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Statewide Performance Improvement Project

As part of Oregon’s CMS 1115 Medicaid Waiver, all coordinated care organizations (CCOs) are expected to participate in two statewide performance improvement projects (PIPs). Each statewide PIP is intended to have a common goal with the flexibility for each CCO to develop interventions to meet the needs of their community. The first statewide PIP is targeted to support integration of services across Oregon. The second statewide PIP, to be developed in 2022, is to support reduction in substance use disorder (SUD) in Oregon.

Integration Statewide PIP

The current 2021-2024 integration statewide PIP topic is: Oregon Statewide Performance Improvement Project on Mental Health Access Monitoring.

This involves CCOs across Oregon working in their communities to ensure access to mental health services for Oregon Health Plan members ages 2 years and above. To support the project, a measure with multiple stratifications was developed to ensure equity in the delivery system and aid in reaching OHA’s 10-year goal to eliminate health disparities. Metric specifications and value sets to calculate are listed below. If additional support is needed to calculate the mental health access monitoring measure, please email OHA.qualityquestions@dhsoha.state.or.us.

SUD Statewide PIP

Development begins in 2022.

Specifications

MH Access Monitoring PIP measure specifications (November 2021)

Measurement

MH Access Monitoring PIP value set (November 2021)

External Quality Review PIP Reporting

Reports

Annual external quality review (EQR) validation of the statewide PIP can be found on the Quality Assurance and Contract Compliance page.

Archive

Opioid statewide PIP

Contact

Lisa Bui
Quality Improvement Director
Health Policy and Analytics Division
OHA.qualityquestions@dhsoha.state.or.us
971-673-3397 (direct)

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