Screening for Social Needs Metric Development Overview for CAC Learning Collaborative Amanda Peden, Health Policy Analyst and Workgroup staff
Goals for today 1) Share OHA’s current work to develop a social needs screening metric for CCOs 2) Gather input from Community Advisory Councils on a social needs screening metric* *Note: the SDOH Measurement Workgroup, which convenes Oct-Dec is the decision-making group for the final measure recommendations to the Metrics & Scoring Committee. Your feedback will be shared with the Workgroup in November for their consideration. 2
Discussion questions to consider during today’s presentation: • When it comes to asking people about their social needs (i.e. social needs screening) what issues or experiences would you like to elevate for Workgroup consideration? • What is one critical thing you want the Workgroup to keep in mind when developing a social needs screening metric for the CCO Quality Incentive Program? 3
Social determinants of health vs. social needs Health- Social related social determinants of needs: health: The social The conditions in and economic which people are barriers to an born, grow, work, individual’s live, and age. health. Examples: Examples: housing unstable availability/quality, housing, food access to healthy insecurity foods, income 4
Oregon Health-Related Social Needs Measure • Metrics and Scoring Committee approved overall social needs screening measurement direction in 2019 • Aligns with prior interest in food insecurity screening • Includes social needs screening, needs reported, maybe referrals • National social needs screening trend (RI, MA, NC) 5
SDOH Measurement Workgroup Goal More CCO members have their social needs acknowledged and addressed Objective By December 2020, identify a proposed measure concept to recommend for the Metrics and Scoring and Health Plan Quality Metrics Committees on social needs screening 6
Vision: where could a screening measure take us? SDOH process and outcome Social needs measures: outcome track activities measures: to improve Screening/ track needs SDOH; impacts referral met, health on SDOH (e.g. outcome outcomes housing measures: stability) on a Screening and/or track closed community referral process loop referrals, scale measures: screen services and report, received referral provided 7
Full measure development timeline 2019 2020 2021/2022 2023 Planning, workgroup Measure development and Measure piloting/testing Measure ready for recruitment proposal implementation
Measure development timeline (2020) SDOH Measurement Public workgroup appointed Expanded Planning Team* SDOH Measurement Environmental scan: Workgroup* OHA, DHS, consultants & technical ongoing social needs public workgroup screening in Oregon experts Internal Planning Specs & March Dec Team April May June July August Sept Oct Nov piloting 2020 2020 launches: 2021 OHA-wide represent OHA Social Needs ation Screening Coordination* Workgroup Committee/Community internal program staff launch delayed Advisory Council input due to COVID-19 *Project management and facilitation by Nancy Goff & Associates, with technical expertise from OHSU/ORPRN 9
Guiding principles for measure concept • EQUITY • ALIGNMENT • FEASIBILITY 10
Key considerations for measure development The SDOH Measurement Workgroup will consider the following in developing a social needs screening measure concept… • Who is screened • Where are they screened and who screens • How often are people screened • What are they asked about • How do we collect the data 11
Discussion • When it comes to asking people about their social needs (i.e. social needs screening) what issues or experiences would you like to elevate for Workgroup consideration? • What is one critical thing you want the Workgroup to keep in mind when developing a social needs screening metric for the CCO Quality Incentive Program?* *Note: the SDOH Measurement Workgroup, which convenes Oct-Dec is the decision-making group for the final measure recommendations to the Metrics & Scoring Committee. Your feedback will be shared with the Workgroup in November for their consideration. 12
Thank you! For more information: https://www.oregon.gov/oha/HPA/ANALYTICS/Pages/sdoh- measure.aspx Amanda Peden, AMANDA.M.PEDEN@dhsoha.state.or.us 13
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