A wide variety of health care providers, government agencies, and non-profit groups have completed the 2019 version of a Community Health Assessment for seven Mid-Columbia counties.  The Columbia Gorge Health Council coordinates the study, which incorporates a wide range of topics that impact health, from social factors to access to care.  Providence Hood River Chief Mission Officer Mark Thomas says the study found it is predictable demographics experiencing more difficult challenges, with income being the most obvious factor.  Thomas notes the hope is that the collaborative approach taken in the Mid-Columbia can help break down some of those barriers to positive health outcomes.