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February 2020


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Featured Articles

Working Alongside Us: Promotores de Salud Becoming Integral Partners for the U. S. Health Care System

Written By: Alejandra Ferris, MA & Ruth Zúñiga, PhD

School of Graduate Psychology, Pacific University, Oregon


Alejandra Ferris and Ruth Zuniga will be presenting at the Western Forum for Migrant and Community Health in Sacramento on February 20th.


Promotores de salud (promotores), also known as community health workers, or lay health workers, are front line individuals whose roles respond to the disparities and exclusions that exist within health care systems (Early, Burke-Winkelmann, & Joshi, 2016). They are an asset in health care systems because they are trusted community members who have an unusually close understanding of the community they serve and can be a link between health care providers and systems, social services, and the community. Promotores have a personal commitment of service to their community and are recognized as natural helpers across the world (Stacciarini et al., 2012). 

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The Ag Worker Access Campaign: Ensuring Access to Quality Healthcare for America's Agricultural Workers


Written by: Gladys Carrillo, Manager of Health Center Engagement Services, National Center for Farmworker Health


Gladys Carrillo will be presenting at the Western Forum for Migrant and Community Health in Sacramento on February 20th.


How often do we take time to think about where the delicious fruits and veggies we serve in our homes come from?  Do we ever think about the agricultural workers that toil in the fields to ensure these great bounties for our families?


There are an estimated 4.5 million Agricultural (Ag) workers and their families living in the U.S.*  The majority of this special population reports not having health insurance and has not accessed health care services in the last 2 years.**  Uniform Data System (UDS) data*** shows that only approximately 20% of Ag workers are being served in health centers.  Health centers have a great opportunity to improve their service delivery and develop goals to reach more Ag workers. 


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Monterey County Medical-Legal Partnership

Providing free legal services to clinic patients 


Written by Aaron Voit, Medical-Legal Partnership Managing Attorney, California Rural Legal Assistance


Aaron Voit will be presenting at the Western Forum for Migrant and Community Health in Sacramento on February 20th.


When is the appropriate time to disable a pregnant worker?  That is a question that has long been in the minds of providers at the Monterey County Health Department’s nine Federally Qualified Health Clinics, which serve many farmworkers and families in California’s Salinas Valley—known as the Salad Bowl of the World.  The Salinas Valley is also home to CHAMACOS, a UC Berkeley longitudinal study of mothers and children which has linked prenatal pesticide exposure to pervasive developmental disorder and poorer mental development at age 2poorer attention and hyperactive behaviors at age 5, and lower IQ at age 7.  Increasing awareness about the reproductive hazards of farmwork prompted difficult conversations between providers and pregnant farmworker patients like Vanessa, a strawberry picker who regularly saw tractors and helicopters applying pesticides close by, and sometimes smelled a chemical aroma when she was working.  


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Medical Student's Experience at a Community Health Center


Written by: Jenny Wu, Medical Student at A.T.Still University, Class of 2021


My first away rotation of third year of medical school was a family medicine rotation in Tillamook, Oregon. I did not know what to expect prior to starting the rotation, and was not aware that it was actually considered a rural rotation for medical students from other schools. Needless to say, as someone who grew up in Los Angeles, it was quite an experience driving through open fields with barns and farm animals on the way to clinic.


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Diabetes & Hypertension Corner


















Teaching About Hypertension Through a Popular Education Approach


Francisco J. Ronquillo, MA, PA


Hypertension is the most common primary diagnosis in America. It is estimated that approximately 75 million or more Americans have high blood pressure—that is 1 in every 3 American adults.2 It is also a high risk factor for cardiovascular disease, which is one of the leading causes of death for men and women. This is such a common health condition for many people that it is imperative for us in the health sector to share this information with the population. In order to teach a health topic in a meaningful and impactful manner, it is important to introduce anatomy, physiology and pathophysiology using common language and simple visuals through a popular education approach.


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NWRPCA's Diabetes & Hypertension 2018 Webinar Series


Last year, we hosted a robust webinar series about Chronic Disease Prevention and Self Management: Diabetes & Hypertension. The full webinar series can be found here in our Learning Vault.


If you don't have time to watch the full series, the last session recaps the entire series and can be found here in our Learning Vault. 


For instructions on how to access our Learning Vault, please click here




Suite 330 News































Join NWRPCA's Peer Networking Center 

Our function-specific groups provide staff members at Region X CHCs and PCAs an opportunity to share knowledge and seek advice on topics critical to their work.


Communicate directly with your peers about issues you face in your daily work through the HR, Financial Performance, Operations, and SUD/OUD groups! 


Join Now!



NWRPCA's 2019 Benefits Survey Report Available for Purchase


NWRPCA's 2019 Health Center Recruitment, Retention, and Benefits Survey Report is now available to purchase. Report highlights include a list of benefits offered by health centers to staff, types of benefits and bonuses ofered by health centers to staff, types of recruitment services used by health centers, workforce benchmarks and statistics, and turn over rates by type of position. Click below to read more and to purchase the report.


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Professional Development

2020 Western Forum for Migrant and Community Health 

February 19-21, 2020 in Sacramento, CA


The Western Forum is a regionally celebrated and nationally recognized conference known for innovative content, expert speakers, and a diverse audience from various disciplines. We look forward to hosting another engaging and vibrant conference.

Register Now

Core Competencies for First Time CHC Supervisors and Managers 

March 31-April 1, 2020 in Boise, ID


This core competencies training is ideal for first-time managers and supervisors with 18 months of supervisory experience or less, or those looking for a management refresher course. In this highly interactive two-day course, participants learn to develop engaged, productive and customer-focused teams; utilize behavioral interviewing to hire staff with the right skills and fit for the long term; coach and develop employees; and much more. Note: If you’re looking for a higher level manager training, check out the Next Level Skills training below.

Register Now

2020 Beyond Health Center Program Requirement

April 28-29, 2020 in Portland, OR


Health Centers are increasingly reviewed and audited for performance and compliance with program regulations and expectations. HRSA is issuing a new revision of the Health Center Program Requirements Compliance Manual, and while the basic requirements remain there are many changes in their performance indicators andinterpretations. Some new indicators for meeting them are added; some others are modified or deleted.

This two-day training will go in-depth into what is required, what is changed, how to meet and exceed the performance expectations. Be ready for your next Operational Site Visit by attending this important training.

Register Now

2020 NWRPCA Spring Summit + Annual Membership Meeting 

May 31-June 2, 2020 in Seattle, WA

The NWRPCA Spring Summit, formerly known as the Spring Primary Care Conference, includes the same carefully curated content that event attendees have come to expect of all NWRPCA conferences, plus innovative new workshop and skills-enhancing opportunities. 


Over 2.5 days, learn from prominent speakers, hear federal policy updates, and network with primary care colleagues. Event highlights new to the NWRPCA Spring Summit include: Region X peer learning, collaboration, and professional development.

Register Now

Next Level Skills for CHC Managers and Supervisors

July 29-30, 2020 in Seattle, WA


This dynamic training enables health center managers and supervisors to dive deep into the best practices, knowledge and skills needed to be a great manager.



We begin with a review of crucial skills needed to hire, coach, retain and manage others, and then move to higher-level learning needed to effectively manage conflict with employees, patients and peers; strengthen decision making processes to enhance your team; understand basic financial concepts; implement strategies for circumventing or avoiding burnout in yourself and others; and more. Join us for this opportunity to take your skills, your department, and your health center to the next level!



Note: If you’re instead looking to ramp-up or refresh your foundational skills, consider the training Core Competencies for First-Time Managers and Supervisors, listed above, or attend both!

Register Now

2020 Fall Primary Care Conference 

October 17-20, 2020 in Denver, CO


The 2020 NWRPCA/CHAMPS Fall Primary Care Conference, in partnership with WCN, to be held in Denver, CO, October 17-20 2020, provides education and training, information and resource sharing, coalition building, and program and policy development for like-minded community health professionals and their partners.

Save the Date

Opportunities & Resources from our Partners  


Geiger Gibson Health Policy Fellows Program Applications Now Open

The Geiger Gibson Health Policy Fellows Program (previously the Geiger Gibson Capstone) is designed to meet the professional needs of mid-level and senior staff pursuing leadership careers in community health centers and state and regional primary care associations. In this Fellowship Program, health center and PCA staff will develop a deep er understanding of health policy and acquire health policy analysis competencies of value to their organizations' policy and advocacy work. 

Program and Application details and testimony from previous fellows available here and here.



Nationwide Launch of CDC’s Active People, Healthy NationSM Initiative
CDC invites the general public, organizations, and leaders to join Active People, Healthy NationSM. This multisector initiative aims to help 27 million Americans become more active by 2027 through scientifically-credible strategies that work. The initiative is based on a foundation of inclusion and health equity where physical activity is a universal social norm regardless of age, race, income, socio-economic status, disability status, and geographic location. Join now! Become part of the Active People, Healthy Nation movement and gain access to monthly updates, exclusive networking opportunities, the Active People, Healthy Nation design element, and ways to receive recognition for your work. By leveraging our collective strengths, we can achieve the goal of creating an active America, together..   



Beyond Flexner Conference

The 2020 Beyond Flexner Conference  is focused on Transforming Health Professions Education: Social Mission, Equity, and Community. Co- hosted by Beyond Flexner Alliance, A.T. Still University, and Arizona State University Edson College of Nursing and Health Innovation, this global convening brings together educators, policy makers, researchers, representatives of community organizations and civic groups, and student and residents who are committed to social mission in health professions education. This year’s conference keynoters include Paul Farmer, MD, PhD, Catherine Alicia Georges, EdD, RN, FAAN, and Christina T. Rosenthal, DDS, MPH.

Call for abstracts and proposals are open now through Nov. 20, 2019!

Conference is April 20-22, 2020. in Phoenix, AZ



Sickle Cell Disease Training and Mentoring Program
Many adults living with sickle cell disease (SCD) have challenges accessing care due to a national shortage of SCD-trained hematologists. To help address this gap, HRSA is collaborating with the HHS Office of Minority Health to deliver the SCD Training And Mentoring Program (STAMP), a new telehealth series for primary care providers. This free series, taught by hematologists using a case study-based, tele-mentoring approach, will cover the basics of SCD care, such as pain management, hydroxyurea, and preventive services. Participating providers will be able to request real-time consultations from hematologists to further support patient care. The first STAMP session will be in January 2020. Learn more and register.



Take Control of Your Employee Benefits Package

The high cost of employer-sponsored health insurance is single-handedly cannibalizing employees' benefits packages. Community Health Centers are investing massive amounts of money into employees' benefits, yet benefits packages - especially health and retirement plans - continue to deteriorate for most of our workforce.Lead your health center out of this hazardous cycle by signing up for Nonstop Administration and Insurance Services and Mutual of America’s free webinar on February 26th, 2020 at 8:00 AM or 11:00 AM PST that will show you how you can strategically approach benefit design to control costs without degrading benefits for your employees.


Grants 101 Workshops
HRSA's Office of Regional Operations will host Grants 101 webinars for anyone interested in learning about HRSA grants. These will highlight how to find HRSA funding opportunities and understand the HRSA grant application process. They will also provide resources to assist with applications. Read about the two upcoming webinars below: 

HRSA Grants Programs TA: Creating a Competitive Grant Proposal 
Wednesday, February 19
11:00 a.m.-12:30 p.m. ET
Register here

HRSA Grants 101
Thursday, February 27
2:00-3:00 p.m. ET
Register here


Pharmacotherapy for Depression and Anxiety in Patients with Opioid Use Disorder

Please join the National Clinician Consultation Center in partnership with the Health Resources and Services Administration’s Bureau of Primary Health Care for this interactive Technical Assistance Office Hour for Health Center clinicians.  Mood and anxiety symptoms place a heavy burden on patients entering into treatment for opioid use disorder. Medications such as buprenorphine and methadone can improve comorbid psychiatric pathology but residual and resistant symptoms often persist. First line treatment options are all too often inadequate leaving clinicians frustrated and patients at high risk for relapse.  This webinar will help clinicians working in health centers make these vital medication treatment decisions.

Participants will learn to describe the relationship between OUD and comorbid mood and anxiety disorders, identify the available evidence for treatment of depression and anxiety in patients with OUD, and design a medication regimen for patients with comorbid OUD and depression or anxiety disorders.

Date: Wednesday, February 19, 2020

Time: 3 pm – 4 pm ET

Register here




OMH Promotes Active & Healthy and Heart Health during Black History Month 2020

February is Black History Month, offering our nation the opportunity to once again recognize the enormous contributions and rich heritage of African Americans. As we celebrate the achievements of so many, the HHS Office of Minority Health (OMH) is joining partners to support healthier communities by promoting the importance of an active and healthy lifestyle and better heart health.

Visit the OMH Black History Month webpage to learn more about activities and events, and to download our shareable graphics and other related materials. Please join us for our #LoveYourHeartChat Twitter chat on Wednesday, February 19th at 2 pm ET. We are partnering with the NIH National Heart, Lung, and Blood Institute (NHLBI) to raise awareness about the importance of maintaining an active and healthy lifestyle in order to overcome cardiovascular health disparities in the African American community.

Join the conversation. Follow us on Twitter, Facebook and Instagram, and use hashtag #BlackHistoryMonth. Tell us what you are doing to observe Black History Month in your community or organization. Please sign up for OMH newsletters for additional updates. Finally, remember that a healthier history is in your hands…one healthy choice at a time.



Diabetes in Special & VulnerablePopulations National Learning Series

The Special and Vulnerable Population Task Force invites you to join us for this year's multi-part National Learning Series (NLS) on diabetes. The live webinars will build upon last year to provide health centers, Primary Care Associations, Health Center Controlled Networks, and other partners with more in-depth information and enhanced strategies that focus on improving diabetes control for health center patients.Each webinar will focus on specific strategies for developing, evaluating, and supporting effective health care delivery models designed to meet the specific needs of special and vulnerable populations.

Click here to learn more and to register





View the latest funding opportunities, as well as other educational resources and information, on our website.

NWRPCA Career Center

Post available jobs at your health center or view current openings at NW health centers.


Recent openings:


Alaska: Director of Operations at Girdwood Health Clinic

Idaho: Dentist at Terry Reilly Health Services

Oregon: Health Information Manager at Central City Concern


Washington: Site Medical Director-Meridian at Neighborcare Health

Educational Opportunities

Attend one of our in-person workshops or online webinars. Previously recorded events are also available.

Region X Highlights

Read news highlights about Region X health centers.


Recent articles:


Alaska: Along the Rim of Alaska, the once-a-decade U.S. Census began in Toksook Bay


Idaho: Bill to help with rural Idaho healthcare heads to senate


Oregon: New plan published for improving health in central Oregon


Washington: Response to first coronavirus case in Washington state draws on lessons from measles

Thank you to our Annual Sponsors


Quest Diagnostics








Featured Vendors





Henry Schein



Northwest Pulse is the newsletter of Northwest Regional Primary Care Association. Each issue features a variety of information about community health, member news and spotlights, and important funding and workforce listings.


Northwest Regional Primary Care Association 2019


We welcome your comments and feedback as well as your news items. Please email us your thoughts and your news, resources and opportunities to share at


This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U58CS06846, "S/RPCAs," total award $950K, with 65% of program funded by nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.


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