Our Work: System Innovation
Oregon Health Authority (OHA) Transformation Center provides an array of support to coordinated care organizations (CCOs) toward achieving the triple aim of better health, better care and lower costs. The Transformation Center supports the implementation of the coordinated care model through targeted technical assistance.
We continue to adopt new strategies to further advance behavioral health integration, population health integration, incentive measure work, alternative payment methods and clinical delivery supports.
The initiatives described here were developed based on the Transformation Center’s experience working with CCOs, with guidance from OHA leadership. These supports are contingent upon funding approval from the Center for Medicare and Medicaid Innovation.
Behavioral Health Integration
Behavioral Health Integration Resource Library
The Patient Centered Primary Care Institute developed an online library of state and national behavioral health integration resources, including virtual site visits and topic-specific interviews with Oregon providers. Access the the library here.
Behavioral Health Integration Consultation and Technical Assistance
In 2016, each CCO will have access to 30 hours of behavioral and physical health integration technical assistance to implement their 2015-2017 Transformation Plans and achieve the integration standards established by the Patient-Centered Primary Care Home Standards Advisory Committee.
Project ECHO is a telementoring program to connect specialty providers with rural and frontier areas that have limited access. The Transformation Center released a solicitation to select an organization to establish a statewide Project ECHO infrastructure with initial focus on adult and pediatric psychiatric medication management.
For more information about the behavioral health integration initiatives, contact Summer Boslaugh at Summer.H.Boslaugh@state.or.us.
Population Health Integration
Community Advisory Council Support: Member Recruitment, Engagement and Retention Technical Assistance
Based on feedback gathered from CCO interviews and previous community advisory council (CAC) learning collaborative evaluations, the Transformation Center is currently focusing CAC support on CAC member recruitment. For more information, please contact Adrienne Mullock at Adrienne.P.Mullock@state.or.us.
Community Health Improvement Plan Implementation and Evaluation Grants
The Transformation Center allocated up to $30,000 in grant funding to each CCO for implementing strategies identified in their community health improvement plans. For more information, contact Tom Cogswell at Thomas.Cogswell@state.or.us.
CCO Incentive Metrics
The Transformation Center is developing technical assistance for the following incentive metrics that CCOs have identified as high priorities.
Immunization and Tobacco Cessation Technical Assistance
The Transformation Center offers CCO-level and practice-level technical assistance to support CCO quality improvement efforts for childhood immunization rates and tobacco cessation. For more information, contact Anona Gund at Anona.E.Gund@state.or.us
Colorectal Cancer Screening with Focus on Reducing Racial and Ethnic Health Disparities
The Transformation Center is collaborating with the Oregon Rural Practice-based Research Network (ORPRN) and the OHA Public Health Division to assist CCOs and practices in improving colorectal cancer screening rates and reducing racial and ethnic disparities related to colorectal cancer screening rates. Learn more about colorectal cancer screening technical assistance.
Adolescent Well-Care Visits
The Transformation Center is collaborating with the Oregon Pediatric Improvement Partnership to assist CCOs and practices in improving adolescent well-care visit rates. Learn more about adolescent well-care visit technical assistance.
Alternative Payment Models (APMs)
Technical Assistance on Alternative Payment Models
Technical assistance on APMs is available to any CCO through the Technical Assistance Bank. Specific TA providers include: Bailit Health Purchasing, The Lewin Group, MTM Services and others. Learn more about the Technical Assistance Bank.
Behavioral Health Integration Alternative Payment Model Grants
The Transformation Center issued a solicitation and selected health care payers to receive funding for implementing an alternative payment method for integrated care.
Primary Care Payment Reform Collaborative
As required through Senate Bill 231, the Transformation Center launched a Primary Care Payment Reform Collaborative. This collaborative convenes payers to share best practices on primary care alternative payment methods and aligning initiatives.
Alternative Payment Model Technical Assistance Pilot Project
Based on an application process, three CCOs – Cascade Health Alliance, PacificSource Columbia Gorge and Health Share of Oregon – were selected for advanced technical assistance to identify and implement alternative payment methods.
For more information about APM initiatives, contact Summer Boslaugh at Summer.H.Boslaugh@state.or.us.
Clinical Delivery Supports
Statewide CCO Learning Collaborative
The Transformation Center convenes the CCO learning collaborative for CCO medical directors and quality improvement coordinators every other month during the Quality and Health Outcomes Committee meeting. Learn more about the CCO learning collaborative.
Council of Clinical Innovators: Clinical Innovation Fellows Program
The goals of the Clinical Innovation Program are to build the capacity of health system transformation leadership within Oregon, support the success of coordinated care organizations and spread the coordinated care model. Fellows activitely work with project teams to implement health system transformation projects in their communities. The third cohort began in August 2016. Learn more about the Council of Clinical Innovators.
Health Equity Technical Assistance
In addition to the aforementioned technical assistance on colorectal cancer screening with a focus on reducing racial and ethnic health disparities, the Transformation Center offers technical assistance on health equity to CCOs through the Technical Assistance Bank. Specific technical assistance providers include: Ignatius Bau, Sharon N. Black Consultants, Littledeer-Evans Consulting, Northeast Oregon Network, Oregon Public Health Institute and The Trauma Healing Project. Learn more about the Technical Assistance Bank.
Technical Assistance Bank
CCOs have access to 35 hours of technical assistance during year two of the Technical Assistance Bank. The new 35 hours must be used by September 30, 2016. See examples of prior projects and learn more about the Technical Assistance Bank.
Several CCOs expressed interest in participating in another Innovation Café event, which promotes peer sharing and small roundtable discussions on selected topics. The Transformation Center is considering hosting another Innovation Café in spring 2017. The Transformation Center does not plan to convene a Coordinated Care Model Summit in 2017.
For more information, please contact Transformation Center staff.
Our team also works closely with: