Oregon Primary Care Association

Leading the transformation of primary care to achieve health equity for all.

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What is the Oregon Primary Care Association (OPCA)?

  • OPCA is a non-profit membership association, founded in 1984.
  • Our Mission is to lead the transformation of primary care to achieve health equity for all.
  • Our members are Oregon's community health centers, also known as Federally Qualified Health Centers (FQHCs), and those who support them.
  • Community health centers deliver integrated primary care, including dental and behavioral health services, to over 400,000 Oregonians. In addition to providing integrated primary care, health centers work to help patients improve the circumstances of their lives and develop healthy behaviors, through services like job training, literacy education, and connection to resources for affordable housing and healthy food.
  • Scroll down for more information about Oregon’s community health centers and OPCA’s leading edge programs.

Oregon's Community Health Centers By The Numbers.

  • Over 400,000 Oregonians receive their primary care at a community health center.
  • Community health centers employ over 4,500 providers and staff in rural and other underserved communities at over 200 locations across the state.
  • Community health centers are critical partners in the provider networks of Oregon’s Coordinated Care Organizations, and serve one in four patients on the Oregon Health Plan.
  • Over 75% of community health centers have clinic sites serving rural communities.
  • Community health centers have clinic locations in 85% of Oregon counties.
  • 73% of community health center patients live at or below the poverty line, and 94% live at or below 200% of the Federal Poverty Level.
  • 30% of Oregon’s community health centers are federally recognized as Health Care for the Homeless locations and 33% are designated as Migrant Health Centers.



Some of our highlighted programs:

  • Over the past two years, OPCA has been meeting with a workgroup of clinics and state Medicaid agency staff to frame an Alternative Payment Methodology (APM) for community health centers (CHCs). The methodology converts each CHC’s federally defined Prospective Payment System (PPS) rate to a capitated equivalent for their scope of primary care services. Phase 1 (see below) went live with the APM on March 1, 2013.

  • The primary goal of offering an alternative payment model to health centers in Oregon is to make available a payment option that does not link to the traditional patient encounter, removing the incentive to produce more patient visits as a measure to maintain practice revenue and providing care that is patient centered. Tying clinic reimbursement to quality management of the health of a population is better aligned with the Triple Aim of improving the experience of care, improving the health of populations and reducing per capita costs of health care.

  • The Social Determinants of Health (SDoH) are the conditions in which people are born, live, work and age. They are shaped by the distribution of money, power and resources at global, national and local levels. SDoH account for an estimated 40 percent of health outcomes and are largely responsible for health inequities. OPCA leads several initiatives that are focused on impacting the social determinants of health.

  • The Data Transparency Project is a collaboration between OPCA and Oregon’s community health centers. Our goal: Improve the performance of Oregon’s health centers on six key measures. These measures, identified as a top priority by clinic leaders, will be shared transparently by each clinic with OPCA and with other health centers in the clinic's cohort as they work to improve outcomes.

  • It Takes a Neighborhood is a project focused on piloting a new role, called the Health Instigator, within the transformation of Oregon’s healthcare system. A Health Instigator is a full-time community resource working at a systems level rather than with individual patients. Health Instigators support the communities they work with to improve the health, healthcare experience, and health equity of a specific population (such as homeless), as well as reduce the cost of their healthcare.

  • Oregon Primary Care RT @RMHPCommunity: Congratulations, Oregon...way to go. 1115 Waiver 2017-2022 Renewal @CCOOregon @CareOregon @OregonPCA https://t.co/vnAt2… About 4 days ago
  • Oregon Primary Care RT @Alyajouri: Great idea!! @Lines_for_Life and @youthmoveoregon using @Layar Augmented Reality technology to reduce #YouthSuicide in #Ore… About 1 month ago
  • Oregon Primary Care RT @Vanettaa_PDX: So great to attend 30th Anniversary #SBHC & ribbon 🎀 cutting new clinic #Roosevelt_HS_PDX @MultCoHealth @multco #CHC #FQH… About 1 month ago
  • Oregon Primary Care RT @Alyajouri: Excited to see the recommendations! @OHAOregon @OregonPCA #oregon #BehavioralHealth https://t.co/71UkDQiUXa About 2 months ago