Our Family Medicine Practice - One Community Health

One Community Health is a Federally Qualified Health Center and Patient-Centered Home. It was initially established in 1986 as a health center for the many migrant farmworkers in the Hood River Valley population, providing primary care services and obstetrics care. Over the years, it has grown, now serving a much larger patient population while retaining its goal of giving exceptional care to all residents of the Gorge. A large proportion of our patients are Spanish speaking agricultural workers and their families, and approximately 30-50% of our clinic visits are conducted in Spanish.

Now in 4 locations, OCH includes medical, dental, and behavioral health services, on-site pharmacies, medication therapy for opioid and substance use disorders, transgender care, specialty diabetes and weight loss programs, on site teaching kitchens and nightly fitness programs, and so much more.

Residents have their continuity clinic throughout all 3 years of residency at the Hood River location, a brand new building that opened in the Summer of 2020 as the old one, the original La Clinica del Carino, was decommissioned and cleared away. Many of our residents have gone on to work at One Community Health after graduation. Watch the video's below and visit Medical Residency Programs | Washington & Oregon | One Community Health for more information about our incredible FQHC Partner.

One Community Health has a longstanding reputation of providing quality medical care to the most underserved members of our community. Community Programs and Community Health Workers are an integral part of this. Residents work alongside CHWs, learning from their expertise. Learn more about the history of our clinic and the importance of Community Health Workers in our community by watching the video below.

Examples of One Community Health programs include:

• Perinatal: A team of nurses and community health workers help guide our pregnant patients throughout their pregnancy through counseling, group visits, and prenatal co-visits with providers.
• Salud/Diabetes Education: The clinic’s bilingual diabetes educator, nutritionist, and CHW team. Providers refer patients to Salud for one-on-one diabetes teaching, CGM record review, and to receive their recommendations on difficult cases. Salud also puts on group cooking and exercise classes and provides education for patients with prediabetes to build healthy habits and prevent worsening of hyperglycemia.
• School Based Health Center: Residents also work at One Community Health’s school-based clinic at Hood River Valley High School, were they get additional practice in adolescent medicine.
• Mobile Medical Unit (MMU) - Indigenous and Migrant Outreach, Street Medicine: One Community Health has a mobile medical team who operates out of a renovated RV and a Sprinter Van complete with exam rooms, impressive diagnostic capabilities, small labs, and dog treats.
  • The MMU travels directly to migrant outreach events up and down the valley, including to fruit packing houses. Additionally, residents work on it at other community events, like job fairs and town festivals.
  • Our Wy-Kan-Ush-Pum team works with the Columbia River Inter-Tribal Fish Commission (CRITFC) and the Commission’s four-member tribes of the Nez Perce, Confederated Tribes of the Umatilla Indian Reservation, Confederated Tribes of the Warm Springs Reservation of Oregon, and Confederated Tribes and Bands of the Yakama Nation to offer mobile healthcare and resources at in-lieu and treaty sites along the Columbia River. Residents travel with the team to tribal communities and fishing sites for Indigenous outreach events to provide medical care.
  • The MMU plays a vital role in reaching out and providing medical care to the unhoused community up and down the Gorge. Its team has built relationships with patients experiencing houselessness, to whom our residents provide care with the MMU team.

Other highlights of our clinic experience include:

• High volume prenatal care: We have a thriving family medicine prenatal and OB training environment. Residents see patients for prenatal visits throughout their pregnancy, and perform dating ultrasounds (transabdominal and TVUS) during a normal clinic day.
• OB ultrasounds – dating, growth, and anatomy: Additionally, FM physicians at OCH and CGFM (a nearby clinic where residents rotate) perform anatomy and growth ultrasounds, and residents in the past have graduated and gone on to perform ultrasound at this level. In addition to our own clinic, residents rotate at the Providence Women’s Clinic to see prenatal patients with the local OBGYN group.
• Pediatrics / OCDC: Residents see a high volume of pediatric patients in their own continuity clinics, but they also have dedicated clinic time with OCH’s embedded pediatrician Dr. Corinda Hankins, who is an excellent teacher and is passionate about teaching family medicine residents.
  • Residents also see a high volume of pediatric patients at a Oregon Child Development Coalition (OCDC) migrant farmworker summer daycare, where they see children from 2 months to 10 years old for well child and sick visits.
• IMAT: Residents see patients for medication assisted treatment for substance use disorders in our clinic and have an embedded nursing team and a peer specialist to support long-acting injectable administration and organization, patient outreach, and treatment. Residents start and maintain patients on buprenorphine regularly. Additionally, in PGY 1 year, residents act as the consult service for pregnant patients with substance use disorders at Providence Portland on the OB service, initiating and maintaining pregnant patients on methadone or buprenorphine, and taking care of neonates with withdrawal symptoms.

One Community Health