2019 CCO Transformation and Quality Strategy: Social Determinants of - - PowerPoint PPT Presentation
2019 CCO Transformation and Quality Strategy: Social Determinants of Health January 23, 2018 Presented by: Sara Beaudrault, Policy Analyst Amanda Peden, Transformation Analyst Webinar Agenda 1. Provide overview of TQS purpose and deliverables
January 23, 2018 Presented by: Sara Beaudrault, Policy Analyst Amanda Peden, Transformation Analyst
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TQS is a means for CCOs to report health transformation and quality work. The work is determined, developed and implemented by the CCOs with the direction from the CACs, community, and CCO leadership. OHA’s role is monitoring, spreading best practices and providing technical assistance for implementation with community and state subject matter experts. The Oregon Health Authority recognizes that the programs and projects included in the CCO Transformation and Quality Strategy submissions are a showcase of current CCO work addressing TQS components that aim to make significant movement in health system transformation. Additionally, OHA recognizes that 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. The template addresses three key principles: 1. Meets CFR, OAR, 1115 waiver and CCO contractual requirements 2. Pushes health transformation through alignment with quality and innovation 3. Decrease administrative burden
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– Access: Availability of Services – Access: Cultural Considerations – Access: Quality and Appropriateness of Care Furnished to all Members – Access: Second Opinions – Access: Timely
– Data – Cultural Competence
– Health Information Exchange – Analytics – Patient Engagement
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▪ Social integration ▪ Civic participation/community engagement ▪ Meaningful social role (e.g. meaningful work) ▪ Discrimination (e.g. race, ethnicity, culture, gender, disability) ▪ Citizenship/immigration status ▪ Corrections ▪ Trauma (e.g. adverse childhood experiences) ▪ Early childhood education and development ▪ Language and literacy ▪ High school graduation ▪ Enrollment in higher education ▪ Poverty ▪ Employment ▪ Food insecurity ▪ Diaper insecurity ▪ Access to quality childcare ▪ Housing instability, including homelessness ▪ Access to banking/credit
SOCIAL DETERMINANTS OF HEALTH EQUITY SOCIAL DETERMINANTS OF HEALTH EQUITY
▪ Access to healthy foods/protection from food “swamps” ▪ Access to transportation (non-medical) ▪ Quality, availability, and affordability of housing ▪ Crime and violence (including domestic violence) ▪ Environmental conditions ▪ Access to the outdoors/parks
▪ Access to health care ▪ Culturally and linguistically appropriate care ▪ Health literacy
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Social & Economic Physical environment Healthy behaviors Clinical care (quality and access)
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