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Innovator Agent Bulletin – 8/20/21

Innovator Agent Bulletin – 8/20/21

New items

A. (TC) Monoclonal antibody therapy webinar August 26

B. (TC) Webinar: An introduction to in lieu of services September 10

C. (TC) Free health information exchange TA for primary care clinics available through September 2021

D. (TC) Transformation and quality strategy TA schedule first webinar October 4

E. HERC vacancy for dentist apply by September 20


Repeated items

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

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

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

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

E. (TC) Diabetes metrics toolkit now available

F. ECHO program: Pain management and substance use disorders in dental settings begins September 2021

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

H. New CDC resources for encouraging childhood vaccinations


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New items

A. (TC) Monoclonal antibody therapy webinar August 26

Contact: Irma Murauskas, OHA Health Centers and Clinics Vaccine Operations (Irma.Murauskas@dhsoha.state.or.us)

Request: Please share with CCO staff working on COVID operations (webinar for clinical staff).

As COVID-19 cases surge in Oregon and across the country, we must utilize every tool at our disposal to stop the Delta variant and end the pandemic. Monoclonal antibody treatment for some COVID-19 patients can save lives and greatly reduce the burden on our hospitals and health systems. This therapy is now available in subcutaneous in addition to intravenous form.


Join Oregon Health Authority (OHA) senior medical advisors to learn how you can use monoclonal antibody treatment in your practice, as well as answer your questions. In the meantime, learn more about this important therapy here: https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le3813.pdf

  • Register here for the webinar: https://www.zoomgov.com/meeting/register/vJItc-iupjkqEgnW8TF5lWwaL7sdnUK0kDc

  • August 26 at noon-1 p.m.

  • Presenters include: OHA COVID-19 Senior Health Advisors Dawn Mautner, MD, MS and Shimi Sharief, MD, MPH.


B. (TC) Webinar: An introduction to in lieu of services September 10

Contact: Anne King (kinga@ohsu.edu) or Anona Gund (ANONA.E.GUND@dhsoha.state.or.us)

Request: Please share with your CCOs.

There will be an introductory webinar on in lieu of services (ILOS), which is the new opportunity CCOs have to offer medically appropriate and cost effective substitute services in lieu of covered services. CCO Operations Manager David Inbody will introduce the program and answer questions that have been asked recently by CCOs. Attached is the proposed rule adding in lieu of services to contract. If you have questions you would like to have addressed, please send them in advance of the meeting.

  • When: September 10, 3-4 p.m.

  • Register here: https://us02web.zoom.us/meeting/register/tZ0sduyupzwrGddeS37XZLGur-OtzzEBspXg


The meeting will be recorded and posted to the OHA website.


C. (TC) Free health information exchange TA for primary care clinics available through September 2021

Contact: Michelle Bobo bobom@ohsu.edu

Request: Please share with your CCOs.

OHA and the Care Management Plus team at OHSU have partnered to provide free technical assistance related to health information exchange and direct secure messaging. TA includes answers to general questions, assistance with testing and validating new implementations, and working with EHR vendors to resolve challenges.

  • When: Now through September 2021

  • Who: Primary care clinics

  • To participate, contact Michelle Bobo bobom@ohsu.edu


D. (TC) Transformation and quality strategy TA schedule first webinar October 4

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

Request: Please share as needed (was shared with CCO TQS leads August 18).

Here’s the TQS technical assistance schedule for 2022 submissions. All 2022 guidance updates will be posted Oct. 1. If you’d like to be added to the calendar appointments for the webinars or office hours below, please email Laura.E.Kreger@dhsoha.state.or.us. The connection details are also posted on the TQS TA page: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Transformation-Quality-Strategy-Tech-Assist.aspx


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


E. HERC vacancy for dentist apply by September 20

Contact: Jason Gingerich (Jason.D.Gingerich@dhsoha.state.or.us)

Request: Please share with your dental networks.

The Health Evidence Review Commission (HERC) has a vacancy beginning January 1, 2022 for an Oregon dentist with expertise in general, pediatric or public health dentistry. The HERC evaluates clinical evidence and prioritizes health services to determine covered services for the Oregon Health Plan. The Commission generally meets five times per year, on Thursday afternoons, and members are encouraged to serve on a subcommittee (either the Evidence-based Guidelines Subcommittee or the Value-based Benefits Subcommittee). Skill or experience evaluating clinical evidence, understanding the needs of health plan members and working with Oregon Health Plan members will be considered in the application process. This position is appointed by the Governor.


The Governor is committed to ensuring that all Boards and Commissions represent the growing age, racial and gender diversity of the state. This is an amazing opportunity to help ensure quality health benefits for Oregon Health Plan members. All citizens with the statutorily required qualifications are welcome and encouraged to serve.


For more information on the application process, visit the Governor’s Boards & Commission page. If you have questions about HERC membership, contact Jason Gingerich (Jason.D.Gingerich@dhsoha.state.or.us). While the position is open until filled, applicants are encouraged to apply by September 20, 2021.


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) 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.


C. (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:


More background on the measure is available here: https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Social-Emotional-Health-Metric.aspx


D. (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).

E. (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


F. ECHO program: Pain management and substance use disorders in dental settings begins September 2021

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


G. 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

H. 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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