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Health System Transformation

Health System Transformation and SBHCs

Oregon has prioritized the conversion of our health care system to a model that focuses on ensuring a healthy population through person-centered care in a cost-effective manner through the development of Coordinated Care Organizations (CCOs). School-Based Health Centers (SBHCs) are natural partners in the health care reform movement to help ensure a healthy population of children and adolescents.

The SBHC State Program Office (SPO) strongly encourages all SBHCs to become state-recognized as a Patient-Centered Primary Care Home (PCPCH). Coordinated Care Organizations are required to include recognized primary care homes in their networks of care to the maximum extent feasible.  For more information on Oregon’s Patient-Centered Primary Care Home Program visit:

HB2445 Workgroup

HB2445 - SBHC Workgroup Summary Report (December 2013)

SBHCs and CCO Incentive Measures

With a focus on youth-centered care, SBHCs are well-positioned to help CCOs achieve the benchmarks outlined in the Oregon Health Authority CCO Incentive Measures related to children and young adults.

The chart below outlines some of the Oregon CCO 2015 Incentive Measures and State Performance “Test” Measures that pertain to populations served by SBHCs. Guidance documents for each measure are included, as well as links to relevant provider resources.

The SBHC SPO is also currently implementing a set of revised key performance measures that are more closely aligned with state and national quality metrics. To learn more about this effort, visit the SBHC Data Requirements page.

Youth-Related Oregon 2015 CCO Incentive Measures and State Performance "Test" Measures

Guidance documents and specifications for each measure.

CCO Incentive Measure/ State Performance "Test" Measure

Resources for SBHCs
Adolescent well care visits
Alcohol or other substance misuse (SBIRT)
Depression screening and follow-up plan
Effective contraception use among women at risk of unintended pregnancy
Immunization for adolescents

SBHC Innovation Grants

The 2013 Oregon Legislature passed House Bill 2445, which allocated approximately $750,000 in fund to the Oregon Health Authority to incentivize organizations to accomplish one or more of the following goals:

  • Increase the number of SBHCs certified as patient centered primary care homes (PCPCH)
  • Improve the coordination of care of patients served by CCOs and SBHCs
  • Improve the effectiveness of the delivery of health services through SBHCs to those who qualify for medical assistance

In 2014, the Oregon SBHC State Program Office awarded grants to six communities to explore innovative approaches to school-based care that accomplish one or more of the above goals and support Oregon’s Triple Aim goals of a health population through quality care at a lower cost. Grant projects ran from July 1, 2014 to June 30, 2015.

For more information about innovation grantees and finding from their projects, please view the SBHC Innovation Grant Final Report.

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