Central Services, and State Assessments & Enterprise-Wide Costs - - PowerPoint PPT Presentation

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Central Services, and State Assessments & Enterprise-Wide Costs - - PowerPoint PPT Presentation

May 13, 2023 330 likes •554 views

Oregon Health Authority Central Services, and State Assessments & Enterprise-Wide Costs Presented to Joint Committee on Ways and Means Subcommittee on Human Services March 25, 2019 Patrick Allen, Oregon Health Authority Director What

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Oregon Health Authority Central Services, and State Assessments & Enterprise-Wide Costs

Presented to Joint Committee on Ways and Means Subcommittee on Human Services March 25, 2019 Patrick Allen, Oregon Health Authority Director

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OREGON HEALTH AUTHORITY Central Services

What Central Services Does

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Central Services Purpose and Functions

Purpose:

  • Provide agency-wide support to help the Oregon Health Authority

achieve its goals and mission Key functions:

  • Human resources
  • Finance and budget
  • Central operations
  • Equity and inclusion
  • External relations
  • Tribal affairs

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OREGON HEALTH AUTHORITY Central Services

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Central Services Organizational Chart

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OREGON HEALTH AUTHORITY Central Services

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Agency Operations Division

  • Human resources – 4,400 FTE

– Recruitment – Employee Relations – Classification and Compensation

  • Develop and maintain OHA’s performance management system

– Support Quarterly Performance Reviews – Coordinate change management activities – Engage in continuous process improvement

  • Centralized public records management
  • Office of Information Services (part of Shared Services presentation)

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OREGON HEALTH AUTHORITY Central Services

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Supervisory Ratio, Span of Control

  • Span of Control Ratio, December 2017 – 1:11
  • Proposed Span of Control Ratio – 1:8.60
  • Factors applicable to OHA supervisory ratio:

– Safety – Geographic location of work – Complexity of work – Size and hours of operation – Unique personnel needs – Financial scope and responsibility

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OREGON HEALTH AUTHORITY Central Services

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External Relations Division

  • Connecting Oregonians to OHA’s services, programs, and mission
  • NEW: Member and Stakeholder Support Unit

– Ombuds Program expansion

  • 200+ cases per month on average

– Community Partner Outreach Program

  • 381 community partner organizations
  • Mission: Engage communities across Oregon to advance an

equitable, responsive health system – Innovator Agents

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OREGON HEALTH AUTHORITY Central Services

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Tribal Affairs

OHA respects the government- to-government relationship between the state and the Nine Federally Recognized Tribes of Oregon OHA Tribal Affairs works regularly with Oregon Tribes, the Urban Indian Health Program, and the Indian Health Service to improve health

  • utcomes of American Indians

and Alaska Natives in Oregon

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OREGON HEALTH AUTHORITY Central Services

Open Card 53% Managed Care 47%

AI/AN OHP ENROLLMENT: 34,831

16,634 18,197

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Tribal Affairs

OHA supports Tribal Health Programs by providing funding and other resources for improving programs and services to best meet their

  • needs. Current priorities include:
  • Strengthening the government to government relationship through

implementation of the new Tribal Consultation and Urban Indian Health Confer Policy

  • Improved care coordination and access to care with the

development of the Savings and Reinvestment Program for care coordinated through tribal clinics with outside providers

  • Addressing behavioral health needs with the creation of a Tribal

Behavioral Health Strategic Plan, Tribal Mental Health Investments, and funding to address the opioid epidemic

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OREGON HEALTH AUTHORITY Central Services

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Equity and Inclusion Division

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OREGON HEALTH AUTHORITY Central Services

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Equity and Inclusion Division

Key functions:

  • Addressing social inequities/health disparities
  • Providing equity leadership across OHA
  • Advancing workforce diversity and inclusion

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OREGON HEALTH AUTHORITY Central Services

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Equity and Inclusion Division

Policy and programs throughout Oregon

  • Regional Health Equity Coalitions
  • Traditional Health Workers (LC 382/HB 2040)
  • Health Care Interpreters
  • Cultural Competence Continuing Education
  • Non-discrimination and ADA compliance for the public
  • Developing Equity Leadership Through Training and Action

(DELTA)

  • Race, Ethnicity, Language and Disability Demographic (REAL D)

Data Collection

  • Compliance with ACA Section 1557 and Language Access
  • Community Engagement

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OREGON HEALTH AUTHORITY Central Services

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Equity and Inclusion Division

Policy and programs within OHA

  • Non-discrimination compliance in the workforce
  • Equity and Inclusion at the Oregon State Hospital
  • Technical assistance, training coordination, and consultation
  • Workforce diversity and Affirmative Action
  • Policy development, and legislative concept and bill review

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OREGON HEALTH AUTHORITY Central Services

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Fiscal Division

Key functions:

  • Provide oversight for financial responsibility and sustainability with

Coordinated Care Organizations – CCO transparency bill

  • Ensure solvency and sustainability in deploying financial resources

and operations

  • Develop, coordinate, execute, and manage OHA budgets within

divisions and across the agency

  • Perform external audits of Medicaid providers and CCOs to assure

proper implementation of federal and state regulations

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OREGON HEALTH AUTHORITY Central Services

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OREGON HEALTH AUTHORITY Central Services

Proposed Budget

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$174 million 35% General Fund $64 million 13% General Fund Debt Services $0.2 million Lottery Funds $204 million 41% Other Funds Limited $3.5 million 1% Federal Funds Debt Services $50 million 10% Federal Funds Limited

Central Services & SAEC account for 2% of OHA budget Oregon Health Authority $22,048 million Total Funds

2019-21 Governor’s Budget

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Central & Shared Services, State Assessments & Enterprise-Wide Costs

$496 million Total Funds

OREGON HEALTH AUTHORITY Central Services

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OREGON HEALTH AUTHORITY Central Services

State Assessments and Enterprise-Wide Costs

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State Assessments and Enterprise-Wide Costs (SAEC)

SAEC budget covers costs for state government assessments and charges, and costs affecting the entire agency, including:

  • State government service charges (based on DAS price list and estimated

usage for fee-for-service items)

  • Risk assessment
  • Enterprise technology services
  • IT Expendable/Break fix
  • Facilities (e.g., rent, taxes, fuels, utilities, maintenance, leasing fees)
  • Mass transit taxes
  • Benefits for unemployment
  • Debt service
  • Funding for Shared Services Offices
  • Oregon Administrative Hearings

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OREGON HEALTH AUTHORITY Central Services

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$209 million 74%

General Fund

$25 million 9%

Other Funds

$47 million 17%

Federal Funds

Oregon Health Authority State Assessments and Enterprise-Wide Costs $282 million Total Funds

2019-21 Governor’s Budget by Fund

OREGON HEALTH AUTHORITY Central Services

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$26 million 9%

Other State Government Charges

$53 million 19%

Deptartment of Administrative Services

$27 million 9%

Facilities

$8 million 3%

Mass Transit, Unemployment, IT Expendable

$67 million 24%

Debt Service

$101 million 36%

Shared Services

Oregon Health Authority State Assessments and Enterprise-Wide Costs

$282 million Total Funds

2019-21 Governor’s Budget by Activity

OREGON HEALTH AUTHORITY Central Services

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Thank You