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Innovator Agent Bulletin – 1/7/22


New items

A. (TC) Health-related services guidance updates: new HRS HIT guidance available


Repeated items

A. (TC) HRS webinar: Health information technology investments using health-related services January 12

B. (TC) Virtual learning collaborative: Care coordination and intensive care coordination Starts January 20; complete questionnaire

C. (TC) Rescheduled webinar: Family Connects Oregon January 21

D. (TC) Webinar: System level social-emotional health metric asset map January 25 (new date)

E. (TC) CAC member learning series: The social determinants of health & equity Next session January 31

F. (TC) Free clinical technical assistance for clinics addressing the increasing prevalence of unhealthy alcohol (SBIRT) Recruiting clinics through February

G. Office hours with the Oregon Immunization Program Every Monday

H. Training and mobile app for use with suicidal children in the ED setting Hospitals express interest by January 15

I. Behavioral health clinical supervision program grants Apply by January 18

J. Funding opportunity: Permanent supportive housing program Informational webinar February 8; apply by March 4


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New items

A. (TC) Health-related services guidance updates: new HRSHIT guidance available

Contact: health.relatedservices@dhsoha.state.or.us

Request: Please share with CCO staff working on HRS.

The OHA health-related services (HRS) team has the following updated HRS guidance to share with CCOs:

  1. HRS and Health Information Technology (new): https://www.oregon.gov/oha/HPA/dsi-tc/Documents/Health-Related-Services-Guide-HIT.pdf

  2. Exhibit L Financial Reporting Template and HRS Expenditures (updated January 2022): https://www.oregon.gov/oha/HPA/dsi-tc/Documents/Health-Related-Services-Exhibit-L-Reporting-Guide.pdf

If you have questions, please reach out to the HRS team at health.relatedservices@dhsoha.state.or.us.


Repeated items

A. (TC) HRS webinar: Health information technology investments using health-related services January 12

Contact: Anne King (kinga@ohsu.edu) and Nancy Goff (nancy055@gmail.com)

Request: Please share with CCO staff working on HRS.

This webinar will cover HRS health information technology (HIT) expenditure criteria and basics, and highlight successful CCO HIT strategies and investments. The webinar will also connect this work to statewide efforts and priorities. Presenters include staff from the OHA Transformation Center, the Office of Health Information Technology, and CCOs.

  • When: January 12, 11 a.m.–noon

  • Register in advance: https://us02web.zoom.us/meeting/register/tZUrdO-qrT8pGtximduG3zvwOn4i3lPjU2gi


B. (TC) Virtual learning collaborative: Care coordination and intensive care coordination Starts January 20; complete questionnaire

Request: Please share with CCOs planning or delivering CC/ICC.

Contact: Jackie.Wetzel@dhsoha.state.or.us

The Oregon Health Authority Transformation Center is hosting a monthly virtual learning collaborative to support CCOs and other organizations that provide care coordination and intensive care coordination (CC/ICC) services to Oregon Health Plan members.

  • When: Third Thursday each month in 2022, noon–2 p.m.

  • Audience: Staff of CCOs, Kepro, and other organizations who are involved in planning or delivering CC/ICC to OHP members.

  • To participate:

1. Please complete this brief questionnaire: https://forms.office.com/r/pTsBLxhrq1

2. Save the date(s): 3rd Thursday of each month, noon–2 p.m., starting January 20, 2022


The year-long learning collaborative will provide support toward understanding and meeting CCO 2.0 care coordination requirements and facilitate sharing of CC/ICC best practices. Participants will hear from subject matter experts and peers on key topics such as:

• CCO contract requirements and OARs related to CC/ICC

• Best practices for:

o Interdisciplinary care team (ICT) meetings

o Sharing assessments and care plans

o CC/ICC staffing models

• CC/ICC reporting requirements/template

• Face-to-face requirements in rural/urban areas

• Prioritized populations

• Using data to support CC/ICC activities and workflows

• In lieu of services (ILOS) and care coordination


C. (TC) Rescheduled webinar: Family Connects Oregon January 21

Contacts: Bobbie Bowman-Meza (Bobbie.Bowman-Meza@dhsoha.state.or.us) and Tom Cogswell (thomas.cogswell@dhsoha.state.or.us)

Request: Please share with your CCOs.

The OHA Transformation Center and OHA Public Health Division will be hosting a webinar on Oregon’s new nurse home visiting program. Family Connects Oregon builds on Oregon’s current home visiting programs and will offer home visiting to all families with newborns. It is a voluntary, opt-in program. No families are required to participate. Please note that Family Connects is rolling out in stages across the state, and is not yet universal at this time.


In this session, maternal and child health staff will provide details on the new home visiting model, as well as requirements for CCOs.

  • January 21, noon-1 p.m.

  • Audience: CCO staff.

  • Register here: https://www.zoomgov.com/meeting/register/vJItc-murjkuHJi4F4iFlLBwEcK6Q9OM6SM


Please contact Tom Cogswell if you require any accommodations to fully participate in this learning session.


D. (TC) Webinar: System level social-emotional health metric asset map January 25

Contact: Bhagavati (Adrienne Mullock) (Adrienne.P.Mullock@dhsoha.state.or.us)

Request: Please share with CCO staff working on the social-emotional health metric.

This recorded webinar will demonstrate how to use and submit the fillable version of the asset map template, one component of the new system-level social emotional health metric. This will allow CCOs to fulfill this requirement and provide participants with practical strategies to address capacity issues within a CCO’s service area.

  • January 25, 11-11:50 a.m. (rescheduled from January 13; registration link is the same)

  • Audience: CCO staff and clinical partners who will be completing asset maps for CCOs

  • Register here: https://www.zoomgov.com/meeting/register/vJIsdOCgqTMoHceoiQQairm97rHt3Axro-8


Metric background: As of January 2022, CCOs have a new incentive measure to support health aspects of kindergarten readiness: system-level social-emotional health. This metric focuses on identifying and connecting young children with social emotional health needs to services. Providing families with effective options to support social emotional health for young children will improve child current and long-term psychological functioning, academic progress, and physical health, while reducing suffering and medical costs. In addition to universal promotion, prevention and early intervention, infants, young children and their caregivers benefit from mental health/behavioral health screening, assessment, and treatment services provided in primary health care settings, in their homes, in behavioral health clinics, and other settings.


One component of this new measure is that CCOs must complete a map of local assets available to address the social-emotional health needs of young children. The first year of the asset mapping process will help CCOs identify behavioral health providers trained to provide behavioral health services to infants, and young children with their caregivers. The measure specifications include a template that CCOs can use, and OHA has created a fillable version of this template.


E. (TC) CAC member learning series: The social determinants of health & equity Next session January 31

Contact: Tom Cogswell (thomas.cogswell@dhsoha.state.or.us)

Request: Please share with your CCOs.

The Oregon Health Authority Transformation Center is hosting a learning series for CAC members on the social determinants of health & equity. All session will be held via Zoom. This learning series is being held in support of OHA’s goal to eliminate health disparities across Oregon by 2030 and the contractual requirements for CACs in addressing the social determinants of health & equity.

  • All consumer OHP CAC members will be eligible to receive a $10 electronic gift card from Albertsons, Safeway or CVS for attending each session.

  • Closed captioning, ASL interpretation and Spanish-language interpretation will also be provided at each session (which will be recorded).

  • Click here to view a learning series flier in English.

  • Haga clic aquí para ver un folleto de la serie de aprendizaje en español.

Schedule

  • Community health assessments (CHAs): Making sense of health disparities

  • January 31, 3–4:30 p.m.

  • Register here

  • Community health improvement plans (CHPs): Evidence-based strategies to address the social determinants of health & equity

  • February 24, 11:30 a.m.–1 p.m.

  • Register here


F. (TC) Free clinical technical assistance for clinics addressing the increasing prevalence of unhealthy alcohol (SBIRT) Recruiting clinics through February

Contact: Alissa Robbins (Alissa.Robbins@dhsoha.state.or.us) or contact the program directly at ANTECEDENT@ohsu.edu.

Request: Please share with CCO staff working on the SBIRT metric or clinic quality improvement.

The OHA Transformation Center is partnering with the Oregon Rural Practice-based Research Network (ORPRN) to support clinic technical assistance related to SBIRT for unhealthy alcohol and drug use. Within Oregon, SBIRT is an incentive benchmark for CCOs in 2022. This collaborative project, ANTECEDENT, can provide primary care clinics with 15 months of tailored support to implement changes to address unhealthy alcohol use at no-cost to the participating clinics.

  • See flier: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/ANTECEDENT-flier.pdf

  • When: Recruiting through February 2022

  • Who: Clinics across Oregon and neighboring states are invited to participate in this free technical assistance opportunity.


G. Office hours with the Oregon Immunization Program Every Monday

Request: Please share with your CCOs (audience is clinical staff).

Grab your favorite snack or beverage and join us Mondays at noon for some fun, friendly and informative immunization discussions. Bring your questions, feedback, concerns and immunization needs. We offer a relaxed inclusive space for the purpose of increasing awareness and communicating up-to-the-minute information on immunization practices. Office hours are hosted by OIP’s nurse consultant who is often joined by other Immunization Program professionals to assist with a wide variety of immunization content.

H. Training and mobile app for use with suicidal children in the ED setting Hospitals express interest by January 15

Contact: M.schreiber@ucla.edu

Request: Please share with CCOs (audience is hospitals).

In response to the complexity of mental health emergencies presenting in the ED and hospital environment, the WRAP-EM Mental Health Work Group is happy to announce a unique training opportunity provided by David Brent, MD, at the Department of Psychiatry, University of Pittsburgh School of Medicine. Dr. Brent is a national leader in prevention and understanding of suicidal behavior in children and adolescents. While these efforts do not target the root cause of surge with pediatric mental health presentations, they may provide further intervention and prevention opportunities while children are boarding in the ED or hospital awaiting psychiatry admission or formal treatment. Both may reduce subsequent suicidal behaviors and ED based efforts may be an important component to the larger challenges. The intervention and app training include:

BRITE safety planning and emotional regulation app for adolescents:

· Safety planning helps patients to resist suicidal urges and can reduce subsequent suicide attempts by 33-50% relative to usual care (Doupnik et al., 2021; Stanley et al., 2018).

· Can be delivered by a non-mental health ED provider (ED RN) in about 30 minutes. This opportunity will provide training to non-mental health ED providers in use of the BRITE Safety App for Adolescents.

· Training length for participating RN ED or SW providers is 1-2 hours.

As Soon As Possible (ASAP) Intervention: Brief psychotherapeutic crisis intervention for youth at suicidal risk – Suggested use for youth boarding in the hospital or ED with an anticipated minimum of boarding 3 days while awaiting psychiatric services:

· 2.5–3 hours

· Demonstrated reduction in further suicidal behavior

· Delivered by a mental health professional in the setting where the adolescent is boarding

· Can also be used more traditionally in psychiatric treatment settings

· Training for interested hospital mental health providers who will deliver ASAP in their setting is 2–3 hours

· Dr. Brent and his team will also provide consultation on the implementation of BRITE and ASAP with participating hospitals.

The use of the BRITE mobile app and training in BRITE and/or ASAP Intervention are provided at no-cost in exchange for providing feedback and recommendations for further refinements on the implementation of either BRITE or ASAP with acutely suicidal children presenting via the ED.

If your hospital is interested in participating in this WRAP-EM response effort to pediatric mental health emergencies in ED, please contact M.schreiber@ucla.edu by January 15, 2022.


I. Behavioral health clinical supervision program grants Apply by January 18

Contact: Please use the information in Oregon Buys to forward any questions related to this grant opportunity.

Request: Please share with behavioral health staff, if relevant.

OHA has opened its first round of solicitations for the Clinical Supervision Program. This solicitation intends to provide financial awards to expand clinical supervision for behavioral health providers working toward licensure, particularly for Tribal members, members of Black communities, other communities of color, and individuals who identify as LGBTQIA2S+.


HB 2949 provides $20 million for grants that support supervised clinical experience to associates or other individuals who have the necessary education but need supervised clinical experience to obtain a license to practice. This first round of funding will offer up to $3.5 million for community mental health programs and $3.5 million for private behavioral health providers.


The solicitation is posted on Oregon Buys at https://oregonbuys.gov/bso/document/attachments/attachments.sdo?docType=B&docId=S-44300-00001537.


Applications are due January 18, 2022 at 6 p.m.


J. Funding opportunity: Permanent supportive housing program Informational webinar February 8; apply by March 4

Contact: ARH.HCS@oregon.gov

Request: Please share with CCO staff involved in funding for supportive housing.

The objective of the Permanent Supportive Housing Program is to expand the state's supply of affordable housing designed to serve households experiencing chronic homelessness. Projects must utilize project-based rental assistance to ensure units are deeply and sustainably affordable for households with little to no income AND offer on-site comprehensive tenancy support services that are voluntary for residents.

Application Deadline: March 4, 2022 by midnight


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