Projects
Recruiting Projects
ADA Obesity and CKD Quality Improvement in Primary Care
Topic: Improve the capacity for primary care practices to support adult patients with diabetes. This program combines clinical education and quality improvement coaching to improve clinic practices and workflow to 1) improve patient-centered conversations around weight and supporting evidence-based obesity management and 2) improve screening and referrals for Chronic Kidney Disease (CKD). Currently recruiting primary care practices that serve adult patients with
diabetes in Oregon, Washington, and Idaho.
PI: Caitlin Dickinson, M.P.H.
Funder: American Diabetes Association (ADA)
Term: 2026-2027
ORPRN Contact: Martha Snow, M.P.H., snowm@ohsu.edu
CRC TA—Colorectal Cancer Screening Technical Assistance
Topic: To improve colorectal cancer screening through technical assistance and clinical and community partnerships. Currently recruiting clinics serving rural or frontier populations, populations with lower screening rates, or historically underserved populations. Benefits to participation include technical assistance to improve patient care, increase your clinic's cancer screening rates, and save lives. Clinics also receive a $7,500 stipend for participation.
PI: Jennifer Coury, M.A.
Funder: Oregon Health Authority
Term: 2025-2030
ORPRN Contact: Isabel Stock, M.P.H., stocki@ohsu.edu
REACH — Real-world Evidence to Advance Multi Cancer Early Detection Health Equity
(REACH/Galleri-Medicare study)
Topic: The national REACH study aims to see how a simple blood test can find cancer early in more than 50 types of cancers. Currently enrolling patients 50 years and older insured by Medicare or Medicare Advantage and cancer-free for at least three years. Enrollment locations include Astoria, Beaverton, Hood River, Portland, and The Dalles.
PI: Nima Nabavizadeh, M.D.
Funder: GRAIL
Term: 2026-2027
ORPRN Contact: Laura Ferrara, M.A. CCRP, ferraral@ohsu.edu
ScreenWise
Topic: To improve breast and cervical cancer screening through technical assistance and clinical and community partnerships. Currently recruiting clinics serving rural or frontier populations, populations with lower screening rates, or historically underserved populations. Benefits to participation include technical assistance to improve patient care, increase your clinic's cancer screening rates, and save lives. Clinics also receive a $7,500 stipend for participation.
PI: Jennifer Coury, M.A.
Funder: Oregon Health Authority
Term: 2026-2027
ORPRN Contact: Isabel Stock, M.P.H., stocki@ohsu.edu
SMBP — The Self-Measured Blood Pressure Study
Topic: To learn more about pharmacist support for high blood pressure. We are hoping to find out if working with both a pharmacist and a primary care team helps patients monitor and lower their blood pressure more effectively than working with only the primary care team. Currently recruiting primary care practices to support the enrollment of 20 adult patients 65 and older who have high blood pressure and one or more additional cardiovascular conditions.
PI: Annette Totten, Ph.D.
Funder: Patient Centered Outcomes Research Institute (PCORI)
Term: 2025-2029
ORPRN Contact: Cort Cox, B.S., coxcor@ohsu.edu
Social Needs Screening and Referral (SNSR) Support Program
Topic: Seeking Oregon health care clinics interested in developing and/or improving social needs screening and referral workflows. Participating clinics receive individualized technical assistance to assess current processes and implement a clinic-led quality improvement project focused on social needs interventions and chronic disease prevention.
PI: Caitlin Dickinson
Funder: Oregon Health Authority, Health Promotion and Chronic Disease Prevention (HPCDP) Section
Term: 2026-2027
ORPRN Contact: Mari Tasche, M.P.H., tasche@ohsu.edu
Active Projects
Advanced Health Health-Related Social Needs (HRSN) Provider Network Capacity Building
Topic: In partnership with Advanced Health, explore the development of community care hubs in Coos and Curry counties to strengthen regional coordination, capacity, and resilience in delivering health and social services. This could involve providing training, technical assistance, resources, and mentorship in the core functions of community care hubs. This work aims to build a better functioning social care network in Advanced Health’s service region.
PI: Nancy Goff, M.P.H.
Funder: Advanced Health
Term: 2025-2027
ORPRN Contact: Sara Wild, M.P.H., wilsa@ohsu.edu
CARAVAN — The MISSION Act’s Impact on Rural Veteran Access to and Experience of Care
Topic: A qualitative and quantitative examination of impact of Congress’ VA MISSION Act (June 2019) on rural veterans’ access to and experience of care in rural Western states.
PI: Melinda Davis, Ph.D.
Funder: Department of Veterans Affairs
Term: 2019-2026
ORPRN Contact: Mary Patzel M.B.A., CARAVAN@ohsu.edu
Community Care Hub (CCH) with Cascade Health Alliance (CHA) for Health-Related Social Needs Topic: In partnership with CHA, establish and operationalize a regional CCH that strengthens the coordination, quality, and equity of HRSN services to Medicaid members in Klamath County. This work includes building a unified network of HRSN service providers with shared workflows for closed‑loop, bi‑directional referrals using a Community Information Exchange, along with standardized processes for data exchange, billing, and reporting. We also provide ongoing training and technical assistance to strengthen HRSN service providers. As CHA’s HRSN Outreach and Engagement Provider, we deliver trauma‑informed, culturally and linguistically appropriate outreach to ensure all members have equitable access to HRSN benefits.
PI: Nancy Goff, M.P.H.
Funder: Community Capacity Building Funds, Cascade Health Alliance
Term: 2025-2027
ORPRN Contact: Lindsey Birch, birchl@ohsu.edu
Deflection Technical Assistance
Topic: Provide technical assistance to counties, law enforcement and behavioral health providers to support Oregon’s implementation of behavioral health deflection programs as directed in House Bill 4002.
PI: Dan Hoover, M.D.
Funder: Oregon Criminal Justice Commission (CJC)
Term: 2024-2027
Contact: Maggie McLain McDonnell, M.P.H., mclainma@ohsu.edu
Eastern Oregon Health-Related Social Needs (HRSN) Provider
Topic: Provide outreach and engagement services to Eastern Oregon Coordinated Care Organization members to help members apply for and receive covered HRSN benefits under the Oregon Health Plan as well as other social and healthcare services.
PI: Nancy Goff, M.P.H.
Funder: Eastern Oregon CCO
Term: 2025-2027
ORPRN Contact: Sara Wild, M.P.H., wilsa@ohsu.edu
Eastern Oregon Medication for Opioid Use Disorder (MOUD) Treatment in Jails Program Administration Topic: In partnership with the Eastern Oregon Coordinated Care Organization (EOCCO), support the administration, coordination, and evaluation of the Jail-based Medications for Opioid Use Disorder (MOUD) Treatment Program to prevent withdrawal, overdose, and recidivism.
PI: Nancy Goff, M.P.H. and Dan Hoover, M.D.
Funder: Eastern Oregon Coordinated Care Organization
Term: 2023-2026
ORPRN Contact: Kylie Lanman, B.S., lanman@ohsu.edu
Employee STRENGTH
Topic: Employee STRENGTH (sometimes referred to as the "Employee-CHW Benefit" internally) is an employee assistance program where OHSU staff members are offered confidential access to Community Health Workers (CHWs). CHWs support employee needs by connecting them to both external support and services (i.e. social services, housing, food/utility resources) and internal OHSU resources (i.e. benefits programs, on-campus support). Current rollout is limited to 6 departments at OHSU, including Sterile Processing, Environmental Services, Food and Nutrition Services, Custodial, Patient Transportation, and is currently expanding to departments on floor 7 of Doernbecher Children's Hospital. The program will continue to spread to additional departments. Future implementation beyond OHSU is projected to include organizations both within Oregon and beyond.
PI: Brian Frank, M.D.
Funder: OHSU Employee Benefits Council
Term: 2025 – 2028
ORPRN Contact: Alex Moore, mooralex@ohsu.edu
Grant County Emergency Preparedness and Response
Topic: Couty in strengthening its capacity and resilience to plan for and respond to major emergencies and disasters, as well as improving essential health outcomes. This includes convening a local coalition of residents, community organizations, health care providers, and government agencies to create a community-driven Emergency Preparedness and Response plan; hosting learning collaboratives to support cross-sector strategy and coordination in emergencies; and developing a blueprint for other rural counties to organize and develop their plans.
PI: Nancy Goff, M.P.H.
Funder: Blue Mountain Hospital District
Term: 2026-2027
ORPRN Contact: Martha Snow, M.P.H., snowm@ohsu.edu
GWEP — Geriatrics Workforce Enhancement Program
Topic: Increase Oregon's healthcare workforce, community organization, and caregiver capacity to care for older adults and develop reciprocal partnerships with primary care delivery sites that foster age-friendly health systems.
PI: Laura Byerly, M.D.
Funder: Bureau of Health Professions/HRSA/DHHS
Term: 2024-2029
ORPRN Contact: Caitlin Dickinson, M.P.H., summerca@ohsu.edu
HEAL-OR
Topic: HEAL-OR is a five-year project focusing efforts in six rural counties in Oregon. Primary activities include: creating a rural advisory panel; utilizing the Project ECHO learning community model to improve access and quality of care in rural Oregon; partnering with Coordinated Care Organizations to guide ECHO programs; and creating a best-practice toolkit.
PI: Jonathan Betlinski, M.D.
Funder: DHHS HRSA Office of Rural Health Policy
Term: 2021-2026
ORPRN Contact: Maggie McLain McDonnell, M.P.H., healor@ohsu.edu
InterCommunity Health Network Health-Related Social Needs (HRSN) Provider Network Capacity Building
Topic: In partnership with InterCommunity Health Network, explore the development of community care hubs in Linn, Benton and Lincoln Counties to strengthen regional coordination, capacity, and resilience in delivering health and social services. This could involve providing training, technical assistance, resources, and mentorship in the core functions of community care hubs. This work aims to build a better functioning social care network in InterCommunity Health Network’s service region.
PI: Nancy Goff, M.P.H.
Funder: InterCommunity Health Network
Term: 2025-2027
ORPRN Contact: Sara Wild, M.P.H., wilsa@ohsu.edu
OEN — Oregon ECHO Network
Topic: A tele-mentoring education model designed to build the capacity of primary care clinicians and educate clinical teams on a variety of topics.
Funder: Various, including CCOs, Department of
Human Services, and the Oregon Health Authority
Term: Ongoing
ORPRN Contact: Maggie McLain McDonnell, M.P.H., mclainma@ohsu.edu
Web Link: www.oregonechonetwork.org
OHSU Health Integrated Delivery System (IDS) Quality Funding Administration
Topic: In partnership with OHSU Health IDS, provide oversight and administration to the Quality Funding Request Program.
PI: Nancy Goff, M.P.H.
Funder: OHSU Health IDS
Term: 2024-2026
ORPRN Contact: Lindsey Birch, birchl@ohsu.edu
PARADE — Parent-Assisted Remote Assessment of DErmatitis
Topic: PARADE Aim 2 is about how dermatologists evaluate eczema severity in young children. The study is recruiting parents of children aged 30 days to 5 years who have been diagnosed with eczema and receive care at OHSU. Study activities include a short survey about the child’s skin and eczema history and taking pictures of the child’s skin so that a Dermatologist evaluate the eczema remotely. Participants receive $25 at the completion of the study.
PI: Eric Simpson, M.D.
Funder: NIAMS
Term: 2024-2027
ORPRN Contact: Laura Ferrara, M.A., parade@ohsu.edu
PATHFINDER 2 — Clinical Trial of a Multiple Early Cancer Detection Test in Partnership with Knight Cancer Institute
Topic: Testing how well an early tests can detect many types of cancer via simple blood draw.
PI: Tomasz Beer, M.D.
Funder: GRAIL
Term: 2022-2027
ORPRN Contact: Laura Ferrara, M.A. CCRP, ferraral@ohsu.edu
PRaCTICe — The Primary Care Rural and Frontier Clinical Trials Innovation Center
Topic: Co-led by the Directors of ORPRN and WPRN and will synergistically utilize strengths from each PBRN and affiliated CTSA to include four hubs focused on community engagement,
recruitment, communications, and data
coordination.
MPIs: Melinda Davis, Ph.D. and Allison Cole, M.D. (University of Washington)
Funder: NIH Office of the Director
Term: 2026
ORPRN Contact: Caitlin Dickinson, M.P.H., summerca@ohsu.edu
PREVENTABLE — PRagmatic EValuation of evENTs And Benefits of Lipid-lowering in oldEr Adults
Topic: Evaluate the benefit and risks of moderate-intensity statin for preventing dementia and prolonging disability-free survival in a diverse population of patients 75 years and older without heart disease.
PI: Karen Alexander, M.D. (Duke University)
Funder: NIH National Institute on Aging
Term: 2023-2027
ORPRN Contact: Victoria (Kati) Sánchez, M.S., sanchvic@ohsu.edu or preventable@ohsu.edu
Tri-County Health-Related Social Needs Outreach and Engagement Provider
Topic: Provide outreach and engagement services to Health Share of Oregon members to help members apply for and receive covered HRSN benefits under the Oregon Health Plan as well as other social and healthcare services.
PI: Nancy Goff, M.P.H.
Funder: OHSU Health Integrated Delivery System (IDS)
Term: 2025-2027
ORPRN Contact: Sara Wild, M.P.H., wilsa@ohsu.edu
RSELVES — Remote Sensing of (Older Adult Partners’) Engagement In Life And Variability In Everyday Support
Topic: To better understand how couples’ social and physical routines can affect health and aging.
PI: Lyndsey Anderson, Ph.D.
Funder: National Institute on Aging
Term: 2022-2027
ORPRN Contact: Victoria (Kati) Sánchez, M.S., PMP, sanchvic@ohsu.edu or rselves@ohsu.edu
Past Projects
2025
CASCADE-A Community-based Assessment of Skin Care, Allergies and Eczema
PI: Eric Simpson, M.D., M.C.R.
Topic: Pragmatic, community-based randomized trial to determine the effect of skin care education on the development of atopic dermatitis.
Term: 2018-2025
Dementia Diagnosis in Oregon Primary Care Clinics
PI: Melinda Davis, Ph.D.
Topic: Build the confidence of primary care clinicians in identifying and diagnosing dementia by supporting development of tailored workflows for the teams, instructing teams on when and how to use and interpret dementia diagnostic tools, providing information on how to refer patients and family care partners to community resources.
Term: 2023-2025
Eastern Oregon CCO Social Needs Screening
PI: Nancy Goff, M.P.H.
Topic: Administer telephone social determinants of health (SDOH) and REAL-D screenings to EOCCO and Summit health members and refer members with identified SDOH needs to resources in local communities.
Term: 2021-2025
Employer Sponsored Community Health Workers: A Novel Model for Improving Diabetes Self-Management Among Low-Income and BIPOC Emp
PI: Brian Frank, M.D.
Topic: This is part of a larger study with Dr. Brian Frank (OHSU Family Medicine); Support working with and interviewing key community partners to define the context, processes, and outcomes for a pilot in which an employer provides CHW services to a representative sample of employees at risk for type 2 diabetes.
Term: 2022-2025
Health-Related Social Needs (HRSN) Provider Technical Assistance
PI: Nancy Goff, M.P.H.
Topic: Provide technical assistance to enrolled HRSN service providers to support implementation of specific housing, nutrition and outreach & engagement services to qualifying Oregon Health Plan members.
Term: 2024-2025
ILOS, SHARE, HRS — In-Lieu of Services, Supporting Health for All through Reinvestment, Health-Related Services
PI: Nancy Goff, M.P.H.
Topic: Provide technical assistance to CCOs to implement Medicaid flexibilities to address social determinants of health and equity.
Term: 2021-2025
OIP Non-Medical Exemption Survey
Executive Sponsor: Caitlin Dickinson, M.P.H.
Topic: The project is to evaluate Oregon's non-medical exemption process by surveying parents who opt out of vaccines for their children for a non-medical reason. We will be conducting interviews with parents to better understand why parents choose to not vaccinate their children (i.e. access or beliefs).
Term: 2024-2025
PCCP4P — Person-Centered Care Planning for Persons with Multiple Chronic Conditions
PI: Deborah Cohen, Ph.D.
Topic: A study of how to provide high quality, comprehensive, longitudinal, person-centered care for persons living with, or at risk for, multiple chronic conditions (MCC): Develop a roadmap with best practices for person-centered care planning across diverse health systems and settings. Engage experts, stakeholders, practitioners, frontline implementers, researchers, and persons, families, and caregivers to provide foundational knowledge of how to promote person-centered care planning as standard practice for persons with MCC.
Term: 2024-2025
SMARTER CRC — Screening More patients through Adapting and Refining Targeted Evidence-based Interventions in Rural settings
Topic: To improve CRC screening rates, follow-up colonoscopy, and referral to care in rural Medicaid patients by implementing a direct mail fecal testing program with targeted outreach and patient navigation for follow-up colonoscopy.
PI: Melinda Davis, Ph.D.
Funder: NIH National Cancer Institute
Term: 2019-2025
2024
BEST-RPP - Screening for Esophogeal Cancer in Primary Care
Topic: ORPRN partnered with OHSU gastroenterologist Fouad Otaki, MD, who investigated the feasibility of using a novel FDA-approved swallowable device to screen for Barrett's esophagus and esophageal cancer in primary care. The project included a provider and staff in-service, an opportunity for providers and staff to provide feedback about the device and refer their eligible patients to screen for esophageal cancer with the device at their clinic.
PI: Fouad Otaki, MD
Term: June 2023- November 2024
COVID-19 Vaccine Quality Assurance Site Visits
Topic: The Oregon Health Authority’s Oregon Immunization Program is contracting with ORPRN to conduct COVID-19 vaccine quality assurance visits across Oregon. The purpose of these visits is to support and improve COVID-19 vaccine programs throughout the state. Each visit follows a Centers for Disease Control and Prevention-devised format and will cover COVID-19 vaccine storage and handling, record keeping, and preparation best practices. Site visitors will also observe administration of the vaccine.
ORPRN Executive Sponsor: Anne King, M.B.A
Term: June 2021-June 2023
EOCCO Transformation Community Benefit Initiative Reinvestments Program
Topic: ORPRN administers the TCBIRP, which provides funding and technical assistance to health systems, clinics, public health, social service agencies and community advisory councils aimed at improving health care and population health in Eastern Oregon.
PI: Nancy Goff, M.P.H.
Term: 2016-2024
OIP Regional Trainings Roadshows
Topic: Conduct regional meetings across Oregon to connect with and trainimmunization providers and partners on vaccine confidence and equity, as well as conduct listening sessions for improvements in the ALERT IIS, in coordination and collaboration with OHA's Oregon Immunization Program
PI: Melinda Davis, Ph.D.
RAVE - The Rural Adolescent Vaccine Enterprise
Topic: Test novel interventions in rural primary care practices and rural community-based organizations intended to increase HPV vaccination completion in both males and females aged 11-17 years.
PI: Patricia Carney, Ph.D., Brigit Hatch, M.D.
Term: 2018-2024
Social Determinants of Health TA Contract
PI: Nancy Goff, M.P.H.
Topic: Provide CCOs with technical assistance to implement the newly passed SDOH Social Needs and Referral measure.
Term: 2022-2024
Vaccine Summit - Oregon Vaccine Finance Summit
Topic: Current challenges with Oregon's vaccine finance and delivery model are creating barriers to immunization access statewide. The Vaccine Finance Summit is intended to identify a solution that centers equitable access to immunizations for all in Oregon. The in-person event will include presentations and panel discussions to support the modernization and restructuring of Oregon's vaccine finance and delivery model. We will organizing a steering committee to draft legislation for the 2025 session.
PI: N/A
Term: 2023-2024
ORPRN Contact: Isabel Stock, MPH