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10-Year Plan for Oregon

 

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To understand the challenge to have Oregonians
be healthy and have the best quality of life at all
ages, look at the factors which have the greatest
influence on a person’s lifetime health status.
Fully 40 percent involve individual behavior and
lifestyle choices; another 30 percent is accounted
for by genetics – by who one’s parents were; fifteen percent are social factors –
one’s educational level, where one lives, the stability of one’s family; whether; one has a home, a good job. Underlying these data are the symptoms of mental health disorders, unhealthy or risky behaviors and lifestyle choices. Only 10 percent has anything to do with involvement with the U.S. medical system. In other words, 90 percent of what keeps people healthy had nothing to do with health care.

While there is no quick fix to these challenges, Oregon has launched significant system reform and design efforts establishing a clear direction and common vision. Starting with the 600,000 people in the Oregon Health Plan, the goal is to control per member costs of the Medicaid program down a full two percent by changing the incentives and expectations of the system from after-the-fact care in the emergency department and in the hospital, to wellness and prevention of chronic conditions at home and in the community.

 
The five healthy people strategies encompassed in this plan seek to redesign and improve the systems through which public services are delivered.
 
These five healthy people strategies are the key to enabling a healthy Oregon citizenry: 
·         Fundamentally changing how health care is delivered in Oregon.
·         Shift resources to focus on prevention of chronic disease.
·         Ensure financial stability and adequate array of supports for the long term service system for Oregonians (both children and adults) with intellectual and other developmental disabilities.
·         Ensure all Oregonians have access to decent housing which meets their basic needs and allows them to reach their full potential.
·         Ensure access to sufficient, nutritious and affordable food for all Oregonians.
 
The Healthy People outcome area includes a variety of programs from the Oregon Health Authority, Department of Human Services, Oregon Housing and Community Services, Oregon Department of Veterans Affairs, and the Department of Justice.  The programs provide a wide array of services to Oregonians to meet their basic needs, such as food and housing, provide health care or subsidies to purchase health insurance, and provide basic support for vulnerable Oregonians.
 
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10-YEAR GOAL
What we want to
accomplish
STRATEGIES
How we get there
SUCCESS METRICS
How we measure progress
Oregon provides better health and better care at lower costs.
>    Coordinate care to focus on community-based prevention and management of chronic conditions.
>   Use quality of care and performance standards that address health disparities and focus on wellness, prevention, and patient-centered care.
>    Focus resources on prevention, avoiding health problems before they start.
>    Ensure Oregonians have access to high quality, low cost health insurance through creation of Oregon’s Health Insurance Exchange, allowing consumers and small businesses to compare health insurance options.
>    Expand the Oregon Health Plan to Oregonians under 138% of poverty.
>    Ensuring patient safety and quality improvement is a key focus between patients and providers
>    Ensure low-income Oregonians and their children are able to meet their most basic needs, from access to nutritious food to affordable housing and health care.
>    Improve the quality and availability of patient-centered care options for seniors and people with disabilities.
>    Promote healthy food choices and physical activity.
>    Improve access to food that is affordable and nutritious.
>    Per capita Medicaid health care spending is reduced by 2%, saving Oregon at the Federal Government up to $11 billion.
>    Coordinated care models are options for public and private employers as well as individuals.
>    The number of uninsured Oregonians is decreased by 50%.
>    Reduce adult obesity rate to less than 30%.
>    Reduce childhood obesity rate to less 10%.
>    Greater than 84% of babies born in Oregon will have a normal birth weight.
>    Reduce adult smoking rates to below 15%.
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Agencies with programs in the Healthy People Outcome Area include:
  • Commission for the Blind
  • Health Authority
  • Housing and Community Services
  • Human Services
  • Justice
  • Public Utility Commission
  • Revenue
  • State Library
  • Veterans’ Affairs
 
View the initial Healthy People policy vision document here.
View the Healthy People Program Funding Team here.
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