
The Advanced Care Learning Community covers key topics relating to health center care transformation, with a focus on the evolution of the primary care team. We meet twice a year and collaborate through several web-based learning opportunities. Each HRSA grant year, we choose a theme to examine together.
Archive of Past Projects
Please see below for more information on our past work.
2022-2023: Paths to Value-Based Care
June 2022 Conference – Building Value-Based Care Strategies
- Agenda
- A Central Oregon Cost-Saving Partnership and recording
- Using Implementation Science for Health System Improvement
- Alternative Payment & Advanced Care Model (APCM) 2.0 and recording
- Portland Metro Value-Based Contracting Partnership and recording
April 2022 – Oregon Value Based Care History & Foundation, Presentation By: Craig Hostetler of Hostetler Group
2018 – 2019 Learning Sessions
January 2019 | Team-based approaches to responding to Substance Use Disorders in Primary Care
- Participant Agenda
- Learning Session Welcome, Keynote Plenary and HRSA Update
- Team Roles for Supporting Patients Experiencing Substance and Opioid Use Dependence
- Deeper Dive into Team Roles
- Engaging Peer Support Specialists to Partner with Patients
- Operationalizing MAT Systems in Primary Care
August 2018 | Social Determinants of Health & Health System Transformation

Keynote Address: Solving Disparities through Payment and Delivery System Reform by Marshall Chin of University of Chicago
Mini Learning Sessions:
- Exporting and Using SDH Data from OCHIN Epic by Winding Waters and Mosaic Medical
- Developing Risk Adjustment Models for Patient Care by Yakima Valley Farmworkers Clinic and Central City Concern
- Building Effective Partnerships with Community Resources by 211info and Project Access NOW
- Supporting the CHW Role in a Health Care Setting by Valley Family Health Care and Eastern Oregon CCO
- Building Data Capacity in a Community Health Center by Mosaic Medical
- CHC Leadership Engagement with CCOs by CHCs of Benton and Linn Counties and InterCommunity Health Network CCO
- Oregon’s CCOs: What do we know so far? by John McConnell of OHSU
- Evaluating Social Determinants of Health Programs by Caroline Fichtenberg of SIREN
January 2018 | Health Equity in Action: Aligning Payment and Care Transformation

- Introduction and Welcome Presentation
- Health Equity in Action: Aligning Payment and Care Transformation by Marshall Chin
- Plenary Presentations
- Mosaic Medical Health Equity Analytics by Ken House and Marshall Green
- Effective Community Partnering to Address Domestic and Sexual Violence Screening, Referral and Prevention by Keri Moran-Kuhn and Julie McFarlane
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Weaving People into Service Delivery: Our journey in walking beside others to implement PRAPARE by Kelly Volkmann, Christine Mosbaugh and Chris Campbell
- Mini Learning Sessions
- Mosaic Medical Health Equity Analytics by Ken House and Marshall Green
- Effective Community Partnering to Address Domestic and Sexual Violence Screening, Referral and Prevention by Keri Moran-Kuhn and Julie McFarlane
- Building Patient-Centered Social Determinants of Health Workflows to Improve Population Health Management by Carly Hood Ronick
- Care STEPs: From documentation to care redesign by Charles Ashou
- Human-Centered Design: A journey of understanding by Ariel Singer

