Quality Care for ALL:

A Message from Mosaic CEO Megan Haase, FNP

Back in 2002 when our organization first opened our doors, we had a goal to make sure that everyone in Prineville — home to our first clinic — had access to quality healthcare. As one of those first employees, I felt inspired by our potential role in the community. Twenty years later I still find inspiration every day in our patients and in our Mosaic team. I am humbled by the impact that we have on the individual lives of our 30,000 patients, and on our community through our many partnerships. We have grown from that first small clinic to more than a dozen sites across the region in Bend, Madras, Redmond, Prineville and our mobile clinic.


And, we are continuing to grow. Over the last year we opened our newest School-Based Health Center at Mountain View High School in Bend, our Kingwood Health Center in Redmond, and Mosaic will soon be taking up the operations at the Sisters School-Based Health Center. As we have expanded we realized that we had outgrown our old name “Mosaic Medical”— we are so much more than medical. This past spring we officially embraced our new logo and name: Mosaic Community Health. It has been a long transitional process, but we feel our new name better suits who we are and what we do.


In the past year our board of directors dedicated time to revisiting our mission, vision and values. With plenty of input from staff and community partners, we developed language that we feel will keep us on a steady path forward.


Even with all the changes at Mosaic over my twenty years with the organization, one thing has remained constant: our determination to provide quality care for all Central Oregonians. I know that will remain at the forefront of who we are and what we do for many years to come.


“I like what this organization stands for. I feel they will spend the time needed to address your concerns.”

— D.K., Mosaic patient


Eustaquia (in red top) with Salome from VIM,

Jason from Mosaic and Lourdes from LCA.

All of US:

Partnerships are Key to Community Impact

At the age of 69, Eustaquia Gutierrez Ayala recently received health insurance for the first time in her life. A longtime Redmond resident, Eustaquia immigrated to the United States from Mexico in 1988. For sixteen years she worked as a housekeeper, receiving care at Volunteers in Medicine (VIM), a local nonprofit that provides healthcare to low-income, working adults who live in Central Oregon and have no medical insurance or means to pay for care.


Fortunately for Eustaquia, and thousands of other Oregonians, in the summer of 2022 the Oregon legislature put into law a program called “Cover All People,” also known as “Healthier Oregon.” The program expanded eligibility for full Oregon Health Plan benefits to adults ages 19-25 or 55 years and older, regardless of immigration status.


Mosaic, along with community partners VIM and the Latino Community Association (LCA), joined forces to reach out to the Latino community in Central Oregon to let people know about this new opportunity to receive healthcare coverage. Supported by a grant from the Oregon Health Authority, the three organizations came together to get the word out, enroll eligible adults and provide navigation through the process. As part of the outreach process, Eustaquia received a phone call from a VIM staff member.

“He was so kind. He told me, ‘You qualify for free health insurance, you are over 55 years of age, you qualify!’ and he reassured me that I would have help with the process,” said Eustaquia. “I was so thankful because getting health insurance was something that was very important to me.”

The team at VIM connected Eustaquia to a bilingual enrollment specialist at the LCA, who helped her to complete and submit the Healthier Oregon application. When Eustaquia received paperwork about her application in the mail, her LCA enrollment specialist explained that an interview was required. Eustaquia completed her phone interview from the LCA office in Redmond and was informed that she was eligible for full OHP benefits.


“I said good heavens, I’m eligible!” said Eustaquia. “I asked myself, how is it possible that without papers, I qualified? I could not believe it. I swear to you I could not believe it. I was so happy.”


With her new insurance, Eustaquia no longer qualified for care at VIM, and she recently en­rolled as a Mosaic patient. A family member had encouraged her to learn more about Mosaic, letting her know that Mosaic employs people who speak Spanish and that they help the Latino community. Mosaic accepts patients with and without insurance.

“This whole experience has been lovely. I didn’t know such good people exist. There are people who discriminate when you don’t speak the language, it is intimidating. I can immediately feel when people don’t want to help because I am unable to speak English,” said Eustaquia. “But thankfully, the people that helped me are incredibly kind. Very, very kind. They helped me immensely. I still can’t believe to this day that I have a full benefit plan. I am excited to be a part of Mosaic for my ongoing care.”


“I still can’t believe to this day that I have a full benefit plan. I am excited to be a part of Mosaic for my ongoing care.”

All of YOU:

Body, Mind and Belonging

As a high school student with his life ahead of him, David ( name changed to protect his privacy ) was struggling. An unstable living environment taxed David with many unnecessary adult responsibilities and high anxiety. Previously diagnosed with attention deficit hyperactivity disorder, or ADHD, he was not able to take his medication consistently and often felt so tired that it was sometimes a challenge to stay awake.


A change in his home life and a move to Madras from Bend provided more stability in David’s life. When he first came to the Madras School-Based Health Center with his father, their main concern was that David had fallen behind in school by at least two years.


Mosaic provider Dwight Carpen, FNP-BC established a positive relationship with David and his family. After reviewing his ADHD medication, Dwight prescribed a much lower dose. He connected David with a Mosaic Community Health Worker who helped him enroll in a local alternative high school. Dwight also referred him to Virginia Roth, LCSW, a pediatric behavioral health consultant at Mosaic.

“They completely changed my outlook for the future and my belief in what I can accomplish,” said David.

Dwight and Virginia were impressed with how David took responsibility for his own care and engaged with his healthcare providers. He sets his own appointments and can walk to the clinic, which is near his home.


“David is the perfect illustration of how multi-faceted care can help so much,” said Dwight. “With an improvement in his home life and a little guidance, his personality is able to shine. He was able to show his determination and accomplish a tremendous amount.”

David completed an accelerated education plan that allowed him to make up the credits he needed to graduate while working on practical job skills. Support from Virginia — as well as proper medication dosage and a stable home life — allowed him to focus on school and hold down multiple jobs.


“I’m incredibly proud of David and the maturity he’s shown,” said Virginia. “He took charge of his own care, and with his perseverance and the support of Mosaic he’s really been able to accomplish a lot in a short period of time.”


David was able to graduate with his class in June 2023 and is hopeful that he will be soon be able to stop taking his ADHD medication. He is thankful for the accessible care he received from the team at Mosaic.


“My experience at Mosaic has been great,” reflects David.


“Since I’ve been going there I’ve gained confidence, graduated high school and found a job that pays really well.”

All the

Numbers

July 2022 - June 2023

Patient Advisory

Councils


Participants in our PACs across the region volunteer to share their insights and feedback to help us grow and learn. We appreciate their dedication to ensuring that Mosaic provides the best patient experience possible.


Volunteer of the Year


The inaugural Lynn Martin Memorial Volunteer Award was presented to Nora Beck, retired Mosaic employee and long-time volunteer whose bright, positive outlook is a continual source of inspiration to all she meets.

Nora embodies the spirit of the award’s namesake, Lynn Martin, who served as Mosaic’s first Executive Director. Congratulations, Nora! Thank you for more than a decade of service to Mosaic.

“They make me feel very welcome and taken care of.”

— J.L., Mosaic patient

All Are WELCOME:

Just As You Are

Patricia (in striped top) with her Mosaic team:

Patty, Kerry, Casey and Airyanna.

Do you need to talk?”


It was a simple question from a provider on Mosaic’s Mobile Clinic, but it changed Patricia Joanne Addams’ life.


At 58, Patricia had lived her life as “Tractor John,” using a tractor for transportation and calling a Redmond unhoused camp home since 2004. Struggles with addiction, a bout with COVID-19 and a bumpy recovery from back surgery left her feeling at her lowest and as if everyone was against her.


A Mosaic patient since 2020, one day Patricia found herself sitting next to Kerry Gillette, a Mosaic provider who works on the Mobile Clinic. Sensing Patricia’s distress, Kerry’s simple question, “Do you need to talk?” sparked a conversation that would transform her life.


“I hope in my next life that I can be the person I hope to be today,” Patricia recalls sharing. She opened up, revealing that inside she felt like a woman but felt hopeless that her internal experience would ever match her external appearance.

“I remember looking into her eyes and seeing that this was something that she had worked hard to suppress for many decades,” said Kerry. “I think that is really common. Sometimes people just get to a point and realize they can’t live that way anymore.”


She told Patricia, “I believe you. Of course, you know who you are. You don’t have to prove yourself to me. Your story matters.”


Affirming Patricia’s gender identity was a turning point. The Mosaic team, with Patricia’s permission, let community partners including Jericho Road and Deschutes County Health Services know that Patricia would be shopping in the women’s section moving forward. Casey Sadahiro, Mosaic’s Mobile Outreach Coordinator, gave Patricia her first dress.

“It felt like she had just been waiting for permission to be her authentic self,” recalls Casey. “And to realize that her authentic self is okay, and that she can express that to other people.”


While affirming her gender has not solved all of her life’s problems, Patricia now has more capacity to care about herself and other things. With the support of the Mosaic team and the Deschutes County Harm-Reduction Program — 

plus hard work and determination — Patricia is now sober and working toward new life goals: move into an apartment, get a driver’s license and a car, and help others. She credits the team at Mosaic for their non-judgmental support and affirmation.


“It is a great honor to know these people who help. Without them I had no hope,” said Patricia.

“I hope more people can watch, listen, and inspire without judgement. A year-and-a-half ago I was just existing, and I knew I had a good heart, but I hadn’t truly found myself. I had to make a change.


So, I decided to take the first step to change and God sent his angels to help. I am truly thankful and honored. I truly found myself and I feel at peace within myself.”

All the

Gratitude

Thank you to all of the individuals, organizations, foundations and government entities that make our work possible. We are committed to good stewardship of the funds entrusted to us, and to providing quality care to those in our community who need it the most.


Individuals

Joan & Bill Alles

Ann Ashley

Julia Austin

Thomas Bahrman

Laura J. Barreras

Ricardo Becerril

Pamela H. Beezley

Patricia M. Best-Mayko

Kahleen R. Biles

Janet Bisset

Trygve G. Bolken

Emily Boynton

Kay & Bob Boynton

Colleen Buchanan

Kathy Burkart

David Butler

Donna L. Caldwell

Laurie Chesley

Linda Church


Mark Clark

Tom Comerford

Linda Conn

John Conover

Conrad Family Trust

Jennifer H. Cox

Jack & Helen Crowell

Angela R. Curtis

Nick & Debbi Dean

Terry Dunkelberg

Charles D. Edleston

Karen Esvelt

David Fassett

Mary Fitzsimons

Kyle M. Gibson

Michael Goin

Daniel Goll

Norene & Thomas Gonsiewski



Christine Granath

Cearrow C. Green

Grant S. Gyesky

Mia Gyesky

Lee Haverland

Kathryn Hayward

Abby Hendricks

Hickok Wallace Donor Advised Fund

Rick & Jean Hoffman

Suzanne Holman

Carolyn Horton

Linda Huseby

Nancy Ingram

Glaser Quinn Jacobson

Amy Jermann

Jeanine Johnson

Rhoda & Craig Jones

Ted Jones


Jarret I. Katter

Elaine Knobbs-

Seasholtz

Patricia Knowles

Catherine Koto

Bradley & Katherine Lemmon

C. Porte Lewy

Michael Lindaas

Burton Litman

Leslie Maielua

Kristine Manthei

Judith McCreary

Bridget McGinn

Madisson McGuffin

Sarah & Phil McLaughlin

Kyle Mills

Doralee Mortensen

Jeffrey B. Muehling

Dave & Sheila Munson


Elizabeth Nardi

Justin Nicklous

Jennifer Nonweiler

Gary O'Connell

Virginia Olea

Sharon & John Pacelt

Ronald & Maria Patterson

Sarah Phipps

Donald & Pat Pitman

Annie Pleau

Joanie Poth

Helen P. Pruitt

Maureen Quinn

Jeffrey & Susan Rice

James & Christine Robbins

Stephen Rooney

Jeff Rose

Peter Sandgren

Dorothy Shinshiro


Kathryn Shuey

Craig Sinclair

Terry Skjersaa

L.D. Smith

James & Janice Spitz

Joel & Judith Steele

Natalie Stevens

Jennifer Stewart

James L. Stowers

Brian Sullivan

Gerda Tapelband

Catherine M. Tinney

Copley H. Van Tassell

Steve & Carrie VanRoekel

Erin Villano

Shannon Warner

Elizabeth Warriner

Julia Waybrant

Julee Wheeler

Anonymous


Organizations

Bean Foundation

Bend Foundation

Brown & Brown

Central Oregon Health Council

Costco Employee Donations

Cow Creek Umpqua Indian Foundation

Deschutes County Health Services


First Interstate Bank

Hayden Homes

Health Resources & Services

Administration (HRSA)

Humm Kombucha

Hydro Flask

Jefferson County Public Health


Jefferson County Faith Based Network

Les Schwab Tire Centers

Network for Good

Oregon Health Authority

OnPoint Community Credit Union

Oregon Community Foundation

Pacific Power Foundation


PacificSource Health Plans

Remond Chamber of Commerce &

Convention /Visitor Bureau

Rockefeller Foundation

St. Charles Foundation

United Way of Central Oregon

Voltaire Cycles of Central Oregon


(541) 383-3005

Quality Care For All

Thank you for your interest in Mosaic Community Health. To learn more about our organization and ways to support our work, please reach out via email or phone: 541-323-3860.