COMMUNITY
NEWSLETTER

July 2023

Construction of the expanded Acute Care Clinic is underway on Market Street in Medford. See more information in this newsletter.

Construction of the expanded Acute Care Clinic is underway on Market Street in Medford. See more information in this newsletter.

Thank you to the patients and community partners who told their
La Clinica stories for this newsletter.

Plan B for field-based services

After fire guts La Clinica's Mobile Health Center, field-based employees are back out in the community

Photo of state Rep. Pam Marsh and Community Partnership Director Ed Smith-Burns

Community Partnership Director Ed Smith-Burns talks with state Rep. Pam Marsh of Ashland at the Medford Navigation Center about La Clinica's plans to begin video medical visits.

State Rep. Pam Marsh of Ashland gets a tour of a space at the Medford Navigation Center La Clinica hopes to begin using for video medical visits.

Members of La Clinica’s field-based care team expected by now to be serving patients from a shiny new mobile health center. Instead, after a fire set in the new center made it unusable the week it debuted in June, they are returning to a traditional approach to community connections: putting outreach workers at community sites where they can connect with people in need. 

“None of this is what we thought we’d be doing right now, but we’re grateful to have the opportunity to continue our work,” said Ed Smith-Burns, La Clinica’s community partnership director. “We recognize the deep need in our community for this care and the struggle many people face every day when they’re unable to get the care they need. This incident only reinforces our compassion for and commitment to this population.” 

In the revised approach, La Clinica employees are visiting four former mobile health locations: the OHRA Center in Ashland, plus the Medford Navigation Center, Rogue Retreat Urban Campground, and Set Free Christian Fellowship in Medford. The schedule is at https://laclinicahealth.org/mobile

Employees connect people at the sites with community resources, but insurance rules mean the organization cannot provide on-site medical care. For those who need care, the team makes referrals to same-day appointments at La Clinica’s Acute Care Clinic at 616 Market St., Medford. La Clinica can provide transportation from the outreach sites to the clinic. 

Last week saw leaders scouting potential locations to take another step: adding video visits so patients at partner sites can connect with a La Clinica healthcare provider electronically and get the care they need in the moment. 

The new Mobile Health Center on the morning of the fire, which gutted the health center portion of the vehicle.

The new Mobile Health Center on the morning of the fire, which gutted the health center portion of the vehicle.

What’s next for a Mobile Health Center? 

A month after a fire gutted La Clinica’s new Mobile Health Center, the organization is poised to restart the process of creating a new vehicle to serve the community. 

Most of the $700,000 40-foot custom-built vehicle, originally purchased with federal funds, was destroyed in the June 23 arson, and insurance adjusters are assessing damage now. Once that is complete, La Clinica will begin what could be a year-long process to get a new vehicle, said Ed Smith-Burns, La Clinica’s community partnership director. Some have asked whether La Clinica might use its old mobile center in the interim, but the team moved its equipment to the new center in mid-June, making the old vehicle unusable as well. 

As it takes outreach services back into the community this summer, La Clinica is collecting donations to help the field-based care team. Click the button below or call Chief Development Officer Maria Ramos Underwood at 541-890-4987. 

School's out and the doctor's in

In-school services this summer

Medical cross

Medical

Three schools spread over three districts — Phoenix-Talent, Medford, and Central Point — are open on a rotating basis for care by appointment.

Mental health

Ten therapists are providing counseling at eight campus health centers, up from seven therapists at four schools last summer.

Tracy McIntyre is grateful that her son, Jackie, has access to monthly medical appointments to manage medication this summer.

Need doesn't follow the school calendar, so La Clinica expands summer services for kids

When the McIntyre family moved to Medford from Salem a year and a half ago, La Clinica’s school-based health centers helped them connect with medical care and counseling that Jackie McIntyre, now an 11-year-old who just finished fifth grade at Orchard Hill Elementary School, needed to thrive. 

His mom Tracy McIntyre wanted her son, who has autism and attention-deficit hyperactivity disorder, to get counseling to help him stick up for himself against abusive bullies and to resist negative peer pressure, challenges at previous schools. It was also vital that he get monthly medical appointments to safely manage medication to treat his ADHD. 

The McIntyres conveniently found that care at school during the school year and into the summer as La Clinica expanded medical and mental health services at school-based health centers to enhance year-round access.

School-Based Health Center Director Elise Travertini said kids and families are more likely to come to appointments over the summer with therapists they already know. Her team has found that patients referred to care outside La Clinica over the summer often miss roughly half of their appointments. 

On the medical side, monthly medication management, sports physicals, well-child checks, especially for the littlest pediatric patients, and reproductive health care for teens will all be more easily available, said School-Based Nursing Manager Rebecca Holmes. 

“It works really well,” Tracy said of the medical care available to Jackie year-round from Family Nurse Practitioner Jill Celestskye at the Phoenix Elementary School-Based Health Center. 

Tracy is grateful Jackie worked with La Clinica therapist Carol Adams at Orchard Hill last school year. And she’s even happier that Carol steered the McIntyres to La Clinica’s school-based health centers for regular medical care, without the long waits to establish care faced at many clinics around the valley in early 2022.  

“It’s faster and easier, especially when he’s in school,” Tracy explained. “But even in the summer, they get back to us so quick. He got his meds right away.” 

Photo of Tracy and Jackie McIntyre

Tracy McIntyre is grateful that her son, Jackie, has access to monthly medical appointments to manage medication this summer.

Tracy McIntyre is grateful that her son, Jackie, has access to monthly medical appointments to manage medication this summer.

Even more mental health support due in fall

After La Clinica saw roughly 40% growth in the number of patients seeking mental health services from 2021 to 2022, the school-based team aims to add more behavioral health support this fall. Plans call for adding six therapists and three more employees who work with kids to put the skills they learn in therapy into action on the playground and in the classroom.  

The additional therapists will enable La Clinica to place two therapists at each high school served — Ashland, Crater, and Phoenix. The new skills trainers will double the number of La Clinica employees providing this support. 

La Clinica also continues to develop an internship program for master's level students aiming to gain experience by working in behavioral health in schools and primary care clinics. Seven new interns in the fall and two more in winter will join the team and serve for nine months as part of their graduate studies.

Poised for growth

Acute Care Clinic expansion campaign gets a huge boost as construction continues in Medford

As La Clinica’s expanded Acute Care Clinic takes shape along Market Street in Medford, a major contribution from the state is poised to move the project’s fundraising campaign toward the finish line. The state Legislature approved $2.2 million in state general funds for the project in the session that ended in June. La Clinica has raised about $3.6 million to date for this project. The bill is awaiting Gov. Tina Kotek’s signature. 

"The large state contribution is an acknowledgement of the importance of this facility to our community,” said Chief Executive Officer Brenda Johnson. "We know we owe a ton of gratitude to legislators who helped move this." Also, leaders of both local hospital systems wrote letters supporting the expansion to relieve pressure on hospital emergency departments, contain healthcare costs, and improve the area’s ability to respond to disease outbreaks and other emergencies.  

Here’s a look at how the Acute Care Clinic project got its start and what it will add for the community: 

A 10-year journey to the future

May 2014

Wellness Center property

La Clinica buys a 2,000-square-foot former auto repair shop at 616 Market St. as part of the purchase of land and a nearby building for its Wellness Center. The Market Street building is used for storage.

March 2020

A pandemic descends

La Clinica opens a respiratory triage clinic at its Wellness Center to screen and care for people with symptoms of COVID-19.

March 2021

A new respiratory clinic home

Using Federal Emergency Management Agency funding, La Clinica quickly remodels the storage building into what becomes known as the Acute Care Clinic, moving COVID vaccination, screening, and treatment out of the Wellness Center and into a space of its own.

Spring 2022

A larger purpose

La Clinica begins using the Acute Care Clinic to provide services unrelated to the pandemic, offering same-day appointments for a variety of concerns. Leaders begin talking about community need and what it would take to open a facility large enough to address community healthcare concerns.

April 2023

Big dreams

La Clinica breaks ground on a major expansion to the clinic, envisioning two buildings that create a "campus" with more space for patients, imaging facilities, and a drive-up pharmacy.

Summer 2024

Meeting a community need

Community support and need are driving La Clinica's campaign to improve same-day access to care in the Rogue Valley. The team's goal is to open the new buildings in 2024.

x-ray result

What the clinic will offer

The two-building campus will offer same-day drop-in medical care, just as the smaller clinic does now but in an expanded footprint. The expansion will include x-ray and ultrasound services, giving staff the tools to address broken bones and other injuries without sending patients elsewhere. It will be home to La Clinica's first drive-up pharmacy.

How it will be different

Solar panels on the larger building's roof will ensure it can stay at full operations when the power is out. One wing of exam rooms has a separate ventilation system to ready the building to treat patients during infectious disease outbreaks or emergencies.

Who it serves

The Acute Care Clinic is a community resource that provides drop-in care for people with urgent needs. Acute Care Clinic staff see patients who want to be seen quickly and coordinate follow-up care with primary care providers throughout the community. People who struggle to be seen elsewhere in the community have access at this clinic.

Building the team

Chart showing numbers of healthcare providers needed by 2031

*Source: Oregon Employment Department, Workforce and Economic Research Division

Chart showing numbers of healthcare providers needed by 2031

*Source: Oregon Employment Department, Workforce and Economic Research Division

Chart showing numbers of healthcare providers needed by 2031

*Source: Oregon Employment Department, Workforce and Economic Research Division

Chart showing numbers of healthcare providers needed by 2031

Source: Oregon Employment Department, Workforce and Economic Research Division

*Source: Oregon Employment Department, Workforce and Economic Research Division

*Source: Oregon Employment Department, Workforce and Economic Research Division

*Source: Oregon Employment Department, Workforce and Economic Research Division

Chart showing numbers of healthcare providers needed by 2031

Source: Oregon Employment Department, Workforce and Economic Research Division

Provider talking to patient

Branddy Walter, left, a family nurse practitioner at Phoenix Health Center, talks with a patient recently. Branddy was a registered nurse at the health center and went back to school to become a nurse practitioner. When she started in her new role, the mentorship of experienced healthcare providers at the center helped her adjust to the new job. This year, La Clinica is formalizing the approach in a residency program.

Provider talking to patient

Branddy Walter, left, a family nurse practitioner at Phoenix Health Center, was a registered nurse at the health center and went back to school to become a nurse practitioner. The mentorship of experienced healthcare providers at the center helped her adjust to the new job. This year, La Clinica is formalizing the approach in a residency program.

Residency program launches in fall to help build the community's healthcare workforce

If you’ve waited longer than you’d like to see a doctor, you’re familiar with the issue behind an innovative new program at La Clinica. The nation — and southwest Oregon — have a problem of simple supply and demand: too many patients and too few healthcare providers. 

Enter La Clinica's new Advanced Practitioner Residency Program. It aims to boost the number of healthcare providers available to Jackson County residents at La Clinica and elsewhere as one piece of addressing what state officials say will be a need for hundreds of new healthcare providers locally in the coming decade.  

The one-year residency offers an opportunity for newly graduated nurse practitioners and physician assistants to work alongside experienced primary care doctors, nurse practitioners, and specialist providers. La Clinica’s program is the first of its kind in Southern Oregon. In the state, the only nurse practitioner residency program accredited through the Consortium for Advanced Practice Providers is at the Veterans Affairs Medical Center in Portland. This month, La Clinica was awarded a $2.8 million federal grant that over the coming four years will cover costs while La Clinica launches the program and makes it financially sustainable.

“Advanced practice providers are providing more and more primary care and don’t have residency training built into their education like medical doctors do,” says Susan Hearn, officer for The Learning Well, La Clinica’s education and support service. “La Clinica’s residency program allows nurse practitioners and physician assistants to be better prepared, more resilient, and practice confidently. We believe the program will benefit La Clinica patients and the greater Southern Oregon healthcare system.”   

Residents will have the opportunity to work with specialty healthcare providers both at La Clinica and in the community. They'll also receive training to help them work compassionately with diverse patients by providing healthcare-specific equity, diversity, and inclusion training.  

“Many healthcare providers don’t receive intentional training that gives them tools to reduce inequities in healthcare,” says Bryon Lambert, equity, diversity, and inclusion director for La Clinica. “Inequities are avoidable, unfair, and unjust differences in health status and mortality rates across population groups, such as how black women have a higher incidence of breast cancer than white women. Unless we help providers become aware of structural health inequities, the gap will continue to widen, and patients will not receive the care they deserve.”

Kathryn Warner

Kathryn Warner

In addition to addressing health equity and the primary care provider shortage, La Clinica hopes to improve provider retention and burnout, says Residency Program Director Kathryn Warner, a family nurse practitioner. She spent her first year as a family nurse practitioner working closely with La Clinica providers, who served as her mentors. 

“Before I came to La Clinica, I was working in an emergency room and felt overwhelmed and unsupported,” says Kathryn. “Mentoring under providers at La Clinica felt like working in a sanctuary. They shared my emotional burden of caring for patients and motivated me. The residency program is focused on creating and sustaining positive work and learning environments. We hope to raise the valley’s expectations of provider care with graduates who will be confident primary care providers and future healthcare leaders.” 

Why La Clinica?

We asked four donors about their choice to give to La Clinica. Here's what they said.

Photo of Sally and Al Densmore

Sally and Al Densmore

Sally and Al Densmore

Al and Sally Densmore
Community supporters

From Al: "Sally and I have always felt blessed to have great healthcare coverage especially because of my military service, so we look to support those groups in our community who provide help to those who don't.  La Clinica is working every day to provide comprehensive care to take care of the 'whole person,' and we are proud to be supporters."

Photo of Lance Reyes

Lance Reyes, Propel Insurance

Lance Reyes, Propel Insurance

Lance Reyes
Propel Insurance

"La Clinica has been constant in working to reduce healthcare disparities in our community so that our family, neighbors, and friends may all be better enabled to contribute toward a healthy community.  This work resonates personally in my daily work, and I’m both appreciative and proud to partner in support of their teams!"

Photo of Stephanie Roland

Stephanie Roland, Ashland Community Health Foundation

Stephanie Roland, Ashland Community Health Foundation

Stephanie Roland
Ashland Community Health Foundation

“I recognize La Clinica as a community health leader for the many ways they are filling gaps and increasing healthcare access in our community. From establishing school-based health centers to partnering with organizations around the Rogue Valley, La Clinica brings health care within reach of those who are often underserved.” 

Photo of Matt Stephenson

Matt Stephenson, Rogue Credit Union

Matt Stephenson, Rogue Credit Union

Matt Stephenson
Rogue Credit Union

"La Clinica is an amazing community organization filled with compassionate and capable people who diligently strive to serve the people of our community who need it the most. We’re proud to partner with them!”  

Our mission

We serve the people who need us most through exceptional, affordable, and compassionate care, inspiring all those we touch to lead full and healthy lives.

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Support our work

We rely on financial contributions from community members, partners, grants, and foundations to do what we do in the community. Join our supporters today.

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Join our employee team

We’re a different kind of employer, a great place to start, continue, or finish your career or even to get your feet wet for the first time in the working world. See if you're a good fit.

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Meet our board of directors

La Clinica's work is guided by an ambitious, committed, and engaged group of community leaders that includes some of our patients. Learn more.

Thank you for reading. We are grateful for the community support that makes our work possible.