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Dianna Kretzschmar is a strong community leader and passionate advocate for many causes throughout Clark County. She has worked in Southwest Washington as a social worker and clinical case manager in long-term health care for almost 30 years. She most recently was with the Parks Foundation of Clark County where she served as the Executive Director.
Kretzschmar also serves on the boards of Elder Justice Center, the Friends of the Elder Justice Center and Mobile Medical Providers Northwest. She previously served as the first program coordinator for the Clark County Elder Justice Center in the Clark County Prosecuting Attorney’s Office. In that role, she was instrumental in establishing the center, which educates, coordinates and fosters cooperation between professionals and public workers to find and prosecute cases of elder abuse.
Kretzschmar also served as Community Outreach Coordinator for the Clark County Vulnerable Adult Task Force. She is a volunteer for many community organizations including Share, where she spearheaded the successful #Every28days campaign. The #Every28Days campaign was recognized by the Association of Fundraising Professionals as 2018’s Most Innovative Community Project. Dianna has also been involved in fundraising campaigns for the School of Piano Technology for the Blind, Battle Ground Healthcare and The Children’s Center. In 2013 Kretzschmar was also a recipient of the Clark College Foundation Iris Award, which celebrates women’s outstanding contributions to the community.
Dianna is married and the mother of 6 children, and a proud Blue Star mother of 3 who currently serve in the United States Armed Forces. She enjoys playing the piano, hiking and believes that “The best way to find yourself is to lose yourself in the service of others” Mahatma Gandhi.
Originally living in Yakima, WA. Itzayana ( or Itzy for short )recently relocated to this part of the state in late October. She is a recent graduate from the Medical Assistant program at Perry Technical Institute Class of 2018. She looks forward to continuing her education to become a registered nurse. Family is very important to Itzy. She comes from a big family and is the oldest of five siblings. Although she just graduated, she has a great deal of passion for service and is excited to grow in her career field. We are so fortunate to have Itzy as our newest addition to the Patient Direct Care team.
Dino Ramzi was born in Beirut Lebanon and grew up in Montreal. His medical education was at McGill University where he did an internship at St. Mary’s Hospital Center and completed a residency in Family Medicine at the Montreal General Hospital. He graduated from medical school a month before his 23rd birthday. He started teaching early, appointed Lecturer to participate in programs for younger fellow medical students before graduation.
His first job was at a McGill affiliate in Chisasibi, an Arctic First Nations community, collecting his first major administrative title of Chief of Medicine of a small 18 bed, 4 bassinet hospital at age 27.
In 1991, Dino returned to Montreal and McGill University as an Assistant Professor, honing his teaching skills, developing a passion for evidence-based medicine and doing clinical work at the Montreal General, St. Mary’s and the Queen Elizabeth Hospital as well as in several private practices in town.
Desiring to further his academic contributions to the study and practice of family medicine, in 1996 he relocated to Atlanta to help steer the new family medicine residency program at Emory University. While Canada, Australia, the UK are committed to their primary care infrastructure, the US had not found a place in its most prestigious universities for the education and training of generalists. For this reason, Emory’s new program received a great deal of attention at the time, but was soon subject to the political and cultural aversions to managed care during the late 1990’s.
While he was at Emory, Dino completed a Master’s Degree in Public Health, doing coursework predominantly in health policy and management as well as in outcomes research. He soon left Emory to pursue other opportunities in research and in management. This upcoming departure, however, provided him with an opportunity to return to one of his first loves – providing medical treatment and access to under-serviced communities – and he worked for a Grady Hospital ’s neighborhood clinics in addition to a brief research project at the CDC.
Marrying his wife Maria in 2005 and moving to Maryland put him in the position of Medical Director at Community Clinic Inc, a facility that later qualified, under his leadership through the application process, as a Federally Qualified Health Center. Dino also reached out to Georgetown University’s faculty to integrate Community Clinic Inc with the Capricorn research network. During his three year tenure, Community Clinic Inc nearly doubled the volume and revenue from direct medical services. Another highlight of Dino’s time in Maryland was the completion of a community-based intervention program to prevent and treat childhood obesity.
Some of his other roles over the years included the Chief Medical Officer of a community health center in Central Washington, a leadership position in Providence Health System, a principal in a successful local practice in Clark County, the medical director of Camas/Washougal Compassion Care clinic, the President of the Clark County Medical Society and the Southwest chapter of the Washington Academy of Family Physicians.
While Dino thrives working in a direct and personal capacity with patients and a group of like-minded primary care providers and patients, a commitment to innovation and the underserved has led to his co-founding EverMed and PanZoe, a company and a charity dedicated to working in the primary care arena.
Kim is the friendly voice on the phone who will discuss membership questions with you. She holds a Bachelor of Science degree in Healthcare Administration from Concordia University with a minor in Social work. Kim worked in the billing office at a local healthcare system for three years and then as an administrator at the Free Clinic of Southwest Washington for five years. She is currently working on her master’s degree in social work and is the part-time administrator at the Patient Direct Care clinic. She has two children, loves animals and when she isn’t studying, she volunteers for a dog rescue organization.
Jessica believes the best healthcare comes from a meaningful partnership between her and her patients. The unique environment of the Direct Primary Care model has allowed her to provide a more personable, affordable, and comprehensive approach to her practice. As a result, the patient receives the highest quality care and best outcome. She enjoys caring for a variety of patients ranging from newborns to the elderly.
Jessica was born and raised in the Pacific Northwest. After becoming a Registered Nurse in 2010, she earned a Bachelor’s of Science in Nursing degree from the University of Washington. She continued to get a Master’s of Science in Nursing degree from Washington State University. She received her board certification as a Family Nurse Practitioner in 2015 from the American Academy of Nurse Practitioners.
When she is not at the office, she enjoys spending time with her family and friends outdoors.
Most likely the first face you will see when you walk through the door at Patient Direct Care is Sandi. Sandi considers it a privilege to work as a medical assistant and enjoys being able to have such personable interactions with the patients. Her extensive experience includes being a medical assistant in a variety of settings over the past 23 years, including family practice, surgical/cardiac labs, and public health just to name a few.
Born and raised in Los Angeles, Sandi relocated to Washington in 2004 where she has continued her career and raised her beautiful children. Her passion is in community health and serving the underprivileged and underserved. Being fluent in English and Spanish has proved to be very valuable for Sandi and her outreach to the Hispanic population.
Maria brings a broad range of clinical experience from her 25 years working in a variety of healthcare settings. Early on she showed tremendous skill at quality control and meeting regulatory standards. She became Supervisor of Quality Assurance of a facility working with clinical trials and later a CDC Inspector ensuring that research labs across the country safely handle the most dangerous substances, like ricin and anthrax. Maria also worked for the National Toxicology Program at the Pacific Northwest National Laboratories (PNNL) and later as a Laboratory Supervisor at Kaiser Permanente.
Maria believes in service before self. For the past 8 years, she has been a frequent volunteer at the Free Clinic of SW Washington, where her ability to speak fluent Spanish and medical background helped bridge the language gap for many Spanish speaking families. Until recently, she was the first and only Latina to be part of this organization’s Board of Directors.
At Patient Direct Care, Maria wears multiple hats, from ensuring our lab quality, the safety of our X-ray facilities, human resources and accounts payable. Maria loves learning new things, and enjoys traveling and has become quite a “foodie”. Family and friends mean EVERYTHING to Maria, and staying in touch with them is a top priority. Moving to the Pacific Northwest a decade ago has been an enormous blessing to Maria and her husband Dr Dino Ramzi, and they hope to put down lasting roots in the community they have grown to love.
We recommend a Patient Direct Care membership for self-insured employers because it reduces costs on employee benefits and improves employee wellness. Patient Direct Care will help you increase employee engagement in taking a proactive wellness approach to living a healthy lifestyle. Patient Direct Care Workplace Wellness Program helps employers focuses on fun and engaging activities to promote living a healthy lifestyle to improve employee well-being and morale.
Patient Direct Care is a value-based primary care model revolutionizing health care delivery by empowering the doctor-patient relationship for better patient outcomes. By cutting out the middleman insurance and all the red tape in health care, Patient Direct Care provides more one on one time with their patients. More time with your doctor improves your patient experience and increases your engagement, for a healthier and happier YOU!! Become a valued Patient Direct Care Member TODAY, starting at only $75 per month
Patient Direct Care comes in many different flavors that are sure to satisfy your special interests in living a healthy lifestyle through a proactive wellness approach that focuses on preventative care. Patient Direct Care improves the patient experience and increases patient engagement for a healthier & happier YOU! Patient Direct Care flavors go beyond primary care with a key focus on chronic care, lifestyle medicine, and occupational health medicine.
“You can live, love and learn a healthy lifestyle as a Patient Direct Care member. You pay only $75 for your monthly membership and you will enjoy many added perks and benefits like wholesale savings on medications and lab work. Add a membership to a high deductible health plan (HDHP) or a health share plan and you can ENJOY INCREDIBLE SAVINGS on your overall health care costs”