Health System Transformation Report & SB 440 Oregon Health - - PDF document

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Jul 28, 2023 151 likes •280 views

2/29/2016 Health System Transformation Report & SB 440 Oregon Health Policy Board March 1, 2016 Lori Coyner, MA Medicaid Director Oregons Health System Transformation: CCO Metrics Report Published January 20, 2016 Includes

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Health System Transformation Report & SB 440

Oregon Health Policy Board March 1, 2016 Lori Coyner, MA Medicaid Director

Oregon’s Health System Transformation: CCO Metrics Report

Published January 20, 2016
Includes state and CCO level performance on 31 metrics
Measurement period: July 1, 2014 – June 30, 2015
Measures reported for members with disability, with

mental health diagnosis, and with severe and persistent mental illness.

www.oregon.gov/oha/Metrics/Pages/HST-Reports.aspx

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Oregon Health Plan Population Oregon Health Plan Population

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Oregon Health Plan Population Key Findings

Most (26 of 31) measures continue to show improvement

despite increase in Medicaid population.

– ED utilization and hospital admissions continue to decline. – PCPCH enrollment continues to increase. – Developmental screening is approaching the benchmark.

Several measures remain flat:

– Adolescent well care visits – Initiation of alcohol or other drug treatment

Several measures have declined:

– Diabetes care: LDL-C screening – Engagement of alcohol or other drug treatment

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N=128,298 N=120,600 N=97,125

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New Measures

This report includes several new measures:

Effective contraceptive use
Dental sealants on permanent molars for children
Assessments (including dental) for children in foster care
SBIRT for adolescents

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Measures by Disability

The report includes 12 measures reported for CCO members with disability.

With disability = people who qualify for Medicaid based on an impairment that has prevented them from performing substantial gainful activity for at least one year, or is expected to prevent them from performing substantial gainful activity for at least one year. This may include physical, mental, emotional, learning, developmental, or other disabilities.

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Measures by Mental Health Diagnosis and Severe & Persistent Mental Illness (SPMI)

The report includes 14 measures reported for CCO members with mental health diagnoses, and 3 measures for members with SPMI.

With mental health diagnosis = people who have had two or more services in the past 36 months with any of the qualifying diagnoses for schizophrenia, bipolar, delusional, developmental, anxiety, personality or depressive disorders, as well as other mental health disorders (ICD9 295-302.9 and 306.51-347). With SPMI = people ages 18+ who have had two or more services with any of the qualifying diagnosis codes in the past 36 months (ICD9 295xx, 297.3, 298.8, 298.9, 300.3, 309.81, 301.22, 301.83, and 296xx).

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Are we measuring the right things?

Across the next five years, what are the most important

health indicators or outcomes to improve?

What would tell you that health system transformation

has been successful?

What areas of health and healthcare should be the focus