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Transformation and Quality Strategy


The Transformation and Quality Strategy (TQS) replaced the CCO Transformation Plan and some Quality Assessment and Performance Improvement deliverables. This streamlined approach aims to move health transformation through providing CCOs with an opportunity to internally coordinate and align their transformation and quality work. CCOs submitted their first annual TQS in 2018. 


The submission deadline for the 2024 TQS (covering January-December) is July 15. 


If you have questions, please contact Anona Gund (

Technical assistance

Templates, guidance documents and webinars are available on the TQS technical assistance page.

CCO submissions and OHA assessments

The programs and projects included in each CCO's TQS are a showcase of current CCO work addressing TQS components that aim to make significant movement in health system transformation. The work highlighted in the TQS is not a comprehensive catalogue or full representation of the CCO’s body of work addressing each component. CCOs are understood to be continuing other work that ensures the CCO is meeting all OARs, CFRs, and CCO contract requirements.

For more comprehensive information about a CCO’s body of work addressing a specific component, please contact the CCO’s Innovator Agent.

Advanced Health2023OHA AssessmentAdvancedHealth-2023-TQS-Assessment
Advanced Health2023Annual TQSAdvanced-Health-2023-TQS
Advanced Health2022OHA AssessmentAdvancedHealth-2022-TQS-Assessment
Advanced Health2022Annual TQSAdvancedHealth-2022-TQS
Advanced Health2021OHA AssessmentAdvancedHealth-2021-TQS-Assessment
Advanced Health2021Annual TQSAdvancedHealth-2021-TQS
AllCare CCO2023OHA AssessmentAllCare-2023-TQS-Assessment
AllCare CCO2023Annual TQSAllCare-2023-TQS
AllCare CCO2022OHA AssessmentAllCare-2022-TQS-Assessment
AllCare CCO2022Annual TQSAllCare-2022-TQS
AllCare CCO2021OHA AssessmentAllCare-2021-TQS-Assessment
AllCare CCO2021Annual TQSAllCare-2021-TQS
Cascade Health Alliance2023OHA AssessmentCHA-2023-TQS-Assessment
Cascade Health Alliance2023Annual TQSCHA-2023-TQS
Cascade Health Alliance2022OHA AssessmentCHA-2022-TQS-Assessment
Cascade Health Alliance2022Annual TQSCHA-2022-TQS
Cascade Health Alliance2021OHA AssessmentCHA-2021-TQS-Assessment
Cascade Health Alliance2021Annual TQSCHA-2021-TQS
Columbia Pacific CCO2023OHA AssessmentCPCCO-2023-TQS-Assessment
Columbia Pacific CCO2023Annual TQSCPCCO-2023-TQS
Columbia Pacific CCO2022OHA AssessmentCPCCO-2022-TQS-Assessment
Columbia Pacific CCO2022Annual TQSCPCCO-2022-TQS
Columbia Pacific CCO2021OHA AssessmentCPCCO-2021-TQS-Assessment
Columbia Pacific CCO2021Annual TQSCPCCO-2021-TQS
Eastern Oregon CCO2023OHA AssessmentEOCCO-2023-TQS-Assessment
Eastern Oregon CCO2023Annual TQSEOCCO-2023-TQS
Eastern Oregon CCO2022OHA AssessmentEOCCO-2022-TQS-Assessment
Eastern Oregon CCO2022Annual TQSEOCCO-2022-TQS
Eastern Oregon CCO2021OHA AssessmentEOCCO-2021-TQS-Assessment
Eastern Oregon CCO2021Annual TQSEOCCO-2021-TQS
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