Welcome to the The QI Chat Room podcast. This podcast is all about quality improvement, or QI, in healthcare. We’ll bring you speakers from our member health centers, outside health centers, county and federal agencies, healthcare plans, and more. Those speakers will discuss promising practices they’ve identified at health centers, the latest data on specific health topics, and engage in conversation with our live audience. We’ve been hosting these chat rooms since late 2018. In the fall of 2019 we made the transition to podcasts to reach a greater range of listeners, including our health centers’ providers and staff that cannot make regular meeting times. We hope you’ll join us, as we share the latest in quality improvement.

All episodes of the podcast are listed individually below and also available on popular streaming services. Resources and documents related to the episodes can be found in The QI Chat Room Dropbox Folder. Promising Practice documents can be found on our Promising Practices web page.

The QI Chat Room

If you have a topic you’d like to present or a topic you’d like to request, contact Max Perrey. While the focus is on QI, topics can include anything related to your health center’s work. The schedule of topics for The QI Chat Room podcast can be found here.

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Episode 28: The Future of Telehealth Visits beyond the COVID-19 Pandemic

This episode features Max Perrey who is the Director of Communications and Public Affairs at Redwood Community Health Coalition. Max will be interviewing our two guest speakers, Dr. Mike Witte, Chief Medical Officer at the California Primary Care Association, and Cindy Keltner, Director of Transformation at the California Primary Care Association. The topic for today’s session is Covid Telehealth Reflection & Telehealth Policy Response.

Episode 27: Covid-19 Vaccine Hesitancy

This episode features Dr. Joshua Weil of Kaiser Santa Rosa and the Jewish Community Free Clinic and Dr. Deborah Roberts from the Jewish Community Free Clinic who discuss Covid-19 vaccine hesitancy among staff and patients.

Episode 26: Patient Care using Community Health Workers & Partnerships

This episode features speakers from the Northern California Center for Well-Being, Carium, and Santa Rosa Community Health who will talk about their work with Community Health Workers (or CHWs) and partnerships that leverage this work.

Episode 25: The Workings and Exploration of a Clinic Garden and Outdoor Classroom

Last week was Food Champion Week at RCHC. We hosted a Food Champion Roundtable event, and taped two podcast episodes related to food and nutrition. This is the second podcast episode and features Edye Kuyper from CommuniCare Health Centers.

Edye Kuyper manages CommuniCare Health Centers’ food programs that connect patients with healthy food and with each other in order to prevent and manage diet-related disease. Raised on a farm in Vermont, Edye served as a Peace Corps Volunteer in rural Mauritania. Edye holds an M.S. in International Agricultural Development from UC Davis. Prior roles include facilitating better integration of agriculture and nutrition development efforts in low-income countries, and providing technical assistance to community-based nutrition education and food security projects that engage low-income U.S. households. Edye also lectures in the Nutrition, Food and Dietetics program at CSU-Sacramento.

CommuniCare Health Centers’ (CCHC) “Food is Medicine” initiatives integrate food with the delivery of clinical services. CCHC is located in Yolo County, where agricultural traditions run deep. Programs draw on unique community strengths to address patients’ mental and physical health needs while considering environmental justice. Initiatives to date include the Garden and Outdoor Classroom, cooking classes, and produce distribution and prescriptions.

Episode 24: Alameda County Food as Medicine Initiatives

Last week was Food Champion Week at RCHC. We hosted a Food Champion Roundtable event, and taped two podcast episodes related to food and nutrition. This is one of the podcast episodes and features Dr. Steven Chen (Chief Medical Officer) of All In Alameda County and Jessica Jamison, MPH (Director of Patient and Community Engagement) of Tiburcio Vasquez Health Center. They discussed their many food initiatives including food as medicine. ALL IN Alameda County expanded its Food as Medicine to Tiburcio Vasquez Health Center in February 2020. Tiburcio is a primary care clinic in San Leandro, serving the Ashland and Cherryland districts. This partnership builds upon the prior success of Food as Medicine at Hayward Wellness, part of Alameda Health System. Food as Medicine provides an integrative model for healthcare that addresses the social determinants of health and chronic disease. This model shifts medical practices by giving healthcare providers in Alameda County’s network of community-based health clinics the tools, training, and infrastructure they need to utilize healthy food interventions in combination with group behavioral support to improve health, socio-emotional wellbeing, and food security for Alameda County residents.

Episode 23: COVID-19 Vaccination Efforts

This episode features Dr. Danielle Oryn and Dr. Lisa Ward. Dr. Oryn is the Chief Medical Officer/Chief Medical Informatics Officer at Redwood Community Health Coalition. Dr. Ward is a Regional Medical Director at Marin Community Clinics (MCC), located in Marin County. Dr. Oryn will be asking Dr. Ward questions about MCC’s COVID-19 vaccination efforts.

Episode 22: Expanding Food Access & Improving Nutrition Education Through a Food Pharmacy

This episode features Michaela Moss, a health educator from Marin City Health and Wellness Center (MCHW), who will talk about their food access and nutrition education initiatives. This is a unique episode, as it was recorded in March of 2020, just as the pandemic was starting to affect health centers. Many of the health center’s patient programs, including an in-person food pharmacy program, have been put on hold since the recording due to the pandemic.

Episode 21: The Power of Medically Tailored Meals

This episode features Cathryn Couch who is the founder and CEO of Ceres Community Project, a non-profit working to foster health by connecting people to one another and to a healthier food system. Ceres provides 150,000 organic medically tailored meals annually to primarily low-income people struggling because of a health challenge. Youth volunteers grow food and prepare the meals as part of a youth development, culinary and food system education program. Ceres has trained a dozen communities across the United States and in Denmark to replicate their model and the organization supports 8 Affiliate Programs.

Couch is the 2020 chair for the California Food is Medicine Coalition, a six-agency collaboration conducting the first statewide medically tailored meal pilot for MediCal members. Ceres is also one of four agencies currently conducting large-scale randomized control trial for medically tailored meals at Kaiser Permanente. Couch is as advisor to the Aspen Institute’s Food & Society initiative; contributed to the Rockefeller Foundation’s 2020 report Rest the Table, sits on the leadership team for Hearts of Sonoma County – a collaborative working to reduce heart attacks and strokes; and participates in Marin Food Policy Council, California Food & Farming Network, and the Food Lab at Google.

Couch previously gave a TEDx Talk in 2018 on nutritious meal delivery, which can be viewed here.

Episode 20: Patient-Centered Medical Home Transformation & Behavioral Health Integration

This episode features health center staff Michelle Hill and Avani Bedagkar. Michelle is the CQI Coordinator at Long Valley Health Center (LVHC) in Laytonville, CA. She was the Patient-Centered Medical Home (or PCMH) Project Lead when LVHC applied for certification in 2018 using the new 2017 Standards and Distinction programs. LVHC was the 1st Health Center in California to receive the Distinction for Behavioral Health Integration. Michelle will discuss the application and renewal process for the PCMH Distinction for Behavioral Health Integration. This distinction helps practices provide comprehensive whole-person care that acknowledges the behavioral health needs of the individual beyond the core requirements of NCQA PCMH Recognition.

Avani is the QI Manager at Marin Community Clinics (MCC) and joined in 2017. She is the PCMH Manager for both Annual reporting and Transformation and works with other team members to ensure timely project completion. Avani will talk about the annual reporting process of PCMH. MCC is still going through the transformation process, so will talk about the basic structure of how to provide evidence for the transformation process.

Episode 19: Continuous Glucose Monitoring for Patients with Diabetes

This episode features Julie Vlasis, “Compliance Officer and CQI Coordinator” for Sonoma Valley Community Health Center. In January of 2020, Sonoma Valley documented a promising practice titled “Continuous Glucose Monitoring for Uncontrolled Diabetic Patients”. While a lot has changed since January, Sonoma Valley has continued to expand its Continuous Glucose Monitoring (or CGM) project and are seeing significant results.



This project is funded by the California Improvement Network, which is a project of the California Health Care Foundation and is administered by the Healthforce Center at UCSF.

Project Timeline

August 2019 – October 2019


Project Partners:

  • Alexander Valley Healthcare
  • Alliance Medical Center
  • Anderson Valley Health Center
  • Coastal Health Alliance
  • CommuniCare Health Centers
  • Jewish Community Free Clinic
  • Long Valley Health Center
  • Marin City Health and Wellness
  • Marin Community Clinics
  • Northern California Center for Well-Being
  • OLE Health
  • Petaluma Health Center
  • Ritter Center
  • Santa Rosa Community Health
  • Sonoma County Indian Health Project
  • Sonoma Valley Community Health Centers
  • St. Joseph Mobile Health Clinic
  • West County Health Centers
  • Western Sierra Medical Clinic
  • Winters Healthcare Foundation


For more information, please contact Kelly Bond.