Origin Stories: Mosaic Medical

Origin Stories: Mosaic Medical

By Bridget McGinn, Communications Manager, Mosaic Medical

Quality Care For All: The Mosaic Medical Origin Story

Founded under President Johnson during the War on Poverty initiative in the 1960s, Community Health Centers provide citizens across the nation with access to crucial primary care. By reducing patient barriers such as cost, lack of insurance, distance, and language, these bi-partisan, federally funded models of healthcare delivery now serve nearly 30 million Americans through a system of over 1,400 CHCs across the country.

Prineville Roots

The first CHC in Central Oregon, Ochoco Community Clinic, was founded in Prineville in 2002 in response to community concern about the number of people ending up in the emergency room with preventable acute needs. One poignant incident occurred in the spring of 2001, when a Prineville family without insurance lost their infant to a preventable disease. Shortly after, local leaders came together with the goal of ensuring that the poor, low-income, and uninsured individuals would have access to primary care.

Ochoco Community Clinic in 2002, which later evolved into Mosaic Medical.

During its first year, Ochoco Community Clinic ensured that nearly 700 individuals were able to receive affordable healthcare. The need for accessible healthcare continued to grow across the region, and two additional clinics were opened in Madras and Bend as part of Ochoco Health Systems. In 2008, the three clinics were renamed as one nonprofit organization: Mosaic Medical.

Mosaic Medical Today

Today, through a network of 15 clinics—including six School-Based Health Centers and a Mobile Community Clinic—Mosaic serves a patient base of 27,000 community members in Bend, Redmond, Madras, and Prineville.

Our organization employs close to 400 staff across the region, representing the demographics of those we serve. We are governed by a volunteer, patient-majority Board of Directors with representatives from Crook, Deschutes and Jefferson Counties. Our CEO, Megan Haase, FNP is one of the original providers who helped to launch the Prineville clinic at the heart of the Mosaic legacy.

Megan Haase, FNP and Mosaic Medical CEO, with a young patient at the Ochoco Community Clinic in 2002.

We serve Central Oregonians from all walks of life, meeting patients where they are and partnering with them on their path to optimal health. We prioritize cultural humility and equity in our care. Through a trauma-informed perspective, we offer our patients a team-based model of care that includes support from a wide array of disciplines, including dental, behavioral health, community health, nutrition, pharmacy, and more. Our goal is to optimize not just the physical, but the mental wellness and community supports around our patients.

At Mosaic, we truly believe in “Quality Care For All” and proudly serve individuals and families regardless of income or insurance status, race, religion, country of origin, language, gender, sexual orientation, age or abilities.

Responding to a Global Health Crisis

The strength and flexibility of our organization and our employees has never been more evident than in our response to the COVID-19 pandemic. Prior to the pandemic less than 1% of our employees worked from home. Within a period of one month, nearly 85% of our staff transitioned from working in clinics and offices to working from home, thanks to the heroic efforts of our IT team. This incredible transformation, and all the technological and process issues it entailed, was accomplished while continuing to respond and provide care to a record-breaking number of patients reaching out to us in an ever-changing environment:

  • The Mosaic call center processed more than 15,000 calls a month while simultaneously transitioning to remote systems.
  • Our triage nursing team provided advice and home care tips to thousands of concerned callers.
  • Clinic leaders developed dozens of new procedures to meet the needs of patients while protecting everyone’s health.
  • Providers, RNs, and MAs moved quickly to adopt virtual technology; Mosaic’s virtual visits soared from an average of 27 per week pre-COVID to more than 1300 per week in June.
  • Our Behavioral Health team switched to remote visits, made wellness calls and launched a hotline to support patients susceptible to anxiety, depression, and substance abuse.
  • Dental staff transitioned to meet patient needs through a combination of tele-dentistry and safe in-person visits for urgent needs.
  • The Clinical Education team developed a centralized inventory system, trainings, and conservation strategies for Personal Protective Equipment.
  • Our Clinical Apps team developed new SMART phrases and workflows to support virtual patient engagement.
  • Mobile Community Clinic staff modified their intake process to ensure that they could continue to safely serve our patients experiencing homelessness throughout the region.
  • Leadership staff engaged with lawmakers to advocate for critical community health center funding in federal stimulus bills.
  • The Mosaic Pharmacy team opened our first retail pharmacy in Prineville while PRAs worked tirelessly to process medication refill requests, which increased sharply beginning in early March.
  • With Spanish-speaking employees leading the effort, Mosaic strengthened our outreach to community members who were struggling with finding COVID-19 information in Spanish.
  • Our Community Health Worker team compiled Google documents to track the availability of food, shelter and other resources for patients. This information was later used to launch the Central Oregon Resource Directory, utilized by our entire community.
  • Our Oregon Health Plan enrollment team adapted to the virtual environment and continues to assist the increasing number of Central Oregonians who have lost their jobs and are in need of health insurance.
  • With a grant of $50,000 from the OHSU Knight Cancer Institute, we are implementing an at-home colon cancer screening program.
  • We have launched our Drive-Up Care program with locations in Bend, Redmond and Prineville to provide important point-of-care testing and health checks to patients in a safe outdoor environment.

Very early on, under the direction of our leadership team, a workgroup was established to take decisive action to protect the health of our patients and our employees. The effectiveness of this team resulted in transition to a permanent decision-making body for the organization moving forward.

At Mosaic, we continue to learn and adapt quickly in this constantly changing and urgent situation, motivated by the understanding that we are truly making a difference for our community.

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1 Comment
  • Lisa Kuettle
    Posted at 20:30h, 16 August Reply

    I worked at this clinic 2004-2007. There were five providers: Tina Busby, Linda hatch, Megan Haas, Jon Dawson, and me.

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