service. Culturalcompetency, Communication and Customer Service are skills considered themost critical or essential. This conference intensive will cover these areas needed to create an environ-ment of service, including effectively working with a diverse client populationand enhancing overall communication with patients/clients and teammembers. This interactive workshop will cover effective strategies to deliverculturally competent services by exploring the meaning of diversity and itsrelationship and impact on communication and human relations; beliefs andbehaviors related to cultural diversity; and ways to enhance skills forimproved cross-cultural communication. Participants will also explore thedimensions of excellent customer service to create an environment for yield-ing both internal and external results and lastly, an overview of the keycommunication skills and methods required to build optimal skills in internaland external interpersonal communications.

Title: Popular Education and Community OrganizingTime: 8:30 AM – 12:00 PMPresenter(s): Pancho Arguelles – Executive Director, Living Hope

Wheelchair AssociationRoom: Live OakThis workshop will model the traditional popular education method: action-reflection- action-reflection with hands-on exercises (dinámicas) with timeincorporated during the workshop to debrief and reflect about the method-ological, political and organizing elements of the exercises. The tools and exercises are based on 30 years of experience Pancho hasworking with campesinos in Mexico & Nicaragua and with immigrants, lowwage workers, organizers and social justice activists in the United States.Several of the exercises that will be used are described in the curriculumBRIDGE: Building a Race and Immigration Dialogue in the Global Economy,NNIRR, 2003, co-written by the presenter.This session will be in Spanish with English translation available.

Title: Connecting the Dots: My Work and the 19 Health Center Requirements

Time: 8:30 AM – 12:00 PMPresenter(s): Hilda Ochoa-Bogue – National Center for Farmworker Health, Inc.

John Troidl- Health Services Management; Karen Mountain-Migrant Clinicians Network

Room: Blanco/LlanoHealth center program requirements affect every member of the health centerstaff. The information shared through this interactive session will assist boardmembers, clinicians, and front-line staff to understand the PHS Section 330program requirements and to be able to visualize the connections between theirdaily responsibilities and the ability of the health center to meet these require-ments. Training every staff member on the 19 program requirements and the

process for the Operational Site Visit will provide an advantage to health centersand foster successful outcomes. A list of the program requirements will bedistributed in English and Spanish, as well as a tool for helping participants toidentify the requirements most related to their functions at their health centerand potential performance improvement strategies they can implement.

Title: Migrant Health 101: An Introduction to MigrantHealth

Time: 3:30 PM – 5:00 PMPresenter(s): Alexis Guild – Farmworker Justice; Ricardo Garay – Migrant

Clinicians Network; Diana Lieu – Health Outreach PartnersRoom: Nueces/FrioThis workshop offers a comprehensive orientation to the migrant healthprogram in the United States. Whether you are new to the migrant healthfield or someone that needs a refresher, join us for a look into the fascinatingworld of the health care program for migrant and seasonal farmworkers andtheir families. In this workshop you will learn the history of agricultural migration, the struc-ture of the migrant health program, and the people that make it work. Youwill also learn about farmworkers, their health care needs, and the system ofcare that works for them. Acronyms such as DHHS, HRSA, BPHC, ONTASP, FHN, PCMH, etc. will be deciphered,and available resources to make your work easier and better will be provided.

THURSDAY, NOVEMBER 20DAILY SCHEDULE AND SESSION DESCRIPTIONS

Opening PlenaryDate: Thursday, November 20thTime: 1:30 PM - 3:00 PMRoom: Regency EastMaster of Ceremonies: E. Roberta Ryder, BA, President and CEO,National Center for Farmworker Health, Inc.Update from the Bureau of Primary Health Care: LT Israel Garcia, MSSW, LICSW Senior Public Health Analyst; Bureau of Primary Health Care/HRSAProgram Update from the National Association of CommunityHealth Centers: Joseph D. Gallegos, MBA, Senior Vice President forWestern Operations, National Association of Community Health CentersOpening Presentation: Carl H. Rush, Research Affiliate Project onCommunity Health Worker Policy and Practice, University of Texas-Houston, Institute for Health Policy Developments in Policy for Community Health Workers/Promotores: Highlights of Opportunities and StrategiesThis session will review trends in state and federal policy concerningCHWs/Promotores and define the major areas of focus for policy andsystems change: occupational definitions and skill standards, majoroptions for sustainable financing, and workforce development strategies.Lessons learned from policy change in various states will be discussed,along with the specific opportunities presented by recent Medicaid rulechanges on payment for preventive services.

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Title: Somebody’s Child: Understanding DomesticMinor Sex Trafficking

Time: 3:30 PM – 5:00 PMPresenter(s): Taiya Jones-Castillo – Texas Department of State Health ServicesRoom: Blanco/LlanoDomestic minor sex trafficking happens in every community in Texas. In thissession, you will learn how to accurately identify suspected victims and theirtraffickers, how to determine youth who are at-risk and protect them frompredators by understanding their methods of control and coercion, and howto utilize tools and resources to educate your community and interveneappropriately. This session is especially appropriate for professionals workingwith migrant and seasonal farmworker families due to the increased mobilityand risk factors present among this population. This session will be conducted in English with Spanish translationavailable

Title: Understanding the Triple Aim for Practical UseTime: 3:30 PM – 5:00 PMPresenter(s): John Troidl – Health Services ManagementRoom: PecanFunders such as CMS (Medicare, Medicaid, and the Child Health Program),HRSA and the Bureau of Primary Health Care are increasingly using The TripleAim as the policy model for health care organizations they pay or fund. TheTriple Aim consists of (1) quality of care from the patient perspective, (2)reduced cost per patient, and (3) improvements in overall community healthstatus. If you understand The Triple Aim, you can do better strategic planning,improve your grant writing, have a closer relationship with key funders, andaccomplish more significant results that will benefit your patients.This session, for board members and management staff, as well as others, willhelp you understand The Triple Aim in a powerful, fundamental way so that youmay use it as a tool in your planning, partnering, and grant writing activities.

Title: Improving the Safety and Health of HispanicPesticide Workers; and Living and Working inAgriculture: A Case Report of Severe AcuteIllness in a Toddler Exposed to Pesticides

Time: 3:30 PM – 5:00 PMPresenter(s): Abstract 1: Cesar Asuaje – University of Florida

Abstract 2: Jennifer Sievert – Washington State Departmentof Health

Room: Live OakAbstract 1: Improving the Safety and Health of Hispanic Pesticide WorkersHispanic pesticide applicators are difficult to reach and educate. Many areunable to participate in extension education programs because of languagebarriers and other social-economic factors. There is a significant need to helpHispanic pesticide handlers to become certified pesticide applicators, as thiswill not only improve their safety but it also will raise their income. Florida, like many other states, requires that pesticide exams are administeredonly in English. This regulation is adversely affecting a considerable percent ofHispanic applicators; it is limiting their professional development. Most agri-cultural companies require a pesticide certification to promote employees tobetter job positions, salaries and benefits. To respond to this situation, the University of Florida designed an extensionprogram to understand and identify the educational strategies to address theneeds of Hispanic pesticide handlers. Based on evaluations and findings resultingfrom fifteen years of working with Hispanic pesticide applicators, this extensionprogram has developed a technique to educate Hispanics and impact their social-economic conditions. The program evaluation showed that there is a targetedclientele within the Hispanic pesticide handlers’ community that is capable ofpassing a pesticide certification test in English, if the proper learning experiencesare provided. Furthermore, the evaluation study highlights the family economicimpact on Hispanics with a pesticide certification, and shows that Hispanics’perception of safety and health improved with the pride to be able to becomemore recognized as professional pesticide applicators in their job environment.Abstract 2: Living and Working in Agriculture – Case Report of SevereAcute Illness in a Toddler Exposed to PesticidesExposure to pesticides is one of many occupational hazards associated withfarm work. But unlike most other hazards, pesticides can be brought homeinadvertently on the worker and affect family members. This presentationdescribes such a case. In this case history, a young child developed sudden severe illness andstopped breathing after having been in a recently sprayed orchard and eatingseveral cherries picked there. This case describes findings from the statehealth department’s investigation, which revealed that the child had beenexposed to multiple pesticides just prior to onset of illness. This case report highlights the importance of worker training, awareness oftake-home exposure pathways, and the possible risks of exposure to multiplepesticides, including those commonly used in households. At the end of thissession, participants will also be able to reiterate the importance of taking anenvironmental and occupational history to healthcare providers and consideroccupational health collaborative projects with state health departments.Texas is one of 12 states nationwide that conducts public health surveillance foracute work-related pesticide exposure. This event took place in WashingtonState. State health departments collaborate with the CDC’s National Institutesfor Occupational Safety and Health (NIOSH) to identify trends, problems, andprovide data to support policy decisions regarding pesticides and human health.

THURSDAY, NOVEMBER 20

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Title: Choosing Effective Health Education Tools toReach Your Patients

Time: 3:30 PM- 5:00 PMPresenter(s): Vangie Orozco- National Center for Farmworker Health, Inc.Room: PecosThere are many resources available for providing health education andoutreach; however, not all of them are effective with all patient populations.Therefore, identifying and choosing the best and most effective health educa-tion tools for your patients is very important. Due to the nature of healthinformation, people often have difficulty reading and understanding writtenhealth materials, such as informational brochures about diseases and treat-ments, prescription instructions, and consent forms. This is true for people ofall literacy levels, but particularly so for those with limited reading skills suchas many health center patients, including agricultural workers. In addition,many health education materials are developed for a general mainstreamAmerican audience and may not work as well with specific sub-populations.For migrant health patients, health care materials and education tools thatare culturally appropriate, easy-to-read and have a clear message are essen-tial. During this interactive workshop, participants will learn key verbal andwritten communication strategies for conveying clear health education

messages. They will also learn the elements of effective health educationtools, and through hands-on activities they will understand how to identify,assess and/or develop clear and easy-to-read and effective health educationmaterials in order to improve patient understanding of their condition, self-management and compliance with provider guidance. Some exemplaryhealth education tools will be showcased.This session will be conducted in English with Spanish translationavailable

Welcome ReceptionEsteban Lopez, MD, MBA Regional President,

Blue Cross/Blue Shield of TexasSponsored by BCBS of Texas:

Food, Live Music, Dancing Date: Thursday, November 20th

Time: 6:30 PM - 10:30 PMRegency East

THURSDAY, NOVEMBER 20

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Title: Engaging Health Centers in Community BasedParticipatory Research to Improve HealthOutcomes

Time: 8:30 AM – 10:00 AMPresenter(s): Melissa Valerio – University of Texas School of Public Health;

Deborah Del Junco – University of Texas Health Science Centerat Houston

Room: Nueces/FrioThe presentation will focus on the use of a community based participatoryresearch approach to engage health centers in research. It is well establishedthat US farmworkers, especially those who migrate, have a disproportionatelyhigh frequency of occupational injuries and illnesses and significant barriers inaccessing healthcare. The focus of this session is to introduce health centers and community repre-sentatives to the roles and responsibilities of community partners and how tofoster more effective and meaningful research collaborations with academicinstitutions. One approach for the conduct of research with farmworkers is touse a community based participatory research approach. This approach isdesigned to address the concerns and priorities of community members inpartnership with academics and other experts in the conduct of research thatis respectful and protective of community members. The presentation willalso demonstrate how the use of health center data and electronic healthrecords in health outcomes research may foster community health improve-ment and increase community/patient participation in research. We will alsodescribe the mission and opportunities for involvement in the CommunityBased Research Network (CBRN). The CBRN was established with funding fromthe National Institute of Environmental Health Sciences. The CBRN arose fromthe growing awareness across community, academic and healthcare sectors ofthe lack of accurate and timely data to systematically assess health needs andguide the development of appropriate resolution strategies for farmworkersand their families. Through this workshop, we hope to contribute to thesupport of high-impact farmworker health research.

Title: Hombres Preparados: An HIV TrainingTime: 8:30 AM – 10:00 AM and 10:30 AM – 12:00 PMPresenter(s): Monica Fossi – National Center for Farmworker Health, Inc.Room: Live OakHIV/AIDS continues to be a serious problem in the Latino community. The CDCreports that in 2011, HIV was the 6th leading cause of death amongHispanics/Latinos aged 25-34 and the 8th leading cause of death amongHispanics/Latinos aged 35-54. For this reason, NCFH has developed HombresPreparados, an HIV/AIDS education and prevention program focused on theLatino solo farmworker male. This highly mobile and young population facesincreased health risk for HIV/AIDS due to unprotected sex, needle-sharing,and inadequate access to testing and care, among other factors. The goal ofHombres Preparados is to educate and promote prevention among this popu-lation in a culturally appropriate way by training and providing educationalresources to community health workers (CHWs).Hombres Preparados includes a CHW training curriculum and teaching tools.The tools include a fotonovela-style flipchart and an HIV prevention video.They teach farmworker men about HIV/AIDS and how they can protect them-selves and their families against this disease. They address issues related tothe Latino culture such as religion, gender roles, and how family influenceshealth behavior. All materials are in English and Spanish. This session willoffer CHWs a condensed version of the Hombres Preparados training toprepare participants to use the teaching tools. The tools will be demonstratedand participant will be able to practice with the materials. Each representedorganization will be able to take home a full set of the materials.This session will be conducted in Spanish with English translationavailable.

FRIDAY, NOVEMBER 21

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Title: The Importance of Farmworker Advocacy andCivic Engagement: Turning Up the Volume onthe Farmworker Voice

Time: 8:30 AM – 10:00 AMPresenter(s): Alexandra Harris – National Association of Community Health

CentersRoom: Blanco/LlanoHealth centers serve over one million farmworker patients, and many farm-workers and their families would have no access to healthcare if healthcenters were not in their communities. With so much at stake in the health-care field, farmworkers should let their voice be heard in the healthcaredebate in support of health centers and the work they do. Because of their relationship with the community, health centers can supportthe farmworker voice by fostering the health center-patient relationship,which will make a significant impact not only on the Health Centers Programbut also on ability of farmworkers to help shape policy decisions that directlyimpact them. This interactive session will include a brief overview of theNACHC health center advocacy agenda, the basic legal do’s and don’ts ofhealth center advocacy, a discussion of the importance of encouraging farm-workers to be advocates for the issues that impact them and strategies fordoing so, and an advocacy and civic engagement planning activity.

Title: Addressing Barriers to Healthcare: MobilizingBehavioral Health Delivery in the Interest ofPrevention and Brief Intervention

Time: 8:30 AM – 10:00 AMPresenter(s): Jonathon Muther – Salud Family Health CentersRoom: PecanBarriers to effective healthcare services, including behavioral health andsubstance abuse treatment and intervention has been well-documented. Inmeeting the needs of migrant and seasonal farmworkers, both logistical andperceived barriers limiting access to care must be overcome. Such concernsinclude transportation and physical proximity to centers of care and linguisticand cultural considerations, including the stigma often attached to receivingmental/behavioral health care services. This program emphasizes the challenges involved in reducing barriers to careby describing an outreach model involving the mobilization of behavioralhealth delivery aimed at mental health and substance abuse screening andbrief intervention. The program also involves screening efforts to not onlyrecognize the physical healthcare needs of the farmworker, but also addressesthe psychosocial factors influencing limited access to primary care. In the context of recognizing leading health indicators, this program empha-sizes behavioral health’s role in meeting the overall health needs of the patientand clarifies how chronic illnesses are tied to behavioral and psychosocialhealth issues. The process of identifying such concerns and strategies of briefintervention will be discussed. Specific approaches to community and field-work outreach will be described, including specific behavioral health screeningmeasures that are implemented in a bilingual capacity. Success stories anddifficulties with specific case examples will be provided in addition to futuredirections for research and suggestions for enhanced delivery of care. This session will be conducted in English with Spanish translationavailable.

Title: Chronicles: The Community and Migrant HealthCenter Story

Time: 8:30 AM – 10:00 AMPresenter(s): Nicole Rodriguez-Robbins – RCHN Community Health

FoundationRoom: PecosCommunity health centers have rich history, dating back to the MigrantHealth Act of 1962 and the Economic Opportunity Act of 1964, whichlaunched the new model of community and neighborhood based care. The50th anniversary of the community health center movement provides anopportunity to recognize the important and ongoing work of health centers,which goes beyond direct clinical services and encompasses education, civicengagement, community economic development and job creation in order tomeet the broader needs of their communities.Chronicles, a special joint project of the RCHN Community Health Foundationand the Geiger Gibson Program in Community Health Policy at the MilkenInstitute School of Public Health and Health Services at George WashingtonUniversity, honors the contributions of community health centers by invitingeach health center to create an on-line, web-based profile documenting itsown history as part of a tapestry of the CHC movement. The website allowsviewers everywhere to pay a virtual visit to every community health center inthe U.S., and see the positive impact CHCs have had on their communities.Chronicles has been newly revamped and upgraded to make it user-friendlyand accessible. The presentation will include a site demo of the historicaltimeline, and the many and varied in-depth contributed stories and insightsincluding an archive dedicated to the migrant health center program relatedphotos and documents. Participants will learn how to create a profile page fortheir CHC or PCA on Chronicles.

Title: Personal Goal Setting and Career PlanningTime: 10:30 AM – 12:00 PMPresenter(s): Pam Byrnes – John Snow, Inc; Bobbi Ryder – National Center

for Farmworker Health, Inc.Room: Nueces/FrioDo you often think about where you want to be professionally 5 years fromnow, but are not quite sure how to get there? Do you wish that you could talkwith the right person at your Health Center and find out what career opportu-nities might be available, but hesitate to do so? Personal and professional goal setting is the foundation of a successful career,and yet often we are too busy and working too hard for this cause we that webelieve in. Planning strategically to meet specific goals and gain essentialeducation and training gives you the tools to be the driver of your careerdevelopment.This workshop will share a simple tool that can be used privately or sharedwith your employer to enter into a dialog that will help you to strategizetogether to meet your personal goals as well as the needs of your employer.Designed for use at any level within the organization, and at any point intime, this tool will open the way for conversations that are sometimes difficultto initiate.

FRIDAY, NOVEMBER 21

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Title: Who Does Farm Work and How Has thisChanged: Findings and Trends from the Censusof Agriculture and the NAWS; and A NationalOverview of Agricultural Worker MHC Patientsin 2012

Time: 10:30 AM – 12:00 PMPresenter(s): Abstract 1: Susan Gabbard – Aguirre Division/JBS

InternationalAbstract 2: Bethany Boggess – National Center forFarmworker Health, Inc.

Room: PecanAbstract 1: Who Does Farm Work and How Has This Changed: Findings and Trends from the Census of Agriculture and the NAWSThis year, both the 2012 Census of Agriculture and the National AgriculturalWorkers Survey (NAWS) have released new data that shows how agricultureand farmworkers have changed in recent times and has implications for farm-worker health in the Midwest Stream and nationally. This presentation exam-ines the new 2012 Census of Agriculture data to explain how agriculture ischanging and how that is affecting the demand for farmworkers and workpatterns among farmworkers nationally and in the Midwest Stream.Preliminary analysis shows that there is more demand for farmworkers whilespot shortages and tight labor markets are occurring. Drawing on a soon to bereleased NAWS report of a) 2011-2012 findings and b) the recent release ofdata, charts and discussion of trends in health status, health access andutilization from 1999-2010. The presenters will discuss current patterns andtrends, including some reversals of past trends in terms of farmworkers age,education, origins, migration patterns, household and family structure, workpatterns, housing, income and use of social services. In addition, the presen-ters will discuss how these affect farmworkers current patterns and trends in

health status, access and utilization as well as implications for outreach. Abstract 2: A National Overview of Agricultural Worker MHC Patients in 2012Migratory and seasonal agricultural workers in the US are rapidly changingdemographically. Fifteen percent of agricultural workers now originate fromindigenous groups in Mexico and Central America compared to 3% only twentyyears ago. Those working with this population must understand more about thevariability in the current demographic and socioeconomic characteristics of theseagricultural worker patients coming to the U.S. Findings from an analysis of thesocioeconomic and health characteristics of over 790,000 agricultural workerpatients of Migrant Health Centers will be presented, including the following:• Over 80% of agricultural worker patients earned incomes at or below

poverty level, but only 23% of agricultural workers surveyed by theDepartment of Labor earned incomes below poverty level

• Diabetes affected over 62,000 agricultural workers, and was the 2nd mostcommon diagnosis among those reported by Health Centers

During the presentation, the presenter will review the National Agricultural WorkersSurvey (NAWS) as a regularly updated resource for Health Center staff. Participantswill learn how to compare health center findings to the NAWS & other resources onHispanic health indicators in order to highlight results for justifying funding propos-als for projects focused on agricultural workers. Participants will discuss howagricultural worker patients may differ from those who are not yet being servedand ideas for improving access to care for those not yet served by Health Centerswill be generated, such as ways to reach single men with health care servicesand resources for providing care to patients from indigenous communities.

FRIDAY, NOVEMBER 21

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Title: Medical-Legal Partnership: Connecting theHealth and Legal Needs of Farmworkers

Time: 10:30 AM – 12:00 PMPresenter(s): Ellen Lawton – National Center for Medical-Legal

Partnerships; Alexis Guild – Farmworker JusticeRoom: PecosFarmworker health is impacted by numerous social and economic factors suchas poverty, housing, transportation, and working conditions. Often, thesedeterminants of health manifest as legal needs that can be addressed byattorneys. Medical-legal partnerships (MLPs) address health in a multidiscipli-nary way that integrates legal services as part of the health team. The part-nerships can provide legal assistance, advocate for policy change, and havethe potential to transform health and legal institutions. The National Center for Medical-Legal Partnerships and Farmworker Justicedeveloped resources and best practices to facilitate MLPs in farmworkercommunities. During this interactive workshop, participants will learn aboutopportunities to engage in MLPs as well as best practices from current MLPs,and develop strategies to implement or strengthen MLPs in their communi-ties. Participants will also develop a draft implementation plan. The NationalCenter for Medical-Legal Partnership will share its MLP toolkit andFarmworker Justice will share its MLP resource guide for farmworker-servingorganizations (developed in partnership with Health Outreach Partners).

Title: Navigating the Community Health Worker LandscapeTime: 10:30 AM – 12:00 PMPresenter(s): Katherine Mitchell – Michigan Community Health Worker

Alliance; Elaine Ezekiel – MHP SaludRoom: Blanco/LlanoHealth care focused on farmworkers faces the unique challenge of serving aspecial population while navigating a changed health care environment thatemphasizes patient-centered care, improved access, and enhanced healthoutcomes. As a result, community-based outreach efforts that are culturallyand linguistically responsive are more important than ever. One of the mosttime-tested and effective community-based approaches in health outreach isthe Promotor(a) de Salud or Community Health Worker (CHW) model. TheCHW field has never been stronger as its evidence base grows and it gainsrecognition and momentum at the local, state and national levels. In this interactive workshop, participants will receive an overview of thecurrent CHW landscape in the Unites States, including the history and defini-tion of CHWs; CHW opportunities within health care reform and the AffordableCare Act; information on organized state and national CHW initiatives and howto become involved. Participants will also discuss standardized CHW educationand credentialing and examine current CHW compensation models and under-stand the development toward sustainable funding mechanisms. This session will be conducted in English with Spanish translationavailable.

FRIDAY, NOVEMBER 21

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Title: Best Practices When Signing Up MSFWs for ACA;and A Community Based Advocacy Approach toUnderstanding ACA

Time: 2:00 PM – 3:30 PMPresenter(s): Abstract 1: Steve Davis – Greene County Health Care, Inc.

Abstract 2: Colleen Reinert – MHP, Inc.; Alexis Guild –Farmworker Justice

Room: Nueces/FrioAbstract 1: Best Practices When Signing Up MSFW for ACAThere are many challenges when it comes to trying to obtain health insurancefor migrant and seasonal farmworkers (MSFWs) under the Affordable Care Act(ACA). Greene County Health Care serves over 20,000 MSFWs every year, includ-ing many H-2A workers, and a large number of these workers are now eligiblefor health insurance coverage. Best practices based on the experience of GreeneCounty Health Care regarding the registration of MSFWs for health insurancecoverage will be shared with participants. An overview of the eligibility regula-tions regarding MSFWs and H-2A workers will also be provided. This session will

enable participants to gain a more comprehensive understanding of how theAffordable Care Act affects MSFWs and to implement more effective servicesaimed at helping MSFWs gain health insurance coverage.Abstract 2: A Community-Based Advocacy Approach to Understanding the Affordable Care ActThe Affordable Care Act (ACA) continues to have a major impact on migrantand seasonal farmworkers in the United States. Yet farmworkers and theirfamilies are encountering numerous barriers to enrollment. Many are havingdifficulty completing the application process. Confusion and misinformation isrampant. Mixed-status families are fearful of arrest, detainment, or deporta-tion of undocumented family members, deterring them from seeking timelyand necessary health care and/or from applying for health insurance coveragefor eligible family members. Promotores(as) de Salud and other community advocates are often crucialsources of health information in farmworker communities. As trustedresources in their communities, they can play an important role in providingaccurate information on the ACA, connecting farmworker families toresources, and assisting them in transforming the health care environment. In this session Farmworker Justice (FJ) and MHP, Inc. will use participatorylearning techniques to train Promotores(as) and community advocates (whomay not have received formal Navigator or Certified Application Counselortraining) on basic information on the ACA as it relates to farmworkers. FJ andMHP will demonstrate FJ’s ACA curriculum for Promotores(as) de Salud andcommunity advocates as well as share best practices from the field. Thecurriculum will be made available to all workshop participants.This session will be conducted in English with Spanish translationavailable.

FRIDAY, NOVEMBER 21Keynote Address and Luncheon

Sponsored by Amerigroup:Francisco “Pancho” Arguelles, Executive Director at Living Hope WheelchairAssociationJoin us for lunch and hear Pancho discuss the importance of buildingpower among community members and how that is central in the processof creating sustainable community engagement in our public health work.

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Title: Workers Health and Safety on US Dairy Farms;and Seguridad en las Lecherias

Time: 2:00 PM – 3:30 PMPresenter(s): Abstract 1: David Douphrate, PhD – University of Texas

School of Public HealthAbstract 2: Patricia Juarez-Carillo – University of Texas at El Paso

Room: Blanco/ Llano

Abstract 1: Workers Health and Safety on US Dairy Farms

Dairy production in the US has steadily moved toward large-herd milking oper-ations due to associated economies of scale. The shift toward a large-herdproduction model has led to an increased risk of fatalities, injuries and work-related musculoskeletal disorders (MSD) among workers due to task specializa-tion, increased work demands, and increased occupational hazards. With theincrease in dairy size, owners are increasingly reliant on immigrant workers tomilk cows and perform other essential tasks. Hispanic laborers from Mexico,Central and South America are increasingly being employed on US dairies.Large-herd US dairy workers remain a vastly understudied population, andlimited research has addressed intervention efforts leading to the reduction ofunintentional injuries and fatalities in this vulnerable working population. This session will present an overview of the current US dairy industry and itsworkforce. Using video and still images, participants will be presented the variousworkplace hazards on a dairy farm. Additionally, participants will learn of currentresearch and outreach efforts addressing health and safety among dairy workers.

Abstract 2: Seguridad en las Lecherias: A Community Health WorkerIntervention to Improve Agricultural Worker Health and Safety

As dairy producers in the United States modernize and expand their operations,Hispanic immigrant workers play an increasingly important role in the workforce.An estimated 40-60% of the hired dairy workforce in the United States are Latinoimmigrants largely from Mexico. Large animals, mass animal productionprocesses, and machinery contribute to high rates of injury and illnesses in one ofthe most dangerous industries in the U.S. As this workforce grows so does theneed for culturally and linguistically appropriate health and safety education. This session will describe Seguridad en las Lecherías, a Wisconsin-based inter-vention that is piloting the community health worker (promotores de salud)model on dairy farms in an occupational setting. This session will discuss therisks workers face in dairy, summarize the results of a needs assessmentconsisting of worker focus groups, key informant interview with intervention’sdesign and review key components of the intervention including a step-by-step training of trainers curriculum, educational materials to reinforce keysafety messages and the process employed by the community health workers.This session will also serve as a space for dialogue around expanding thecommunity health worker model to address worker health and safety.

Title: Identifying and Addressing Social Determinantsof Health and Equity among MSFW and theirFamilies in Wyoming: A Community ReadinessApproach

Time: 2:00 PM – 3:30 PMPresenter(s): Susan Markus – Wyoming Health CouncilRoom: Pecos“Social justice is a matter of life and death…Inequities in health, avoidablehealth inequalities, arise because of the circumstances in which people grow, live,work, and age”. The field of public health recommends achieving health equity byidentifying and addressing social determinants of health beyond individuals’behaviors and genetics to create conditions for optimal population health. Thefact that human lives are at stake due to severe disparities requires swift, organ-ized, participatory, and research-based action. However, while there is much rhet-oric about addressing social determinants of health, actual empirical research andrelated program implementation and evaluation with this focus are lacking.To address this gap, the Wyoming Health Council implemented the CommunityReadiness Model (CRM) in its Wyoming Migrant Health Program (WMHP). TheCRM is a tool that measures a community’s readiness to address an issue and,in turn, provides the community with a facilitated workshop in which cultur-ally congruent strategies are developed to address the issue in alignment withthe community’s level of readiness. The experience of implementing the CRMin the WMHP will be shared as an example of identifying and addressing socialdeterminants of health in a participatory research-based approach.

Title: Effective Collaboration to Increase Access toCare of Underserved Populations

Time: 2:00 PM – 3:30 PMPresenter(s): Monica Dreitcer – Health Outreach Partners; Diana Lieu –

Health Outreach PartnersRoom: PecanHealth care reform implementation has provided significant opportunities –and produced significant challenges – for community health centers. In orderto keep pace and address the barriers to care that migrant and seasonal farm-workers and other underserved populations face, health centers must engagein coordinated efforts with other community safety net providers. Outreachprograms are strategically poised to help overcome barriers based on theirunique understanding of and access to their communities. Coalitions andpartnerships can help to reduce duplication of efforts, ensure consistentmessaging, improve referral processes, and minimize lapses in health cover-age and care. More importantly, coalitions can increase the capacity of healthcenters and safety-net organizations to provide access to quality, comprehen-sive care for the newly insured and for those who remain uninsured. In this session, Health Outreach Partners will present key elements of coalition-building, effective collaboration strategies to engage partners and communities,and case study examples of effective coalitions. Facilitators and participantswill discuss the role of outreach programs in establishing and maintainingcoalitions. Through large group discussions and small group activities, participants will explore ways in which they can establish or participate in acoalition in order to address the needs of the populations they serve.

FRIDAY, NOVEMBER 21

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Title: The Road to Good Health Toolkit forPromotores/as

Time: 2:00 PM – 5:30 PM Presenter(s): Genoveva Martinez & Patria Alguila; MHP SaludRoom: Live OakThe Road to Good Health Toolkit (RTGH) was developed by the NationalDiabetes Education Program (NDEP). The RTGH toolkit is a complete educa-tional tool developed for promotores/as de salud with a flip chart,a user’sguide, and all handout materials on a CD.The RTGH presentation includes strategies that will help promote the preven-tion of diabetes type 2 in Hispanic communities. This presentation will beinteractive and participants will engage in hands-on activities that will helpthem to implement the curriculum in small group settings. The presenters willuse Popular Education techniques that will make this an enjoyable learningexperience. At the end of the session, participants will receive a RTGH ToolkitThis session will be in Spanish with English translation available..

Title: Implementing PCMH for Medical MobilePopulations

Time: 4:00 PM – 5:30 PMPresenter(s): Ricardo Garay – Migrant Clinicians NetworkRoom: Nueces/ FrioThe Patient-Centered Medical Home (PCMH) concept has been shown to be agreat model for improving health outcomes. Clinics in many states are pursu-ing accreditation through the systematic implementation of Patient CenteredMedical Home Standards and patients are benefiting from this transition.Migrant Health Centers, along with other health providers, have also knownthat serving mobile patients requires a different set of tools and approachesto be able to successfully provide adequate care to these patients. CouplingPCMH with the specific needs of this demographic in a strategic and compre-hensive way can be difficult yet is necessary to improve not only health caredelivery, but also health outcomes and improved patient participation.For patients constantly on the move, a home is a temporary concept and theneeds for these mobile patients shift in relation to their surroundings. Healthcontinuity then becomes a challenge and having a medical home can be theonly way to ensure access to health care services. This session will start withan overview of the characteristics and particular challenges that mobilepatients face. Second, it will address the general framework for PCMH and theareas that are most relevant to health centers dealing with mobile patients.Participants will become familiar with the PCMH requirements and its rele-vant elements when relating to mobile patients. Additionally, they will alsowalk away with strategies for networking and establishing continuity of carefor this vulnerable population.

Title: Lost in Translation: Best Practices for CulturalCompetency in the Austin Latino Community

Time: 4:00 PM – 5:30 PMPresenter(s): Paige Menking - Ventanilla de Salud Room: Blanco/ Llano

As an organization rooted in the values of culturally appropriate service deliv-ery, the Ventanilla de Salud is well qualified and excited to provide a dynamicand interactive presentation on cultural competency in a health care setting.

The facilitators will briefly explain the mission and work of Ventanilla deSalud, both in Austin and around the country. The session will cover the defi-nition of cultural competency and why it is so important to understand andimplement for successful patient outcomes. Common negative outcomescenarios in which medical services could not be provided due to lack ofcultural competency will be shared, and a discussion concerning commoncultural tendencies in the Hispanic community how those manifest them-selves in interactions with the healthcare system will be facilitated. Topicsmight include: immigration status, common miscommunications or lack ofunderstanding with the medical team, fatalism, common myths aroundscreenings, language barriers, and technology.

Participants will break into groups by region/cultures to discuss differentcultural tendencies in each other’s communities and to troubleshoot potentialsolutions to obstacles they have encountered. Each group will then reportback to the group at large through an activity for further feed-back and ideas.This session will be conducted in English with Spanish translationavailable.

Title: A Partnership between Health Centers andMigrant Seasonal Head Start

Time: 4:00 PM – 5:30 PMPresenter(s): Guadalupe Cuesta – National Migrant and Seasonal Head

Start Collaboration OfficeRoom: Pecan

This session focuses on how Health Centers and Migrant and Seasonal HeadStart (MSHS) can work in collaboration to provide access to oral health andother primary health care services to Migrant and Seasonal Head StartChildren and their families. Participants will learn how to use tools developedbetween HRSA and MSHS for planning & budgeting, and will gain a betterunderstanding of each organization and the complimentary roles they canplay in improving access to quality oral health care and other primary healthcare services.

FRIDAY, NOVEMBER 21

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Saturday Plenaries – Regency EastThis session will be conducted in English with Spanish translationavailable.

Title: Wall of WonderTime: 8:30 AM- 10:00 AMPresenter(s): Edelmiro Garcia – Board Member,

Brownsville Community Health Center; Hilda Ochoa- Bogue, Alicia Gonzales –National Center for Farmworker Health, Inc.

The Wall of Wonder (WOW) is an opportunity for conference participates to share information about their local agricultural worker communities the agricultural industry, local employment practices& ordinances, barriers to care, gaps in services, local expertise and current needs for technical assistance and training. Participants will be invited to respond to discussion questions in small groups and write the answers and post them on the Wall of Wonder. Responses will be compiled and included in a Midwest Migrant Health Status report and distributed to participantorganizations.

Closing Plenary

Title: Immigration Reform on Hold: What Do We Needto Know? How Do Health Centers Best Respond

Time: 10:30 AM – 12:00 PMPresenter(s): Roger Rosenthal – Migrant Legal Action ProgramWith Immigration Reform still on hold, immigrants and immigrant advocatesare concerned and at a loss. Some are deflated and angry. As those whoprovide important services to an immigrant population, we need to under-stand current law and also understand the prospects for change. This is veryimportant in order to structure outreach, intake, allocation of resources, andsimilar issues.This workshop will review current immigration policy regarding legalizationand immigration enforcement. What are the recent policy changes, includingthe process for renewal of DACA status? What are the prospects for significantchanges in the law, for the better or for the worse? What is happening withenforcement/deportations? Is there more that the Obama Administrationmight do administratively to ease the burdens of the current situation?What are migrant health centers and migrant health center staff to do in thisenvironment? How do we overcome barriers to effectively provide services toimmigrants and their families? How do we structure outreach in this climateof uncertainty, fear, and disappointment?Opportunity will be provided for attendees to discuss their concerns and howthey will respond to this crisis in their roles in the clinics, as well as adapt poli-cies and procedures to ensure immigrant access and trust of the health centerand health center personnel.

SATURDAY, NOVEMBER 22

Francisco“Pancho” Argüelleswill discuss buildingpower among commu-nity members and howthat is central in theprocess of creatingsustainable communityengagement in ourpublic health work. Joinus for lunch as we listento Pancho’s motivationalkeynote address.

Mr. Carl H. Rush, MRPhas worked full time forand with communityhealth workers (CHWs)for nearly 18 years.Please join us for theinformative openingplenary “Developmentsin Policy for CommunityHealth Workers/Promotores: Highlightsof opportunities andstrategies.”

Roger Rosenthal. Joinus as we close out thisyear’s forum withexpert informationaround ImmigrationReform from RogerRosenthal. Roger is theExecutive Director ofthe Migrant LegalAction Program withover 30 years of experi-ence in farmworkeradvocacy

About the Plenary Speakers

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CONTINUING EDUCATIONYou are encouraged to earn valuable continuing educationcredits (CEU) from recognized accrediting bodies. The CEU’sare free to registered attendees. Follow the steps below toreceive credits in your field:

1. Pick up the CEU application form for your discipline at theregistration desk.

2. Sign the attendance sheet for each session you attend.

3. Return the yellow copy of the completed applicationform to the registration desk before the end of theconference.

4. Obtain certificate of completion:

• CHES and MCHES – your certificates will be mailed toyou.

• Nurses – mark all sessions attended on the certificateof completion form and return to the registration desk.

• SW, LPC, and LMFT – your certificates will be mailed toyou.

• TxCHW – ask the moderator for a certificate at the endof each session.

Only those registered for the conference are eligible for continuingeducation credits.

Certified Health Education Specialists Sponsored by the National Center for Farmworker Health, a designated provider of continuingeducation contact hours (CECH) in health education by the National Commission for HealthEducation Credentialing, Inc. this program is designated for Certified Health EducationSpecialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to12.25 total Category I continuing education contact hours.

Nurses (CNE) The Migrant Clinicians Network is accredited as a provider of continuing nursing education bythe American Nurses Credentialing Center’s Commission on Accreditation. This activity meetsType I criteria for mandatory continuing education requirements for up to 12.25 hours towardsre-licensure.

Social Workers, Licensed Professional Counselors, and Licensed Marriage and Family Therapists

This program has been approved for up to 12.25 hours of continuing education credits for SocialWorkers (SW), Licensed Professional Counselors (LPC) and Licensed Marriage and FamilyTherapists (LMFT) by the Texas Chapter of the National Association of Social Workers.

Texas Certified Community Health Workers

This program is approved for up to 7.5 hours of non-certified CEUs and up to 5 hours of DSHS-certified CEUs for promotor(a)s / community health workers by the Texas Department of StateHealth Services (DSHS). As per DSHS, one contact hour is 50 minutes of attendance andparticipation. Requirements for certification include receipt of a certificate of attendance fromeach session attended. Please see the registration desk for updates in DSHS certified hours.

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Stream Forum Planning CommitteeA heartfelt thanks goes to all of our planning committee members for their time and effort

Chelly RichardsProject ManagerFarmworker Justice1126 16th St. NW #270Washington, DC 20036

Guadalupe CuestaDirectorNational Migrant Seasonal HeadStart Collaboration Office1825 Connecticut Ave, NWWashington, DC 20009

Sonia BoydSr. Outreach Specialist/MemberAdvocate9442 Capital of Texas Hwy N. Suite500 Plaza IIAustin, TX 78579

Sylvia MendozaFarmworker/OutreachValley Wide Health SystemsArkansas Valley

Christina Brito-TigerinaLearning Services ManagerNational Center for FarmworkerHealth1770 FM 967Buda, TX 78610

Noellyn RobletoHealth Outreach Partners405 14th Street, Suite 909Oakland, CA 94612

Monica Fossi Migrant Health Educator National Center for FarmworkerHealth, Inc. 1770 FM 967 Buda, TX 78610

Gloria MertonCommunity Relations ManagerAmerigroup Community Care3223 S. Loop 289Lubbock, TX 79423

Karen Funkenbusch Extension Research AssociateUniversity of Missouri-ColumbiaAgricultural Engineering Extension232 Agricultural Engineering BuildingColumbia, MO 65211

Sonia LaraOutreach CoordinatorTexas Association of CommunityHealth Centers5900 Southwest Parkway, Building 3Austin, Texas 78735

Patricia CraneAssistant Professor University of Texas Medical BranchGalveston SON301 University Blvd.Galveston, TX 77555

Theressa LyonsSpecialist, HRSA and LAF GrantsMigrant Clinicians NetworkP.O. Box 164285Austin, TX 78716

Genoveva MartinezCBA Regional Program CoordinatorMigrant Health Promotion536 S. Texas Blvd., Ste. 117Weslaco, Texas 78596

Beatrice SmithCHW Program CoordinatorTexas Department of State HealthServicesOffice of Title V and Family HealthAustin, TX

Hilda Ochoa-BogueResources Development & PolicyAnalysisNational Center for FarmworkerHealth, Inc.1770 FM 967Buda, TX 78610-2558

Evangelina M. OrozcoProduct Development ManagerNational Center for FarmworkerHealth (NCFH)1770 FM 967 Buda, Texas 78610

Sylvia Partida Chief Operating Officer National Center for FarmworkerHealth, Inc.1770 FM 967Buda, TX 78610

Roger Rosenthal, JD, BAExecutive DirectorMigrant Legal Action Program1001 Connecticut Ave. NW, Suite 915Washington, DC 20036

Bobbi Ryder Chief Executive OfficerNational Center for FarmworkerHealth, Inc.1770 FM 967Buda, Texas 78610

Sylvia SapienOutreach DirectorLa Clinica de Familia385 Calle de Alegra, Bldg. ALas Cruces, NM 88005

Ted Scharf, PhDResearch PsychologistWork Organization & Stress ResearchNational Institute for OccupationalSafety & Health (NIOSH)U.S. Public Health ServiceMS/C-24, 4676 Columbia ParkwayCincinnati, OH 45226

Amanda Wickman Outreach Education CoordinatorSouthwest Center for AgriculturalHealth, Injury Prevention andEducation11937 U.S. Hwy. 271Tyler, TX 75708

Kathi Wilson, PhD, MPH, CHESPublic Health EducatorCenters for Disease Control andPreventionDivision of Cancer Prevention andControl4770 Buford Hwy, NE Mailstop K-55Atlanta, GA 30341

SPONSORSHealth Resources and Services Administration:

– Bureau of Primary Health Care– Office of National Assistance and Special Populations

Aetna Better Health, Dallas, TX Parkland Community Health Plan, Dallas, TX Blue Cross Blue Shield of TexasAmerigroup Health Outreach Partners

EXHIBITORS Alexis GuildFarmworker JusticeWashington, DC 20036aguild@farmworkerjustice.org202.293.5420

Janie FavreNational Center for Farmworker Health, Inc.Buda, TX 78610favre@ncfh.org512.312.5464

Gloria MertonAmerigroupLubbock, TXGloria.merton@amerigroup.com806.748.4880 Ext. 54751

Genoveva MartinezMHP SaludWeslaco, TXgmartinez@mhpsalud.org800.461.8394

Ricardo GarayMigrant Clinicians NetworkAustin, TX 78716rgaray@migrantclinician.com512.579.4511

Joanna Cruz TeneryParkland Community Health PlanDallas, TXJOANNE.TENERY@phhs.org214.266.2109

Sonia BoydBlue Cross Blue ShieldAustin, TXSonia.boyd@wellpoint.com512.349.4883

Cynthia RomoMolina Healthcare of TexasSan Antonio, TXcynthia.romo@molinahealthcare.com

Richard CabadaAetna Better HealthSan Antonio, TXcabadar@aetna.com

Silvia UrrutiaRaza Development FundPhoenix, AZSUrrutia@razafund.org

Jose VelezTexas Department of State HealthServicesAustin, TXJose.velez@dshs.state.tx.us512.776.6216

Cari CatesSuperior Health PlanSan Antonio, TXCCATES@CENTENE.COM210.562.2748

This publication was made possible through grant number U30CS09737 from theBureau of Primary Health Care, Health Resources and Services Administration, U.S.Department of Health and Human Services. Its contents are solely the responsibility ofthe authors and do not necessarily represent the official views of the HRSA.