Access to health care and human services improves both individual and community health. This includes prevention and treatment services for physical, behavioral and oral health as well as support services, such as transportation, food assistance, childcare and assistance enrolling in and using health insurance. Health departments and other members of the public health system link people to needed services, ensure delivery of health care and an able workforce and evaluate the effectiveness, accessibility and quality of these services.

Goals:

Increase utilization of health and human services through the reduction of barriers and increased awareness

Goal 1: Increase the utilization of primary medical and dental care for individuals with Oregon Health Plan (OHP) in communities within Clackamas County.

Dec
2020

Objective: Conduct access disparity analysis of OHP data (led by Clackamas County Public Health staff).

Health Equity Zones: All

Age Range: 0-18

Clackamas County Public Health developed the BlueprintClackamas.com website that includes most recent data provided for multiple demographic levels.

This website tool allows for disparity analysis to be conducted.
Objective: Promote insurance benefit/medical transportation resources for Clackamas OHP members.
Health Equity Zone: All

Age Range: 0-18
Access to Care: Goal #1:
- Navigators:
  - Oregon DHS
  - Early Learning Hubs/Head Start/School Districts
  - PANOW
- Connections between healthcare and workforce
- System opportunity to coordinate navigators / networks
- Rural
  - Todos Juntos provides Family & Resource Coordinators development of rural network
- Health Systems
  - Kaiser & providence new technology investments
- Lynne Deshler:
  - Sandy, Estacada & Molalla Connect (under development)
- Need funding to help support and sustain coordination
- Dental:
  - Services being provided to Vets Village
  - Healthy Smiles program and dental navigation for WIC clients
  - Dental vans:
    Low cost ($500 for an organization to conduct event)
  - Behavioral Health:
    # of mental health providers within organizations would be helpful to know.
    
    CCSO trained and certified
    
    Mental health First Aid needed in high schools
    
    Currently, very limited mental health education provided in school
    
    Needs to be connector to social and emotional learning & student driven
  - Accessible & cultural competent is required
    Clackamas Women’s Services: staff that represent community; navigators & peers with lived experiences
Objective: Increase adolescent well child checks.

Health Equity Zones: All

Age Ranges: 0-18

Goal 2: Increase the proportion of individuals in Clackamas County with mental and substance use challenges who receive treatment.

Dec
2020

Objective: Conduct disparity analysis of mental and substance abuse utilization (led by Clackamas County Public Health & Behavioral Health).

Health Equity Zones: All

Age Ranges: 0-18
Objective: Explore social media and health advocacy awareness messaging.

Health Equity Zones: All

Age Ranges: 0-18
Objective: Training and education for primary care providers on screening tools for depression and suicide risk (e.g. SBIRT and Columbia screenings).

Health Equity Zones: All

Age Ranges: 0-18

Improve quality and capacity of health and human services through health equity

Goal: Increase number of formal partnerships and collaborations amongst agencies that deliver and provide services based on disparities within the 10 Health Equity Zones.

Dec
2020

Objective: Bring together critical stakeholders within Health Equity Zones to create and implement an agenda or framework (e.g. Purpose Built Communities, Democracy Now) that defines, messages and adopts a “no wrong door” model for services in areas of high need.

Health Equity Zones: BCC Equity Pilot Areas (Canby, Estacada & Milwaukie)

Age Ranges: All
Objective: Fund & utilize new/emerging technologies to help with care coordination, navigation and referrals regarding the social determinants of health.

Health Equity Zones: All

Age Ranges: All
Objective: Conduct social mapping of partnerships and develop database to track current networks, initiatives and activities.

Health Equity Zones: All

Age Ranges: All

Goal: Increase the availability of culturally appropriate and trauma informed care services provided.

Jan
2008

Objective: Create proposal for core health & human services that each Health Equity Zone should aspire to have in place within their local community.

Health Equity Zones: All eligible (TBD)

Age Ranges: All
Objective: Conduct gap analysis of core services across Clackamas County’s Health Equity Zones Conduct (with focus on addressing health disparities).

Health Equity Zones: All eligible (TBD)

Age Ranges: All
Objective: Design and implement action plan to address identified gaps learned by community-based and culturally specific partners and organizations.

Health Equity Zones: All eligible (TBD)

Age Ranges: All

Improve physical environments and access to transportation

Goal: Ensure residents have equitable access to transportation options for health & human service.

Dec
2020

Objective: Expand alternative modes of transportation to rural communities (e.g. Uber, Lyft, volunteer driving programs).

Health Equity Zones: Rural HEZs

Age Ranges: All
Objective: Expand Transportation Reaching People (TRP) program with increased emphasis equity.

Health Equity Zones: Rural HEZs

Age Ranges: All
Objective: Increase safe, affordable routes for residents to access services in urban communities.

Health Equity Zones: Urban/ Suburban HEZs

Age Ranges: All

Goal: Improve physical environments to support access to health & wellness. Dec

Dec
2020

Objective: Increase use of telehealth, emerging technologies, community paramedics & community health workers to bring services to people.

Health Equity Zones: Rural HEZs

Age Ranges: All
Objective: Increase the amount of safe, affordable and interconnected communities within the Clackamas County Health Equity Zones.

Health Equity Zones: Urban/ Suburban HEZs

Age Ranges: All
Objective: Incorporate all relevant modes of travel into transportation projects for all jurisdictions who own roads in Clackamas County.

Health Equity Zones: All

Age Ranges: All

Explore More Priorities

Goals:

Increase utilization of health and human services through the reduction of barriers and increased awareness

Objective: Conduct access disparity analysis of OHP data (led by Clackamas County Public Health staff).

Objective: Promote insurance benefit/medical transportation resources for Clackamas OHP members.

Objective: Increase adolescent well child checks.

Objective: Conduct disparity analysis of mental and substance abuse utilization (led by Clackamas County Public Health & Behavioral Health).

Objective: Explore social media and health advocacy awareness messaging.

Objective: Training and education for primary care providers on screening tools for depression and suicide risk (e.g. SBIRT and Columbia screenings).

Improve quality and capacity of health and human services through health equity

Objective: Bring together critical stakeholders within Health Equity Zones to create and implement an agenda or framework (e.g. Purpose Built Communities, Democracy Now) that defines, messages and adopts a “no wrong door” model for services in areas of high need.

Objective: Fund & utilize new/emerging technologies to help with care coordination, navigation and referrals regarding the social determinants of health.

Objective: Conduct social mapping of partnerships and develop database to track current networks, initiatives and activities.

Objective: Create proposal for core health & human services that each Health Equity Zone should aspire to have in place within their local community.

Objective: Conduct gap analysis of core services across Clackamas County’s Health Equity Zones Conduct (with focus on addressing health disparities).

Objective: Design and implement action plan to address identified gaps learned by community-based and culturally specific partners and organizations.

Improve physical environments and access to transportation

Objective: Expand alternative modes of transportation to rural communities (e.g. Uber, Lyft, volunteer driving programs).

Objective: Expand Transportation Reaching People (TRP) program with increased emphasis equity.

Objective: Increase safe, affordable routes for residents to access services in urban communities.

Objective: Increase use of telehealth, emerging technologies, community paramedics & community health workers to bring services to people.

Objective: Increase the amount of safe, affordable and interconnected communities within the Clackamas County Health Equity Zones.

Objective: Incorporate all relevant modes of travel into transportation projects for all jurisdictions who own roads in Clackamas County.

Explore More Priorities