Our Work: System Innovation
Mission: The Oregon Health Authority (OHA) Transformation Center is the hub of innovation and quality improvement for Oregon’s health system transformation efforts to achieve better health, better care and lower costs for all.
Goals: The Transformation Center identifies, strategically supports and shares innovation at the system, community and practice levels. Through collaboration, we promote initiatives to advance the coordinated care model.
The center continues to adopt new strategies to further advance primary care, value-based payment, population health, behavioral health integration, oral health integration, incentive measure work and other cross-cutting supports.
See a summary of current technical assistance opportunities.
Patient-centered Primary Care Home (PCPCH) site visits and program operations
The PCPCH team provides targeted technical assistance to PCPCHs through verification site visits; post-site visit technical assistance; application processing; communications and outreach; and coordination and program analysis.
For program details, standards for recognition and technical assistance, see the PCPCH program page.
Primary Care Payment Reform Collaborative
As initiated through Senate Bill 231, the Transformation Center coordinates a Primary Care Payment Reform Collaborative. This collaborative convenes payers to share best practices on primary care value-based payment methods and aligning initiatives.
Comprehensive Primary Care Plus (CPC+)
Following Oregon’s selection as a CPC+ region, the center began supporting the Medicaid fee-for-service CPC+ implementation. CPC+ is a regionally based, multi-payer advanced medical home model offering an innovative payment structure to improve health care quality and delivery. It is a five-year federal program that began in January 2017 and will bring significant Medicare dollars to Oregon.
Community advisory council supports
The Transformation Center provides targeted supports and learning opportunities for CCO community advisory councils (CACs).
Community health improvement plan (CHP) progress report analysis
The Transformation Center collects and analyzes the CCOs’ CHP progress reports.
Early learning/CCO system coordination
The Transformation Center helps support coordination and alignment of health and early learning initiatives. For more details, see Early Childhood Systems Alignment
Behavioral health integration
Behavioral Health Integration Resource Library
The Patient Centered Primary Care Institute hosts 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.
For more information about behavioral health integration initiatives, contact Summer Boslaugh at Summer.H.Boslaugh@state.or.us.
Oral health integration
Health Management Associates conducted an environmental scan of both local and national efforts toward oral health integration and conducted extensive interviews to assess current transformation efforts. The white paper below includes recommendations for strategic approaches to further integration, and the oral health toolkit includes resources for supporting oral health integration in Oregon.
To see current resources and technical assistance opportunities, see the Oral Health Integration page.
To see all Oregon Health Authority oral health initiatives, see the OHA Oral Health Policy page.
For more information about oral health integration initiatives, contact Lisa Krois at Lisa.R.Krois@state.or.us.
CCO incentive metrics
The Transformation Center provides targeted technical assistance for high-priority CCO incentive metrics. Current technical assistance opportunities, webinar recordings and resources for the following metrics are available at Metrics Technical Assistance:
- Adolescent well-care visits
- Childhood immunizations
- Colorectal cancer screening
- Emergency department utilization among members experiencing mental illness
- Effective contraceptive use
- Tobacco cessation
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.
Transformation Plan analysis
The Transformation Center collects and analyzes CCO Transformation Plans and progress reports. As CCOs transition to Transformation and Quality Strategy reports, the Transformation Center is providing Transformation and Quality Strategy technical assistance.
In spring 2017, the Transformation Center hosted an Innovation Café focused on three CCO incentive metrics:
- Increasing effective contraceptive use to reduce unintended pregnancy
- Reducing cigarette smoking prevalence
- Reducing emergency department use with a focus on behavioral health
The next Innovation Cafe is being planned for spring 2018.
Council of Clinical Innovators: Clinical Innovation Fellows Program
The goals of the Council of Clinical Innovators are to build the capacity of health system transformation leadership within Oregon and support the success of coordinated care organizations. Three cohorts have graduated from the Clinical Innovation Fellows program, a year-long learning experience in which fellows work with project teams to implement health system transformation projects in their communities. Learn more about the Council of Clinical Innovators.
For more information, please contact Transformation Center staff.