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Past Employee eNews

Vol. 1, Issue 4: July 2022

It’s SCFHP’s silver anniversary! Thank you for being a part of our success.

SCFHP is celebrating our 25th anniversary!

For 25 years, we’ve worked on expanding our vision of health for all. With a strong commitment to integrity, outstanding service, and support for our community, SCFHP has grown to serve more than 300,000 people in Santa Clara County. We’re grateful for the opportunity to expand health care access to our neighbors and communities, and we look forward to a healthier future for all.

As a thank you for contributing to this milestone, you’ll get to choose from a selection of SCFHP-branded items, including jackets, backpacks, hats, and more! Other 25th anniversary-branded materials and templates will also be available. The Marketing & Communications Department will send detailed information soon.

Stay tuned for future updates and events to celebrate this significant milestone over the coming months. You can also follow us on Facebook and Instagram for the latest news and events.

Share your stories of service!

This year, Santa Clara Family Health Plan (SCFHP) is celebrating our 25 years of service to our members, providers, and community by sharing our commitment to our vision – health for all!

As an important part of this process, we’re looking for staff members to be interviewed on video about the work they do and their contribution to SCFHP’s mission.

Please send an email to 25years@scfhp.com with the subject line: 25th Anniversary Interview if you’re interested in participating.

If you’re not comfortable being interviewed on camera, you can also share your stories by sending them to 25years@scfhp.com.

Some questions to consider:

  1. Why did you join the SCFHP team? How have things changed since you started?
  2. Do you recall any special events or important milestones within your department that you would like to share?
  3. What SCFHP value resonates the most with the work you do?
  4. What do you like about the people you work with or what you do?
  5. What is your hope for the future of the organization?

We look forward to receiving your shared stories and memories, as well as any photos or information that might be of good value!

Questions? Email 25years@scfhp.com.

Vacation stories

Escape to Mexico

By Robert Scrase, Process Improvement Manager

This June, I traveled to Nuevo Vallarta, Mexico to meet my extended family for a weeklong vacation. In many ways it felt like a decadent escape from the day-to-day reality of life in California – a contrast that became even more evident after returning – but it was also a rejuvenating, pleasurable, and educational experience.

Along with enjoying some time at the pool and beautiful sunsets on the beach, I also was able to experience some amazing and unfamiliar wildlife and vegetation on the resort. I enjoyed learning about turtle conservation; learning about and swimming with dolphins, and taking a cultural tour to the historic village of San Sebastian Del Oeste.

On the drive to San Sebastian we experienced a different perspective of Mexico than within the borders of the resort. It was clear that the local economy thrives on the tourism industry, but that some providing the services live very differently than the guests at the resort. Along the road we learned from our guide about: the history of Spanish conquest in Mexico and the perseverance of indigenous culture.

In addition, the cultivation practices for tequila using the blue agave plant, the function of status hierarchies in the colonial economies, and the practice of hand-making tortillas – among a lot of other topics!



Pets of SCFHP

Amy O’Brien
In 2020, I adopted these 3 cuties from a shelter in Hollister. Their names are Adore Delano, Bianca del Rio, and Gia Gunn, named for drag queens.

Jenny Arellano Morales
Puyol is the brightest ray of sunshine in our household and is always making my husband and I laugh. He’s never tried a snack he didn’t like.

Erica Narvaez

Kane Narvaez

Bianca Ibarra
Hi, my name is Celia and I enjoy long naps during the cold winter months.
Hi, my name is Dinosaur. I am so thrilled to be included in the e-Newsletter that I am shaking with excitement.

Hi, my name is Paloma. I am happy-go-lucky rescue.

Liz Sullivan
Welcome to three cats and a dog

My 10-year old German Shepherd Nanook, who was born in Alaska, never goes anywhere without one of her toys.

The queen of the house is Sophie, a 16-year old Burmese cat.

The newest members of the family are kittens Teddy and Winston, who were born in early April and joined the herd in late June. And they are as adorable as they look.

Robert Scrase

Our two cats Toby (bottom) and Miko (top), taken a few years ago.

Katelyn Haapoja

My pets Kali (black Chow Chow) Bowser (English Bulldog) and Bunny (Peanut) lounging around.

Sheila Sepehri

Bella (cat)- Bella loves to sit outside and watch the birds. Topolino (dog)- Topolino means “small mouse” in Italian, which is fitting because he weighs only 3lbs!

Kris Cameron
My two rescues Maggie (the one smiling) and Winston (the one silently judging my performance as a dog mother). Maggie was a former street dog in Mexico, and Winston was found abandoned in a box in Fresno and I love them an unreasonable amount. They are best friends who do everything together.

Diane Eagle

Chloe – Chloe is sitting so patiently upstairs waiting for her Poppa to get home.

Fishbone – Fishbone looks a little peeved that he’s not being paid attention too.

Lloyd Alaban

Captain is a 4-year-old husky and German Shepherd mix. He likes to do anything active, such as running, swimming, and (despite our best efforts to stop him) digging up plants in the backyard.

Danielle Desjardin

This is Churro the 4 pound Yorkie. (His growing list of nicknames include: Churrito, CatDog, Brave Little Toaster, and Baby Doggy.)

He just turned 5 months old, and he’s already so smart – he can sit, lay down, high five, shake, spin in a circle, stay, and just learned to roll-over!
We’re also teaching Churro to ask for things using talking buttons strewn about the house saying things like “go outside” and “play tug” (his personal favorite) – he has 10 buttons now and we plan to add more soon!

Thao Ngo

My 10 year-old girl Snowie.

Yolonda Jimenez

The dynamic duo Marty (BoxerPit) and Lola (Pug). These fur babies are true siblings. Little sister Lola loves to steal toys and treats from big Bro Marty, he is very gentle with her and will complain to Mommy (Yolonda Jimenez) when Lola is being a pest.

­­­­­­­­­­­Sara Neabeack

Mochi loves hugs kisses and food.

Jocelyn Ma

This is Ollie! He recently graduated puppy school.

Jeanette Montoya
Boba is a 3-year old Chihuahua and Gizmo is a 7-month old English Bulldog. They both love going to the dog park and getting puppachinos.

Stephanie Dao
This is Ralph. He likes to cuddle, has little dog syndrome, and is always hungry.

Abby Baldovinos
Apple - My golden colored 11-year old Chihuahua, she is a 9-pound little cuddle bug, although she thinks she is a pitbull. She bosses around my other dog (who is three times her size).
Hiro - My 12-year old Carin Terrier, I call him my “Toto dog”, as he is the same color and breed. He is obsessed with chasing squirrels and playing fetch. He is the smartest dog I have ever owned and will walk off leash with no problems.

Carole Ruvalcaba

This is Penny, who loves meeting new people and posing for pictures.

Pamela Hernandez
This is Petunia, celebrating her 5th birthday!

Chris Turner

June

Michelle Dumont

Kaz and Belle sharing a nap.

Laura Barrientos

Pictured on the left is Marty Byrde, top right is Daisy Lorraine and bottom right is Hunny Bryde aka Hunny Valentina. Hunny is the smallest but definitely rules the house!

Winnie Vo

My name is Simon and I’m my mom’s favorite model.

Rosa Perez

Sky

­­­­­­­­­­­­­­­­Jessica Jimenez

I introduce you to Jubilee, she is a very smart & friendly Maltipoo. She loves to go to the beach and dig holes in the sand.

Department spotlight

Enrollment and Eligibility

Answered by Mauro Oliveira, Director, Operations

Question

In 50 words or less, describe your department.

Answer

A description for the Enrollment and Eligibility department is “Small but Mighty” because we interface with all internal business units, and external partners, in order to provide the most updated and accurate membership eligibility.

Question

What are the challenges facing your department?

Answer

Two challenges facing our department are:

  1. Discrepancies resulting in data received from the State and data from CMS because it can differ. As a department, we do the research to make sure that our members have the correct enrollment data in order to receive services.

  2. Outdated contact numbers that limit our ability to reach member to confirm OHI or current demographic information

Question

Describe some highlights and share some achievements.

Answer

Some highlights and achievements that we have accomplished over the past year include:

  1. Collaborating with IT to streamline our daily member error reports

  2. During the last internal audit, the E&E department performed outstanding and incurred no Corrective Action Plans (CAPs) for our processes

  3. Meeting/exceeding all targets on the monthly Compliance Dashboard consecutively for all 12 months, demonstrating our commitment to adhering to compliance standards

Question

Share something most people inside SCFHP don’t know about your department.

Answer

Along with completing and processing our daily task the E&E department is also processing ALL daily mail returned to SCFHP. This includes mailed notices sent from every business unit within the organization, and also membership mail sent out by VHP. From January – June 2022, the Department processed 7,266 pieces of returned mail.

What's happening at Santa Clara Family Health Plan

Remember to swipe your badge

As more and more Santa Clara Family Health Plan (SCFHP) employees return to the San Ignacio Avenue location everyone is reminded to swipe their badge when entering; even if you are walking in with your SCFHP colleagues.

Our badged entry system is so that we are assured that everyone in the building is supposed to be there and has checked in with the front desk or keyed in via the badging system. Also, with different staff working in the office each day under our hybrid work environment, we want to keep track of the number of staff in the building each day for space planning purposes.

All staff must work together to protect against unauthorized individuals entering the building by tailgating or piggybacking. Tailgating, also known as piggybacking, is a physical security breach occurring when a person tags along with another person who is authorized to gain entry into a restricted area.

Swiping your badge when entering helps prevent this from happening.

Save the date -- Volunteers needed!

Santa Clara Family Health Plan (SCFHP) staff members are needed August 27 & 28 as SCFHP participates in the two-day Silicon Valley Pride 2022 event.

Volunteer opportunities include:

  • Saturday – 8/27 6-11 pm-Night Festival
  • Sunday – 8/28 10 am-12 pm Parade or
  • Sunday – 8/28 12-6 pm Day Festival

If you are interested in volunteering, contact Jocelyn Ma, Manager, Community Outreach at jma@scfhp.com.

Learn more about the SCFHP Blanca Alvarado Community Resource Center

Santa Clara Family Health Plan (SCFHP) established the SCFHP Blanca Alvarado Community Resource Center to improve the health and well-being of our members and the surrounding East San José community. Although the member and non-member pathways may be different, we are here to serve and provide an inclusive space for all.

The video and description presented here break down aspects of our framework which guides how we approach improving the health and well-being of East San José communities.

SCFHP empowering communities to address health inequities

The Community Engagement (CE) team at the Blanca Alvarado Community Resource Center (CRC) brought together Santa Clara Family Health Plan (SCFHP) members and residents of East San Jose to host a community conversation about health inequities. This conversation supports the Health Equity Agenda, a group of organizations dedicated to advancing health equity, which includes Santa Clara Family Health Plan on its Steering Committee.

A critical activity for the Health Equity Agenda is to engage hundreds of community members within identified zip codes and/or people who have been historically marginalized to listen, learn, and understand their experiences and ideas about addressing health inequities in our county.

With the deadline of hosting these conversations by July 30th, the Health Equity Agenda requested the assistance of SCFHP’s CE team to host community conversations at the CRC. In June, the CE team met with the Health Equity Agenda and identified the collective impact opportunity.

Within 2-weeks, the CE team was able to plan and successfully host a community conversation on July 16th that included 51 participants, including members of the Consumer Advisory Committee/Board. The large community group was split into three groups based on their language preference - English, Spanish, and Vietnamese. Since the opening of the CRC in November 2021, the CE team has been able to build and foster trusting relationships with community residents and health plan members, which enabled SCFHP to respond and host the session quickly.

The community conversations were facilitated by CE Community Health Workers, including Lidia Valencia, Hong Hoang, and Magaly Fernandez.

The information gathered from these conversations will inform the creation of a multifaceted Health Equity Agenda to address health inequities over the next 5-10 years.

*The Health Equity Agenda constitutes a multi-year, four-phase plan to develop, implement, and evaluate county-wide health equity interventions over the next 5-10 years.

*Health inequities are systematic differences in the health status of different population groups. Certain groups may experience worse health and increased difficulty accessing healthcare due to the systems that influence their lives.

Vol. 1, Issue 3: June 2022

Celebrating Health Equity in East San José Caps Successful 2021-22 Year

On June 3, the Santa Clara Family Health Plan Blanca Alvarado Community Resource Center (CRC) hosted Health for All! Celebrating Partnership to Advance Health Equity in East San José. The program featured a lineup of powerful speakers who dedicated their time, passion, and leadership amid the pandemic to position the CRC to advance health in East San José.

Over 100 guests gathered to hear compelling remarks from our CEO Christine Tomcala, Governing Board chair Bob Brownstein, resident advisors, system partners, and elected officials. Also in attendance were State Senator Dave Cortese and representatives from the offices of County Supervisors Cindy Chavez and Otto Lee, and a representative from the office of Assemblymember Ash Kalra, and San Jose Councilmember Magdalena Carrasco.

Leading up to this event, we identified the social and physical determinants that impact health and quality of life outcomes for under-resourced communities working with our community partners and advisory group members. This process resulted in a Community Framework for the CRC that will seek to improve health equity, now and post-pandemic.

“This Community Resource Center (CRC) reaffirms our commitment to improving the health and well-being of members and residents by addressing the vital needs of the East San José community,” said Mike Gonzalez, Director of Community Engagement. “Here, we’re going to be addressing food insecurity. We’re going to be addressing housing insecurity. We’re going to ensure health care access, healthy lifestyles – a one-stop shop.”

The event served as the culmination of all the work our partners and staff put in to make sure East San José gets the impactful health and social resources it deserves.

Staff worked hard to put together the event, with everything from tents, balloons, and posters to serving lunch. Damian Trujillo of NBC Bay Area served as emcee for the entire event.

And to top it off, the event concluded with comments from La Madrina herself, former San José vice mayor, county supervisor, and eastside advocate Blanca Alvarado!

“The struggle to make sure that equity and equality continues throughout the next decades and into the future requires vigilance, advocacy and strong presence from all of us,” Alvarado said.

If you want to learn more about the event, check out:

  • NBC Bay Area’s coverage of the event.
  • A link to various posters describing the community-led Framework
  • A selection of photos from all the day’s activities on June 3
  • A video stream of the entire event

Staff is currently working on a framework report that will be released in the coming months.

Fruitful Year for SCFHP

Today, we mark the completion of a successful 2021-22 fiscal year for Santa Clara Family Health Plan – all taking place during the continued global pandemic.

We demonstrated leadership in improving the health of communities impacted by disparities, exceeded our benchmark for quality as measured by our Medi-Cal HEDIS performance, implemented innovative new programs such as Community Supports and Enhanced Care Management as part of CalAIM, and improved our service levels to support our growing our membership. We did all of this while keeping our focus on compliance, meeting our budgeted financial performance, and committing to be an employer of choice.

Reflected in each of our achievements this fiscal year are our values: Members First; Excellence; Better Together; Integrity; Equity; Diversity & Inclusion; Culture of Caring; and Accountability & Stewardship.

Thank you for being a part of this team that made it all possible!

Share your stories of service!

This year, Santa Clara Family Health Plan (SCFHP) is celebrating our 25 years of service to our members, providers, and community by sharing our commitment to our vision – health for all!

As an important part of this process, we’re looking for staff members to be interviewed on video about the work they do and their contribution to SCFHP’s mission.

Please send an email to 25years@scfhp.com with the subject line: 25th Anniversary Interview if you’re interested in participating.

If you’re not comfortable being interviewed on camera, you can also share your stories by sending them to 25years@scfhp.com.

Some questions to consider:

  1. Why did you join the SCFHP team? How have things changed since you started?
  2. Do you recall any special events or important milestones within your department that you would like to share?
  3. What SCFHP value resonates the most with the work you do?
  4. What do you like about the people you work with or what you do?
  5. What is your hope for the future of the organization?

We look forward to receiving your shared stories and memories, as well as any photos or information that might be of good value!

Questions? Email 25years@scfhp.com.

Vacation stories

Trip to Cuba

Experiencing life through a completely different lens.

By Teresa Chapman, VP, Human Resources


Recently, my husband and I traveled to Havana, Cuba, as part of a delayed celebration of my 50th birthday, which was May 2020.

We rented an apartment for the week and stayed in Vedado. Vedado, officially known as the Municipio de Plaza de la Revolución (Municipality of the Revolution Square), is the commercial nucleus and the main residential neighborhood of Havana. We enjoyed being a part of the surrounding community.

The most impactful part of the trip was experiencing life through a completely different lens. They have figured out how to love their neighbor as themselves. The resilience of the people comes from a strong and ever-enduring sense of community. We can learn a lot from Cuba. They have no gun violence, and there is no concept of racism – no black or white: just Cuban people. Cuba is a multi-ethnic nation, home to people of different ethnic, religious, and national backgrounds. As a result, Cubans generally do not equate their ethnicity with nationality but with citizenship.

As an African American, I experienced a liberty that is hard to describe. My husband and I were able to feel what it is like to be a person without a label. We were free to simply enjoy life. It was beautiful!



News from Human Resources

New Hires

Hire Date

Name

Job Title Description

06/06/2022

Amy Johnson Veazey

Accreditation Program Manager

05/09/2022

Jamie Abbott

Customer Service Representative I

05/02/2022

Monica Alvarez Castrejon

Customer Service Representative I

05/09/2022

Janeen Arostigui Castaneda

Customer Service Representative I

04/18/2022

Amy Cardenas

Customer Service Representative I

05/16/2022

Lucero Isabel Villalobos

Customer Service Representative I

05/16/2022

Caroline Ruvalcaba

Director, Marketing & Communications

05/02/2022

Vanna Oum

Provider Database Coordinator

04/25/2022

Jessica Jimenez

Provider Network Associate


June Celebrations and Observances

Pride Month

Celebrated in June to honor the Stonewall Uprising Protests, a tipping point for the modern gay rights movement, that took place on June 28, 1969. Original Pride flag was created in 1978 by Gilbert Baker, who was commissioned by Harvey Milk, the first openly gay U.S. politician, to create a flag for San Francisco’s Pride parade.

SCFHP will be participating in the Silicon Valley Pride Parade & Festival 2022 in downtown San Jose on August 27 - 28.

Juneteenth – June 19, 2022

Became a federal holiday on June 17, 2021 to commemorate the emancipation of all enslaved African-Americans in the U.S.. June 19th marks the day when federal troops arrived to Galveston, Texas, in 1865, to free 250,000+ slaves by executive decree.

SCFHP will be participating at African American Community Service Agency’s (AACSA) 41st Annual Juneteenth in the Streets event on Saturday, June 18th.

World Refugee Day – June 20, 2022

It was originally known as Africa Refugee Day, before the United Nations General Assembly officially designated it as an international day in December 2000. According to United Nations High Commissioner for Refugees (UNHCR), in 2021, at least 82.4 million people have been forced to flee their homes. Among them are nearly 26.4 million refugees, around half of whom are under the age of 18.

Department spotlight

Compliance

Answered by Tyler Haskell, Interim Compliance Officer

Question

In 50 words or less, describe your department.

Answer

The Compliance Department is responsible for ensuring that Santa Clara Family Health Plan operates in compliance with applicable laws and regulations governing Medicare, Medi-Cal, and health plans.

We do this by implementing the Compliance Program, which includes auditing internal departments and subcontractors, monitoring and detection, corrective action, fraud, waste, and abuse prevention, training and education, and enforcement of policies and procedures.

Question

What are the challenges facing your department?

Answer

Ensuring compliance with either Medicare or Medi-Cal requirements alone would be challenging under the best of circumstances. In our case, we have both programs combined, with additional California health plan regulations layered on top. Add to that a highly delegated model requiring a large amount of oversight, the fact that we are a local plan without the resources of a major commercial health plan to draw upon, and increased expectations on the part of our regulators…and those would be a few of the challenges facing the Compliance Department.

Question

Describe some highlights and share some achievements.

Answer

Over the last couple of years, we have been building out our fraud, waste, and abuse program, which is an increasingly useful function that touches many different areas of the business.

We are also constantly working to improve our delegation oversight and will be making use of new technology and increased reporting to continue this effort in the coming months.

Question

Share something most people inside SCFHP don’t know about your department.

Answer

The Compliance team really loves talking about food. Perhaps even more than we like eating it.



What's happening at Santa Clara Family Health Plan

Marching for Babies

On May 21, over 100 Santa Clara Family Health Plan (SCFHP) staff members and their families joined the March of Dimes ‘March for Babies’ walk at History Park in San Jose. Santa Clara Family Health Plan is proud to support the health of all moms and babies.

Healthy Development Community Clinic (HDCC) Opens

SCFHP Manager of Community Outreach Jocelyn Ma joins Edwin Tan, Director of Advocacy and Community Relations at San Jose State University at the opening of the Healthy Development Community Clinic (HDCC) at Oak Grove High School.

Santa Clara Family Health Plan (SCFHP) is proud to support and offer congratulations to San Jose State University on the opening of their first Healthy Development Community Clinic (HDCC) at Oak Grove High School on June 3. The clinic will provide free health screenings, evaluations, and mental health services for children up to age 18.

American Older Adult Month

Every May is Older American Month, and in celebration, the Community Engagement Team partnered with internal cross-departmental teams to host a successful event at the Community Resource Center.

The past three years have been extremely challenging for our older adult population. According to the National Institute of Health, older adults are at the highest risk of severe illness from COVID‐19, and 80% of reported US deaths from COVID‐19 occur in people over 65. The pandemic has brought stresses that may be even more impactful for older adults, including job losses, scarcity of food, and basic household supplies. All this has increased the rates of anxiety and depression in older adults.

Recognizing the impact of COVID-19 on our older adult population, on May 14th, SCFHP hosted an Older Adult Resource Fair & Conference at the CRC, and over 150 older adults attended the event, with 30% being health plan members. The free event brought services to one location, including a resource fair, interactive health workshop sessions, physical activity, and a healthy cooking demonstration. The resource fair included dozens of organizations centering on our Medicare Outreach and Case Management team.

Thanks to the following teams for hosting this event: Community Engagement, Medicare Outreach, Case Management, and the Marketing & Communications!

Vol. 1, Issue 2: May 2022

Employee eNews new name reveal

Help SCFHP members keep their Medi-Cal coverage

During the COVID-19 public health emergency (PHE), Medi-Cal beneficiaries have been able to keep their coverage regardless of any changes in their circumstances. However, once the COVID-19 PHE ends, Santa Clara County will check to see if they still qualify for free or low-cost Medi-Cal. Let’s help our SCFHP members keep their health care coverage!

To prepare our members for the end of the PHE and their possible redetermination, we are spreading the news about the importance of reporting current contact information to us or Santa Clara County Social Services Agency (SSA). Updated and accurate contact information, helps our members get important Medi-Cal coverage information from us, the county and the Department of Health Care Services (DHCS).

Members can report updated contact information, such as their phone number, or home address, to SCFHP by calling Customer Service. They should also contact SSA by phone at 1-877-962-3633 (TTY: 711) or talk to their eligibility worker about any possible changes.

Once the PHE ends and redetermination resumes, members should reply to all requests for information from the county. It will ensure that they keep their Medi-Cal coverage.

Want to go a step further to ensure no one loses coverage?

Become a DHCS Coverage Ambassador and help our Medi-Cal members retain their coverage after the end of PHE. As a Coverage Ambassador, you will get the latest updates on the PHE unwind and access to the latest DHCS toolkits.

Share your stories of service!

This year, Santa Clara Family Health Plan (SCFHP) is celebrating our 25 years of service to our members, providers, and community by sharing our commitment to our vision – health for all!

As an important part of this process, we’re looking for staff members to be interviewed on video about the work they do and their contribution to SCFHP’s mission.

Please send an email to 25years@scfhp.com with the subject line: 25th Anniversary Interview if you’re interested in participating.

If you’re not comfortable being interviewed on camera, you can also share your stories by sending them to 25years@scfhp.com.

Some questions to consider:

  1. Why did you join the SCFHP team? How have things changed since you started?
  2. Do you recall any special events or important milestones within your department that you would like to share?
  3. What SCFHP value resonates the most with the work you do?
  4. What do you like about the people you work with or what you do?
  5. What is your hope for the future of the organization?

We look forward to receiving your shared stories and memories, as well as any photos or information that might be of good value!

Questions? Email 25years@scfhp.com.

From the CEO

Take time for rest and renewal

By Christine Tomcala

Stress Awareness Month may have ended, but the opportunity to put stress reduction techniques into practice continues! Taking paid time off is good for your health and stress management, plus you deserve it!

My husband and I also took time to get away. Last month, we traveled to Hawaii for the first time, and it was a wonderful, relaxing vacation! We hiked on Maui’s most recent lava flow, and got to see how pineapples grow.

With a stop at the Sugar Museum, we learned what life had been like for our sister-in-law’s father, who was the son of Japanese immigrants who worked on that sugar cane plantation.

Sunset offered an opportunity to see sea turtles dining on the rocks and whales breaching in the distance.

And no vacation to Hawaii would be complete without floating in the water at the beach!

However, you choose to spend it, taking PTO can be rejuvenating.

We encourage everyone to schedule a little PTO self-care, and invite each of you to share how you chose to spend your time away by submitting your favorite vacation photo to Contest@SCFHP.com.

Mahalo!



News from Human Resources

New Hires

Hire Date

Name

Job Title Description

04/18/2022

Amy Cardenas

Customer Service Representative I

04/11/2022

Kassandra Chavez

Quality Outreach Coordinator

04/11/2022

Jamie Enke

Behavioral Health Program Manager

04/25/2022

Jessica Jimenez

Provider Network Associate

04/04/2022

Daisy Montoya

Community Resource Center Coordinator

04/14/2022

Stephanie Rivera

UM and Discharge Planning RN


Santa Clara County's COVID-19 Community Level

According to the CDC, Santa Clara County’s COVID-19 Community Level is low.

COVID-19 Community Levels are a new tool to help communities decide what prevention steps to take based on the latest data. Levels can be low, medium, or high and are determined by looking at hospital beds being used, hospital admissions, and the total number of new COVID-19 cases in an area. Take precautions to protect yourself and others from COVID-19 based on the COVID-19 Community Level in your area.

  • In Santa Clara County, the following prevention steps should be taken:

What are the on-site requirements for SCFHP?

While on SCFHP premises, complete a self-screening at the temperature check kiosk before entering the work area, and follow the below guidelines:

SCFHP San Ignacio Office
  • Masking rules are the same for vaccinated and unvaccinated staff:
    • People may choose to mask at any time (Masking is optional in workspaces, public areas, and in conference rooms.)
    • If someone enters another individual’s personal space, and that individual is wearing a mask, it is incumbent on the staff person to immediately put on their own mask.
  • Social distancing should be practiced in conference rooms to the extent that space is available.
    • At times meeting participants may be seated more closely, which is within current public health guidance.
SCFHP Blanca Alvarado CRC
  • Masks are still required indoors – the CRC will continue to require all visitors and staff to wear face masks while inside the building. The CRC is a public setting engaging vulnerable residents.
  • Social distancing should be practiced in conference rooms to the extent that space is available.
    • At times meeting participants may be seated more closely, which is within current public health guidance.

Vaccination remains a critical component in combating COVID-19 and its associated harms. All eligible persons are strongly urged to get vaccinated and boosted against COVID-19 as soon as possible.

  • If you have received your booster, please send your up-to-date vaccination record to hr@scfhp.com

Please contact Human Resources for any questions or concerns regarding this communication – Email HR@scfhp.com or phone (408) 874-1778, Monday through Friday, 8:30 am – 5:00 pm.

The health and safety of our employees are of the utmost importance. Thank you for your continued support and cooperation.

Department spotlight

Case Management

Question

In 50 words or less, describe your department

Answer

We are a diverse team of compassionate individuals that are committed to ensuring our members are made aware of, and can access, all the benefits they are entitled to.

Our team is comprised of licensed social workers, nurse case managers, and highly trained personal care coordinators.

We coordinate care, with an emphasis on members’ strengths and self determination to reach their health care goals. One of the primary functions of our work is to link members to medical, behavioral, and transitional care. We do this by encouraging or assisting them to access our network of primary, specialty, community based providers and resources to address health, wellness and socioeconomic needs.

Question

What are the challenges facing your department?

Answer

One of the challenges we face are getting ahold of members that we recognize may need us the most. Although we reach out to members upon enrollment, annually, and with a change in health status, some of our highest need members either do not respond or the contact information for them is not accurate.

Our goal is to assess every Cal MediConnect member and Medi-Cal primary senior or person with disability (SPD) through the Health Risk Assessment (HRA), so we can assist them to craft a personalized plan that supports their health and wellness goals.

Question

Describe some highlights and share some achievements.

Answer

In 2018 our Complex Case Management Program was accredited by the National Committee for Quality Assurance (NCQA) for our CMC line of business and in 2022 we were resurveyed and we achieved re-accreditation for another 3 years.

Santa Clara County partnered with us to grant us access to the Homeless Management Information System (HMIS) which allows us to assess members that may qualify for housing support.

Question

Share something most people inside SCFHP don’t know about your department.

Answer

We all come from different backgrounds and cultures and many of us speak multiple languages.

Our focus is to be as effective as possible in meeting the member where they are. We are trained to recognize, embody, honor and celebrate cultural diversity while we work to address and eliminate disparities in access to health care.

We are very much looking forward to getting back into the community and meeting our members in person.

What's happening at Santa Clara Family Health Plan

Employee Assistance Program (EAP)

COVID-19 has had a major effect on all our lives over the past 2 years. Many of us experienced stress, anxiety, and feelings of loneliness and isolation due to the pandemic.

In observance of Mental Health Awareness Month, take time to focus on your mental health. SCFHP offers an Employee Assistance Program (EAP) that provides FREE confidential counseling by experienced clinicians who are available 24/7. Visit portal.BHSonline.com (Login information: user name = SCFHP) or call (800) 327-2251.

Let’s join the national movement to raise awareness and fight the stigma about mental health! Click here to learn more from the National Alliance on Mental Illness (NAMI).

Asian American and Pacific Islander (AAPI) Heritage Month

May is also Asian American and Pacific Islander (AAPI) Heritage Month. Did you know that in Santa Clara County, people who identify as Asian are now the largest racial group at 39%! This high percentage is reflective with our members and staff as well, in which 29% and 41%, respectively, are AAPI.

The month of May was chosen to commemorate the immigration of the first Japanese to the U.S. on May 7, 1843, and to mark the anniversary of the completion of the transcontinental railroad on May 10, 1869. The majority of the workers who laid the tracks were Chinese immigrants.

In honor of AAPI month, join us in celebrating and paying tribute to the generations of AAPI who have enriched American history and continue to be instrumental in its future success. Click here to learn more about AAPI Heritage Month and find events, exhibits, and other ways to celebrate AAPI Month.

Introducing DualConnect (HMO D-SNP) – SCFHP’s D-SNP Coming January 1, 2023

Drum roll, please!

We are excited to announce that our new dual eligible special needs plan (HMO D-SNP) will be called DualConnect! The name emphasizes how the plan will connect both Medicare and Medi-Cal services under one umbrella, continuing our commitment of making health care easy for our members.

DualConnect, or Santa Clara Family Health Plan DualConnect (HMO D-SNP) as it will be officially known, will be introduced to our community this summer. Our Cal MediConnect members will transition to the new plan on January 1, 2023.

We considered dozens of names and only one cleared our requirements for being simple, member-friendly, a good segue from Cal MediConnect, and available to trademark. This meant we were unable to offer an employee contest for the name, but we still want to hear from you!

Help us shape our DualConnect messaging by sharing your Cal MediConnect success stories! Stories can be about your collaboration as part of the SCFHP team or about a member benefiting from health care made simple. Other opportunities to contribute to the DualConnect brand will be announced soon.

Please send your stories to: newsletter@scfhp.com. Include “Farewell CMC” in the subject line. We will review success stories monthly to use both within the organization and in our member and prospect marketing efforts.

Supporting Pacific Clinics

From left: Jamie Enke, Jocelyn Ma, Christine Tomcala, Shawna Cagle, Jessica Bautista, Laura Munoz, and Trinh Nguyen at the Pacific Clinics Hearts and Hands event.

Santa Clara Family Health Plan (SCFHP) is proud to support Pacific Clinics (formerly Uplift Family Services) in their work to help children and families get the behavioral and mental health services they need.

On April 22, SCFHP CEO Christine Tomcala joined a group of team members attending the Hearts and Hands event to benefit Pacific Clinics’ programs and services that meet the needs of our community.

Mammograms for Mother's Day Event

On May 6, Jeanette Montoya, Health Educator – Quality Improvement, left, joined other members of the SCFHP Health Education team in partnering with Bay Area Community Health (BACH) for their Mammograms for Mother’s Day event in San Jose at the BACH family clinic. Our team did an amazing job completing 8 scheduled mammograms and 4 walk-ins.

Helping to heal families and inspire youth -- (ARCC)

Enjoying the event were, from left, front row: Jocelyn Ma, Manager, Community Outreach, Santa Clara Family Health Plan (SCFHP); Blanca Alvarado, and Christine Tomcala, CEO, (SCFHP). Back row, from left: Sparky Harlan, CEO, Bill Wilson Center; Mike Gonzalez, Director, Community Engagement (SCFHP); Rebecca Gallardo, guest of Blanca Alvarado; Brandon Engelbert, Manager, Provider Network Operations (SCFHP) and Angela Chen, Director, Case Management & Behavioral Health (SCFHP).

Santa Clara Family Health Plan (SCFHP) is proud to support Alum Rock Counseling Center (ARCC) in their work to heal families and inspire youth. On April 15, Blanca Alvarado joined SCFHP CEO Christine Tomcala, and others, at the ARCC Annual Luncheon.

Lending a hand

Pictured on left, from left: Cristina Hernandez, Francine Bacchini, Jenny Arellano Morales, Liz Sullivan, Lloyd Alaban. Pictured on right, from left: Jas Barring, Chelsea Byom, and Lynette Topacio.

Members of SCFHP Marketing and Communications team had a great time volunteering at Sacred Heart Community Service in San Jose on April 21.

The team helped out with their food and clothing distribution program that helps feed and clothe over 500 low-income families every day.

Latest from the Santa Clara Family Health Plan Blanca Alvarado Community Resource Center

Stanford's Office of Community Engagement & Office of Faculty Development and Diversity awarded Santa Clara Family Health Plan (SCFHP) with an "Outstanding Community Partner" award for its role in being an active and responsive partner through the work of its Blanca Alvarado Community Resource Center (CRC). The award recognizes SCFHP for supporting the roll-out of the COVID-19 vaccine and preparing the CRC to advance the health and wellbeing of East San Jose residents post-pandemic.

Since March 2021, the Blanca Alvarado Community Resource Center has held over 24 COVID-19 vaccination clinics and continues to engage residents to get vaccinated in a safe and inviting space in East San Jose.

The award also recognized the year-long, community-led planning process that helped us uncover the health and social needs of East San Jose, leading to the collective vision, purpose, goals, and priorities of the CRC.

Stanford identified the CRC as a "beacon of hope to address health disparities for low-income, hardly-reached residents living in Santa Clara County."

Santa Clara Family Health Plan out in the community

Members of our Provider Network Operations department, led by Manager, Provider Performance Program, Stephanie Vielma, far left, and Art Shaffer, Senior Provider Services Representative; Monday Reynolds, Provider Performance Program Manager and Nhi Ly, Provider Performance Program Coordinator visited Dr. Them Huynh.

“What we do today can improve all of our tomorrows.” - Ralph Marston

The Santa Clara Family Health Plan (SCFHP) Provider Performance Program (PPP) team recently restarted provider office visits. Reflecting on her team’s work, manager Stephanie Vielma writes, “It’s great to be back out on the field visiting our Santa Clara Family Health Plan (SCFHP) Provider Community.

Everything we do builds upon everything we have already done. The small changes and improvements we make today will make tomorrow easier and enable us to continue to grow and improve care delivery.”

Social media milestones

Not one, but two social media milestones.

Since late April, both the Santa Clara Family Health Plan (SCFHP) and the Santa Clara Family Health Plan Blanca Alvarado Community Resource Center (CRC) eclipsed impressive milestones.

The Santa Clara Family Health Plan Facebook page has reached over 500 followers! In the last year, this page has reached 557,120 people.

For the CRC, in less than a year the Facebook page has more than 200 followers and reached 20,429 people.

Thank you to everyone who has connected to stay informed as we work to address the health and social needs of our community.

Quality Improvement – Health Education & Cultural and Linguistic Team Visits Blanca Alvarado Community Resource Center

Quality Improvement Department, from left: Zara Ernst, Kassandra Chavez, Ivy Douangphachanh, Ly Nguyen, Edith Bernal, Cecilia Le, Jeanette Montoya, Lucille Baxter, Tu Le, Justin Diep, Chad Salamat, and CRC Supervisor Trinh Nguyen.

SCFHP’s Quality Improvement – Health Education & Cultural and Linguistic Department visited the Santa Clara Family Health Plan Blanca Alvarado Community Resource Center (CRC) on April 22. It was an opportunity for the department to better understand the concepts and ideals upon which the CRC’s goals were created. In addition, the group learned how the CRC is able to serve our members in the East San Jose community.

According to department manager Lucille Baxter, “A community resource center is an asset in a community that can be used to host health education meetings and collaborations with other organizations for the benefit of SCFHP members. Coming to the CRC Blanca Alvarado location was refreshing to experience what the community of East San Jose has available to them. The experience helped us all remember the difference that we are able to make when we come together.”

If your team would like to visit the CRC, please contact Trinh Nguyen, Supervisor, Community Resource Center.

SCFHP Offices closed on May 30 -- Memorial Day

Vol. 1, Issue 1: April 2022

And now, a word from our CEO

On behalf of the Santa Clara Family Health Plan (SCFHP) executive team, I want to welcome you to our premiere SCFHP Employee e-Newsletter.

This monthly e-Newsletter is a collaborative effort of many people, including: Employee Engagement Committee; Executive Team; Human Resource Department; Marketing, Communications, and Outreach Department and many others who have and will contribute to its content. It is also a result, in part, from the Employee Survey conducted in 2021 and guided by the goals and values found in the 2021-23 SCFHP Strategic Plan.

As stated in one of our eight company values, a Culture of Caring, we want to work together to create a culture that supports, develops, and recognizes team members. In our commitment to each other, we want to create and foster a cohesive organizational identity and make our values clear through the work we do. This e-Newsletter, I believe, will help us achieve that.

I would like to express my sincere gratitude for the contributions each of you continues to make to the critical work we accomplish every day. Together, we at Santa Clara Family Health Plan are committed to providing access to high-quality health care, and driving equity and inclusion for the communities we serve.

Christine M. Tomcala
Chief Executive Officer

Name needed/wanted/requested

So, has “Insert Name Here” atop the banner of this e-Newsletter sparked any interest or curiosity?

This e-Newsletter needs a name. Not just any name, a name picked by the employees of Santa Clara Family Health Plan.

To encourage employee participation and foster team/company unity, you are encouraged to submit name suggestions for this e-Newsletter.

The rules are:

  1. Email your suggested names to newsletter@scfhp.com by noon on April 22
  2. The names will be reviewed by the Executive Staff.
  3. The top names will be emailed to every employee to vote for their favorite. You have until EOD on May 6 to vote.
  4. The votes will then be tallied and a winner will be announced by our CEO Christine Tomcala.
    1. At the same time, the name of an employee who voted will be drawn at random and receive a gift card.

Update from Human Resources

New Hires

Hire Date

Name

Job Title Description

01/03/2022

Liz Sullivan

Manager, Communications

01/03/2022

Nhi Ly

Provider Performance Program Coordinator

01/31/2022

Alina Lozano

Transportation Specialist

02/07/2022

Jasjit Barring

Marketing Coordinator

02/07/2022

Ivy Chew

Transportation Specialist

02/14/2022

Charla Bryant

Manager, Clinical Quality & Safety (RN)

02/17/2022

Christine Isidro

Accounts Payable Specialist

02/22/2022

Chemyamal Kasampula

Community Based Services Specialist

02/22/2022

Laura Munoz

Community Based Services Specialist

02/22/2022

Robert Scrase

Manager, Process Improvement

02/24/2022

John Sum

Medical Director

03/23/2022

Francine Bacchini

Marketing Project Manager

03/23/2022

Alissa Butac

Medical Management Care Coordinator

03/28/2022

Lloyd Alaban

Copy Writer and Content Strategist

03/28/2022

Yuemin Li

Provider Database Analyst

03/28/2022

Miranda Lopez

Medical Management Care Coordinator

SCFHP 2022 Employee Survey runs April 11 through May 6.

Take this opportunity to share your opinions about working for SCFHP by completing the 2022 SCFHP Employee Survey. Go to this link: https://www.employeesurveys.com/SCFHP2022.php

Live webinar for Stress Awareness Month

April 19 at 11 am and 1 pm. Be on the lookout for the invite.

Ways to Wellness at SCFHP spring campaign – Coming Soon!

Registration opens for Santa Clara Family Health Plan’s Feel Like a Million campaign Monday, April 18 If you’re ready to feel your best, you won’t want to miss this retro game board-themed campaign.

Equity Council

Santa Clara Family Health Plan Equity Council announced

On March 17, Santa Clara Family Health Plan (SCFHP) announced the staff members named to its Equity Council. (See list below). The focus of the council is to promote a culture of inclusion and belonging at SCFHP, making it an employer of choice.

The Equity Council was developed in conjunction with the SCFHP Equity Steering Committee and Councils, which are the organization-wide structure to raise health equity for our members and create an equitable and inclusive workplace. It was announced at the December 2, 2021 All Staff Meeting.

According to Ngoc Bui-Tong, Vice President, Strategies and Analytics and executive team sponsor, there were more volunteers than seats, and final selections were made with the goal of having a broad representation of departments and job levels. The remaining staff volunteers will be kept on the list for the second term.

Congratulations to those named.


SCFHP Equity Council

Name

Position

Department

Diane Eagle

PDR Analyst

Claims

Caroline Tambe

Clinical Pharmacist

Pharmacy

Amber Tran

Process Improvement PM

Quality

Jessica Bautista

Manager, Community Based Case Management

LTSS

Jenny Arellano

Marketing PM

MKG, Comms, Outreach

Yolanda Jimenez

Training and Quality Monitoring Associate

Customer Service

Thomas Ngo

Manager, Health Care Analytics

Finance

Alejandro Rodriguez

Compliance Analyst

Compliance

Falisha Ornelas

IT Project Coordinator

IT

April Pitt

Enrollment Lead

Enrollment and Eligibility

Abby Baldovinos

Sr. Provider Services Representative

PNO

+ Ngoc Bui-Tong, Teresa Chapman, Strategic Planning PM (vacant)


Steering Committee Members at Large

Lisa FitzPatrick

Manager, Marketing Production

MKG, Comms, Outreach

Gabriela Landeros

Claims Quality Assurance Auditor

Finance

+ Ngoc Bui-Tong, Johanna Liu, Karen Fadley, Claudia Graciano, Strategic Planning PM (vacant)

Department spotlight

Quality Improvement – Health Education & Cultural and Linguistic

Quality Improvement & Health Education Team, from left: Chad Salamat, Jeanette Montoya, Ly Nguyen, Zara Ernst, Lucille Baxter, Tu Le, Ivy Douangphachanh, and Justin Diep.

Told by Lucille Baxter, Manager, Quality Improvement & Health Education

Question

In 45 words or less, describe your department

Answer

Our focus is to improve the quality and health of members. We do this by promoting positive health outcomes through prevention, management of health conditions and self-care and assisting members to modify personal health behaviors and achieve and maintain healthy lifestyles in a culturally and linguistically appropriate manner.

Question

What are the challenges facing your department?

Answer

During COVID, health education classes have been held on Zoom, instead of in-person. Attendance for SCFHP health education classes has been a challenge. This may be due to Zoom fatigue. Another challenge is members who depend on interpreters for the classes. We are exploring other options to increase attendance

Question

Describe some highlights and share some achievements.

Answer

We partner with local community organizations to offer 20+ virtual health education classes to our members. We had 600+ members attend classes in 2021. We have implemented SCFHP in-house health education classes in 2021. Our first virtual baby shower was in May 2021 and thereafter, has been conducted monthly. Our first Controlling Blood Pressure Class was in July 2021 and thereafter, has been conducted monthly.

Question

Share something most people inside SCFHP don’t know about your department.

Answer

All written health education materials generated by the staff of Santa Clara Family Health Plan must be reviewed, field tested, and approved by Health Educators. We ensure all the materials meet readability and suitability requirements in a manner and format that is easily understood (sixth-grade reading level), and are culturally and linguistically appropriate for members.

What's happening at Santa Clara Family Health Plan

Lunar New Year Celebration

On February 12, amid clear skies and warm temperatures, more than 200 residents and health plan members attended the SCFHP Blanca Alvarado Community Resource Center Lunar New Year celebration. This is one of the most important celebrations of the year among East and Southeast Asian cultures, including Chinese and Vietnamese communities. The celebration allowed CRC staff to further engage and foster trust with the East San Jose community.

Check out images from the event on the CRC’s Facebook and Instagram pages -- @scfhp.crc.

COVID-19 Vaccine Clinics

From: Mike Gonzalez, Director, Community Engagement

Here’s a quick summary of the COVID-19 vaccine clinics at the CRC in the first two months of 2022. Overall, we continue to experience good and steady engagement at our events due to our incentives and thoughtful community outreach efforts. In comparison, other vaccine clinics throughout Santa Clara County are experiencing an average of 70 shots per event. Note that schools and word of mouth are the most significant drivers for reaching and getting residents to the CRC.

Jan 22

Feb 7

Feb 18

Feb 19

Total shots administered

380

105

94

167

Members of SCFHP

77

46

47

77

Number of First Dose

90

19

24

26

Pediatric – First Dose

60

8

13

9

Number of Second Dose

17

16

30

58

Pediatric – Second Dose

13

11

13

42

Number of Boosters

273

70

40

83

Outreach (How did you learn about the vaccine clinic?)

SCFHP Blanca Alvarado Community Resource Center

10%

10%

20%

15%

My child school

35%

36%

32%

25%

Social media (Facebook or Instagram)

25%

5%

7%

10%

Word of mouth (a trusted family member or friend)

25%

40%

28%

35%

Other CBO

5%

1%

5%

12%