Oregon Health System Transformation Center
About the Transformation Center
Right now, the Oregon Health Authority is working to establish the Oregon Health System Transformation Center. The Transformation Center will help Coordinated Care Organizations (CCOs) achieve the ultimate goal of better health, better care and lower costs for Oregonians and help spread the coordinated care model to other payers.
The center will support CCOs, and the adoption of the coordinated care model throughout the health care system, through technical assistance and learning collaboratives that foster peer-to-peer sharing of best practices among CCOs and other health plans and payers.
The Center will include, but is not limited to, the below functions.
The Center will establish and coordinate a learning collaborative structure where CCOs and other plans and payers can learn from recognized experts and each other. For the most part, collaboratives will be open to all payers and will create opportunities for peer-to-peer learning and networking, identify and share information on evidence-based best practices and emerging best practices, and help advance innovative strategies in all areas of health care transformation.
The first collaboratives will likely address the following topics:
- Alternative payment methodologies to align payment to incentivize improved efficiency, effectiveness and quality of health care (e.g. global payments, bundled payments)
- Integrating of physical and behavioral health care
- Coordination with community public health, community mental health, and long-term care supports and services
- Provider and patient engagement
- Reduction of health disparities
- Coordinated, community approach to palliative and hospice care
- Adoption of patient-centered primary care standards
Clinical standards and supports
The center will be responsible for promoting clinical standards and supports.
- In partnership with the Health Evidence Review Commission, the center will provide evidence-based decision tools to help providers and CCO Clinical Advisory Panels deliver effective and efficient care.
- The center will work with specialty societies to maximize the impact and spread of the "Choosing Wisely" campaign.
Innovator agents are required in statute to be a resource to CCOs. Their purpose is to help CCOs and the Oregon Health Authority (OHA) work together to achieve the goals of health system transformation. Each CCO is assigned an innovator agent.
Innovator agents serve as a single point of contact between the CCO and OHA. They provide data-driven feedback to CCOs on a monthly basis, assist the CCO's providers and Community Advisory Councils to develop strategies to support quality improvement and adopt innovations in care, and gauge the impact on health. The Transformation Center is responsible for establishing the initial and ongoing training systems and curriculum for Innovator Agents.
Council of Clinical Innovators
The Council of Clinical Innovators, along with the medical directors of each CCO and other health plans, serve as advisors and champions for key innovations in the delivery and coordination of care. The council will build upon the strong partnerships created during the development of the coordinated care model with Oregon’s physician, specialty and other provider associations.
Community and Stakeholder Engagement
Working with Innovator Agents and community partners, the Transformation Center will develop multiple strategies for effective community and stakeholder engagement around health system transformation and implementing the coordinated care model.
Conferences, workshops, communications, outreach and networking
The Transformation Center will develop multiple ways for CCOs and other payers and stakeholders to learn and share information. This will include conferences and workshops, materials such as research, policy and practice guides, and communication and outreach to support the coordinated care model.
Technical assistance and infrastructure support
The center will connect CCOs, payers working to adopt the coordinated care model, and providers with expertise and technology resources to assist in effective delivery system reforms, use of health information technology, delivery of quality data, and alignment of financial incentives.
Regional Health Equity Coalitions
The Oregon Health Authority's Office of Equity and Inclusion will support the Transformation Center in advancing policies that promote health equity and address social determinants of health. Through the Regional Health Equity Coalitions (RHECs), CCOs will be bridged to communities that have been historically under-represented in health program and policy development. In addition, CCOs will have assistance in assuring representation of culturally and linguistically diverse communities on their governing board and Community Advisory Councils, and support to validate whether CCO's Community Health Improvement Plans are effective in addressing health disparities.
Data and Analytics
The Oregon Health Authority's Office of Health Analytics is a statewide aggregator of health care data and statistics. Health Analytics will support the Transformation Center by providing timely and actionable data to improve targeting and services, supporting accountability mechanisms based on objective performance measurement, and fostering clear communication about performance, progress and opportunities for improvement.
The Centers for Medicare and Medicaid Innovation awarded a State Innovation Model (SIM) grant to Oregon for up to $45 million for three and a half years. Oregon was one of six states to receive the grant for testing innovative approaches to improving health and lowering costs across the health care system, including Medicaid, Medicare, and the private sector.