Port Angeles, WA: Nita Quan
"We are still very much working on putting our CHIP planning to work. We were able to secure help from our local United Way to help us write a grant proposal to accomplish our goals. Also, Terry Troia came and visited me here in Port Angeles. I took her to visit our homeless shelters, transitional shelters and they hooked her up with the thrift store folks that helps them financially. The information that was passed back and forth was helpful for all concerned. And it was great fun to show Terry our site and my home. I had the opportunity to travel to New Orleans recently to present at a National Zero to Three conference and was able to meet with Gabou Mendy. He was so very gracious showing us the sights, taking us to his two clinics and even including us with he and his wife in the Gala fundraiser for his clinic. It was great to be able to see him at work. It was also very clear that he is well loved and respected by his peers and patients. I look forward to being visited and visiting other fellow Johnson and Johnson/ UCLA Alum. Greetings to all!"

Gurabo, PR: Elba Vázquez reports that she has had excellent results in her CHIP in the first 5 months of implementation. One of Elba's CHIP objectives was to improve the accessibility and provide primary health care to 5,200 new patients.The metrics were 300 new users per month. In 5 month her center has provided primary health care to 2,071 new underinsured and underserved patients. She has implemented the activities as established in her CHIP, which included organizing, directing and supervising a community health care team that identified the underserved population and providing health care activities in the communities. Also she and her staff developed a marketing plan, hired an outreach coordinator and contacted public and private organizations to inform them about the services her center provides.

Brooklyn, NY: Ngozi Moses
"Since my return from the J&J program, I have proceeded to test acceptance and support for the vision to develop my CHIP. I have received strong support and encouragement from everyone to whom I have presented the CHIP outline and framework. As a result there is commitment and additional potential support is likely to be available to BPN to develop this vision. To date the following has occurred:

1. Three meetings and orientation sessions held with employees. Strong support from staff for internal agency operations improvement efforts.

2. A Senior Vice President of HHC's Corporate Affairs office has offered HHC to be a complementor agency to BPN for partnership efforts for the CHIP development. In this regard in August, BPN was provided with a team of HHC expert program developers to respond to the HRSA Community Access Program (CAP), RFP solicitation for proposals.

3. The Executive Director of Agenda for Children Tomorrow (ACT), a public-private partnership, Eric Brettschneider has agreed to provide a planner to BPN for coordinating the CHIP development work. ACT is financed by a public-private partnership and works closely with the NYC Child Welfare Service System, Administration for Children's Services (ACS).

4. I have met with ACS Senior Policy (Deputy Commissioner and special counsel) and Program official, (facilitated by ACT) to introduce BPN's work and CHIP vision. They are very interested in exploring ACS collaboration with the CHIP effort. BPN's participation in an ACS sub-committee planning a system of care project has commenced.

5. Exploration with Caribbean Women's Health Association (CWHA), and other CBOs partnering with BPN has provided strong indicators of interest for and promise of such joint ventures that the CHIP promotes. BPN and CWHA could be competitors, but have a long-standing collaborative relationship. Work on the CHIP will benefit our joint leadership.

6. I have also met with NYCDOH Deputy Commissioner, Dr. Mary Bassett and presented the CHIP vision with respect to the partnership for Healthy Start project, for which DOHMH the grantee. Development of a local health systems action plan for the Healthy Start project included in the CHIP vision.

7. Our fundraising campaign began with a holiday appeal for cash contributions

8. I am currently in the process of exploring more formal collaboration with the ACS Neighborhood Based Services Networks, for involvement, with the recently funded System of Care project, to prevent placement of infants in the child welfare service system and to facilitate the well-being of families at risk of infant placement. BPN's involvement will bring those from the community service providers for foster care and maternal and child health fields together, for closer working relationships for services coordination and program development planning. This will have a direct relationship to opening more opportunities for funding of services for the partnering organizations. Developing a system-of-care approach to serving vulnerable activities/families.

Objectives Over The Next 6 Months To June 2004:
1. Finalize development of a CHIP with broad involvement from key stakeholders. The CHIP will address strategies to develop a sustainable service infrastructure to:

• Improve cross systems services coordination for a system of care approach to serving families at risk for infant death, poor maternal and child health status and child welfare system intervention in a specific community.
• Coordinate service providers in a joint venture to strengthen their organizational infrastructure and to develop a joint financial partnership for sustainability."

Hope Valley, RI: Ernie Balasco received $50,000 in private foundation money to create space for providing mental health services. The focus of Ernie's CHIP was to address the growing need for mental health services, particularly for those who are uninsured or underinsured.