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Presentation Overview EOCCO overview structure EOCCO Members Community Investments Community Prioritization of Issues Community Engagement Activities Community Projects 2
Who We Are • The EOCCO received its first contract from the Oregon Health Authority in 2012 to administer Medicaid services in Eastern Oregon. • We currently provide Oregon Health Plan services in 12 Eastern Oregon counties: • Baker • Morrow • Gilliam • Sherman • Grant • Umatilla • Harney • Union • Lake • Wallowa • Malheur • Wheeler 3 3
Who We Are • EOCCO Ownership: • ODS Community Health (Moda Health) (29%) • Greater Oregon Behavioral Health, Inc. (29%) • Good Shepherd Hospital (10%) • Grande Ronde Hospital (10%) • Saint Alphonsus Hospital (10%) • Saint Anthony’s Hospital (10%) • Eastern Oregon Independent Physicians Association (1%) • Yakima Valley Farm Workers (1%) • EOCCO Governing Board: • Includes representation from local hospitals, public health, mental health providers, and the Regional Community Advisory Council (RCAC) Chair. • The RCAC is representative of the 12 county Local Community Advisory Councils (LCACs). 4
LCAC and CAP Local Community Advisory Clinical Advisory Panel (CAP) Councils (LCAC) 8 members representing 12 Local Community Advisory Physicians/Nurse Council’s (LCAC’s) Practitioners/Public Health Nursing and Dental One Regional Community Advisory Council (RCAC) Overseen by EOCCO Medical Director 5
Center for Medicare and Medicaid Services (CMS) Oregon Health Authority Transformation Center Clinical Advisory Support Staff Panel Rhonda Wyland, MD Michael Tacheny, MD Don Benschoter DMD Diane Kilkenny, RN Susan Rice, MD Regional Opioid Reta Warner, NP Keith DeYoung MD Prescribing Group William Jackson, MD Elizabeth Powers, MD EOCCO Clinical Amy Boudreau, MD PhD Consultant EOCCO Board of Directors Don Benschoter DMD Dr. Chuck Hofmann Cosette Turnbow, FNP Joel Rice, MD Christopher Zadeh, Pendleton IPA (Umatilla) Carlos Olivares, Yakima Valley Farm Workers (Umatilla) Greg Armstrong, RPh Catie Brenaman, RCAC Chair (Umatilla) Harold Geller, Saint Anthony Hospital (Umatilla) Health Equity Bob Coulter , RPh Chris Siegner, Symmetry Mental Health (Harney) Jeremy Davis, Grande Ronde Hospital (Union) Geoffery Thomas, MD Committee Dennis Burke, Good Shepherd (Umatilla) James Williams, County Commissioner (Lake) Daniel Marrier, MD Diane Kilkenny, Public Health (Morrow) Kevin Campbell, GOBHI Dental Care Larry Davy, Wallowa Memorial Hospital (Wallowa) Dave Ebel, PT Bruce Carlson, MD (Umatilla) Social Organizations Renee Grandi, MD (Wallowa) Mike Smith, (Gilliam,Sherman, Wheeler) Carrie Brogoitti, MPH Transformation Robin Richardson, Moda Health Ken Hart, Saint Alphonsus Hospital (Baker and Malheur) Kimberly Humann, MD Determinants Plan of Health Regional Community Advisory Council Hospital Primary care Eastern Public Mental LCAC Rep, County Commissioner Health Health Oregon Community Early Healthy Learning Regional Community Health Living Regional CHIP Hubs Assessment Alliance (EOHLA) 12 Local Community Advisory Councils Baker Gilliam Grant Lake Malheur Umatilla Wheeler Morrow Union Wellness Food Insecurity, Early Service Access & Obesity, Early Childhood Food Insecurity, Early Behavioral Sherman Childhood, Access and Chronic Development, promotion, Service Childhood Trauma, Availability for Healthy, Social Availability of Services, Disease Access and Obesity / Chronic Vulnerable Determinants Alcohol, drugs, Oral Health Availability, Social Disease Management, Populations, (Diabetes, of Health tobacco, Social Children’s Harney Determinants of Substance Abuse / Behavioral asthma, Determinants Health, Food Health Health, Social Cancer), of Health Addiction (Drugs, Insecurity, Wellness Promotion Behavioral Alcohol, Tobacco) Determinants of Mental Health Food Insecurity, Health, Wallowa and Prevention, Health Mental Health, Early Reduce negative Violence / Childhood / issues related to Safety, Access Trauma, Obesity / Social Determinants Maternal, Child and Family Health, to Services, Child and Chronic Disease of Health Behavioral Health, alcohol, tobacco, drugs, Health Equity Family Health Management Depression screening, Oral Health, Chronic / Social and Wellness, Disease (Obesity), Workforce, Social Social Determinants Determinants of Health Determinants of Health of Health
EOCCO Administration Who are the agencies involved in the day to day work of managing my healthcare benefits? • Moda Health • Greater Oregon Behavioral Health, Inc. (GOBHI) • Oregon Prescription Drug Program (OPDP) • Dental • Advantage Dental by DentaQuest • ODS Community Dental
EOCCO Current Enrollment CONFIDENTIAL
EOCCO Community Reinvestment Funds How EOCCO funds are redistributed into your local community 9
EOCCO Community Investments Patient Centered Primary Care Home Payments $39 Million EOCCO Shared Savings/Value Based Payments $37.3 Million EOCCO Community Benefit Initiatives $5.55 Million (Local County Grants) EOCCO Quality Measure Investments $32.15 Million Total Reinvestments to Date: $114 Million *these are provided to a variety of local service providers (medical, behavioral health, public health, etc.) and Local Community Advisory Councils 10
Behavioral Health Community Investments Community Mental Health Program Innovations Projects $4,527,414 Youth and Family $5,921,672 Community Investments $586,728 Total $11,035,814 11
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Venn Diagram of EOCCO Community Health Plan Contents 13
RCAC Prioritization of Issues Priority Voting 30% 25% 20% 15% 10% 5% 0% 14
Community Engagement How the EOCCO connects with our local counties to support our communities, members, and providers. • Early Learning Hubs/ Parent Education Hubs • Tribal Outreach • Patient Centered Primary Care Home Support • Consumer Caucus • Behavioral Health Quality Improvement Committee • Public Health • Support for LCAC’s/RCAC’s • Health Equity • Community Health Assessment • Community Health Plan 15 8/16/2019 EOCCO
Social Determinants of Health & Health Equity • Health Equity • Everyone has the opportunity to obtain their highest level of health • Social Determinants of Health • Where we live, learn, work, and play and how these areas of our life influence our overall health Examples may include… • Kindergarten Readiness • Expand Access to Telehealth • Community Health Workers Located in Emergency Departments • Naloxone Distribution/First Responders • Expand Access to Safe Affordable Housing • Complex Behavioral Health Needs: • Expansion of MAT (Medication Assisted Therapy) • Pain School • Improving Access to Care (“No Wrong Door”) 16
Where did this money go in communities? LCAC Project Summaries • Incentive Measure Improvement Programs • Complete Health Improvement Program • Behavioral Health in Schools • Adolescent Well Visits and Immunizations • Frontier Veggie Rx Program • Tobacco Prevention • Community Paramedic Program
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