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Finding a patient-centered primary care home — and a better night's sleep


Mosaic Medical, Central Oregon, is part of the new Pacific Source Community Solutions Coordinated Care Organization



"That's been the underlying problem all these years. I have not slept well for 25 years," Karl Severson said. He credits the team approach and the on-going communication and coordination provided by his health care team with improving his health - and keeping him out of the hospital.

For the past 25 years, Karl Severson has been in and out of the hospital for his heart condition.

Severson, of Redmond, who is 61 in August, suffered from atrial fibrillation or A-fib, a condition that caused his heart to beat erratically and increases the risk for stroke. After medication and surgery failed, doctors told him there was nothing more they could do.

Then he went to Mosaic Medical in Bend. Through their teamwork and consultation with cardiologists at Oregon Health & Science University (OHSU), his condition stabilized. He was also referred to a sleep study at OHSU and was diagnosed with sleep apnea – the underlying cause of his chronic cardiac condition.

"That's been the underlying problem all these years. I have not slept well for 25 years," Severson said. He now wears a mask and uses a breathing machine at night to prevent the apnea.

Severson credits the team approach and the on-going communication and coordination provided by his health care team with improving his health – and keeping him out of the hospital.

"I received the best care I have ever had at Mosaic. They gave me this opportunity to get better," he said.

Mosaic recently earned recognition by the state as a Tier 3 Patient-Centered Primary Care Home — the highest level — for its achievements in patient care at its health centers in Bend, Madras, Prineville and at the Crook County School-Based Health Center. Mosaic, with about 14,000 patients, is part of the new Pacific Source Community Solutions Coordinated Care Organization.

Mosaic's care teams consist of doctors, nurses, community health workers and behavioral health providers. The team develops a care plan for its patients such as Severson with complex health needs.

Mosaic also works with hospitals and uses electronic data to help navigate patients who are frequently in the emergency room into primary care.

"Non-urgent care in the emergency room is costly. Everything we are doing now moves the patient to better outcomes — to stay healthy and focused on prevention and wellness," said Chief Executive Officer Megan Haase, F.N.P.


Learn more and find out if there is a Patient-Centered Primary Care Home in your area.