Greater Waco Business Spring 2021 - Healthcare by Greater Waco Chamber

SPRING 2021

A GREATER WACO CHAMBER PUBLICATION

WACOCHAMBER.COM

2021 EXECUTIVE COMMITTEE CHAIR

Jennifer Manning Pattillo Brown & Hill, LLP

A MESSAGE FROM

MATT MEADORS This is a particularly important and special edition of Greater Waco Business magazine. Important from the standpoint of showcasing the depth and breadth of the state-of-the-art healthcare facilities and capabilities we enjoy in Greater Waco. Special from the standpoint of understanding how tremendously blessed we are to have skilled, dedicated, and compassionate men and women devoted to caring for us at a time of vulnerability and great need. Our healthcare providers are heroes. It is not uncommon for them to place their own health and safety at risk when caring for the sick and injured. It sometimes comes with the territory. But day after day? Nonstop? For more than a year? While concerned about their own health and safety, and wary about the impacts on their family members? That is commitment. That is bravery. That takes a special person. Heroes. The Chamber’s 2020 annual report is included as a special insert inside this magazine. We entered 2020 with a roaring economy and big, bold plans that included expanded program offerings, the introduction of exciting new signature events, a new strategic plan designed to grow our membership, a fundraising campaign to capitalize our new Build Greater Waco II Economic Development Strategic Plan, undertaking our 16th annual Total Resource Campaign, continuing our active engagement in public policy, designing and executing a “marketing surge” to further elevate our community on the national and global stage, and much more. But it soon became clear that we had real problems coming our way. In March 2020, your Chamber’s leadership team adopted a Coronavirus Response Plan. We understood our businesses, institutions, and fellow citizens were going to be severely impacted by the emerging global pandemic. We positioned your Chamber to assume a sustained leadership role and respond to the crisis with compassion and energy. Without question, 2020 was a year of contradictions for your Chamber. We worked diligently with our community partners and local, state, and federal officials on programs and initiatives literally designed to help our existing businesses and fellow citizens survive financially. At the same time, in the face of a pandemic that was causing tremendous pain, we were receiving and responding to many inquiries from company officials and corporate site locators about potential projects in our marketplace. From an economic development projects standpoint, 2020 was a phenomenal year for our community. Our 2020 annual report details this work, and more. We understand that the pandemic remains with us. We know that it continues to exact a toll on our community. Our commitment to sustained leadership—to responding to this crisis with compassion and energy—remains unwavering. Thank you for your continued support of your Chamber of Commerce. With appreciation,

CHAIR-ELECT

George Chase Insurors of Texas

VICE CHAIR

Kary Lalani Lalani Lodging, Inc.

VICE CHAIR

Philip Patterson, FACHE Ascension Providence Healthcare Network

IMMEDIATE PAST CHAIR Rick Tullis Capstone Mechanical

PRESIDENT & CEO

Matt Meadors Greater Waco Chamber of Commerce

CHAMBER STAFF Jessica Attas Vice President Public Policy Jennifer Branch Director of Existing Industries & Workforce Development Kris Collins Senior Vice President Economic Development Gabriella Colurciello Associate Director of Marketing & Communications Leigh Davis Director of Marketing and Communications Nancy Gupton Resource Development Director Keith Kusler Art Director Rachel Martinez Director of Leadership Development Debbie McCutchen Economic Development Coordinator Sarah McDonald Resource Development Coordinator Matt Meadors President/CEO Seth Morris Vice President Economic Development Jason Powers Vice President of Finance & Operations

Matthew T. Meadors President & CEO 4 | SPRING 2021

Lexy Reil Research & Project Manager Michelle Williams Finance & Operations Assistant

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SPRING 2021

HEALTHCARE EDITION 8

ABOUT HEALTHCARE

32 QUALITY HEALTHCARE FOR CENTRAL TEXAS VETERANS

ASCENSION PROVIDENCE KEEPING OUR COMMUNITY HEALTHY

36 HEART OF TEXAS MHMR CENTER BRINGS PARTNERS TOGETHER TO SUPPORT MENTAL HEALTH IN GREATER WACO 40 LEGAL MINUTE: HIPAA’S DATA PRIVACY RULES FOR BUSINESSES 42 PUBLIC POLICY: THE 87TH LEGISLATIVE SESSION: PRIORITIES FOR THE BUSINESS COMMUNITY AND THE STATE 44 16TH ANNUAL TOTAL RESOURCE CAMPAIGN WRAP UP

48 ECONOMIC DEVELOPMENT

BAYLOR SCOTT & WHITE — HILLCREST CARING FOR THE COMMUNITY

ON THE MARKET

MARKET REPORT

ECONOMY IN FOCUS

54 CHAMBER NEWS 58 MEMBER NEWS

60 RIBBON CUTTINGS 62 NEW MEMBERS

WACO FAMILY MEDICINE IS WORKING TO DRIVE SOLUTIONS

ON THE COVER

2020 required Waco’s healthcare facilities to adapt to keep up with the changing demands in the Greater Waco community. These organizations rose to the challenge and have continued to provide innovative solutions to our community. This issue focuses on these changes and the expectations for the future.

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EDITOR

Leigh Davis

ASSOCIATE EDITOR

Greater Waco Business is published and distributed to Chamber members and economic development prospects. Digital copies are available online at WacoChamber.com.

Gabriella Colurciello

This publication is printed on FSC-certified paper.

ART DIRECTOR

Keith Kusler

AD SALES

Gabriella Colurciello (254) 757-5618 gcolurciello@wacochamber.com

The Greater Waco Chamber reserves the right to reject editorial or advertising content in the Greater Waco Business publication, and via the organization’s full range of communications platforms, at its sole discretion.

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ABOUT HEALTHCARE

hen looking for compassionate healthcare from trusted physicians, Waco is covered. No matter where you live in the Greater Waco area, quality healthcare is just around the corner. Two non-profit acute-care hospitals, Ascension Providence and Baylor Scott & White Medical Center – Hillcrest, offer state-ofthe-art, full-service facilities for inpatient and outpatient care. Waco Family Medicine

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provides primary care, women’s health, dental care and mental health treatment, and the Central Texas Veterans Health System operates a VA Hospital in Waco. This issue of Greater Waco Business focuses on how the local healthcare facilities have adapted to keep up with the changing demands in the Greater Waco community. See our full list of healthcare providers, home health and more at ExploreWacoTX.com. n

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by Philip Patterson, President, Ascension Providence

Health and safety amidst a global pandemic While we continue to navigate through unprecedented times, this new year brings much hope as the COVID-19 vaccines deliver a long-awaited milestone to end this pandemic. The emergence of the novel coronavirus presented the world with an unprecedented challenge. Not since the Spanish flu pandemic of 1918 have we faced such a daunting public health crisis. By late February 2020, it was clear our healthcare system, government and every American citizen would need to work together to conquer this invisible enemy. And now, as the vaccines continue to arrive in our local communities, there is hope for a brighter future. Throughout this pandemic, Ascension Providence leadership has found inspiration in witnessing the incredible and selfless work of caregivers at the front lines of our health system and across the country. The doctors, nurses, facility management teams and other support teams in our hospitals and clinics are giving everything they have to meet the needs of our Central Texas communities. These heroes are the embodiment of our mission to serve. Ascension Providence has remained focused on providing care for both COVID and non-COVID patients over the past 12 months. In February 2020, our clinical teams and support staff at the hospital and in our clinics operationalized quickly to address an unprecedented challenge. Now, a year later, it’s incredible to reflect on the 10 | SPRING 2021

momentous efforts that have occurred and that continue to keep our local communities healthy and safe. From the start of the pandemic, a joint leadership team formed as the McLennan County Leadership Response Team, a local response team dedicated to COVID-19 preparedness. This response team coordinated the collaboration of all COVID-19 efforts between healthcare systems, public health, elected officials and community leaders with a focus on operations, preparedness, public health messaging, and community needs. During the early months of the pandemic, Ascension Providence set up a drive-through COVID-19 testing center in Waco. The site was designed so that community members would never have to leave their vehicle to be tested, which helped ensure both their safety and the safety of our associates. As part of a national healthcare system, Ascension Providence was able to secure and maintain the needed personal protective equipment (PPE) to keep our associates, patients and visitors safe. Over the past 12 months, Ascension Providence has offered a number of treatments for COVID-19 patients, including plasma therapy, in conjunction with Carter BloodCare, as part of an investigational treatment for very sick hospitalized patients battling COVID-19. Ascension Providence also engaged a team to develop a safe and efficient process to provide bamlanivimab to our community through an outpatient infusion clinic when the Centers for Disease Control and Prevention announced

Ascension Providence distributes the COVID-19 vaccination

Emergency Use Authorization (EUA) of the antibody therapy. The COVID-19 pandemic necessitated a rapid and broadscaled growth of telehealth offerings to meet consumer needs and keep patients safe and at home. In mid-March, Ascension Medical Group (AMG) quickly deployed virtual care offerings to all of our outpatient clinics across the Ascension Texas network which represents more than 700 physicians and advanced practitioners throughout Central Texas within both Ascension Seton and Ascension Providence. These offerings allow patients with previously scheduled in-person appointments and others to access safe and convenient care using simple two-way video applications on their own devices like smartphones or laptops. AMG telehealth is available across primary care, specialty care, adult care and pediatric services understanding how critical access and continuity are for patients, especially during times of crisis. The rapid uptick in the adoption of virtual care has led Ascension to permanently advance the offerings and platforms to reach patients in ways that are safe, convenient and affordable. AMG has committed to maintain expanded virtual access for patients, during the COVID crisis and beyond. Over the past few months, Ascension Providence has been grateful to receive COVID-19 vaccines and for the hope this brings to our local communities. Our overarching goals for vaccine distribution remain to strengthen and protect the healthcare workforce, support those persons

with highest risk of exposure and assist those individuals with vulnerable conditions. Ascension Providence quickly implemented a comprehensive vaccine administration plan consistent with federal and state guidance. Among the first group eligible to receive the vaccines were frontline caregivers – particularly those serving in emergency departments, COVID-19 units and intensive care units. At Ascension Providence, this team includes frontline emergency department staff who accept and treat COVID patients, ICU doctors and nurses, certified nursing assistants, respiratory therapists, housekeeping and facilities management staff, to name a few - all whose roles place them in the forefront of the battle against COVID. Ascension Providence took extra steps to ensure these frontline staff had access to the vaccine, and worked to eliminate social and economic barriers to ensure that our staff who are most at risk could receive the vaccine as a prioritized group. Ascension Providence encourages our own associates to receive the COVID-19 vaccine to help ensure the continued safety and well-being of them, their families and all those we are privileged to serve, and for the general public to do so once it becomes available. Vaccination is one of the most effective strategies to protect ourselves and others from COVID-19. In addition to these efforts, Ascension Providence continues working with the City of Waco, the McLennan County Health Department, regional healthcare providers and other community partners to deliver vaccines to Waco and our surrounding communities. WACOCHAMBER.COM

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The Ascension Providence staff joined in celebration when patient David Guel was discharged after a battle with COVID-19.

Staff with thank you note from the community.

Ascension Providence has been grateful for the opportunity to provide financial assistance through various programs for associate hardships throughout the pandemic. Ascension Providence has also been encouraged by the community support provided by local businesses and donors. The Waco community has truly rallied behind our doctors, nurses and support staff throughout the pandemic, and the overwhelming support comes in various forms, from letters of encouragement from children to donations of meals for staff, along with many other acts of kindness from a caring community - including more than 5,400 meals and 20,000 snacks provided to our associates, and significant funds raised for COVID-19 hardship.

associates, family and friends is our top priority. Every day, more than 1,800 people trust their care to Ascension Providence and we continue to make strides as a community healthcare network dedicated to providing exceptional, coordinated care for everyone at one of our many Ascension Providence locations. Our full continuum of care includes Ascension Providence, DePaul Center, Ascension Living Providence Village, Ascension Providence Home Care, Ascension Providence Hospice and Providence Health Alliance which includes 23 clinic locations offering access to care through Express Care, Family Medicine, Internal Medicine, Pediatrics and specialty care clinics.

Throughout the pandemic, Ascension Providence has appreciated the efforts of local businesses, institutions and schools that worked together to develop and implement mitigation strategies, including mask guidelines and social distancing for their employees, customers and community members. Our community has witnessed many organized efforts come together over the past year to ensure frontline workers and our most vulnerable community members have access to masks and other protective equipment.

Expanding innovative healthcare services

Providing comprehensive healthcare, close to home Even amidst the pandemic, Ascension Providence has remained focused on an aggressive growth strategy to meet the rapidly growing needs of individuals in Waco and surrounding communities, balanced with the need to continue caring for COVID-19 patients. For more than 115 years, Providence Healthcare Network has been deeply committed to improving the health and wellness of the Waco community. As the first hospital in Waco, Ascension Providence continues to demonstrate strong roots through our mission to serve all with special attention to the poor and most vulnerable. By offering a comprehensive continuum of care to the Greater Waco community, and as one of the largest employers in Waco, Ascension Providence is committed to bringing excellent healthcare services to Waco and the surrounding area. At Ascension Providence, taking care of our patients, 12 | SPRING 2021

Ascension Providence has a long tradition of firsts in the Waco community, including the first open-heart surgery, first cardiac stent procedure, opening of the first comprehensive stroke center, first psychiatric clinic, performing the first robotic surgery and providing 3D mammography technology to our region, just to name a few. Today, new developments in cardiac care, women’s and children’s services, and more, are paving the way for the future of healthcare in Waco.

Cardiovascular Care Ascension Providence has been committed to improving the heart health of Central Texans for many years, and generations of patients have entrusted their heart health to our superior team of professionals who truly take the health of their patients to heart. Ascension Providence has remained focused on developing a comprehensive structural heart program since 2011, when Ascension Providence was the first hospital in Waco to offer PFO/ASD Closures and Balloon Aortic Valvulopathy. In 2019, Ascension Providence launched the Transcatheter Aortic Valve Replacement (TAVR) program as the only TAVR program in Waco in partnership with Waco Cardiology. Later that year, Ascension Providence expanded the

Structural Heart Program to offer WATCHMAN, a device for patients with atrial fibrillation who require blood thinning medications to reduce their risk of stroke. Additionally, Ascension Providence recently invested in a new, fifth cardiac catheterization lab and upgrades of existing technology, providing state-of-the-art technology and procedure rooms. The new cath lab significantly increases capacity for complex heart care and procedures at Ascension Providence, and the new technology offers lower radiation, increasing safety for patients and providers, and increases visualization for better imaging and better outcomes. In November, Ascension Providence became the first hospital in the state to offer WATCHMAN FLX to reduce the risk of stroke for patients with heart conditions the next-generation technology offers safer and more effective outcomes. Ascension Providence has been recognized by The American College of Cardiology (ACC) for its demonstrated expertise and commitment in treating patients receiving transcatheter valve repair and replacement procedures. Ascension Providence was awarded the Transcatheter Valve Certification in December 2020 based on evaluation of its staff’s ability to meet standards for multidisciplinary teams, formalized training, shared decision-making and registry performance. Additionally, Ascension Providence recently received a $3.5 million charitable donation from Margaret and Weldon Ratliff, dedicated to supporting capital, programs

or research for the advancement of Ascension Providence’s Comprehensive Structural Heart Program. The generous gift will help continue to fund innovative programs and expand heart care at Ascension Providence, ensuring the highest quality of cardiovascular care is available to the Waco community and beyond.

Minimally invasive surgery In 2013, Ascension Providence began offering robotic surgery, a minimally invasive surgery in which a computercontrolled robot assists the surgeon during highly complex procedures. Skilled surgeons use advanced tools and sophisticated devices to help perform complex procedures, often through a single, tiny incision. The robot provides an increased level of dexterity, and it allows surgeons to operate in small spaces inside the body that would otherwise require surgery through open wounds. Ascension Providence utilizes two robots in two dedicated operating rooms. A team of specialized physician assistants, nurses, and surgical technicians support our surgeons during every procedure. Specially trained surgeons perform robotic surgery in multiple specialty areas including, gynecologic surgery, urologic surgery, cardiothoracic surgery, and general surgery. In 2019, Ascension Providence announced the expansion of its robotics program for more complex cases with the addition of a da Vinci XI robot for minimally invasive

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Ascension Providence is grateful to be part of a generous community and proud of the incredible work being done by our caregivers and support teams.

surgery. The robot is used for general surgery cases, including colon and complex hernia, and thoracic cases. Ascension Providence also offers minimally invasive robotic surgery for gallbladder, gynecology and urology. Benefits of minimally invasive surgery include less pain, less recovery time, and less risk of infection. Within the past year, Ascension Providence became the first hospital in the region to offer procedures through a new robotic-assisted technology called Ion that can help doctors diagnose and treat lung cancer earlier than previously possible. The new technology can help improve accuracy and precision of the biopsy of a potentially cancerous nodule. Robot-assisted bronchoscopy is one of many tools used by the dedicated, multidisciplinary lung cancer team at Ascension Providence, the only multidisciplinary team of its kind in Waco. The team, called the Lung Cancer Tumor Conference, consists of nurse navigators, pulmonologists, surgeons, radiologists, case managers and physical and occupational therapists, which has allowed for expedited diagnosis and treatment for lung cancer patients at Ascension Providence.

Breast health services Ascension Providence has an experienced clinical team that leads the Ascension Providence Breast Health Center with a focus on patient experience and quality. Ascension Providence recently expanded its breast health program, including updated technology, hiring additional experienced physicians and staff, and facility renovations. Serving the community for more than 10 years, the Ascension Providence Breast Health Center saw an increase in demand for breast health services in Waco. The center performed almost 19,000 exams last fiscal year and diagnoses over 100 breast cancers annually. The expanded breast health program at Ascension Providence Breast Health Center is the first in Waco to offer 3D mammograms, an imaging test that combines multiple breast X-rays to create a three-dimensional picture of the 14 | SPRING 2021

breast. The high risk breast program at the Ascension Providence Breast Health Center was established by Dr. Erin Prince who helped implement special software to help calculate lifetime risk of breast cancer. In addition to advancements in technology and increased focus on quality, facility renovations at the Ascension Breast Health Center include expanded waiting rooms for additional patient and employee capacity, lobby updates to create a spa-like atmosphere, and an additional ultrasound unit to help reduce wait times.

Women’s services and newborn unit Ascension Providence welcomes doulas to be present in labor and for the immediate postpartum period. While Ascension Providence has limited visitors during the pandemic, the hospital staff heard from expecting mothers of their wish to have a doula present, in addition to the one support person that was allowed. Ascension Providence leadership worked quickly to standardize this practice across our market to provide a better patient experience for expectant mothers who desired to have a doula present. In 2019, Ascension Providence opened the Waco Center for Women’s Health – Midwifery Clinic, providing the only in-hospital midwife care in the region offering freedom and flexibility of midwifery care with the safety and security of the hospital. The Midwifery Clinic offers comprehensive Women’s Health services, including annual exams, family care planning, gynecologic exams, and breast exams. It provides the safest environment while delivering the natural and personalized birthing experience that many families desire. This facility at Ascension Providence has a home-like environment including four exam rooms and two comfortable OB rooms equipped with sofas for a familycentered approach to routine OB care. The Ascension Providence midwifery team offers and encourages the use of hydrotherapy, massage, aromatherapy, birthing balls, and partner or doula support during labor and childbirth, among other options. In addition, the midwifery team

works with expecting families to develop birthing plans to create their own personalized experience, with a goal of supporting women during pregnancy and labor within a safe and caring environment.

Ascension Providence continues to host blood drives with Carter Blood Care. This past year, Ascension Providence hosted five blood drives that resulted in the donation of 323 units of whole blood and 22 units of double reds which equates to helping more than 1,000 people.

Primary and specialty care

In November 2020, Ascension Providence launched a partnership with Waco Independent School District to provide sports medicine services for the district’s student athletes. In addition to providing physician coverage for high school football games, Ascension Providence performs athletic physicals and concussion baseline testing, leads clinics on sports medicine topics, and provides access to the Ascension Texas Sports Performance program as part of the collaboration with Waco ISD athletics.

Ascension Medical Group Providence provides personalized, compassionate healthcare to the Greater Waco community through 12 primary and 14 specialty care clinics across Central Texas. In addition, three express care clinics offer walk-in care with extended evening and weekend hours, so patients don’t have to wait to get the care they need. Ascension Medical Group Providence offers a different kind of relationship between patients and their care team. Our providers start by getting to know their patient, so they can deliver a personalized plan. Whether a patient’s needs are simple or complex, Ascension Providence providers connect the dots for care, including to the right specialist who provides leading-edge treatment every step of the way. Specialty care includes women’s health, pediatrics, orthopedics and sports medicine, general surgery, cardiovascular care, endocrinology and more. Virtual and in-person visits are available. Ascension Providence has implemented strict COVID-19 precautions for patient safety. The newest location, Ascension Medical Group Providence Hewitt, which opened in July 2020, offers express care and family medicine healthcare services close to home. Ascension Medical Group Providence Hewitt offers preventative care, including annual physicals, wellchild visits, and health screenings for newborns, infants, adolescents, adults, men’s and women’s health, and geriatrics; help with managing a wide range of chronic medical conditions, including, but not limited to, high blood pressure, arthritis, asthma, and diabetes; diagnosis and treatment of acute medical conditions, including illness and injuries; and guidance on nutrition, health, and fitness.

Fostering ongoing community partnerships Ascension Providence remains committed to fostering community partnerships as a way to care for individuals in our local communities outside the walls of our hospital and clinics. In November, Ascension Providence worked with Caritas of Waco by hosting a one-day drive that resulted in monetary donations and more than 6,100 pounds of donated food to the organization. In December, Ascension Providence supported the Mission Waco Christmas Toy Store with monetary donations, toys, coats, mittens, and 30 volunteers for their annual event.

Ascension Providence recently collaborated with Cameron Park Zoo to offer nursing pods with three private rooms for mothers onsite at the zoo. The Ascension Providence nursing pods offers an intimate and private space for mothers to nurse or use a breast pump while visiting the zoo. Each room is furnished with a rocker and a table and provides moms with a private secure space to take care of her nursing needs. These partnerships, among others, provide healthcare services in our community, when and where individuals need it most. Ascension Providence will continue to expand its presence in the Waco community and beyond through future community partnerships.

Planning for the future While we know the pandemic is not behind us yet and it will take time to vaccinate all members of our community, we are hopeful the COVID-19 vaccine will bring a brighter future for all of us. And while we do not know what the future holds, what I can say for certain is that the pandemic has shown us the incredible courage and fortitude from all of our dedicated workers on the frontlines at Ascension Providence and the willingness of our local community to provide support when our healthcare workers need it most. Ascension Providence will continue to provide compassionate, personalized care to all individuals, and we look forward to serving families now and in the future. n Photos provided by Ascension Providence

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BAYLOR SCOTT & WHITE - HILLCREST CARING FOR THE COMMUNITY

by Natalie J. Underwood, Administration, Baylor Scott & White Medical Center – Hillcrest

he concept for Baylor Scott & White (BSW) Medical Center – Hillcrest originated from Waco’s Baptist community. In 1903, James Britton Cranfill, newspaper editor for the Baptist General Convention of Texas, first proposed a hospital that could care for the community. The hospital received its charter in 1916, in large part because of the efforts of Pastor Arthur James Barton of Waco’s First Baptist Church. From this foundation of faith has grown a new, technologically advanced medical center offering residents of McLennan County and the Central Texas region comprehensive diagnostic and treatment services.

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In 2009, the doors opened at the 236-bed medical center on the growing campus at I-35 and Highway 6. That same year, a new chapter in the hospital’s history began when an affiliation was forged with Scott & White Healthcare based in Temple, Texas. An even brighter future was affirmed in 2013 when Scott & White Healthcare joined Dallas-based Baylor Health Care System to form Baylor Scott & White Health, Texas’ largest non-profit healthcare system. Waco’s Baylor Scott & White – Hillcrest was the first hospital to unveil this proud new name. Today, as part of one of the premier healthcare organizations in the nation, BSW – Hillcrest offers patients and local communities advanced expertise and resources. With expanded access to specialty care, we’ve renewed our commitment to providing the right care, at the right time, in the right place – Waco and Central Texas, while continually strengthening core services and bringing new, innovative programs to the area. Investing in keeping the community well is always in focus while providing quality care to patients. BSW – Hillcrest intentionally focuses on collaborating with other healthcare providers, physicians, community groups, area employers and others to enhance the value of services to those putting their well-being in our hands. BSW – Hillcrest employs more than 1,800 health professionals who tend to more than 13,500 hospital admissions annually, plus more than 66,000 emergency department visits, 10,000 surgeries and 2,700 babies born.

Baylor Scott & White Medical Center – Hillcrest is passionate about weaving services into the fabric of the community. Wellness and prevention are supported by advanced diagnostic and treatment technologies. The latest addition to the many physical facilities in the Waco region is the $50 million Baylor Scott & White Sports and Orthopedic Center on the hospital’s main campus. The 106,000-square-foot, four-story, free-standing exercise science and sports medicine facility houses physicians from Baylor Scott & White Southwest Sports Medicine & Orthopaedics, the official team physicians for Baylor Athletics, along with physical therapy services, advanced magnetic resonance imaging (MRI) equipment and outpatient surgical suites. While providing expert care for injured athletes and active adults alike, the center focuses intently on injury prevention for athletes of all ages. Additionally, a comprehensive array of orthopedic services and surgeries are provided to non-athletes as well. The four-story center includes:

Surgery center 52 exam rooms Procedure rooms Rehabilitation therapy Outdoor sports performance area MRI General radiology Administrative areas with conference and class rooms

The Baylor Scott & White Sports and Orthopedic Center is the newest freestanding facility added to the hospital’s main campus in Waco. The four-story, 106,000 square foot facility opened its doors in February 2020. WACOCHAMBER.COM

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Baylor Scott & White Medical Center – Hillcrest is on a 74-acre campus at I35 and Hwy 6. In addition to the acute care hospital facility, the campus houses medical office buildings and the region’s most comprehensive, freestanding cancer center and sports and orthopedic center.

This new center opened in 2020 and serves as the broader Waco region’s premier destination for diagnoses and treatments, surgical excellence, rehabilitation therapies and, most importantly, injury prevention. The center has also served as a catalyst for BSW – Hillcrest to bring to Waco the first ever orthopedic robotics program which is new in 2021. The Mako Robotics™ robot for orthopedic surgeries allows many total joint replacement patients the benefits of less cutting, more precision to help preserve healthy bone and soft tissue, reduced pain and faster recovery. Baylor Scott & White is dedicated to helping patients alleviate pain, regain movement and prevent injury – all with enhanced safety and cleaning precautions. Following the retirement of hospital president Glenn Robinson in 2020, a national search helped secure Charles Williams, FACHE, to join the BSW – Hillcrest family as the new facility president in January 2021. Williams moved to Waco from Orangeburg, South Carolina, where he served as president and chief executive officer of Regional Medical Center of Orangeburg & Calhoun Counties. But, Williams is no stranger to Texas – actually returning home to the state where he was born and raised. Charles has held various leadership positions at Dallas-Fort Worth area hospitals, including LifeCare Hospitals in Fort Worth, Methodist Mansfield Medical

Center in Mansfield and JPS Health Network in Fort Worth. Prior to moving to South Carolina, Charles worked for Tenet Healthcare as the company’s vice president of performance standards and clinical operations. He also served as chief operating officer of the company’s Doctors Hospital at White Rock Lake, which was at one point jointly owned by Baylor Scott & White. Well-known to the North Texas healthcare community, Charles Williams brings with him a deep commitment to quality and safety—complementing Baylor Scott & White’s culture and values. Williams is set to advance the Baylor Scott & White legacy in Waco and help deliver on the investment to keep our community well. Four key values underpin everything Baylor Scott & White does: serving faithfully, acting honestly, never settling, and being in it together. As a Christian ministry of healing, fostering an environment of service where the patient is at the heart of everything we do is paramount. This is the “golden rule” that reigns in the daily lives of caregivers – serving faithfully to create an experience that reflects the care we would want to receive if we were the patient. Integrity is an integral part of compassionate healthcare. That’s why the core value of acting honestly is a top priority, including efforts toward transparency in pricing. Patients nationally voice concerns about the burden of unexpected costs, and Baylor Scott & White works aggressively to help patients navigate copay and out-of-pocket costs and make payment arrangements that are straightforward and up-front. While perfecting the healthcare industry’s costs for services will not happen overnight, Baylor Scott & White believes that

In January 2021, Charles Williams, FACHE, joined the Baylor Scott & White – Hillcrest family as the new president. Charles brings with him a deep commitment to quality and safety, perfectly complementing Baylor Scott & White’s culture and values.

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honest communication with each patient is unquestionably a first step. Subsequently, having physicians, nurses and technicians lead the way in using accountable, evidence-based, value-driven methods to alleviate unnecessary, and often costly, testing and treatment helps assure the patient receives the right care at the right time and at the right cost. If a person or organization thinks being the best is good enough, there’s a good chance of never reaching full potential. No matter how many awards and how much progress BSW – Hillcrest achieves, there’s always room for improvement. It’s with that mindset, to never settle, that we ceaselessly reach for new technology, new methods and improved processes to be the area leader in comprehensive healthcare. This is not possible without a commitment to teamwork. Each member of the BSW – Hillcrest family brings important knowledge and expertise to the table. Internally, a “huddle system” process is hardwired into the culture whereby teams of employees gather daily to discuss challenges and opportunities and assure each voice is heard. This “we’re in it together” mentality cultivates a culture of

Nurses and other frontline healthcare workers at Baylor Scott & White – Hillcrest are proudly encouraging their friends and families to help curb the COVID-19 crisis by being inoculated as vaccines become available to them.

continuous improvement. Externally, community outreach is enhanced through the partnership with the Greater Waco Chamber of Commerce, which helps grow, develop and enhance our area’s health, education, and business and financial strength. By joining forces with other business entities, we help each other grow stronger and bolster Waco’s economic growth and development. As we have turned the corner into the next century of our healing ministry, we are in it together for Waco and surrounding communities. Strictly adhering to the organization’s mission and purpose while exercising core values and beliefs is requisite to sustaining a strong culture during crises like our healthcare industry has faced throughout the 2020 – 2021 COVID-19 pandemic, and Baylor Scott & White has focused on servant leadership during this turbulent time.

During the COVID-19 outbreak, the U.S. Food and Drug Administration (FDA) responded to the call for the rapid development of diagnostic tests by clinical laboratories and allowed laboratories to begin using their locally-developed tests (LDTs) before FDA clearance. At the time, a Baylor Scott & White Health laboratory was one of only four independent clinical labs in the U.S. chosen by the Luminex Corporation to perform validation studies on LDTs for automated, rapid

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The Baylor Scott & White McClinton Cancer Center is the Waco region’s most comprehensive, freestanding cancer facility.

detection of the SARS-CoV-2 virus – the virus that causes COVID-19 – using the ARIES® System. Baylor Scott & White’s validation test demonstrated that high complexity laboratories using the ARIES® System could immediately add novel coronavirus diagnostic testing to their testing menus. This work was important to help address soaring demand for tests and allow equipped laboratories to produce results quickly. Since the start of the coronavirus’ impact on our state, Baylor Scott & White has been deploying resources to help identify COVID-19 positive patients before they reach hospitals. An in-house digital health team worked with Baylor Scott & White laboratories and clinical leaders to make available a free online screening questionnaire for anyone with questions or concerns about risk of exposure. The MyBSWHealth app provides an easy way to send notifications that someone should seek additional evaluation and provides options for next steps. For example, patients can conduct eVisits with providers on the app or online at My.BSWHealth.com. If a provider advises testing for COVID-19, specimen collection can be arranged at one of our drive-through specimen sites. Baylor Scott & White was one of the first private health systems in the nation to mobilize this effort for all, rather than for select groups such as first responders. As a result, it is believed that we diagnosed one-third of the state’s cases during March 2020. By March 2021, our system has conducted more than 377,000 screenings and 82,000 eVisits. By May 2020, Baylor Scott & White launched an at-home monitoring program through the app that helps support patients diagnosed with mild COVID-19 as they recover in isolation at home. This has allowed more than 56,000 Texans with mild symptoms to be evaluated outside of Baylor Scott & White clinics and emergency departments – further ensuring that hospitals are ready for those who most need hospitalization. Baylor Scott & White also expanded digital tools that were already available pre-COVID-19, and quickly became one of our nation’s top telehealth providers in a matter of weeks following the virus’ onset.

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The Baylor Scott & White Hillcrest Marketplace Clinic is the newest of nine off-campus facilities Baylor Scott & White has serving the Waco region.

Baylor Scott & White’s culture always places the health, safety and wellbeing of our own frontline employees as a priority. Our healing ministry can best serve patients, families and local communities who are depending on us if the healthcare team is strong. A robust self-care program is part of the culture and the language long-term. Employees are encouraged to take time away to rest and recharge, and resources are available ranging from spiritual and behavioral health hotlines to an employee assistance program and tips on topics like eating healthy at work, staying hydrated, encouraging others to step away when needed and take five minutes for deep breaths, water and a few moments of peace.

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This outdoor dining area at Baylor Scott & White – Hillcrest is an example of hospital’s modern and soothing amenities available to patients and guests alike.

Baylor Scott & White – Hillcrest is most distinctive as follows: Magnet®-Recognized hospital, an achievement made by less than 10% of US hospitals From 1903, when a hospital that “could care for the community” was envisioned by our Baptist forefathers, through today, Baylor Scott & White – Hillcrest has remained focused on serving Waco and surrounding communities and strengthening central Texas. Our heritage, and our contribution to the Baylor Scott & White Health system, is unquestionably richer because of the innate goodness and support coming from Waco and Central Texas residents. The past century has certainly been blessed, and we are poised to continue growing with our local communities for the century to come. n

The largest primary care network in the Waco region Lead trauma facility for a five-county region Waco’s only Level III neonatal intensive care unit Only comprehensive, CARF-certified inpatient rehabilitation facility in the Waco region Most comprehensive freestanding cancer center in the region Orthopedists and sports medicine specialists who are the team physicians for Baylor University Athletics Vast array of specialty services Photos provided by Baylor Scott & White – Hillcrest

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Waco Family Medicine is Working to Drive Solutions

by Jackson Griggs, MD, FAAFP, Chief Executive Officer, Waco Family Medicine

obust population health data makes it clear: a strong primary care foundation offers communities lower-cost, higher-quality healthcare with fewer population health disparities. Access to a regular primary care physician is associated with better prevention, fewer hospitalizations, fewer unnecessary emergency department visits, and less need for specialist services. During a period of time in our community when efforts are mounting to reduce unnecessary emergency department use, increase health equity, and decrease the overall cost of healthcare, Waco Family Medicine is committed to the day-to-day work of driving solutions. Waco Family Medicine (WFM), known until recently as Family Health Center, has a mission of increasing access to and availability of high-quality, comprehensive primary and preventative healthcare for the vulnerable in the Heart of Texas; and providing an excellent educational, training, and research environment in the 24 | SPRING 2021

Patients have trust in Waco Family Medicine that spans generations. Baby Genesis was delivered to mother Karla and father Juan by Dr. Jose Sepulveda. Karla was delivered to her own mother by a Waco Family Medicine provider just a couple decades before.

medical, dental, and behavioral health fields. The organization has served the residents of McLennan County for 51 years, officially starting in July of 1970 in the basement of Waco’s Providence Hospital when it was located at the intersection of 18th Street and Colcord Avenue. The originating concept for the organization started in the late 1960s, when the McLennan County Medical Society established the center to address the related problems of a shortage of physicians, a lack of access to primary care for low-income residents, and economic development issues. Specifically, emergency services were inadequate, hospitals were financially strained with a substantial burden of uncompensated care, and the population in poverty was severely underserved. Additionally, local leaders knew that the physician population was small and advanced in years, and the community needed to attract young physicians to the area.

Each year, more than 800 applicants vie for just 12 new spots in the Waco Family Medicine Residency Program.

With support from a coalition of medical, business, and political leaders, the Waco Family Practice Residency Program was envisioned in 1969 to train recent medical school graduates in the newly minted specialty of Family Practice. As the first Family Practice Residency west of the Mississippi, the founding class of two physicians completed their training in 1972. The program has grown in number and prestige ever since. Over 440 physicians have completed their residency training in Waco, and more than half of the family medicine doctors practicing in the Greater Waco area received their training at WFM. Waco Family Medicine now welcomes 12 physicians each year for a three-year residency. With more than 800 annual applicants to choose from, WFM is fortunate to select the brightest and most committed aspiring family doctors. 2020 graduates boasted board scores in the 90th percent nationally, with 100% of residents passing their board exams for the ninth year in a row! And, consistent with the emphasis on compassionate care for the vulnerable, 46% of our residency graduates practice in Health Professional Shortage Areas, the highest of any Family Medicine residency program in Texas. It’s no surprise, then, that the Waco Family Medicine Residency Program is ranked in the top 2% in the nation by Doximity. The Residency Program’s physicians provide coordination and continuity across multiple settings: caring for patients in primary care clinics, following them as patients in both of our local hospitals, providing prenatal care and newborn deliveries (more than 1,300 last year), and offering care in several local nursing homes. The services they provide cover the entire lifespan, and they often provide care to multiple generations of the same family. Beyond the residency program, Waco Family Medicine also offers board-certified fellowships in Hospice & Palliative Care Medicine, Sports Medicine, and Applied Clinical Informatics – all of which strengthen the quality and scope of care available for our patients and community.

Waco Family Medicine Serves the Underserved Waco Family Medicine extends beyond the residency training program and affiliated fellowships. In 1999, WFM was approved as a Federally Qualified Heath Center (FQHC) by the Health Resources and Services Administration (HRSA). Definitionally, an FQHC strives to meet the needs of an underserved population by

providing comprehensive primary care services. In so doing, it also offers opportunities for employment and contributes to community health initiatives. FQHCs work to empower underserved areas with high-quality patient care, yielding a healthier workforce, fewer health disparities, and better solutions to underpinning issues contributing to poverty. Across our nation, 1 in 11 people rely on a HRSA-supported Health Center for affordable, accessible primary healthcare. To qualify as an FQHC, an organization must continually: • Serve an underserved area or population • Deliver holistic and comprehensive health and social services • Provide care on a sliding fee scale based on ability to pay • Operate under a governing board where patients serve as a majority of members • Complete annual reporting requirements • Engage in ongoing quality improvement In return for meeting these requirements, FQHCs qualify for certain enhancements in Medicaid and Medicare reimbursement. As nonprofit, tax-exempt organizations, FQHCs are eligible to receive additional grants from the government and the public sector, support from corporate entities, and donations from private individuals. At the time of its designation as an FQHC, Waco Family Medicine (then Family Practice Center) was seeing around 15,000 patients per year. The subsequent years it exhibited tremendous growth as the community’s

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In the midst of COVID-19, Waco Family Medicine clinics continue to treat patients for non-COVID illnesses. Staff members screen patients for COVID symptoms before entry, redirecting patients to outdoor clinics as needed.

key source of primary care for individuals receiving Medicaid/Medicare benefits or for those without insurance. Now, with currently close to 60,000 patients, the center provides care at 14 clinical sites throughout McLennan County—including Bellmead, West Waco, and McGregor—and at one site in Bell County. Last year alone, Waco Family Medicine conducted almost 250,000 clinical visits, helping 1 in 5 residents of Waco and 1 in 4 residents of McLennan County. Among the services offered, Waco Family Medicine provides dental care at four sites, behavioral health at seven sites (and growing), and maternity care at nine sites. Waco Family Medicine has a full-service pharmacy offering deeply discounted prices to patients, a laboratory providing the full array of common tests, and broad radiology services. Clinical staff include family physicians, internists, obstetriciangynecologists, pediatricians, nurse practitioners, physician assistants, dentists, dental hygienists, clinical social workers, and a clinical psychologist. In spite of the fact that the vast majority of WFM patients do not have commercial insurance, 78% of revenues originate from patient care sources— principally Medicaid, Medicare, CHIP, and sliding scale fees. With programs like the Good Health Card, those who do not have insurance can qualify to pay reduced

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rates on a sliding scale based on their income. The enhanced rates WFM receives for Medicaid under the FQHC designation help cover the costs of patients with limited means to pay. Indeed, every WFM clinician takes Medicaid; and Medicaid patient care supports WFM services in a critical way. The Waco/McLennan County poverty rate exceeds that of Texas, and the poverty rate of Texas exceeds the national average. Similarly, Texas has the highest uninsured population in the country. Locally, that translates into many community members falling into the gap where health insurance is unaffordable—and because of the nature of their work, they do not receive employee-sponsored health insurance coverage. This population, often referred to as the “working poor,” typically receive primary care, dental services and mental health care at Waco Family Medicine. This fits the core WFM objective: the organization is dedicated to serving all people, regardless of ability to pay.

Waco Family Medicine Provides Access to Primary Care The values of primary care to health and healthcare are widely described and undeniable. Indeed, for every dollar spent in primary care, thirteen other healthcare

dollars are saved—while population health outcomes improve. Nevertheless, in the United States we continue to underinvest in primary care. Of the $3.8 trillion spent each year on healthcare in America (just over $11,000 per person per year), only 6% of healthcare dollars are spent on primary care. If this disproportionate underinvestment in primary care were corrected nationally, United States health outcomes would be more in line with other developed countries. The underinvestment in primary care is evident among populations with longstanding conditions: chronic disease is optimally managed within primary care, but lack of access (especially due to underinsurance, unavailability, and cost) means too many people forego chronic disease management within primary care. This in turn leads to health deterioration, and vastly more expensive care within hospital settings. Moving upstream from hospital management of chronic disease to primary care management of chronic disease is less costly, safer, and more satisfying to those struggling with these conditions. While chronic care management is essential, prevention of chronic conditions provides massive returns on investment. Health-harming habits and behaviors that lead to chronic disease are consistently recognized and addressed in primary care visits. Indeed, behavior-change techniques are elemental in primary care training and practice. Coupling chronic disease care with behavioral intervention that prevents chronic disease, primary care increases the value of healthcare when it is situated in the foreground of systems of health. Beyond chronic conditions and health behaviors, nearly half of Americans will have a diagnosable mental disorder in their lifetime; one in four people will have a diagnosable mental disorder in any given year. Mental disorders occur at higher rates among socioeconomically vulnerable populations who experience frequent traumatic stress and lack coping resources. Indeed, in safety net centers such as Waco Family Medicine, over 60% of adult patients passing through clinic doors may be experiencing a diagnosable mental health condition. Contrary to common misconceptions, the majority of mental illness in the United States is treated in primary care settings. Primary care is not only the most convenient setting for treating common mental disorders, it is also the only setting where most patients needing medications can receive that care. This is particularly true in Texas, which ranks 49 out of 50 states on the availability of mental health experts. America’s health needs are daunting. Yet because primary care leans into the complexities of biological,

psychological, and social health, it stands ready to meet those needs. Correcting a national underinvestment in primary care will yield steady gains. Locally, strategic investment in Waco Family Medicine augments population health and flourishing, improves health outcome equity, reduces healthcare cost, and supports a strong workforce. Strengthening primary care for those on the socioeconomic margins yields sizable benefits throughout the community.

Waco Family Medicine Services Waco Family Medicine provides an array of services that set it apart as a leading FQHC in the United States. The Waco Family Medicine Residency Program draws from top-performing primary care applicants from medical schools across the country. The Waco program selects resident physicians from this exceptional talent pool based on character, compassion and integrity. After training aggressively for three years at the Waco program, many graduates work for WFM or stay in Central Texas, contributing richly to the local healthcare ecosystem. The quality of Waco Family Medicine clinicians is unparalleled. WFM has a full-scale pharmacy to fill prescriptions for patients. HRSA grant funding allows the WFM pharmacy to provide critical medicines to patients at greatly reduced rates. During the COVID-19 pandemic, WFM’s pharmacy inaugurated a home delivery prescription program for patients with transportation limitations and other needs. Waco Family Medicine’s laboratory processes 90% of needed lab tests for WFM patients—allowing for faster turnaround and smaller out-of-pocket costs for patients. In-house radiology offers standard plain films for common images of chest, abdomen and bones. In addition, it offers high-resolution ultrasound imaging, bone-density evaluation, and CT scanning. Behavioral health services are fully integrated into primary care at Waco Family Medicine. Integrated Health Managers, all licensed clinical social workers, work alongside medical clinicians to support the mental and behavioral health needs of patients. Embedding behavioral health expertise within primary care teams avoids delays between problem identification and treatment. It also precludes inequities seen when primary care and traditional mental health services are disjointed. Beyond integrated services, WFM counseling is available to patients needing traditional, in-depth psychotherapy in offices separate from the busy medical environment. Medication assisted therapy for individuals who struggle with opioid dependence is offered at multiple sites within WFM. Using multiple modalities, clinicians

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Senator John Cornyn visited with Dr. Jackson Griggs, community partners, and the local media at one of Waco Family Medicine’s COVID clinics on Aug. 19, 2020. Senator Cornyn advocated for organizations like WFM to receive funds from the CARES act to help keep underserved community members healthy during the pandemic.

treating opioid use disorder address a longer standing and more hidden epidemic in our community. Chronic Care Management is another innovative WFM program that introduces a dedicated care manager to the care team for aging adults with multiple chronic illnesses. The care manager offers specialized attention between appointments to help coordinate care and address the unique environmental factors influencing a patient’s physical and mental health. To optimize maternal and child health outcomes, WFM provides a population-focused set of Programs for Women and Children. The department’s primary objective is to achieve generational health equity through evidence-based initiatives—such as comprehensive breastfeeding support services, group prenatal care, and the adoption of a youth-friendly approach to adolescent wellness. Barriers to accessing healthcare are continually identified and addressed in order to reposition women at the center of their health interests. One of the newest innovations at WFM is a program offering prescriptions for exercise and fresh produce. Lifestyle coaching for chronic conditions (such as high blood pressure, obesity, diabetes or coronary heart disease), can be augmented through produce prescriptions for patients who are not in the habit of consuming fresh vegetables. These prescriptions can be filled at several of our clinic sites during harvest seasons multiple times a year. Medical staff can also write prescriptions for exercise, giving patients access to the WFM Wellness Center at the Madison Cooper

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Community Clinic. At the Wellness Center, patients are paired with a fitness advisor who helps create a tailored exercise plan and establishes constantly evolving goals for each patient. Patients enrolled in these programs report improvements consistent with expectations: weight, blood pressure reduction, diabetic outcome improvements, chronic pain reduction and mood improvement. Health-harming legal needs are important social determinants of health impacting many WFM patients. Custody issues, property disputes, tenancy problems, citizenship quandaries, and a variety of other dilemmas impact health and patient wellbeing. To address these needs, WFM has teamed up with Greater Waco Legal Services to form a Medical-Legal Partnership. Patients experiencing health-harming issues can be referred for legal counsel at reduced rates and can often be provided the assistance they need within our clinic. A longstanding collaborator contributing to the healthcare workforce in Central Texas is Texas Area Health Education Center (AHEC) East – Waco Region. A statewide program hosted locally by WFM, AHEC focuses on three essential services: preparation of students intending to enter the health professions; clinical placements for medical students and others; and ongoing education for practitioners in the field. AHEC’s ultimate objectives include attracting and training healthcare providers to work in our region and eliminating the health disparities affecting many medically underserved communities in our state.

Waco Family Medicine’s Response to COVID-19 The novel coronavirus pandemic has created extensive and unexpected challenges for Waco Family Medicine. As the pandemic emerged last year, WFM identified four key goals: prevent unnecessary emergency department use through adequate coronavirus testing for WFM patients; accurately diagnose and manage mild to moderate COVID-19 and educate infected patients and close contacts on preventing further spread; avoid viral transmission within clinical sites; and contribute to accurate, timely public health education within the community. Early efforts were focused on setting up outdoor tent and drive-up clinics for testing, securing adequate PPE for staff, building IT infrastructure and workflows for telehealth, and developing extensive protocols for patient and staff protection. For public education, WMF offered two-minute, healthliteracy appropriate educational videos in English and Spanish disseminated through social media. Facebook Live events answered the public’s questions in English and Spanish, and an array of other social media education was provided on a host of COVID-specific topics. At the writing of this article in mid-winter, using accurate point-of-care testing, Waco Family Medicine is diagnosing over 200 patients a week with COVID-19, offering each patient education on isolation and quarantine for close contacts. In addition, through the pandemic, WFM has responded in a myriad of ways: hosting COVID-related race-equity conversations with Waco Family Medicine’s COVID-19 outdoor clinics have been critical to addressing the pandemic in McLennan County’s backyard.

Photos provided by Waco Family Medicine / Rae Jefferson & Selena Cortez

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Medical providers have adapted to COVID-safe methods of providing patient care, including curbside visits and Telehealth visits, which connect patient and provider over video or phone calls.

local leaders and advocates; contributing routinely to press conferences to inform and educate the public; contributing to alternate care site strategic planning; and collaborating with Baylor University research on prevalence among at-risk populations. With 570 employees, Waco Family Medicine did not qualify for loan assistance through the Paycheck Protection Program but was able to retain its full workforce without terminations or furloughs – despite significant revenue loss due to reduced patient visits. Grant funding, philanthropy, diligent clinical work and innovation stabilized the organization sufficiently to endure the pandemic. Going forward, FQHCs in Texas need strengthening to create resilience, improve preventative services, decrease community health care costs otherwise shifted to employers, and enhance population health. Key to this effort is increasing the number of Texans in poverty receiving Medicaid and commensurately decreasing the population who remain uninsured. Paths forward that avoid burdening the Texas budget but capture federal funding will improve human and economic wellbeing.

Waco Family Medicine’s Supporters Waco Family Medicine relies on faithful, ongoing community collaboration and partnership. Key to WFM’s success are City of Waco and McLennan County, Baylor Scott & White Hillcrest, Ascension Providence and local foundations. Cooper Foundation, Waco Foundation, and the Bernard & Audre Rapoport Foundation are treasured, long-time supporters of WFM who provide support in a multitude of ways. 30 | SPRING 2021

Generous individual supporters are another devoted, consistent, and meaningful source of support for Waco Family Medicine. Donors contribute to the Waco Family Medicine Foundation established almost 30 years ago to support the mission of the Center and Residency. Over the decades, thousands of individual donors have contributed millions of dollars to help ensure that quality of care remains high and education excellent.

Looking to the Future Pandemic and economic uncertainties make futurecasting difficult. Pandemic recovery will bring new tasks and FQHC funding will remain heavily reliant on the successful functioning of federal and state governments and agencies. Staff who have shown heroic efforts during the pandemic need time to heal from the emotional costs of the work. As the community grows, so does the population in need, and it is the nature of healthcare to continuously expand in complexity. But moving forward, Waco Family Medicine remains fiercely committed to its mission to serve the community. WFM aims to be known for providing evidence-based interventions to support the health of individuals, families, and the community – in an organizational culture that values compassion, respect, and equity – and in a manner that supports financial stability and sustainability. The recent branding change – from Family Health Center to Waco Family Medicine cements WFM’s commitment to this community and its health. For 51 years and enduring into the future, Waco Family Medicine will be from this community, for this community and by this community. n

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by Deborah K. Meyer, Public Information Officer, Central Texas Veterans Health Care System

The Doris Miller Department of Veterans Affairs Medical Center (VAMC) in Waco, Texas, is part of the Central Texas Veterans Health Care System (CTVHCS). The CTVHCS catchment area includes 39 counties in Central Texas, including McLennan County, and covers more than 35,000 square miles and 11 Congressional Districts. COVID-19 Response VA has implemented an aggressive public health response to protect and care for Veterans, their families, health care providers, and staff in the face of this emerging health risk. We are working directly with the Centers for Disease Control and Prevention (CDC) and other federal partners to monitor the outbreak of the virus. VA is working in close collaboration with the CDC and other federal partners to provide COVID-19 vaccinations initially to front-line VA healthcare workers and Veterans residing in long-term care units in VA medical centers across the country. As vaccine supplies increase, VA’s ultimate goal is to offer COVID-19 vaccinations to all eligible Veterans and employees who want to be vaccinated. As Central Texas Veterans Health Care System responded during the COVID-19 pandemic, we identified ways to reduce COVID exposure and provide continuity of care. Virtual care modalities quickly became an industry standard to continue to provide needed medical care. For the Central Texas Veterans Health Care System, telehealth adaption had already occurred with many of the primary care and mental health providers being able to offer this service to Veterans. During the first month of the pandemic specialty care staff were trained on how to offer VA Video Connect appointments

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Women Recovery RISE Unit

and all areas began conducting virtual appointments. During FY20 CTVHCS staff completed over 32,000 video visits with the majority of these occurring from March - September. Staff also reached out to over 17,000 Veterans to offer hands on training and education regarding VA Video Connect. Feedback from both providers and Veterans has been very positive. One Veteran stated, “I no longer need to drive about 60 miles (approximately 116 miles round trip) to see my PCP!” The use of this technology has allowed Veterans to continue to receive the care they needed and stay connected to their healthcare team.

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Our History The Waco VA Hospital opened May 6, 1932, with construction of additional buildings in phases through 1945. In 1974, the Blind Rehabilitation Program was established and continues to be a stellar service to Veterans across the nation. This Blind Rehabilitation Unit is one of only 12 in the nation, and Veterans across the state and nation travel to take advantage of the training and services being offered. After H.R. 4199 and S.2128 were passed by Congress, a celebration was held February 19, 2015, at which time the Waco facility became known as the Doris Miller Department of Veterans Affairs Medical Center with the unveiling of a new sign to honor Doris “Dorie” Miller. Miller, who was born in Waco, was the first African American to be awarded the Navy Cross for his heroic action during the attack on Pearl Harbor while on the U.S.S. West Virginia. Miller continued to serve on active duty until he lost his life while serving on the U.S.S. Liscome Bay which was torpedoed and sunk the morning of November 24, 1943, less than two years after the attack on Pearl Harbor. In June 2016, a new, $8 million mega laundry project was activated on the Waco campus. At its opening, the laundry provided services for all of Central Texas Veterans Health Care System as well as the North Texas VA Medical Center in Dallas and the Carl R. Army Darnall Medical Center at Fort Hood. The laundry employs 71 staff and has extended its services to include the VA Medical Center in San Antonio. On April 20, 2017, a ribbon cutting celebrated the completion of a $7.4 million project for Building 93 to house the VISN 17 Center of Excellence for Research on Returning War Veterans (CoE) that is conducting cutting edge research on post-traumatic stress and traumatic brain injuries. Renovations continued across the Doris Miller campus with a project for Building 7 that opened in October 2018 to house female PTSD and recovery programs.

For Fiscal Year 2020 (October 1, 2019-September 30, 2020), outpatient visits totaled 176,455 for the Doris Miller VAMC. Waco facility only workload * Unique patients CLC unique patients Women unique patients Outpatient visits

FY18 44,548 236 6,851 183,711

FY19 44,676 235 7,946 185,821

FY20 41,549 252 7,005 176,455

Our Upcoming Projects Future projects planned for the Waco Campus include a $2 million canteen renovation, a $120,000 renovation to relocate and update the in-patient space for the pharmacy, and $7 million renovation of Building 10 for Community Living Center residents. The upcoming Enhanced Use Lease (EUL) homeless housing project will focus on utilizing three large brick buildings that were built in 1932 which sit on 3 acres of Doris Miller campus. These units will be developed into apartment style housing for homeless veterans. The Waco campus employs approximately 1,320 employees, including Member Services and the Finance Service Center. We look forward to a bright future for the Doris Miller Department of Veterans Affairs Medical Center in Waco and continued partnerships with our community. n

The Doris Miller VA is also home to a 40-bed psychosocial rehabilitation program, which includes an eight-bed women’s unit. Renovations continued across the Doris Miller campus with a project for Women’s Traumatic Rehabilitation 8-bed unit (WTRU)—one of only four in the nation. The RISE program opened in 2019 to house female PTSD and recovery programs. The female recovery program houses treatment programs for the WTRU, PTSD and rehabilitation. This unit provides an entire section dedicated to female beds as well as provides a quiet/ mediation room for residents to increase their physical and psychological safety. Blind Rehab Unit

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Foundation Services, Waco art of Texas MHMR or on D & ns io mmunicat through He eringTogether e, Director of Co Natalie Kelinsk oject Manager, #TexansRecov , Pr Vince Erickson

understand an array of reactions to the disaster are normal. They also work with individuals to identify and access their own personal and community resources to aid in coping with the disaster.

Shortly after the COVID-19 pandemic was presidentially declared a national disaster, the Center launched the inaugural #TexansRecoveringTogether Crisis Counseling Program. The federally funded, temporary program offers free and anonymous outreach-based mental health and emotional support for everybody in McLennan, Bosque, Hill, Falls, Limestone and Freestone Counties who have been directly or indirectly affected by COVID-19. Qualified mental health professionals are trained to help people

The Center has also utilized funds through the CARES Act to greatly enhance other mental health services available to the community. For instance, the Heart of Texas Region MHMR’s Klaras Center for Families (KCF), which offers an array of behavioral health services to youth ages three through 17, utilized CARES Act funds to enable hazard pay for the Center’s Youth Crisis Respite staff as well as costs

ccording to the Heart of Texas Region MHMR Center, the COVID-19 pandemic has significantly increased the need for mental health and behavioral health services and awareness. The Heart of Texas Region MHMR Center has continued to meet the need for these services, implementing new initiatives and pursuing the most innovative systems of care. The center is honored to be among a unique set of partners continuing to work together to make sure everyone in our community is aware of the help that is available.

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The Crisis Counseling Program has reached and serviced more than 25,000 people in the six-county area from March through December 2020, through its counseling and emotional support encounters, public education encounters, and media and stakeholder messaging. The program is available through June 30, 2021 via a toll-free call at (866) 576-1101 or online at www.trthotccp.org.

for food and other supplies for the youth served by the program. To help share information about available mental health services for community members, MHMR partnered with the Strategic Communications Workgroup to spread the word. The Strategic Communications Workgroup was commissioned by former Mayor Kyle Deaver and now overseen by current Mayor Dillon Meek to share accurate, helpful messages about COVID-19 to the community. In the case of mental health services, there was a great deal of need in Central Texas and there was also federal and state funding to help meet the needs. The key was ensuring the availability of help and support was communicated to folks across the region so anyone impacted by the pandemic could receive services. To ensure broad distribution of available mental health support, the Workgroup brought ten local organizations together in partnership with MHMR to promote the Crisis Counseling Program and the services it provides across Central Texas. The organizations that participated in the mental health services messaging campaign include McLennan Community College, United Way of WacoMcLennan County, Prosper Waco, Baylor University, Cen-Tex Hispanic Chamber of Commerce, Cen-Tex African

American Chamber of Commerce, Greater Waco Chamber of Commerce, Waco Foundation, the City of Waco and McLennan County. The Workgroup generated simple messages in English and Spanish based on the information shared by MHMR. Each participating organization promoted two messages per week for five weeks primarily through social media. The Communications Co-op, funded by City of Waco, Greater Waco Chamber of Commerce and Waco Foundation, provided grants to each organization to boost the social media posts in an effort to widely disseminate the information about available mental health resources. After the first few weeks of the campaign, MHMR noticed a marked increase in calls and inquiries. This campaign was a great example of the depth of reach local organizations can have when collaborating to strategically push critical information to those who need it most. MHMR is committed to serving the mental health needs in the Central Texas region. The #TexansRecoveringTogether Crisis Counseling Program will continue to be a valuable resource to support a full recovery effort and ensure Waco will emerge from this difficult time stronger than ever. n

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LEGAL MINUTE

by Teresa Schiller, Beard Kultgen Brophy Bostwick & Dickson, PLLC

ith modern-day information traveling as fast as the speed of light, businesses hasten to keep customers’ and employees’ data confidential. The first step for a Texas business in protecting data is to learn about applicable requirements. The federal Health Insurance Portability and Accountability Act of 1996, as amended (HIPAA) is a good starting point. Although HIPAA governs a variety of business practices, its “Privacy Rule,” “Security Rule,” and “Breach Notification Rule” particularly are significant with respect to data privacy.

1. What businesses are covered by HIPAA? HIPAA primarily focuses on health-care businesses, but it reaches out further by covering their independent contractors and subcontractors as well. In general, the following types of businesses are covered by HIPAA: (a) health plans; (b) employers that provide self-insured health plans for employees; (c) health care providers that transmit health information electronically for financial or administrative purposes; (d) employers that act as intermediaries between employees and health care providers; (e) employers that have health-clinic operations for employees; (f) health care clearinghouses; (g) independent contractors, or “business associates,” of covered entities; and (h) business associates’ subcontractors. 40 | SPRING 2021

2. What is the Privacy Rule? The Privacy Rule prohibits covered business from disclosing individuals’ protected health information (PHI) under certain circumstances. PHI is individually identifiable health information and related demographic data, such as birth dates and Social Security numbers. Examples of PHI are doctor’s reports, medical bills, and health insurance claim paperwork. PHI can be in tangible or electronic form. It also can be spoken. For instance, PHI could be disclosed in a meeting, or if a person with authorized access to PHI is overheard talking about it. Covered businesses generally may not disclose PHI either externally, or internally to those who do not have a “need to know.” However, businesses may disclose PHI if one or more “exceptions” apply. The exceptions are (a) if the individual provides written authorization for the disclosure of PHI to herself or a designated third party, (b) for certain routine purposes, (c) if the “opportunity to object” has been provided, but no objection has been made, and (d) if required by law. Under HIPAA, covered businesses have additional responsibilities beyond nondisclosure, including (a) establishing privacy policies and procedures, (b) training their employees about PHI, (c) notifying individuals about uses of their PHI, (d) keeping track of disclosures, (e) designating a “privacy official” who is responsible for compliance, (f) designating a contact person to receive complaints, (g) refraining from using PHI in making certain employment or benefits decisions, and (h) refraining from using PHI in certain marketing or fundraising initiatives. Individuals have certain rights under HIPAA, such as

(a) inspecting and copying PHI, (b) amending or correcting PHI, (c) obtaining a list of people to whom PHI has been disclosed, (d) requesting that disclosure of PHI be restricted in certain ways, (e) requesting that communications about PHI be made to them by alternative means or at an alternative location, and (f) requesting a copy of the covered business’s written HIPAA policy.

3. What is the Security Rule? The Security Rule requires covered businesses to use —and to require their business associates to use—certain safeguards to protect electronic PHI. The safeguards are (a) administrative, (b) physical, and (c) technical. Some of these safeguards are included in the Privacy Rule, but the Security Rule’s requirements are more comprehensive and detailed. For each type of safeguard, the Security Rule identifies security “standards” and “implementation specifications.” Each implementation specification is either “required” or “addressable” (meaning that a covered business can evaluate whether the specification is reasonable and appropriate). The standards for administrative safeguards include (a) requiring business associates to enter into contracts or other arrangements regarding PHI, (b) preventing and dealing with security incidents and violations, (c) managing the authorization of access to electronic PHI, (d) training employees, (e) planning for disasters, and (f) periodically evaluating compliance. Covered businesses are required to take the additional administrative steps of (g) implementing reasonable and appropriate policies and procedures re: PHI, (h) documenting compliance, and (i) for group health plans, amending plan documents to include information about Security Rule requirements. Physical safeguard standards include (a) limiting physical access to electronic information systems and facilities, (b) managing the use and security of workstations, and (c) managing the receipt and movement of hardware and electronic media. Standards for technical safeguards include (a) granting PHI access only to those who have been granted access rights, (b) implementing audit controls to record and examine activity in relevant electronic systems, and (c) authenticating users who seek access to such systems.

4. What is the Breach Notification Rule? The Breach Notification Rule requires covered businesses to report security or privacy “breaches” of PHI. A breach, essentially, is an unauthorized disclosure or use that compromises the security or privacy of PHI. Certain disclosures may not be considered breaches if, for example, the disclosing entity has a good faith belief that the unauthorized recipient would not reasonably have been able to retain the PHI. When a breach involving the PHI of fewer than 500 individuals has occurred, a covered entity is required to do the following: (1) notify the individual(s) whose PHI is involved; (2) document the breach; and (3) notify the U.S. Department of Health and Human Services (HHS) via its website within 60 days after the end of the calendar year in which the breach occurred. When a breach involving the PHI of 500 or more individuals has occurred, a covered entity is required to do the following: (1) notify the individual; (2) notify the media if the PHI of more than 500 residents of a state or jurisdiction is involved; and (3) simultaneously notify HHS via its website. If a business associate is responsible for a breach, it is required to notify the covered entity. The covered entity is responsible for making the required notifications, but it may delegate to the business associate the task of notifying the individual(s) whose PHI is involved. In closing, HIPAA’s Privacy Rule, Security Rule, and Breach Notification Rule are fundamental data privacy laws for businesses. The rules are intricate, and certain Texas laws have expanded upon them. For these reasons, business leaders should consult with legal counsel to identify relevant data privacy requirements and to develop their plans for compliance. n

Teresa Schiller is a business and employment lawyer at Beard Kultgen, which has offices in Waco and Dallas. Teresa can be reached at schiller@thetexasfirm.com. WACOCHAMBER.COM

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PUBLIC POLICY

by Jessica Attas, Vice President Public Policy, Greater Waco Chamber

he “most wonderful time of the year” for policymakers and others with a passion for good policy in Texas is now in full swing with the start of the 140 days of the 87th Texas Legislative Session. On January 12, legislators, guests and the public arrived at the beautiful pink granite building for the opening day of the session. Masked up, anyone entering first had to have a rapid COVID-19 test done on the Capitol grounds and show their negative result. Occupancy was greatly restricted, attendance in the gallery ticketed, and the normally bustling halls strangely quiet. Yet even in these most unusual of times and with different operating rules and procedures, there is great work to be done for our state. The Greater Waco Chamber has worked with community stakeholders, partners, and business leaders on our Public Policy Committee to develop a state legislative platform prioritizing the issues of greatest impact to the business community of Greater Waco, and to our ability to develop and grow our economy. Below are some of your Chamber’s top priorities for the state legislative session. Redistricting: Every ten years, with the release of new Census information, state and federal districts must be updated to reflect the population changes of the past ten years. These may range from State Board of Education or judicial districts, city councils and school boards, to state legislative and U.S. congressional districts. A key goal in a representative democracy is ensuring districts reflect equalized, or equivalent, population counts. For Greater Waco, a top priority is ensuring our voice as a mid-sized city is not lost by being joined with one of the major metros. Instead, we want to see a unified McLennan County district maintained. Broadband: Robust broadband in both rural and urban areas should be prioritized as a key infrastructure priority due to its importance in enabling remote learning and teaching; telemedicine and healthcare access; and business

42 | SPRING 2021

operations and commerce; improving educational, health, and economic outcomes in the COVID-19 pandemic and recovery. While research is showing that access to broadband alone does not bridge the digital divide, we know it is a foundational aspect to helping students and businesses in our region recover. Recovery dollars: When the federal government passed legislation sending dollars to state and local governments, different sets of rules were developed based on population size. Larger cities got direct disbursements, and with those, the flexibility to spend the dollars more creatively to support their communities. Many large cities launched vast grant programs to support small businesses or the arts or the tourism sector. Cities under the 500,000-population threshold received not only a lower per capita amount, but also more restrictions on how the dollars could be spent. Federal funds sent to the state should be disbursed fairly, easily, and expeditiously throughout the state to local governments, without preferential treatment, more flexibility, or higher rate of per capita allotment for major metros compared to mid-sized communities. Our communities and our small businesses will also drive the economic recovery for our state and in our communities. Local entities need the flexibility to be responsive to the needs of their unique communities and business sectors. Diversity, Equity and Inclusion: According to a recent report by the National Skills Coalition, increased racial diversity is correlated with better outcomes for businesses, and disparities are harmful not only to individuals of color, but to the economy as a whole. We support policies and programs that advance economic inclusion, promote equity, and advance data-driven business and policy solutions

that bridge opportunity gaps and ensure Black, Hispanic, and all people of color have greater opportunities to succeed. Business Climate: Small businesses are the backbone of the American economy. In our congressional district alone, there are 11,271 small businesses, contributing $5.1 billion in payroll costs. Nearly double that is contributed by our major employers. It is imperative that Texas retain its business-friendly climate to allow these businesses to grow and thrive through tax, fiscal, and regulatory policies that promote responsible development and economic growth. Economic Development: Economic development tools and incentives, like the Chapter 313 property tax limitation program, are critical tools to keep Texas competitive with other states in attracting new business, and in retaining and expanding existing business. These tools should be reauthorized and funded to best develop and grow our economy. Workforce: Qualified and skilled workers are vital to the success of area industry. We support those programs that develop the workforce and strengthen the talent pipeline, cradle to career. Public Education: A strong public education system is critical for the long-term success and vitality of our state. We must protect the initiatives and funding of House Bill 3 as we continue the work to build and strengthen an adequately funded, equitable, and accountable public-school system for Texas children, developing local talent today for the workforce of tomorrow.

Higher Education: Many of the jobs being created in Texas require some post-secondary education. We must protect higher education funding, aligning innovative programming and curriculum with regional industry needs, while expanding equitable access and attainment for a robust regional workforce. Healthcare: The COVID-19 pandemic exposed deficits in the state’s healthcare safety net. Because a healthy employee is a critical part of a productive workforce, and a necessity to for economic recovery, we must develop resources and support policies that expand access to affordable care for all Texans. Transportation: A robust infrastructure system is necessary to support the economic recovery and growth of our state. We must preserve transportation funding options- such as Propositions 1 and 7- to help provide the infrastructure to support our supply chain and efficiently move goods and people. These are just some of your Chamber’s top priorities for this legislative session, and we invite you to view the full platform on our website. We know that all of these conversations will take place within the context of a difficult budget cycle. Crafting a two-year budget in a legislature that convenes every other year is always difficult. This year, state budget writers and policy makers face the normal challenges, all exacerbated by the health and economic crisis facing our country and our state. Perhaps this session more than ever it is imperative that our legislators make wise and targeted investments in order to drive the recovery of our state. These priorities, developed with input from business and industry and key partners and stakeholders, may serve as a helpful roadmap for legislators and policymakers regarding our community and the needs of our employers. n WACOCHAMBER.COM

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TOTAL RESOURCE CAMPAIGN

WRAP UP

rous om nume fr rs e te n olu for Over 90 v anies raised funds p gh a m u o c ro member Waco Chamber th teers n r the Greate ed campaign. Volu , event ir p m s ra n theme-i ding prog ucts inclu sorships, economic d ro p ld o s n n trade cation spo and publi t, budget-reductio new en nd developm bership renewals a m e items, m hips. members chamber aign TRC camp in d te ia v re d 2020’s abb ptember and ende tual e vir S d in te s ff o o , we h k kicked e ur e w h c r. Ea elebrate o Novembe ward Sessions to c campaign C Re or hybrid e success of the TR nteers! h T . o s v s ate lu progre e passion th f o e s u a is bec

44 | SPRING 2021

ISED A R T N U O TOTAL AM

$ 968,1970,000

G CAMPAIGN

OAL $96

RESULTS SUMMARY $35,225

ips New membersh $261,244 ls a w e n re r e Memb $40,410 t n u o m a e d a Tr hips $157,370 rs so n o sp n o ti Publica $473,947 t n ve e & m ra g ro P sponsorships

CAMPAIGN PRODUCTION & STRUCTURE 2020 CAMPAIGN CHAIR

Jennifer Manning Pattillo, Brown & Hill, LLP

2021 CAMPAIGN CHAIR

Sam Brown

Brown Properties

2020 CAMPAIGN VICE CHAIRS: TOP FIVE PRODUCERS Jim Haller, First National Bank of Central Texas Team $88,254 Loren Schwartz, E. H. Anderson Public Relations Team $74,209 Team Sales Ascension Providence $50,880 Team Sales Baylor, Baylor University $42,302 Gary Vogel, Vogel Financial Group Team $42,093

TOP FIVE TEAMS as First National Bank of Central Tex $159,149 Vogel Financial Group $101,738 E.H. Anderson Public Relations $79,239 Ascension Providence $73,318 Extraco Banks $71,568

Dan Ingham

First National Bank of Central Texas

Peggy Jezek Matt Reynolds Tejas Logistics

TOP ROOKIES Christine Lopez, American Bank $23,405 Mary Ellison, Cen-Tex Roof Systems $17,712 Rhonda Featherston, H-E-B $2,000

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American Guaranty Title Ascension Providence ks Group Ashley HomeStore -The Wil Balcones Distilling Ben E. Keith Beverages Bubba’s 33 Casa de Castillo CBD American Shaman Downtown Waco Cen-Tex Roof Systems Cottonwood Creek Golf Course Di Campli’s George’s H-E-B Home 2 Suites

46 46 | SPRING 2021

Waco by Hilton Nightlight Donuts Nutone Cleaners – Lake Air Pattillo Brown & Hill, LLP Schlotzsky’s Secret Chef Sironia Smoothly King Spice Village Swan Products Tiffs Treats Vogel’s Texas Moxie Spices Waco Ale Co. r Walk-On’s Bistreaux and Ba Whataburger

endure in spite iduals who find the strength to persevere and Superman once said, “Heroes are ordinary indiv on, we fought a nati a as ther epitome of this statement. Toge of overwhelming obstacles.” 2020 was the true (TRC) was unlike n paig accordingly, our 2020 Total Resource Cam battle that none had ever seen before, and r events, zoomed reviated the schedule, sold virtual Chambe abb , date start the ed pon post We r! othe any superhero nteer incentive program. Through it all, our volu the d mpe reva and , ions sess rd rewa through in d and raised over $968,197 while bringing volunteers overcame every obstacle presente 63 new members! vice-chairs ue the goal for the good of many, and our purs to ty abili r thei is ue uniq oes rher supe What makes (Batman), Peggy level. Sam Brown (Superman), Dan Ingham truly take their pursuit of a goal to the next campaign for many (Captain America) have participated in the Jezek (Captain Marvel) and Matt Reynolds ing support of the ideas, bring great energy, and offer unwaver astic fant te ribu cont tly isten cons They s. year not have been as without their leadership, our success would Chamber. This year was no exception, and as much fun! great, and we for sure would not have had was the 16th dedicated volunteers year after year. 2020 te, iona pass t mos the have to s inue cont The TRC strong as ever. ted challenges, the volunteer group was as annual campaign, and even with unpreceden games, kept ion hed along with our zoomed reward sess They dealt with our technical challenges, laug r first! There are no and through it all, always put the Chambe smiling when events continued to change, ort. They are unwavering dedication and consistent supp r thei te recia app we h muc how relay to words truly superheroes! is Nancy Gupton! er, and in this case, that amazing trailblazer lead less fear a s need team y ever se, cour Of of the most fun success of this campaign while making it one She is the powerful force that ensures the the TRC or on k wor to . If you haven’t had the opportunity volunteer opportunities you will ever have llent business exce You will meet lifetime friends and cultivate meet Nancy, I highly recommend you do it. best it can be. Chamber and its efforts to make Waco the amic dyn a g ortin supp e whil hips ions relat more importantly, I so be Wonder Woman for just a moment, but Thanks so much for letting me pretend to and generosity as Campaign. I will never forget your kindness appreciate your tireless support of the 2020 mber to continue that we all love. You have allowed the Cha ity mun com a ort supp to ther toge ked we wor nd our public es, encourage economic development, exte its programs that support our local business initiatives are more e thes n our citizens of all ages. At a time whe policy platform, and promote leadership in gratitude. important than ever, we extend our heartfelt and we look forward l 2021 under the leadership of Sam Brown, The 2021 TRC is planned to kick-off in Apri to seeing you then! Jennifer Manning, 2020 TRC Chair

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ON THE MARKET

Robinson Industrial Park Logistics and Distribution Campus in Robinson, TX Premier Greenfield Sites on Interstate 35: • Direct link to Interstate 35 (four-way access) • 94.56 acres available, subdivided or complete • Most sites are served, including roadways and utilities • Zoned “Industrial District”; permits a wide range of uses • Employee and operating amenities throughout campus • Tenants include: XPO Logistics, FedEx, Southeast Freight Lines, Saia, and more • Lots from 5+ Acres, priced from $1.00 to $1.50 PSF • All available acreage priced $2,475,000 ($0.60 PSF)

48 | SPRING 2021

Robinson Industrial Park (30 Min Drivetime) Value Population (30 Minute Drive Total; 2010) 329,714 # of Households 129,594 Median Age 34.8 years Median Household Income $68,685

Labor Force (30 Minute Drive) 158,309 Employed 153,215 Unemployment Rate 2.94% Proximity to Major Roadways (in Miles) Interstate 35 State Highway 6 (Loop 340) US Highway 84 US Highway 77 Top 5 Industries (5 Mile Radius) Retail / Wholsale Information / Professional Services / RE Health / Social Services / Education Manufacturing / Construction / Transport Banking, Finance, Insurance

Distance Traffic Count 0.3 mi 77,000 vpd 3.0 mi 21,000 vpd 4.4 mi 31,000 vpd 3.8 mi 17,400 vpd Count (%) 695 (21.3%) 508 (15.6%) 410 (12.6%) 386 (11.8%) 508 (10.0%)

Employees 13,559 5,255 14,412 9,321 2,038

Source: Info USA

For more information on available properties, including demographic reports and surrounding businesses in Greater Waco, visit WacoProspector.com or call (254) 757-5627

WACOCHAMBER.COM

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MARKET REPORT

Envases

Industry: Manufacturing Market: National A Mexico-based global leader in the production of packaging solutions announced plans to open its first aluminum can production and distribution center in Waco, Texas. Once completed in late 2021, this $100 million investment will have more than 450,000 square feet of production and distribution space and employ 120 skilled full-time employees.

Hello Bello

Industry: Manufacturing and Distribution Market: National Kristen Bell and Dax Shepard’s diaper brand, Hello Bello, will begin manufacturing operations in Waco. The company will be taking over the 301,000 square-foot, former Domtar manufacturing facility and investing $31 million into new operations. Once open, Hello Bello plans to employ 145 people.

Uzin Utz

Industry: Manufacturing Market: Regional Uzin Utz North America has selected Waco, Texas to build its second North American manufacturing facility. Uzin Utz North America is a subsidiary of Uzin Utz AG and is a vertically integrated manufacturer of product installation systems for all types of floor coverings worldwide. The $34 million (USD) investment will yield a 125,000 square-foot manufacturing facility that will produce self-leveling compounds, thin set and grout material for tile installation, and patching compounds under the UZIN brand.

SPRING 2018 2021 50 | WINTER

Hour Economy provides a quarterly overview of the economic index and recently announced projects followed by a guest speaker discussing topics like emerging economic trends and developments in Waco. WacoChamber.com/Events

At Technology Business Briefing, attendees learn about regional and national tech-driven innovation. Hosted quarterly, this program features experts highlighting new technological advances. WacoChamber.com/Events WACOCHAMBER.COM

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ECONOMY IN FOCUS

UNEMPLOYMENT RATE DEC. 2019

126,627

3.4% 3.3% 3.0%

UNITED STATES

DEC. 2020

LABOR FORCE

6.5%

UNITED STATES

TEXAS

7.1% TEXAS

DEC. 2019

WACO MSA

128,902

5.9%

DEC. 2020

WACO MSA

SOURCE: BUREAU OF LABOR STATISTICS

Ec n i Ou lo U.S. Average Composite: 100 WACO COST OF LIVING Fourth Quarter 2020

Source: 2020 Data Purchasing Power

52 | SPRING 2021

Waco Composite: 88.6

PURCHASING POWER

COMPARISON CITIES

Housing:

71.8

Chattanooga, TN:

93.2

Groceries:

78.1

Ashville, NC:

106.2

Utilities:

106.9

Greenville, SC:

91.9

Transportation:

88.9

Richmond, VA:

98.4

Health Care:

90.6

Colorado Springs, CO:

104.0

Misc. Goods & Services:

100.4

Kansas City, KS:

95.0

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CHAMBER NEWS

NEW BOARD CHAIR

NEW RESOURCE DEVELOPMENT COORDINATOR

This year, we are proud to have Jennifer Manning, partner at Pattillo, Brown & Hill, LLP, serve as our Board Chair. Last year, Jennifer shined as our Total Resource Campaign (TRC) Chair, and we are excited to have her leadership this year. We also want to thank Rick Tullis for his leadership in 2020. We could not have made it through the year without his flexibility and guidance. n

Manning

Sarah McDonald joined the Greater Waco Chamber’s professional team in January as the new Resource Development Coordinator. A native of Robinson, she now calls China Spring home. McDonald comes from Scholastic Book Fairs and we’re excited to add her skills to our membership team. n

McDonald

TEEN LEADERSHIP WACO GRADUATION In January, the Greater Waco Chamber hosted a virtual graduation to celebrate the Teen Leadership Waco Class of 2020. These students showed a great commitment to this program and our community and we are proud to recognize them. The graduates were surprised by special guests including Holly Tucker, Jesse Plemmons, Toby Keith, Andrew Billings and more. CLASS OF 2020: • Brinley Allison

• Emily Coleman

• Avery Haynes

• Claudia Nesbitt

• Mason Strauch

• Dana Burton

• Garrett Crain

• Brooks Indergard

• Drew Pinkstaff

• Daniel Swenke

• Aidon Butler

• William DuBois

• Karoline Lynch

• Jaden Rhea

• Courtney Wiethorn

• Lexie Caro

• Trenton Freeman

• Abby MacLemore

• Elisabeth Rollins

• Kiley Coats

• Emily Hack

• Hattie Mills

• Ryleigh Sheehan

JESSICA ATTAS TO SERVE ON THE TEXAS LYCEUM BOARD In January, Jessica Attas, our vice president of public policy, along with 15 other individuals from across Texas were formally welcomed as new board members for the Texas Lyceum. The 96-member Texas Lyceum board acts as a catalyst to bring together diverse opinions and expertise to focus on national and state issues and seeks to emphasize constructive private sector, public sector and individual responses. The Lyceum selects new directors 54 | SPRING 2021

to fill the seats of outgoing directors annually through a rigorous application process that ensures the 96 directors represent the breadth of the diversity in Texas. The selection process ensures Lyceum directors are active and involved in their communities, have demonstrated leadership abilities and are eager to contribute their talents and time to the betterment of Texas. n Attas

YOUR CHAMBER NAMED TBIC’S MEMBER OF THE MONTH FOR FEBRUARY The Greater Waco Chamber has been named Transatlantic Business & Investment Council’s (TBIC) Member of the Month for February, recognizing our ongoing economic development work to attract Foreign Direct Investment (FDI) to Waco. The Chamber is a longstanding member and continues to utilize these networks to bring new businesses to our community. “FDI is a key component of our economic development stategy, building a base of domestic and international business,” said Kris Collins, senior vice president of economic development. In 2020, two international companies chose Waco for their first U.S. operations and 2021 has seen the landing of Greater Waco’s fourth German-based attraction. n

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CHAMBER NEWS

TIP OFF LUNCHEON

FIRST PITCH LUNCHEON

In November, we hosted our annual Tip Off Luncheon to kick off the upcoming basketball season. We heard from Baylor University’s Men’s Basketball Head Coach Scott Drew, Baylor Women’s Basketball Head Coach, Kim Mulkey, McLennan Community College Men’s Basketball Head Coach, Kevin Gill, and McLennan Community College Women’s Basketball Head Coach, Ricky Rhodes. The recording is available at youtube.com/GreaterWacoChamber. Presenting sponsorship provided by Walk-On’s Bistreaux & Bar. n

In early January, we hosted the annual First Pitch Luncheon. We heard from Baylor University’s Head Softball Coach, Glenn Moore, Baylor University’s Head Baseball Coach, Steve Rodriguez, McLennan Community College’s Head Softball Coach, Chris Berry, and McLennan Community College’s Head Baseball Coach, Mitch Thompson, plus a special video message from the Texas Rangers. The recording is available at youtube.com/GreaterWacoChamber. Presenting sponsorship provided by Walk-On’s Bistreaux & Bar. n

STATE OF HIGHER EDUCATION

STATE OF THE CITY & COUNTY

In November, the Greater Waco Chamber hosted its first State of Higher Education event. This virtual event featured updates from the presidents of Baylor University, McLennan Community College and Texas State Technical College. After hearing their updates, they were joined by Texas Commissioner of Higher Education, Dr. Harrison Keller, for a panel discussion. The recording is available at youtube.com/ GreaterWacoChamber. Presenting sponsorship provided by

In December, the Greater Waco Chamber hosted the annual State of the City & County event. This event gave attendees the opportunity to hear from McLennan County Judge, Scott Felton and new City of Waco Mayor, Dillon Meek. The recording is available at youtube.com/ GreaterWacoChamber. Presenting sponsorships provided by Merrill Lynch Wealth Management and Texas State Technical College. n

Texas State Technical College. n 56 | SPRING 2021

WORKFORCE RESOURCE SUMMIT In December, we hosted the inaugural Workforce Resource Summit. This half-day conference brought powerful speakers to our community to discuss current workforce issues, including pandemic and post-COVID-19 workforce realities and how to best overcome challenges and look to the future. Over 200 people tuned in to hear from keynote speaker, Bryan Daniel, Chairman at Texas Workforce Commission, local experts and state leaders and visit virtual exhibitor booths. Presenting sponsorship provided by Ascension Providence. n

See an archive of the Chamber’s virtual events at YouTube.com/ GreaterWacoChamber

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MEMBER NEWS

16 NEIGHBORLY BRANDS RANKED AMONGST ENTREPRENEUR MEDIA’S 2021 FRANCHISE 500 LIST Neighborly is excited to announce that 16 Neighborly franchise brands were ranked among Entrepreneur Media’s 2021 Franchise 500 List. Of those 16, five Neighborly brands ranked #1 in their category. They are proud to recognize Glass Doctor®, Mr. Appliance Corp., Mr. Electric®, Mosquito Joe, and Real Property Management for solidifying

their industry leader status with #1 in category wins, as well as Aire Serv Heating and Air Conditioning®, Five Star Painting®, HouseMaster, Molly Maid USA, Mr. Handyman, Mr. Rooter® Plumbing, Rainbow International, The Grounds Guys®, Window Genie, ShelfGenie, and Precision Door Service Corporate for gaining this national recognition during an unprecedented year. n

US AIR FORCE AWARDS L3HARRIS TECHNOLOGIES UP TO $668 MILLION IDIQ CONTRACT TO MAINTAIN C-130 AIRCRAFT FLEET The U.S. Air Force has awarded L3Harris Technologies a fiveyear, up to $668 million IDIQ contract to help maintain its C-130 aircraft fleet readiness. L3Harris will perform sustainment on C-130H and J-model aircraft at its 1.1 million-square-foot aircraft modification center in Waco, Texas. The center features hangars to support a full range of missionization and aircraft services, including conducting parallel avionics modernization and programmed depot-level maintenance efforts for reduced aircraft downtime.

The center supports the Air National Guard and Air Force Reserve C-130H aircraft fleet under the U.S. Air Force Avionics Modernization Program Increment 2. The center also services the U.S. Air Force, U.S. Coast Guard, U.S. Navy, U.S. Marine Corps, space, commercial and international operators. “L3Harris’ support will alleviate capacity constraints for the U.S. Air Force’s Air Logistics complexes,” said Sean Stackley, President, Integrated Mission Systems, L3Harris. “Our extensive C-130 experience, skilled personnel and expansive hangar capacity provide a ready solution to assist the Air Force in maintaining its fleet readiness.” n

AERO VODOCHODY SELECTS FREEFLIGHT’S RA4500 RADAR ALTIMETER SYSTEMS ONBOARD L-39NG TRAINER AIRCRAFT FreeFlight Systems announced that historical Czech Republic-based AERO Vodochody AEROSPACE has selected the Texan aviation technology company to supply its fleet of military trainer and light combat L-39NG aircraft with its robust RA-4500 Radar Altimeters. FreeFlight, a leader in NextGen applications, has been designing and refining their Radar Altimeter systems to provide extreme altitude accuracy in the world’s most demanding and harshest environments – including at low altitudes from 2,500 feet to 10 feet below ground level. AERO Vodochody’s recent selection is a powerful testament to this technology’s capabilities, which is a pivotal instrument to ensure exceptionally high military-grade requirements and fleet safety standards are met in challenging conditions. “We have worked hard to create a Radar Altimeter system that provides the most accurate AG information and pilot control for operational safety,” commented Tim Taylor, CEO & President. “The AERO Vodochody L-39NG is an outstanding military aircraft that is intended to provide enhanced flight training capabilities and we look forward to working with AERO to ensure optimal support of these units.” n

58 | SPRING 2021

WACO REGIONAL AIRPORT TO RECEIVE IMPROVEMENTS Thanks to funding from the FAA and CARES Act back in June, the Waco City Council, at its November meeting, awarded a contract to the CaCo Architectural, LLC firm to design, upgrade and modernize enhancements to the Waco Regional Airport. The airport continues to have daily service with multiple flights to Dallas / Fort Worth. The City Council and staff are committed to taking steps now to make Waco’s Regional Airport a modern facility that provides the latest enhancements for the airline providers and the passengers that travel in and out of Waco. The project will include: replacing lay-in ceilings, existing lighting, wall and floor finishes, total restroom facility updates on the public side of the airport that meet ADA/TAS compliance which includes plumbing fixtures, partitions and tile replacement, other furniture and fixtures throughout the terminal and installing new way finding signage. Additionally, the airport will add new baggage screening equipment in December. In October 2020, a contract for approximately $600,000 was awarded to JBT Aero Tech to refurbish the passenger loading bridges. Not only will this project create a positive experience for commercial travelers but will also ensure the reliability of the loading bridges for American Airlines use.

Waco City Manager, Bradley Ford said, “The City Council knows the importance of having a first class airport to support the increasing tourism and business travel we know will return and expand with all the great things that are happening in Waco.” The design and remodeling project should be complete by November 2021. n

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RIBBON CUTTINGS

Chicken Salad Chick

Ribbon Cutting on December 16, 2020

Greater Waco Business Spring 2021 - Healthcare

Articles inside

Waco Family Medicine is Working to Drive Solutions

Baylor Scott & White - Hillcrest Caring for the Community

Ascension Providence Keeping our Community Healthy