The Oregon Primary Care Association (OPCA) is a nonprofit membership association for Oregon's community health centers, also known as Federally Qualified Health Centers, or FQHCs. OPCA shares the latest ideas, expert advice and proven techniques for keeping patients healthy, and educate policymakers about the need for accessible, high-quality primary care for low-income and other vulnerable Oregonians.
When it comes to caring for people with diabetes, The Portland Clinic is lucky to have many physician champions that advocate for proper self-management. Some of our physicians had mentors before them that encouraged proactive follow-up for patients with diabetes. This sort of focus is important and because of their focus and efforts, The Portland Clinic continues to strive for great outcomes for patients with diabetes. We have dedicated nurse practitioners and a registered nurse who focus specifically on patients with diabetes.
In rural areas of our state access to the most basic health care services can be difficult, let alone treatment for substance use. The unavailability of health care in rural America has been the subject of many projects and studies, so there is a lot of information about the issues this poses for individuals in rural communities who are trying to manage their health and wellbeing. The uninsured rate is higher in the rural counties (nonmetropolitan) than in the urban (metropolitan) counties as reported by CDC’s National Center for Health Statistics.
Screening, Brief Intervention, and Referral to Treatment – better known as SBIRT - is a screening process that is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. SBIRT is used in primary care clinics, hospital emergency rooms, trauma centers, and other community settings that provide opportunities for early intervention with at-risk substance users before more severe consequences occur.
In late 2103, the primary care community and most of the major insurers in Oregon signed the Multipayer Strategy to Support Primary Care Homes. The intent of that agreement was to encourage mutual investment and commitment to Patient-Centered Primary Care Homes (PCPCHs) in Oregon, considered the best way to reach the triple aim of better health, better care and lower costs.
My goal as a practice coach is to facilitate practice- and organizational-level transformation to meet the current and upcoming demands of the changing healthcare delivery system. Inherently this role is a dynamic one – the focus can change rapidly as federal, payer, and customer requirements continue to morph. My view of the practice coach’s role comes from experience facilitating medical home transformation across regionally located primary care clinics in a multi-state hospital system.