E aste r n Or e gon CCO He alth Car e T r ansfor mation - - PowerPoint PPT Presentation

E aste r n Or e gon CCO He alth Car e T r ansfor mation

Jorda n Ra wlins, MPH E OCCO Qua lity Improve me nt Spe c ia list Moda He a lth

T

• day’s Obje c tive s
• L

e a rn a bout E a ste rn Ore g on Coordina te d Ca re Org a niza tion (E OCCO)

• Wha t ma ke s E

OCCO uniq ue ?

• Community ba se d a pproa c h in E

OCCO pla nning

• De c isio n ma king
• Re inve stme nts in the c o mmunity
• Upstre a m a pproa c he s (Proa c tive > re a c tive )
• * L

CAC pro je c ts

• T

ra nsfo rma tio n Gra nts

• Pub lic he a lth pa rtne rship

*L CAC: L

• c a l Co mmunity Adviso ry Co unc il

E OCCO

be tte r he a lth, be tte r c a re a nd lowe r c osts

CCO Str uc tur e

CCO

Bo a rd CAC CAP *PI Ps Qua lity me a sure s T ra nsfo rma tio n Pla n

*PI P: Pe rfo rma nc e I mpro ve me nt Pro je c t *CAC: Co mmunity Adviso ry Co unc il *CAP: Clinic a l Adviso ry Pa ne l

Community appr

• ac h- de c ision making
• 12 L
• c a l Community Advisory Counc ils

› Appo inte d b y e a c h Co unty Co mmissio n & E

OCCO Bo a rd

› Go ve rne d b y a Cha rte r

1. Pre ve nta tive se rvic e s 2. I mple me nt a nd re po rt o n Co mmunity He a lth I mpro ve me nt Pla n

› I

nfo rms the Re g io na l Co mmunity Adviso ry Co unc il (RCAC)

› RCAC Cha ir informs the E

OCCO Bo a rd

• Ado le sc e nt we ll-c a re visits
• SBI

RT

• E

D utiliza tio n

• Co lo re c ta l c a nc e r

sc re e ning

• De ve lo pme nta l sc re e ning

< 36 mo nths

• F
• llo w-up a fte r

ho spita liza tio n fo r me nta l illne ss

• F
• llo w-up c a re fo r c hildre n

pre sc rib e d ADHD me ds

• E

a rly E le c tive de live ry

• E

HR a do ptio n

• He a lth a sse ssme nts fo r

c hildre n in DHS c usto dy

• PCPCH e nro llme nt
• T

ime line ss o f pre na ta l c a re

• Sa tisfa c tio n with c a re : he a lth

pla n a nd c usto me r se rvic e (CAHPS)

• Ge tting c a re q uic kly

(CAHPS)

• Sc re e ning fo r c linic a l

de pre ssio n a nd fo llo w-up

• Co ntro lling hig h b lo o d

pre ssure

• Dia b e te s: Hb A1c po o r

c o ntro l

2014 CCO quality me asure s

E OCCO “T e c hno lo g y Plan”

Community Appr

• ac h- r

e inve stme nts

• Re inve stme nts in 2013 and 2014 inc lude :

› Share d saving s/APM re turns

• Pro vide r inc e ntive

› Quality Me tric s re turns

• E

nha nc e d Pa tie nt Ce nte re d Prima ry Ca re Ho me funds

• Co mmunity He a lth Wo rke rs
• E

xpa nd wo rkfo rc e

• Co mmunity Adviso ry Co unc ils
• Pho to c o urte sy o f Simo n Cunning ha m

Community Advisor y Counc ils go upstr e am

• F
• c us on e duc a tion & a c c e ss
• Co -lo c a te d sc ho o l b a se d

he a lth c e nte r

• E

duc a tio n e ve nts

• Co lo re c ta l c a nc e r sc re e ning kit distrib utio n
• Pre ve nta tive sc re e ning e ve nts
• He a lth pro mo tio n ma te ria l
• F

a mily/ wo me n’ s he a lth pla nning

• I

nc e ntive g ift c a rds fo r a c c e ssing pre ve nta tive se rvic e s

• Pho to c o urte sy o f Re ns va n de n He uve l

2014 T r ansfor mation Gr ants

• 23 se le c te d

T r ansformation gr ants go upstr e a m

• Good She phe r

d He alth Car e Syste ms

(Uma tilla Co unty)

• South Gilliam

County He alth Distr ic t (Gillia m

Co unty)

• Mor

r

• w County

Community Advisor y Counc il

(Mo rro w Co unty)

Upstr e am- public he alth CCO par

tne r ship in Mor r

• w & Umatilla c ountie s
• E

OCCO Ma te rnity Ca se Ma na g e me nt

› E

ve ry $1 spe nt o n pre na ta l c a re sa ve s $3.33 in me dic a l c a re a fte r b irth

• Stra te g y

› I

de ntify lo c a l prio ritie s o n pre na ta l c a re

› Build pa rtne rships › I

de ntify ke y b a rrie r fo r PI P to a ddre ss

› E

xplo re pa yme nt o ptio ns

› So lic it c o unty pro po sa ls › Co ntra c tua l a g re e me nt › Wo rkflo w fo r E

OCCO me dic a l c la ims de pa rtme nt

› E

OCCO ma te ria l fo r e nro lle d me mb e rs

*L CAC: L

• c a l Co mmunity Adviso ry Co unc il