Supporting Health for All through REinvestment: the SHARE Initiative

SHARE Initiative requirements

• Align with community priorities in the CCO's current community health improvement plan;
  
• Include any statewide priorities for SHARE spending that are identified in the contract between CCOs and OHA (currently housing-related services and supports);
  
• Include a role for the CCO’s community advisory council;
  
• Involve community partnerships, with a portion of dollars going to SDOH-E partners (see definitions below); and
  
• Fit into one of four SHARE Initiative domains related to the social determinants of health and equity (SDOH-E): economic stability, neighborhood and built environment, education, and social and community health.
  

CCO reports

Guidance and reporting templates

• Change log of guidance updates (updated 6/8/22)
  
• 2022 SHARE Initiative Guidance for CCOs 
  
• 2022 SHARE Initiative FAQ (updated 6/8/22)
  
• 2022 contract waiver memo (12/13/2021)
• CCO memo: Changing SHARE designations (9/9/22)
  

• 2021 SHARE Initiative Designation Report in Exhibit L (Report L6.7 and L6.71): Due June 30
  
• 2022 SHARE Initiative Detailed Spending Report Template: Due June 30
  
• 2022 SHARE Initiative Spending Plan Template: Due December 31 by participating CCOs 
  
• 2022 SHARE Initiative Spending Plan Evaluation Tool
  

• SHARE, HRS and ILOS comparison document
  
• OHA SUD 1115 demonstration waiver (See Attachment F, p. 84)
  
• Community integration services fact sheet for OHP members
  
• Health and Housing: Introduction to Cross-Sector Collaboration (National Academy for State Health Policy, 2021)
• Health System Investments in Housing: A Development Guide (Corporation for Supportive Housing, 2020)
  

Technical assistance

• Webinar: Partnering to provide supportive housing services: an introduction for CCOs: Slides / Recording (6/2/22)
  
• Land Acquisition Revolving Loan Program
  
• Affordable rental housing funding calendar
  
• Permanent Supportive Housing Program
  
• Webinar: Collaborating within your region to address housing and homelessness: an overview for CCOs from one Oregon region’s experience: Slides / Recording (4/13/22)
  
• Learning collaborative session: Identifying ROI for investments that address SDOH-E: Slides (3/28/22)
  
• Webinar: Two CCO approaches to SHARE in the first year
  • Slides: Columbia Pacific CCO / PacificSource Central Oregon 
  • Recording (11/29/21)
    
• Webinar: CAC role in reviewing CCO SHARE spending: Watch the the recording (6/10/21)
• Webinar: SHARE Initiative overview: Slides / Recording (1/26/21)

SHARE Initiative spending areas: examples

Definitions

The following definitions are from OAR 141-414-3735, effective January 2020.

Social determinants of health and equity (SDOH-E) encompasses three terms:

• The social determinants of health refer to the social, economic and environmental conditions in which people are born, grow, work, live and age, and are shaped by the social determinants of equity. These conditions significantly impact length and quality of life and contribute to health inequities.
• The social determinants of equity refer to systemic or structural factors that shape the distribution of the social determinants of health in communities.
• Health-related social needs refer to an individual’s social and economic barriers to health, such as housing instability or food insecurity.

SDOH-E initiatives may involve interventions that occur outside a clinical setting, and may pursue mechanisms of change including:

• Community-level interventions that directly address social determinants of health or social determinants of equity; and
• Interventions to address individual health-related social needs.

A SDOH-E partner is a single organization, local government, one or more of the federally recognized Oregon tribal governments, the Urban Indian Health Program, or a collaborative, that delivers SDOH-E related services or programs and/or supports policy and systems change within a CCO’s service area.

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