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Our company was founded 100 years ago in the logging camps of the Pacific Northwest on the idea of “community” – of neighbor helping neighbor though sickness and in health. One-hundred years later, we continue to put people at the center of everything we do. At the Cambia Health Foundation, we work with many organizations who share this commitment to helping individuals and their families to build healthier communities.

In this quarter’s newsletter, we are delighted to share stories about some fellow travelers in our efforts to advance palliative care and improve health care experiences throughout every stage of life. The Cambia Health Foundation recently awarded over $3.2 million in grants to five organizations that are doing remarkable work.
In Investment Impact, we discuss how two of our grantees, Lee Pesky Learning Center and The Children’s Center, take unique approaches to helping children overcome Adverse Childhood Experiences and building resilience. The number of children in the United States that suffer from childhood trauma is staggering – nearing 35 million according to the National Survey of Children’s Health. Both groups provide the support that our children need to build resilience so they can have a positive influence on their local communities.
In Grantee Spotlight, we look at two individuals who are making significant strides in pediatric palliative care. Kathy Perko, director of the Bridges Pediatric Palliative Care Program at OHSU Doernbecher Children’s Hospital, has successfully led an effort to recruit Dr. Robert Macauley to serve as the first Cambia Health Foundation Endowed Chair in Pediatric Palliative Care. We are excited to welcome Dr. Macauley to Oregon and help him build upon Kathy’s great work over the past 15 years.
The other spotlight focuses on one of our 2015 Sojourns Scholars, Dr. Dulce Cruz, who recently served as the keynote speaker at the Latino Health Equity Conference in Portland. Dr. Cruz presented a telenovela called “Caregivers Like Me” that she produced through grant-funding from Cambia Health Foundation. Her wonderful video discusses how to integrate family members into the decision-making process for end of life care in the Latino community.

We'd like to congratulate Dr. Diane Meier for being selected as the recipient of the 2017 TRUST Award presented by the Health Research & Educational Trust. Dr. Meier, who is the director of the Center to Advance Palliative Care and is the vice chair for public policy and professor of geriatrics and palliative medicine at the Icahn School of Medicine at Mount Sinai Hospital, has been a good friend to the Foundation and a driving force in the advancement of palliative care programs throughout the United States. We cannot think of a more deserving TRUST Award recipient.  
Dr. Steven Pantilat and I co-authored an article that appeared in the Health Affairs blog in July. Our blog post, “Foundation Addresses Critical Need For Palliative Care Workforce And Leadership Development,” highlights the role philanthropy has played in developing the next generation of palliative care leaders in the United States, including our Sojourns Scholar Leadership Program. It was an honor to work with Steve on the article and we greatly appreciate his ongoing dedication to the field.  
Lastly, I’d like to express my heartfelt concern to our neighbors near and far who have been impacted by the recent hurricanes in the Gulf Coast and suffered through a series of devastating fires in the Pacific Northwest. Our compassion compels us to action. Cambia Health Solutions and the LPGA donated a portion of the proceeds from the Cambia Portland Classic to support those affected by Hurricane Harvey. And, the Cambia Health Foundation matched 50 percent of employee contributions to relief organizations through September 15. 

With hope and optimism,
 -Peggy Maguire
President and Board Chair, Cambia Health Foundation 

In August, the Cambia Health Foundation Board approved the following grants.:
Cambia Palliative Care Center of Excellence at the University of Washington 
The Center will receive $2,539,182 over three years to expand and leverage two of their nationally known bodies of work in palliative care: the Quality Metrics Program and the Cambia Palliative Care Training Center. The funding, which builds on the $10 million that the Cambia Health Foundation previously awarded to the Center, expands the effort to measure quality and train the palliative care workforce.  

University of Utah 
The University of Utah was awarded $127,659 over two years to develop, implement and evaluate a telehealth grief support group for people in underserved rural areas. Of Utah’s 93 licensed hospice agencies, over 90 percent are located in the urban valley surrounding Salt Lake City and the metropolitan St. George area, with only eight hospice agencies serving rural communities. The grant allows the University to leverage the Utah Telehealth Network technology, and partner with three non-profit hospice organizations, to support service delivery for underserved rural populations.  

SIRUM—Supporting Initiatives to Redistribute Unused Medicine 
SIRUM received $80,000 over 12 months to recycle unopened and unexpired medications that can then be donated. SIRUM is expanding its business model and is building regional hubs to create a direct-to-consumer service. Previously, SIRUM had operated based on a business-to-business model where health care institutions would donate their unused medicine for low-income patients. The new funding supports the development, launch and evaluation of a consumer and provider-facing brand.  

Idaho Primary Care Association        
The Idaho Primary Care Association was granted $334,800 over 18 months to increase access and improve health care outcomes for residents of Idaho through integration in the Patient Centered Medical Home primary care setting. Four health centers will pilot different models of oral health integration to determine feasibility in different medical settings and with different populations. Each health center pilot will utilize and evaluate best practices such as data capture and sharing across programs, cross training and improved integration of oral health and medical staff, and enhancement of basic dental screening in the medical setting.  

National Children’s Alliance 
The National Children’s Alliance will receive $199,335 over 18 months to implement the Child & Family Traumatic Stress Intervention treatment program in Children’s Advocacy Centers in Utah and Idaho. The primary goal of this project is to provide training to at least 28 clinicians in four Utah sites and three Idaho sites in preventive behavioral health intervention. The grant will benefit at least 400 children and their caregivers who are being served by Utah’s children’s justice centers and Idaho’s child advocacy centers.   

Setting Children Up For Success For Today and Tomorrow
Children who suffer from Adverse Childhood Experiences (ACEs), such as abuse or neglect, face many challenges that make it more difficult for them to achieve success in school and in life. In addition, issues like living below the poverty line or having an unstable home life may lead to mental and behavioral health complications that can have a tremendously negative impact on both the short-term and long-term outlook for the child.
In an effort to help combat ACEs and build children’s resilience, the Cambia Health Foundation awarded grants to the Lee Pesky Learning Center in Boise, Idaho in 2016 and The Children’s Center in Salt Lake City, Utah in 2013. Both groups take a unique approach to helping children overcome adversity.
The Lee Pesky Learning Center’s program is designed around a three-tier model which educates teachers about how to help children identify and monitor their behavior. For children who face more challenging problems, they are given direct counseling from trained experts.
“The program is designed to help children who come from at-risk situations learn how to self-regulate their behavior,” said Evelyn Johnson, executive director at the Lee Pesky Learning Center.
The program incorporates a great deal of involvement with the teachers from the Desert Springs Elementary School, which served as the pilot school for the program. Over the past year, the educators have seen positive changes in many students. 
“We wanted to design a program that was scalable and easy to replicate in other neighborhoods,” said Johnson. “We train the teachers to have strategies to help them work with children in their classrooms who have behavioral issues instead of simply sending them to the school counselor. By building the children’s self-esteem and teaching them coping mechanisms, we help put them in a position to achieve long-term success.”
Similarly, The Children’s Center provides comprehensive mental health care to enhance the emotional and mental well-being of infants, toddlers, preschoolers, and their families. The Center has worked with experts throughout the state to improve the delivery of trauma services to children.
Trauma-informed screening is of vital importance since, according to the National Child Traumatic Stress Network, more than 25 percent of American youth experience a serious traumatic event by the age of 16, and many children suffer multiple and repeated traumas. 
Thirteen mental health agencies throughout the state brought 23 clinicians together to conduct trauma-informed screening and assessment. By training other colleagues on what was learned, these 23 experts were able to support over 300 children with the new training techniques. The training focuses on educating medical experts on ways to assess and understand the profound impact of early childhood trauma on a child’s emotional well-being.
“We examine the root cause of the child’s trauma history,” said Dr. Douglas Goldsmith, executive director at The Children’s Center. “When we understand the history, we gain insight into the original trauma which helps us minimize the long-term effects of Adverse Childhood Experiences.”
At the Cambia Health Foundation, we support organizations like the Lee Pesky Learning Center and The Children’s Center because they give children long-term approaches to overcome challenges and build resilience. Their methods help children live healthier, more successful lives. 

For nearly 15 years, the Bridges Pediatric Palliative Care Program at OHSU Doernbecher Children’s Hospital has provided comprehensive care to children across Oregon and SW Washington facing long-term life-threatening conditions. An interdisciplinary team of physicians, nurses, a nurse practitioner, a social worker and chaplain – lead by Program Director Kathy Perko, M.S., P.N.P. – have provided various services, including counseling and education, pain and symptom management, and bereavement support to help ensure the unique physical, emotional, social and spiritual needs of each patient and family. The focus of their work is living – with quality – and making each day the best day possible for children and families facing serious illness.
In 2015, the Cambia Health Foundation granted $4 million to the Doernbecher Children’s Hospital Foundation – as part of the Knight Cancer Challenge – to establish the hospital’s first pediatric palliative care endowed chair, and only the third pediatric palliative care endowed chair in the United States. In September, Robert Macauley, MD, FAAP, FAAHPM, became the first Cambia Health Foundation Endowed Chair in Pediatric Palliative Care of OHSU Doernbecher Children’s Hospital’s Bridges pediatric palliative care program. Recruiting someone of his caliber would not have been possible but for Kathy’s exceptional efforts in building the program.
The Foundation would like to welcome Dr. Macauley and to congratulate him, Kathy and the entire Bridges Palliative Care team for their innovative efforts to grow the field of pediatric palliative care locally and across the nation. We look forward to continued collaboration.  

On June 20, Familias en Accion hosted the 2017 Latino Health Equity Conference in Portland. Dr. Dulce Cruz, a 2015 Sojourns Scholar, gave a keynote address where she showed a telenovela she helped produce that was designed to educate Latino patients and caregivers about palliative care and end of life care options called “Caregivers Like Me.” Foundation president and board chair Peggy Maguire had the honor of introducing Dr. Cruz to the conference attendees. 

Based in Portland, Oregon, Cambia Health Foundation is the corporate foundation of Cambia Health Solutions, a total health solutions company dedicated to transforming the way people experience health care. Cambia Health Foundation is a 501(c)(3) grant-making organization that strategically invests and partners with organizations regionally and nationally to advance palliative care quality, access and understanding; improve the mental and behavioral health of underserved children; and transform health care to a more person-focused, equitable and economically sustainable system. Learn more at or follow us on Twitter.