Benton Community Health Center

1. Located at: 530 NW 27th Street Corvallis, Oregon (inside the Public Services building) Medical Staff consists of: Benton Community Health Center • 3 Physicians • 6 Nurse Practitioners • 6 Medical Assistants • 2 Registered Nurses Population served: • Patients diagnosed with Diabetes: 135 • Ethnicity: • 41 Hispanic • 85 Non-Hispanic • 18 Not Collected / Unknown • Race: • 2 Asian • 1 Black • 29 Not Collected / Unknown • 1 Pacific Islander • 111 White Programs offered at Center • Primary Care • Pediatrics • Internal Medicine • Reproductive Health

2. Benton Community Health Center The Insulin Dodgers Scott Williams, MD Medical Director Margie Pridgen Medical Assistant Bev Kirch, RN Clinic Supervisor Kathy Simonson Business Analyst

3. Benton Community Health Center AIM Benton Community Health Center will utilize PECS to create an electronic registry of the population focus. The registry will be used to follow specific outcome measures, and to create a callback and patient reminder system. Under the CCM, our initial focus will be improving self-management support and the standardization of educational tools. Self-management support will be provided through group visits and the use of patient action plans. Ultimately, we strive to be community leaders in changing the local healthcare delivery model for chronic disease.

4. Benton Community Health Center Population of Focus Benton Community Health Center will implement the Chronic Care Model (CCM) with the purpose of improving the quality of care in the treatment of Diabetes. The initial population of focus will be all patients with the diagnosis of Diabetes who receive care from the Benton and Lincoln Health Center sites. At the time of program inception the targeted population is 135 patients. Enrollment in the program will be on going as new patients are identified within the target population.

5. Benton Community Health Center Action Goals: 1) Develop collaboration between Benton Community Health Center and Oregon State University College of Pharmacy to provide disease management through the use of standing order protocols. 2) Utilize available resources within the Benton County Health Department to better serve our patients. Examples include; self-management classes using the Stanford Model, program evaluation through Health Promotion Program. 3) Identify evidence-based standing orders and protocols to improve the quality of care and flow of work. 4) Implement evidence-based standing orders and protocols to improve the quality of care and flow of work.

6. Benton Community Health Center Outcome Goals: 1) At least 70% of patients will have DM flow sheet in chart for six months. 2) At least 70% of patients will have two HgbA1cs within one year (12 months). 3) At least 50% of patients will have documented self- management education and goals (12 months). 4) At least 40% of patients will have HgbA1c less than 7.0 (15months). 5) At least 40% of patients will have LDL less than 100 (15 months)

7. Benton Community Health Center • Registry • PECS • Plans on populating / entering patient data into registry by August 1, 2007 • Who can assist • Enter all at once or as patients come for treatment?

8. Benton Community Health Center Key Partnerships Oregon State University College of Pharmacy Samaritan Health Services Benton County Health Department