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Community Health Assessment and Provider Input

Community Health Assessment and Provider Input. Objectives of Community Health Assessment. Leverage existing information, people and processes Make it practical for contributing teams to use results for other purposes MCCFL, Prov , OCH & MCMC have assessments due in 2013

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Community Health Assessment and Provider Input

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  1. Community Health Assessmentand Provider Input

  2. Objectives of Community Health Assessment • Leverage existing information, people and processes • Make it practical for contributing teams to use results for other purposes • MCCFL, Prov, OCH & MCMC have assessments due in 2013 • Cover all counties & residents in the catchment area • Hood River, Wasco, Sherman, Gilliam, Klickitat, Skamania • Respect users time; utilize their perspective to shape how to best address an area • Meet OHA requirements • Recognize that this is year 1 – it won’t be perfect

  3. Reminder: MAPP Assessment Model The health of the community through quantitative data on key health indicators Health Status Assessment The strengths and challenges of our current local health and healthcare system Local Health Eco-system Assessment The political, social, and economic issues that could affect the local public health system’s ability to address health-related priorities Forces of Change Assessment The health-related issues that are most important to community members Community Themes and Strengths Assessment • *National Association of County and City Health Officials’ (NACCHO) • Mobilizing for Action through Planning & Partnerships (MAPP)

  4. How the pieces fit together

  5. Transformation Funds Strategy and Process September 2013

  6. Goals for Managing the Transformation Funds • Connect the dots with CCO Transformation Plan & Gorge Objectives Scorecard (see back-up for list) • Clear goals and decision-making • Crisp & concise project plans and process for approving and monitoring • Balance nimbleness & proper controls & community engagement

  7. Portfolio Model & Scope of Work IS: Data Exchange (including. Members) & Data Aggregation

  8. Value Dials • Cost – drive down ongoing transactional costs of service and/or reduce need for specific services • Health Outcomes – improve targeted health objectives for a group or the community overall • Incentive Measures – the set of measures used by OHA to monitor progression • Member Activation – member knowledge, skill, and confidence for self-management of health • Member Experience – the ease in which members can engage with the system overall throughout their lifetime • Health Promotion – activities intended to foster individual behaviors known to cause long term health and quality of life • Equity – all community members have equal access and effective experience • Determinants of Health – activities intended to reduce adverse conditions known to cause long term social, economic and health concerns for individuals and communities • Efficiency & Effectiveness – the ease in which the healthcare system operates as a whole and streamlines work and economies of scale across organizations

  9. Value Dial Alignment IS: Efficiency & Effectiveness; Cost; Member Experience

  10. Example Projects IS: Health Information Exchange (HIE); Patient Portal; Secure Messaging; Automated SBIRT pre-screen

  11. The “D” Decision Maker for Each Portfolio IS: Technology Plan Work Team

  12. At-A-Glance Summary

  13. Decision-Making in Cross Organizational Efforts • Need clarity on who decides • Need a flexible framework • A model that works outside a traditional single-organization hierarchy • Leverage existing work groups

  14. The RAPID® Model

  15. 4 Main Phases with Projects Last checkpoint before release Commits earmarked funds; Board + PacificSource are 2nd Level “D” for >=25K “D” Release small $$ to get thru next stage Earmarks ballpark “D” “D” • Monthly Reports for • “D” • Board • PSCS → OHA At least 1 Board member is ‘A’ for all projects

  16. Key Milestones • Approval by Board – 8/28 • Submit final proposal to OHA – 8/30 • Project reviews in forums – begin Sept • Funds available based on Concept Assessments concluded • Feb 2014 Board – Status of fund commitments • Commitments to initial investment amount • Reserve funds status • Adjust investment amounts as needed

  17. Back up

  18. Transformation Plan & Objectives Scorecard Categories Transformation Plan Objectives Scorecard Coordinate preventive and chronic care across physical, behavioral and oral health disciplines and venues Comprehensive family planning, maternity and infant care – includes perinatal care, infant care and immunizations, and general family planning [Family] Amplify the impact of social services and traditional care workers [Agency] Services and solutions are appropriate for the community overall and valued by the member [Member] Robust Eco-system to support the care community and transformation [Provider] • Integrated Primary Care Model • Advancing Patient-Centered Primary Care Home • Consistent Alternative Payment Methodologies • Community Health Assessment & Annual Health Improvement Plan • Electronic Health Records & Health Information Exchange • Member Engagement & Communications • Diversity and Culture Competence of Care Network • Quality Improvement Plan to Reduce Health Disparities

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