Past Pilot Summaries

More than 60 Projects Have Made an Impact

Since 2013, IHN-CCO has worked with community partners to complete more than 60 pilot projects throughout Benton, Lincoln and Linn counties. See how these past projects have made an impact on transforming health care in our community.

2020 Pilots

Summary

With funding from InterCommunity Health Network Coordinated Care Organization (IHN-CCO), the Community Doula Program facilitated the recruitment, training, and reimbursement of birth doulas to serve pregnant members of IHN-CCO. Birth doulas build trusting relationships with pregnant women and provide physical, emotional, and informational support during labor and birth. 

The purpose of the pilot was to increase the number of perinatal Traditional Health Worker doulas and to improve health outcomes for pregnant members of IHN-CCO through comprehensive, culturally concordant doulas services. Additional goals were included as a response to the COVID-19 pandemic, including offering multilingual Pandemic Parenting support groups online groups, leading community testing and contract tracing teams, and continuing to provide prenatal and postpartum care via telehealth.

Key Findings

  • Increased the number of bilingual and culturally diverse doulas on the state registry (400% increase).
  • Built a culturally and socially diverse workforce with extensive training in Trauma Informed Care and Health Equity.
  • Provided an evidence-based service (doula care) to over 200 families who would not otherwise have had access.
  • Created the first known community doula-directed curriculum for doula training, to be implemented at low or no-cost via community colleges in Oregon to be shared nationwide.
  • Established and enhanced partnerships with over 20 organizations statewide.
  • Able to provide doula care in 10 languages—28% of doulas trained are bilingual.
  • Subset of bilingual doulas trained as state qualified or certified medical interpreters.
  • Established pandemic parenting groups in English and Spanish.
  • Hosted a statewide doula summit.
  • Developed a model Doula Hub with training, referral, and billing capacity and negotiated a contract for doula reimbursement.
  • Improved birth outcomes for IHN-CCO members, including reduced rates of cesarean and preterm birth, and increased rates of breastfeeding, as well as increased service users’ experiences of autonomy and respectful care.
  • Provided vocational training and support for 26 IHN-CCO members from minoritized communities to become doulas.

Additional Information

The Community Doula Program’s ongoing commitment to democratizing knowledge and experience will aid replicability with dedication to sharing both knowledge and materials. As one of the most established doula hubs billing Medicaid in Oregon, the Community Doula Program continues to advocate for the removal of systemic barriers, including low reimbursement for doulas, limited understanding of the role of doulas with the maternity care team, lack of funding for administrative supports for Doula Hubs, and limited availability of grant funding dollars outside of transformation pilot dollars. 

Dates

January 2018 to December 2020

Site

Heart of the Valley Birth and Beyond

Final Reports

Doula Final Report 

Summary

With funding from InterCommunity Health Network Coordinated Care Organization (IHN-CCO), the Corvallis School District 509j collaborated with teachers and community partners to reflect on personal beliefs about pain and self-care, and expose teachers to the best practices for teaching students about pain awareness, opioid misuse prevention, and healthy self-care strategies.

Key activities included:

  • Facilitated Teacher Professional Learning.
  • Developed “Drug Cabinet in the Brain” activity for students and teachers.
  • Creating an online training for teachers and students. 

Key Findings

  • Facilitated professional learning for 53 participants from 5 school districts and 11 community organizations.
  • Increased 9th grade access and awareness to Johnson Teen Center.
  • Reduction in emergency department (ED) visits.
  • Shared project and data at 6 regional and international conferences.
  • Inclusion of student voice in schools supports teachers to change practice.
  • Collaboration among teachers and members of community organizations working together can accelerate learning.
  • Promoted self-care for students, teachers and community members. 

Additional Information

Live Professional Learning will continue to be offered post-COVID and the training and materials are going online to allow teachers and students to engage and learn at their own pace. 

Dates

January 2019 to December 2020

Site

Corvallis School District 509j, Samaritan Health Services

Final Reports

HSPO Final Report

Summary

With funding from InterCommunity Health Network Coordinated Care Organization (IHN-CCO), the Homeless Resource Team was developed by Samaritan Health Services (SHS) and other partners. The Homeless Resource Team includes a case manager, health navigator, and Homeless and Vulnerable Patient Committee. The goals of the pilot were to: 

  • Facilitate placement into permanent supportive housing for patients with homelessness and chronic medical conditions. 
  • Increase primary care utilization among homeless adults with chronic medical conditions.
  • Decrease emergency department (ED) utilization among homeless adults with chronic medical conditions.
  • Improve healthcare providers’ knowledge and sensitivity about caring for patients with homelessness. 

Key Findings

  • 98 IHN-CCO members served.
  • 16 IHN-CCO members (16%) were placed in permanent housing.
  • 81 IHN-CCO members (83%) had 1+ barriers to housing resolved.
  • Collaboration between Benton County health navigators and Samaritan LCSWs (licensed clinical social workers).
  • Being able to address some immediate needs that are difficult to fill with standard resources, such as shoes for safe walking or phone access.
  • Increased awareness for providers and staff.

Additional Information

The Homeless Resource Team will continue and is funded via cost-share between IHN-CCO and Samaritan’s Care Hub. Pilot partners continue to meet monthly. 

Dates

January 2019 to June 2020

Site

Samaritan Health Services, IHN-CCO and multiple community partners

Final Reports

HTEM Final Report

HTEM Handout

Summary

With funding from InterCommunity Health Network Coordinated Care Organization (IHN-CCO), Family Tree Relief Nursery expanded and integrated the existing collaborative partnerships of the Traditional Health Worker (THW) community in the tri-county area by building upon previous pilots and work of the THW Workgroup. The Peer Wellness Specialist Training pilot focused on design, creation, and accreditation of a certified training course for Peer Wellness Specialists (PWSs). The goals of the pilot were to:

  • To expand the training arm of the THW Hub to train and support a growing network of THWs.
  • To design, create, credential and deliver a certified training course for PWS.
  • To increase the number of agencies accessing PWSs in their services.
  • To increase the number of PWSs in the workforce.

Key Findings

  • Educated and engaged agencies in the use of PWSs supporting IHN-CCO members.
  • Developed and credentialed curriculum and training course.
  • Utilized networking contacts of THW Workgroup in including agencies from neighboring counties.
  • Relationships established to advance and expand the use of PWS in multidisciplinary teams.

Additional Information

Family Tree Relief Nursery is committed to adapt the curriculum to a virtual/online platform so that education, support and certification activities can continue with the support of other organizations and the IHN-CCO THW Workgroup. 

Dates

January 2018 to December 2020

Site

Family Tree Relief Nursery, Traditional Health Worker Workgroup

Final Reports

PWST Final Report

Summary

With funding from InterCommunity Health Network Coordinated Care Organization (IHN-CCO), the Reduce and Improve pilot improved the collaboration between physical and oral health within the hospital setting. An Expanded Practice Dental Hygienist (EPDH) was placed within Samaritan Lebanon Community Hospital to provide oral health services and navigation for patients and act as an oral health resource for the community and medical staff. 

Key activities included:

  • Tracked number of IHN-CCO and community members receiving oral hygiene dental services.
  • Created Implementation Guide for replication.
  • Created workflows for dental consults inpatients.
  • Provided oral health education for Diabetes Management and Childhood Preparation courses.
  • Created, distributed, and monitored patient and staff satisfaction surveys.
  • Diverted the number of non-traumatic dental conditions (NTDC) admitted to the emergency department (ED) or free up physician time for other ED care.

Key Findings

  • Patient and hospital satisfaction surveys showed overwhelmingly positive results.
  • Implementation Guide created documenting encountered barriers, solutions, and deficits throughout pilot.
  • Workflow protocol and hospital software created and/or altered for the EPDH to use daily for clinical and electronic health record workflows, tracking accurate number of dental consult and progress visits within hospital settings.
  • Created workflow in ED to assist ED physician in determining best course of action for patients presenting with NTDC and decrease patient wait time, also improving ED physician efficiency.
  • Assisted patients with referral process to improve access to dental care.
  • Integrated an EPDH into a complex healthcare system, whereby meeting stringent requirements by two separate organizations.

Additional Information

Capitol Dental Care will continue this pilot project as a valued, trailblazing model of care needed to improve access to dental care with hope to establish sustainability and replicate this pilot, expanding to other medical and hospital settings. 

Dates

January 2019 to December 2020

Site

Capitol Dental Care, Samaritan Lebanon Community Hospital

Final Reports

REDUC Final Report

2019 Pilots

Summary

With funding from IHN-CCO, the Olalla Center for Children and Families’ pilot, Community Roots, was able to successfully create, implement, and grow a serviceable program for high-risk families in Lincoln County. This pilot was an avenue for safe and sustainable reunification of children in the foster care system with their parents. By providing programs like Parenting Redefined, a ten-week parenting support class that encompasses an evidence-based curriculum and utilizes positive reinforcement, and Respite Care, they were able to support families, reduce stress and increase positive communications in families. Community Roots received referrals through community partnerships and were involved in case consultations. They also offered supplemental support to DHS and CPS families. Olalla Center for Children and Families continues to work towards reducing negative stigmatization of mental health.

Key Findings

  • Decreased child abuse and neglect in families served.
  • Implemented a growing program for underserved families to have parenting support services and additional therapies for children and families. 
  • The community of Lincoln County and Toledo continue to be supportive helping to make Community Roots a comforting place. 

Additional Information

Olalla Center for Children and Families will continue to support the existing activities offered through Community Roots. 

Dates

January 2019 to December 2019

Site

Olalla Center for Children and Families

Final Reports


Summary

The Linn Benton Health Equity Alliance developed, organized, and implemented health equity summits, health equity trainings, and technical assistance for direct service providers, professionals, and organizations working in health care and social services who directly interact with IHN-CCO members in the tri-county area. These summits and trainings were an opportunity not only to learn about health equity (in theory and in practice) but also to begin and/or continue to evaluate the role they play in ensuring health equity in our region.

Key Findings

  • 86 professionals in the coast and the valley engaged in the Health Equity Summits.
  • Improved understanding of diversity, equity, and inclusion through the technical assistance meetings with nine local organizations across the three counties.
  • 99 professionals attended trainings on evaluation of internal policies, practices and procedures.
  • 90 participants in Beyond Diversity: Courageous Conversations about Race.

Additional Information

The Health Equity Summits and Trainings pilot has the potential to be sustained. There is funding from specific foundations that the Linn Benton Health Equity Alliance can pursue as well as voluntary leadership buy-ins from interested organizations. The Health Equity Workgroup and the Linn Benton Health Equity Alliance will continue to share their guidance, feedback, and knowledge on this matter, and will continue to advocate for these opportunities to be offered in our region.

Dates

January 2018 to September 2019

Site

Linn Benton Health Equity Alliance and the IHN-CCO Health Equity Workgroup

Final Reports

HEST Final Report
HEST Handout

Summary

Morrison Child and Family Services provided planned and crisis respite services in Benton, Lincoln, and Linn counties to IHN-CCO member children (ages 3 to 17) identified as needing stabilization through these services. The overall goal was to stabilize families at risk of disruption through the utilization of planned or crisis respite services by training and certifying respite providers in their home. This pilot has strengthened existing relationships with their partnerships as well as create new ones with the System of Care Coordinator and the Newport and Lincoln City Chamber of Commerce.

Key Findings

  • Successfully certified a home in Lincoln County. 
  • 10 unique Lincoln County IHN-CCO members served. 
  • 294 nights of respite provided.

Additional Information

Morrison Child and Family Services will continue to provide respite services in the region through their continued efforts to recruit foster homes and increase IHN-CCO member referrals to the respite program. They will strive to provide respite care through fee for service billing, the continued support of IHN-CCO, as well as possible grant funding. 

Dates

January 2019 to December 2019

Site

Morrison Child and Family Services

Final Reports

PCRC Final Report
PCRC Handout

Summary

The Regional Health Education Hub was a collaboration between multiple community organizations working to streamline health education programming and to expand access to health education services across the tri-county region by establishing a centralized, region-wide health education hub. They provided easy access to a full range of health education offered by Samaritan Health Services (SHS), Benton County Health Services, Linn County Health Services, and other community partners in a single location. The community partners used a coordinated approach with identified and agreed upon elements and functions which has opened new partnerships and collaborations within the community. 

Key Findings

  • Increase in number of staff that are bi-lingual. 
  • 1,011 total participants enrolled, 170 IHN-CCO members.  
  • 184 SHS providers placed 1,370 referrals for 1,126 patients. 
  • Website developed: samhealth.org/healthedhub.
  • 5 Transportation referral process established via Unite Us/Community Connect.

Additional Information

The Regional Health Education Hub is sustainable. Their vision of leveraging resources and not duplicating efforts are being achieved by working with their partners where they are constantly strategizing and planning to remain aligned with local, state and national plans and efforts. They have more than 36 workshops scheduled for 2020.  

Dates

January 2018 to June 2019

Site

Samaritan Health Services and Family Services

Final Reports

RHEH Final Report
RHEH Handouts

Summary

Lincoln County Public Health and the Lincoln County School Based Health Centers developed a screening and subsequent referral process to Food Share of Lincoln County for families experiencing food insecurity. Food Share then provided nutrition education through seasonal toolkits and Cooking Matters classes to families who screen positive and redeem their Veggie Rx vouchers. In addition to assisting with the development of nutrition education toolkits, the pilot assisted its partners in developing and strengthening partnerships with local growers. The pilot also worked with marketing and recruiting volunteers who would continue the gleaning, food distribution, and nutrition education work started by the partnership.

Key Findings

  • 100% of students who go to a School-Based Health Center are now screened for food insecurity.
  • 100% of students who screen positive for food insecurity are given the chance to enroll in the Veggie Rx program.
  • 118 IHN-CCO members received fresh produce through the Veggie Rx program.
  • Over 1600 pounds of fresh produce was distributed.

Additional Information

The Veggie Rx program will continue with partners taking on new roles as well as continuing with existing ones.

Dates

January 2018 to June 2019

Site

Lincoln County Health and Human Services

Final Reports

Veggie Rx Final Report
Veggie Rx Final Handout

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