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Innovator Agent Bulletin – 8/13/21

Innovator Agent Bulletin – 8/13/21

New items

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

B. (TC) Needs assessment calls: Social-emotional health metric September 20 and 30


Repeated items

A. (TC) Webinar: Developing performance benchmarks for population-based and clinical episode VBP models August 24

B. (TC) Free clinical technical assistance for clinics addressing the increasing prevalence of unhealthy alcohol (SBIRT) and opioid use New clinic recruitment phase open

D. (TC) Diabetes metrics toolkit now available

E. ECHO program: Pain management and substance use disorders in dental settings begins September 8

F. ECHO program: Team-based approaches to diabetes management begins September 2021

G. New CDC resources for encouraging childhood vaccinations


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New items

A. (TC) Health-related services eval criteria, guidance updates, office hours next office hours September 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: September 9, 11:30 a.m.‒12:15 p.m.


B. (TC) Needs assessment calls: Social-emotional health metric September 20 and 30

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

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

As of January 2022, CCOs have a new Health Aspects of Kindergarten Readiness incentive measure: System-Level Social Emotional Health. The four components to this measure are:

1) Social-emotional health reach metric data review and assessment

2) Asset map of existing social-emotional health services and resources

3) CCO-led cross-sector community engagement

4) Action plan to improve social-emotional health service capacity and access


The Transformation Center will be providing technical assistance to support CCOs in meeting this measure. As a starting point, we will be holding two needs assessment calls with CCO staff:

  • September 20, 3‒4 p.m.

  • Audience: CCO staff

  • Join on your computer or mobile app: https://teams.microsoft.com/l/meetup-join/19%3ameeting_YzE0YzIxZGYtMTFkYS00MGQxLWE2MDEtZjdlOGJjMzUwZDAz%40thread.v2/0?context=%7b%22Tid%22%3a%22658e63e8-8d39-499c-8f48-13adc9452f4c%22%2c%22Oid%22%3a%22a516e88d-5a3d-4d9d-beb5-34227a7ef788%22%7d

  • Or call in (audio only): 971-277-2343

  • Phone conference ID: 422 460 495#

  • September 30, 1:30‒2:30 p.m.

  • Audience: CCO staff

  • Join on your computer or mobile app: https://teams.microsoft.com/l/meetup-join/19%3ameeting_NmE0ZmY2OTctMGEyZS00ZGM3LThhZTYtZmJmZmRjMGEzNWZh%40thread.v2/0?context=%7b%22Tid%22%3a%22658e63e8-8d39-499c-8f48-13adc9452f4c%22%2c%22Oid%22%3a%22a516e88d-5a3d-4d9d-beb5-34227a7ef788%22%7d

  • Or call in (audio only): 971-277-2343

  • Phone conference ID: 794 752 973#


Repeated items

A. (TC) Webinar: Developing performance benchmarks for population-based and clinical episode VBP models August 24

Contact: OHAVBPQuestions@healthmanagement.com

Request: Please share with CCO staff involved in VBP agreements.

This webinar, featuring experts with firsthand local experience and extensive national experience, will focus on developing performance benchmarks for population-based and clinical episode VBP models. There will be a discussion of different approaches in setting the performance benchmarks and associated issues and best practices for incentivizing improvement that could lead to a greater impact on health and patients’ quality of life. Discussion will also include establishment of performance, process and outcome measures.


The session will include a discussion outline that will be distributed to participants at least one week in advance, with links or attachments for foundational materials to support each session’s learning objectives and resources to follow up on further content. Slides will be made available following the sessions on the OHA Transformation Center’s website.

  • When: August 24, 3‒4 p.m.

  • Who: CCO staff involved in value-based payment agreements

  • Register here:https://healthmanagement.zoom.us/webinar/register/WN_mb4US2pBTWqGVkcEWnzRrA


B. (TC) Free clinical technical assistance for clinics addressing the increasing prevalence of unhealthy alcohol (SBIRT) and opioid use: New clinic recruitment phase open

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).

  • See flier: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/ORPRN-SBIRT-Antecedent-Pinpoint.pdf

  • When: Recruiting through November 2021

  • Audience: Oregon primary care clinics

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. ECHO program: Pain management and substance use disorders in dental settings begins September 8

Contact: Miriam Wolf, Oregon ECHO Network (wolfmi@ohsu.edu)

Request: Please share with dental professionals.

Dental professionals are invited to register for a 7-session ECHO program to build the capacity of dentists and their teams to identify and manage patients with oral pain or substance use disorders in the dental setting. The program is offered at no cost to participants and includes no-cost continuing dental education credit. Topics may include:

  • Patient perceptions of dental pain and the need for opioids

  • Identifying patients with substance use disorder

  • The PDMP: What is it and how does it work?

  • Screening, brief intervention and referral to treatment

  • Pharmacological and non-pharmacological alternatives to opioids

  • Dental pain management of patients on medication-assisted treatment

  • Difficult conversations

Who: Community-based dentists, other oral health professionals, faculty, dental preceptors, residents, and other relevant health care professionals. Community-based dentists are encouraged to invite one other staff member such as a behavioral health specialist, dental assistant, or practice manager to participate in the sessions with them.

When: September‒December

Register here: https://connect.oregonechonetwork.org/Series/Registration/1406


F. ECHO program: Team-based approaches to diabetes management begins September 2021

Contact: Anna Steeves-Reece, Oregon ECHO Network (steevesr@ohsu.edu)

Request: Please share with clinics working on diabetes metrics.

Primary care teams are invited to register for a 12-session ECHO program to enhance the ability to effectively manage type 2 diabetes and its complications. The program is offered at no cost to participants and includes no-cost CME. Topics will include:

  • Diabetes care teams in diverse settings

  • Patient and community engagement

  • How systemic racism and social determinants of health impact patients with type 2 diabetes

  • Identification and management of type 2 diabetes complications and comorbidities

  • Cost-effective and evidence-based medication management strategies


Who: Up to 30 Oregon primary care teams

When: September 2021‒March 2022

Register here: https://connect.oregonechonetwork.org/Series/Registration/1408

G. New CDC resources for encouraging childhood vaccinations

Request: Please share with CCO staff working on childhood immunization metrics.

New resources for immunization partners and health care providers are available from the CDC about the importance of catching up on routine childhood vaccinations: https://www.cdc.gov/vaccines/partners/childhood/stayingontrack.html?ACSTrackingID=FCP_3_USCDC_1199-DM52378&ACSTrackingLabel=%5BProof%203%5D%20New%20CDC%20resources%20to%20get%20children%20caught%20up%20on%20routine%20vaccinations&deliveryName=FCP_3_USCDC_1199-DM52378

These resources include:

  • Infographic

  • Social media resources for Facebook, Instagram, Twitter and Pinterest

  • Spanish materials for parents

  • Template newsletter language that can be tailored for communications to parents

  • A web feature that can be linked to, or repurposed, for blog or website content

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