The Safety Net Medical Home Initiative

Oregon Primary Care Association & CareOregon

Oregon Primary Care Association & CareOregon

About Us

Oregon Primary Care Association
The Oregon Primary Care Association (OPCA) is a 501(c)(3) membership organization of Oregon's safety net primary care providers that was founded in 1984. Its mission is to shape health policy and provide technical assistance to members in order to help increase health equities and access to comprehensive health care for low income and vulnerable people in Oregon.

Its membership primarily includes the federally qualified Community Health Centers (CHCs) and affiliate members such as Rural Health Clinics, Indian Health Clinics, other community sponsored clinics and organizations with similar missions and governance. The vision of OPCA is to be a catalyst and unifying voice of its members for collaboration, leadership, growth and sustainability by shaping public policy with knowledge, understanding and information and empowering members to deliver the highest quality service to low income and vulnerable people in Oregon.

CareOregon
CareOregon was founded by safety net providers in 1994 as a non-profit, fully capitated health plan focused on serving the Medicaid managed care population of the Oregon Health Plan. It is the largest Medicaid managed care plan in Oregon, with over 105,000 members, the majority of whom reside in Portland and the surrounding area. The Oregon managed Medicaid population includes the full spectrum of vulnerable populations, from adults and elders with multiple challenges to women and children. In the last several years, CareOregon also has added a Medicare Special Needs Plan (SNP) for its 5,600 dually eligible Medicare and Medicaid members.

Approximately 50% of CareOregon members are seen in safety net practices, including CHCs in the Willamette Valley, southern and coastal Oregon. CareOregon's executive leadership has been unchanged since 2003 and has established a well run, financially sound and innovative organization committed to improving the health of its members and to promoting health care delivery system change, consistent with CareOregon's Mission and Vision:

  • Vision - Healthy Oregonians regardless of their income or social circumstances.
  • Mission - Be a Community Benefit Organization to assure Oregon's vulnerable populations receive access to high quality healthcare from a stable network by a well managed, financially sound organization.


Oregon Rural Health Provider Network
Oregon Rural Health Provider Network (ORPRN) is a partner organization in the Initiative and is participating as one of the Medical Home Facilitator Team members. ORPRN coordinates clinical transformation activities between the Medical Home Facilitator Team and two partner clinics (Eastern Oregon Medical Associates and Winding Waters). ORPRN is an active clinical research network spanning rural communities throughout the state of Oregon. The network includes 171 clinician members in 50 primary care practices who care for over 240,000 patients. One out of every five rural Oregon residents receives their care in an ORPRN-affiliated practice. ORPRN is nationally recognized as experts in Implementation Science, and the network conducts studies utilizing at-the-elbow practice facilitation with their five Practice Enhancement Research Coordinators (PERCs) who have offices in rural Oregon.

  • Mission - The mission of ORPRN is to improve the health of rural populations in Oregon through conducting and promoting health research in partnership with the communities and practitioners we serve.

 

Goals for the Initiative

The vision for the RCC is to use the resources and goals of this Initiative to pilot and build a statewide PCMH collaborative for sustained transformation of safety net clinics. The role of the executive sponsor is to oversee the learning community that will support the implementation of PCMH at partner clinics and to assure that health policy supports the space for these clinics to test and apply change concepts that support attributes of PCMH.

The goal of the first year will focus on:

  • Building the working relationships across the existing medical home change efforts underway.
  • Integrating PCMH change concepts tools with locally emerging successful practices.
  • Finding effective ways to match clinic needs with varied approaches to practice consulting and knowledge transfer.
  • Assessing what works.


This strong foundation established in Year One will enable us to use the national Project Team expertise and resources in years two through four for effective expansion of the scope and scale of the State-wide learning collaborative. The executive sponsor will also work on health policy that provides the space for learning what works. The goal is to assure the right level of standardization of practice knowledge. Policies will be shaped to set performance requirements while encouraging innovation in matching care delivery processes to population need.


Partner Clinics

  • Central City Concern - Portland
  • Community Health Center Inc. - Medford
  • Community Health Centers of Benton and Linn County - Corvallis
  • Community Health Centers of Lane County - Eugene
  • Eastern Oregon Medical Associates - Baker City
  • Klamath Health Partnership - Klamath Falls
  • La Clínica del Cariño - Hood River
  • Legacy Clinic Emanuel, Internal Medicine - Portland
  • East County Health Center - Gresham
  • Mid-County Health Center - Portland
  • OHSU Family Medicine at Richmond - Portland
  • OHSU Family Medicine at Scappoose - Scappoose
  • Outside In - Portland
  • Virginia Garcia Memorial Health Center - Hillsboro
  • Winding Waters Clinic P.C. - Enterprise

Links

Key Contacts

Craig Hostetler, MHA
Executive Director
Oregon Primary Care Association
110 SW Yamhill Street, Suite 300
Portland, OR 97204
chostetler@orpca.org

David Labby, MD, PhD
Executive Sponsor
CareOregon
315 SW Fifth Avenue, Suite 900
Portland, OR 97204
labbyd@careoregon.org

Sally Retecki, MBA
Lead Medical Home Facilitator
CareOregon
(503) 416-1709
reteckis@careoregon.org

Ariel Singer, MPH
Medical Home Facilitator
Oregon Primary Care Association
(503) 228-8852
asinger@orpca.org

Irma Mauruskas, RN, MPH
Medical Home Facilitator
Oregon Primary Care Association
(503) 228-8852
imurauskas@orpca.org

Jill Currey, MPH
Medical Home Facilitator
Oregon Rural Primary Care Research Network
(541) 962-3109
currey@ohsu.edu


RCC Collaboration Tool

http://snmhi.basecamphq.com

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