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Portland Rx Play Medical Admin Material
Portland Rx Play Medical Administrative Materials
The following materials have been developed by the Portland Rx Play Working Group for use by medical offices to administer the program:
 
1. Rx Play Clinical Training Power point Presentation
2. Rx Play Clinical View
3. Motivational Interviewing Technique Training for Rx Play
4. Rx Play Physical Activity Screening Measure
5. Rx Play Prescription Documents
6. Sample Rx Play Authorization to Disclose Protected Health Information
7. Rx Play Frequently Asked Questions
8. Rx Play Partner Map and Listing
 
Note: The contents on this web site will be evolving, and revised versions of some materials will be posted as we further refine the program administration process.
 
For questions about any of these materials or the Rx Play process please contact either:
 
Terry Bergerson
Oregon Parks and Recreation Department
Phone: 503-986-0747
Email: terry.bergerson@oregon.gov  
or
 
Jean Rystrom
Kaiser Permanente
Phone: 503-813-1074
Email: Jean.Rystrom@kp.org
 
Note to medical partners:
 
All completed Rx Play prescriptions for patients residing in the Tualatin Hills Park and Recreation District coverage area should be sent either by regular postal service mail or as an email attachment to:
 
Regular postal service:
 
Eric W. Owens
Superintendent of Recreation
Tualatin Hills Park and Recreation District
15707 SW Walker Rd.
Beaverton, OR 97006
 
Email: eowens@thprd.org
 
 
All completed Rx Play prescriptions for patients residing in the Portland Parks and Recreation coverage area should be sent either by regular postal service mail or as an email attachment to:
 
Regular postal service:

Portland Parks and Recreation
1120 SW 5th Ave. Suite #1302
Portland, OR 97204
Attn: Danielle Solomon
 
Email: danielle.solomon@portlandoregon.gov
 

 
Rx Play Clinical Training Powerpoint Presentation
This 12 minute power point presentation provides all of the administrative information clinicians need to get started with the Rx Play program from the clinical perspective. The presentation includes a sound narration, so make sure that your computer speakers are turned on to listen to the narration. This training provides you with both a description of the process, and also an example of what you might say in the exam room.

Click Here for Rx Play Clinical Training Powerpoint Presentation

 
 

 
Rx Play Clinical View
This guide is intended for use by primary care clinicians who see children to understand the basic process for integrating the Rx Play Program in their everyday practice.
 
Click here for the Clinical View document.
 
 

 
Motivational Interviewing Technique Training for Rx Play
Motivational interviewing is highly beneficial for engaging families in the Portland Rx Play Program. Below are links to two interrelated online training modules (developed by Kaiser Permanente and offered free of charge to the public). These modules contain motivational interviewing techniques for addressing weight management issues. The two training modules may be used separately or together and can be accessed at the following web link.
 
http://kphealtheducation.org/pedoverweight/index.html
 
The web site requires first and last name, email address, and whether or not the user is a Kaiser Permanente employee. This information will be used only for demonstration of the training module’s benefit to the community, and for infrequent announcement of future publicly available related learning modules. Once the user logs into the Pediatric Overweight module, they are given the option to either begin the interactive training module, or explore the Brief Negotiation Roadmap.  CEU credits are available.
 
  1. Pediatric Overweight (4 hour course with interactive components)
    Learn ways to build your confidence and effectiveness when talking about weight management. Using this online interactive program, you can learn and practice the Brief Negotiation (BN) method with realistic simulated patient encounters. The BN method focuses on building skills to enhance your clinical style, assess readiness to change, amplify patient’s motivation, and work effectively with challenging patients. This program applies BN principles by having the user engage in a dynamic, interactive conversation with the patient. As the user chooses from three response choices, they receive feedback from the “motivation meter” and the coaching corner.
     
  2. Brief Negotiation (BN) Roadmap (1 hour course)
    This module includes a brief overview of BN principles.
 
 

 
Rx Play Physical Activity Screening Measure
The following document is intended for use by primary care clinicians to determine if adolescents are meeting physical activity guidelines.
 
Click here for the Physical Activity Screening Measure document.
 

 
Rx Play Prescription Documents
One of the Rx Play Program objectives is to create a “warm-handoff” between the medical system advice to be more active and the park and recreation system programs, with a “push” from the medical system and a “pull” from the park and recreation system by connecting participant families with their local recreation centers. The device that facilitates this connection between the medical and park and recreation systems is the Rx Play prescription form. The prescription forms have been customized for use by individual medical facility partners in order to evaluate the program. Please download the appropriate form for use at your specific medical location.
 
Click here for Kaiser Permanente – Beaverton
Click here for Doernbecher Children's Clinic at OHSU
 
 

 
Sample Rx Play Authorization to Disclose Protected Health Info.
Medical information sharing requirements vary by health organization for transferring the completed Rx Play Prescription Document (form includes parent/guardian release signature and date). However, some medical organizations may require a more extensive authorization form to disclose protected health information. A sample form from Kaiser Permanente is provided and can be used as a guide for creating a form for your organization if needed.
 
Click here for the Sample Form.

 
Rx Play Frequently Asked Questions
The following is set of frequently asked questions about the medical administration of the Rx Play Program.
 
Click here to view the Frequently Asked Questions.
 

 
Rx Play Partner Map and Listing
Current Rx Play partners include 22 medical offices and 23 park and recreation facilities across the Portland, Oregon metro area. Below is a downloadable map showing all current Rx Play medical and park and recreation partner facilities and a listing of these partners.
 
Click here for Map.
 
Kaiser Permanente
 
 
Sunset
Mt. Scott
19400 NW Evergreen Parkway
9800 SE Sunnyside Road
Hillsboro, OR 97124
Clackamas, OR 97015
 
 
Beaverton
Division
4855 SW Western Ave.
7705 SE Division St.
Beaverton, OR 97005
Portland, OR 97206
 
 
Murrayhi ll
East Interstate
11200 Murray Scholls Place, Suite 100
3550 North Interstate Ave.
Beaverton, OR 97007
Portland, OR 97227
 
 
Tualatin
Rockwood
19185 SW 90th Ave.
19500 SE Stark St
Tualatin, OR 97062
Portland, OR 97233
 
 
 
 
Oregon Health and Science University
 
 
Doernbec her Children's Clinic at OHSU
Doernbe cher Westside
700 S. W Campus Drive
15220 NW Laidlaw Rd., #100
Portland, OR 97239
Portland, OR 97229-7717
 
 
OHSU Family Medicine and Sports
Medicine at Gabriel Park Clinic
OHSU Family Medicine and Sports
Medicine at Richmond Clinic
4411 SW Vermont
3930 SE Division
Portland, OR 97219
Portland, OR 97202
 
 
OHSU Center for Health and Healing
 
3303 SW Bond Ave.
 
Portland, OR 97239
 
 
 
 
 
Legacy Health System
 
 
Children's Diabetes & Endocrine Center
Legacy Emanuel Children's Clinic
501 N Graham St, Suite 375
2800 N Vancouver #165
Portland, OR  97227
Portland, OR 97227
 
 
 
 
School-based Health Centers (Multnomah County Health Department)
 
 
David Douglas
Harrison Park
1034 SE 130th Ave
2225 SE 87th Ave
Portland, OR 97233
Portland, OR 97216
 
 
Parkrose
George
12003 NE Shaver Street
10000 N Burr Ave
Portland, OR 97220
Portland, OR 97203
 
 
Cesar Chavez
Lane
5103 N Willis Boulevard
7200 SE 60th Ave
Portland, OR 97203
Portland, OR 97206
 
 
 
 
Independent
 
 
Children's Community Clinic
 
27 NE Killingsworth Street
 
Portland, OR 97211
 
 
 
 
 
Current park and recreation partners include:
 
 
Portland Parks and Recreation
 
 
Fulton Community Center
Peninsula Park Community Center
68 SW Miles
700 N Rosa Parks Way
Portland, OR 97219
Portland, OR 97217
 
 
Hillside Community Center
Sel lwood Community Center
653 NW Culpetter Terrace
1436 SE Spokane
Portland, OR 97210
Portland, OR 97202
 
 

Southwest Community Center
77 NE Knott
6820 SW 45th
Portland, OR 97212
Portland, OR 97204
 
 
Montavilla Community Center
St Johns Community Center
8219 NE Glisan
842 7 N Central
Portland, OR 97255
Portland, OR 97203
 
 
Mt. Scott Community Center
University Park Community Center
5530 SE 72nd
9009 N Foss
Portland, OR 97206
Portland, OR 97203
 
 
East Portland Community Center
(with indoor pool)
 
740 SE 106th
 
Portland, OR 97216
 
 
 
 
 
Tualatin Hills Park and Recreation District
 
 
Athletic Center
Garden Home Recreation Center
15707 SW Walker Rd
7475 SW Oleson Rd
Beaverton, OR 97006
Portland, OR 97223
 
 
Aquatic Center
Harman Swim Center
15707 SW Walker Rd
7300 SW Scholls Ferry Rd
Beaverton, OR 97006
Beaverton, OR 97008
 
 
Aloha Swim Center
Sunset Swim Center
18650 SW Kinnaman Rd.
13707 NW Science Park Drive
Aloha, OR 97007
Portland, OR 97229
 
 
Beaverton Swim Center
Tennis Center
12850 SW Third
5707 SW Walker Rd
Beaverton, OR 97005
Beaverton, OR 97006
 
 
Cedar Hills Recreation Center
Raleigh Swim Center
11640 SW Parkway
3500 SW 78th
Portland, OR 97225
Portland, OR 97225
 
 
Conestoga Recreation & Aquatic Center
Somerset Swim Center
9985 SW 125th
18300 NW Parkview Blvd
Beaverton, OR 97008
Portland, OR 97229