The projects below have been awarded funding by the Central Oregon Health Council (COHC) to improve the overall health of Central Oregonians. COHC funds projects whose outcomes align with the Regional Health Improvement Plan (RHIP)*. All submitted proposals are reviewed by the respective RHIP workgroup, and if appropriate, COHC Board of Directors.
To learn how to apply for funding from a RHIP workgroup please click here. To see the internal process of funding and a list of all projects funded by RHIP workgroups, check out our “How Projects Are Funded” report here (published October 2019).
Click to see the Community Investment Profile (published October 2019).
Living Well Central Oregon
Living Well Central Oregon coordinates evidence-based self management programs, originally developed at Stanford University, in all communities across the tri-county region. Living Well workshops are 6 weeks long and focus on learning strategies and behaviors that help individuals better manage their chronic conditions, in order to maximize their quality of life. LWCO delivers workshops specific to Diabetes and Chronic Pain, as well as a general Chronic Conditions class. This project is a collaborative effort across healthcare and community organizations throughout Deschutes, Crook, and Jefferson Counties.
Jefferson County Faith Based Network – Executive Director Position
Jefferson County Faith Based Network is committed to informing and transforming our community through Christian compassion. The Jefferson County Faith-Based Network is a 501(c)3 organization which administers seven unique events, programs, and projects in Jefferson County: Jefferson County Winter Shelter, L.I.N.C., Community Food Network, Jobs for Life, Our Community Event, the annual Community Worship Service, and the monthly network meeting. Each program addresses a community need in an intentional and unique way. As all of the programs have experienced success and grown over the years, the workload has grown. In order to continue providing excellence in the programs and services, the all-volunteer board of directors acknowledged the need for a paid executive director. The grant funds will be used to provide the executive director’s salary. It is anticipated that a full-time executive director will increase the organization’s presence in the community, bolster the volunteers’ effectiveness, provide consistent administrative oversight of the organization, and free-up the board of directors to work on long-term planning and visioning. It is also anticipated that the donor base will be greatly expanded with an executive director who can dedicate a significant portion of time to networking in the community and exploring various funding opportunities.
Hamlets Meth Remediation
Following the closure of Kah-nee-ta Resort & Spa in September 2018, the Confederated Tribes of Warm Springs became the managing authority for the resort property including a 50-unit apartment complex (which had been used primarily for employees) known as “The Hamlets.” Initial testing for the presence of methamphetamine revealed a significant percentage of the units (over 50%) showed at least some evidence of meth contamination. The next step is to perform a second, more rigorous level of testing, to determine the exact level of contamination which will help determine the full mitigation costs for cleanup or rehabilitation and help prioritize which units can be turned over and rented again most quickly. Funding has been provided for this second level of testing and minimal mitigation of some “low level” contamination units. Warm Springs has agreed to provide funding and personnel time to carry out actual cleanup and mitigation. The project will be considered a success when they have a plan on all 50 units and all the “low level” contaminated units are back available for rent to tribal members.
Affordable Homeownership Database
Kor has onboarded our homeownership management database, HomeKeeper, and has had 3-hours of training from a HomeKeeper professional to learn how to use and customize it. We have also successfully created online forms for our program’s pre-application and application. These forms are accessed through our website and help us track many of the measurables listed in our proposal. Our next step is creating the intake and exit survey forms for our homeowners that track the remaining measurables listed in our proposal. Thank you Central Oregon Health Council!
Central Oregon FUSE – Permanent Supportive Housing Project
Central Oregon FUSE (Frequent Users System Engagement) is bringing the Housing First model to the Central Oregon region and developing an optimal service delivery model/models and partnerships to address the needs of this high-risk homeless population. We plan to launch a Permanent Supportive Housing (PSH) project, using Housing First principles, for our chronically homeless, frequent users of public services (health care and law enforcement). We aim to bring improved health and stability in our target population and develop a viable model/models that, while starting in Bend, can ultimately be replicated in other Central Oregon communities. The funds received from Central Oregon Health Council will support two FUSE staff positions as well as wrap around services support for our residents.
Perinatal Care Continuum Initiative Continuation
Crook, Deschutes and Jefferson Counties, and the Central Oregon Health Council (COHC) collaborated to develop and implement a regional approach to a perinatal continuum of care. This project began in OCT 2016 and addresses goals identified in our Regional Health Improvement Plan to improve the health outcomes for women and babies. This project has provided a foundation for a regional referral system that includes: 1) Public Health care coordinators embedded in specific obstetrics provider clinics as well as local Health Departments, providing enrollment and linkages to community resources; 2) Expanded nurse home visiting services for our perinatal women; and 3) Regional coordination and data reporting of the perinatal women served by this project.
Pathways from Developmental Screening to Services (Phase II)
This two year project supports community-level improvement efforts focusing on improving the receipt of services for young children identified at-risk for developmental and behavioral delay by addressing key indicators of need. Key Phase II activities include providing on-site training and support to early adopter Primary Care Partners – Mosaic Medical, Central Oregon Pediatric Associates and identification of two additional practices to advance improvement to follow-up to developmental screening; collaborative work with Early Intervention to improve education to referring providers on best match services and closed loop communications for children referred; development of pathways and processes for children specifically identified with social-emotional delays; develop pathways and processes for children who need medical and therapy services; provide proactive developmental promotion and behavioral health to build resiliency for children in socially complex families; and summarize key learning to inform spread and innovation across the region and to inform community level priorities. Technical assistance with data analysis and system improvement are provided by the Oregon Pediatric Improvement Project.
Critical Home Repairs Survey in South Deschutes County
Given general economic in south Deschutes County over the past several years, a growing number of disadvantaged homeowners have requested assistance for home repairs that are essential to their continuing occupancy of their homes. The demand for repairs related to health and safety conditions of homes has been increasing, but no systematic method has been available to assess the nature of and quantify the scope of critical repairs needed. This survey will help define the scope of repair needs among the population of low-income homeowners in the area. Based upon the survey findings, requests for third-party funding can then be tailored to the needs in the area today and can be updated on a continuing basis. Additionally, survey methods can be offered as a template for similar surveys that can be beneficial to other organizations serving housing needs in other areas in Central Oregon. Survey findings are expected to provide a real first look at where critical home repair needs are today and how repair needs that are met positively promote housing stability and security.
Diabetes Best Practice Provider Education
Dr. Albert Noyes, a local pharmacist, will host education sessions for Primary Care providers and their clinic staff, to help them better manage patients with Type 2 Diabetes. He will use best practice guidelines that are supported by the American Diabetes Association that focus on tailored selection of drug therapy and treatment goals specific to each patient’s needs. Dr. Noyes shares how to optimize drug therapy for patients based on effectiveness of the drugs, disease severity and insurance coverage. He also discusses which diabetes medications may contribute to better heart, kidney, eye, mouth and foot health. The lecture incorporates discussion of lifestyle factors and ways to connect patients with appropriate community resources. COIPA will work with Dr. Noyes to schedule presentations throughout the tri-county area in clinical settings.
Multi-Generational Access to Health Project
The generous support of Central Oregon Health Council will allow Healthy Beginnings to expand and deepen our scope of assessment for a multi-generational approach to caring for families. Healthy Beginnings will assess how parents and guardians are doing in their child’s early childhood years, and be an access point to education on resiliency and protective factors that help families thrive. Expanding assessment to include parents and guardians allows for Healthy Beginnings to initiate education with parents around the importance of self-care and protective factors. This project seeks to add adult and family referral resources, and the addition of a warm line parent support service that will provide trained parent peer support to all Healthy Beginnings families, regardless of an identified concern. Investment in this pilot project will allow the program to collect and share data with service providers, PCP’s, OSU Cascades, Better Together, HDESD and TRACEs for collective impact on supporting families in the tri-county.
Blood Pressure Marketing Campaign
Nearly half of all adults in America, or approximately 82,000 in Central Oregon, have high blood pressure. Due to the lack of symptoms, many of them do not even know it. This campaign is aimed at targeting all adults in Central Oregon, through a variety of communication channels, to elevate awareness about the importance of blood pressure and prompt people to take action by getting it tested. The campaign website will serve as a hub for testing locations, instructions for doing it yourself and information on interpreting the numbers and establishing care if needed. There will also be information on managing blood pressure through lifestyle modifications.
Ok to Play
OK to Play encourages teens to have a comprehensive annual Well Child Visit with their primary care provider rather than a standalone sports physical in preparation for school sports and activities season. This program informs families that Well Child Visits include having conversations with teens to screen for depression, stress, anxiety and risky behaviors and are covered under most insurance products including OHP. The program also works with school districts in Deschutes, Crook and Jefferson counties to encourage families to take advantage of well child visits to receive both a higher standard of healthcare and necessary OSAA clearance documentation. OK to Play has a robust marketing program including television, radio, digital marketing, website and direct mailings throughout Deschutes, Crook and Jefferson counties. The Center Foundation is the lead organization responsible for OK to Play.
Nutrition Education Program Volunteer Coordinator
These funds will help materialize three staff positions for the Homeless Leadership Coalition. As stable housing is a significant factor of health and well-being, we see this as the perfect partnership. The positions funded through this grant will help enhance the impact of the HLC’s ongoing efforts, the success of the Coordinated Entry System and increased housing placements for the most vulnerable Central Oregonians experiencing homelessness.
Nutrition Education Program Volunteer Coordinator
OSU Extension Nutrition Education Volunteer Program trains volunteers with evidenced-based information to deliver nutrition education. The trained volunteers will extend our nutrition education messaging to SNAP eligible adults at food pantries, community events and other adult education events. Volunteer education will increase food confidence in preparing healthy foods (according to the Dietary Guidelines for Americans) and recipes (from foodhero.org) which will result in the increase and willingness for participants to try healthy foods and learn to shop on a budget. The funding provided for the Nutrition Education Volunteer Coordinator will be used to update training modules and evaluation, expand marketing/recruitment to reach potential volunteers and to create a system for volunteers to sign up for demonstrations/events. With these efforts, community outreach and education will increase in Central Oregon.
Regional Immunization Rate Improvement Project (AFIX)
Crook, Deschutes, and Jefferson County Public Health is excited to continue funding for the Assessment, Feedback, Incentives, and eXchange (AFIX) Immunization program. This is an evidence based program that supports our primary care clinic improve childhood immunization rates. An Immunization Champion for each clinic works to ensure that chosen strategies are implemented and progress is monitored. The Immunization Champions attend a meeting twice annually for the “eXchange” portion of the project to discuss successes, challenges and best practices for quality immunization services. The Immunization Coordinators from each county with Deschutes County will provide this program for the next three years.
Health Careers Outreach
With the generous support of Central Oregon Health Council (COHC), EC Works will co-invest in the creation of an Allied Health Careers Recruiter position at Central Oregon Community College. The three year, $90,000 grant from COHC will be matched $1:$1 by EC Works and will be aimed at increasing enrollment in COCC’s Allied Health Programs like Medical Assisting, Dental Assisting, Certified Nursing Assistant, and Health Information Technology programs, to meet local Health Care providers need for skilled workforce.
Addressing Diet-Modifiable Diseases Through Improved Food Access in Crook And Deschutes Counties
VeggieRx is a fresh produce prescription program that improves healthy eating habits for individuals experiencing food insecurity and diagnosed with diet-modifiable disease. This program aims to increase the access to and consumption of fresh vegetables and fruits by participants who receive vouchers for produce as well as nutrition education.
Clinic and Community Hypertension Control Presentations
The Crook County Health Department was awarded a grant to help facilitate educational presentations regarding hypertension control in the Central Oregon region. The presentations will be given by Dr Mark Backus from Cascade Internal Medicine. Dr Backus is a board certified internist who has been nationally recognized by the Department of Health and Human Services for his success in helping his patients with hypertension control. Crook County will work with Dr Backus to schedule presentations through out the region in public and clinical settings.
Novel Interventions in Children’s Healthcare (NICH) Partnership in Central Oregon
There is a group of children and adolescent with complex and chronic health conditions who struggle to access or benefit from existing health and behavioral care, resulting in poor quality of life, high family and provider stress, avoidable medical problems, and high healthcare costs. Many of these youth and families are already struggling with other social risks, such as poverty, housing insecurity, transportation difficulties, and mental health concerns. PacificSource Community Solutions, St. Charles Health System, and Oregon Health & Science University, in addition to Central Oregon Pediatric Associates and other community organizations, have partnered to adapt Novel Interventions in Children’s Healthcare (NICH) to effectively serve these children and adolescents in Central Oregon. NICH, an intensive home- and community-based skills building program, has been previously shown to improve health and care experience of youth in other regions, and a small pilot in Central Oregon suggested the largest benefits yet for referred youth and the healthcare system. The Central Oregon Health Council has provided support to better understand NICH outcomes in the region, to learn directly from families and providers about their experience of the program, to increase collaboration with and across existing community services, and to determine how this program can be financially sustainable in this region.
St. Charles Center for Women’s Health and BestCare Treatment Services collaborated to develop a program to improve the clinical outcomes for women with substance use disorder and their newborns.
Our project has been to develop the partnerships, workflows, messaging and outreach approaches to successfully embed a SUD clinician in the clinic in order to build relationships and demonstrate engagement in services with the women who screen positive for a substance use disorder. The SUD clinician uses an Intentional Peer Support model to engage the women given their current motivation for change and life circumstances. Much of our preliminary work with them involves providing resources and emotional support. Our first process goal is to foster continued engagement with our outreach worker. Our second process goal is to increase the women’s follow-through with regular prenatal care. Our third process goal is to have the women engage in SUD treatment services.
Personal, Social, and Economic Costs: Women who continue to use alcohol and other drugs while pregnant tend to have a severe Substance Use Disorder, have many psycho-social needs, creating high risk for multiple health and social problems for their unborn child. There is strong evidence showing that drug use during pregnancy leads to lower birth weight, shortened gestational period, and smaller size and smaller head circumference.
This grant will allow us to help women and their family for the next 4 years.
Fund a Friend
Thanks to the support of COHC, Friends of the Children-Central Oregon (FOTCCO) will be able to provide children who have high levels of adverse childhood experiences with a professional mentor called a Friend over the next three years. Friend’s interactions with program youth are flexible and informal, but never random. Every school meeting, tutoring session, museum visit, and “hang out” session at the Clubhouse is designed to build resilience and help youth grow their nine “Core Assets.” The “Core Asset” initiative is a youth development strategy that focuses on the following areas: growth mindset, positive relationship building, finding your spark, problem solving, self-determination, self-management, perseverance/grit, hope, and belonging. “Road Maps” specifically assist Friends in tracking each child’s progress throughout the year in five areas; social and emotional learning, improved health, making positive choices, school success, and plans and skills for the future.
Healthy Kids and Provider Outreach
Boost Oregon educates parents and the general public about the safety and benefits of children’s vaccines. We aim to increase the vaccination rates of Oregon’s children through community education. COHC’s support enables Boost Oregon to expand its programming to Central Oregon by training medical providers to host local workshops for parents; distributing our written materials throughout the region; and educating medical providers on communicating effectively with vaccine-hesitant parents. Knowledge is power, and Boost Oregon empowers parents to make the best decisions for their children’s health.
Pathways from Developmental Screening to Services
This project will provide system improvements to ensure that young children identified at-risk for developmental delay will receive best match follow-up services to prepare them for kindergarten. With analysis of current practice data, pathways to services and opportunities to increase capacity will be prioritized with identified regional implementation pilots to increase outcomes for children. Key partners include Mosaic Medical and Central Oregon Pediatric Associates (Primary Care partners), High Desert ESD Early Intervention/Early Childhood Special Education and community partners who facilitate referrals to primary care and Early Intervention including home visiting, relief nursery and early care and education partners. Technical assistance with data analysis and system improvement are provided by the Oregon Pediatric Improvement Project.
A Smile for Kids (ASK)
A Smile for Kids (ASK) strives to improve the quality of life for kids in our communities through its mission of “Empowering under Resourced Youth through Orthodontics, Education, and Community Service.” ASK has a specific focus on identifying and helping those kids that are suffering from ridicule and low self-esteem due to severely crooked teeth. While many consider orthodontic treatment, or “braces”, a cosmetic procedure, the daily reality for children with badly misaligned teeth is severe. Suffering from this condition can cause poor dental health, oral disease, constant physical pain, poor school attendance, and the absence of positive social-peer relationships. ASK removes the obstacle of crooked teeth while requiring all program recipients to perform monthly volunteer service and have their school grades to be in “good standing”; resulting in improved educational and job opportunities, and a current graduation rate of 96.3% for kids completing the program from 2014 through 2018.
Food Relief – Backpacks for Bend (B4B)
The Giving Plate is honored by COHC’s support of our newest program – Backpacks for Bend (B4B). B4B is a weekend food-relief program serving severely impoverished children in the Bend/La Pine School District. Adopted by The Giving Plate in June 2018, B4B is the only program of its kind serving Bend/La Pine students. Every week, 450 food-insecure children receive a B4B food tote, which is discreetly tucked into their backpacks by a FAN advocate. Over the course of a 36 week school year, B4B will deliver 16,200 such totes to hungry children. These totes contain ten meal and snack items to help sustain children over the long weekend when food may be scarce or non-existent. We believe that proper nutrition is not only essential to a child’s healthy growth and development, but that it also plays a fundamental role in building resilience and ending the cycle of poverty. With COHC’s partnership, we are empowered to reduce childhood food-insecurity and ensure that fewer children in our local community will face a weekend of hunger.
Warming Shelter for Bend
The Warming Shelter is a low barrier shelter that opens when the temperature drops below 30 degrees. The shelter is stationed at the Pfeifer and Associates building at 23 NW Greenwood Av. Bend Oregon. Each night there are 2 paid staff that are here throughout the night to facilitate the program and the sleepers. We give incentives to the sleepers who help with clean up in the am. Sleepers can come in at 8 and need to be gone by 7. We screen for needs and connect the sleepers with outreach workers when requested.
Building a Culture of Care in Central Oregon Education Systems
In partnerships with our six school districts, early learning providers, institutions of higher education, and TRACEs, Better Together is launching an initiative to ensure cultures of care exist across education systems in Central Oregon. This work will include training over 3,000 educators in trauma-informed care and practices, ensuring trauma-informed policies and procedures are in place across education systems, and increasing capacity for coaching in trauma-informed practices through our local ESDs. The ultimate aim of this initiative is to close disparities in critical outcomes for students to ensure they are set up to live healthy and meaningful lives.
Community Engagement Teams
Community Engagement Teams is a collaboration between BestCare Treatment Services and St. Charles Health System. Madras and Prineville have some of the highest emergency department (ED) utilization rates in Oregon. 7% of the people using the ED are responsible for 50% of the ED visits. Three-quarters of all ED visits by Medicaid members are by people with substance use disorders, or a severe and persistent mental illness, or both. The goal of the project is to learn if we can reduce Emergency Department utilization by at least 15% by using behavioral health outreach and engagement while improving patient outcomes and reducing costs. The community engagement teams will, (1) engage in the ED during scheduled behavioral health specialist hours the moderate to high utilizers of the ED, especially those with SUD or SPMI Diagnoses, (2) follow up the next day and provide continued follow up, (3) support basic needs and system navigation, and (4) support less harmful behaviors.
More Care: Mosaic Medical
Mosaic Medical is excited to partner with regional partners in the MoreCare cohort to improve our efficiencies that will support timely access to dental care for pediatric patients and pregnant women. As our dental program expands, this cohort will allow us to preform integrative services at national standards for oral health integration. We hope maximize our ability to deliver quality care to our pediatric and pregnant patients while ensuring the continuity of care with our external referral entities remains excellent.
More Care: Weeks Family Medicine
Weeks Family Medicine provides comprehensive healthcare for individuals, families, pediatrics and Obstetric patients. We believe that it is imperative to also include dental to encompass full body care. By working in conjunction with Advantage Dental, DentaQuest and through gracious funding from the Central Oregon Health Council, Weeks Family Medicines’ More Care project was created. Goals of this project include; Increasing the percent of patients with fluoride varnish application, completed Oral Health Evaluations, self-management goals and developing a bigger dental referral network. By creating awareness with our pregnant mothers, as well as new families with pediatric patients and following newly adopted integration models to help keep our patients’ mouths healthy and cavity free.
The mission of DAWNS House is to provide a safe and compassionate living option for homeless, newly sober women seeking long-term recovery. Providing guidance and assistance to help the women reclaim their lives, DAWNS House helps to break the chain of addiction and alcoholism, promotes personal and community responsibility, and gives women in the program an opportunity to live productive and fulfilling lives. DAWNS House is so grateful for the funding of the COHC to initiate the following program. Resident Assistance Program is three-fold. Mentoring, Immediate needs and Life-skills.
St. Charles Mobile Care Clinic
The St. Charles Mobile Care Clinic provides ongoing support for patients with poor control of diabetes to help improve self-management skills, identify barriers to care and reduce hospitalizations. Key components include: patient home visits with a certified diabetes educator/RN to assess patient and environment; weekly phone calls from a RN Care Coordinator to monitor patient’s progress on goals and identify needs; care delivered as needed by a pharmacist, dietitian, community health educator and behavior health specialist; and regular reporting to the primary care provider and specialists of patient progress and change in health status. The aim is to facilitate more timely treatment changes for improved health outcomes while helping the most vulnerable patients become more engaged in their own care. The Mobile Care team connects patients to community resources and services, as well as offering support funds to assist patients in improving their management of diabetes. After a one-year pilot focused in Prineville, St. Charles plans to take lessons learned to redesign the delivery of diabetes care across the system.
Central Oregon Youth Tobacco Photovoice
The Central Oregon Youth Tobacco Photovoice Project will give voice to young people throughout the Central Oregon region about the harmful impacts of tobacco as they experience them. The project aims to empower and equip youth to speak with decision makers about policy that would protect from tobacco use and exposure. Additionally, project staff will collect and analyze qualitative data to contribute to the development of tools for primary care tobacco interventions for youth.
Juntos Aprendemos (Together We Learn)
In partnership with Central Oregon Health Council, we will be supporting the implementation of a parent led early Spanish literacy program in four elementary schools in the region. This program invites Latinx parents and their children ages 3-5 into their future elementary schools to develop Spanish language skills through literacy programming and parenting education. This is a robust partnership between multiple non-profit leaders and school districts in the region, and is aimed at increasing Kindergarten Readiness and Third Grade literacy for Latinx children while supporting parents in their role as “first teacher” to their children.
Redemption House Ministries has successfully opened Regeneration House, a homeless shelter for men in Prineville. The goal is to provide a safe environment for men to sleep, shower, wash their clothes and relax. The men at Regeneration House are also provided assistance in finding employment, as well as information on community services and encouragement to seek these services
Land Use Consultant
Sisters H4H is currently building on a 17 lot subdivision in Sisters. Nine of the homes that have been built are occupied, and construction on two others is underway. The funding from the Health Council helped H4H hire a land-use consultant to help work through the city process of modifying our plan in order to convert the remaining six lots to include 4 additional lots. This will provide home-ownership opportunities for four additional low income Sisters families. Estimated project completion is in 2020.
Kids in Parks: Central Oregon Pilot
The Children’s Forest of Central Oregon is launching the successful national program, Kids in Parks, in Central Oregon, focusing on Prineville and Madras. This project will inspire kids and families from Crook and Jefferson Counties to be physically active through hiking and nature exploration. Recent studies show that, on average, kids spend 7.65 hours per day “plugged-in” and only an average of 7 minutes per day in unstructured outdoor play. The project will include developing a network of 5-6 TRACK trails, which are family-friendly, self-guided adventures, and launching TRACK Rx, a system in which healthcare providers prescribe time outdoors, utilizing TRACK trails and other self-guided activities. Youth participation is incentivized through encouragement from healthcare providers and prizes for participation. This project will bridge the healthcare community, local parks and trails, and community partners to develop systems that promote increased engagement with natural areas.
Diabetes Point of Care Testing in Dental Setting
Advantage Dental will provide point of care testing in the dental office for diabetic patients and refer to primary care when HbA1c level is >9.0%. This service in the dental office includes education to patients that poorly controlled diabetes can lead to the progression of oral health problems and serious gum disease may potentially affect blood glucose control and contribute to the progression of diabetes.
Veggie Rx Pilot
The High Desert Food & Farm Alliance’s (HDFFA) Veggie Rx pilot program is designed to improve the health of food insecure patients by providing them with vouchers for produce to increase their consumption of fresh vegetables and fruit. Three main objectives of the program are to:
1. Implement a Veggie Rx pilot program for food insecure people with diet-modifiable disease in order to increase fresh food consumption by participants.
2. Provide nutrition education to improve healthy eating habits by program participants.
3. Create community linkages between health care, community resources, food system and participants to enhance community health. Start the conversation about food insecurity contribute to increased provider screening and awareness of food insecurity.
Embedded Substance Use Disorder Positions Pilot
Through the support of the Central Oregon Health Council, BestCare is placing 2 full time embedded substance use clinicians including a Certified Alcohol and Drug Counselor and Certified Recovery Mentor in the St. Charles (Bend) Hospital for the next two years. The focus will be to engage patients in the appropriate level of behavioral health care after hospital discharge with the goal of reducing the high level of utilization of hospital services by those that have untreated substance use disorders.
Rx to Move
Mosaic Medical, with funding support from the Central Oregon Health Council, is expanding the Rx to Move project. Through the pilot phase, we found that a prescription from primary care providers for physical activity will increase physical activity among youth served. Youth between 6 and 18 years old who receive health care from any Mosaic Medical clinic are eligible for the program. The goal is to increase the number of days that youth report they are active and assess whether a prescription from a provider is an effective way to increase physical activity among young people.
Eat For Life
Eat for Life is a regional project that will provide mentorship, education, and financial support for patients with diabetes to manage their disease through proper nutrition. 160 patients who have an A1C level equal or greater than 9 and who identify as food insecure will be eligible to participate in the program. Over the course of four months, patients from Mosaic Medical, St. Charles, La Pine Community Health Center and High Lakes in Sisters will meet with a dietician, nurse, or primary care provider at their clinic and attend a Nutrition Kitchen cooking class every other week where they will receive a $20 vegetable voucher that can be redeemed at any Grocery Outlet in the region.
Advancing Integrated Care
Advancing Integrated Care In Central Oregon is an intensive effort to improve all aspects of behavioral health care in primary care settings. The overall goal is to better meet the behavioral health needs of Central Oregon residents. Through this project, all primary care clinics in Central Oregon can receive individualized technical assistance, training, and consultation based on their behavioral health quality improvement goals. Primary care clinics will focus on increasing screening for behavioral health needs, integrating on-site interventions, connecting patients with community resources, and coordinating effectively with outside specialty behavioral health providers.
The generous support of the Central Oregon Health Council and their two-year investment in Bethlehem Inn will enable Inn staff to serve our region’s most vulnerable community members with best-practice case management services assisting residents to transition from homelessness to stability.
Bethlehem Inn is now providing transitional supportive services to twice as many individuals than were served only a few short years ago. The COHC funding helped to develop an evaluation tool and process centered around an innovative, outcome-based approach. The project exemplifies a best-practice approach to the issue of housing as a social determinant of health, while integrating health education and health care access that ultimately creates more efficient and informed users of the health care system.
House the Children
Providing safe, affordable and sober housing is a goal of Pfeifer and Associates for all of our clients and their families. With funding from the Central Oregon Health Council for our HOUSE THE CHILDREN project, we are able to pay for children to live in a sober home with their parent and attend the school in their neighborhood with school buddies as their neighbors. We house on average 10 children monthly in 7 different homes. The average stay is one year and we help parents find other supportive or non supportive housing when they are ready to move on. Children are expected to have a primary care check up, improve attendance and achievement scores at school while in housing.
Commute Options is bringing the Walking School Bus program across Deschutes, Jefferson, Crook and northern Klamath counties with funding provided by the Central Oregon Health Council. Through healthy transportation choices, Commute Options encourages the wellness of individuals, a clean environment, and a strong economy. Commute Options provides educational and encouragement programs across the state including Safe Routes to School, Drive Less Connect, and Friendly Driver. The Walking School Bus program will bring 20 new walking routes across the Central Oregon region. A Walking School Bus is a group of students walking to and from school with an adult Leader on a planned route. The program will increase the number of students receiving physical activity, as well as the number of minutes of daily physical activity. The goal is to encourage youth to implement a healthy lifestyle into their daily routines by walking and rolling to and from school.
Thrive Central Oregon
Thrive Central Oregon seeks to connect individual needs with community resources. Individuals and families who are living in poverty are often in need of social services and support. A lack of knowledge of what the community has to offer, transportation and access barriers, and difficulty in navigating systems are primary reasons individuals and families are unable to access these community service supports. Thrive bridges the gap for community members, meeting them where they are in public spaces, providing vital connection to services and support that for many wouldotherwise not happen. Previously, Thrive Central Oregon had operated in eight community locations in Bend, Redmond and La Pine. With funding support from the Central Oregon Health Council, Thrive Central Oregon is able to expand operations into Prineville, thus reaching more Central Oregonians in the communities in which they reside.
Housing for All (H4A)
H4A is an innovative regional housing consortium formed to address the multiple dimensions of the housing affordability and availability crisis in Central Oregon, and includes health and human services agencies, private developers, regional businesses, non-profits, local governments, state and federal agencies, advocates, and community members. H4A’s first integrated work plan activity is to update the 2006 Regional Housing Needs Assessment – the new version will look at the region’s current housing stock and distribution, analyze what types of housing are needed now and will be needed in the future (including where and for what populations), and recommend best practice policies, programs, and projects to serve Central Oregon’s needs as the region continues to grow.
Mosaic Medical’s Rx to Move
Mosaic Medical, with funding support from the Central Oregon Health Council, is piloting the ‘Rx to Move’ project. Starting in November 2017 through April 2018 Mosaic will test whether a prescription from primary care providers for physical activity will increase physical activity among youth served. The pilot includes youth between 6 and 18 years old who receive health care from Mosaic Medical pediatrics and school-based health centers in the region. The goal is to increase the number of days that youth report they are active and assess whether a prescription from a provider is an effective way to increase physical activity among young people.
TRACES (Trauma, Resiliency, and Adverse Childhood Experiences)
TRACES is a movement dedicated to making Central Oregon a region where every individual has the strengths, social connectedness, and community resources they need to thrive. With funding support from the Central Oregon Health Council, TRACES will identify a high-risk population (kids experiencing foster care), study the total possible spectrum of children’s needs (health, development, education, social connectedness, etc.), and assess a defined population to identify ‘how much’ is needed. Once this work is completed, TRACES and partners will work to attract and direct (potentially significant) resources to agencies that can fulfill the identified needs. The work with the defined population will be evaluated for possible replication region-wide. Over the course of their lifetime, children who have experienced significant trauma are likely to experience lost wages and utilization of healthcare, special education, child welfare, and criminal justice services estimated to cost Central Oregon communities $38-$81 million per year.
Kemple Memorial Children’s Dental Clinic
Kemple Memorial Children’s Dental Clinic has served the children and young adults of Central Oregon for more than 20 years. For the past 4 years, they have provided preventative services in both non-traditional settings (e.g., schools, community service venues, fairs, etc.) through their Screen and Seal (S&S) Programs as well as their traditional clinic facility. Screening an average of 6,000 children each year, they have identified 25% of these children who have near term or urgent dental needs (1500 children each year in need of treatment) thus insuring timely and high quality response to their needs. In this 5th year of the S&S Program, Kemple Clinic is proud to once again deliver these services to even more schools and community venues, with the help of key funding from the Central Oregon Health Council. In strong alignment with the goals of the Regional Health Improvement Plan goals, Kemple continues to deliver comprehensive dental programs and services that “keep children cavity free”.
Jericho Road, a Redmond area non-profit provides a variety of programs including Weekend Food for Students, Immediate Emergency Help, a Hot Meal Program six nights a week and a Housing Assistance program. Since 2005 the Housing Assistance Program has assisted families with children with quick and effective means to keep them in their homes and preventing homelessness. With the help and support of the Central Oregon Health Council, for the first time Jericho Road will be able to expand their program to include senior citizens, veterans, the disabled, individuals on fixed incomes and those who are struggling to maintain their living conditions. What the COHC has helped bring about is a definitive answer for preventing homelessness in the Redmond area.
Friends of the Children Central Oregon
Friends of the Children is an early intervention and prevention program serving children facing the highest risks. Through the support of the Central Oregon Health Council, Friends of the Children will select and match kindergarten children with a full time paid professional mentor whose only job is to work directly with eight children, 16 hours per month each for 12 1/2 years-no matter what. These children are born into circumstances beyond their control and have experienced multiple Adverse Childhood Experiences…together the Friends of the Children will help change their stories.
All projects listed below were funded under an old process that has since been retired. The new process of funding projects through RHIP workgroups was applied to all projects above.
OSU Cascades Student Health & Wellness Promotion
The goal of the project is to promote student health and wellness through increased access to services and wellness education opportunities. To accomplish this, a full-time Health Advisor will help students coordinate and navigate already existing community resources and health care services in Central Oregon. This project will also implement health and wellness education and outreach activities. The education and outreach portion of this project will include creating a student advisory group to utilize student-driven outreach. One of the ways the success of this project will be assessed is through the annual implementation of the National College Health Assessment Survey that will be used to collect data on a variety of student health concerns.
Pfeifer and Associates SUD Housing in Bend
This is a project developed by Pfeifer and Associates (PA) to house homeless individuals in Bend who suffer from Substance Use Disorders (SUD). For this project, PA will purchase a two-bedroom duplex in Bend to house individuals with SUD for 30 years. PA is already partnered with Housing Works to provide services to individuals and families in recovery living in Housing Works’ properties.
Pfeifer and Associates SUD Housing in La Pine
This is a project developed by Pfeifer and Associates (PA) to house homeless individuals in La Pine who suffer from Substance Use Disorders (SUD). For this project PA will purchase a three-bedroom duplex in La Pine to house individuals with SUD for 30 years. PA is already partnered with Housing Works to provide services to individuals and families in recovery living in Housing Works’ properties. PA has also partnered with La Pine Community Health Center to identify the population that can benefit from the project.
Vern Patrick Community School
The Vern Patrick Community School Project was created in 2010 with the mission to provide quality education to every child, regardless of their living situation. This project focuses on addressing obstacles such as family dynamics, poverty, language barriers, and other Adverse Childhood Experiences (ACES) to improve the education and development of children in these difficult situations. This program achieves its goals by providing enrichment opportunities, educational experiences, and social support and assistance to the children and their families.
Kids Club of Jefferson County Transportation
Kids Club is a year-round program for high-risk school-aged children in Jefferson County. Kids Club is a before and after school program that runs year round. The mission of Kids Club is to provide enrichment activities and opportunities for children and learn important life skills in a safe environment that will help them to reach their full potential. Kids Club will be purchasing a bus to provide transportation in order for children to participate in additional enrichment and wellness activities. Having available transportation will increase the participation in these activities and will in turn improve the health and well-being of the children.
Head Start Mental Health Support Services
The Mental Health Support Services project, created by Neighbor Impact, will create a wrap-around support system for children who experience complex trauma. This program will be implemented in all of the Head Start classrooms in Deschutes and Crook counties. The Head Start program will provide these children support from specialized staff. The project’s primary goal is to create and implement a support system for children whose complex trauma interferes with their ability to learn.
Pacific Crest Affordable Housing Asimeth 315
Pacific Crest Affordable Housing is constructing 50 affordable housing units called “Asimeth 315” in Northwest Crossing on Bend’s west side. The multi-family complex will accommodate single and small households with 36 one-bedroom units and 14 two-bedroom units. Thirteen units will be reserved for senior citizens (age 55+). All of the units will be exclusively rented to low- and very-low-income households. Rents will range approximately from $336 to $672 per month with all utilities included. Rent will be determined by household size and income level to ensure affordability. The project will also include resident services that focus on health and access to healthcare. These services will include immunization clinics, healthcare navigation, physical and mental health screenings, referrals, and more. The building will also include a fitness room, a walking/jogging path, raised-bed community gardens, and bicycles available to residents.
Diabetes Prevention Program
The goal of the Central Oregon Diabetes Prevention Program (DPP) is to reduce the risk of developing type 2 diabetes and cardiovascular disease in high-risk individual in Central Oregon. This is accomplished through a coordinated intensive lifestyle intervention that leads to weight loss and increased physical activity. The program is lead by Deschutes County Health Services.
Perinatal Care Continuum
The Perinatal Care Continuum (PCC) serves Central Oregon’s prenatal and postnatal high-risk families. PCC’s funding will serve 240 prenatal patients region-wide, expand care coordination support embedded in local obstetric clinics, and hire a regional coordinator and prenatal screener for Redmond and Madras clinic locations. The goal of the project is to reduce the incidence of low-birth-weight babies and create efficiency in the health system for prenatal patients.
The Bethlehem Inn has provided temporary housing for homeless individuals and families in Central Oregon since 1999. To expand their efforts, they are constructing a new building that will double the number of family units and add a commercial kitchen as well as administrative space to their facility. Residents of Bethlehem Inn are provided not only with shelter and meals, but a vast array of health, housing, and social services intended to improve lives and prevent further homelessness.
MountainStar Family Relief Nursery
MountainStar Family Relief Nursery ’s mission is to prevent child abuse and neglect through community support and therapeutic services which help vulnerable children and families succeed. This program will help at-risk 3-4 year old children in Bend prepare physically, socially, emotionally and cognitively for kindergarten through a therapeutic preschool classroom for 3 years.
Living Well Central Oregon
Living Well Central Oregon coordinates the Stanford Suite of Living Well chronic disease self-management classes across the region for patients with chronic pain, diabetes, and other medical conditions.
NeighborImpact represents and serves economically disadvantaged residents of Deschutes, Crook and Jefferson counties. They assist families and individuals with housing stabilization, early education, childcare, access to food and more. This project aims to keep low- and moderate-income level households remain in housing and avoid homelessness by teaching residents financial skills.
High Desert Food and Farm Alliance
The High Desert Food and Farm Alliance’s mission is to increase access to fresh healthy food, support sustainable farm land use, and foster relationships among farmers and consumers. Their project involves developing and disseminating a needs assessment of nutrition wellness programs, as well as offer Cooking Matters classes to community residents.
Central Oregon IPA – Hypertension Control Education
The Central Oregon Independent Practice Association (COIPA) sponsored this proposal for Dr. Mark Backus to educate Central Oregon primary care providers on hypertension control. Dr. Backus has been nationally recognized with the Department of Health and Human Services’ Million Hearts Hypertension award.