1975年，6岁的Virginia Garcia随她的农场工人父母离开了位于德克萨斯州的家，动身前往加利福尼亚州，之后来到了俄勒冈州，以农务为生。Virginia在路途中割伤了脚，当一家人到达俄勒冈州时，她的脚已经受到感染。由于无法克服医疗保健方面的经济、语言和文化障碍，Virginia最终死于本应易于治疗的伤口。

受到Virginia不幸离世的触动，当地社区迅速团结起来，在一个三车位的车库中开办了第一家Virginia Garcia纪念健康中心（VG），旨在防止类似的悲剧再次发生。

CareOregon从2002年开始与VG合作开展这项工作。时至今日，VG仍在Washington和Yamhill县提供高质量、全面且符合文化背景的初级卫生保健。

如今，该中心以62种不同语言提供服务，欢迎广泛多样化的患者群体。VG患者群体包括CareOregon会员、俄勒冈健康计划（OHP）和俄勒冈州Medicaid计划的其他会员，以及未投保人群。随着时间的推移，这种合作关系促成了几项正在进行当中的举措。

“CareOregon一直是推进医疗和牙科整合、为服务不足人群提供心理健康服务和劳动力发展等举措的真正合作伙伴。”Aloha的Virginia Garcia纪念健康中心患者支持服务和安全总监Hazel Wheeler谈到，“通过共同努力，我们不仅弥合了护理方面的差距，而且建立了将社区的公平、创新和福祉放在首位的持久解决方案。”

旨在了解和接触多元化人群

Over the last two decades, CareOregon has collaborated with VG’s leaders, offering financial and structural support to help VG transform its care delivery into team-based primary care medical homes. This nationally recognized model was designed to meet what became known as the Institute for Healthcare Improvement (IHI) Quintuple Aim goals. “VG and CareOregon have sustained a long partnership to improve performance on the IHI Quintuple AIM for all the populations they serve,” says Sally Retecki, Health Systems Advisor at CareOregon. These five aims are:

• 改善人口健康
• 提升护理体验
• 改善服务方和员工体验
• 降低成本
• 促进健康公平

二十年前，为了实现这些目标，CareOregon启动了初级保健更新计划，与VG和其他四家合作诊所开展学习合作，以建立基于团队的初级保健。在随后的几年里，CareOregon与这几家诊所持续分享经验，努力加强和支持改进。

VG与CareOregon：合作历程

在长期的伙伴关系中，CareOregon和VG还以其他重要方式开展了合作。其中包括：

• 2009: VG participated in the initial launch and refinement of CareOregon’s Primary Care Payment Model, which helped fund participating clinics’ efforts to build, track and improve care practices that deliver quality outcomes for populations they serve.
• 2009-2012: VG joined other Oregon clinics serving the Medicaid population to participate in the Commonwealth Funded Safety-Net Medical Home Initiative—a nationwide effort to enable clinics serving the Medicaid population to implement this model. VG was a “North Star” to many of the participating clinics just beginning their efforts to implement and strengthen team-based primary care.
• 2014 and on: VG continues to be a valuable thought partner contributing to the development of Coordinated Care Organizations (CCOs) in Oregon. Each of Oregon’s CCOs is a network of all types of health care providers who work together in their local communities to serve people who receive health care coverage under OHP.
• 2014-2019: VG participated in CareOregon’s Primary Care Investment Fund (PCIF), a Board-funded program offering large-scale loans to selected clinics, with specific milestones and targets jointly developed by the clinic and CareOregon. VG used PCIF funds to strengthen team-based care practices and training programs; add a new clinic site to accommodate its growing patient population; build needed operational infrastructure and leadership accountabilities to assure excellent member experience; and create robust planning, tracking and reporting capabilities to guide operations.
• 2018 and on: VG collaborates with CareOregon on integrating behavioral health into primary care.
• 2019 and on: VG collaborates with CareOregon on the development and co-leadership of the Shared Accountability Model (SAM), shaping how CareOregon and network providers share accountability for performance on the Quintuple AIM and other shared values.

自成立之初开始，CareOregon就把通过激励与合作来提高个人和社区健康的质量和公平性当作使命，这与VG的使命不谋而合：为那些遇到障碍的人提供高质量、全面且符合文化背景的初级卫生保健。

CareOregon和VG将继续共同倾听其多元化社区的健康问题，并寻找适应的方法来满足人们的需求。秉承Virginia Garcia留下的启示，我们将继续专注于提供高质量、全面且符合文化背景的初级卫生保健。

“CareOregon不仅仅是一个资助者；在消除障碍和改善生活的斗争中，他们是坚定的盟友，使我们能够以卓越、有尊严的方式为最需要的人提供服务。”Wheeler说。