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Innovator Agent Bulletin (10/1/21)

New items

A. (TC) 2022 transformation and quality strategy guidance posted First webinar October 4

B. (TC) In lieu of services (ILOS) office hours October 5

C. (TC) Regional housing conveningsNovember–June (request by October 14)

D. (TC) Virtual learning sessions: Pediatric COVID vaccines for clinics First session October 14

E. (TC) Changes to HRS public posting

F. Recruiting for OHPB Health Equity Committee Apply by October 8

G. Recruiting for Behavioral Health Workforce Community Leadership Council Apply by October 25


Repeated items

A. (TC) Health-related services eval criteria, guidance updates, office hours Next office hours November 9

B. (TC) Free clinical technical assistance for clinics addressing the increasing prevalence of unhealthy alcohol (SBIRT) and opioid use Recruiting clinics through November

C. (TC) Updated matrix of community health priorities by agency and region Now available

D. (TC) Diabetes metrics toolkit Now available

E. (TC) Value-based payment (VBP) webinars for CCOs Recordings available


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New items

A. (TC) 2022 transformation and quality strategy guidance posted First webinar October 4

Contact: Laura Kreger (Laura.E.Kreger@dhsoha.state.or.us)

Request: Please share with CCO staff working on TQS (sent to CCO TQS leads 10/1).

The 2022 TQS template and guidance documents are now posted to the Transformation Center website: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Transformation-Quality-Strategy-Tech-Assist.aspx

This includes a template, guidance document, scoring criteria, FAQ, project ID numbers, and a change log of major updates.

Note: Updated example strategies will be added by November 1.


We look forward to walking through the updates during upcoming technical assistance (details at link above). If you want to be added to the calendar invitations for these sessions, please email Laura.E.Kreger@dhsoha.state.or.us.

Webinars

  • Global feedback/updates: Oct. 4, 12:30-2 p.m. (90 min)

  • Special health care needs: Oct. 14, 11 a.m.-noon

  • Serious and persistent mental illness: Oct. 21, 10-11 a.m.

  • Access (all three components): Oct. 28, 11 a.m.-noon

  • Utilization review: Nov. 3, 11 a.m.-noon


Office hours (first Thursdays, 11-11:30 a.m.)

  • Nov. 4, Dec. 2, Jan. 6, Feb. 3, March 3


B. (TC) In lieu of services (ILOS) office hours October 5

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

Request: Please share with CCO staff working on in lieu of services.

OHA is hosting office hours for in lieu of services on October 5 at 4 p.m. If you’d like to attend, please register here: https://us02web.zoom.us/meeting/register/tZ0sdu-srD4jGd1sKaPG0ppPB9RV1FI3vlUm.


C. (TC) Regional housing convenings November–June (request by October 14)

Contact: Nancy Goff (nancy055@gmail.com)

Request: Please share with CCO staff working on health-related services and/or SHARE.

CCOs are invited to participate in regional housing convenings focusing on identifying needs and opportunities among local health and housing stakeholders. These convenings will be facilitated by OHA technical assistance consultants Anne King and Nancy Goff. Participants will be led through a tested framework for achieving large-scale health systems change with multi-sector partners. Regional convenings will be tailored to the needs of individual CCOs or regions. These will generally take place between November 2021 and June 2022. Each interested CCO, in partnerships with OHA and consultants, will co-design two 3–4 hour virtual meetings to convene their own local health and housing stakeholders. CCOs will not convene with other CCOs unless it is specifically requested as part of the co-design process. Participants will be guided through facilitated activities aimed to support progress towards shared goals. Convenings will be a participatory, workshop-style experience.


Full details: https://docs.google.com/document/d/18zr8PI0TYZJ8yArnDNPBU3_v_5OTNy0cSxQBlN8vBQA/edit

How to participate: If you are interested in discussing this opportunity, please contact Nancy Goff (nancy055@gmail.com) by October 14, 2021 for an initial discussion of your needs.


D. (TC) Virtual learning sessions: Pediatric COVID vaccines for clinics First session October 14

Contact: Alissa Robbins (Alissa.Robbins@dhsoha.state.or.us)

Request: Please share with CCO staff working on COVID-19 vaccinations (audience is vaccinators).

The Oregon Health Authority (OHA) Transformation Center, in partnership with the OHA Vaccine Planning Unit, is hosting a learning session focused on pediatric COVID immunizations. As a participant, you will hear from subject matter experts and from peers on key topics such as pediatric COVID vaccine updates, how to build vaccine confidence in parents, and using equity in all planning and delivery of vaccine. Time will be reserved to answer questions from clinical staff.


Space will be limited to the first 500 participants. Please register for each date below and join us via Zoom:

  • 10/14/21. Register here: https://www.zoomgov.com/meeting/register/vJItdeqsrjgrGbXhUhYFALRGUddvFp1y4ZI

  • 10/28/21. Register here: https://www.zoomgov.com/meeting/register/vJItduGupj4qGwKR31j9UZHWynZdXYgpWUA

  • 11/4/21. Register here: https://www.zoomgov.com/meeting/register/vJIsde6hrj4rHSlP22ks2iQfof2DdfXjouk

  • 11/18/21. Register here: https://www.zoomgov.com/meeting/register/vJIscemppjIoHwuB-Xih9539IiFX4GRNshY

  • 12/9/21. Register here: https://www.zoomgov.com/meeting/register/vJIsfuyhrTsvGma2LeibZAdW6YYUKqIwCTw

  • 12/16/21. Register here: https://www.zoomgov.com/meeting/register/vJItcuqvpzgiGrZbxCab-zgQVD3XpCt-tJ0


Audience: Vaccinators, including FQHC staff, clinical pediatric staff, family medicine staff, pharmacists


E. (TC) Changes to HRS public posting

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

Request: Please share with CCO staff involved in HRS.

The OHA health-related services (HRS) team is drafting the 2020 CCO HRS spending report for release in early fall. One change to the annual spending report is that the HRS team will no longer deidentify the spending summary data. This means the report will share, by CCO, total 2020 and 2019 HRS dollar amounts submitted and accepted by OHA as meeting HRS criteria, as well as per member per month HRS spending and percent of total budget spent on HRS. The report will also identify total dollar amounts spent on HRS flexible services, community benefit initiative, and health information technology by CCO. Please reach out to the HRS team with any questions.

F. Recruitment open for OHPB Health Equity Committee Apply by October 8

Contact: Maria Castro (maria.castro@dhsoha.state.or.us)

Request: Please share attached application and letter with your networks.

OHA has formally opened recruitment to the Health Equity Committee, a committee of the Oregon Health Policy Board (OHPB). The Health Equity Committee was established by OHPB in 2017. The committee's purpose is to coordinate and develop policy that proactively promotes the elimination of health inequities and the achievement of health equity for all people in Oregon. The Health Equity Committee is responsible for reviewing health policy and leading efforts to develop best-practice policies that improve health equity in the State. It is actively working to support OHA's strategic goal of eliminating health inequities by 2030.


Please share the attached application and letter from Leann Johnson, OEI Director, with your networks. Spanish and English versions are attached. Apply by October 8, 2021, at 5 p.m.

G. Behavioral Health Workforce Community Leadership Council Apply by October 25

Contact: BH.WorkforceInitiative@dhsoha.state.or.us

Request: Please share with your behavioral health networks.

The Oregon Health Authority is seeking applicants to serve on the Community Leadership Council for the Behavioral Health Workforce Initiative. Apply by October 25.

  • English application: https://www.surveymonkey.com/r/KMJMR2W?utm_medium=email&utm_source=govdelivery

  • Spanish application: https://www.surveymonkey.com/r/HYJW3N7?utm_medium=email&utm_source=govdelivery

  • A team at OHA will review applications and inform applicants of appointments by November 4. The council will start meeting the week of November 12.


Background: In June 2021, the Oregon Legislature passed House Bill 2949. The goal of the legislation is to provide incentives and grants to increase the recruitment and retention of people of color, tribal members, and/or residents of rural areas in the state into the behavioral health workforce, in order to provide culturally responsive care. The council will lead the initiative’s work, and OHA will provide technical, logistical and all other necessary supports to the council.


OHA is committed to sharing power with the communities we serve and working together to transform our behavioral health system. By co-creating solutions alongside community members, we will achieve our goal of eliminating health inequities by the year 2030. People with lived experience of behavioral health needs and people from communities disproportionately impacted by health inequities will be central to this work and are eagerly encouraged to apply.


Members of the council will serve for two years. Members who are not paid by an employer to serve on the council will be provided a stipend to compensate them for their time. Members will need to disclose any potential conflicts of interest and excuse themselves from decisions where appropriate. OHA invites applications from people who represent the following perspectives:

  • People who experience racism or racial injustice;

  • Residents of underserved or rural areas;

  • Equity advocates or professionals;

  • Bilingual or non-English speakers;

  • Representatives of federally recognized tribes;

  • People with lived experience with mental health;

  • People with lived experience with substance use, problem gambling, and/or addiction;

  • Culturally specific peers and traditional health workers;

  • Workers in the field of substance use, problem gambling, and/or addiction;

  • Workers in the field of mental health;

  • Workers in the field of post-secondary/adult education;

  • Workers in K-12 education;

  • Academic researchers in equity, behavioral health, and/or workforce; and

  • People who experience challenges with joining and/or advancing professionally in the behavioral workforce.

Repeated items

A. (TC) Health-related services eval criteria, guidance updates, office hours Next office hours November 9

Contact: Anona Gund (Anona.E.Gund@dhsoha.state.or.us)

Request: Please share with CCO staff working on health-related services.

Recent updates to the health-related services (HRS) website include the following, all available at https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Health-Related-Services.aspx:

  • 2021 CCO policy requirements and evaluation criteria

  • Updated HRS guidance documents:

  • HRS brief

  • FAQ

  • Community benefit initiative guidance

  • SDOH guidance

  • Office hours schedule (every other month through 2022)

  • Next: November 9, 11‒11:30 a.m.


B. (TC) Free clinical technical assistance for clinics addressing the increasing prevalence of unhealthy alcohol (SBIRT) and opioid use Recruiting clinics through November

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

Request: Please share with CCOs (for primary care clinics).

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. SBIRT is a “must-pass” incentive measure for CCOs in 2021.


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.

Additionally, ORPRN is offering a technical assistance opportunity regarding chronic pain management and opioid prescribing (aka PINPOINT).

C. (TC) Updated matrix of community health priorities by agency and region

Contact: Anona Gund (anona.e.gund@dhsoha.state.or.us)

Request: Please share the updated matrix with CCOs to review.

CCOs completed their first CHAs and CHPs in 2014, and all CCOs have since completed at least one additional CHA and CHP. Local public health authorities (LPHAs) may also develop and implement community health assessments and community health improvement plans, while nonprofit hospitals develop a similar community health needs assessment and implementation strategy. To support collaboration and alignment, the OHA Transformation Center, in collaboration with the OHA Public Health Division, has developed a matrix of community health priorities by agency and region: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/2021 CHA-CHIP Matrix v3 external.pdf


The matrix includes community health priorities for plans that were completed by March 2021 and will be updated at least annually. If your CCO, LPHA or hospital notes an error in the community health priorities within the matrix, please contact the Transformation Center at Transformation.Center@dhsoha.state.or.us.


D. (TC) Diabetes metrics toolkit

Contact: Sarah.E.Wetherson@dhsoha.state.or.us

Request: Please share with your CCOs.

A new toolkit is available to help primary care and dental clinic settings apply quality improvement frameworks and tools for measurable change in diabetes, HBA1C poor control and oral health evaluation for adults with diabetes. This toolkit includes many real-life example improvement projects, templates and inspiration to conceptualize, design and implement your own quality improvement projects.

  • Diabetes metric toolkit: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/Diabetes-Metrics-Toolkit.pdf

  • Introductory webinar (recorded 6/22): https://youtu.be/Uj4Q6odEHp0

E. (TC) Value-based payment (VBP) webinars for CCOs Recordings available

Contact: Sarah Wetherson (sara.e.wetherson@dhsoha.state.or.us)

Request: Please share with your CCOs.

Materials from two recent learning opportunities are now available for on-demand learning.

Materials outline designing and implementing VBP models for behavioral health substance use disorder (SUD) services in patient-centered primary care homes and specialty settings

This session explores opportunities and best practices in designing and implementing performance benchmarks for population-based and clinical episode VBP models.

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