The Oregon Health Authority (OHA), which oversees most of the state’s Medicaid health-related programs, follows an accountable care model, delivering services through 16 local Coordinated Care Organizations (CCOs) to improve services while keeping costs down. Columbia Pacific CCO represents three counties: Clatsop, Columbia, and Tillamook. It is the backbone organization for Clatsop’s Wellville Strategic Council, now called the Regional Steering Committee.
The primary industries in Clatsop County are health care, government (including schools), and hospitality and tourism in the summers. There is also a large Coast Guard facility in Astoria, the county seat. Key health issues include obesity/lack of physical activity, addiction and other behavioral health issues (including ACEs), and housing insecurity.
Wellville Focus Areas
Collaborative Name: Clatsop County Wellville Regional Steering Committee
Wellville Coordinator: Nancy Knopf
Areas of focus for Clatsop’s Regional Steering Committee include universal pre-K, increasing affordable housing stock, attracting stable jobs that pay a living wage, and motivating providers to invest in population health.
Resilience The team has coordinated a number of trauma-informed training initiatives for childcare providers, schools, hospitals, and other community organizations. The CCO recently hired a staff member to build a trauma-informed network across the education, justice, child welfare, and other systems. In addition, Providence Hospital hired a full-time social worker to educate clinical staff about trauma-informed care.
Obesity reduction and diabetes prevention The Clatsop County Kids Go program, now in its third year, has provided more than 600 kids with activities and resources to promote nutrition, physical activity, and emotional support. Examples include programs that ensure children have healthy food on weekends; “activity cards” that offer free fun, physical activities donated by businesses; and the Rx for Play program in which physicians give “prescriptions” to visit local national parks for free.
Community health A group of providers and stakeholders, supported by the CCO, is creating a Regional Health Improvement Plan to identify priority health needs and services. It will also double as the required community health needs assessments for the two local hospitals.
Substance abuse A CCO grant is helping to fund a local medication-assisted treatment center for addicts. The center will save the state up to $800,000 per year on the current cost to transport Clatsop residents to Portland and back for treatment each day…not to mention the toll on the patients’ time and potential productivity.
Policy The Steering Committee partners see opportunity for influencing local policy, including reallocating tax revenue to programs that support low-paid workers in the tourism industry and to fund Wellville programs.