Our vision is to grow healthier communities and include these key goals: 1. To be a health home for children, adolescents, adults and seniors. 2. To respond to community-identified physical, behavioral, and social needs in a culturally and linguistically appropriate manner in our diverse community. 3. To invest in workforce development and training of our health professionals and our staff. 4. To educate and advocate for the health and social needs of children and families. 5. To improve and address Health Equity in our diverse community.

1. Addressing a critical need for a historically marginalized population or community. 2. Building cross-sector coalitions, networks and/or movements to advance positive change and build public will for greater equity. 3. Promoting youth and grassroots leadership development and civic engagement for individuals from under-resourced communities and those historically under-represented. 4. Engaging in system or policy change aimed at addressing the root causes of inequity through community organizing (of those directly impacted) or advocacy. 5. Promoting local leadership and leaders of color. 6. Engaging in multiracial organizing and coalition building. 7. Implementing strategies to improve community capacity and advance sustainable economic growth for low-income populations in the most under-resourced communities.

Community health and social determinant needs assessment and the development of performance goals and objectives are an integral part of TCC’s intensive strategic planning process and future planning processes. Key informant interviews are held as are focus groups and survey of community members, parents and staff. The Board of Directors evaluates and considers all of the community’s health care needs, prioritizes them, identifies all available resources and develops a realistic plan for either implementing a new program or revamping an existing program that they believe is an appropriate response to the respective community health care need. Clinical and financial performance goals are each components of the strategic plan. The Board closely monitors progress through periodic updates from its sub-committees and senior management to ensure that TCC is on target for reaching these clinical and financial objectives. Should TCC lag in meeting the performance goals, the Board will develop a plan to intervene and rectify the deficiency(s) and chart a modified course of action to reach the performance objectives. TCC’s practice management system is used to analyze patient trends and service delivery on a regular basis, and reports are shared with the Continuous Quality Improvement (CQI) team, which identifies clinical performance measures and outcomes. Administrative and financial performance measures are also regularly monitored, and are reviewed and discussed during executive management team meetings and monthly Board of Director’s meetings. TCC has received the national quality recognition and/or certifications • Patient Centered Medical Home NCQA Recognized Practice (Level 2 and 3) • Meaningful Use: stage 1, year 1 and 2 requirements • National Council of Behavioral Health Trauma Informed Care Certification • The California Endowment “Building Healthy Communities” designation • Kaiser Permanente South Bay Healthy Eating Active Living (HEAL) Zone designation • Charity Navigator Four Star Rating • Best Start Home Visitation • U. S. Department of Justice Safe Long Beach designation

TCC prides itself on its ability to analyze local, state, and national data, combine it with input from grassroots organizations, and incorporate the interpretation and analysis of data by its Boards and leadership for the purpose of designing and implementing its three-year strategic plan. Success at achieving the goals set by the strategic plan is measured by means of tracking clinical and business performance measures and evaluated both formatively and summative. The Chief Executive Officer, Elisa Nicholas, MD, MSPH, monitors TCC’s strategic plan and reports biannually to the Board of Directors about progress towards meeting its goals. At every Board meeting, she reviews local, state and national trends that could impact TCC’s programs, services, or patients.

Over the last 80 years TCC has expanded its reach from one small clinic serving only children to eleven health centers serving people of all ages and a mobile medical van providing care to the homeless. To this day, TCC continues to be the primary safety net for the greater Long Beach community providing the extra health and wellness services that truly support our mission. TCC is a National Committee for Quality Assurance recognized Patient Centered Medical Home, and TCC was the first community health center in Los Angeles County to obtain Trauma Informed Care certification from the National Council of Behavioral Health. In Fiscal Year 2017-18, TCC provided comprehensive health services to nearly 40,000 underserved, low-income and medically disenfranchised children and their families through over 130,000 visits. TCC offers expanded hours of operation at several sites, including weekend and evening hours to accommodate patient needs and reduce barriers to entry. TCC knows that living in a safe and nurturing environment supports lifelong health and well being. Through the Everychild Foundation, TCC became the first health center in Los Angeles County to be certified as a Trauma Informed Care Practice by the National Council of Behavioral Health. TCC shares its experience at the local, state, and national levels. TCC partnered with the City of Long Beach, which was been selected to join a U. S. Department of Justice National Forum on Youth Violence Prevention entitled Safe Long Beach. TCC’s role involved using our expertise to train professionals, community groups and public service agencies on the issues of trauma, toxic stress and how to respond as individuals and as a community. TCC also has four new programs to reach children as early as possible to identify trauma and toxic stress and provide needed services and supports while building skills, resiliency and protective factors for the child and family. These programs include: the Everychild Bright Beginnings Initiative; First 5 LA’s Project DULCE and the Healthy Families America home visitation program.