Columbia River Community Health Services

The purpose of Columbia River Health (crh) is to protect and improve the quality of life for all people, particularly the medically underserved and vulnerable people, by providing access to high quality primary and preventative healthcare. In addition, crh utilizes a sliding fee schedule up to 200% of the federal poverty guidelines. For applicants that qualify, based on income and family size, a portion of their charges will be foregone for a nominal or flat fee. Crh had an overall decrease in patient visits from 11,797 in 2021 to 11,198 in 2022. Our dental program is in place for those who are qualified as low income and have no dental insurance. We work with advantage dental clinics for emergency, and preventive treatments. We have a 2.0 fte x-ray tech with digital x-ray technology available. A language line is available for any non-english speaking patient. The language line service is used anywhere from 15 to 180 minutes per month. It varies from month to month, but we are glad it is available for the patient, when it is needed. Behavioral Health in the clinic includes substance use disorder treatment. Providers are x- waivered, to treat opiated use disorder with medication. The pharmacy is located in the grocery store in town, the most convenient location available currently. Additionally, crh is contracted with capture rx, who contracts with pharmacies in the region to dispense 340b drugs. This program is controlled by capture rx and all of our patients are eligible. A computer program scrubs the prescriptions, and gives them the better pricing of the pharmacist stock and the 340b pricing. The meds are dispensed by the contracted pharmacies, and restocked by capture rx. They bill us for the meds restocked and also issue us payments from proceeds from the program. We are an out stationed outreach worker (osow) with the state of Oregon. We provide assistance with the Oregon Health plan application process (medicaid). Free transportation is provided for our service area patients. Spanish-english bilingual staff is throughout the various departments, to assist with our high number of spanish speaking only patients. In 2022, the uninsured patients were 13.7% of the total, medicare and medicaid was 41.3% of the total. On average, 6.2% of primary care visits were via telehealth and 24.6% of behavioral Health visits were via telehealth for 2022.