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.

 

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 Clinica del Carino - 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

RCC Collaboration Tool

http://snmhi.basecamphq.com

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