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Commissioner Zachary Myque Obiero

Personal

I was born and raised in Nairobi, Kenya. I speak multiple languages including my
“mother tongue”- Luo ( as a point of reference, this is the same tribe as Obama’s
dad), Kiswahili (or Swahili as many call it), and English as my third language. As I grew
up we moved around a lot, but settled down for a large part of my life in the Kibera
slums, which is one of the largest in Africa. Throughout the years I attended
highschool and a little after, I engaged with our local church (Good Shepherd AGC) in
community work feeding the homeless, volunteering in local orphanages and doing
mission work around Kenya and the surrounding countries, including Rwanda. I
moved to Oregon in 2003 and have been here since then.

I have always strived to care for those who are vulnerable and forgotten. Since my
days working in local mission work in Africa, my passion for service led me to finding
a field that I could do even more, which is how I ended up becoming a nurse. As a
nurse, I have strived for people that I have taken care of to receive the best care
possible, always advocating and ensuring the voices of the vulnerable are heard. In
my time in Corrections Health, I have worked tirelessly with the rest of the leadership
to create and indeed, succeeded in changing the hiring process for nurses that also
led to the creation of the RN fellowship; a program that is geared towards getting
nurses of color a better opportunity to get a career in nursing in a field that is crying
out for it within the legal system. With the disproportionate amount of BIPOC people
in the legal system, it is critical to have staff that is reflective of that population and
indeed, the community overall, which is something I continue to strive towards
everyday. As a black leader, equity and advocacy have and will always be an integral
part of the work I do.

Initiatives Created

  • During my time as Director of Health Services for McLoughlin Place Assisted
    Living and Memory Care, I initiated recruitment, retention and training
    processes for nursing and other staff which resulted in the most stable staffing
    the facility had seen. I created workflows and started education programs for
    families dealing with dementia and memory loss in their loved ones. I later
    became the main trainer as Regional Trainer for all Health Service Directors for
    the west coast region and Idaho for the parent company. I continue to consult
    and offer training to long term care facilities and also help families navigate
    the difficult transition when their loved ones move into care facilities and to
    help them to understand what they are seeing from their loved ones.
  • In my time as a DON (Director of Nursing) for Prestige, I implemented
    workflows and changes that prepared our facility and staff for state and
    federal surveys, including managing complex insurance issues for patients. I
    was later assigned to train nurse managers regionally and facilitate facility
    readiness and preparedness for survey, with much success.
  • In my time as a PM2 (Program Manager 2) in Corrections Health, I
    implemented a better tracking and monitoring system for our clients who
    require the most assistance from a medical and mental health perspective by
    creating a Google doc system that allowed better information sharing and
    promoted continuity of care.
  • I worked with county leadership to advocate for increased diversity in the
    nursing pool, and thereby created an RN fellowship program that would allow
    for ADNs to have the same opportunity to work in the Corrections Health
    setting as those who attend four-year schools.
  • Recruiting efforts have been a point of focus for me including meeting with all
    the area colleges and universities’ nursing programs to detail what work
    within Corrections Health looks like. We have seen an increase in demand
    from the schools for clinical placements as students can now see working as a
    community health nurse within Corrections Health as a destination choice of
    career.
  • Over a two-plus-year period, did a lot of research on MAT (medication assisted
    treatment), now MSR (medication supported recovery), including visiting
    other facilities throughout the country, networking with a local SUD
    (substance use disorder) taskforce to initiate the program within Corrections
    Health that allowed for the induction and maintenance of clients on
    Buprenorphine and also have a system that allowed them an opportunity to
    to not return to using by ensuring they are set up with outside agencies for
    treatment and follow up.
  • Worked with PPB (Portland Police Bureau) and OSHU ED to create a better
    monitoring system for clients that came in with reported ingestion of drug
    “baggies,” which entailed a 6 hour watch period in a delegated area in the
    OHSU ER, thus reducing the strain on nursing and MCSO, while ensuring
    patient safety in a place where issues can be addressed quickly and efficiently
    should the need arise.
  • Created skills and protocols checklists that allow nursing leadership to
    determine specific training needs for nursing staff throughout Corrections
    Health.
  • I also was Head Boys Soccer Coach at Oregon City high school for 10 years.
    During this time, I was able to change the program to be leading contenders
    in our division each year. The greatest highlight of my time coaching was
    seeing all my students graduating with a minimum of C average grades (with
    most far exceeding that including multiple valedictorians) and seeing them
    succeed in college and now as adults in the community with great jobs, giving
    back to the community because of the values instilled in them while on the
    team.

Leadership

  • Effectively partnered with other county divisions and leadership to address
    emergent issues facing Corrections Health, including the COVID-19 pandemic
    outbreaks across all three CH sites. Worked closely with the ICS (Integrated Clinical
    Services) lab, public health officer and epidemiologists, and OHA (Oregon
    Health Authority) to manage each respective outbreak. Additionally, when
    vaccinations became available, led Corrections Health efforts in ensuring
    vaccines were available to a mostly BIPOC population in the jails and
    providing culturally specific education all along.
  • Built strong relationships with other health department leadership, which has
    led to better information sharing from a nursing perspective including having
    the opportunity to train nurses and providers at East County Clinic on wound
    care.
  • Worked with MCSO (Multnomah County Sheriff’s Office) leadership to create
    and sustain a system of housing that allows those that identify as other, the
    opportunity to be appropriately housed within the correctional system.
  • Worked with the Portland Police Chief to create a better relationship between
    the nurses and officers in intake, including giving opportunities to nurses to
    attend crash meetings and PPB briefings which have contributed to create
    the best relationship PPB has had with Corrections Health.
  • Hired and created check in systems for nursing leadership to provide better
    oversight and a more cohesive system throughout Corrections Health in
    standardizing the care provided to clients.
  • Engaged in the county’s MOC (managers of color), including service in the
    Northwest Public Employees Diversity Conference committee over the last two
    years.
  • Created effective communication systems by setting up lead nurse check-ins
    and email nursing report to ensure critical information is passed along from
    shift to shift.
  • As a part of the employee resource group MOC (Managers of Color), pushed
    for change at the county level to ensure hiring practices were fair and placed
    emphasis on providing an equitable platform for all employees, including
    BIPOC staff.
  • Took over leadership of the Corrections Health division as a part of succession
    planning to ensure changes within the leadership structure set up the exempt
    staff to succeed and thrive in the various roles.
  • Created and delivered a complex budget for the division of over $28 million
    worth of general funds.