The role of purchasers in aim high building a healthy oregon
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The Role of Purchasers in “Aim High: Building a Healthy Oregon”. Barney Speight Executive Director (ret.) Oregon Health Fund Board. Backgroundon OHFB. Seven member citizen board created by SB 329

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The Role of Purchasers in “Aim High: Building a Healthy Oregon”

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The role of purchasers in aim high building a healthy oregon

The Role of Purchasers in “Aim High: Building a Healthy Oregon”

Barney Speight

Executive Director (ret.)

Oregon Health Fund Board


Background on ohfb

Backgroundon OHFB

  • Seven member citizen board created by SB 329

    • Bill Thorndike, Jonathan Ater, Eileen Brady, Tom Chamberlain, Chuck Hofmann, MD, Ray Miao & Marcus Mundy

  • Charter: Develop a comprehensive plan that addresses 12 goals outlined in SB 329

    • Uninsured, Cost, Quality, Population Health


Background on ohfb1

Backgroundon OHFB

  • Launched on 10-2-07; report delivered on 11-25-08 (420 days)

  • Worked through 7 committees & 2 workgroups

    • ~ 150 volunteers

    • > 100 meetings

  • Extensive public engagement in Sep. 2008

    • 10 Town Hall meetings + ½ day public hearing

    • > 1,000 citizens provided feedback


Seven essential building blocks

Seven Essential Building Blocks

  • Bring Everyone Under the Tent

  • Set High Standards – Measure & Report

  • Unify Purchasing Power

  • Stimulate System Innovation & Improvement

  • Ensure Health Equity

  • Train a New Health Care Workforce

  • Advocate for Federal Change


The keystone for reform

The Keystone for Reform

  • Create the Oregon Health Authority

    • Replaces OHFB & OR Health Policy Commission

    • Modeled after OR Transportation Commission

    • Citizen board

  • Broad responsibility for implementing the 7 Building Blocks

    • Accountable to Governor, Legislature & Citizens


Recommendations relevant to ochcp

Recommendations Relevant to OCHCP

  • Set High Standards – Measure & Report

  • Unify Purchasing Power

  • Stimulate System Innovation & Improvement

  • Train a New Health Care Workforce


Set high standards measure report

Set High Standards – Measure & Report

  • All-payer, all-claims data collection program

  • Comprehensive reporting by insurers & health facilities

  • Common set of measures, standards & targets to improve quality

  • Increase the use of evidence-based practice

  • Increase standardization in administrative processes

  • Public reporting on provider performance & costs


Unify purchasing power

Unify Purchasing Power

  • Implement uniform contract standards by the State as a major purchaser of health care

  • Partner with other public & private employers

    • EBM guidelines & best practice clinical standards

    • Comparative effectiveness research

    • Standard clinical & service quality measures

  • More rigorous review of increases in administrative “loads” by insurers


Stimulate system innovation

Stimulate System Innovation

  • New models of care – the Integrated Health Home model

  • Within Oregon Health Plan, better integration of behavioral & physical health

  • Payment reform

  • Physician Orders for Life Sustaining Treatment (POLST) Registry

  • Develop Accountable Health Communities to compare health outcomes, quality & costs

  • Stimulate implementation of Health Information Technologies to improve quality, coordination & cost effectiveness of care


Train a new health care workforce

Train a New Health Care Workforce

  • Recognize the need for a workforce strategy

    • Data

    • Partner with Oregon Healthcare Workforce Institute

  • Strategy must address:

    • Train, recruit & retain

    • Cultural diversity & cultural competency


Next steps

Next Steps

  • The Board’s work is completed

  • January 12, 2009: 75th Oregon Legislative Assembly

  • Business groups are reviewing the Board’s report & developing positions on various recommendations

    • Associated Oregon Industries

    • Oregon Business Association

    • Oregon Business Council

  • Get Involved – Stay Involved!


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