Care Share Health Alliance

Helping communities coordinate care and other resources for underserved people through collaborative networks and models

News

News

NCDHHS Delays Implementation of the NC Medicaid Managed Care Behavioral Health and I/DD

Feb 28, 2023
North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for […]

NCDHHS Delays Implementation of the NC Medicaid Managed Care Behavioral Health and I/DD

by Erin Storie

North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for April 1 and is now targeted for Oct. 1, 2023. Read More: https://www.ncdhhs.gov/press-releases

Care Share Health Alliance Statement on the Murder of Tyre Nichols

Jan 31, 2023
At Care Share Health Alliance we approach this statement with intense sadness for the loss of life of Tyre Nichols and with the deepest sympathy for his family to have […]

Care Share Health Alliance Statement on the Murder of Tyre Nichols

by Erin Storie

At Care Share Health Alliance we approach this statement with intense sadness for the loss of life of Tyre Nichols and with the deepest sympathy for his family to have lost a loved one in such a horrific way. 

We also approach the statement almost with trepidation – because we again must address the murder of a Black man at the hands of police in America.  These murders continue to happen over and over, many of them never acknowledged by the media, but enough so that we fear our nation is becoming desensitized. This should be a wakeup call.

It’s well past the time to ask why this continues happening, and face the hard truth that it is because our criminal justice system has origins in the racial persecution of Black Americans and intentional dehumanization of Black men. It allows for the abuse of power and lack of accountability which have been the hallmark of these terrible events.

It’s tempting to think that because the officers who murdered Tyre Nichols were also Black that means racism can’t be a motivator. But when we work within systems that are built around a racist structure, and take advantage of their inequities, we are complicit in their abuses. 

Unfortunately, the majority of American social and political systems are built on a culture of White Supremacy which, more often than not, goes unacknowledged. This lends to the desensitization we feel when we are confronted with the news of another terrible tragedy like what happened in Memphis. When entire social structures are built upon intentional injustice, we become desensitized because we feel like there’s nothing we can do to make change.

In that light, we’d like to share ways to help Tyre’s family and to donate your time or money to organizations working toward police reform:

The GoFundMe started by the family of Tyre Nichols:
https://www.gofundme.com/f/tyre-nichols

Emancipate NC:
https://emancipatenc.org/

Campaign Zero:
https://campaignzero.org/

NAACP:
https://naacp.org/actions/action-alert-uniformed-police-reform

If you are an organizational leader, you are probably also wondering how you can help your staff and colleagues process their responses to these events. We suggest the following:

  • Encourage open conversation on the impact of recent events and structural racism with your staff
  • Encourage use of EAP, if available
  • Give employees time and space to work through their emotions 
  • Recognize that employees may be re-experiencing trauma from times that have felt unsafe with law enforcement

Care Share Health Alliance hopes to never have to publish another statement like this. We do not want to see any more lives lost to police brutality. However, for that to be a reality, our country must be brave enough to face hard truths about the racist heritage of our law enforcement system and make changes that holds itself accountable for the safety of all Americans.

Care Share Honors Jan. 16, 2023 as Dr. Martin Luther King, Jr. Day

Jan 16, 2023
“Of all forms of discrimination and inequalities, injustice in health is the most shocking and inhuman.” This quote from Dr. Martin Luther King, Jr. is often cited by those of us […]

Care Share Honors Jan. 16, 2023 as Dr. Martin Luther King, Jr. Day

by Erin Storie

“Of all forms of discrimination and inequalities, injustice in health is the most shocking and inhuman.”

This quote from Dr. Martin Luther King, Jr. is often cited by those of us involved with healthcare at any capacity. Today, as we honor the legacy of Dr. King’s civil rights activism, the inherent truth of his words remind us of the work that still needs to be done for all Americans to have access to equitable care.

To provide a little context, the quote comes from a 1966 press conference, where Dr. King spoke out against hospitals across the country that were illegally denying care to Black Americans, and medical societies refusing admittance to qualified Black doctors or turning a blind eye to the racism of their own members.

Since then, our country has made significant progress in addressing racial injustices across all sectors of society, including medical care. Unfortunately, however, it doesn’t take a hard look at our current healthcare system to recognize that our own modern versions of the injustices Dr. King fought are still affecting the way Black and Brown Americans receive care.

A 2021 UCLA study discovered that only 5% of American doctors were Black. In 2019, 5.8% were Hispanic, and less than half of 1% were American Indian or Alaska native. Another 2021 study showed that Black patients are more likely than White patients to be in hospitals with worse patient safety conditions. In 2019,  research found that emergency room providers were less likely to order blood tests, CT scans, or X-rays for Black, Hispanic, or Asian children compared to White children.

A final portion of Dr. King’s quote adds, “Of all the forms of inequality, injustice in health is the most shocking and the most inhuman because it often results in physical death.”

The consequences of inequitable healthcare are not merely an issue of morality or even well-being, but one of life or death. We see this evidenced in the reports from the CDC of shorter life expectancy for Black men in the US. The fact that Black, American Indian, and Alaska Native women are three times more likely to die from pregnancy-related causes than White women. The significantly higher infections and death rates experienced by Black, Hispanic and AIAN Americans during the COVID-19 pandemic.

That is why, when strive to make changes to our healthcare system, we must keep equity at the forefront of all the work we do. We must continue to center the voices of those who are experiencing the injustices of our current systems, and be willing to acknowledge that many of our systems were built on white supremacy models that were intentionally unjust.

The work can be difficult, and often the data we see is depressing and alarming. Many of us may have expected to see more change in the 54 years since Dr. King’s words, but to reference another frequently cited and beautiful quote,  “The arc of the moral universe is long, but it bends toward justice.”

Care Share will continue to work for a more just healthcare system through our partnerships with communities. By providing support and creating opportunities for collaboration, we strive to help them make the changes they want to see to become healthier and more equitable for all.

NC’s BIPOC Leaders: Rev. Dr. Dawn Baldwin Gibson at Peletah Ministries

Dec 2, 2022
Rev. Dr. Dawn Baldwin Gibson still remembers when she was only four years old sitting at a nurse’s station in the hospital, while her mother was visiting with Gibson’s father, […]

NC’s BIPOC Leaders: Rev. Dr. Dawn Baldwin Gibson at Peletah Ministries

by Erin Storie

Rev. Dr. Dawn Baldwin Gibson still remembers when she was only four years old sitting at a nurse’s station in the hospital, while her mother was visiting with Gibson’s father, who was dying of pancreatic cancer.

“So much of the work that I do around health equity comes from that very early knowledge of how important healthcare access is.” Says Gibson.

Her father had been with DuPont in Wilmington, NC  for many years, but when he got too sick to work, he was fired, and with that lost his health insurance. He died within months of his diagnosis, at just twenty-nine years old.

Gibson believes her father did not receive the kind of care he should have to help fight his disease.

“They said it was the flu. I don’t know that they really even took it really seriously,” she says.

It was a stark contrast to the care received by her mother, who was diagnosed with ovarian cancer years later in the 90s, and had access to health insurance.

“She had the ability to get that good care. And so now she’s been cancer free for 20 plus years,” says Gibson. “I think that those are the early memories that stay with you, of how important healthcare is, how important early detection is, all of those things. All of those memories still remain with me.”

Gibson has gone on to use those memories to inform the work in the organizations she’s founded with her husband, Pastor Anthony Gibson: Peletah Ministries, Peletah Institute for Building Resilient Communities, and Peletah Academic Center for Excellence, all located in New Bern, North Carolina.

“New Bern is as much home as home can be for me,” she says. It’s where her mother’s family is from, and Pamlico County where she and her mother settled after her mother worked on master’s degree at then Atlanta University in Atlanta, Georgia.

“We actually live on the farm that my grandfather purchased after his service in World War I. So my grandfather was born in 1891, and my mom is one of the folks that are still walking around who can say that her grandparents were actually enslaved.”

Although Gibson was born many years after her great-grandparents had passed away, she still heard stories about their experiences from her grandparents.

“The stories that my grandfather and my grandmother shared – they were just so impactful. The house that my mother lives in, my great-grandmother lived in that house. So there are these very significant connections that we have to the history of the land and the history of the community in which we live.”

As Gibson grew up, she went on to attain her BA in Liberal Studies from Shaw University, where her parents met.  She continued her education at East Carolina University, where she received an MA in English, and later started working on a doctorate in higher education administration at George Washington University.

“And halfway through my program, I said, you know what? I think I want to be a Christian counselor.” So Gibson took the unusual step of changing her doctorate, and completed her PhD at Christian Leadership University in Christian counseling. There, her focus was on trauma and Adverse Childhood Experiences (ACEs) in children of color.

She shares that part of what influenced her to make such a major change had to do with a tragic experience she had while working as an instructor at Lenoir Community College, where one of her students was killed in what she describes as, “just a senseless act of violence”,

“I really felt like there were things that I wanted to give my time to, and that administration in that sense might not be where my passion was,” she recalls. “I think that particular situation of violence really began to change my focus.”

Gibson also credits another, this time positive, experience with changing the trajectory of her work. At the time, she was working as a Community Response Coordinator with Easter Seals UCP, which sent her to a conference where one of the speakers was Dr. Vincent J. Felitti.

Felitti originated the research showing certain traumatic experiences and environments in early life, known as Adverse Childhood Events (ACEs) can have lasting, negative effects on a person’s health, well-being, and life opportunities, such as education and job potential.

Gibson – who admits she had attended the conference essentially because that’s just where her job sent her – recalls standing against the back wall of the packed ballroom where Dr. Felitti spoke, “That day, it changed my life and it changed the focus of my work in a way I could never have anticipated.”

The extensive work Dr. Gibson now helps lead at Peletah Ministries is sensitive to trauma in all areas. “Peletah is a Hebrew word for great deliverance,” she explains,” It’s holistic; not in just one area, it’s in every part of your life.“

This also involves early childhood intervention, through the Peletah Academic Center for Excellence, where Dr. Gibson, who has over 25 years of teaching experience, serves as Superintendent. PACE  is a culturally competent, trauma-informed, grief-sensitive Pre-K-12 school that provides both academic and social-emotional learning, as well as wraparound services for students’ families, such as access to a social worker and case managers if additional support is needed.

“I was always really interested in this area of education and how children, especially children of color, show up in classrooms, and the importance of education, the importance of the community, and the importance of these wraparound services,” says Gibson, “My Master’s degree concentration was technical and professional communications, but I did my thesis work around culturally responsive pedagogy as it relates to African American males as a learning discourse community.”

At P.A.C.E. Mondays through Wednesdays are strict academic days, Thursdays are dedicated to health and wellness and Fridays to place-based education.

“It is really about giving our scholars opportunities to create, develop, and thrive, on these health and wellness days,” Gibson says. “We have a dietician, we have a social worker, we have a clinician, and they are all doing different projects on Thursdays and Fridays for our scholars.”

As part of her work as Executive Pastor at Peletah Ministries, Dr. Gibson has also written a trauma-informed worship for her church, part of which includes keeping worship services private. Often, people say they can’t find Peletah’s church services aired on social media, but Gibson says that’s intentional. She makes a comparison to HIPAA, a law healthcare providers must follow to protect patients’ privacy when receiving medical services:

“Is there not a spiritual HIPAA, that we have an obligation to protect people’s information unless it’s going to hurt them or hurt someone else?” Gibson asks. She talks about “toxic resiliency”, where individuals, especially in the Black community, are taught “what goes on in the house stays in the house”, and to put on a smile in public regardless of what they’re been through, or are going through.

Gibson also references Post Traumatic Slave Syndrome, a theory that the experience of slavery in the United States and the continued discrimination and oppression endured by Black Americans creates intergenerational psychological trauma.

“So much of the work for my doctorate I did around post-traumatic slave syndrome,” she says, “When we think about trauma and its impact – the brain is constantly either in this fight, flight or freeze posture, then you see high blood pressure, you see more incidents of heart palpitations and heart problems and diabetes. All of that is impacted by issues of underlying and ongoing trauma and toxic stress. Then you add in these different areas of poverty and the lack of health access. All of these are compounding factors that when people show up in a worship setting, they bring all that with them.”

Peletah also connects ministry with mental health services. “We’ve prayed for people at the altar and still made a referral to Crossroads psychiatric care facility,” says Gibson, “We’ve said ‘there are some other things that are going on here and we need to help you connect to a clinician.’”

Gibson is intimately familiar with how important access to mental health services is. In 2016, she suffered a tragic miscarriage at five months into her pregnancy with her daughter, Hannah Elizabeth. Her loss was only amplified by the treatment she received when she sought medical care.

During her pregnancy, Gibson suffered from uterine fibroids, which are more likely to occur in Black women like herself. The fibroids were so severe that at 5 months pregnant, Gibson’s abdominal circumference measured the same as if she had been nine months. Her daughter was literally being pushed out by the fibroids, causing Gibson to go into premature labor.

However, when she went for help at the ER, she was discharged while still in active labor, although she didn’t know it.  Later that night she was rushed back to the hospital by paramedics after she had given birth to her daughter at home.

“Hannah died probably about 45 minutes after her birth.”  Remembers Gibson, “I had a vaginal birth and they sent me home within an hour.”

She and her husband went home that morning and planned Hannah’s burial. Two weeks later Gibson attempted suicide.

Thankfully, she survived and was able to receive mental health services to help her deal with her loss at Crossroads Psychiatric Care Facility in New Bern, the same organization where she will now refer members of her congregation.

“That is the reason why I am probably one of their biggest advocates,” she says, “ Because I understand that when your serotonin level is off, it is off.”

She also describes the hesitancy many people in her community have toward addressing mental health issues, as opposed to seeking other healthcare services, “When my mother was diagnosed with ovarian cancer, people said, ‘you gotta get over to the Leo Jenkins Cancer Center in Greenville.’ We actively did it. But when people talk about mental health struggles, that something chemically is happening in the brain, we kind of, well – we can’t do that.”

That mindset, and Gibson’s own experience, has helped inform  Peletah’s SHELL program, which helps other African American clergy in eastern North Carolina access culturally appropriate mental health counseling. It was developed by Gibson and her husband, Anthony – who has extensive experience in the mental health field – as a response to the emotional toll the COVID-19 pandemic was taking on pastors and lay leaders in Black churches.

“We are serious about changing how our communities have thought about mental health services.” She says. “We’re continuing to do that work because of the impact that Covid has had on our communities, on our mental health, on our ability to process effectively what grief is, what loss is. It is something that is going to be with us for decades, and we are going to have to really look at how this is impacting our health and our wellbeing.”

The Peletah Institute, where Dr. Gibson serves as Executive Director, could be considered something of an expert on how to support communities through the effects of COVID-19. In fact, in the beginning days of the pandemic, they were in the very unique position of actually knowing what to do.

While institutions from the federal government to local clinics were struggling with how to reach everyday Americans with accurate information and, eventually, the vaccine, Peletah utilized a framework and network of connections they’d had in place from shortly after their church had opened, which happened to be just six weeks before hurricane Irene hit North Carolina.

“So very quickly we were doing disaster work,” Gibson recalls, “We were going around after Hurricane Irene and we saw all of this need. And what we now say is that whatever is in the community at the time of the disaster is only amplified by the disaster.”

In response, Gibson says they put together what they call their own “FEMAA” approach to help communities be resilient after disaster. Peletah Institute’s version of FEMAA stands for Food Access, Educational Recovery, Mental Health Support Resources, Affordable Health Care and Affordable Housing.

“And in the meantime, we ended up connecting with 300 plus churches across eastern North Carolina; that’s now grown above 500 churches that we’ve connected with so that when things are happening, we can get resources and information to them.”

“When Covid happened, we just did the same thing. We started up with those same churches just like it was a disaster; because it really was.”

She recalls during hurricane Florence, her community didn’t have internet access for weeks, so they relied on free conference call phone numbers to spread needed information.

“When Covid happened and people needed information, we just went back to those free conference calls. But the thing that we were able to do was that everybody had gotten these phones where they could see Facebook.”

So Peletah partnered with their local hospital to host “Vaccine 101” Facebook Lives.

“The first one we did was with State Health Director Betsy Tilson and some of the staff at the NC Department of Health and Human Services. They said, well, you get a hundred or 200 people to come on, and that will be great.”

But 200 people didn’t come – 12,000 did. Eventually, Gibson says, they ended up reaching hundreds of thousands of people through Facebook and other social media platforms, such as Instagram and TikTok.

Some of the platforms were not familiar to Gibson, but she put her trust in her staff to figure them out. “The staff just did such an amazing job,” she says. “There were so many different things they kept learning how to do and how to develop to reach different populations. It was all about making sure that people were getting factual information, and so we were really fortunate to continue to expand in that way.”

Peletah’s work providing accurate information and access to vaccines for African American seniors in their community even earned a shout-out from Surgeon General Dr. Vivek H. Murthy,  as part of a White House COVID-19 Press Briefing in 2021.

“I still don’t know how it happened.” Gibson says, as no one had informed her that her organization would be mentioned by the Surgeon General, “But what we realized was that was the way to connect to people and make sure they were getting information.”

So, what was it that made Peletah so effective when so many other organizations struggled at the time? Gibson credits their success in both disaster relief and addressing COVID-19 to the fact Peletah Institute’s work is a direct response to the needs expressed by her community.

“It’s something about being in community, not assuming, not hearing part of what I want to hear, but hearing the whole matter,” Gibson explains. She describes a call she had with a mentor, who helped her understand the importance of community voice.

“One time I called her and I said, ‘we need to make all these changes and the people, they need this, this, this, this, this.’” The mentor allowed Gibson to say her piece, and then asked, “But what did the people say?”

“She said, ‘the wisdom is in the room’.” Gibson recalls, “And now I’ve kind of expanded what she taught me and say, the wisdom is in the community.”

Pelatah’s approach is not to assume what a community needs, but instead, Gibson explains, “We let them tell us what they need, and then figure out how we partner to support the infrastructure being built strong in this community.”

“We don’t need little Peletahs everywhere.” She says, “We need the people who have always been doing the work to be supported in a way where they can get the resources, they can get the funding, they can get the opportunities that they need for the communities where they’ve been doing this all along.”

That work is done partly through the Eastern North Carolina Regional Church and Community Resiliency Collaboratives hosted by Peletah, which originated in the  SHELL Program.  SHELL stands for Safety, Hope, Efficacy, Lasting, and Linkage. Specifically, “Lasting, sustainable systems for building resilient communities” and ”Links to community partners.”

As a part of helping create sustainable systems and linking to community partners, Peletah organized a meeting of local pastors to share community needs. “Now we thought we probably have about 25 pastors show up, which was great for a Monday.” Recalls Gibson, “We had 154 show up.”

The attendees were appreciative of the information provided but wanted to communicate directly with governmental organizations that Gibson and her staff were working with. So Peletah brought together those organizations for the first ENC Church and Community Resiliency Collaborative in March of 2022.

As part of the event, a listening session with government officials was held, including the Director of Community Partnerships and Faith-Based partnerships for FEMA, the Director of the NC Office of Recovery and Resiliency, and NC Department of Health and Human Services Assistant Secretary for Equity and Inclusion.

There was also a “health equity room” where visitors could get COVID-19 vaccines, blood pressure checks, anxiety and depression screenings, and could talk to representatives from Medicaid managed care plan providers. Next door was an “intake room” with other services like housing assistance, clothing for job interviews, Legal Aid, Land Loss Prevention, and social service providers, in addition to 30 vendors sharing their services with the community. They also gave out over 300 boxes of groceries and fresh produce in partnership with Conetoe Family Life Center.

Gibson was expecting to have around 200 attendees, but, again, what was expected to be a relatively small event turned into something much more when nearly 700 people showed up. Due to the overwhelmingly positive response, the Resiliency Collaboratives have become a regular occurrence.

“We have another one coming up,” Gibson shares. The ENC Regional Church and Community Holiday Resiliency Collaborative will take place on Monday, December 12, 2022 at the New Bern Riverfront Convention Center.

“We have more than 80 vendors. We’re excited that the hospital will be doing COVID-19 vaccines. We’ll have ACA open enrollment opportunities,” says Gibson, “All of our Medicaid managed care providers will be on site. We’ll have lots of free health screenings. We’ll have 500 food boxes, and Toys for Tots ( which requires pre-registration.)”

With everything her organization is doing, and all of the roles Dr. Gibson has at Peletah, one wonders how she has time to sleep. However, she says that she makes self-care a priority, both for herself and those she leads.

“Our staff come with a lot of their own knowledge, skills, and education to this work. It is a lot that they carry and it’s a lot that we’re doing. We recognize how important it is, but we also recognize how important it is to get rest for self-care.”

“Self-care is not being selfish,” says Gibson, “It is being mindful of how important it is to care for yourself. You cannot pour from an empty cup.”“Let’s refocus from wrong to strong.“

For more information on Peletah’s work, including the upcoming NC Regional Church and Community Holiday Resiliency Collaborative you can visit peletah.org or follow their social media:

https://twitter.com/PeletahMinistry

https://www.instagram.com/peletahministries/

https://www.facebook.com/peletahministries

 

NC’s BIPOC Leaders: Yesenia Cuello, Executive Director at NC FIELD

Sep 30, 2022
Yesenia Cuello may only be 30 years old, but she has a lifetime of experience to inform her work as Executive Director of NC FIELD, a non-profit working with farmworker […]

NC’s BIPOC Leaders: Yesenia Cuello, Executive Director at NC FIELD

by Erin Storie

Yesenia Cuello
Yesenia Cuello, Executive Director at NC FIELD

Yesenia Cuello may only be 30 years old, but she has a lifetime of experience to inform her work as Executive Director of NC FIELD, a non-profit working with farmworker youth, families, and H-2A guest workers by utilizing grassroots organizing principles to teach leadership, promote education, health and safety, and facilitate access to opportunities, including internships, certifications, and higher education. 

Cuello was born in California; her mother is originally from Mexico and her father the Dominican Republic. When she was just 5 years old, her mother decided to move Cuello and her siblings to North Carolina, hoping to provide a more peaceful environment for them to grow up in. They eventually settled in the small town of Pink Hill in Lenoir county. 

“I’m pretty sure that making the transition from California to rural Eastern North Carolina was like from one country to another,” Cuello says about her mother’s experience. 

Her father had stayed in California, so Cuello remembers her mother working long hours to support her daughters. The type of work that was available for her – an undocumented immigrant who spoke little English at the time – was in agriculture, specifically tobacco, a labor-intensive crop that poses significant risks to the workers who harvest and process it.

Cuello says that growing up watching her mother leave early in the morning for work and coming back late in the evening made her and her siblings understand the sacrifices she was making for them. So, when Cuello was around 14 years old, she and her 12 and 13-year-old sisters decided they wanted to help their mother out. 

“They would call us “las chicas poderosas” even back in the day,” Cuello recalls the nickname given to the three of them (which is the Spanish title for Power Puff Girls.) Like their cartoon heroes,  “They said that whenever we got together, there was little that we couldn’t accomplish.”

That summer, Cuello and her sisters told their mother they were coming to work with her in the field. They wanted to help pay the bills, and maybe earn some spending money of their own to buy new school supplies. Their mother agreed to take them, which might come as a surprise given the difficult nature of working with tobacco.

“Oftentimes we do receive that question, ‘who would let their child go work in such a dangerous industry?’” says Cuello, “My mom said she looked at us and she was like, ‘these girls, they’ve just never worked a day in their lives. They don’t know what they’re asking, so I’m going to let them come with me one day. They’re going to be out there the entire time with me, and they’re going to see how hard it is, and they’re never going to want to come back.” 

On what their mother had planned to be their one day in the field, Cuello and her sisters woke up very early in the morning to get dressed like any North Carolina teenager would during the summer: in t-shirts, shorts, and flip-fops. 

“We were out there like we were going to a beach,” Cuello recalls, “My mom took one look at us walking out of the room we shared, one behind the other, and said, ‘I don’t know where you think you’re going.’”

“She sent us right back in. She said socks. She said tennis shoes. The most rundown jeans you have. One of those long sleeve thin plaid shirts. Definitely a hat. And we were like, it’s so hot outside!” 

But Cuello’s mother had the right idea. Unbeknownst to her daughters, two of the top dangers of fieldwork are chemical exposure from pesticides and heat stress. Working with tobacco adds the extra risk of Green Tobacco Sickness – also known as “nicotine poisoning” – which can cause nausea and vomiting severe enough to require hospitalization. It also puts workers at a greater risk for heat stroke, which is the leading cause of work-related deaths among farmworkers.

Covering up the way Cuello’s mother instructed her daughters can help reduce the risk of these dangers by providing a barrier between the skin and hazardous chemicals or nicotine.

When Cuello got to the work site, she says no one asked about her or her sisters’ ages. “The gentleman just asked if we had ever done farm work before, and we said yes, even though none of us had really ever worked before. ”

She soon realized how difficult the work she had signed up for was.  “For the first couple weeks I dreamed of tobacco,” she recalls.

She would work in long rows of tobacco where she couldn’t see the beginning or the end. Sometimes Cuello, who is 5’10”, would work with plants taller than herself. To keep an eye on one another, she, her sisters, and her mother would call out to each other or sing songs to keep themselves entertained. Whoever finished first would go back to help the others still working to make sure they all left the field at the same place. Usually, their mother finished first and would go back to help her daughters keep up.

“We knew she was watching out for us, but we also thought: who is watching out for her?” Was part of Cuello’s motivation to continue with field work years after the “one day” her mother had expected. 

At the age of 17, while she was still working in tobacco during the summer, she became one of the founding members of NC FIELD’s Poder Juvenil Campesino (Rural Youth Power) group for children of farmworkers and youth working in the fields. It helped teach her skills for public speaking, the importance of advocacy, and provided health and safety education. In fact, joining the PJC  was the first time Cuello learned about the danger of working with pesticides.

While in the youth group, Cuello also worked on a study with Wake Forest examining Migrant Farmworker Housing.

“The goal was to be able to collect data as to how farmworker housing was having a direct impact on farmworkers’ health.” She explains. During the study she learned more about the structure of farmwork in the US, such as workers who come on H-2A visas and how the migrant stream works. And, through hearing farmworker stories, about the lack of transparency in the industry.

“The youth group played such a huge role in my life,” says Cuello, “ After a few years in the youth group, I’d worked my way to the president.”

From there, she joined NC FIELD’s  Board of Directors, working as the public relations chair for a couple of years before transitioning to hired staff as Program Manager, which included managing the PJC. After three years as Program Manager, she became NC FIELD’s  Executive Director.

“It was a decade’s worth of transition,” she says, “But every step of it led me to where I am today.” 

Some of the work Cuello has been part of has had major impacts on farmworkers all across the country. Through NC FIELD , Cuello worked with Human Rights Watch on a study that informed how the EPA revised Worker Protection Standards in 2015 – the first time since they had been created. The standards were updated to better protect farmworkers and their families from pesticide exposure by increasing the frequency of mandated safety education, which must be provided in the language the worker speaks. The advocacy also resulted in the first-ever minimum age for pesticide handlers in US agriculture. 

“The fact that we were able to be a part of that, and realize that this is the kind of positive change that we can make encouraged us to continue this movement in the right direction,” Cuello recalls. 

Like most organizations, NC FIELD  had its work cut out for them during the COVID-19 pandemic, which in North Carolina began while the farmworker community was still feeling the effects of Hurricane Florence.

“In rural areas, we lack a lot of infrastructure, so a lot of the roads were damaged,” says Cuello, “As if transportation wasn’t already hard, during the hurricane we had to find different ways to get to the families that weren’t able to get out of their homes.”

There was another serious concern for some farmworker families beyond the difficulty of getting out of their homes after the hurricane. Cuello describes walking into one home and, “Seeing a mother who was scared to leave her house because we had a situation where somebody documented that there was an ICE vehicle parked outside of Walmart. So we were running into situations where families were scared to leave their homes to even go to the store. So they were starving in their homes with their families.”

“The things that we saw and that we witnessed were absolutely devastating,” she recalls. 

Then there was a direct transition from the aftermath of Hurricane Florence to the COVID-19 pandemic, which no one was prepared for. 

“We realized that because we are a fairly small nonprofit we have very little room for trial and error, so we have to expand,” Cuello says. 

There was a surprising equalizing effect from the pandemic that allowed NC FIELD and other organizations like it to provide access healthcare and other services for populations like the farmworker community that may have been excluded before.

“The pandemic didn’t exclude anybody,” explains Cuello. “COVID didn’t care if you were documented or undocumented; it didn’t care where you sat in terms of society. It didn’t discriminate at all.”

Through that NC FIELD was able to, “Expand and grow and realize that the only way that we’re going to be able to even create one positive dent in this pandemic is if we work together.”

One way NC FIELD found to work together was by establishing an advisory board made up of organizations involved with the farmworker community, and reaching out directly to local health departments and community health centers.  Gathering partners allowed different organizations to help one another in their missions to serve their community while also avoiding the duplication of services. 

“So NC FIELD could focus on a service gap that exists that nobody else is doing.” Cuello says, “A lot of the work that we’re doing now is making sure that the community has the tools it needs to be able to advocate for themselves as well.”

An example of that work was a challenge from the community that was very familiar to Cuello: finding ways for young people to help provide for their families without having to work in the field. 

Agriculture in NC contributes over $90 billion to our economy. We’re also the country’s top producer of tobacco and sweet potatoes, two crops that bring in over $500 million to the state, and could not be harvested without intensive labor from farmworkers. Despite that, a farmworker’s median salary is $29, 680. Many of our H-2A guest workers earn less than $12,000, which makes them ineligible to receive subsidies to help pay for health insurance through the Health Insurance Marketplace because they don’t earn the minimum amount to qualify.

“We did need to teach people that, yes, take children out of the field,” explains Cuello, “but this is a much larger issue in terms of how much farm workers are making and how much the industry is bringing in. The reality is, as long as extreme poverty and systemic discrimination exist, children will work in agriculture to help their families and have money for school supplies, clothing, technology, and other needs.”

And while NC FIELD  actively campaigns against child labor in agriculture, Cuello says, “Sometimes that child was providing for that family and putting food on that table. So we’re advocating for a child to be at least 18 to work in a tobacco field, but that means that now that child can’t work in agriculture. That means no food is put on the table. So what are you doing to supplement some of that?”

According to Cuello, what NC FIELD  did was develop a sustainable solution for farmworker children and their families:

“With PJC a lot of the work that we do is around internships on a very small scale, with help from Z. Smith Reynolds Foundation and Resourceful Communities Creating New Economies Fund, and more recently the Louise Oriole Burevitch Endowment. We’ll create educational internships over the summer; whether that looks like a garden project, or farm worker children going to labor camps with an adult ally to provide occupational health and safety education.”

“That model is our way of being able to supplement some of that income the child would have received, ensure they understand health and safety when they work in fields, and seek to limit the number of children that we have work in agriculture.”

NC FIELD, in collaboration with partners, also hosted an extensive, four-day healthcare access event in Mt. Olive that offered COVID-19 rapid testing and essential health screenings, with the help of Dr. Joseph Cacioppo and Campbell University Community Care Clinic medical students.

“We are based in the heart of agriculture at our office in Duplin County, surrounded by 30 plus farm worker labor camps, and hundreds of field and meat processing workers sustaining their families.” says Cuello, “We were able to screen 606 members from the farmworker community. Even people that had been doing work supporting farmworkers a lot longer than I have said, “We’ve never seen a response like this in the last – I don’t know how many years!”

The event helped NC FIELD not only provide services for the farmworker community but also get a deeper look into how to support them in caring for their long-term health.

“We ran into the issue that now we’ve done the screenings. Now they have a general idea of their health. But we’re realizing that some people are pre-diabetic or have some other health concern, and they want to be able to prioritize their health, but at the same time with the work schedule that farmworkers sometimes have they’re not able to get to clinics. Or transportation is a big issue.”

There are more than 20,000 H2A guest workers in the state between March and November, and over half of them are in eastern North Carolina. It’s estimated there are at least as many seasonal workers, plus family members, so farmworker communities expand to between 40,000-50,000 vulnerable people during that time.

However, despite the large need in the community, and how essential farm work is to North Carolina, these workers who are part of the backbone of our state’s agricultural economy often lack access to basic healthcare

One reason, as Cuello explained, is the difficulty of getting to a healthcare provider during regular clinic hours. Many farmworkers can work from sun-up to sundown, which could mean 6:00am-8:00pm during the summer growing season. Even healthcare facilities that have a large farmworker patient base, such as certain Federally Qualified Community Health Centers, still may not have hours to accommodate that kind of schedule. 

Additionally, even if they are able to get to a provider, farmworkers frequently speak little or no English, so run into a language barrier if no interpreter is available. 

Finally, like the mother afraid to leave her home to get food for herself and her children after Hurricane Florence, many of our country’s 2.5 million undocumented farmworkers fear deportation as a consequence of seeking care at the wrong facility.

With the barriers the community faces, large-scale positive change for its members often has to come as a result of an indiscriminate crisis like the pandemic (where farmworkers were recognized as essential workers, although what protections they received from that is questionable) or an “act of God” like Hurricane Florence. 

In fact, during the hurricane, Cuello remembers that many members of the farmworker community originally could not understand the alert messages they were sent about the storm because they were only in English, until the necessity for emergency messaging to be sent out in Spanish was brought to the attention of state authorities. 

“You know, it did take a hurricane in order for that to happen,” Cuello says, “but we’re glad that it got done.”

Due to many of the same reasons it’s difficult for farmworkers to receive care, people who are not part of the community are often unaware of how it’s been excluded from basic resources. 

This is something that’s not lost on Cuello, “Whenever we do highlight the work and the life of farmworkers, I still receive shocked faces, and realize there’s still a lot of work that needs to be done.”

“I oftentimes do tell people that, we’ve been knowing about these problems for a while, but we’re just glad that the rest of the world is catching up with this.” 

As for her leadership advocating for her community, when asked about her leadership style, Cuello first recalls her time working at McDonald’s, “Within the first year I was transitioned into the management position. I don’t necessarily think that I’m a bossy person, but I want to say that I am a good leader in the terms of the fact that I’ve been there and I’ve done this work and I don’t ask anybody to do anything that I wouldn’t expect myself.”

She also brings up the importance of transparency with staff and within the organization, “I maintain the highest regard for full transparency and communication. It’s the only way that this is going to work even amongst us. Our communication is that we remain a hundred percent transparent.”

An example of that transparency is helping ensure staff is set up for long-term success in their careers while working at a small non-profit, “ A lot of the funding that we received throughout the pandemic has been COVID response money” She says, “So even though it supports a lot of our staff as well, they realize that some of the funding is very short term.”

“So whenever we hire staff on, we say,  ‘yes, we’re going to make sure that this is how you arrive, but we’re going to make sure that with the training you receive while you’re here, you’ll be able to take that and implement it somewhere else if funding gets cut off.”

Whether they will eventually move on or not, it’s clear NC FIELD’s staff is dedicated to their work, “The current staff do not make enough for the work that they do. I don’t pay them enough.” Cuello admits, “But they also realize that with the experience they have, they can go somewhere else and make more money. And yet they choose to continue to stay with us.”

Cuello also feels that her experience and background have had a big impact on her leadership. In many ways, it’s a benefit to her work, especially in the sense that, “People are more likely to open the door to me if I look like them.”

However, she has experienced difficulties even within her own community, “I have gotten the feedback of, ‘Yesenia, you’re from the United States. You don’t know what it’s like [to be undocumented].” 

“To be honest, that one sometimes ticks a nerve. I become extremely defensive, but that’s because they don’t realize that even though I am documented, I did grow up within an undocumented background.”

While many people assume that having a child who is a US citizen provides citizenship to the parent as well, that is not the case. Over 4 million American children live with at least one parent who is undocumented.

“It had a huge, huge impact.” Cuello says of her own experience, “I remember that growing up, one of the first things that I kept from people was where my mother was from. Through school, you ask questions like, ‘oh, why doesn’t my mom go on field trips with me?’ ‘Why can’t I do sports?’”

Both parents who are undocumented and their children often have worries that most of us wouldn’t even consider.  “If you don’t feel good, you hop in the car and you go to the doctor. If you need to buy food for your family, you hop in the car and go to the grocery store,” explains Cuello. But it wasn’t the same for her, and isn’t for many in her community,  “For us, you know, if my mom would hop in a car and leave, the possibility that she wouldn’t return was always very present.”

Studies have found having an undocumented parent has significant psychological effects on children. Just like Cuello described, these children face fears of losing their parent to deportation or have the responsibility of hiding their family member’s legal status. They, unsurprisingly, face higher rates of anxiety, depression, fear, attention problems, and rule-breaking behavior than children whose parents are not undocumented.

Still, Cuello allows her experiences to be a learning opportunity. “I made some very interesting friends, in terms of politics and how people think,” she says, “ After I share, and we can have adult, mature conversations, I let them know my mom is ‘undocumented’ – because people oftentimes use the word ‘illegal’ – and now that you know me, how can you look at me and tell me I don’t belong?”

“That is my way of helping people understand that we’re human, and we belong, and we deserve to be able to live long healthy lives.”

To organizations and individuals advocating for the farmworker community, Cuello shares an important piece of advice, “In all of my experience within this field, I’ve learned to definitely celebrate every win.”

“Realize that we’re not out there alone. We are a community and we are making a change in it. I’m very hopeful that with what attention this community has been able to garner within the last few years, we’ll be able to continue to push on this movement for positive change.” 

And, of course, her passion for her community will inform Cuello’s future work, 

“I am very much not only embedded in the community but a part of the community that I support,” she says, “Being able to see that direct impact and realizing that this is something great that we’re doing here, and wanting to see that forward is what has kept me with NC FIELD for as long as it has.”

“And if I can do anything to better the lives of my community and my neighbors and my family, then that’s what I’m going to continue to do.”

To learn more the work of NC FIELD visit: https://www.ncfield.org/

Tailored Plans will be delayed until April 1, 2023

Sep 29, 2022
NC DHHS has announced that implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans will be delayed until April 1, 2023 instead of December 1, 2022. Tailored […]

Tailored Plans will be delayed until April 1, 2023

by Erin Storie

NC DHHS has announced that implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans will be delayed until April 1, 2023 instead of December 1, 2022.

Tailored Plans, originally scheduled to launch Dec. 1, 2022, will provide the same services as Standard Plans in Medicaid Managed Care and will also provide additional specialized services for individuals with significant behavioral health conditions, Intellectual/Developmental Disabilities and traumatic brain injury.

The delayed start of Tailored Plans allows Local Management Entity/Managed Care Organizations, which will operate the Tailored Plans, more time to contract with additional providers to support member choice and to validate that data systems are working appropriately. The decision is supported by the leadership of the state’s six LME/MCOs.

While the start of Tailored Plans will be delayed, specific new services will still go live Dec. 1, 2022.

NCDHHS and LME/MCOs will support providers of Tailored Care Management to launch their services on Dec. 1. Through Tailored Care Management, eligible beneficiaries will have a single designated care manager supported by a multidisciplinary team to provide integrated care management that addresses the beneficiary’s whole-person health needs.

In addition, pending approval from the Centers for Medicare and Medicaid Services, NCDHHS will implement the 1915(i) option on Dec. 1. This program provides services to help beneficiaries remain in their homes and community-based settings through services such as Respite, Individual and Transitional Supports, Community Living and Supports, Community Transition and Supported Employment.

Beneficiaries set to receive care through the Tailored Plans will continue to receive behavioral health services and I/DD and TBI supports through their LME/MCO and physical health and pharmacy services through NC Medicaid Direct, just as they do today.

More information regarding the beneficiary choice period and other key dates leading up to the April 1, 2023, launch will be shared by NCDHHS in the coming weeks.

For more information visit NC Medicaid’s Tailored Plan website.

Request For Proposal: Independent Auditor

Aug 17, 2022
Care Share Health Alliance is seeking a qualified auditing firm to provide accounting services. Specific questions to which we ask your response are listed in Exhibit I.  Please note that […]

Request For Proposal: Independent Auditor

by Erin Storie

Care Share Health Alliance is seeking a qualified auditing firm to provide accounting services. Specific questions to which we ask your response are listed in Exhibit I.  Please note that your proposal fees should be for a two year period, beginning August 2022 through June 2024 and should be based on a single, annual fee for the routine and consultative services outlined below. All proposals should be sent to business@caresharehealth.org by close of business day August 31st, 2022. 

We use our accounting firm as follows:

  • Audit of the financial statements including IRS Form 990 for the year ending December  31, 2021
  • Preparation of the management letter.
  • Consultation on financial and other matters related to the organization as required annually.
  • Very limited consultation on tax matters as required.

The primary users of the financial statements are the Management team, Board of Directors, and the Audit Committee.  In addition to the audit of the financial statements and meetings with management and the Audit Committee, we also require approximately 10 hours of partner and manager time for consultation with management throughout the year. In an effort to minimize the time required for you to prepare your proposal, we have enclosed the following background information for your consideration:

Exhibit I     Questions for Prospective Accounting Firm

Exhibit II   Audit Timetable and Deliverables

Exhibit III  Scope of Operation

Any additional information which you may require to prepare your proposal may be obtained by scheduling an appointment with Care Share Health Alliance Executive Director, Weyling White (wwhite@caresharehealth.org). The Audit Committee of the Care Share Health Alliance reserves the right to reject any or all proposals submitted and to also make an award where it appears it will be to the best interest of Care Share Health Alliance.

EXHIBIT I

Questions for Prospective Accounting Firm

Profile of Firm:

  1. Describe the Firm on an overall basis, both locally and nationally.
  1. Summarize the Firm’s qualifications regarding nonprofit organizations from an audit, EDP and tax perspective (How many non-profit clients do you currently work with).

Quality of Audit:

  1. Describe the Firm’s audit approach, including review of internal controls.
  1. Describe how your Firm will obtain a basic understanding of Care Share Health Alliance operations and activities for planning the audit.
  1. Describe the local office’s experience on dealing with other nonprofit clients similar to Care Share Health Alliance
  1. Describe the local office’s capability to audit in a computer environment.
  1. Describe any services, other than audits, that are offered by the local office especially as related to internal controls and EDP operations.

Responsiveness to Care Share Health Alliance:

  1. Estimate total fees and hours by employment classification given the services required.
  1. Estimate the “first time through” hours, which would be required of your Firm and our staff.
  1. Submit client references for each key member of the proposed client service team.
  1. Submit local non-profit client references.
  1. Provide any other information you deem desirable.

    

 EXHIBIT II

Time Tables (estimated):

August- October Audit Work

October 31, 2022 Final Audit Work

November 15, 2022 Copy of Audited Financial Statements (We will be responsible for printing)

November 15, 2022 Management Letter

Deliverables:

  1. Audited financial statements of Care Share Health Alliance for year ending December 31, 2021
  1. IRS Form 990
  1. Management letter comments.

Other Consultation Services:

Financial, operational, and very limited tax consultation will be required annually on matters related to management.  These services are expected to be included in your base fee for services which are expected to require approximately 10 additional hours annually from a partner or manager.

EXHIBIT III

Scope of Operations

Care Share Health Alliance was organized in 2008 and has been located in Raleigh, NC since 2008.  It is a North Carolina nonprofit corporation.

Care Share Health Alliance mission is collaborating for health equity and we envision communities that are healthy and committed to health equity for all. We believe that everyone should have a fair and just opportunity for health.

There are approximately 4 staff members.

Total annual revenue is $275,000.  Care Share Health Alliance derives its income from both the public (government agencies) and private (foundations, corporations and individual contributors) sectors.

All proposals should be sent to business@caresharehealth.org by close of business day August 31st, 2022. 

Guidance on Preparing for the End of the PHE

Aug 4, 2022
Since it began in January 2020, the COVID-19 federal Public Health Emergency (PHE) helped prevent NC Medicaid beneficiaries from losing their health coverage during the pandemic, even if someone’s eligibility […]

Guidance on Preparing for the End of the PHE

by Erin Storie

Since it began in January 2020, the COVID-19 federal Public Health Emergency (PHE) helped prevent NC Medicaid beneficiaries from losing their health coverage during the pandemic, even if someone’s eligibility changed. The PHE also helped health care providers keep their practices running so they could deliver care to Medicaid beneficiaries.

NC Medicaid has launched a new webpage to help provide guidance on preparing for the end of the PHE. The webpage offers information and resources including a communication toolkit for community partners who work closely with beneficiaries as we work together to ensure consistent access to care. You are encouraged to share this information with your partners and stakeholders.

Preparing for the End of the COVID-19 Federal Public Health Emergency Webpage 

NC Medicaid End of COVID-19 PHE Toolkit

The federal PHE currently extends beyond Oct. 13, 2022. While we do not know when the PHE will end, NC Medicaid wants to help beneficiaries, providers and community stakeholders understand any potential impacts and steps they can take to be ready.

NC’s BIPOC Leaders: Josie Williams of Greensboro Housing Coalition

Aug 1, 2022
Safe and affordable housing has always had a major impact on the life of Josie Williams, Executive Director of the Greensboro Housing Coalition. Williams spent her youth in an area […]

NC’s BIPOC Leaders: Josie Williams of Greensboro Housing Coalition

by Erin Storie

Josie Williams, Executive Director of Greensboro Housing Coalition

Safe and affordable housing has always had a major impact on the life of Josie Williams, Executive Director of the Greensboro Housing Coalition.

Williams spent her youth in an area many would consider not fit for children. “It was funny,” she says, “I was reading an article that described my old neighborhood, and it brought back memories I had forgotten about. When I reflected on that, the visuals came back,” Williams describes a neighborhood where she could turn a corner and see prostitutes, or people openly selling crack cocaine, “The cops were not around to do anything. It was out of control.” She remembers. Unsurprisingly, her parents didn’t feel safe letting her out to play or even walk around the corner to a friend’s home. “I had a lot of restrictions, especially as a girl.” she says, “I always felt trapped, and I just wanted to feel like I was free.”

Williams saw going to school as a certain kind of freedom. She was always intelligent, and regularly on the A-B honor roll, but also saw it as an escape from feeling trapped at home, “You’re a kid, you don’t get it. I didn’t understand how my environment was. I didn’t know how dangerous it was.” So, with the excuse of going to school, she had an outlet, “I skipped class a lot. I’d have this whole day I can just be out having fun like I can’t have fun in the neighborhood.”

In Williams’ senior year of high school, she gave birth to her daughter. “I know, I’m a young black girl living in a poor neighborhood. I’m a statistic.” She says, “I didn’t like that narrative. I heard it and I saw it. Even with my family I know they were thinking ‘Ugh, get your life together!’ and that fueled me, because I knew I always had a strong sense of self despite my insecurities. You can be insecure, but still know who you are.”

So Williams left school, focused on taking care of her daughter and eventually went on to gain her GED. “They give you a test to check what classes you need to take. I aced the test.” She remembers the man who reviewed her test results incredulously asking her what she was doing there. “I was like, I had to take care of my kid. I remember him saying ‘You should be doing so much more.’”

“I agree,” Williams responded. 

After receiving her GED, Williams worked minimum wage jobs to support herself and her daughter, “We see the statistics all the time,” she says, “You’re making these small wages that are not necessarily a livable wage – and it’s not a housing wage. You need to make a certain amount to afford a certain apartment. I never really made that, so I was always living paycheck to paycheck.”

Tragedy struck in 1998 when her father passed away. “He was the nurturer between my parents. He was the nurturing force in my life, and a very supportive force and, a very loving and generous force in my life.” She recalls, “I say force intentionally because he was a force that held me up when I struggled. A lot. When he died, I lost that force.”

Losing the safety net of her father, along with other compounding factors of being working poor, became the catalyst that forced Williams into homelessness. “I could not afford to live.” She says, “I could not pay rent on time. I lost everything with my apartment and my father within a 30-60 day time span.”

During that period, Williams asked her mother to take care of her daughter, but couldn’t bear to tell her the real reason why, “My mother was taking care of my dad, he was dying, and she also had my uncle who had a mental issue, and my brother was living with her. I could not bring myself to put more on my mother.”

Which meant that Williams had no place to stay. For the next year, she lived in her car. All the while, she worked every job she could find, but none ever paid enough that she could afford a place to live. Sometimes she would manage to stay with friends, or could pay for a hotel room, but there were times she had no other option than to sleep in her car. One of those nights, sitting in a parking lot in the middle of a thunderstorm with nowhere else to go, she made a promise. “I was like, ‘God, if you ever get me out of this, I will always try my best to help somebody in this position. I will always try to build somebody up and help them get to self-sufficiency. I will always try to help them find housing.’”

Eventually, Williams landed a full-time job that paid 9 dollars an hour, but at that wage it was still difficult to afford a place to live, so she looked for assistance, “I went to try to get housing at social services and they told me I was 5 dollars over the limit.” She remembers, “They told me to sell my car that I had been living out of. That was my livelihood. That’s how I got around. It’s honestly how I got the job, so I couldn’t sell my car.”

Reflecting on that experience, Williams adds, “It’s not that I condone it, but I understand why someone would work the system. That’s why I don’t speak on that – I don’t speak on it because I understand why you work the system. The system doesn’t help you elevate or build up. It confines you.”

What ultimately brought Williams out of homelessness was the generosity of a stranger. Although she only had 50 cents in her bank account, she went on a tour of an apartment complex. At the end, she told the property owner, “Well, I really like it and I’d like to move in, but I don’t have any money.”  Then, she had to tell him her story, “I had never told anybody. At that time nobody knew and so he was the first person I told. I remember I was like, ‘I just need some help. I just need somebody to give me a break.’”

Somehow, he gave her a break. The property owner not only gave her the keys to the apartment but also kept the lights and water on for three months in his name. “In the midst of that, I learned what support is.”  Says Williams, “I understood that generosity is oftentimes the only thing that will help elevate someone when they’re coming from such a low place. I understand that no matter how hard you work and hustle, you will come up short every single time unless someone gives you the support that you need to elevate.”

It took Wiliams a decade to fully recover financially from being unhoused for a year, but even while she was struggling, she made her daughter’s education a priority. “I didn’t know honestly how she was going to get to college. I just knew it was never an option for her not to go.” She even offered her daughter an extra incentive, “I was like, ‘If you go to school, I’ll go to school.’”

By the time her daughter was accepted into UNC Charlotte, Williams was finally in a stable place in her life. For the first time, she had affordable housing and a decent paying job. “I was so comfortable, living my best life,” she recalls, “Enjoying freedom from a kid, living pretty much healthier than I had ever in the last almost decade.” But then she describes one evening where she was sitting on the couch, eating Cheetos, when out of the blue, “I heard this feeling saying, “Remember your promise.’ In that moment it was so clear. I got up immediately, went to my computer, and started looking for colleges.”

The promise wasn’t just the one she’d made about attending school with her daughter, but also what she had promised God on that stormy night in the parking lot: to help others out of situations like the one she had been in. 

Williams started to look for an academic program that would help her develop skills to do just that. “I wanted to learn how to create change, like what I just experienced. In homelessness is where I learned systems, I learned systems perpetuate homelessness, systems perpetuate the racialized social structure that we live in, and I needed to understand how to fix that.” 

Eventually, Williams found what she was looking for at Guilford College, where she graduated in 20016 with a degree in Community and Justice studies.

“If you can imagine criminal justice, community justice and social change wrapped into a degree that’s community justice studies,” Explains Williams, “You can imagine how when I read the description of it, it resonated so profoundly with me.”

After graduating, Wiliams was hired by Greensboro Housing Coalition, where she worked with Collaborative Cottage Grove, a Community Centered Health group of partners working on social determinants of health and focused on alignment of health and housing. “When I started, they had four partners,” she says, “I know in six months they went to 10, maybe 15, and I know those relationships are still going on.”  

Despite her success with Cottage Grove, as well as being the recipient of various awards, and giving at least seven national presentations – one of which was at the National Academies of Sciences, Engineering, and Medicine – Williams finds it difficult to see her accomplishments in the same light that others do, “I just feel like I’m helping people.” She admits, “I don’t even comprehend the depth and the breadth of the work that I’ve had my hands on.” Describing her reaction to being asked to speak at the National Academies of Sciences, Engineering, and Medicine, she says, “I didn’t see that as a success. I saw that as they asked me to speak, and I was helping them out.” To be clear, Williams doesn’t say that out of arrogance, but humility.  “When they asked, I didn’t even know what the National Academies of Sciences was because of how I grew up. My life experience just contributed to me not being able to do a lot of things.” 

Perhaps because of her humility, Williams had a difficult time entertaining the idea of applying for her current position. “The only reason I did,” she says, “Is because I started feeling like a hypocrite.” She describes feeling a force rising deep up inside her, that made her realize she wasn’t applying because she didn’t feel like she could do the work. “That started bothering me.” She says, “Honestly, I feel like it was a divine presence, or I just had this epiphany: if you don’t apply for it, you’re a hypocrite. You’re out here sharing and helping to lift voices, helping people understand that they have the power to create change, so if you don’t believe that you have the power to create change, what says that about you?”

Williams began her role as Executive Director of Greensboro Housing Coalition in April 2020 and was immediately faced with the challenge of keeping her organization’s doors open during the height of the Coronavirus pandemic while also having to pivot to a model where services could be provided safely during a global pandemic. “I refused to lay off my staff,” says Williams. Rather, she leveraged the relationships she had developed with funders while working with Collaborative Cottage Grove, “I had that connection where we were able to have the communication and to identify what we needed that not only helped maintain but sustain us. That’s how we got the money to update our technology to keep providing the services. So right now, here we are a 30-some-year-old organization that never did virtual, and we are forever changed because we have the tech and capability to work hybrid.” Williams also notes that the ability to provide services virtually makes them more accessible to her clients, “It broadens our scope and reach where you don’t have to come inside the building to get something done. We can just take care of you remotely.”

Williams brings a unique ability to relate with the people she serves at the housing coalition, which she attributes to the hardship and lack of security she experienced while growing up and experiencing homelessness, “You feel like you don’t have the support,” she explains, “You feel like no one’s going to do the changes that they claimed. You just feel inadequate and so when you feel like that, you’re not always quick to move in a direction that could be very positive because you just feel so inadequate.” 

“I get very defensive when you come at people wrong; when you don’t know their story and you assume that they’re just lazy,” she adds, “Or you assume that they don’t want something good in their neighborhood like you definitely want in yours. My advocacy wheels get very high.”

She brings that same energy of support and relatability to her staff, “I like consensus. I like group work and teamwork.” She says about her leadership style, “I thrive in that, and I like a democratic process. I lead and treat people in the way that I want to be treated.”

While deeply committed to her work, Williams admits that the role of Executive Director has sometimes been difficult for her. She is explicit when she talks about the challenges she’s faced as a black woman leading a non-profit, “I wholeheartedly believe if I was a white male, I would have a different type of support financially.” she says – and she isn’t wrong. Studies show that black led nonprofits receive considerably less funding overall than white led non-profits, and non-profits led by black women receive less than those led by white women or black men.

There were times when Williams doubted if she’d made the right choice to apply. “I know the non-profit world is hard. It is a man’s world; you have to fight harder when you are a woman. Then you couple on my black skin, and the stuff that you read about became alive and in color.” She says, “I don’t think I was fully prepared for that. It was very unfair and it’s sad when people are walking in racial bias and don’t even know it.”

Her advice to other people of color in leadership roles is to “Remain true to who you are.” She says she fought the urge to act in certain ways when it wasn’t true to her personality. “I think people lose sight of who they are sometimes because they feel like they have to show up a particular way to be heard. I’m here to say I don’t believe you have to do that all the time. I don’t believe you have to do that as much as we think we have to, because your work and your value system will show up and speak for itself. Being yourself and operating in your value system, that’s the best path that you can be on.”

Williams also has a new project on the horizon. Her work with Collaborative Cottage Grove will be featured in a short documentary coming out later this year that highlights three communities across the US working together for change. After the production crew worked with Williams, they realized they needed her help with their project. “They asked me to come along to help them understand what they need to highlight, because they have recognized that their experience is unlike the experiences of the folks in these communities, and they want to make sure that they really have the essence of our work.”

Given everything she’s experienced and accomplished, it isn’t a surprise that Williams is sometimes amazed by the path her life has taken. “I went from living in a neighborhood where I could have been killed or raped, on drugs, got involved with crime or anything, to finally getting into school after being homeless, and now I’m running an agency where the priority is helping people get housed.” She says, “The evolution of that – God is bringing my dreams to fruition. I am very grateful and humbled by it.” 

References:

The Chronicles of Philanthropy, “Nonprofits Led by People of Color Win Less Grant Money With More Strings (Study)”

Emergent Pathways, LLC prepared for ABFE: A Philanthropic Partnership for Black Communities, “The Case for Funding Black-Led Social Change. Redlining by Another Name: What the Data Says to Move from Rhetoric to Action“

NC’s BIPOC Leaders: Chester Williams of ABC2

Jun 30, 2022
Care Share Health Alliance is excited to share a new series of articles on North Carolina’s BIPOC leaders working in the health equity space. Our first entry features Chester Williams, […]

NC’s BIPOC Leaders: Chester Williams of ABC2

by Erin Storie

Care Share Health Alliance is excited to share a new series of articles on North Carolina’s BIPOC leaders working in the health equity space. Our first entry features Chester Williams, founder and Chief Empowerment Officer of A Better Chance, A Better Community.

Williams (left) & ABC2 providing COVID-19 at home tests

A Chance, a Better Community (ABC2) is an organization serving Northeastern North Carolina that connects rural communities with resources to activate youth power and advocate for realistic solutions and healthier lifestyles.

Chester Williams, Chief Empowerment Officer and founder of ABC2, says the idea for the organization originated in a journal assignment he was given in the eighth grade that asked him what change he’d like to see in his community. “I literally wrote A Better Chance, A Better Community,” says Williams, “but more so, allowing young people a part in community change.”

Growing up in rural northeastern North Carolina, in the small town of Enfield,  Williams was taught a traditional road to success as a young man: focusing on school to get into college and start a career – a type of success that meant leaving his community. 

“That was the plan, and I followed that plan, but I didn’t understand the vision that I wrote down was something that was going to come back to me later on in life,” he says. 

Williams graduated from Southeast Halifax high school as an honor student and went on to A&T University where he majored in mathematics and professional theater, with a minor in business. After graduation, he spent time in Switzerland working with a math symposium, then returned to NC to work at Halifax Community College, where he started their math lab. He then went on to pursue a master’s degree in mathematical physics at Indiana University (“Yes, I am a nerd,” he laughs), afterward teaching in the Indiana school system for a time.

At the end of 2011, Williams’ grandmother became ill, so he returned to Enfield to help support his mother. Now back in his hometown as an adult, he began to think about what it was he really wanted to do with his life. 

“To be in a space with family and reconnected with the home was a very interesting time,” says Williams,  “Because me leaving Enfield was to get away, because I felt there was nothing here, the rural community was boring, but, then coming back in 2012 was a different perspective. I saw the hidden beauty in the gems of Halifax county that I took for granted as a child because I didn’t have access or exposure to it.”

Williams especially saw the value in Halifax county’s youth, although he initially didn’t have the reception from them he might have hoped for. He recalls the reaction from students at an alumni day he attended at his former high school along with some of his peers who had also been successful in their education and careers, becoming doctors and lawyers. 

“I don’t want to say the students rejected me, but they could not believe that we actually came from Halifax county or that we were a product of that school.” Williams recalls, “I was like, ‘I come from here!’. I used to use ‘I is’, ‘you is’ those things that we say, and I walked the halls, I know about the snakes in the lockers, and they were just so amazed that someone from here can have these experiences that I’ve had.”

That day sparked the creation of A Better Chance, A Better Community. “From there I identified five students to come together to start ABC2,” says Williams, “It was a way of giving the voice to them that I wanted to give to myself as an 8th grader.”

“Sometimes in a rural community, we’re looking from a hopeless lens vs a hopeful lens,” he explains, “so I wanted to be that catalyst to show to the hopeful,  ‘do not be doubtful’, because you may not have the experiences, but I am a result of the experiences that I was afforded. I too have the same experiences of being in a rural community not having assets, having to go the extra mile to do the extra work in school, because I didn’t have that strong foundation in education or I wasn’t exposed to a lot of things, so that was important for me to bring that back home.”

Williams (center right) with ABC2 staff and volunteers

The first area the ABC2 youth decided to work on was agriculture. So, they went on field trips to different farms and came up with the idea for a raised bed garden in the town of Enfield, over the site of torn out building. They grew onions and peppers in three raised beds and turned the abandoned plot into a town conversation piece. 

“It grew and the town adopted the town square.” says Williams, “The youth saw that within their idea they sparked ideas and change in others. They saw it become part of the town culture, and even now they use it for Christmas tree lighting, and a place where they have farmers markets and events. They still feel pride in themselves for sparking that.”

ABC2 saw the success of their first project and began to implement the same type of work in other communities. Over time, they identified key areas they wanted to address: healthy foods, active living, and civic engagement. The organization is one of only two youth group councils in the state, and has also been involved in work with climate justice, party at the polls, and census and redistricting efforts.

“We take students or young people where they are in their passion and provide them the support and the resources to turn their passion into community change,” says Williams. 

He recalls a young woman name Shaquesia who ABC2 helped to achieve her passion. She was one of the first five members of ABC2, a class valedictorian with a passion for cooking and baking who wanted to become a chef. Initially, she was not supported by her family, who were concerned about her ability to support herself.  

“That’s not one of those common occupations that we talk about in rural communities where you can make a living,” Williams explains. 

However, with the help of ABC2, she was able to get her parents on board with the idea of her attending Johnson and Wales in Charlotte, NC. Williams saw her again in 2017 when ABC2 hosted an event on their community farm and Shaquesia registered as a vendor with her very own food truck. The first thing she did when she arrived was to give Williams a hug. 

“She said it was because of you. You gave me the purpose and the passion to believe in myself that I could be a chef”, he recalls, “And today I’m a chef because of you and ABC2. When everybody else was telling me no, you told me yes and you provided me the support and the resources I needed’ 

William remembers at that moment, “It became real for me that we’re impacting lives”

Not only does the type of youth-led community change undertaken by members of ABC2 inspire young people like Shaquesia to strike out and pursue their dreams, but it also helps them develop a deep connection to their rural community that encourages them to want to stay there.

“So they’re not leaving how I left here,” says Williams, “feeling hopeless, feeling disappointed, feeling like a failure leaving my community where I had to go somewhere else to find happiness.”

He tells the story of another ABC2 member who ran for school board at the age of 22, “He was freshly out of school, so he still had a perspective. He didn’t think he would win, but he ran, and he won. That was passion for us, that you can be young and run for office and be civically engaged. He’s still serving as a board member, and now other young people are thinking of running for office.”

However, it’s not always been easy to change the culture of a rural area. Williams admits that one of the challenges of working for change in the town where he grew up is that it’s sometimes difficult for the adults who knew him as a child with to see him as an equal.

“The intergenerational thing is real,” he says “The older generation are traditionalists, they don’t want to give up power, so I’ve found that struggle there that you were supposed to stay in a child’s place and wait until your turn. That’s a challenge for a lot of us young people in rural communities as we begin to come into our leadership and want to make change.”

Part of ABC2’s role is to change that narrative and to demonstrate how having the experiences and expertise of young people at the table can be a part of solving community issues. ABC2 is also intentional about having youth members take leadership roles in their organization. For example, during their weekly Northeastern North Carolina Connections meeting a young person has always been the facilitator.  

“A young person leading the conversation, guiding the conversation, adding to the resources, has changed the whole dynamic.” says Williams, “Now they respect young people. Now they see, wow, we need more for young people. How can we get young people? But also understanding how to support other organizations and support young people and their voices without tokenizing them.” 

Williams’ passion for empowering youth may stem from his own propensity for leadership roles at a young age. In high school, he was junior and senior class president, and even staged a sit-in at the principal’s office when administrators were making decisions the students didn’t like about their prom or threatened to take away their senior trip.“Now that I look back, I was a natural leader because I love people,” he says,  “I love helping people find their own purpose.”

He describes his leadership style as focused on shared leadership, having multiple voices and representation at the table to get a full perspective on the issues (or, as Williams, calls them: opportunities), with a desire to, “Understand what our assets are that make us strong, build a strong foundation and then understand what those opportunities are and how do we go after them.”

Of course, like all leaders, Williams has had his share of challenges. Speaking specifically on challenges he has faced as a Black man, he says there was a learning curve for himself when implicit bias showed up in his interactions with others, based on their expectations of who and what success looks like. Sometimes, when people had only heard of his work, or not met him in person, they assumed he was White. “Then when they see I’m a black man,” says Williams, “Then the question is, ‘How did you purchase a school?’ Or ‘How did you start your own nonprofit in Halifax county?’, like a black man can’t do that.”

When asked what advice he would give to other BIPOC leaders, Williams says it’s the same as what he gives himself every day, “Be open, be honest, be transparent. Never deny who you are and your experience for others, because it’s not just for you and your people, it’s for everyone.”

“We’re in an opportune time now where we are setting the standard, setting the curve of what it means to be Black, and it doesn’t have to come from the place of hurt that we’ve experienced in the past, but of a place of being champions to show people how we as Black people want to be recognized and treated. So it’s about being accountable to ourselves and to our community.”

There’s also the challenge of going against the stereotype of what a person who is a product of an underserved, rural school system like the one Williams attended can accomplish.

“It’s been a learning curve for others to see the potential,” says Williams,  “because when we talk about Halifax county schools, and say that it’s one of the lowest performing schools in the nation, but yet some of the product, like myself and others, people see us and think ‘you can’t be from Halifax county!’ Yes we are from Halifax County Schools. So stop trying to tell our stories for us and let us tell our stories ourselves”

However, Williams says he’s embracing these struggles because of the impact he sees being made by ABC2, “It’s a learning curve on both sides. It’s been awkward in the beginning, but I’m leaning into it now that I understand and we’re changing people’s perspectives.”

It’s now been 10 years since founding of ABC2. After a decade of leading the organization, Williams believes that the young man who first wrote about “A Better Chance, A Better Community” all those years ago would be proud of what it’s accomplished.

“The 8th grader in me is pleased.” Says Williams,  “He has a voice, but he also gives that voice to everybody else.  Young people’s voices are here, and they’re being recognized, and they’re able to make positive community change in a valuable way that’s meaningful to the community, but also meaningful to themselves, so that they are proud of where they’re from.”

Not only does Williams see young people as the future in rural communities, but also in the organization he founded, “Young people are really leading the organization. Yes, I’m the CEO, but I’m actually at a point where I’m ready to step away and let ABC2 really truly become its own. I think this year is the next level, and our young people are taking it to the next level.”

“I gave birth to something to the community, and my baby has grown and my baby is about to be a preteen, and I just amazed at how it has evolved even beyond what I put on paper, so I’m proud of it and I’m ready to see it grow and blossom into what it truly can and will become.”

To learn more about the work of ABC2 and CEO Chester Williams, visit https://www.abc-2.net/

US Supreme Court

Care Share Health Alliance Statement on the Overturning of Roe V. Wade

Jun 28, 2022
The mission of Care Share Health Alliance is “collaborating for health equity”, which means working to increase access to safe and affordable healthcare for all. We are therefore deeply saddened […]

Care Share Health Alliance Statement on the Overturning of Roe V. Wade

by Erin Storie

US Supreme Court

The mission of Care Share Health Alliance is “collaborating for health equity”, which means working to increase access to safe and affordable healthcare for all. We are therefore deeply saddened by the Supreme Court’s decision to overturn Roe vs Wade after 50 years of legal precedent, unequivocally making access to safe and affordable reproductive services more difficult, if not impossible, for our fellow Americans. 

Abortion bans and restrictions disproportionately affect those who already face difficulties with accessing care, including BIPOC communities, low-income individuals, LGBTQ+ people, immigrants, and people with disabilities. Care Share Health Alliance fully supports the reproductive rights of all women and birthing people, including their right to safe abortion. We stand in solidarity with those affected by the Supreme Court’s decision and those fighting to return this fundamental right to all Americans.

To be clear, abortion is still legal in North Carolina. We are glad for the support for reproductive rights from Governor Roy Cooper and hope to see the right to abortion explicitly enshrined within state law. 

Care Share Health Alliance trusts women and birthing people to make their own decisions about their bodies. That is what the right to abortion is: a fundamental human right to bodily autonomy. If you or someone you love is seeking reproductive care, resources on where and how to obtain abortion services and financial and logistical support can be found at the following organizations: 

Abortion Finder: https://www.abortionfinder.org/

Carolina Abortion Fund: https://www.carolinaabortionfund.org/ 

Planned Parenthood: https://www.plannedparenthood.org/ 

NARAL Pro-Choice America: https://www.prochoiceamerica.org/

This is a difficult time in our nation’s history. In our country which promises freedom for all, the rights and very lives of women, people of color, LGBTQ+ individuals, and other marginalized communities are under what feels like relentless attack. However, we know that our nation’s unjust present does not have to be its future. Care Share Health Alliance will continue to fight for health equity for all individuals both in North Carolina and throughout the country. We are committed to a just future for our nation, which includes access to the full spectrum of healthcare services for all Americans. 

Looking For BIPOC Video Production Professional or BIPOC Led Video Production Company

May 6, 2022
Request for Proposal Brand Awareness and Testimonial Videos Deadline for Submission: May 20, 2022 Purpose: Care Share Health Alliance is seeking a North Carolina based BIPOC video production professional or […]

Looking For BIPOC Video Production Professional or BIPOC Led Video Production Company

by Erin Storie

Request for Proposal

Brand Awareness and Testimonial Videos

Deadline for Submission: May 20, 2022

Purpose:

Care Share Health Alliance is seeking a North Carolina based BIPOC video production professional or BIPOC led video production company to film and edit:

  • One brand awareness video to introduce Care Share’s mission, values, staff, and work to prospective partners and funders. 
  • Three partner testimonial videos using oral history to demonstrate the work Care Share has done to uplift community voice by assisting Human Services Organizations (HSOs) working to address social determinants of health through NC Medicaid’s Healthy Opportunities Pilot program.

We are looking for a North Carolina based BIPOC video production professional or BIPOC led video production company with experience working with non-profits and familiarity with the subjects of racial justice and health equity.

The finished videos will be uploaded to Care Share’s Youtube channel and shared on our website and other social media platforms.

Care Share will have access to all filmed material to use, edit and share for future content creation. 

Filming will take place in various locations in NC.

Video Specifications:

  • Style: Live action with talking heads and B Roll
  • Length of Videos: 2-5 minutes 
  • Resolution: 1080p 
  • Aspect Ratio: 16:9
  • File Format: .mp4

Care Share Health Alliance is responsible for:

  • Coordination of film subjects and locations
  • Communication with staff and partners

Background information:
Created in 2008, Care Share Health Alliance is a statewide non-profit that works with state and local partners to improve access to care and the health for underserved North Carolinians. Our vision is communities are healthy & committed to health equity for all. The cornerstone of our mission and approach is multi-stakeholder collaboration. Care Share offers technical assistance and consulting services to communities, funders, collaborative networks of care for the uninsured, hospitals, health departments and other safety net providers in the areas of facilitation, collaboration building, prioritization processes, action-planning, and other purposes focused on cross-sectional collaboration to improve health outcomes. 

Budget: Up to $12,500

Timeline: 

  • 6/3 Proposal Selection Date
  • Filming will take place in June-July of 2022
  • Videos should be completed by end of September 2022

Send 1-page proposal, resume/CV, and portfolio by Friday, May 20, 2022:

Erin Storie

Director of Communications

Care Share Health Alliance 

estorie@caresharehealth.org

919-861-8356

CSHA Awarded Funding from Kate B. Reynolds Charitable Trust and BCBSNC Foundation for Medicaid Transformation Work

Apr 18, 2022
Care Share Health Alliance (Care Share) is pleased to announce that it can now help strengthen North Carolina’s Medicaid transformation efforts and ensure the success of Healthy Opportunities Pilot (HOP) […]

CSHA Awarded Funding from Kate B. Reynolds Charitable Trust and BCBSNC Foundation for Medicaid Transformation Work

by Erin Storie

Care Share Health Alliance (Care Share) is pleased to announce that it can now help strengthen North Carolina’s Medicaid transformation efforts and ensure the success of Healthy Opportunities Pilot (HOP) implementation by establishing an HOP resource center, providing technical assistance and sharing best practices across the Western, Eastern and Southeastern regions of North Carolina, as well as designing an infrastructure to bring state and community Medicaid transformation stakeholders together. This is thanks to $500,000 in grant funding awarded by the Blue Cross and Blue Shield of North Carolina Foundation and $439,120 awarded by the Kate B. Reynolds Charitable Trust, located in Winston-Salem.

“The NC Collaborative on Medicaid Transformation that Care Share has been leading for the last two years is an important way to connect, convene, and create new conversations around capacity building and health equity. It’s becoming an increasingly important space for stakeholders to learn together, and we can’t wait to see more engagement in this work,” said Valerie Stewart, Director of Leadership and Capacity Building at the Blue Cross and Blue Shield of North Carolina Foundation. “We are encouraged and excited about Care Share leading the way for shared resources and collective capacity of our nonprofit sector in these transformation efforts.”

“This generous funding will allow Care Share to continue and strengthen the work the organization is doing to support Medicaid transformation in North Carolina and the Healthy Opportunities Pilots,” said Care Share Health Alliance Board Chair, Alice Pollard. “Care Share’s experience with, and focus on, collaboration is essential as we work towards a health care system that is more equitable and consumer-focused.”

Care Share supports state and community-level stakeholders by informing, connecting, and aligning organizations and systems to remove barriers to health and well-being. Fundamental to Care Share’s mission is bringing greater voice to those experiencing health inequities by promoting consumer-driven solutions that have the potential to shift the way healthcare is delivered at a systemic level, while reducing overall costs. With its history of relationship building and work in the health equity space, Care Share will be able to facilitate the coordination of key partners to ensure the successful implementation of North Carolina’s Medicaid transformation. 

“We are beyond grateful and excited for this opportunity to further our work in supporting Medicaid transformation and the success of the Healthy Opportunities Pilots,” said Care Share Health Alliance Executive Director, Weyling White. “I want to thank Blue Cross and Blue Shield of North Carolina Foundation and Kate B. Reynolds for not only their generous support but also for their commitment to communities and building capacity for organizations like Care Share and others across the state.”

Care Share Health Alliance is a North Carolina based non-profit that builds capacity, creates networks, and partners for systems change so that communities are healthy and equitable. Learn more about Care Share at www.caresharehealth.org  

The Kate B. Reynolds Trust was established in 1947 and is now one of the largest private trusts in North Carolina. Our mission is to improve the health and quality of life for residents in Forsyth County and around North Carolina. The Health Improvement in North Carolina program area supports equitable access to care and equitable health outcomes across the state. The Local Impact in Forsyth County program area works to foster an inclusive economy and improve the quality of life in Forsyth County. Wells Fargo Bank, N.A. serves as sole trustee. www.kbr.org 

The Blue Cross and Blue Shield of North Carolina Foundation is a private, charitable foundation established as an independent entity by Blue Cross and Blue Shield of North Carolina in 2000. Over the past two decades, the organization has worked with – and supported – nonprofit organizations, government entities, and community partnerships across the state, investing $178 million into North Carolina through more than 1,200 grants. Within its focus areas of early childhood, healthy communities, healthy food, and oral health, the Foundation strives to address the key drivers of health, taking a flexible approach designed to meet identified needs in partnership with the community.  Learn more at bcbsncfoundation.org

CSHA Welcomes Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie

Mar 25, 2022
Care Share Health Alliance is proud to welcome a new Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie, to its staff. “We are so […]

CSHA Welcomes Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie

by Erin Storie

Care Share Health Alliance is proud to welcome a new Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie, to its staff.

“We are so grateful to have Jalah Clayton and Erin Storie join our team as Care Share Health Alliance expands our work supporting Medicaid Transformation and health equity across North Carolina,” said Care Share Health Alliance Executive Director Weyling White. “Both Jalah and Erin share a strong passion for equity and community voice which directly aligns with our values here at Care Share Health Alliance. This is such an exciting time for our organization and we are looking forward to their leadership.”  

As Director of Innovation and Capacity Building, Jalah Clayton will direct all aspects of the NC Collaborative on Medicaid Transformation, including supporting the collaboration and alignment of interests and priorities between partners impacted by Medicaid Transformation and the shift towards value-based care across the state.

“I’m thankful for the opportunity to work with a progressive, collaborative and dynamic team of individuals to continue advancing health equity in North Carolina,” said Clayton. “As a Community Health Educator, I look forward to upholding the vision of Care Share Health Alliance, and influencing positive change within the network of community organizations and partners aligned with that vision.”

Clayton’s most recent previous position was Program Director of the Charlotte-Mecklenburg Food Policy Council. She received a Masters in Public Health concentrated in Community Health Education from UNC Greensboro, and Bachelor of Arts in Exercise and Sports Science and Sociology from UNC Chapel Hill.  Jalah was born and raised in Charlotte, North Carolina.

New Director of Communications, Erin Storie, will lead the design, implementation, and management of Care Share Health Alliance’s strategic communication plan and communication initiatives, and advance Care Share’s mission, vision, and values to both internal and external audiences.

“Having worked with Care Share Health Alliance in different capacities throughout my career, I have seen directly their positive impact on the individuals and communities they’ve collaborated with,” said Storie, “I’m grateful for the opportunity to be part of the excellent work of this organization, and to help advance health equity in North Carolina.” 

Storie previously worked with Roanoke Chowan Community Health Center as Communications & Advocacy Coordinator. She received a Bachelor of Arts in Spanish from UNC Charlotte. Storie is a native of North Carolina, born in Hickory, NC and raised in Gates, NC.

“I am thrilled to have Jalah and Erin join the Care Share team,” said Alice Pollard, Board Chair for Care Share Health Alliance, “As Care Share continues to grow our capacity to support our mission of collaborating for health equity, the Board is grateful to our partners for their support and to the entire team at Care Share for their dedication. I look forward to everything the Care Share team has in store for 2022 and beyond.”

Care Share Health Alliance is a North Carolina based non-profit that builds capacity, creates networks, and partners for systems change so that communities are healthy and equitable. Learn more about Care Share at www.caresharehealth.org.

Nominate A New Care Share Board Member

Sep 8, 2021
Nominate a New Board Member

Nominate A New Care Share Board Member

by Megan Bolejack

Nominate a New Board Member

Our Mission

Care Share Health Alliance’s (Care Share) mission is collaborating for health equity and we envision communities that are healthy and committed to health equity for all. We believe that everyone should have a fair and just opportunity for health.

The Invitation

We are inviting nominations for candidates to serve on Care Share's board of directors.

Serving on the Care Share board provides an opportunity to impact organizational direction and network with others dedicated to health equity.

The board currently meets at least quarterly.

Responsibilities of board members are outlined in this document.

Care Share is looking for board members who are committed to health equity, and is specifically looking for board members with experience in fundraising, communications, and health equity impact and outcomes.

Self-nominations are welcome and encouraged.

We have limited Board seats available and we may not be able to move forward with every nomination received. We will be in contact with every nominator and nominee to notify them of the outcome of the nominations process. We hope to engage all nominees in Care Share’s health equity mission.

Your Name (Nominator)(Required)
Your Email(Required)
Candidate's Name(Required)
If you want nominate a current board member or a candidate (new board member) to serve as a board officer (chair, vice chair, secretary, treasurer) please list the office & name of person to nominate/serve.
This field is for validation purposes and should be left unchanged.

Webinar – Community Partners: NC Medicaid’s Transition to Managed Care “Preparing for Launch”

May 28, 2021
NC Medicaid Managed Care goes live July 1, 2021, make sure you’re ready for Launch.  The transition to Medicaid Managed Care has reached a major milestone. All Medicaid beneficiaries currently […]

Webinar – Community Partners: NC Medicaid’s Transition to Managed Care “Preparing for Launch”

by Megan Bolejack

NC Medicaid Managed Care goes live July 1, 2021, make sure you’re ready for Launch.

 The transition to Medicaid Managed Care has reached a major milestone. All Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan with 97% enrolled in a plan that includes their current primary care provider (PCP) in network.

As a result, nearly all current beneficiaries will keep the same health care provider that they have today when managed care launches on July 1. That means more families can continue to visit the practices and doctors who know them best and are familiar with their specific health care needs.

Join on Thursday, June 3, 2021, from 2-3 p.m. to hear the latest updates in the state’s transition to Medicaid Managed Care what to expect July 1. There will also be an opportunity for questions and answers. 

Register Here.

Healthier Highland Collaborative Video

May 10, 2021
Watch the video to learn how the highland community members used the power of their voice, community partners, and local government to make positive changes in their community and improve […]

Healthier Highland Collaborative Video

by Megan Bolejack

Watch the video to learn how the highland community members used the power of their voice, community partners, and local government to make positive changes in their community and improve health outcomes.

Care Share Seeks RFP for Strategic Planning Services

Apr 8, 2021
Care Share Health Alliance is seeking proposals to lead the board of directors, staff and key stakeholders through a strategic planning process. We are looking for a consultant who is […]

Care Share Seeks RFP for Strategic Planning Services

by Megan Bolejack

Care Share Health Alliance is seeking proposals to lead the board of directors, staff and key stakeholders through a strategic planning process. We are looking for a consultant who is committed to racial and health equity, uses a collaborative or facilitative leadership process, has an understanding of the NC and national healthcare and health improvement landscape so they can lead Care Share into the future of innovation, opportunity and most importantly health equity.  For more information read the RFP.

Care Share Health Alliance names Weyling White as new Executive Director

Mar 16, 2021
March 16, 2021 Care Share Health Alliance has selected Weyling White as its next Executive Director. White will succeed Linda Kinney, who will remain at Care Share as Director of […]

Care Share Health Alliance names Weyling White as new Executive Director

by Megan Bolejack

March 16, 2021

Care Share Health Alliance has selected Weyling White as its next Executive Director. White will succeed Linda Kinney, who will remain at Care Share as Director of Innovation and Capacity Building.

“We are fortunate to have Weyling lead Care Share,” said Alice Pollard, Board Chair. “Weyling brings tremendous leadership experience with programs that promote systems change to increase access to health care. His experience and passion for health equity and social justice will be a guiding light for advancing Care Share’s vision of communities that are healthy & committed to health equity for all.”

“It is such an honor to be joining Care Share Health Alliance. Throughout my career I’ve had the pleasure to collaborate and work with Care Share in multiple capacities. I have always admired this organization and I look forward to our new journey together,” said White.

White most recently worked with Roanoke Chowan Community Health Center (RHCC) as the Practice Administrator. He joined RCCHC in 2013 as the Director of Hertford Health Access, a collaborative network that was supported by Care Share. Weyling is a native of Ahoskie, North Carolina, and in 2019, made history when he was elected as Ahoskie’s first African American Mayor. Weyling is a graduate of the Rural Economic Development Institute with the NC Rural Center, a Leadership North Carolina Class XXVI graduate, and a current Bernstein Health Leadership Fellow.

Weyling was selected following a thorough search process which resulted in a field of exceptional candidates. The Board launched the search process in 2020 after Linda Kinney expressed her desire for Care Share to be an inclusive, diverse and equitable organization.  Kinney, who has been a part of Care Share’s team from its inception and served as Executive Director since 2017, will continue to serve Care Share as Director of Director of Innovation and Capacity Building.

“I have been honored to serve as executive director of Care Share Health Alliance and remain committed to our mission of Collaborating for Health Equity. I take our mission seriously and decided to step down from the executive director position so we can better align our leadership with our mission. I am not leaving Care Share, rather I am acknowledging and acting on systemic privilege where I can. This decision embodies my personal and Care Share’s organizational values to open opportunities for new leadership” said Kinney.  “I am delighted to work with Weyling and the rest of the Care Share staff.”

“The Board is grateful for Linda’s continued service to Care Share and excited about what the Care Share team will achieve in the coming months under Weyling’s leadership. Care Share stands at the ready to support organizations, communities, and all stakeholders in advancing health equity,” said Pollard.

Care Share Health Alliance is a North Carolina based non-profit that builds capacity, creates networks, and partners for systems change so that communities are healthy and equitable. Learn more about Care Share at www.caresharehealth.org.

Join NC DHHS on March 10 for a webinar: “NC Medicaid Transition to Managed Care for Community Partners – the Beneficiary Experience”

Feb 26, 2021
Please join NC Department of Health and Human Services Secretary Mandy Cohen, M.D.; Secretary for NC Medicaid Dave Richards; Assistant Secretary for NC Medicaid Jay Ludlam and other senior leaders as we provide an update on key dates […]

Join NC DHHS on March 10 for a webinar: “NC Medicaid Transition to Managed Care for Community Partners – the Beneficiary Experience”

by Megan Bolejack

Please join NC Department of Health and Human Services Secretary Mandy Cohen, M.D.; Secretary for NC Medicaid Dave Richards; Assistant Secretary for NC Medicaid Jay Ludlam and other senior leaders as we provide an update on key dates and resources for beneficiaries as they choose a health plan under Medicaid Managed Care. There will also be an opportunity to submit questions for the panelists.

Registration is required. Feel free to share the webinar invitation and registration link with other community partners interested in attending. A recording of the webinar will be available following the event and posted on the NC Medicaid website.

NC Medicaid Transition to Managed Care for Community Partners
the Beneficiary Experience 

3-4 p.m. on Wednesday, March 10, 2021

REGISTER

Aligning Systems for Health Research Roundup Webinar – Feb.11th

Feb 2, 2021
Save the Date: Aligning Systems for Health Research Roundup Webinar on February 11th at 4:00pm. The session will feature Care Share Health Alliance and Healthier Highland findings from the evaluation […]

Aligning Systems for Health Research Roundup Webinar – Feb.11th

by Megan Bolejack

Save the Date: Aligning Systems for Health Research Roundup Webinar on February 11th at 4:00pm. The session will feature Care Share Health Alliance and Healthier Highland findings from the evaluation report Highland Shows up, Speaks up, Steps up: Aligning Systems for Health Community-Led Collaboration Advancing Health Equity. The session will also include presentations from Communities Joined in Action – CJA and Urban Institute. Register here: https://bit.ly/3pHJHZu

NC Medical Journal Highlights NC Get Covered

Nov 3, 2020
The NC Medical Journal’s latest issue Celebrating – and Critiquing – 10 Years of the ACA in North Carolina highlights NC Get Covered: Spotlight on the Safety Net : NC […]

NC Medical Journal Highlights NC Get Covered

by Megan Bolejack

The NC Medical Journal’s latest issue Celebrating – and Critiquing – 10 Years of the ACA in North Carolina highlights NC Get Covered: Spotlight on the Safety Net : NC Get Covered – A Statewide Network of Health Care Change Agents. To read the article, visit http://www.ncmedicaljournal.com/content/81/6/403 and to read the full issue visit www.ncmedicaljournal.com

If you are in need of health insurance coverage, please visit Healthcare.gov to sign up for a plan today! If you live in NC, you can visit NCNavigator.net or dial 1-855-733-3711 for free enrollment assistance. Open enrollment ends on December 15.

Care Share Health Alliance Seeks New Executive Director

Oct 16, 2020
I have been honored to serve as executive director of Care Share Health Alliance and remain committed to our mission of Collaborating for Health Equity. I take our mission seriously and […]

Care Share Health Alliance Seeks New Executive Director

by Megan Bolejack

I have been honored to serve as executive director of Care Share Health Alliance and remain committed to our mission of Collaborating for Health Equity. I take our mission seriously and have decided to step down from the executive director position so we can better align our leadership with our mission. I am not leaving Care Share. I am acknowledging and acting on systemic privilege where I can. This decision embodies my personal and Care Share’s organizational values to open opportunities for new leadership with lived experience and expertise in the field of equity.  Linda Kinney

Click here for position posting

Join Us on Nov 13th – NC Collaborative on Medicaid Transformation Meeting

Oct 16, 2020
Join us for the next NCCOMeT meeting on Friday, November 13, 2020 from 10am to 11am.  Brigette Courtot, Senior Research Associate with the Urban Institute will share some findings from […]

Join Us on Nov 13th – NC Collaborative on Medicaid Transformation Meeting

by Megan Bolejack

Join us for the next NCCOMeT meeting on Friday, November 13, 2020 from 10am to 11am.  Brigette Courtot, Senior Research Associate with the Urban Institute will share some findings from their research on the impact of Medicaid Managed Care on Health Disparities.
Join the meeting via Zoom https://us02web.zoom.us/j/89506402834?pwd=QmJKbHFtU3VuQUZleFdEWVpLSDcxUT09

NEWS

Tailored Plans will be delayed until April 1, 2023

NC DHHS has announced that implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans will be delayed until April 1, 2023 instead of December 1, 2022. Tailored […]

Request For Proposal: Independent Auditor

Care Share Health Alliance is seeking a qualified auditing firm to provide accounting services. Specific questions to which we ask your response are listed in Exhibit I.  Please note that […]

Guidance on Preparing for the End of the PHE

Since it began in January 2020, the COVID-19 federal Public Health Emergency (PHE) helped prevent NC Medicaid beneficiaries from losing their health coverage during the pandemic, even if someone’s eligibility […]

About
Newsletter
Equity+ Network
NC Get Covered
NCCOMeT

Contact

Name(Required)
This field is for validation purposes and should be left unchanged.