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 oday’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 ?  OCCO pla nning Community ba se d a pproa c h in E  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 o 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 Bo a rd T ra nsfo rma tio n CAC Pla n CCO Qua lity CAP me a sure s *PI Ps *CAC: Co mmunity Adviso ry Co unc il *CAP: Clinic a l Adviso ry Pa ne l *PI P: Pe rfo rma nc e I mpro ve me nt Pro je c t

Community appr oac h- de c ision making  12 L oc 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

2014 CCO quality me asure s Ado le sc e nt we ll-c a re visits He a lth a sse ssme nts fo r • • SBI RT c hildre n in DHS c usto dy • E D utiliza tio n PCPCH e nro llme nt • • Co lo re c ta l c a nc e r T ime line ss o f pre na ta l c a re • • sc re e ning Sa tisfa c tio n with c a re : he a lth • De ve lo pme nta l sc re e ning pla n a nd c usto me r se rvic e • < 36 mo nths (CAHPS) F o llo w-up a fte r Ge tting c a re q uic kly • • ho spita liza tio n fo r me nta l (CAHPS) illne ss E OCCO “T e c hno lo g y Plan” F o llo w-up c a re fo r c hildre n • Sc re e ning fo r c linic a l pre sc rib e d ADHD me ds • de pre ssio n a nd fo llo w-up E a rly E le c tive de live ry • Co ntro lling hig h b lo o d E HR a do ptio n • • pre ssure Dia b e te s: Hb A1c po o r • c o ntro l

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

Community Advisor y Counc ils go upstr e am  F oc 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 Pho to c o urte sy o f Re ns va n de n He uve l • 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 •

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 ic t (Gillia m Distr Co unty) Mor r ow County • Community y Counc il Advisor (Mo rro w Co unty)

Upstr e am- public he alth CCO par tne r ship in Mor r ow & 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 o c a l Co mmunity Adviso ry Co unc il