
What is the value of having health insurance if you can’t access care? That is an increasingly pertinent question for states that have successfully expanded insurance eligibility in recent years but are struggling to meet the increasing demand for health care.
In her role as president and CEO of the California Health Care Foundation, Sandra R. Hernández, MD, is a key player in developing solutions to this problem. In a recent appearance on the Futuro Health podcast WorkforceRx, she talked about the importance of using the current workforce strategically.
“We’re very focused on looking at the primary care model and the composition of the primary care team so we can use every drop of workforce that we have to its fullest capabilities,” she said. That means reserving physician time for complex cases while expanding the scope of practice for nurses and mid-level providers, among other things.
Another strategy is beefing up the ranks of community health workers drawn from underserved communities. As Hernández said, community health workers have proven to be valuable public health advocates due to the trusting relationships they can build. “They can share information that is scientifically based, and at the same time they are able to encourage people to get enrolled in the programs that they’re eligible for and get them into earlier care,” she said.
The podcast features Hernández’s veteran perspective on vexing issues facing many areas of the US — including how to care for growing numbers of immigrants and the unsheltered — and a dose of optimism rooted in lessons learned from the pandemic.
Listen to the WorkforceRx podcast interview with Sandra Hernández.
Authors & Contributors

Van Ton-Quinlivan
Van Ton-Quinlivan is a nationally recognized expert in workforce development and a catalyst for inclusive economic mobility through higher education. Formerly the executive vice chancellor of the California Community College System, Ton-Quinlivan is currently CEO of Futuro Health, whose nonprofit mission is to improve the health and wealth of communities by growing the largest network of allied health care workers in the nation.
She is an appointee of California Governor Gavin Newsom to the Health Workforce Education and Training Council and was named a White House Champion of Change by the Obama administration in recognition of her notable career in industry and education, and for her service as a community leader. Ton-Quinlivan serves on the boards of the National Skills Coalition, the National Student Clearinghouse, and the Silicon Valley Community Foundation. She is an advisor to the Achieve Partners venture fund, Putting America Back to Work, and a member of the Apprenticeships for America Advisory Council.

Jessica Brandi Lifland
Jessica Brandi Lifland is a freelance photographer, instructor of journalism at City College of San Francisco, and mother. Her work with publications and nonprofits such as Operation Smile, Tostan, and the California Health Care Foundation has taken her all over the world, including West Africa, the Middle East, Kosovo, Burma, Haiti, and South America.
For two decades she has been photographing the National Cowboy Poetry Gathering and has been working on a long-term project documenting the lives of the cowboy poets of the American West in affiliation with the Western Folklife Center. She plans to make her project into a book.