Liz Vitale, MSOM licensed acupuncturist

Liz Vitale, MSOM
licensed acupuncturist

Rinehart Clinic now offers acupuncture

Meet Liz Vitale, Rinehart Clinic's acupuncturist, who is bringing patients a new option for managing chronic pain and other health concerns.

Offering acupuncture and Chinese herbal medicine, Liz focuses on treating chronic medical conditions and addressing the root causes of disease. She has a background in pain management and addiction, including smoking cessation.

Liz holds a Master of Science in Oriental Medicine (MSOM) from the National University of Natural Medicine in Portland.

She is currently accepting patients on Tuesdays and Wednesdays at Rinehart Clinic. If you would like to make an appointment, please call 800-368-5182, ext. 101.

Gail Nelson.jpg

Rinehart Clinic welcomes new CEO

The Rinehart Clinic is pleased to welcome Gail Nelson as our new Chief Executive Officer. Gail will join the team in late January.

An extensive search for a new CEO had been under way since late summer. The previous CEO, Marge Jozsa, resigned in October ahead of her scheduled 2018 year-end retirement.

Ms. Nelson has a background in rural healthcare and with federally-qualified health centers. For the past five years, she has served as Associate Director of Chambers Community Health Centers, Inc. in Anahuac, Texas.

Gail places an emphasis on recruitment and retention of qualified staff. She also has a strong focus on monitoring and improving quality, patient-centered primary care, and she believes firmly in collaboration–both among clinic staff and with community partners.

According to Camy VonSeggern, President of Rinehart Clinic's Board of Directors, Gail is well qualified for the job. She is excited to get started and make the move to the Oregon coast.

"The search committee was impressed with Gail's knowledge about rural healthcare challenges and her approach to running a clinic and pharmacy," said Camy. "We are confident she will serve Rinehart Clinic well and we are pleased she has chosen to accept the leadership role here."

Ms. Nelson provided the following statement regarding her new role at Rinehart Clinic: “I look forward to working with the leadership team and staff of the Rinehart Clinic and Pharmacy. I want to help the organization continue to fulfill its mission of providing high-quality, complete, personalized healthcare for residents and visitors, regardless of their health conditions and financial circumstances. It was apparent to me immediately upon meeting everyone, that each member of the team is compassionate about health care, their role(s) in the Center, and the collaborative approach to finding creative solutions to complex needs. My goal is to identify new strategic partnerships, strengthen existing community relationships, and create a sense of excitement about the future.”

Ms. Nelson received her Masters of Health Administration, as well as a Bachelor of Health Administration, from Texas State University-San Marcos. She also attended the UCLA/Johnson & Johnson Health Care Executive Program and is board certified in healthcare management as a Fellow of the American College of Healthcare Executives (FACHE).

Please join us in extending Gail a warm welcome to the clinic and to the North County community.

Rinehart Clinic blue sky.jpg

Grant award brings new classes and programs to Rinehart Clinic

Rinehart Clinic recently received $20,000 in grant funding aimed at reducing obesity in our community. The project's focus is on expanding access to healthy foods and physical activity.

The grant comes from the Columbia Pacific Coordinated Care Organization Community Advisory Committee and the Eugene Schmuck Foundation.

The generous funding will help us expand our class offerings throughout 2019. Our popular Art of Eating and Weighty Discussion classes will return, and several others are in the planning stages. The classes will include diabetes management, medication management, and perhaps new walking groups and/or other physical activities.

The first new class we are adding is a monthly Mindfulness Meditation class that will help people understand the connection between emotional wellness and healthy eating. The drop-in class starts January 28 and will be led by Sara Todd, one of Rinehart Clinic's Licensed Clinical Social Workers. Sara has practiced mindfulness meditation for more than 15 years.

Keep an eye on Rinehart Clinic's Facebook page, our events page, and upcoming editions of Rinehart Clinic’s e-Newsletter for details on additional upcoming classes.

Rinehart Clinic blue sky.jpg

Rinehart Clinic reduces sliding fee charges

November, 2018: Rinehart Clinic’s Board of Directors has reduced the clinic’s sliding fee scale charges in order to make it easier for all patients to get the care they need. The change is effective immediately. The new sliding fee scale ranges from $10 to $55, and the Discounted Time of Service fee, which covers the office visit, has been reduced to $60.

What does this mean for patients? The reduced charges apply to all patients on the sliding fee. All patients are encouraged to apply for the sliding fee discount regardless of their income level, household size, or insurance coverage. If for some reason your insurance does not cover some or all of the services we provide, you may be able to use our sliding fee scale.

About the sliding fee scale: Rinehart Clinic offers discounts on charges to patients based on their family size and income, and as a Federally Qualified Health Center, we have additional programs available to help patients who may have difficulty paying their health care bills.

For questions on insurance enrollment or the sliding fee scale program, please contact our Outreach and Enrollment Navigator at 800-368-5182 ext. 112. Our friendly front desk staff can help patients make appointments and determine insurance coverage, including for our Doctor of Naturopathic Medicine. Call 800-368-5182, Ext. 101 to reach the front desk.

For more information, and to download a sliding fee scale application, visit Rinehart Clinic’s services page:

November, 2018: Rinehart Clinic is pleased to be participating in Giving Tuesday, a global giving movement that connects nonprofits to those who are considering year-end giving opportunities. Giving Tuesday is November 27, 2018, following on the heels of “Black Friday” and “Cyber Monday.”

If you are planning to support local nonprofits on Giving Tuesday (or anytime), please consider a tax-deductible donation to Rinehart Clinic. Online donations can be made through PayPal on Rinehart Clinic’s Contribute page:

Learn more about Rinehart Clinic’s mission to provide healthcare to everyone in our community who needs it, regardless of their health conditions or ability to pay.

Rinehart Clinic blue sky.jpg

Seaside Providence Community Connections program helps connect patients with rides to medical appointments

November, 2018: Rinehart Clinic has partnered with Providence Seaside Hospital’s Community Connections to expand its free ride program into Tillamook County. The program provides rides to medical appointments in Clatsop County and the Portland metro area for patients who meet income eligibility requirements (200% and under of federal poverty level).

How to apply for the program: For Rinehart Clinic patients who want to apply to use the Providence Seaside Hospital Community Connections free ride program, the clinic’s Enrollment Navigator can help complete the intake and screening process. All they need to do is fill out an income verification sheet and, as long as they meet the guidelines, the Community Connections Program Coordinator will be notified that the patient is eligible to schedule rides to medical appointments. Rinehart Clinic’s Enrollment Navigator can be reached at 1-800-368-5182, Ext. 112.

The Enrollment Navigator will let patients know when the verification is complete. At that point, rides can be scheduled through the Providence Community Connections Program Coordinator.

Details on scheduling a ride: Once the patient is qualified for the program, they can contact the Community Connections Program Coordinator at 503-717-7766.

They should:

  • Provide 14 days’ notice for rides

  • Schedule appointments for Wednesdays if possible.

  • If patients have a friend or family member who could drive them, they should try that option first.

The Community Connections program cannot guarantee availability, but they will do their best to work with patients to find a day and time that works.

Rinehart Clinic blue sky.jpg

November is National Diabetes Month
Bringing attention to diabetes and its impact on millions of Americans

November, 2018: Rinehart Clinic is focused on diabetes throughout the year, but November is a good time to highlight its impacts since it is National Diabetes Month.If left untreated, type 2 diabetes can lead to heart disease, kidney failure, blindness, and other serious health problems.

As you can see by these statistics from from the Centers for Disease Control (CDC), type 2 diabetes is widespread across the United States. In Tillamook County the numbers are even higher; more than 11 percent of the population has been diagnosed with type 2 diabetes and many more are undiagnosed or prediabetic.

Rinehart Clinic's care team is placing a special emphasis on diabetes this November. Some of you may have received a letter from our Panel Coordinator telling you "It is important to have your A1C checked before the end of 2018!"

Why is this A1C test so important? The A1C test, a routine blood test, averages your blood sugars for the past three months. Testing your A1C is the best way to stay in control of your diabetes and prevent related health complications.

Rinehart Clinic is also part of Tillamook County Wellness, a county-wide collaborative of healthcare facilities and other community partners focused on reducing the risk of diabetes across Tillamook County. For more information on Tillamook County Wellness, visit

prediabetes card.jpg
diabetes 1 in 4.jpg

Rinehart Clinic blue sky.jpg

Rinehart Clinic CEO Marge Jozsa submits resignation

November, 2018:  Rinehart Clinic’s CEO, Marge Jozsa, submitted her resignation effective Tuesday, October 23, ahead of her scheduled retirement of December 31, 2018.

Ms. Jozsa took the helm at Rinehart Clinic and Pharmacy in November, 2014. Since that time, she has assembled a top-notch team; her strong leadership has ushered in many improvements at the clinic and encouraged a broad and innovative approach to primary care.

Some of the clinic’s most notable accomplishments under Marge’s leadership include: integrating the pharmacy into the clinic facility; facility upgrades and renovations to enhance the team-based approach to patient care; major strides in reducing opioid prescription use through careful tapering plans and alternative pain control methods for patients; interactive classes and lifestyle coaching focused on helping address community needs and encouraging patients to become more engaged in their own health; building a more culturally diverse staff to address the healthcare needs of the Hispanic community; enhanced collaboration with other community partners focused on community wellness and safety; and the addition of a Doctor of Naturopathic Medicine to the care team, offering an integrative approach to primary care.

Additionally, Ms. Jozsa guided the clinic through two successful site visits by the U.S. Health Resources and Services Administration (HRSA), initiated the clinic’s successful application for coverage through the Health Center Federal Tort Claims Act (FTCA) program, and led the charge to improve quality measures resulting in additional grant dollars from the Columbia Pacific Coordinated Care Organization. During her tenure at Rinehart, the Clinic’s rating from the Oregon Health Authority as a Patient-Centered Primary Care Home was increased significantly from tier 2 to tier 4. Marge continually advanced the clinic’s mission by collaborating with many community partners and healthcare organizations. She helped to establish longevity in relationships and build partnerships to increase awareness and to promote the accomplishments of the clinic and its positive effects on our community. 

In addition, Marge successfully found and secured grant funding opportunities aimed at improving the overall health of the community. With her support and guidance, the clinic has been awarded several hundred thousand dollars in grant funding focused on reaching residents currently not accessing healthcare, or who need assistance finding insurance coverage, helping patients with diabetes manage their health challenges, and expanding mental health services, including treatment for substance use disorders.

The search for a new CEO has been underway for several months, and the Rinehart Clinic Board of Directors is committed to finding the best candidate to provide exceptional leadership, partnership, and expertise in facilitating the delivery of healthcare to our community.

The Rinehart Clinic Board of Directors and staff thank Marge Jozsa for her commitment to the health and well-being of the people of Tillamook and South Clatsop Counties and wish her a long, healthy, and happy retirement.

Rinehart Clinic blue sky.jpg

Rinehart Clinic awarded $291,000 grant to help expand treatment for opioid use disorder

October, 2018: Rinehart Clinic has received $291,000 in grant funding to help expand access to treatment for substance use disorder. The funding is part of the U.S. Department of Health and Human Services Health Resources and Services Administration’s (HRSA) $352 million investment in community health centers across the country to combat the opioid crisis.

For some time, the Rinehart Clinic has been providing treatment to those patients with substance use disorder. We have developed a strong foundation for addiction treatment within a primary care setting. This grant will allow us to increase the number of patients served and expand to more fully incorporate mental health services and primary care alongside substance use disorder treatment.

The treatment program calls for a broader, more holistic approach, with the help of Rinehart Clinic’s Doctor of Naturopathic Medicine and a support team dedicated to helping patients navigate the challenges of recovery. One of the most critical pieces of the plan is to expand access to mental health services, since mental health conditions (PTSD, Depression, Anxiety, for example) are often co-occurring with substance use disorders.

We are one of 1,232 community health centers across the nation chosen to receive this grant funding. The Rinehart Clinic is proud that HRSA has put its faith in us to expand the important work we have been doing in Tillamook County.

Rinehart Clinic blue sky.jpg

Rinehart Clinic receives grant funding to assist with health insurance open enrollment period

[The following is excerpted from a press release issued by the Oregon Department of Consumer & Business Services. Rinehart Clinic is pleased to have been selected as one of Oregon Health Insurance Marketplace's community partners for the upcoming open enrollment period. Watch for details in the coming weeks on open enrollment events taking place across Tillamook County and south Clatsop County.]

September, 2018: The Oregon Health Insurance Marketplace has awarded more than $795,000 in grants to eight community groups and 34 insurance agencies. The awardees will use the grants to publicize the upcoming health insurance open enrollment period, and to help Oregonians enroll in coverage through and other programs.

For most people who buy their own health insurance, open enrollment is the only time of year to sign up for a health plan or switch plans. Open enrollment for 2019 coverage will run from Nov. 1 through Dec. 15.

“Every year more Oregonians enroll in coverage through,” said Chiqui Flowers, administrator of the Oregon Health Insurance Marketplace. “The dedication and expertise of partners like these grantees help make that possible.”

The state selected grantees after a competitive process. Applicants were judged on multiple criteria, including their demonstrated ties to community networks, ability to reach underserved populations, and capacity to serve consumers whether they are eligible for plans or other programs, such as the Oregon Health Plan or Medicare.

The nonprofit groups—called community partners—receiving a total of $457,265 in grants are:

  • Asian Health & Service Center, Portland

  • Asian Pacific American Network of Oregon – Community United Funds and the OR-COFA Project, Portland and Salem

  • Cascade AIDS Project, Portland

  • Centro Latino Americano, Eugene

  • Interface Network, Salem

  • Northeast Oregon Network, La Grande

  • Project Access NOW, Portland

  • Rinehart Clinic, Wheeler

Community partners help Oregonians sign up for insurance and apply for financial assistance. Their help is free of charge. To make an appointment with a partner or agent, go to

Rinehart Clinic blue sky.jpg

Providence Seaside partners with Rinehart Clinic to expand transportation program

June 5, 2018:  Providence Seaside Hospital recently partnered with Rinehart Clinic, in Wheeler, to expand its Community Connections transportation program into Tillamook County.

The free community benefit ride program is a ministry of Providence Seaside Hospital that allows patients with medical appointments in Clatsop County and/or the Portland metro area to reserve transportation through the hospital. 

“Expanding the program to serve Wheeler-area residents helps address our community health goals,” says Kendall Sawa, chief executive, Providence Seaside Hospital. “We know transportation is a barrier for many, so we’re proud to offer this service to our neighbors to the south of us.” 

In 2017, Community Connections provided 1,625 rides totaling 55,784 miles. The program is staffed with a program coordinator, part-time driver and several volunteer drivers.

Rinehart Clinic is a Federally Qualified Health Center located in north Tillamook County that provides health care regardless of health conditions or financial circumstances. As a federal Qualified Health Center, Rinehart Clinic has programs available to help patients who may have difficulty paying their health care bills.

“We are pleased to be partnering with Providence Seaside Hospital on this important service,” says Marge Jozsa, Rinehart Clinic’s chief executive officer. “Easier access to health care benefits the entire community, and we are proud to play a role in that.”

The Community Connections transportation program serves people of all ages who have limited transportation options and meet certain income eligibility criteria. Clients are asked to schedule ride requests 14 days’ in advance of a medical appointment. To learn more, please call Providence Seaside Hospital Community Connections at 503-717-7766.

Rinehart Clinic blue sky.jpg

The Rinehart Clinic receives Gold Category recognition for Vaccine Accounting Excellence

May 11, 2018:  The Rinehart Clinic has been named a Gold Category clinic in the Oregon Vaccines for Children "Clinics Achieving Excellence" recognition, according to the newest statewide accountability report published by the Oregon Health Authority (OHA). The Gold Category includes clinics that have met or exceeded the 95% inventory accountability standard for vaccines. 

The accountability program is in place to make sure clinics participating in the Vaccines for Children (VFC) program adhere to best practices for vaccine management and inventory accounting. 

To learn more about the program, and the gold category designation, visit OHA's Oregon VFC Clinics Achieving Excellence web page.

Rinehart Clinic blue sky.jpg

Rinehart Clinic seeks additional board members

April, 2018:  Rinehart Clinic’s Board of Directors is recruiting for additional volunteers to join the board. The Board Development Subcommittee has issued the following call for candidates:

We seek two or three candidates who support the mission of the clinic and who can help us achieve our goals. The Rinehart Clinic is a Federally Qualified Health Center whose mission is to provide high-quality, complete, personalized healthcare for residents and visitors, regardless of their health conditions or financial circumstances.

Candidates should be available to attend monthly board meetings and participate in subcommittee work that takes advantage of their experience in the fields of business or healthcare. The board is seeking people with an enthusiasm for volunteering and expertise in Finance, Law, Construction and Design, or Hospital Administration.

If you are interested in serving on the Rinehart Clinic Board of Directors, please submit a letter of interest that includes information about yourself, your background, and why you want to volunteer to serve on the board. Email your letter and any backup materials by June 1, 2018 to Brooke Hua at

If you are interested in learning more about Rinehart Clinic, visit

Step It Up! Walking Groups forming throughout Tillamook County

North Tillamook County Walking Group:  Tuesday mornings 8 - 8:30 am (starting April 3)
Location:  Neah-Kah-Nie High School Walking Track, 24705 N Highway 101, Rockaway Beach, OR

March, 2018:  Rinehart Clinic is partnering with North County Recreation District and Tillamook Year of Wellness to organize a weekly walking group in North County. "Step It Up!" Walking Groups are forming throughout Tillamook County as part of the OHSU Knight Cancer Institute Community Partnership Program.

The North County walks will kick off Tuesday, April 3 at Neah-Kah-Nie High School. The school district has graciously offered the use of the school's brand new track. Registration is required to participate in the Step It Up! program.

Funding for this project is provided in part by the OHSU Knight Cancer Institute Community Partnership Program. The walks are open to EVERYONE - not just cancer survivors, but survivors and their family and friends are especially encouraged to participate. Registration is FREE and participants can join groups any time with chances to win prizes for attendance.

To register, and to find out more about the Step It Up! program, visit the Tillamook Year of Wellness website

Rinehart Clinic blue sky.jpg

Rinehart Clinic granted Federal Tort Claims Act protection by the United States Health and Resources Services Administration

February, 2018:  Rinehart Clinic was recently notified by the Health Resources and Services Administration (HRSA) that the clinic’s application for coverage through the Health Center Federal Tort Claims Act (FTCA) Program has been approved. The Health Center FTCA Program provides medical malpractice coverage at no cost for health centers that meet stringent federal guidelines.

What does this mean? The Health Center FTCA Program coverage means that Rinehart Clinic meets or exceeds all federal guidelines for quality control practices aimed at protecting patients and staff. The federal government is now Rinehart Clinic’s primary insurer, which will save the clinic potentially thousands of dollars in malpractice premiums that can be used to enhance healthcare services and programs at the clinic.

Rinehart Clinic Chief Executive Officer Marge Jozsa is pleased with the FTCA coverage. “I am so proud of the staff at Rinehart Clinic – they understand how important it is to have safety guidelines in place, and the entire team works hard to make sure they are followed.” she stated. “Having this recognized through the FTCA designation is further evidence that we are headed in the right direction.”

Helping patients successfully manage type 2 diabetes:  Rinehart Clinic’s Diabetes Risk Reduction Program

January, 2018:  Rinehart Clinic applauds Tillamook County Year of Wellness for its decision to focus on diabetes. The clinic’s healthcare team has long recognized the challenges patients with diabetes face and the impact the disease has on the health of the broader Tillamook County community. With roughly nine percent of Tillamook County residents diagnosed with type 2 diabetes, and nearly 33 percent of adults at risk for the disease, it merits our attention.

As the community becomes aware of the need for healthy lifestyle choices, we also need to make it easy for people to be active participants in their own health. From a patient’s perspective, the hardest step may be that first one:  walking through the doors of a healthcare facility for treatment and education. The care team at Rinehart Clinic has found the single most important factor in bringing about positive change is creating a supportive environment for treatment and for group classes.

Last summer, Rinehart Clinic launched a comprehensive Diabetes Risk Reduction Program made possible by grant funding from the Columbia Pacific Coordinated Care Organization. The program helps patients make positive strides towards overcoming some of the risk factors of diabetes, including obesity and sedentary lifestyles. The clinic holds a variety of healthy lifestyle classes throughout the seasons, shying away from traditional lecture-style trainings, and opting instead for informal and interactive conversations that are often driven by the participants themselves.

To help make it easier for patients to participate, the clinic offers incentives for patients who join in the programs. This past year, the clinic’s weight loss/walking group members received pedometers, healthy eating class participants went home with fresh vegetables each week, and many class members received vouchers for free fitness and aquatics classes at North County Recreation District.

The program has been in place since mid-2017 and the clinic is already seeing positive outcomes for participating patients:  lowered blood sugar numbers (A1C), lower blood pressure, healthier eating habits, and even weight loss.

Rinehart Clinic’s class lineup includes:

  • A Weighty Discussion series, which offers an informal conversation around healthy eating and weight loss. Some of the participants also joined in a weekly walking group during the summer months.

  • The popular Art of Eating class, where patients learn how to increase the use of vegetables in their diets in healthy and creative ways.

  • Living Well with Diabetes, which offers supportive tools to help patients manage diabetes and pre-diabetes conditions.

Several community partners who believe in the importance of a healthy community have rallied behind Rinehart Clinic’s Diabetes Risk Reduction Program:

  • North County Recreation District, which provides fitness and aquatics passes for patients to help them become more physically active.

  • Moon River Farms, a local organic farm that provides shares of vegetables through its Community Supported Agriculture (CSA) program for the Art of Eating classes.

  • Manzanita Farmers Market offers participating patients vouchers for free fruits and vegetables at the market throughout the summer and fall program.

  • Manzanita Grocery and Deli, long known for its commitment to the well-being of the community, is also offering a voucher program to provide fresh produce in winter when the local farms are not producing.

All of these programs and resources will continue at Rinehart Clinic throughout 2018. For information on upcoming class sessions, stay tuned to For more information on Rinehart Clinic's Diabetic Risk Reduction program, contact the clinic's Quality Director at 1-800-368-5182, Ext. 172.