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Innovator Agent Bulletin – 11/12/21

Innovator Agent Bulletin – 11/12/21


New items

A. (TC) Health-related services guidance updates and 2020 spending summary Now available

B. (TC) 2022 transformation and quality strategy example strategies Now available

C. (TC) SHARE webinar: Examples of two approaches in the first year New date: November 29


Repeated items

A. (TC) Virtual learning sessions: Pediatric COVID vaccines for clinics Next session November 18

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) Value-based payment resource library Now available

D. (TC) System-level social emotional health metric needs assessment follow-up

E. 2021 child health complexity data reports Now available

F. Call for applications: HITOC community information exchange work group Apply by November 17

G. PCPCH learning collaborative: Standard 3.D - Comprehensive Health Assessment & Intervention First session November 19

H. Office hours with the Oregon Immunization Program Every Monday


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New items

A. (TC) Health-related services guidance updates and 2020 spending summary

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:

  • 2020 CCO HRS spending summary

  • Updated HRS guidance documents:

  • HRS FAQ

  • Examples of accepted HRS expenditures

  • HRS brief, HRS community benefit initiatives, Addressing SDOH-E through HRS (minor corrections, no substantive changes)


B. (TC) 2022 transformation and quality strategy example strategies Now available

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

Request: Please share with CCO staff working on TQS (sent to CCO TQS leads 11/9).

The TQS example strategies are now available with the rest of the 2022 guidance documents: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Transformation-Quality-Strategy-Tech-Assist.aspx

Webinar recordings are also posted at the link above. The special health care needs webinar will be rescheduled.


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

  • Dec. 2, Jan. 6, Feb. 3, March 3

C. (TC) SHARE webinar: Examples of two approaches in the first year November 29

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

Request: Please share with your CCOs.

Please join us for a 1-hour webinar on SHARE. Two CCOs (Columbia Pacific CCO and PacificSource) will share their approaches to SHARE in the first year of program implementation.

  • (Date changed) November 29, 10-11 a.m.

  • Register here: https://us02web.zoom.us/meeting/register/tZctce6hrTgrG9Ob64KPRJL5JMLqSxVksLZL


Columbia Pacific CCO will focus their SHARE funds on supporting the capacity building of a Healthy Homes program that is in all three counties of the CCO’s service region. The program supports financially limited individuals to maintain and improve their living conditions. Program participants will be linked to health care services as needed. There will be a focus on equity and inclusion with identified sub-populations through increasing program involvement with IPV and culturally specific organizations who work to increase access to health and social care.


PacificSource Central Oregon chose to use SHARE Initiative funds to support Central Oregon FUSE (Frequent User System Entry) to increase housing placements for chronically homeless individuals and families in our community. Benefits from this project for FUSE and Emergency Housing Choice Voucher holders will include a package to incentivize leasing to participants, providing renters insurance, pre-screening, outreach materials, and a dedicated Landlord Liaison. In addition, participants of the FUSE Permanent Supportive Housing program will be eligible to access a “Landlord Mitigation Fund,” which acts as additional insurance for property owners willing to lease to individuals with significant barriers.

Repeated items

A. (TC) Virtual learning sessions: Pediatric COVID vaccines for clinics Next session November 18

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:


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


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) Value-based payment resource library Now available

Contact: OHA.VBP@dhsoha.state.or.us

Request: Please share with CCO staff working on VBP (audience is CCOs, other payers, and providers)

OHA’s value-based payment (VBP) website now features a library of resources: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/VBP-Resource-Library.aspx

The library covers a wide range VBP topics, including:

• Overviews

• Risk stratification

• Attribution

• Evidence-based care and workflows

• Performance measurement

• Promoting health equity

• Emerging trends

In addition, you’ll find sections on each of the five care delivery areas required in CCO contract:

• Hospital

• Maternity

• Behavioral Health

• Oral Health

• Children’s Health


D. (TC) System-level social emotional health metric needs assessment materials

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

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

Here are the materials from the CCO needs assessment calls about the system-level social-emotional health metric. The Transformation Center is planning a learning collaborative focused on this metric and will share more information as it’s available.

  • Needs assessment notes: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/SE-needs-assessment-notes.pdf

  • Metric overview

  • Recording: https://youtu.be/FsZsLcCJ8eY

  • Slides: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/Social-emotional-health-metric-overview.pdf

  • Q&A: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/Social-emotional-health-metric-Q%26A.pdf


E. 2021 child health complexity data reports Now available

Contact: OHA's Children's Health Policy Team (HealthComplexity.Program@dhsoha.state.or.us)

Request: Please share with your CCOs.

The 2021 children’s health complexity data reports (statewide, CCO and county) are now posted to the Transformation Center website. OHA produced the reports in collaboration with OPIP and ODHS.

  • Cover letter from the OHA chief medical officer and director of health analytics: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/Health-Complexity-Cover-Letter-October-2021.pdf

  • View all data reports here: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Child-Health-Complexity-Data.aspx


F. Call for applications: HITOC community information exchange work group Apply by November 17

Contact: HITOC.info@dhsoha.state.or.us

Request: Please share with CCOs.

The Oregon Health Policy Board’s Health Information Technology Oversight Council (HITOC) is seeking members for a new chartered Community Information Exchange (CIE) Workgroup to recommend strategies to accelerate, support and improve CIE across the state.


The CIE Workgroup is a great opportunity for individuals who want to help advance health equity in Oregon through health information technology, and those who have experience with CIE or social determinants of health. It will bring together individuals representing Oregon’s diverse landscape of community, health care and social services partners. Workgroup recommendations will inform HITOC’s Health IT Strategic Plan for Oregon and the Oregon Health Authority’s efforts. CIEs help connect people to services by providing a common technology for health care, coordinated care organizations, social services, and other partners to identify and refer individuals to social supports.

  • Applications are due November 17 to HITOC.info@dhsoha.state.or.us.

  • Application: https://www.oregon.gov/oha/HPA/OHIT-HITOC/Documents/CIEWorkgroupApplication.docx

  • CIE Workgroup charter: https://www.oregon.gov/oha/HPA/OHIT-HITOC/Documents/HITOC-CIEWorkgroupCharter.pdf?utm_medium=email&utm_source=govdelivery

  • For more information on CIE, see the OHA CIE website: https://www.oregon.gov/oha/HPA/OHIT/Pages/CIE-Overview.aspx


G. PCPCH learning collaborative: Standard 3.D - Comprehensive Health Assessment & Intervention First session November 19

Contact: Bernadette Lauer (Bernadette.Lauer@dhsoha.state.or.us)

Request: Please share with CCO staff working with PCPCHs.

The Oregon Health Authority (OHA) Patient-Centered Primary Care Home (PCPCH) Program is hosting a learning collaborative to help you learn from other peer practices how to meet PCPCH Standard 3.D – Comprehensive Health Assessment & Intervention. The intent of this standard is for PCPCHs to assess and intervene in patients’ health-related social needs (HRSN) as part of routine wellness care. Health-related social needs such as housing instability, food insecurity, and exposure to interpersonal violence directly impact health outcomes.

In this learning collaborative we will hear from PCPCHs about their strategies for routine HRSN assessment, tracking HRSN referrals, as well addressing specific patient population needs with HRSN interventions. Time will be reserved for your questions about this standard. Each session will focus on one of the three measures in Standard 3.D. We hope you will join us!

  • November 19 (Noon-1 p.m.): PCPCH Measure 3.D.1

  • This session will focus on the differences and similarities between HRSN and Social Determinants of Health (SDOH). We will also discuss the different HRSN assessment tools and strategies used by PCPCHs. Register here: https://www.zoomgov.com/j/1607751485?pwd=ZWJQYXhaOG9kQkwydkZOczBnOFlkUT09

  • December 3 (Noon-1 p.m.): PCPCH Measure 3.D.2

  • This session will focus on the difference between PCPCH measures 3.D.2 (HRSN referrals & coordination) and 5.E.3 (community service provider referrals & coordination). We will also discuss how PCPCHs assess and track HRSN. Register here: https://www.zoomgov.com/j/1612070372?pwd=dVlzKy9lenpuM0Q3WnR5UWFsdkZmZz09

  • December 17 (Noon-1 p.m.): PCPCH Measure 3.D.3

  • This session will focus on strategies for how PCPCHs can analyze HRSN data and identify interventions based on patient need. Register here: https://www.zoomgov.com/j/1605168659?pwd=K2dlRnV4ejk0cGZNeldwS1I5VDRGdz09


Accommodation requests related to a disability should be made by the Monday preceding each session to Bernadette Lauer at Bernadette.Lauer@dhsoha.state.or.us. Every effort will be made to provide services to requests received closer to the session dates, however submitting your request as early as possible is greatly appreciated.


H. 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.

  • Every Monday Noon–1 p.m.

  • Join ZoomGov Meeting: https://www.zoomgov.com/j/1617434298?pwd=b3ZYbjNHN3VxcTUyRGs1aGozMjEvUT09

  • Audience: Clinical staff with immunization questions.

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