SHARE Initiative requirements
According to requirements in
, a CCO’s SHARE Initiative dollars must:
- 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;
- 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.
SHARE Initiative spending areas: examples
- Food security/insecurity
- Diaper security/insecurity
- Access to quality childcare
- Housing stability/instability (including houselessness)
- Access to banking/credit
- Early childhood education and development
- Language and literacy
- High school graduation
- Enrollment in higher education
Neighborhood and built environment
- Access to healthy foods
- Access to transportation (non-medical)
- Quality, availability and affordability of housing
- Crime and violence (including intimate partner violence)
- Environmental conditions, such as clean air and water
- Access to outdoors, parks
Social and community health
- Social integration
- Civic participation/community engagement
- Meaningful social role
- Citizenship/immigration status
- Discrimination (for example, race, ethnicity, culture, gender, sexual orientation, disability)
- Trauma (for example, adverse childhood experiences)
Guidance and reporting templates
: The spending plan for Trillium North (Tri-County) will be posted soon. Health Share, PacificSource Lane and PacificSource Marion-Polk were not required to submit 2021 spending plans because they didn’t exceed the minimum financial reserve requirements for SHARE.
Webinar: Partnering to provide supportive housing services: an introduction for CCOs: Slides /
Webinar: Collaborating within your region to address housing and homelessness: an overview for CCOs from one Oregon region’s experience: Slides /
Learning collaborative session: Identifying ROI for investments that address SDOH-E:
Webinar: Two CCO approaches to SHARE in the first year
Webinar: CAC role in reviewing CCO SHARE spending:
Watch the the recording (6/10/21)
Webinar: SHARE Initiative overview: Slides /
The following definitions are from
OAR 141-414-3735, effective January 2020.
Social determinants of health and equity (SDOH-E) encompasses three terms:
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.
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.
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.
If you have questions about the SHARE Initiative, please contact