Oregon Health Policy Board AGENDA 4... · 12/4/2018 · Conference Call Number: 1-888-808-6929...

Conference Call Number: 1-888-808-6929 Public Participant Code: 915042#

Oregon Health Policy Board AGENDA

December 4, 2018 Albany City Library

2450 14th Ave SE, Albany, OR 97322 8:30 a.m. to 12:30 p.m.

# Time Item Presenter Purpose

1 8:30 Welcome, Minutes Approval, Calendar Review Carla McKelvey, Chair Action

2 8:40 Public Testimony

3 8:50 OHA Report Jeremy Vandehey, OHA Director Health Policy & Analytics Division

Informational & Discussion

4 9:00 Health Equity Measurement

Jon Collins, OHA Director Health Analytics Leann Johnson, OHA Director Office of Equity and Inclusion

Informational

5 9:15 CCO 2.0 Legislative Concept Review

Jeremy Vandehey, OHA Director Health Policy & Analytics Division

Informational & Possible Vote

6 9:25 HITOC Membership Susan Otter, OHA Director Health Information Technology Possible Vote

7 9:35 State Supportive Housing

Kenny LaPoint, Oregon Housing & Community Services Assistant Director Lori Kelley, OHA Health Policy Manager Karen Wheeler, Business Development Director GOBHI Rachel Duke, Executive Director Community Partners for Affordable Housing Brigetta Olson, Interim Executive Director Willamette Neighborhood Housing Services


8 10:10 Break


9 10:20 IHN-CCO Story and Role in Transformation and Innovation

Kelley Kaiser, Chief Executive Officer IHN-CCO Kim Whitley, Chief Operating Officer IHN-CCO


10 11:00 Traditional Health Worker Development

Kelly Volkmann, Health Navigation Program Manager Benton County Carla Jones, Reimbursement Manager Samaritan Health Plans Jeff Blackford, Executive Director CHANCE Renee Smith, Executive Director Family Tree Relief Nursery Brigetta Olson, Interim Executive Director, Willamette Neighborhood Housing Services


11 11:30 Tobacco Free Homeless Shelter: Signs of Victory

George Matland, Executive Director Signs of Victory Rachel Petersen, Healthy Communities Coordinator Linn County Tanya Thompson, Program Manager Linn County


12 12:00 Community Approach to Social Determinants of Health and Health Equity

Sherlyn Dahl, Executive Director Community Health Centers of Benton and Linn Counties Miranda Miller, Director of Primary Care-Corvallis Samaritan Health Services Clarice Amorim-Freitas, Coordinator Linn Benton Health Equity Alliance Bettina Schempf, Executive Director Old Mill Center for Children and Families



13 12:30 Adjourn

Next meeting: January 8, 2019 70 NW Couch St Portland OR 97209 8:30 a.m. to 12:30 p.m. Everyone is welcome to the Oregon Health Policy Board meetings. For questions about accessibility or to request an accommodation, please call 541-999-6983 or write [email protected]. Requests should be made at least 48 hours prior to the event. Documents can be provided upon request in an alternate format for individuals with disabilities or in a language other than English for people with limited English skills. To request a document in another format or language please call 541-999-6983 or write to [email protected]

Oregon Health Policy Board DRAFT November 6, 2018

OHSU Center for Health & Healing 3303 SW Bond Ave, Portland, OR 97239, 3rd floor, room #4

8:30 a.m. to 12:00 p.m.

Item

OHPB video and audio recording

To view the video, or listen to the audio link, of the OHPB meeting in its entirety click here. Agenda items can be reviewed at time stamp listed in the column below.

Welcome and Call To Order, Chair Zeke Smith

Present:

Board members present: Chair Zeke Smith, Felisa Hagin, David Bangsberg, Brenda Johnson, John Santa, Carla McKelvey

The Board voted to approve the October Minutes unanimously.

OHA Report: Reorganization, Jeremy Vandehey, OHA

The PEBB/OEBB director position has been filled and a new CFO should be starting before the end of the year. Jeremy talked about the public meetings that have been held regarding CCO 2.0 and service areas.

00:12:15

Liaison Updates, OHPB Members Dr. Santa provided an update regarding metrics and scoring, and the CCO incentive measure benchmarks selected. He also highlighted the potential alignment with PEBB/OEBB measures and work on children’s health. Zeke discussed possible action regarding health equity, including discussing further, providing further direction. The Board discussed connecting health equity measurement to incentive measures and asked to revisit the topic and consider action in coming meetings. Dr. Santa provided an update on high cost drugs and asked Board members to review the report of the HB 4005 workgroup Zeke provided and update regarding the health information technology oversight council, sub-committee work, recruitment, and coming work about behavioral health.

00:18:49

https://echo360.org/section/2fa2f751-db30-42c7-91f5-549962247748/public



8:30 a.m. to 12:00 p.m.

CCO 2.0 Legislative Concept Review, Jeremy Vandehey, OHA Jeremy Briefed potential legislative concepts and noted the Board may take action to approve CCO 2.0 related legislation. Jeremy shared information on the process of proposing legislation.

00:50:03

Healthcare Workforce Committee (HCWF) Membership, Robyn Dreibelbis, HCWF Committee Chair, Marc Overbeck, OHA Felisa moved to renew all memberships for the Health Care Workforce Committee. All members voted to approve renewals as presented. Zeke noted the need to continue to work on the diversity of committees to match state demographics.

00:58:05

Healthcare Provider Incentive Program, Robyn Dreibelbis, HCWF Committee Chair, Marc Overbeck, OHA, Joe Sullivan, OHA Joe led an update regarding the Healthcare Provider Incentive Program, he noted the legislative direction which funds the program and the Board discussed adjustments to former programs, awardee details, loan forgiveness details, and worksites.

01:01:49

HOWTO Program, David Robinson, OHSU Executive Vice-Provost, Shelly Ziegler, HOWTO Grant Program Administrator

Vice Provost Robinson and Shelly Ziegler briefed the Board on OHSU’s training grant program HOWTO. They shared program goals, applicant targets and requirements, administration details, application review process and timeline.

01:59:46

Healthcare Workforce Needs Assessment, Tim Sweeney, OHA, Robyn Dreibelbis, HCWF Committee Chair

Tim provided an update on the assessment timeline mandated by the legislation and report content. He provided further findings regarding industry demand for health care workers, patient access and the use of health care services and capacity by county.

02:16:25



8:30 a.m. to 12:00 p.m.

Next meeting: December 4, 2018 Albany Public Library, 2450 14th Ave SE, Albany, OR 97322 8:30 a.m. to 12:00 p.m.

Public Testimony

None

Adjourn

1

2018-2019 OHPB CALENDAR DRAFT

Updated 11/27/18

Month

Agenda Items (Chair’s welcome, Director’s report, public testimony and breaks are standing items; the Board may take action regarding committee membership and formation as needed)

Action Plan Foundational Strategies Reports

Legislative Mandates

January 2, 2018

• OHPB Retreat • CCO 2.0 Development & Planning • Action Plan for Health Update

• Pay for outcomes and value • Shift focus upstream • Improve health equity • Increase access to health care • Enhance care coordination • Engage stakeholders and community partners • Measure progress

-Oregon Health Insurance Survey Fact Sheets -CCO Metrics Report

Health Care Workforce Assessment due to Leg. Assembly. Behavioral Health Collaborative progress report due to JCW&M

Feb 6, 2018 • 2018 Legislative Briefing • Improve health equity • Increase access to health care • Enhance care coordination

-Primary Care Spending Report

Legislature in Session

Mar 6, 2018 • Supporting Health System Transformation: The Transformation Center

• CCO 2.0 Workstream Review


2

Month




April 3, 2018 • Workforce Committee Report on Health Care Provider Incentive Program

• Action Plan for Health Update (tentative) • Opioid Crisis Discussion • CCO 2.0 Update

• Shift focus upstream • Improve health equity • Increase access to health care • Enhance care coordination • Engage stakeholders and community partners • Measure progress

May 1, 2018 (EXTENDED MEETING: 2 PM)

• PHAB Update & Presentation: baseline accountability metrics

• HEC Update • Medicaid Advisory Committee (MAC) SDOH

Update • CCO 2.0 Update


June 5, 2018 (EXTENDED MEETING: 2: 30 PM)

• HPQMC Update • CCO 2.0 Update & Draft Model Review


July 10, 2018 • CCO 2.0 Development

• Engage stakeholders and community partners • Pay for outcomes and value • Measure progress

-CCO Metrics Report -Hospital Transformation Performance Program Report

PHAB recommendations to OHPB re: Accountability Metrics. Due date is not in statute.

3

Month




August 7, 2018 (EXTENDED MEETING: 2:30 PM)

• CCO 2.0: High Cost Drugs • CCO 2.0: Development


-Hospital Financial Report -Public Health Modernization 2017-19 Evaluation

Workforce Financial Incentives Evaluation Report, due to interim health committees of the Leg. Assembly every 2 years, first due Sep. 2018. OHA report to OHPB re: Status of Doulas in Oregon Sep. 2018 Public health modernization investment for 2019-21 (Tentative, based on outcomes of legislative session)

September 11, 2018

• CCO 2.0: Finalization

• Engage stakeholders and community partners • Measure progress

-Health Care Provider Incentive Program Evaluation

October 15, 2018 (VENUE CHANGED TO PORTLAND STATE OFFICE BUILDING)

• CCO 2.0: Finalization • HEC Membership


-Oregon Health Insurance Survey Fact Sheets -Health Care Workforce: Strategies to

4

Month




Improve Diversity

November 6, 2018

• Workforce Discussion & Update


December 4, 2018 OUT OF AREA MEETING: ( Albany City Library)

• Community Input • State Supportive Housing Update • HITOC Membership Approval

-Hospital Community Benefit Report

Behavioral Health Collaborative final report due to JCW&M

January 8, 2019 (VENUE: White Stag Building, Portland)

• OHPB Retreat • Healthcare Workforce Report • Healthcare Workforce Membership Approval

-Oregon Health Insurance Survey Fact Sheets - Healthcare Workforce Report

Primary Care Collaborative Report State Health Improvement Plan for 2020-24

Feb 5, 2019 • HITOC Workplan & HIT Update • Primary Care Collaborative (tentative) • Legislative Briefing

-Primary Care Spending Report -CCO Metrics Report

Legislature in Session

5

Month




Mar 5, 2019 • Supporting Health System Transformation: The Transformation Center

April 2, 2019 OUT OF AREA MEETING: (tentative Lake County)

• Community Input

HPQMC Aligned Measures Menu for 2020

May 7, 2019

• PHAB Update & Presentation: baseline accountability metrics

• HEC Update • Medicaid Advisory Committee (MAC) SDOH

Update

-2019 Public Health Accountability Metrics Report

June 4, 2019

• HPQMC Update • Opioid Crisis Discussion • Legislative Update

July 9, 2019 • Legislative Session Update • CCO Metrics

-CCO Metrics Report

August 6, 2019

• High Cost Drugs • TBD

-Hospital Financial Report

Public health modernization investment for 2019-21 (Tentative,

6

Month




- Public Health Modernization 2017-19 Evaluation

based on outcomes of legislative session)

September 10, 2019 OUT OF AREA MEETING: (tentative Coos Bay)

• Community Input

-Health Care Provider Incentive Program Evaluation

October 1, 2019

• Healthcare Workforce Incentive Program Update

• TBD

-Oregon Health Insurance Survey Fact Sheets -Health Care Workforce: Strategies to Improve Diversity

November 5, 2019

• State Supportive Housing Discussion (tentative)

• TBD

Primary Care Collaborative Report

7

Month




December 3, 2019

• Primary Care Collaborative Update -Hospital Community Benefit Report

Behavioral Health Collaborative final report due to JCW&M Primary Care Collaborative Report

Health Equity Measurement Logic Chain Statement of Purpose

DRAFT * DRAFT * DRAFT The purpose of the Health Equity Measurement Workgroup (HEMW) is to research and recommend methods to best measure and assess health equity at a health plan level for purposes of incentivization. (Recommendations will be provided to the Health Plan Quality Metrics Committee.) When we talk about health equity it assumes an agreed upon definition of health. Therefore, we must first define “health.” The workgroup agreed to use the World Health Organization definition of health.

Health, as defined by the World Health Organization (WHO), is "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."

Assumptions for developing a definition for health equity:

1. A definition of health equity is necessary for making recommendations for measures or measurement strategies that will address health disparities.

2. Health equity is a statement that identifies the crucial elements to be addressed and/or achieved.

3. These ‘crucial elements’ guide the actions that need to be taken. Definitions of Health Equity that HEMW will use:

(1) OEI Health equity means assuring conditions for the highest possible level of health for all people. Achieving health equity requires valuing all individuals and populations, recognizing and rectifying historical and contemporary injustices, and providing resources according to need. Health disparities will be eliminated when health equity is achieved.

1

2

3

(2) Public Health Advisory Board Health equity exists when all people can reach their full health potential and are not disadvantaged from attaining it because of their social and economic status, social class, race, ethnicity, religion, age, disability, gender, gender identity, sexual orientation or other socially determined circumstance.

CCO 2.0: Potential 2019 Legislative Concepts DRAFT FOR DISCUSSION

Updated 11/20/2018 Potential draft legislative concepts to move forward for 2019 Legislative Session related to CCO 2.0 policy recommendations of the OHPB are noted below. Approved concepts will be introduced through amendment into a placeholder bill (LC# TBD). OHA is further exploring whether statutory changes are needed, and whether these changes should be made in 2019 or a future legislative session.

• Tribal engagement: Require CCOs to engage a Tribal Advisory Committee or require CCOs to include Tribal representation on Community Advisory Councils. (OHPB Policy Recommendation #4 and #8)

• Community partnership: Require CCOs to have at least two Community Advisory Council (CAC) representatives, at least one being an OHP consumer, serve on CCO governing boards. (OHPB Policy Recommendation #4)

• Aligned community health improvement efforts: Require CCOs, local public health

authorities, and local non-profit hospitals to partner to develop a shared community health assessment and shared community health improvement priorities and strategies. (OHPB Policy Recommendation #8)

• Reinsurance: Authorization to create a statewide reinsurance pool for CCOs,

administered by OHA, to spread the impact of low frequency, high-cost conditions and treatments across entire program. (OHPB Policy Recommendation #37)

• Financial solvency: To ensure proper oversight of financial solvency and to protect

Oregon Health Plan members’ care in the event of insolvency, increase OHA authority to conduct financial examination and intervene in the event of a financially weak CCO, including receivership. (OHPB Policy Recommendation #38)

• Health-Based risk: An exception to ORS 414.652 would allow for the possibility of retroactive CCO rate adjustments after membership has stabilized in early 2020 and ensure payment is determined using health-based risk scores. (OHPB Policy Recommendation #30)

• Stabilize pharmacy costs: Increase transparency into pharmacy costs and reduce

underlying costs by requiring pharmacy benefit managers (PBM) to provide full pharmacy cost passthrough, pass back 100% of rebates received to CCOs, report administrative fees, report on pharmacy-paid amounts, require “no-spread” arrangements between CCOs and PBMs, and increase accountability through third-party audits. Require CCOs to adhere to selected drugs and classes on the state preferred drug list. (OHPB Policy Recommendations #14 and #15)

• One-time rate adjustment: Allow OHA to make a one-time capitation rate adjustment

six month after the start of the new contract to account for membership and risk changes. (Staff recommendation)

Proposed Health IT Oversight Council (HITOC) Membership November 2018

New Proposed Members* Name Title Organizational Affiliation Location Term Bill Bard* Retired Consumer Portland 3 years beginning

1/1/2019 Bill retired after a long career in IT in the airline industry when he developed a disability and became a 24/7 caregiver for his mother. Following her death, he volunteered at Providence Hospice and as a Certified Long-Term Care Ombudsman, advocating for the residents of long term care facilities, for over a decade. He served two terms on the Residential Ombudsman and Public Guardian Advisory Board, as both chair and vice-chair, and recently completed a term on the National Consumer Voice for Quality Long-term Care Leadership Council. He has received the Governor’s Senior Volunteer of the Year award and the National Consumer Voice for Quality Long-Term Care Leadership award. Kacy Burgess* Clinical Systems Analyst Deschutes County Health Services Bend 3 years beginning

1/1/2019 Kacy recently managed a major electronic health information sharing project in which five organizations in Central Oregon (Mosaic Medical, LaPine Community Health Center, Jefferson County Health Department, Crook County Health Department, and Deschutes County Public and Behavioral Health Services) connected to a regional health information exchange organization. She is also a member of the Central Oregon Health Information Exchange board and has been instrumental in collating information about the tools that Central Oregon providers are using to electronically share patient information for care coordination. She has been with Deschutes County Health Services for 18 years and is currently a member of HITOC’s Behavioral Health IT Workgroup, which is developing recommendations on how to better support the needs of Oregon behavioral health providers and consumers. Jennifer Clemens, DMD, MPH* Dental Director Capitol Dental Care Salem 3 years beginning

1/1/2019 Dr. Clemens has been a practicing dentist since 2004 and has been serving Oregon Health Plan members since 2006. She has completed her Master's in Public Health degree and a residency in Public Health Dentistry, allowing her to become a Public Health Dentistry Specialist. She is knowledgeable about current dental IT capabilities, systemic barriers to integration of care, and dental operations in the context of working with CCOs to provide oral health care to underserved and vulnerable Oregonians. She also serves on OHA’s Metrics and Scoring Committee and Healthcare Workforce Committee. She is currently the Dental Director of Capitol Dental Care, one of Oregon’s contracted Dental Care Organization serving Oregon Health Plan members. Janet Hamilton* Deputy Director Project Access Now Portland 4 years beginning

1/1/2019 Janet is the Deputy Director of Project Access NOW. Project Access NOW helps to fill gaps in Oregon’s health care system by connecting low-income, uninsured clients to the donated care they need, paying health insurance premiums for people who qualify for coverage but can’t afford the expenses necessary to access their care, and connecting low-income people being discharged from the hospital to resources such as transportation, infant car seats, medications, and temporary housing to help them get home safely and more easily access follow-up care. This program also supports Health Share in their administration of health-related services for their members. In addition, Project Access NOW has a team of Enrollment Assisters that help people sign up for Oregon Health Plan (OHP), OHP re-enrollments, and Qualified Health Plans in the Tricounty metro area and Yamhill County. Prior to joining Project Access NOW, Janet logged 19 years of health IT experience with health plans and health IT vendors. She has served on the Home for Everyone Health and Housing workgroup for the last four years and is a participant in the current Developing Equity Leadership through Training and Action (DELTA) cohort.

Anna Jimenez, MD* Primary Care Physician CareHere Portland 4 years beginning 1/1/2019

Dr. Jimenez has spent the last 18 years as a family medicine clinician. After her residency at OHSU, she worked for 15 years in Federally Qualified Health Centers (FQHCs), including Yakima Valley Farmworkers Clinics and Wallace Medical Concern (WMC). As the medical director for WMC, she was instrumental in transitioning the clinic from a volunteer clinic to a credentialed FQHC in East Multnomah County, serving a diverse population of over 4,000 patients. She also helped develop a medical van and guided WMR’s transition from paper charting to Epic, an electronic health record. Starting in 2015, Dr. Jimenez served as the medical director at FamilyCare, which solidified her belief that medical, dental, and mental health care must have integrated information to wholly serve patients. She is currently employed at Daimler Trucks of North America serving the primary care needs of its factory and corporate employees, providing easy, accessible care. In 2016, Dr. Jimenez was nominated to OHA’s Metrics and Scoring Committee to represent CCOs, developing ways to measure quality and accessibility of care. Dr. Jimenez’s other passion is health literacy and cultural competency. Her current activities include diabetes prevention programs for the Hispanic community and nutrition programs for Latina women, all of which involve health information delivered in linguistically appropriate and culturally specific ways. Dr. Jimenez currently serves on the board of Familias en Accion and has previously served on the board of the Oregon Public Health Association. Bonnie Thompson, NP* Director of Health System

Improvements Greater Oregon Behavioral Health Inc.

Headquartered in the Gorge, serving the Northern Coast and Eastern Oregon

3 years beginning 1/1/2019

Bonnie has been in leadership roles at hospitals/health systems in Oregon, Washington, and Connecticut for the last ten years. Her roles have included leading quality improvement, patient safety, and provider performance programs. She has also served as the Chief Nursing Officer/Chief Operating Officer at Providence Seaside, a 25-bed critical access hospital with multiple hospital-based clinics. She has been a nurse practitioner, practicing in emergency departments, family practice, and mental health. She has extensive experience with health IT, including electronic health records, reporting and analytics, electronic health information sharing, and telehealth. She has served on multiple boards, including Caring for Clatsop Coalition and the Oregon Patient Safety Commission.

Demographic Information (Draft Slate only) 6 total Gender: 1 Male, 5 Female (83% female, 17% male) Race: 5 White*, 2 Hispanic/Latino/a*, 1 Native American* (50% White Only, 33% Hispanic/Latino/a, 17% Native American) (*One member identifies as White and Hispanic/Latino/a and one as White and Native American, so numbers total to 8.) Ethnicity: 3 Non-Hispanic/Latino; 2 Hispanic/Latino/a (67% Non-Hispanic; 33% Hispanic/Latino/a) Disability: 1 declared (7%) LGBT: 1 declared (7%) Geography: (3) Portland, (1) Mid-Valley, (1) Central Oregon, (1) Eastern Oregon**, (1) North Coast**. (**One member’s organization is in the Gorge but primarily serves Eastern Oregon and the North Coast, so numbers total to 7.)

Current Members ( Proposed Additional 3-year term) Name Title Organizational Affiliation Location Maili Boynay Vice President of IS Applications Legacy Health Portland, OR 3 years beginning

1/1/2019 Maili has over 17 years of experience with health IT and has worked in the healthcare field for over two decades. She has project managed dozens of electronic health record implementations and led health IT strategic planning for ambulatory care delivery, including electronic health information sharing, interoperability, population/risk management, network collaboration, claims and clinical integration, and data warehouse strategies. She is a member of implementation committee of the Unity Center for Behavioral Health and was instrumental in extending Legacy’s electronic health record to Albertina Kerr. She regularly presents to health IT groups about connecting communities, governance, and program growth. She also chaired Legacy’s patient portal steering committee, which explored how to ensure patients can communicate with their providers and access their own medical records. She has served on HITOC since 2015. Erick Doolen Chief Operations Officer PacificSource Springfield, OR Term ends 10/2019 Erick leads PacificSource’s operational areas across lines of business including customer service, claims, enrollment and billing, information technology, analytics, human resources, and facilities. PacificSource serves commercial and Medicare Advantage members in Oregon, Idaho, and Montana as well as Oregon Health Plan members. Erick joined PacificSource in 2005 as the Chief Information Officer and served in the role until taking on broader operational responsibilities in 2010. During that time, PacificSource had several acquisitions and expansions that took the company into Medicare Advantage and Medicaid as well as new states. Erick was responsible for the successful integration of systems and operations. Prior to PacificSource, Erick spent 11 years working at Hewlett-Packard in several manufacturing and technology leadership roles. Erick is the co-chair of the Oregon Health Leadership Council's Administrative Simplification Executive Committee, leading efforts across health plans and providers to simplify the administrative aspects of healthcare in Oregon. He has been a member of HITOC since 2012 and its chair since 2015. Amy Fellows Executive Director We Can Do Better Eugene Term ends 6/2021 Amy has cumulative experience of more than 15 years in healthcare and healthcare IT efforts. She is the Executive Director of We Can Do Better, which has been convening the Northwest OpenNotes Consortium since 2014 and has brought together most of the health systems in Oregon to open their provider notes to patients so that they can better engage in their own healthcare. We Can Do Better’s mission is to create opportunities for nonpartisan civic education and engagement, bringing people together who share the values of better health care and health for all. Previously, she worked for over 10 years installing Epic in safety net clinics for OCHIN. She continues consulting with other non-profit health organizations. She has been a member of HITOC since 2017. Valerie Fong, RN Executive Director and Chief

Nursing Informatics Officer Providence Health & Services Portland 2 years beginning

1/1/2019 Valerie is the Executive Director and Chief Nursing Informatics Officer for the Oregon Region of Providence St. Joseph Health, representing 8 acute hospitals and 90+ ambulatory clinics. She has operations, leadership, and project management experience in both inpatient and ambulatory environments. Her clinical knowledge, paired with business and technological experience with electronic health record design and implementation, information systems governance, and transitions of care, allows her to lead diverse teams to improve and transform healthcare. She is a frequent presenter at regional, national, and international conferences and has taught informatics to nursing graduate students. Prior to her role at Providence, she served in several leadership roles at Kaiser Permanente encompassing nursing informatics governance, strategic alignment, clinical technology usability and implementation, and transitions of care. She has over 14 years of experience in health IT and has been a member of HITOC since 2015.

Charles (Bud) Garrison Director, Clinical Informatics Oregon Health & Science University

Portland Term ends 10/2019

Bud is OHSU’s Director of Clinical Informatics and Health Information Services, as well as an instructor in the Department of Medical Informatics and Clinical Epidemiology at OHSU, and has been with OHSU for almost 10 years. He is familiar with the intricacies of academic medicine and is involved with inpatient, perioperative, and ambulatory clinical and operational workflows in OHSU’s multi-site environment. His experience includes electronic health records, governance, privacy, release of information, document management, record completion, chart correction, and information exchange issues in electronic and paper based medical records. Prior to his work at OHSU, he led large health IT implementation and process improvement projects across the country and worked for several health IT software vendors in client services, implementation, training, and analytics development. He has served on HITOC since 2015. Amy Henninger, MD Deputy Medical Director Multnomah County Health

Department Portland, OR 2 years beginning

1/1/2019 Dr. Henninger has worked in Multnomah County’s primary care clinic for the last 15 years, serving as the site medical director for 6 years and the deputy medical director for the last 4 years. She still sees patients and understands the day-to-day experiences of health care providers as they navigate health IT and health information sharing. She also has experience in clinic operations and works closely with the population and community services side of the health department. She was involved in the startup of the county’s electronic health record and has continued to play a leadership role in system maintenance and upgrades. She was also a leader in rolling out My Chart, which allows patients to access their own health records. She is involved in the Care Oregon Metro Clinical Work Group, including work around population health and the use of data for quality improvement. She has served on HITOC since 2015 and is currently the vice-chair. Mark Hetz Chief Information Officer Asante Health System Medford, OR Term ends 10/2019 Mark has thirty years of healthcare IT experience and is currently the chief information officer at Asante. His work has included information systems strategic planning and establishing IT governance for organizations, implementing health IT systems, and data integration and standardization efforts. Asante serves a more rural section of Oregon and has one of the few inpatient behavioral units in the state. He has served on numerous statewide committees, including HIT Commons Governance Board, Emergency Department Information Exchange/Pre-Manage Governing Board, Reliance eHealth Collaborative (formerly Jefferson Health Information Exchange) Governing Board, Health Future CIO Council, Oregon Association of Hospitals and Health Systems Health IT Technical Advisory Committee, Apprise/Information Network For Oregon Hospitals Data Governance Committee, Oregon Health Information Management Systems Society Advisory Council, Oregon Health IT Extension Center Advisory Council, and the Oregon Health Leadership Council Administrative Simplification Task Force. He has served on HITOC since 2015. Sonney Sapra Former Chief Information Officer Tuality Healthcare Hillsboro, OR Resigning as of

12/7/2018 Sonney will be resigning from HITOC effective 12/7/2018, as he has accepted a new position out of state. OHA is grateful for Sonney’s many contributions over his years of service to HITOC. (Sonney’s information is not included in the demographic numbers at the end of this document.)

Steven Vance Director of Information and Technology Services

Lake Health District Hospital Lakeview Term ends 6/2021

Steven has worked in IT for over 20 years. He was a senior health IT manager at Providence Health System for a decade. Since 2015, he has served as the IT Director/Informatics Manager and Information Security Officer for Lake Health District Hospital, a rural frontier health district serving a critical access hospital, skilled nursing facility, public health and community mental health program. He is familiar with the unique challenges of health IT in frontier areas and is committed to giving rural Oregon a broader voice. He has been a member of HITOC since 2017. Greg Van Pelt President Oregon Health Leadership Council Portland, OR 2 years beginning

1/1/2019 Greg is the president of Oregon Health Leadership Council (OHLC) and the former CEO of Providence Health and Services Oregon, where he served in leadership roles for 38 years. OHLC consists of 31 members including all major health plans, health systems, several CCOs, large medical groups, and health care associations across the state. It works in partnership with OHA and the governor’s office on several important statewide health IT strategies. It is a co-sponsor with OHA of Oregon’s Health IT Commons (HIT Commons), which is a public-private partnership with a shared funding model designed to coordinate, standardize, govern, and support statewide health IT efforts. HIT Commons operates Oregon’s EDIE and PDMP Integration initiatives. He was instrumental in starting the Virginia Garcia Memorial Health Center, a member of Gov. John Kitzhaber’s health care transformation workgroup, and helped develop Health Share of Oregon CCO, with a goal of expanding access to health services for hundreds of thousands of Oregonians. He was the chair of the Oregon’s Health IT Task Force in 2013 (which re-set our HIT/HIE strategic plan after implementing CCOs) and has served on HITOC since 2015.

Demographic Information (Draft Slate, Renewing Members, Members) 15 total Gender: 6 Male, 9 Female (60% female, 40% male) Race: 12 White*, 1 Asian/Pacific Islander, 2 Hispanic/Latino/a*, 1 Native American*, 1 Decline to State (67% White Only, 7% Asian/Pacific Islander, 13% Hispanic/Latino/a, 7% Native American, 7% Decline to State) (*One member identifies as White and Hispanic/Latino/a and one as White and Native American, so numbers total to 17.) Ethnicity: 12 Non-Hispanic/Latino/a; 2 Hispanic/Latino/a, 1 Decline to State (80% Non- Hispanic/Latino/a; 13% Hispanic/Latino/a; 7% Decline to State) Disability: 1 declared (7%) LGBT: 1 declared (7%) Geography: (7) Portland, (2) Mid-Valley, (2) Southern Oregon, (2) Central Oregon, (1) Eastern Oregon**, (1) North Coast**. (**One member’s organization is in the Gorge but primarily serves Eastern Oregon and the North Coast, so numbers total to 16.)

64%

15%63

InterCommunity Health Network A handful of incentive metrics IHN has improved especially well on:

0%

20%

40%

60%

80%

2011 2017

0%

20%

40%

2011 2017

0%

20%

40%

2011 2017

Cigarette smoking prevalence and doctors advising to quit

Depression screening

0%

20%

40%

60%

80%

2014 2017

0%

20%

40%

60%

2014 2017

Effective contraceptive use

among adults

0%

20%

40%

60%

80%

100%

2015 2017

Assessments for children

in DHS custody

0%

20%

40%

2014 2017

Dental sealants for children

Data source: EHR

0%

20%

40%

2016 2017

Cigarette smoking prevalence is a

new incentive measure. IHN

successfully reduced their

members’ smoking prevalence

rate between 2016 and 2017.

...also between 2016 and 2017, IHN improved markedly in providing medical assistance

to smoking cessation.

Room for improvement: Patient-Centered Primary Care Home enrollment

The PCPCH enrollment metric uses a

weighted score which gives more value

to enrollment in higher tiers of

certification. Between 2011 and 2016,

IHN scored well on this measure.

However in 2017, two new, higher tiers

of enrollment were introduced : Tier 4

and Five STAR. With the introduction of

these new tiers, IHN scored the lowest

on the PCPCH metric among CCOs. This

is because — while IHN had a high

percentage of members enrolled in Tier

3 (which used to be the highest tier) —

they had fewer members enrolled in Tiers

4 and Five STAR in 2017.

IHN PCPCH enrollment score

2011-2016. Grey line is statewide average.

IHN’s PCPCH rankings among CCOs in 2017.

Weighted score Tier 3 Tier 4 Five STAR

0

20

40

60

80

100

2011 2016

All charts: Grey line is statewide average

Data source: EHR Data source: Administrative claims Data source: Admin. claims + OR Kids Data source: Administrative claims

Data source: CAHPS Survey

Doctor advised to quit Doctor advised

medications to quit

Doctor advised other

strategies to quit Cigarette smoking prevalence

incentive measure introduced

12%

December 4, 2018

The Future of Health and Housing

Oregon Health Policy BoardDecember 4, 2018

Kenny LaPoint, Assistant Director of Public AffairsOregon Housing and Community Services

OHCS: Who we are, where we have been and what’s next

• State of Oregon Housing Finance Agency– Homelessness, Housing Production, Preservation, Energy Services, HUD Project-Based Contract Administration, homeownership,

foreclosure prevention

• Statewide Housing Plan: Breaking New Ground

Need for Permanent Supportive Housing

2,769

630

191

748

751

216114

1,466682

1,073

370

603

272

559

1,484

460

Chronic Homeless

Non-Chronic Homeless

Homeless Families

Child Welfare Families

Unaccompanied TAY

Justice Involved TAY

Child Welfare TAY

Prison

Jail

IDD Waitlist

IDD Institutional

IDD Residential

MH Institutional

MH Residential

Aging

Substance Use

Why Permanent Supportive Housing?

Policy Priority: Permanent Supportive Housing

Invest in permanent supportive housing, a proven strategy to reduce chronic homelessness and reduce barriers to housing stability.

2019-2023 GoalOHCS will fund the creation of permanent supportive housing to improve future long-term housing stability for 1,000 or more vulnerable Oregonians.

Policy Priority: Permanent Supportive HousingImplementation Strategies• Expand the pool of resources for PSH • Make housing development dollars from existing sources available for PSH • Lead in identifying barriers to production and operation of PSH• Coordinate with the PSH strategies of local partners • Support implementation of the State Supportive Housing Workgroup’s recommendations • Partner with cross-sector providers to target interventions to the most frequent users of

services

Statewide Supportive Housing Strategy Workgroup (SSHSW)• 20 members from across Oregon including housing developers, Community Action

Agencies, behavioral health providers, criminal justice system, CCO’s, hospitals, tribal representatives, Continuum’s of Care, Housing Authorities

• Began meeting in July of 2017• Jointly staffed by OHCS and OHA• Technical Assistance Collaborative has been providing consultation to the SSHSW• Final SSHSW recommendations now available

2019 Legislative Session • $18.7 million request for PSH

– Joint Policy Option Package between OHCS and OHA– Includes capital, rental assistance, services and technical assistance– Governor Brown’s Housing Policy Agenda increases this request to $20 million

• Historical $370 million included for housing and homelessness in Governor Brown’s Housing Policy Agenda

– Includes new production, preservation, acquisition, homelessness, PSH, rural housing

OHA Health and Housing Policy Highlights

OHPBDecember 4th, 2018

Lori Kelley, OHA Health Policy Unit Manager

OHA Health and Housing Policy HighlightsOHA has been developing policies that concentrate on the intersection of Health and Housing in many arenas:• OHPB approved the Policy Report: CCO 2.0 Recommendations which included options

that elevate Social Determinants of Health (SDOH) & Equity strategies– Require CCOs to spend on SDOH (implementing HB 4018), and direct a portion of required spending to

partners working on SDOH and Equity issues within their communities– Years 1&2 statewide priority: housing-related services (+ community priority/ies)

• A Health Related Services (HRS) guide will be reviewed by the Medicaid Advisory Committee this winter

– Includes guidance focused on use of HRS to help members find and maintain housing, including supportive housing services.

• Work around recovery housing, including an RFP that combines Substance Abuse Prevention & Treatment (SAPT) block grant and State Opioid Response (SOR) funds

• National Association of State Health Policy (NASHP) Health and Housing Institute to develop innovative options for braiding health and housing funding

Partner Highlights

Karen Wheeler Business Development Director

Greater Oregon Behavioral Health Inc. (GOBHI)Member, Statewide Supportive Housing Strategy Workgroup

(SSHSW)

Partner HighlightsClatsop County/Astoria:GOBHI, with our Clatsop County collaborators, is currently rehabilitating an existing 4-plex in Astoria with funding from Oregon Housing and Community Services. The development will be home for up to 6 single, pregnant or parenting women who will be supported with comprehensive health and substance use disorder recovery services.

Partner HighlightsHarney County/Hines: Harney County partners are developing a 20-unit Integrated Housing Project on a 1.25-acre plot of land in Hines, Oregon. GOBHI provided $200,000 in seed funding for the project.

Partner HighlightsOther GOBHI Housing Efforts:• Advocating for zoning code changes to allow tiny homes in Union County

• Meyer Memorial Trust Technical Assistance grant

• GOBHI Rental Assistance Programs for individuals with SMI

• Serving Sherman, Gilliam, Wheeler, Grant, Harney, Lake, Malheur, Baker, Union, Wallowa, Umatilla, and Morrow counties

Partner Highlights

Rachael DukeExecutive Director

Community Partners for Affordable Housing (CPAH)Member, Statewide Supportive Housing Strategy Workgroup

(SSHSW)

Partner Highlights

• CPAH is a Community Housing Development Organization (CHDO) that creates and maintains safe, healthy and sustainable housing with services in Washington County and SW Portland.

• We house more than 800 residents in 372 units of safe, healthy rental apartments.

• We provide resident service programs for families, seniors through our resident services coordinators, a contract with Volunteers of America for youth, and partnerships with community based service providers to support our more vulnerable residents.

Partner Highlights

Permanent Supportive Housing Under Development:

• Red Rock Creek Commons in Tigard– 48-unit community of one-bedroom apartments– Eight apartments set aside for people with severe and persistent mental

illness. • Luke-Dorf partnership to provide supportive services

• Cedar Grove in Beaverton– Located in the Beaverton Cedar Mill neighborhood – CPAH is partnering with Community Action to support homeless families in

this 44- unit community

Partner Highlights

Brigetta OlsonInterim Executive Director

Willamette Neighborhood Housing Services

19

Health Navigation services that connect residents to health care and social services, delivered where people live.

Supported by InterCommunity Health Network Coordinated Care Organization.

Health and Housing

20

• Navigators build relationships with residents and offer one-on-one coaching to address health concerns.

• Housing Stability– eviction prevention, financial education and asset building.

• Community building – opportunities to engage with neighbors, learn about medical services and address physical and mental health wellness.

21

Number of Emergency Department (ED) visits declined and costs/member month declined by 19% over 2 year period.

Health care providers delivered two onsite services.

Housing Stability –Annually served 70 WNHS households with eviction prevention and have helped stabilize households.

Project Success

Weldon Brown receives a free health screening from a retired volunteer nurse at Mesa Familiar de Corvallis Family Table.

InterCommunity Health Network CCO

Kelley Kaiser, CEOKim Whitley, COO

December 4, 2018

1

IHN-CCO

• Defined our region as Linn, Benton and Lincoln Counties (250,000 population); 15-20% state population

• Initial meetings held in February 2011 with local County leadership and stakeholders

• March 2011, the three counties along with the Council of Governments (COG) started to meet to collaborate

• August 2012, with SHS as our foundation, IHN-CCO certified as one of the first 8 CCO’s in the state

2

IHN-CCO

• Today we serve over 56,000 members in our three county area

• Benton County: 12,513 (22%)• Lincoln County: 12,823 (23%)• Linn County: 30,684 (55%)

3

4Your Community Health Plan

1

SAMARITAN HEALTHPLANS

Works with community partners to coordinate

care of members.

IHN-CCO REGIONAL PLANNING

COUNCILDevelops strategies to

transform and integrate the system of care.

IHN-CCO COMMUNITY ADVISORY

COUNCILSupports community and

member involvement and input into CCO

operations and mission.

MEMBERS & PROVIDERS

InterCommunity Health Network CCO (Coordinated Care Organization) (IHN-CCO) was formed in 2012 by local public, private, and non-profit partners to unify health services and systems of Oregon Health Plan (Medicaid) members in Benton, Lincoln, and Linn counites. As IHN-CCO, we are committed to improving the health of our communities and providing better care while lowering or containing the cost of care.

IHN-CCO BOARD OF DIRECTORS

Your Community Health Plan Sets the goals,

policies and directives of theCCO.

Board of Directors• Two County commissioners• One County administrator• Chair of the Community Advisory Council• Practicing Dentist• Hospital CEO• Mental Health Provider• Practicing Primary Care Provider• Practicing Specialist• 3 Community members• Board Chair

5

Community Advisory Council

• The Community Advisory Council (CAC) ensures that the integrated health care needs of Benton, Lincoln, and Linn County IHN-CCO members and their communities are effectively and efficiently addressed.

• The Council advises and makes recommendations to the IHN-CCO to aid in strategic planning and implementation to improve the health and health care of those enrolled in the Oregon Health Plan.

6

Community Advisory Council

• Three local committees to ensure the variances between counties are recognized and representative of local consumers

• One regional Council with equitable membership from the local committees

7

Regional Planning Council (RPC)

• IHN-CCO is committed to improving the health of the region by organizing health initiatives, seeking efficiencies through coordinating services and sharing infrastructure, and engaging all stakeholders in a regional effort to steer local health services and systems.

• Public agency and government leaders have come together with private health care leaders to unify our voice and action in this endeavor. The Regional Planning Council (RPC) is a standing work group charged by the IHN-CCO Board of Directors with planning and coordinating the regional system of health services and supports.

8

RPC Functions• It serves to guide the development of a regional system of health care firmly

grounded in a philosophy of coordinated, person-centered, and locally delivered health care.

• The Council develops tools and strategies to transform and integrate the system of care:

Recommends funding needed for transformational activities. Sponsors an effective innovative quality improvement process to drive positive

system change. Develops, supports, and maintains active communication and involvement with the

Community Advisory Council to provide broad community input on the operations and performance of the IHN-CCO.

Recommends and implements measures to ensure an effective continuum of care, and care transitions within and between health systems.

Provides regular reports to the Board of Directors, including specific requests needing Board approval that support system transformation.

9

The Delivery System Transformation Committee

• Open to anyone in Benton, Lincoln, and Linn counties that can positively affect the health outcomes of IHN-CCO members

• Provide opportunities for learning and collaboration

• Support care teams that work to coordinate care, and uses the Patient-Centered Primary Care Home, as the foundation of health care

• Approve and oversee pilots and IHN-CCO health system transformation

• Welcome innovative ideas and efforts

10

IHN-CCO and community partners embraced a

collaboration model calledCollective Impact

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Community partners have contributed nearly 6,000 hours attending the DST and DST Workgroups from the inception of the DST in 2012 through May 2018!

Five Conditions to Collective Impact Success

Common Agenda

Shared Measurement

Mutually Reinforcing Activities

Continuous Communications

Backbone Support

Shared vision for change

Collecting data and measuring results consistently

Differentiated while still being coordinated

Consistent and open communication

IHN-CCO is the backbone organization for the entire initiative and coordinate participating organization

12

The Delivery System Transformation Committee

13

Current Pilot Projects

Delivery System Transformation Pilot Examples

15

Transformation Pilots

Pilots are innovative ideas that implement collaborative strategies with a focus on IHN-CCO members.

Align with IHN-CCO goals, have described outcomes, support the Community Advisory Council, the Community Health Improvement Plan and the Triple Aim – better health, better care, reduced cost.

16

Alternative Payment Methodology

17

Key Outcomes• 94% of IHN-CCO members are assigned to a primary

care provider that is receiving an APM• Increased number of visits (44%)• Increased preventive visits (175%)• Decreased emergency department (ED) visits (5%)• Increased mental health/behavioral health visits

(204%)

Alternative Payment Methodologies (APM) are ways to pay providers based on quality and cost efficiency rather than the traditional fee-for-service payment methodologies

Health Equity

Key Outcomes: • Reduced barriers to access by imbedding bilingual and

bicultural health navigators in a low-income community

• Prevented evictions in low-income housing• Provided resiliency training to over 6,000 youth in low-

income communities

18

Health Equity means that everyone has a fair and just opportunity to be as healthy as possible, regardless of social position or other social circumstances.

Integration of Care 19

Key Outcomes:• Established a communication process between

oral health and medical clinics to improve outcomes for individuals with diabetes

• Delivered mental health services in the Patient-Centered Primary Care Home to reduce costs and increase access

• Coordinated on-site services in a pediatric Patient-Centered Primary Care Home including: • Public health• Physical, speech, and occupational therapies• Behavioral and mental health• Vision• Community-based resources such as patient

education classes

Integration of care means coordinating physical, oral, and mental health services to provide better outcomes

Social Determinants of Health

Key Outcomes:

• Veggie Rx service model that is accessible and affordable to clients, replicable at other sites, and financially sustainable

• Program in the housing sector utilizing Health Navigators to connect residents with healthcare and social services

• Connecting pediatric patients with needed community services

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Social determinants of health are the conditions in which people are born, grow, live, work and age. These conditions include housing, food, employment, education, and many more. Social determinants of health can impact health outcomes in many ways, including determining access and quality of medical care.

Traditional Health Workers• IHN-CCO has increased the THW workforce in

agencies including primary care clinics, schools, relief nursery, recovery centers, housing, and county health departments

• Increased engagement and access to support services

• Increased preventative care and treatment follow through

• Provides a meaningful connection to increasing health equity

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Thank You

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Tobacco use is the leading preventable cause of death and disability in Oregon.

Project description:

Signs of Victory (SOV) Homeless Shelter

approached this problem by collaborating

with agencies & organizations to support

tobacco cessation within the homeless

population. This partnership focused on

the development, adoption, and

sustainability of a tobacco-free property

policy. Resources, materials, and training

opportunities were provided.

Addressing tobacco cessation among the homeless population should be a priority of service providers. Tobacco-free property policies provide an opportunity to address challenges and to support community health. The SOV Homeless Shelter has taken this approach to support their guests and have developed vital partnerships to sustain policy implementation.

Impact and Outcomes:

• Adoption of a tobacco-free property

policy.

• Updated shelter intake paperwork to

help identify smokers and connect them

to resources.

• Tobacco cessation and prevention

resources are available at SOV, including

food boxes.

• Training opportunities for SOV staff

• Established a Wellness Room.

• Clinic health navigator has a regular

schedule at the shelter to help connect

guests with resources, assist with

navigating the health care system and

social services, and act as an advocate.

Develop shared vision

Build meaningful community

partnerships

Offer educational resources and nicotine-therapy

Adopt and enforce smoke-free properties

Tobacco Use in the Homeless Population:

Q: Are homeless smokers interested in smoking

cessation?

A: Absolutely! Homeless smokers’ level of interest

in participating in a smoking cessation program,

number of lifetime quit attempts, and methods

used to quit smoking are found similar to those of

non-homeless smokers.

Collaborative Approach to Support Tobacco Cessation among the Homeless Population:

Adoption of a Tobacco-Free Property Policy for Signs of Victory Homeless Shelter

References: Bagett TP, Anderson R, Freyder PJ, Jarvie JA, Maryman K, Porter J, Rigotti NA. Addressing Tobacco Use in Homeless Populations: A Survey of Health Care Professionals. Journal of Health Care for the Poor and Underserved. 2012.; Butler, J., Okuyemi, K. S., Jean, S., Nazir, N., Ahluwalia, J. S., & Resnicow, K.(2002). Smoking characteristics of a homeless population [Electronic version]. Substance Abuse. 23(4), 223–231.; Baggett et. al. (2013). Tobacco Use among Homeless People- Addressing the Neglected Addiction. The New England Journal of Medicine.

Community Health Centers of Benton & Linn Counties

InterCommunity Health Network

Coordinated Care

Organization

SOV Albany InReach Services

Linn County Public Health

Mid-Valley & Coast

Tobacco

Prevention

Initiative

Oregon State University,

College of Public Health and

Human Sciences

Oregon Health &

Science University,

School of Nursing

Strategies for

Policy and

Environmental

Change Tobacco-

Free (SPArC) grant

College of Osteopathic

Medicine of the Pacific

Northwest, Western

University of Health

Sciences

Presenters:

• George Matland, [email protected]

• Rachel Petersen, [email protected]

About Signs of Victory:

• Albany, OR since 1981 • Provides emergency shelter,

transitional housing, clothing, furniture, and food boxes.

• 15 men’s beds, 15 women and families beds in the emergency shelter; 4 transitional housing sites; provides 1,400 individuals and families with food boxes.

• Future site beds 50 men, 28 women, 28 family beds, 12 staff men, and 4 beds for detox use.

• Relies on staff volunteers, who are currently living in the shelter or transitional housing, or previously received services from SOV.

mailto:[email protected]

mailto:[email protected]

Health Equity and System Transformation

Health Equity Workgroup

• Subcommittee of the Delivery System Transformation Committee

• Supports delivery system transformation by: ▪ Identifying and reducing health disparities

▪ Advancing health equity

▪ Providing best practice recommendations to IHN-CCO

2

Health Equity Strategic Plan

• Vision

• Mission

• Goals

3

Data

Training

Diverse Workforce

Traditional Health Workers

Communication

Health Equity

Strategic Plan

Stakeholder Engagement4

• Delivery System Transformation Committee • Health Equity Workgroup

• Traditional Health Workers Workgroup

• Transformation Department

Overcoming Barriers

• Thinking Strategically! ▪ Community Health Assessment (CHA) and Community

Health Improvement Plan (CHIP)

• Adopting global practices ▪ Implementation across system

• Building trust▪ Invest in peers and community partners

• Finding time

5

Implementation is challenging but

worthwhile!

6

Pilot Funding Requirements

• Address health equity

• Track members served

• Track and submit health equity data▪ Age

▪ Race/Ethnicity

▪ Language

▪ Disability

▪ Other

7

Sustainability8

• Equity in all policies

• Awareness and Education▪ Technical Assistance

• Collaboration▪ CHIP and CHA

▪ Other initiatives

Moving Forward

• Maintaining inquisitive “what else?” while focusing on deliverables.

• Providing a safe environment for inclusive conversations

• Investing in people and professional relationship

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• Delivery System Transformation Committee

• Health Equity Workgroup

• Traditional Health Workers Workgroup


• Delivery System Transformation Committee • Social Determinants of Health Workgroup• Universal Care Coordination Workgroup• Traditional Health Workers Workgroup• Health Equity Workgroup


Oregon Health Policy Board AGENDA 4... · 12/4/2018 · Conference Call Number: 1-888-808-6929...

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Transcript of Oregon Health Policy Board AGENDA 4... · 12/4/2018 · Conference Call Number: 1-888-808-6929...