This document summarizes paintings created by Regina Holliday based on presentations at an OCHIN conference on integrating mental health into primary care. The paintings include: 1) "50%" depicting a patient divided in half to represent the statistic that 50% of mental health problems are missed in primary care, surrounded by a spider web diagram of integrated care. 2) "The Faces of Meaningful Use" featuring a tree weighted with apples representing data points as patient faces, surrounded by dots representing patients and providers creating meaningful use workflows. 3) A patient happily holding an iPad with the shape of a vaccination shot within the letters "HL7" to represent easy access to immunization records.

1. Painting at OCHIN November 1st, 2011:
An artist explanation of the conference
by Regina Holliday

2. I saw the first presentation “Integrating Mental Health into Primary Care,” delivered by
Tami Hoogestraat, Psy. D., M.B.A. and Demetrio Sanchez, MSW-OHSU, Richmond
Mental Health Integration Team. I was very impressed by their slides. An early one
really caught my eye with its statistic: “50% of mental health problems are missed in
primary care.”

3. A diagram of an integrated care model soon followed that slide.
It reminded me of a spider’s web.

4. This painting is titled
“50%.”
In this painting the patient is
divided in half just like our
statistic. Half in darkness half
in light he clutches his medical
home.

5. To the left of our figure the spider web diagram
of integrated care places the patient in the
center.
But this no comforting circle enclosing clinical
The medical home is colored like and
text. Here the patient looks up staring at the
reminiscent of a Monopoly house.
viewer whilst frightened. Practitioners that are
trying to care for him surround him. I added
It is an ideal but will not work without a
other threads crossing the path of the diagram
supported reimbursement model.
to the other care agents and detriments in the
man’s life, be they friends, foes or family.

6. To the right side of the painting blue swirls of energy
cascade upward. A staircase follows the upward
cascade. This part of the painting was inspired by the
next session “Advanced Access Management in an
FQHC.”
Here patients race up a stairs trying to make their
appointment time. A mother glances nervously at her
watch as she hurries her child up the stairs. A doctor
waits at the top reaching out to the registered
patients with one hand.
In the other he hoists a rope that ends in a watch. A patient in
an examination robe strenuously climbs the rope. She is not
scheduled but direly needs care, and the doctor is trying to fit
her in, hence the term advanced access.

7. In the afternoon I attended Chip Taylor, MD
and Clayton Gillett’s presentation “Case
Studies in Re-designing Visit Workflow for
Meaningful Use.”
It is entitled:
“The Faces of Meaningful Use.”

8. I decided to take the OCHIN logo and modify
it to a Meaningful Use Sun image. So a logo
tree becomes the tree of
knowledge, weighted heavily with apples.
Surrounding this tree are dots. But these
dots have become faces, just as much as
data points and statistics represent real
people. These are the patients and
providers creating the workflows for
Meaningful Use.
Below this meaningful sun, apple cores are
placed upon a mountainous terrain
consisting of stacks of pointed paper. These
are the ‘core measures” of Meaningful
Use. One patient in the foreground eats an
apple and adds to the creation of a new
“core” measure.

9. The other patient in the
foreground is inspired by the last
session I attended:
“Immunization Registry: State of
Oregon” presented by Mary Beth
Kurilo, MPH, MSW.
This patient happily holds up an I-
pad stating: Alert HL7. The L
within the HL7 is created by
shape of a vaccination shot.
He is happy because easy access
to immunization records will ease
the work of each harried
parent, teacher and doctor all
over the state and this will be
done in a standard code.

10. If you would like to see more conference art by Regina Holliday please visit her blog
http://reginaholliday.blogspot.com/
If you are interested in joining The Walking Gallery: a patient centered art advocacy
Movement please contact Regina via twitter @ReginaHolliday