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Oregon: Transforming the Way We Look at Healthcare

How Public Health Accreditation, the Affordable Care Act, and Coordinated Care Organizations are transforming the health system in Oregon
by

Cally Kamiya

on 16 August 2013

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Transcript of Oregon: Transforming the Way We Look at Healthcare

Oregon:
Transforming The Way We Look At Health

Public Health
Accreditation

Coordinated Care
Organizations

Patient Protection & Affordable Care Act
Looking at the forces of change in the health care system today
A presentation put together by the 2012-2013 AmeriCorps* VISTA
Oregon Health Authority Partnership
Community Health Assessment
Community Health Improvement Plan*
COLLABORATION
Health Departments
Non-Profit Hospitals
Coordinated Care Organizations
Better Health, Better Care, Lower Costs
What are the cross sections between these three forces?
Goal: To decrease Medicaid expenses by 2% over the next five years.
The Oregon Health Authority describes a Coordinated Care Organization (CCO) as
Many strategies are in place to support efforts that improve health, service delivery, and affordability.
Public Health Accreditation ensures that health departments are delivering essential public health services to people living in Oregon.
What does the Patient Protection and Affordable Care Act mean for Oregonians?
What does the implementation of Coordinated Care Organizations mean for Oregonians?
Do you want to learn more about Public Health Accreditation?
http://prezi.com/rytpqguudfmd/?utm_campaign=share&utm_medium=copy&rc=ex0share
The Patient Protection and Affordable Care Act
Medicaid expansion
Do you want more information on the Patient Protection and Affordable Care Act?
http://www.whitehouse.gov/healthreform/healthcare-overview
Do you want more information on Coordinated Care Organizations?
Transit
City Planners
Neighborhood
Associations
Schools
Parks & Recreation Centers
Law Enforcement
Faith Institutions
Restaurants
Businesses
Elected Officials
Community Based Organizations
Foundations & Trusts
Civic Groups
Housing
Government
Culturally Specific Organizations
What happens during a Community Health (Needs) Assessment process?
A Community Health (Needs) Assessment
Collaboration between these three partners prevents duplication of efforts, allows for sharing of resources, and helps align priorities
.
Are there examples of this kind of collaboration?
Yes, one such example exists through a partnership in Clackamas, Multnomah, and Washington Counties (as well as Clark County, Washington). For more information on this collaborative, visit this link:
http://www.healthycolumbiawillamette.org/
Do you want more information about Community Health (Needs) Assessments?
Prioritized Health Issues
Community Health Improvement Plan

A process and report describing...

Thanks!!
http://www.phaboard.org/
http://www.healthcare.gov/law/information-for-you/or.html
http://www.coveroregon.com/
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/05/20/is-the-future-of-american-health-care-in-oregon/
http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande?currentPage=1
To read an article describing hot spotting in further detail, visit:
For more information about health care transformation in Oregon, visit:
http://www.oregon.gov/oha/ohpb/pages/health-reform/ccos.aspx
To learn more about Coordinated Care Organizations, visit:
Alignment of goals and efforts
Improved Coordination & Communication
Cultural Competency
Decreased Fraud
Stronger Workforce
Data Sharing
Improved System Efficiencies
Improved Capacity to Address Health
Elimination of Silos
Quality Improvement
What is the ultimate
goal
of the Community Health Assessment and Community Health Improvement Planning Process?
http://www.thelundreport.org/resource/culturally_appropriate_care_vital_to_cco%E2%80%99s_success
To read about Coordinated Care Organizations' efforts to integrate cultural competence, visit:
Hot-Spotting
Hot-spotting is when Community Health Workers work with providers to identify the highest-costing patients and then work individually with these people to shift reliance on Emergency Room visits to preventative care.
Why Collaborate?
The more partners included in an organized Community Health Improvement process, the more opportunity to collectively improve health.
http://www.naccho.org/topics/infrastructure/CHAIP/accreditation-preparation.cfm
released a set of
standards and measures

Currently, Public Health Accreditation is not mandated.
What does Public Health Accreditation mean for Oregonians?
YES!!!!
To learn more about the Public Health Accreditation Board, visit:
To view a presentation specifically about Public Health Accreditation, visit:
To learn more about how the health care law is impacting Oregon, visit:
YES!!!
To learn more about Cover Oregon, visit:
YES!!!
Do you want more information about Community Health Improvement Plans?
YES!!!
Resources included in this presentation:
http://www.healthcare.gov/law/information-for-you/or.html

http://www.phaboard.org/
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/05/20/is-the-future-of-american-health-care-in-oregon/
http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande?currentPage=1
http://www.oregon.gov/oha/ohpb/pages/health-reform/ccos.aspx
http://www.thelundreport.org/resource/culturally_appropriate_care_vital_to_cco%E2%80%99s_success
http://www.healthycolumbiawillamette.org/
http://www.naccho.org/topics/infrastructure/CHAIP/
To learn more about Community Health Assessments, visit:
http://www.naccho.org/topics/infrastructure/CHAIP/
To learn more about the Patient Protection & Affordable Care Act, visit:
http://www.whitehouse.gov/healthreform/healthcare-overview
To learn more about Community Health Improvement Plans, visit:
http://www.naccho.org/topics/infrastructure/CHAIP/accreditation-preparation.cfm
http://ctb.ku.edu/en/tablecontents/chapter2_section6_main.aspx
To access more information about the Community Health Improvement Plan, visit:
http://ctb.ku.edu/en/tablecontents/chapter2_section6_main.aspx
http://www.oregon.gov/oha/Metrics/Documents/report.pdf
To view the CCO Quarterly Progress Report, visit:
http://www.oregon.gov/oha/Metrics/Documents/report.pdf
Est. 2007
The Public Health Accreditation Board
by which health departments across the country (at state, local, and tribal levels) should be conducting public health services.
Public Health Accreditation can be achieved after health departments demonstrate that they meet the requirements in each of the 12 Domains.
Improved
Quality & Performance
Increased
Transparency
Collaboration
Across Health
System
Triple Aim
Better Health
Better Care
Lower Costs
Increasing financial support for Accountable Care Organizations.
Insurance company restrictions
Insurance coverage for preventive services, with no co-pays or deductibles.
Increased affordability of prescription drugs for people with Medicare.
Increased coverage options for young adults.
Establishment of a Health Insurance Marketplace for individuals, families, and small businesses to purchase plans.
President Barack Obama signed the ACA on March 23rd, 2010.

The Patient Protection and Affordable Care Act improves the accessibility, affordability, and quality of health care services for Oregonians.
Cover Oregon
http://www.thelundreport.org/about_us
$7,094,684
To Expand
School-Based
Health Centers
Decreased
Fraud
$10 Million
To Support
Effective Policies
That Prevent Illness/
Promote Health
43,000+
OR Young Adults
Gained Insurance
Coverage
(Dec. 2011)
Oregon Health
Plan
Expansion
Source:
http://www.healthcare.gov/law/information-for-you/or.html
Triple Aim
Better Health
Better Care
Lower Costs
"a network of all types of health care providers who have agreed to work together in their local communities to serve people who receive health care coverage under the Oregon Health Plan (OHP), the state's Medicaid program".

Team-Based
Patient Centered
Care

Serves Clients
on Oregon
Health Plan
Accountable
for Health Outcomes in
Region Served
One Budget that Grows at a Fixed Rate
A video describing hot-spotting
A Strategy to Reduce Costs of Medicaid
The implementation of Coordinated Care Organizations will lead to improved health for Oregonians, particularly those covered by the Oregon Health Plan.
Coordinated Care Organizations have the potential to revolutionize care for all Oregonians by demonstrating the benefits of active communication and collaboration between health care providers across the systems of health in Oregon.
Care will be delivered competently and comprehensively. This will improve the quality of life for Oregonians and increase opportunities for all of Oregon's residents to contribute to their full potential.
To find more articles on Health Care Reform in Oregon, visit:
uses qualitative (language) and
quantitative (numbers) data to assess and identify the health needs of a community.
Health
Departments
Non-Profit
Hospitals
Coordinated Care
Organizations
Health departments pursuing Public Health Accreditation must conduct a Community Health Assessment in order to submit a Statement of Intent to apply to the Public Health Accreditation Board.
Non-profit hospitals are required by the Patient Protection and Affordable Care Act to conduct a Community Health Needs Assessment (reflected through Internal Revenue Service (IRS) form 990H).
Coordinated Care Organizations are required to oversee a Community Health Assessment as stipulated in OAR 410-141-3145.
Community partners should be engaged to assess the health of the community.
Priority Health
Issues Emerge
Findings are
disseminated
throughout
community
YES!!!
Or Implementation Strategy
...that address the issues prioritized through the Community Health (Needs) Assessment process.
STRATEGIES
OBJECTIVES
MEASURES
GOALS

Alignment of Strategies Across Systems of Health
Share Resources
Leverage Partnerships
Effeciently
Prevent Duplication of Services
Broader Scope & Reach
Improve Health
Learning Opprtunity
http://public.health.oregon.gov/ProviderPartnerResources/HealthSystemTransformation/OregonHealthImprovementPlan/Documents/hip_plan.pdf
To view Oregon's State Health Improvement Plan, visit:
http://public.health.oregon.gov/ProviderPartnerResources/HealthSystemTransformation/OregonHealthImprovementPlan/Documents/hip_plan.pdf
http://prezi.com/dc2r_n4shmos/?utm_campaign=share&utm_medium=copy
To access the alternate version of this presentation, please follow the link below:
Full transcript