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Innovator Agent Bulletin – 6/4/21

Innovator Agent Bulletin – 6/4/21

New items

A. (TC) Webinars: quality improvement and health information exchange June 9 and 16

B. (TC) Survey: support for quality improvement and health information exchange Survey closes June 30

C. 2022‒2027 Medicaid 1115 waiver draft policy concept papers

D. Survey: Stroke rehabilitation services outside of Portland-metro area

E. Recorded webinar series: Preventing suicide in survivors of domestic violence

Repeated items

A. (TC) Virtual CAC conference registration June 8–9 (Spanish registration page available)

B. (TC) Virtual learning collaborative: COVID vaccines for clinics Next session June 11 (recordings available)

C. (TC) VBP webinar series for providers (with no-cost CME) June 16

D. (TC) Webinar: Diabetes metrics toolkit June 22

E. (TC) REALD office hours for phase 2 providers June 24

F. (TC) Webinar: Family-centered resources to support well-child visits June 29

G. (TC) SBIRT webinar training series February–September

H. (TC) COVID-19 response ECHO for Oregon clinicians – Part III 1st and 3rd Thursdays

I. Emergency broadband benefit — internet service for Medicaid members

J. CMCS Foster Care Learning Collaborative

New items

A. (TC) Webinars: quality improvement and health information exchange June 9 and 16

Contact: Michelle Bobo (bobom@ohsu.edu)

Request: Please share with your CCOs.

OHA and the Care Management Plus team at OHSU are hosting two webinars focused on how to meet certain health information exchange requirements for the final year of the Medicaid EHR Incentive Program (aka Promoting Interoperability Program). Although the deadline to attest to program year 2021 is fast-approaching, there is still time to implement changes that will help you to meet program requirements. Both webinars are available to all interested clinics, regardless of incentive program participation status.

June 9, noon‒1 p.m.: Supporting patient access through APIs

How to meet the requirement to provide API access to patients so they can access their health information using third-party applications, such as Apple Health (Objectives 5 & 6).

  • Join meeting: https://ohsu.webex.com/ohsu/j.php?MTID=m2c318bb00fda270da80df9eb122cae0e

  • Meeting password: cVfK5t34BRc

  • Phone (audio only): 1-206-207-1700 US

  • Meeting number (access code): 120 419 1422

  • Mobile phone (one-touch): 206-207-1700,,1204191422##

June 16, noon‒1 p.m.: Public health agency and clinical data registries

How to meet the requirements for public health and clinical data registry reporting in Oregon (Objective 8).

  • Join meeting: https://ohsu.webex.com/ohsu/j.php?MTID=m6254997ae1594933cb5b60f006a1d6a3

  • Meeting password: drY3UGCJc75

  • Phone (audio only): 1-206-207-1700 US

  • Meeting number (access code): 120 261 3515

  • Mobile phone (one-touch): 206-207-1700,,1202613515##

B. (TC) Survey: Support for quality improvement and health information exchange Survey closes June 30

Contact: Michelle Bobo (bobom@ohsu.edu)

Request: Please share with your CCOs (survey audience is primary care clinics).

OHA and the Care Management Plus team at OHSU are developing free technical assistance to support quality improvement through successful and timely utilization of health information exchange (HIE) technologies. Your input, via a brief survey, is requested to develop technical assistance opportunities that best meet the needs of your clinic. Your personally identifiable information will be kept private. If you represent a primary care clinic, complete the 10-minute survey here: https://ohsu.ca1.qualtrics.com/jfe/form/SV_5u9xGFUzX0xAuP4

C. 2022‒2027 Medicaid 1115 waiver draft policy concept papers

Contact: 1115WaiverRenewal@dhsoha.state.or.us

Request: Please share with your CCOs.

On June 1, OHA released a series of draft concept papers of high-level policy areas under consideration for inclusion in our 2022-2027 1115 Medicaid Demonstration Waiver. The policy papers, which flow from feedback OHA has received from stakeholders and the public, are summaries of the areas in which OHA plans to focus to develop proposals to the federal government for new approaches to create a more equitable and responsive Medicaid system. Building health equity in Oregon’s Medicaid program is the unifying theme of the policy concept papers. Below you will find a cover memo along with the four policy papers.

  • Introduction to OHA’s strategies - cover memo

  • Concept 1: Ensuring access to coverage for all people in Oregon

  • Concept 2: Creating an equity-centered system of health

  • Concept 3: Encouraging smart, flexible spending

  • Concept 4: Reinvesting government savings across systems

OHA will be discussing these concept papers and their themes in a variety of settings. The public is invited to give input on the papers at meetings such as:

  • Health Equity Committee (HEC)/June 10, 2021/Noon–2 p.m.

  • Medicaid Advisory Committee (MAC)/June 30, 2021/9 a.m.–2 p.m.

For a complete list of upcoming engagement opportunities, please visit Oregon.gov/1115WaiverRenewal

D. Survey: Stroke rehabilitation services outside of Portland-metro area

Request: Please share with your CCOs.

The Oregon Stroke Care Committee has been tasked with identifying post-acute stroke rehabilitation services after a patient has left a hospital. The committee is interested in understanding post-acute stroke care services outside of the Portland-Metro area. This survey is targeted to be completed by discharge planners, social workers, therapy managers/supervisors, or rehab coordinators at: acute care hospitals, inpatient rehab hospitals, skilled nursing facilities, home health agencies, and outpatient rehabilitation centers. Please complete this 5-minute survey to identify areas that the Stroke Care Committee could focus their efforts on. https://www.surveymonkey.com/r/OregonStrokeSurvey2020

Oregon Stroke Care Committee: https://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EMSTRAUMASYSTEMS/Pages/stroke-committee.aspx

E. Recorded webinar series: Preventing suicide in survivors of domestic violence

Contact: Deb Darmata (Debra.Darmata@dhsoha.state.or.us)

Request: Please share with your CCOs (audience is mental health providers).

As part of a SAMHSA Cares Act grant, OHA and the Oregon Coalition against Domestic and Sexual Violence hosted three webinars for mental health providers on preventing suicide in survivors of domestic violence. The recorded webinars build on each another and should be watched sequentially. The following topics are coved throughout the presentations: prevalence, definitions, impact of COVID-19, relationship between domestic violence and mental health, effects of trauma, best practices, case reviews, documentation, coercive tactics, confidentiality and privilege, mandatory reporting, subpoenas, safety planning, screenings, risk identification, housing needs and integration of domestic violence knowledge into clinical practice.

  1. Introduction to domestic violence

  2. Domestic violence documentation, confidentiality and privilege practices

  3. Domestic and sexual violence for mental health providers

Audience: Mental health providers

Watch webinars here: https://portlandstate.qualtrics.com/jfe/form/SV_cHXmQHF06xSlWt0

Repeated items

A. (TC) Virtual CAC conference registration June 8–9 (Spanish registration page available)

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

Request: Please share with your CCOs.

  • Registration is now live for the CAC conference: https://www.eventbrite.com/e/virtual-cac-conference-tickets-146429621941 Feel free to pass along this registration link to other CAC members, CCO staff and relevant partners you think would be interested in attending.

  • Registro en español: https://www.eventbrite.com/e/conferencia-virtual-del-cac-registration-152146892451

  • The conference will be held via Zoom. There will be a phone-only call-in # for those who are unable to join via Zoom.

  • Draft conference agenda: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/2021%20Virtual%20CAC%20Conference%20Agenda-public.pdf

B. (TC) Virtual learning collaborative: COVID vaccines for clinics Every other Friday, next June 11

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

Request: Please share with CCOs (audience is FQHC staff and clinical staff new to COVID vaccines)

The OHA Transformation Center, in partnership with the OHA Vaccine Planning Unit, is hosting a learning collaborative for clinics newer to COVID immunizations to learn from subject matter experts and health center peers. We'll cover topics such as operational workflows, allocations, targeting high risk populations, vaccine hesitancy and more. Please join us!

Note: If you require accommodations for any of the sessions listed below, please contact Tom Cogswell (thomas.cogswell@dhsoha.state.or.us).

  • June 11, noon‒1 p.m.: Patient-centered conversations on vaccine resistance

  • Register here: https://www.zoomgov.com/meeting/register/vJItfuyoqTMiHZtQrQrz7mwIbcgzMptTato

  • June 25, noon‒1 p.m.: Transitioning from vaccine events to in-clinic vaccines (TBD)

  • Register here: https://www.zoomgov.com/meeting/register/vJIsdO-qrTotHvpP3DNYkyaJY1R9iMPnJ3w


Recordings from past sessions:

  • Leveraging the power of CHWs in COVID-19 vaccination outreach (5/28/21): https://www.youtube.com/watch?v=Rhih_RCzlmM

  • Pediatric COVID-19 vaccinations: Pediatric and family practice planning for success (5/14/21): https://www.youtube.com/watch?v=ISrUn2oABgI

  • Partnerships in vaccinating populations made vulnerable: Health center success stories (4/30/21): https://www.youtube.com/watch?v=RNzQXuOGACM

  • Operation workflows (4/16/21): https://www.youtube.com/watch?v=VmgkQ6NH2jo

C. (TC) Value-based payment webinar series for providers June 16

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

Request: Please share with your CCOs.

Primary care, behavioral health, and maternity care providers are invited to a five-part webinar series focused on increasing readiness for VBP and taking advantage of the additional flexibility VBPs offer for innovatively redesigning care models. See website for registration, slides and recordings: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Value-Based-Payment.aspx

  • June 16, noon-1 p.m.: VBP and maternity care: What have we learned so far?

Speakers: Art Jones, Jeanene Smith, Janet Meyer (Health Management Associates)

D. Webinar: Diabetes metrics toolkit June 22

Request: Please share with CCO staff working on diabetes metrics.

Contact: Laura Ferrara (ORPRN_TA@ohsu.edu)

Apply quality improvement frameworks and tools for measurable change in diabetes, HbA1c poor control and oral health evaluation for adults with diabetes. Join this hour-long live webinar, led by ORPRN practice facilitators who will walk through how to use the new toolkit in primary care and dental clinical settings and answer your questions. This new toolkit will be available to everyone and has many real-life example improvement projects, templates and inspiration to conceptualize, design and implement your own quality improvement projects. The webinar will be recorded, and the recording will be available after the webinar.

June 22, noon–1 p.m.

RSVP here: https://ohsu.ca1.qualtrics.com/jfe/form/SV_8quiaU227QX62tU

E. (TC) REALD office hours for phase 2 providers June 24

Contact: Belle Shepherd (Belle.Shepherd@dhsoha.state.or.us)

Request: Please share with your CCOs.

OHA will hold REALD office hours to answer questions from phase 2 providers about Race, Ethnicity, Language, and Disability (REALD) data collection and reporting requirements during health care encounters for COVID-19.

  • June 24, 2‒3 p.m., register here: https://www.zoomgov.com/meeting/register/vJIsceChqzsvG_4G9M2ommt9a_aJMPtC6uA

Phase 2 providers were scheduled to start collecting and reporting this data by March 1, 2021. Phase 2 providers are:

  • Health care providers working in or with individuals in a congregate setting (e.g., long term care settings, residential facilities, corrections facilities), and

  • Health care facilities defined in Oregon Revised Statute 442.015(12)(a):

o Hospitals (including psychiatric hospitals)

o Long-term care facilities

o Ambulatory surgical centers

o Freestanding birthing centers

o Outpatient renal dialysis facilities

o Extended stay centers

Resources:

  • REALD Reporting for COVID-19 Encounters ‒ the who, what, how of reporting REALD to OHA.

  • REALD for Health Care Providers ‒ REALD data collection resources, REALD forms in multiple languages, webinars and frequently asked questions, and the comprehensive REALD Implementation Guide.

F. (TC) Webinar: Family-centered resources to support well-child visits June 29

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

Request: Please share with your CCOs.

This spring, the Transformation Center partnered with Insight for Action to conduct an environmental scan to identify family-centered resources for OHP parents of young children (ages 3 to 6) to promote their children’s wellness during this unprecedented time. The scan was designed to support CCOs in meeting the OHA CCO incentive metric focused on kindergarten readiness and well-child visits.

This webinar will highlight the resources identified through this environmental scan and will feature a walkthrough of a curated spreadsheet of resources CCOs can use to engage with OHP families, partners and providers.

  • Audience: CCO staff, health care providers, pediatric offices, community-based organizations

  • When: Tuesday, June 29, 2021 from 12-1pm

  • Register here: https://attendee.gotowebinar.com/register/3646411980693397520

G. (TC) SBIRT webinar training series multiple options February–September

Contact: antecedent@ohsu.edu or Alissa.Robbins@dhsoha.state.or.us

Request: Please share with your CCOs.

This SBIRT webinar training series is supported by the Oregon Rural Practice-based Research Network’s (ORPRN) ANTECEDENT project. ANTECEDENT focuses on addressing unhealthy alcohol use in Oregon. The project team intends to work with over 80 primary care clinics and provide each clinic with the evidence and tools they need to help patients with moderate to severe alcohol use disorder through the use of screening and brief intervention and medication assisted treatment. See flier for details: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/SBIRT-webinar-series.pdf

Multiple dates for each webinar topic:

  • Unhealthy alcohol use SBIRT 101

  • Unhealthy alcohol use screening via telehealth

  • Medication assisted treatment for unhealthy alcohol use

  • Unhealthy alcohol use motivational interviewing

  • Brief intervention with unhealthy alcohol use

H. (TC) COVID-19 Response ECHO for Oregon Clinicians – Part III January‒June, 1st and 3rd Thursdays, noon–1 p.m.

Contact: oen@ohsu.edu

Request: Please share with your CCOs.

Oregon clinicians are invited to participate in the third cohort of the COVID-19 Response ECHO, sponsored by the Oregon ECHO Network. ECHO is a tele-mentoring program that uses videoconferencing technology to combine brief expert presentations with interactive and practical case presentations from participants. The overall goal of ECHO programming is to build new capacity for care at the community level.

• Learn strategies to optimize the treatment and prevention of COVID-19 while keeping staff and others safe

• Stay current on the Oregon Health Authority’s latest guidance for Oregon health care practices

• Receive guidance on evidence-based treatments for COVID-19

• Share and receive advice on systems change within practices

How to participate

Sessions will be on the first and third Thursdays, noon–1 p.m., January 7 through June 17, 2021.

This program is open to all Oregon clinicians, health care staff, and other health care professionals.

For more information, please visit www.oregonechonetwork.org.

TO REGISTER, VISIT: https://connect.oregonechonetwork.org/Series/Registration/1335

Drop-in participation (no CME): https://echo.zoom.us/j/2382480348?pwd=d1dGS3lIeUt6QXRWR3p4d2x3VFlQUT09

Password: 874887

I. Emergency broadband benefit — internet service for Medicaid members

Request: Please share with your CCOs.

Oregon Health Plan members can get a $50 monthly discount on internet service during the pandemic from a new federal program. A household can get help paying for internet if anyone in the household qualifies. If an OHP member is already enrolled in Oregon's Lifeline program, they can get this new benefit too. See details here: https://www.fcc.gov/broadbandbenefit

Eligible households can apply three ways:

  • Contact your preferred participating broadband (internet) provider directly to learn about their application process.

  • Go to GetEmergencyBroadband.org to apply online and to find participating providers near you.

  • Call 833-511-0311 for a mail-in application, and return it along with copies of documents showing proof of eligibility to:

Emergency Broadband Support Center

P.O. Box 7081

London, KY 40742

J. CMCS Foster Care Learning Collaborative

Request: Please share with your CCOs if applicable.

The Center for Medicaid & CHIP Services (CMCS), in collaboration with the Children’s Bureau within the Administration for Children and Families, recently launched the “Foster Care Learning Collaborative: Improving Health Care for Children and Youth in Foster Care” to support state Medicaid and child welfare agencies’ efforts to improve health outcomes for the foster care population. The learning collaborative has two components: a two-part webinar series beginning in May 2021 and an affinity group for state Medicaid and child welfare agencies beginning in June 2021. Details are available here: https://www.medicaid.gov/medicaid/quality-of-care/improvement-initiatives/foster-care-learning-collaborative/index.html

Laura Kreger, MPH

Program Coordinator

OREGON HEALTH AUTHORITY

Health Policy and Analytics Division

Transformation Center

Laura.E.Kreger@state.or.us

Cell: 503-487-7409

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