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APRIL 23, 2015
Lloyd DoubleTree Hotel1000 NE Multnomah St • Portland, OR 97232
Matt Payne Photography
2015 OPCA QUADRUPLE AIM SYMPOSIUM: ENGAGING OUR COMMUNITIES
SESSION DESCRIPTIONS
Welcome to the OPCA Quadruple Aim Symposium!
How great to have you joining us today. This gathering will highlight ways in which we can work further upstream to affect the root causes of poor health in the people we serve. A critical aspect of addressing these causes is by engaging fully with healthcare clients and communities. We hope to engage you fully as we all work to improve health outcomes, drawing on many of the ideas and best practices you’ll hear today.
Together, we can and must lead the transformation of primary care to achieve health equity for all.
Sincerely, Laurie FrancisSenior Director of Clinic Operations & Quality
Symposium Presentations
Visit www.orpca.org/26-technical-assistance/115-opca-symposia-presentations to find today’s presentations on our OPCA page.
OPCA 2015 Quadruple Aim Symposium: Engaging Our Communities
7:30-8:30 BREAKFAST AND REGISTRATION
8:30-9:00 WELCOME
9:00-10:00Keynote Address: Rishi Manchanda, MD, MPH,
President of HealthBegins and author of The Upstream Doctors
10:15-11:45Upstream Quality
Improvement
Interprofessional Care Access Network:
Clinical Education and Community Outreach in
Underserved Neighborhoods
Integrating Medical and Dental Care:
Movement Towards a Patient-Centered
Health Home
Patient and System Wellness Through Engagement and
Advocacy
12:00-1:00 LUNCH
1:00-2:30Food Insecurity:
Effects and Interventions
Panel Coordinators: Legacy Medical Group’s Key
to Outreach Success
Integration of Mental Health,
Physical Health, and Wellness Services in
a Community Mental Health Setting
The Power of Telling Your Story:
Advocacy at All Levels
2:30-3:00 BREAK
3:00-5:00
One Key Question: Better Integration of Preventative Reproductive Health into Primary Care and Other Health Service Settings
Creating Vibrant Community Health Worker
Programs in our CHCs
Introduction to Addiction Medicine:
Root Causes and Lived Experience
Meet your Coordinated Care Organization (CCO)
Innovator Agent
WELCOME
Key Note Address
Rishi Manchanda, MD, MPH President and Founder HealthBegins
Description: Dr. Manchanda will review the role that clinical and non-clinical factors play in impacting patient health, and highlight the role that community health centers can play in addressing both sets of factors. Specific examples might include food, housing, legal issues, geocoding, or the use of community health workers by health centers. Participants will leave with an understanding of the social determinants of health, the role of community health centers in engaging their communities, and how their clinic can begin working on their patient’s non-clinical health needs.
Objectives: 1. Understand the impact of upstream factors
on patient health2. Consider ways that clinics can begin
addressing patient’s non-clinical health needs
Upstream Quality Improvement
Rishi Manchanda, MD, MPH President and Founder HealthBegins
Description: This session will cover how clinics can use quality improvement (QI) methodologies to address the social determinants. Dr. Manchanda will review key QI tools and demonstrate how they can be used to assess and address upstream health needs. The session includes an interactive presentation to introduce the Upstream QI framework, followed by a case study that illustrates how a clinic implemented the framework. Participants will leave with an understanding of the Upstream QI framework, and how their clinic can begin working on their patient’s non-clinical health needs.
Objectives: 1. Understand the Upstream QI framework2. Learn how to implement Upstream QI tools
in a clinical setting3. Consider ways that clinics can begin
addressing patient’s non-clinical health needs
Interprofessional Care Access Network (I-CAN): Clinical Education and Community Outreach in Underserved Neighborhoods
Peggy Wros, PhS, RNSenior Associate Dean for Student Affairs & Diversity and Program Director of I-CAN Oregon Health & Sciences University
Launa Rae Mathews, RN, MS, COHN-S Project Manager of I-CANOregon Health & Sciences University
Meg Devoe, MD Liaison to the School of MedicineOregon Health & Sciences University
Pierre Morin MD, PhD Clinical DirectorLutheran Community Services Northwest Multicultural health program
Jill Mason, MPH, RDHLiaison to the School of DentistryOregon Health & Sciences University
Juancho Ramirez, PharDLiaison to the College of PharmacyOregon Health & Sciences University
Molly Osborne MD, PhDAssociate Dean for Student Affairs and Professor of MedicineOregon Health & Sciences University
Daniel Sengenberger, DOFamily PhysicianLa Clinica
Description: In this session, you’ll learn from our panelists about the Interprofessional Care Access Network (I-CAN), an innovative model for collaborative practice and education. I-CAN connects academic programs, community services, and healthcare delivery by coordinating care through Neighborhood Collaboratives for Academic-Practice Partnerships (NCAPPs). Community Health Centers are among the community partners that have come together through I-CAN to tackle issues that prevent patients from engaging in their health care. Our session will present an overview of I-CAN and our qualitative and quantitative evaluation results.
Objectives: 1. Describe a community-based model for interprofessional
education and collaborative practice focused on social determinants of health and healthcare navigation.
2. Summarize community-based program evaluation results, including health outcomes.
3. Identify implications of the I-CAN model for primary care and population health.
SESSION DESCRIPTIONS
SESSION DESCRIPTIONSSESSION DESCRIPTIONS
Integrating Medical and Dental Care: Movement Towards a Patient-Centered Health Home
Prathiba Pinnamaneni, MHADirector of ImprovementNeighborcare Health
Candice ParksClinic Manager Neighborcare Health High Point Dental Clinic
Kathryn Phillips, MPHProgram Director, PCMH Qualis Health
Description: In this panel presentation we will hear from Neighborcare Health about their journeys toward medical and dental integration. Learn how this organization hasmoved from the very beginning planning stages all the way to a robust cross-disciplinary team approach to patient-centered care. In addition, Kathryn Phillips will provide information about tools developed from the Patient Centered Medical Home initiative and how they can be used in medical/dental integration to leverage existing workflows and programs.
Objectives: 1. Provide actionable information along a continuum that
can be incorporated into your clinics regardless of where you are in the process of medical and dental integration
2. Highlight implementation strategies to aid you in your efforts
3. Interprofessional focus- relevant to clinic administrators, leaders, medical and dental staff
4. Illustrate and highlight what a robust medical/dental integration program looks like and how that positively impacts clinics and patients
Patient and System Wellness through Engagement and Advocacy
Moderator:Claire Tranchese, MPHTraining and Development ManagerOregon Primary Care Association
Speakers: Amy AndersonPatient Advocate Multnomah County Health Department
Cathy Christianson Patient Wellness Specialist IICascadia Behavioral Healthcare
Samm McCraryPatient AdvocateCentral City Concern
Tobias Rubel Financial DirectorOregon School Based Health Alliance’s Statewide Youth Action Council
Description: In this session you will hear from patient advocates and learn about the different ways that they can act in advocacy roles within CHCs and affiliated School-Based Health Centers. Patients will also share how these advocacy roles and interactions improve their personal wellness as well as the health of the organization or health system they are advising.
Objectives: 1. Learn about some of the standard ways in
which patients can engage in advocacy at CHCs
2. Understand how engaging in advocacy can lead to enhanced individual wellness
3. Explore ways in which you and your organizations can increase patient advocacy through engagement in advisory and governing boards
Addressing Food Insecurity: Effects and Interventions
Alexander LaVake, MPHSupplemental Nutrition Assistance Program Outreach CoordinatorOutside In
Lynn KnoxClinical Outreach and Training CoordinatorOregon Food Bank
Description: Community health center patients often face the challenge of limited food budgets. How can a health center begin to assess and address patient’s food needs? Alexander LaVake, SNAP Outreach Coordinator at Outside In, will discuss two options that clinics can embed within their current operations: connecting patients with supplemental food benefits, and providing tailored nutrition education. Lynn Knox of the Oregon Food Bank will highlight an opportunity for community health centers to partner with their local chapter of the food bank to screen patients for food insecurity, and refer those in need to community resources.
SESSION DESCRIPTIONS
Objectives: 1. Understand the impact of food insecurity on
patient health outcomes2. Consider ways that clinics can begin addressing
patient’s food insecurity needs3. Learn about innovative models for community
health centers to address their patient’s food needs.
Panel Coordinators: Legacy Medical Group’s Key to Outreach Success
Jackie RossManager of Patient Centered Primary Care Home SupportLegacy Medical Group
Jennifer LaceyProgram CoordinatorLegacy Medical Group
Description: After identifying a need to enhance proactive outreach to patients within their Patient Centered Medical Home Clinics, Legacy Medical Group implemented a panel coordinator role at the majority of their sites. Since implementation of the role, Legacy Medical Group clinics continue to show a steady increase in implementation success metrics, along with meeting or exceeding HEDIS benchmarks in compliance with preventive screening and chronic disease labs.
Objectives: 1. Describe the role, activities job description and work
flows of a successful panel coordinator model 2. Describe the impact panel coordination can have
on preventative screening measure metrics3. Identify best practices for incorporation of a panel
coordinator model
Integration of Mental Health, Physical Health, and Wellness Services in a Community Mental Health Setting
Renee Boak, MPH, CADIDirector of Integrated Services Cascadia Behavioral Healthcare
Sybil Berkley, THWPeer Wellness Specialist Cascadia Behavioral Healthcare
Alicia Molina, RN, BSNNurse Care Manager Cascadia Behavioral Healthcare
Bryan Swisshelm, MPHClinic Administrator Outside In
Description: People with serious mental illness who utilize publicly funded services die, on average, 25 years earlier than most as a result of untreated chronic health conditions. As a result, Cascadia Behavioral Healthcare has made an organizational commitment to increase consumer health by partnering with Outside In, a Federally Qualified Health Center (FQHC) to integrate primary care into community mental health with peer delivered wellness supports. Our goal is to achieve the triple aim of healthcare reform: better treatment outcomes, higher quality of care, and lower cost to the system.
Objectives: 1. Increase knowledge around integrated care
practices for severe and persistent mentally ill population.
2. Increase knowledge around methods for providing health education and skills training for severe and persistent mentally ill population.
3. Increase knowledge around use of peer services among severe and persistent mentally ill population.
The Power of Telling Your Story: Advocacy at All Levels
Laura EthertonState and Federal Policy Director Oregon Primary Care Association
Description: When it comes to advocating for your community health center, a real-life story can make all the difference. A story that tells how your health center made a difference for a patient’s health and wellbeing, for example, can make the issue come alive for a decision-maker. This session is appropriate for everyone whether you are a patient, provider, CEO or other CHC leader to hone your own story telling skills and learn more about the role stories can play in advocacy at all levels.
Objectives: 1. Understand how and when stories can be used to
enhance advocacy efforts2. Learn what makes a story compelling and why 3. Practice creating and sharing your story with others
One Key Question®: Better Integration of Preventative Reproductive Health into Primary Care and Other Health Service Settings
Michele Stranger Hunter, MS, MEd Executive Director Oregon Foundation for Reproductive Health
SESSION DESCRIPTIONSSESSION DESCRIPTIONS
Maggie Sullivan, MPHExecutive Director Health Care Coalition of Southern Oregon
Description: This session will discuss the One Key Question® (OKQ) initiative created by the Oregon Foundation for Reproductive Health. An emerging best practice, OKQ is a ground-breaking initiative designed to introduce pregnancy intention screening into routine care. OKQ reframes the conversation, is patient-centric, and dramatically increases women’s access to preventive reproductive health services (contraception and/or preconception care) to help ensure that more pregnancies are wanted, planned, and as healthy as possible. Attendees will hear from the creator of OKQ and a leader of the Southern Oregon Perinatal Task Force, a two county collaboration of CCOs, FQHCs, public health departments, private clinics and social services, about their experience integrating OKQ into practice.
Objectives: 1. Describe the One Key Question® initiative as a
strategy for addressing unintended pregnancies, effective contraceptive use, and practices to promote pregnancies that are as healthy as possible.
2. Discuss the value of proactive screening in the context of meeting the newest CCO metric,
“Effective contraceptive use among women at risk of unintended pregnancy.”
3. Discuss the models of implementation of One Key Question® in clinics and system-wide.
Creating Vibrant Community Health Worker Programs in our CHCs
Kelly Volkmann, MPHHealth Navigation Program Manager Benton County Health Services
Elva Lopez Outreach Program Coordinator Mosaic Medical
Description: The role of Community Health Workers has gained new visibility in Oregon during this time of health care transformation. Many of our Community Health Centers have been running CHW programs for years and have great models of how to fund these programs, how to recruit and support CHWs and how to improve patient outcomes through these programs. In this session you will learn from your fellow CHCs in Oregon about how to develop new CHW programs or enhance your existing CHW programs.
Objectives: 1. Understand how CHCs use and fund
Community Health Worker programs2. Learn what kinds of tasks, roles and
responsibilities CHWs have3. Explore the benefits and challenges of
having a CHW program4. Consider ways in which CHWs can
become more fully integrated with Medical Home Teams
Introduction to Addiction Medicine: Root Causes and Lived Experience
Ariel Singer, MPHProgram and Training Director Northwest Addiction Technology Transfer Center (NWATTC) for the Pacific Northwest
Daren Ford, LCSW, CADC IIResearch Associate and Training/Program SpecialistNorthwest Addiction Technology Transfer Center (NWATTC) for the Pacific Northwest
Description: Substance Use Disorders have serious impacts for patients and their primary care physicians. Abuse of alcohol and drugs worsens short and long-term health outcomes, interferes with the effective management of co-morbid conditions and constrains quality of life for patients and families. Participants will be encouraged to go beyond the chronic disease model to explore how marginalization impacts people’s inability to cope with day to day living and to think critically about how interactions with the primary care team impact patients suffering from problematic substance use.
Objectives: 1. Promote understanding of and
compassion for the complex biological (genetic) and environmental (epigenetic) factors that drive substance use disorders.
2. Describe the neurobiological basis of addiction.
3. Review a case study describing a patient with complex physical and behavioral health issues in order to apply new knowledge to clinical realities.
Meet your Coordinated Care Organization (CCO) Innovator Agent
Speakers: Joell Archibald, RNInnovator Agent Columbia Pacific CCO and Yamhill CCOOregon Health Authority
Estela Gomez, MSWInnovator Agent for Eastern Oregon CCOOregon Health Authority
Belle Shepherd, MPHInnovator Agent of Josephine County and Jackson Care ConnectOregon Health Authority
Group Members:Cyndi KallstromInnovator Agent for Cascade Health AllianceOregon Health Authority
Angela KimballInnovator Agent for PacificSource Community Solutions CCO, Central Oregon and Gorge RegionsOregon Health Authority
Kay MetzgerInnovator Agent for Trillium Community Health Plan & Western Oregon Advanced HealthOregon Health Authority
Dustin ZimmermanInnovator Agent for Health Share of Oregon & Family CareOregon Health Authority
Description: How can your community health center work more closely with your Innovator Agent to advance health transformation? In this session, we’ll hear directly from Innovator Agents about the role that they play, and meet in small groups by CCO region to begin conversations about working more closely together.
Objectives: 1. CHC participants learn what Innovator Agents do overall,
and what areas of transformation the Agent in their area is prioritizing with the relevant CCO(s) and local community.
2. Participating Innovator Agents learn about Oregon CHCs overall, and what the CHCs in their area are focusing on in terms of care and transformation.
3. Together, CHCs and Innovator Agents discuss areas for possible collaboration, such as where the CHCs goals may line up well with the goals of the CCO and others in the community.
4. Everyone builds connections and shares key contact information for any follow up at the local level needed after the symposium.
Rishi Manchanda, MD, MPH, is President of HealthBegins, an organization that provides “upstream” quality improvement training, clinic redesign and technology to transform healthcare and the social determinants of health. Dr. Manchanda is a dual board-certified internist and pediatrician, a board member of the National Physicians Alliance, and a fellow in the California Health Care Foundation’s Healthcare Leadership Program. He is the lead physician for homeless primary care at the VA in Los Angeles, where he has built clinics for high-utilizer homeless veterans with complex chronic disease.
In 2008, he started RxDemocracy, a nonpartisan coalition that has registered over 30,000 voters in doctors’ offices and hospitals nationwide. His 2013 book, “The Upstream Doctors,” introduces a new model of the healthcare workforce that includes clinic-based “Upstreamists” who improve key social and environmental determinants of health. Dr. Manchanda is a member of the leadership team of the Institute for Healthcare Improvement’s 100 Million Lives Campaign and, in 2014, was recognized in The Atlantic magazine as one of twenty leading healthcare innovators in America.
KEYNOTE SPEAKER
Joell Archibald, RN, began her career in the Army. Joell has worked with Oregon’s first Healthy Start projects as a state assessment worker and trainer. As the innovator agent for Columbia Pacific CCO and Yamhill CCO, She participates in as many as six community advisory councils each
month. She is a strong supporter of the local voices that are contributing to health transformation efforts. Joell is working closely with a group of Yamhill CCO partners to establish a community hub that utilizes community health workers to help residents who would benefit from individual support.
Amy Anderson is a professional patient advocate. She spends more time in her advocacy role than any other professional role. She currently sits on many advisory and governing boards including the Multnomah County Sheriff’s Department, Multnomah County Health Department Primary Care
Governing Board, Multnomah County Mental Health and Addictions Advisory Committee and Health Share of Oregon’s Community Advisory Council. Amy does this work because her life and the lives of other’s depend upon it.
Sybil Berkley, THW, a Portland Oregon transplant originating from Denver, Colorado was diagnosed with Bipolar I disorder as a young teenager. Many trials and tribulations later, she has been active in her health and recovery for the past 10 years and enjoying every minute of it! Sybil is a state
certified Traditional Healthcare Worker - Peer Wellness Specialist, using the tools she learned along the way in her recovery to help role model, support, advocate, and more for participants she works with to help them on their own roads to wellness and recovery to live fuller, healthier lives in the community.
Renee Boak, MPH, CADI, assumed the position of Cascadia’s newly created Director of Integrated Services position in December of 2012 and supports the SAMHSA funded Primary and Behavioral Healthcare Integration program. Her public health background is perfect for
Cascadia’s initiatives to integrate primary health care into its comprehensive community mental health and addictions services. Renee has been with Cascadia Behavioral Healthcare since 2005 and she completed her Master’s Degree in Public Health in 2010 at Portland State University. Renee is also adjunct faculty at Portland Community College where she teaches Personal Health and she recently became a faculty member in Pacific University’s Masters in Healthcare Administration program.
Cathy Christianson is a Peer Wellness Specialist II for Cascadia Behavioral Healthcare. Cathy has been working for Cascadia Behavioral Healthcare for three years with most of the time working with people off the street and in need of housing.
She works at the Garlington Center on the Housing Outreach Team for the Home Safe Program which houses those that are homeless or about to become homeless into scattered site studio and one bedroom apartments across Multnomah County.
Meg Devoe, MD, serves as a general internist and clinical educator. She practices primary care and chronic disease management at Old Town Clinic, a federally qualified health center in downtown Portland that cares for the complex health needs of people
who are facing homelessness, addiction, poverty and mental illness. In the spirit of educating medical generalists, she teaches medical students and residents in the ambulatory and hospital settings. Meg acts as a co-director for Principles of Clinical Medicine course which strives to foster the foundations of physicianship in medical students. She enjoys nature, creative writing, and good company.
Laura Etherton is Oregon Primary Care Association’s (OPCA) State and Federal Policy Director. In here position, Laura establishes strategy, structure and processes to ensure that our members’ needs are addressed at state and federal
levels. She’s responsible for effective education and advocacy on behalf of our health centers and the communities they serve. Laura has a bachelor’s degree from Macalester College in St. Paul, Minnesota.
Daren Ford LCSW CADC II is a research associate and training/program specialist for the NWATTC for the Pacific Northwest node of a national network funded by SAMHSA. Daren has an extensive background in trauma informed care, dialectical behavior therapy, group therapy and co-occurring substance use and mental health and has worked in a diverse range of settings, including OHSU Family Medicine at Richmond, Sea Mar Community Health Center and the Native American Rehabilitation Association. Daren is also faculty for Portland State University, is a licensed clinical social worker as well as a certified alcohol and drug counselor II.
Estela Gomez, MSW, is the Innovator Agent for Eastern Oregon Coordinated Care Organization (CCO) and its twelve counties. She enjoys understanding the unique needs and assets of each community in her CCO’s region. Estela began her career as a Head Start teacher and progressed
through the ranks to manage several Head Start centers. Her expertise and past leadership roles include direct oversight for food assistance, Medicaid and cash assistance programs. For seven years, Estela served as director for the Commission on Children and Families in Malheur County. She provided oversight for the county-wide health needs assessment and plan, which led to the prioritization of community needs and the development of new programs and services.
Lynn Knox has worked at the nexus of health promotion and poverty reduction for over 25 years. She has designed and led programs to address these issues for high risk youth, low income adults, and early childhood populations. Working since April 2014 as Clinical Outreach and Training Coordinator for the
Oregon Food Bank, Lynn has traveled the state assisting around 200 health, behavioral, dental clinics and hospital departments, to implement patient food insecurity screening and assistance. The scale of the potential impact of the current work is what drives her. Clinic staff say, “I love this because our patients love it, everyone feels that the patient walks out of the clinic having made real improvements in their access to nutritious food!”
Jennifer Lacey graduated from University of Oregon with a Bachelor’s in General Science. She is a Program Coordinator for the Medical Home Team at Legacy Health in Portland, Oregon. As a Program Coordinator she is a resource for the group of Panel Coordinators residing in the Legacy Medical Group primary care clinics. Jennifer is involved in process improvement plans geared towards medical home workflows and patient outreach methods, as well as improving clinical quality metrics data.
Alexander LaVake, MPH, coordinates the SNAP Project for Outside In, a social service agency that promotes health and self-efficiency for homeless and marginalized youth in Portland. In this role he helps young adults to improve their diet, health and life skills through food and nutrition. His work is guided
by improving people’s experiences through promoting social change, advocacy, and the use of creative social marketing. Alexander holds a Bachelor of Arts in Communications from Temple University, and his Master in Public Health from Portland State University. Alexander enjoys Oregon’s abundance of farms, forests, and food.
Elva Lopez has been with Mosaic Medical since its inception in 2002 when it started with a staff of eight. As a Qualified Interpreter through the Cascades East Area Health Education Center (AHEC), she developed Mosaic’s interpreter program and developed and implemented the
organization’s Community Health Worker program. She was the Community Health Worker and Outreach Program Coordinator for the system for the last five years but has recently transferred back to her passion of direct patient care with Bridges Health, a partnership between Mosaic and community partners to serve the most complex adults in the region.
Jill Mason, MPH, RDH, is an Associate Professor and Director of Community-Based Rotations at Oregon Health & Science University School of Dentistry. She holds joint appointments in the Department of Undergraduate Periodontology, teaching in the undergraduate clinics, and in the
Department of Community Dentistry. Her varied clinical experience includes over 33 years in dental education, private general practice, endodontic specialty practice, US Public Health Service Indian Health Service, and managed care.
Launa Rae Mathews, MS, RN, COHN-S, is clinical assistant professor at OHSU School of Nursing and project manager for the HRSA-funded project, I-CAN. Ms. Mathews’ clinical experience has spanned a wide variety of practice areas including cardiothoracic surgical ICU, coronary care, dialysis, school health, public health, volunteer community clinic startup,
and occupational health. Her passion is focused on building community partnerships with the goal of improving health outcomes for all through involvement of health profession student teams and attention to social determinants of health.
Alicia Molina, RN, BSN, has practiced nursing since 2011. Her experience includes caring
for chronically ill adults and ventilator-dependent children in their homes, and working with clients in a secure residential psychiatric facility. She is currently the Nurse Care Manager of Cascadia Behavioral Healthcare’s integrated health program, Oregon Partnership for Health Integration (OPHI). Alicia’s role of Nurse
Care Manager is essential to the care coordination between Cascadia and Outside In for OPHI clients.
SESSION DESCRIPTIONSOUR GUESTS
Prathiba Pinnamaneni, MHA, Director of Improvement, joined Neighborcare Health in June of 2005 as a Project Manager. Since then, she has worked as a Clinic Manager and as a Process Improvement Manager. Prathiba holds a Bachelor’s degree
in Health Information Administration and a Master’s degree in Health Administration from the University of Washington. Prathiba can be reached at 206-548-3010 or [email protected].
Juancho Ramirez, PharmD, is the Assistant Dean of Experiential Education for Oregon State University College of Pharmacy. He received his Pharm.D. from the University of Southern California in 1999 and he is a licensed pharmacist in the
State of California. Prior to his appointment at OSU, he practiced pharmacy then held several management positions with regional and national pharmacy corporations. In 2007 he transitioned to academia by securing a position as an associate professor for Pacific University School of Pharmacy. His professional interests include experiential education and inter-professional education.
Jackie Ross has a Bachelor of Science in Healthcare Administration and is in process of completing her Master’s. Jackie has worked with the medical home model for eight years. She has spent four and a half years as the medical home program manager for
Legacy Health, working within Legacy Medical Group’s 22 Primary Care Clinics. She has the desire to improve care across the continuum for patients of all ages.
Tobias Rubel is originally from Colorado and has lived in Portland, Oregon for the last five years. Due to medical circumstances, he was in a wheelchair during eighth and ninth grade. It was during this time that Tobias developed a passion for
healthcare accessibility. In his sophomore year of high school, Tobias got involved with his local youth advisory council and has been finding ways to help the school-based health care model ever since. Tobias currently serves as the Financial Director for the Oregon School Based Health Alliance’s Statewide Youth Action Council and is primarily responsible for fund acquisition and cross division collaboration.
Pierre Morin, MD, PhD, works as the Clinical Director for Lutheran Community Services Northwest’s Multicultural Community mental health program. Pierre is trained as a medical doctor and brings over 28 years of clinical
experience in medicine, mental health and addiction services working in Switzerland, Senegal and the US.
He is specifically interested in health disparities and the negative health effects of trauma.
Molly Osborne MD, PhD, is Associate Dean for Student Affairs and Professor of Medicine at Oregon Health & Sciences
University (OHSU). She received her Bachelor of Arts in Psychology from Colorado University in 1970, her Ph.D. in Molecular, Cellular & Developmental Biology in 1975 and her M.D. from Colorado Health Sciences Center in 1979. She has over 50 publications and has had NIH research funding focusing on asthma epidemiology. Her current areas of emphasis are
ethics and end-of-life care. At OHSU she has helped develop Dr. Rachel Remen’s Healer’s Art elective and more recently a Leadership elective.
Candice Parks is the Clinic Manager for both medical, dental and
the Special Supplemental Nutritional Program for Women, Infant, and Children (WIC) at NeighborCare
health for longer than seven years in Seattle, Washington. Candice has been a Dental Assistant for over 18 years. Candice has clinical experience both in the private sector and community health.
Kathryn E. Phillips, MPH, has a decade of experience in public health research, policy, and programming; healthcare purchasing and benefit design; and grants management. Since 2008, Ms. Phillips has directed regional and national patient-centered medical home (PCMH) demonstration projects for Qualis Health. She served as Director of the landmark Safety Net Medical Home Initiative (SNMHI), and provided technical assistance to help 65 primary care safety net practices adopt this model and achieve NCQA PCMH Recognition. Currently, Ms. Phillips’ work focuses on developing and disseminating models to support the integration of behavioral health and oral health services in the primary care setting.
Daniel Sengenberger, DO, is a family physician who joined La Clinica in 2013 after serving eight years in the US Navy. He holds a doctorate in osteopathic medicine from Midwestern University in Glendale, Arizona, and a bachelor’s degree in English from the University of San Diego in California.
He completed his residency in family medicine at the Naval Hospital in Bremerton, Washington. Dr. Sengenberger’’s professional interests include preventive medicine, clinical genetics, and osteopathic manipulation. He also performs vasectomies, circumcisions, and other office surgeries.
Belle Shepherd, MPH, has a bachelor’s degree in psychology from the University of Oregon and a master’s in public health from the University of Washington. Belle is the innovator agent for Primary Health of Josephine County and Jackson Care Connect. Her favorite part about being an innovator
agent is the opportunity to be engaged with stakeholders who want to work together to improve the health of their community. Belle enjoyed collaborating with multiple CCOs on a two-county community health assessment, an overlapping Community Health Improvement Plan (CHIP) and ongoing work with health equity, trauma informed care and early learning initiatives.
Ariel Singer, MPH is the Program and Training Director for the Northwest Addiction Technology Transfer Center (NWATTC), the Pacific Northwest node of a national network funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) to provide technical assistance on
addiction treatment. Ariel contributes expertise in the areas of health system integration and transformation, motivational interviewing and implementation of evidence-based clinical practices. Ariel has a Master’s degree in Public Health and is a member of the Motivational Interviewing Network of Trainers.
Michele Stranger Hunter, M.Ed., is the Executive Director of the Oregon Foundation for Reproductive Health. Michele has a Master’s in Education Administration and has worked in the health care and human services industries for over 30 years. She has seasoned organizational
leadership experience in reproductive health care services in both the private and public sectors. As an organizational consultant to many health care organizations, Michele works to improve their institutional effectiveness as well as secure funding. She has gather support from 28 professional associations in Oregon and 3 national health care associations.
Maggie Sullivan, MPH, is Executive Director of Health Care Coalition of Southern Oregon, which serves Douglas, Josephine and Jackson Counties. Under her leadership the organization has secured and managed multiple federal and state
grants, including Federal Healthy Start, a Southern Oregon Preconception Health Campaign, a Southern Oregon Regional Health Equity Coalition, and Health Insurance outreach and enrollment. She has a Master’s Degree in Public Health from the University of Michigan and served as a Peace Corps volunteer in Central Africa, where she worked on maternal /child health projects and HIV education and prevention.
Bryan Swisshelm, MPH, works at Outside In’s Federally Qualified Health Center (FQHC) as a clinic administrator. He is the director of Outside In’s mobile clinic and Complimentary Alternative Medicine (CAMS) Programs. He also
spearheaded the implementation of Outside In’s school-public health, earning his master’s degree in Public Health from Portland State University.
Kelly Volkmann, MPH, received her Master’s in Public Health from Oregon State University and works as the Health Navigation Program Manager for Benton County Health Services. Kelly is committed to advancing the
Community Health Worker model in primary care and is currently implementing three CHW pilot projects in collaboration with the InterCommunity Health Network Coordinated Care Organization, the Corvallis School District, and the Benton and Linn Departments of Health and Human Services.
Peggy Wros, PhD, RN, is the Senior Associate Dean for Student Affairs & Diversity and OHSU School of Nursing and the Project Director for I-CAN. She is a member of the Interprofessional Initiative Advisory Committee at OHSU, and teaches in
the Foundations for Interprofessional Practice course. She has significant professional experience with project development and management focusing on workforce diversity, interprofessional practice, and health equity.
SESSION DESCRIPTIONSOUR GUESTS
Oregon Community Health Workers Association (ORCHWA) provides a unified voice to empower and advocate for CHWs in Oregon. They seek to support CHWs to obtain additional training, provide important networking opportunities, and facilitate CHWs and CHW programs to collaborate with each other, and community, government, health, and educational institutions. Primary contact: Edna Nyamu [email protected].
American Cancer Society (ACS) has worked relentlessly to save lives and create a world with less cancer. The ACS provides a wide range of resources for CHCs such as: education and outreach resources for patients, training and educational resources for providers, grant opportunities, opportunity to implement co-branded reminders and resource support for strategies to increase screening rates in practice. Primary contact: Gretchen Caplener at [email protected].
The Community Capacitation Center builds capacity in communities most affected by inequities to improve health and eliminate disparities. Resources that the Community Capacitation Centers can provide Oregon CHCs are training and technical assistance on the Community Health Worker model and popular education. Primary contact: Beth Poteet at [email protected].
Oregon Office of Rural Health (ORH) has the mission of improving the quality, availability, and accessibility of health care for rural Oregonians. They help communities address healthcare workforce shortages in Oregon’s rural and underserved communities through our incentive programs and other recruitment/retention practices. They assist providers, as well as communities, to recruit and retain qualified and committed healthcare providers. Primary contact: Julie Hoffer at [email protected].
The Oregon School-Based Health Alliance’s (OSBHA) mission is to promote the health and academic success of children and youth through sustaining, strengthening, and expanding school-based health centers SBHC. OSBHA serves as the informational hub for SBHC professionals, providing technical assistance, needs assessments, training, and professional development. Primary contact: Julia Hakes at [email protected].
Oregon Society of Medical Assistants’ (OSMA) is to provide the professional Medical Assistant with continuing education, credential recognition, mentoring and networking opportunities and to advocate for patient-centered quality health care. OSMA can offer assistance and information on credentialing, scope of practice, right to practice, education and networking opportunities for the medical assistant. Primary contact: Paula Purdy, CMA (AAMA) [email protected].
Portland Community College (PCC), Medical Assisting Program prepares individuals to be successful key players with in the healthcare team through intensive academic studies coupled with clinical partnerships in the community. Primary contact: Virginia Chambers at [email protected]
Oregon Health Authority Patient-Centered Primary Care Home Program (PCPCH) is part of Oregon’s efforts to fulfill a vision of better health, better care and lower costs for all Oregonians. The Program works with stakeholders across Oregon to support adoption of the primary care home model. Primary contact: [email protected] or 503-373-7768.
Visit our Community Partner Tables and learn how they can support Oregon CHCs engage their communities.
COMMUNITY PARTNER TABLES
