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      <PrimaryExemptPurposeTxt>Jefferson Regional Health Alliance (JRHA) is a collaborative learning community of regional leaders from multiple sectors working together to improve the health and healthcare resources of Southern Oregonians. As a learning community, JRHA fosters connections between organizations and individuals to inspire strategic collaboration. We believe communities will be stronger, healthier, and more sustainable when leadership works collaboratively. In 2023, JRHA focused on the following priorities:a)Health Care Sector Workforce Deficitb)Child Care Crisisc)Behavioral Health (M110 and other workforce concerns)d)Legislative AwarenessJRHA Executive Committee meetings focused on Board recruitment, identifying learning topics, Board agenda planning, moving 2023 priorities forward, and establishing focus areas for 2024. JRHA Board meetings focused on the state of homelessness, caregiver training, Community Health Assessment (CHA) and Community Health Improvement Plan (CHIP) updates, behavioral healt</PrimaryExemptPurposeTxt>
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        <DescriptionProgramSrvcAccomTxt>I.CHILD CARE PROJECT: On June 7, 2023, the JRHA Board identified child care as a 2023 priority and assembled the JRHA Child Care Project Workgroup to explore opportunities for JRHA to support the child care system. JRHAs initiative was established in response to the health care workforce shortage, in support for early childhood development as a social determinant of health, and for the economic vitality of families and communities. Over the course of ten workgroup meetings and during the JRHA annual retreat, the JRHA Board explored opportunities such as property acquisition to expand availability, an employer-sponsored pilot program, legislative advocacy for long-term sustainable funding, cultivating additional resources, and facilitating the creation of an awareness/education video series. JRHA proceeded by cultivating the potential of a $125,000 grant from Providence Community Health. The outcome of this work resulted in a recommendation for Southern Oregon Early Learning Services Hub to apply. JRHA endorsed the Early Learning Hubs application and the agencys four-prong systems approach to improving the landscape. The four areas include: 1) expanding in-home child care centers in rural areas; 2) increasing subsidies for existing child care slots; 3) recruiting child care sector workforce through paid internships; and 4) increasing behavioral health services in classrooms across the region.On September 6, 2023, the JRHA Board passed a motion approving the intent to support a child care project with an initial investment up to $25,000, which was later allocated to the creation of a video series focusing on awareness of how child care impacts everyone in the community, education of the state of child care, information on how to become a child care facility and worker, ways employers and citizens can help, and advocacy for state subsidies. The video series will be completed in 2024, under the guidance of the JRHA Board working in partnership with child care sector providers, educators, and community stakeholders from a variety of sectors.On December 5, 2023, the JRHA Executive Committee approved other focus areas including providing in-kind resources to facilitate a survey to JRHA health care employers to fill available slots with the YMCA and Oregon Center for Creative Learning, continuing to explore barriers to an employer-sponsored child care pilot program, and exploring opportunities to advocate for long-term funding for subsidized slots. Additional connections made through JRHAs focus on child care triggered a $600,000 grant from Jackson Care Connect to the Medford YMCA to subsidize child care slots for health care works and $100,000 to the Ashland YMCA to support rural child care expansion, workforce training, and after-school care.II.JRHA ADMINISTRATION: 2023 administrative decisions included: 1) continue operations without hiring a collaboration manager; 2) hire a meeting facilitator to plan and facilitate Executive Committee and Board meetings and assist with other strategic planning initiatives; and 3) maintain Gordon Elwood Foundation as the JRHA backbone agency providing in-kind executive services, bookkeeping, meeting coordination, the annual contribution process, and other clerical duties. JRHA held four Board meetings during the fiscal year, as well as monthly Executive Committee meetings. Materials and logistics for supporting JRHA were created, updated, and shared as needed.Board 2023 Meeting Learning Topics:State of Homelessness Across the Region and Statewide Sam Engel, AllCare.Availability and Affordability of Child Care and Social/Emotional Development of Families after COVID Ren Brandon, Southern Oregon Early Learning Services Hub.Caregiver Training and Coverage, Medicare In-home Services, and Assisted Living Ann Marie Alfrey, Rogue Valley Council of Governments.Legislative Updates (behavioral health M110; homelessness and housing HB2001; nursing/patient ratios; child care resources HB2726; reproductive health HB2002; gun safety HB2005, HB2006, &amp; HB2007; and 988 Program) Representative Pam Marsh.Care Oregon SCAN Partnership Nora Liebowitz, Care Oregon.Jackson County and Josphine County Behavioral Health Resources Network (BRHN) Updates Julia Jackson, Jackson Care Connect; Karla McCafferty, Options for Southern Oregon; and Sommer Wolcott, OnTrack Rogue Valley.Workforce Presentation Heather Stafford, Rogue Workforce Partnership; Peter Buckley, Southern Oregon Success; and Lisa Parks, Rogue Community College.Community Health Assessment Update Sadie Siders, Jackson County Public Health Division.Statewide Efforts on Health Care Workforce Heather Stafford, Rogue Workforce Partnership.Child Care Crisis in Southern Oregon Ren Brandon, Southern Oregon Early Learning Services Hub.La Clinicas Advanced Practitioner Residency Program Kathryn Warner, FNP and Sarah Bieniek, MPH.Southern Oregon EMS Apprenticeship Program Sheila Clough, Mercy Flights.Oregon Office of Rural Health Presentation Robert Duehmig, Office of Rural Health.JRHA Child Care Project Updates Angela Durant, Gordon Elwood Foundation; Ren Brandon, Southern Oregon Early Learning Services Hub; Heather Stafford, Rogue Workforce Partnership; and Chris Pizzi, Providence-Medford.JRHA 2023 Board Retreat: October 7th at the Rogue Community College Health Professions Center. Twenty-five JRHA Board members attended. Diane Williams-Engelhardt, Chair; and Diana Bianco, Facilitator.Topics and guest speakers:o Child Care Project Angela Durant, Gordon Elwood Foundation; Ren Brandon, Southern Oregon Early Learning Services Hub; Brad Russell, Medford YMCA; Heather Stafford, Rogue Workforce Partnership; and Sunny Spicer, Oregon Center for Creative Learning.o Behavioral Health: Measure 110 Chief Warren Hensman, City of Grants Pass Police Department; and Karla McCafferty, Options for Southern Oregon.Potential areas of focus for shared learning and support in 2024:o Child Careo Primary Care Workforceo Behavioral Health - Measure 110JRHA administrative business and budget:o Elected 2024 Board members and Board officers.o Approved Diana Bianco, Artemis Consulting for meeting facilitation in 2024.o Affirmed in-kind, back-bone administrative and bookkeeping support from the Gordon Elwood Foundation.o Approved retreat outcomes and topic areas for 2024 learning and priority focus areas.</DescriptionProgramSrvcAccomTxt>
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