COLUMBIA RIVER COMMUNITY HEALTH SERVICES
PO BOX 397, BOARDMAN, OR 97818 www.crhclinic.net

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Organizations Filed Purposes: TO IMPROVE THE QUALITY OF LIFE FOR ALL PEOPLE IN THE COMMUNITY, PARTICULARLY THE MEDICALLY UNDERSERVED AND VULNERABLE, BY PROVIDING ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE.

COLUMBIA RIVER COMMUNITY HEALTH SERVICES CLINIC'S VISION IS TO CONTINUE TO BE THE RECOGNIZED RESOURCE AND REFERRAL FOR HIGH-QUALITY HEALTH CARE AND OCCUPATIONAL SERVICES FOR OUR GROWING COMMUNITY.

THE PURPOSE OF COLUMBIA RIVER COMMUNITY HEALTH SERVICES (CRCHS) IS TO PROTECT AND IMPROVE THE QUALITY OF LIFE FOR ALL PEOPLE, PARTICULARLY THE MEDICALLY UNDERSERVED AND VULNERABLE PEOPLE, BY PROVIDING ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTHCARE. IN ADDITION, CRCHS UTILIZES A SLIDING FEES SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY, BASED ON INCOME AND FAMILY SIZE, A PORTION OF THEIR CHARGES MAY BE FOREGONE FOR A NOMINAL OR FLAT FEE.CRCHS EXTENDED THE HOURS THE CLINIC IS OPEN TO SATURDAY AND EVENING HOURS DURING THE WEEK. THIS HAS INCREASED THE NUMBER OF PATIENTS FOR THE CLINIC AND REMOVED A BARRIER TO ACCESSIBILITY OF HEALTH CARE TO MANY IN THE COMMUNITY. OUR TOTAL PATIENTS INCREASED FROM 3,129 TO 3,464.OUR DENTAL PROGRAM IS IN PLACE FOR THOSE WHO ARE QUALIFIED AS LOW INCOME AND HAVE NO DENTAL INSURANCE. IN 2017, WE HAD 520 VISITS, MOST FOR EMERGENCY EXTRACTIONS AND RESTORATIVE WORK. WE WORK WITH ADVANTAGE DENTAL CLINICS FOR EMERGENCY TREATMENTS, MEDICAL TEAMS INTERNATIONAL FOR RESTORATIVE TREATMENT, AND PRODENTAL COMES ONSITE TO PERFORM DENTAL CLEANINGS.WE HAVE A 1.0 FTE X-RAY TECH WITH DIGITAL X-RAY TECHNOLOGY AVAILABLE.A LANGUAGE LINE IS AVAILABLE FOR ANY NON-ENGLISH SPEAKING PATIENT. THE LANGUAGE LINE SERVICE IS USED ANYWHERE FROM 15 TO 180 MINUTES PER MONTH. IT VARIES FROM MONTH TO MONTH, BUT WE ARE GLAD IT IS AVAILABLE FOR THE PATIENT, WHEN IT IS NEEDED.IN 2017, CRCHS STARTED OFFERING BEHAVIORAL HEALTH SERVICES INTEGRATED WITH OTHER SERVICES. BY INTEGRATING SERVICES CRCHS HOPES TO IMPROVE QUALITY OF LIFE FOR PATIENTS MORE EFFECTIVELY. IN DECEMBER 2017, CRCHS OPENED A PHARMACY TO BETTER SERVE ITS PATIENTS. THE PHARMACY IS LOCATED IN THE GROCERY STORE IN TOWN, THE MOST CONVIENEINT LOCATION AVAILABLE CURRENTLY. ADDITIONALLY, CRCHS IS CONTRACTED WITH CAPTURE RX, WHO CONTRACTS WITH PHARMACIES IN THE REGION TO DISPENSE 340B DRUGS. THIS PROGRAM IS CONTROLLED BY CAPTURE RX AND ALL OF OUR PATIENTS ARE ELIGIBLE. A COMPUTER PROGRAM SCRUBS THE PRESCRIPTIONS, AND GIVES THEM THE BETTER PRICING OF THE PHARMACIST STOCK AND THE 340B PRICING. THE MEDS ARE DISPENSED BY THE CONTRACTED PHARMACIES, AND RESTOCKED BY CAPTURE RX. THEY BILL US FOR THE MEDS RESTOCKED AND ALSO ISSUE US PAYMENTS FROM PROCEEDS FROM THE PROGRAM.WE ARE AN OUT STATIONED OUTREACH WORKER (OSOW) WITH THE STATE OF OREGON. WE PROVIDE ASSISTANCE WITH THE OREGON HEALTH PLAN APPLICATION PROCESS (MEDICAID). FREE TRANSPORTATION IS PROVIDED FOR OUR SERVICE AREA PATIENTS. SPANISH-ENGLISH BILINGUAL STAFF IS THROUGHOUT THE VARIOUS DEPARTMENTS, TO ASSIST WITH OUR HIGH NUMBER OF SPANISH SPEAKING ONLY PATIENTS.OUR REFERRAL COORDINATOR HAS BEEN IDENTIFIED AS A "BEST PRACTICE," BY HRSA. HER WORK FLOW AND PROCESS HAS INCREASED THE EFFICIENCY OF REFERRING PATIENTS TO SPECIALISTS AND SENDING AND RECEIVING ALL NEEDED MEDICAL RECORDS AND IMAGES. PATIENTS RECEIVE A CUSTOMIZED PACKET OF INFORMATION FOR THEIR SPECIALIST VISIT, THE SPECIALIST RECEIVES ALL PERTINENT DOCUMENTATION AND PAPERWORK, AND OUR PROVIDERS RECEIVE CONFIRMATIONS OF THESE VISITS AND THE FOLLOW-UP REPORTS.IN 2017, THE UNINSURED PATIENTS WERE 19% OF THE TOTAL AND MEDICARE AND MEDICAID WAS 36% OF THE TOTAL.

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