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Targeted Supports

Our Work: Delivery 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.

Learn more about the Transformation Center, including an overview of our work.

Value-based Payment

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.

Additional Value-Based Payment Resources

Health-Related Services

Health-Related Services (HRS) are non-covered services that are offered as a supplement to covered benefits under Oregon's Medicaid State Plan to improve care delivery and overall member and community health and well-being. The Transformation Center develops resources and offers technical assistance to guide CCOs through the HRS process.

Social Determinants of Health & Equity

Community advisory council (CAC) 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 CCOs' CHPs and develops resources for CCOs and their collaborative CHA/CHP partners. 

Supporting Health for All through REinvestment: The SHARE Initiative
The Transformation Center collects and reviews SHARE spending plans and develops SHARE Initiative guidance for CCOs.

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

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 Sarah Wetherson at

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 immunizations
  • Diabetes (HbA1c poor control and oral evaluations for adults with diabetes)
  • Emergency department utilization among members experiencing mental illness
  • Kindergarten readiness
    • Oral health (preventive visits for ages 1-14 and oral evaluations for adults with diabetes)
    • Well-child visits (ages 3-6)
    • System-level social-emotional health
  • Meaningful language access to culturally responsive health care services
  • Screening, brief intervention and referral to treatment (SBIRT)
  • Tobacco cessation/cigarette smoking prevalence
The Transformation Center has previously provided technical assistance on the following topics, and a number of resources remain available:
  • Adolescent well-care visits
  • Colorectal cancer screening
  • Controlling high blood pressure
  • Developmental screening and follow-up
  • Effective contraceptive use
  • Timeliness of postpartum care

Cross-cutting initiatives

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 and Quality Strategy analysis
The Transformation Center collects and analyzes CCO Transformation and Quality Strategies. The center also provides Transformation and Quality Strategy technical assistance.

Innovation Café
The Transformation Center routinely hosts in-person world-cafe' style events such as the Innovation Café. In the past, these peer-to-peer events have focused on behavioral health integration, early learning and the social determinants of health.

For more information, please contact Transformation Center staff.