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
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:
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#
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).
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
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