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Workgroups Make Headway Toward Common Goals

The Delivery System Transformation Committee utilizes workgroups, groups of people working toward a common agenda, to help develop and support transformational work efforts. The number of workgroups changes as the Committee’s strategic goals change. The workgroups focus on the cross-sector collaboration between Patient Centered Primary Care Homes and community efforts and services, to achieve better health and access, and to reduce costs.  

Please contact the Committee if you are interested in joining the workgroups, or if you would like more information.

Workgroup summaries:

Workgroup Purpose

The Connect Oregon Workgroup is focused on improving individual and community health while keeping the individual at the center. Community driver of Connect Oregon in Benton, Lincoln, and Linn counties, the Oregon network of Unite Us, and to explore connections with other systems, particularly referral platforms used in the region. Unite Us is a community driven, participation required, and locally sustained tool for social determinants of health screening and referrals. 

Strategic Goals

  1. Identify and overcome barriers to implementing Connect Oregon.
  2. Identify areas of opportunity to increase usage and better support community health.
  3. Integrate with other communication technology including electronic health records and screening and referral platforms.

Short Term Goals

  1. Understand the current state of Connect Oregon.
  2. Build networking opportunities by sharing successes and discussing limitations.
  3. Facilitate ongoing development of the network.
  4. Problem solve issues and concerns.

Meeting Frequency

Fourth Thursday of the month from 1 to 1:30 p.m.

Workgroup Purpose

The IHN-CCO Health Equity Workgroup supports delivery system transformation that identifies and reduces health disparities and advances health equity by: supporting the culturally diverse needs of members (cultural competence training, provider composition reflects member diversity, Certified Traditional Health Workers and Traditional Health Workers composition reflect member diversity); supporting quality improvement focused on eliminating racial, ethnic, linguistic, and other disparities in access, quality of care, experience of care, and outcomes; and supporting IHN-CCO’s Community Health Needs Assessment and Community Health Improvement Plan.

Short Term Goals

  1. Approval of Strategic Plan.
  2. Complete Strategic Plan Actions as planned. 

Long Term Goals

  1. Data: Increase the availability and knowledge of quantitative and qualitative data to inform, prioritize, and monitor strategies to meet the needs of culturally diverse members and to reduce health disparities. 
  2. Training: Support and champion cultural competence and health equity trainings for the IHN-CCO Health Equity Workgroup, IHN-CCO staff, IHN-CCO providers and other community stakeholders.
  3. Diverse workforce: Support and encourage IHN-CCO provider and staff composition that reflects member diversity.
  4. Traditional Health Workers (THW): Increase, retain and sustain support for THW to address health disparities across IHN-CCO services and in Benton, Lincoln and Linn counties.
  5. Communication: Ensure regular communication between the IHN-CCO Health Equity Workgroup, IHN-CCO staff, IHN-CCO DST Committee, IHN-CCO Community Advisory Council, other stakeholders and IHN-CCO workgroups about health disparities and health equity activities in the community.

Meeting Frequency

Fourth Thursday of the month from 3 to 4 p.m.
Quarterly joint meeting with Traditional Health Worker Workgroup.

Workgroup Purpose

To develop and promote the transformational integration of Social Determinants of Health (SDoH) into the health care delivery setting. The focus of this work will be at two levels; 1) identify and promote strategies within IHN-CCO to support awareness and positively impact SDoH, AND 2) promote identification of SDoH in Patient-Centered Primary Care Homes (PCPCH), create connections to community resources, and foster agency relationships.

Short Term Goals

  1. Create an organizing framework to use for development of strategies at the IHN-CCO, practice, community and policy level.
  2. Present recommendations to the Delivery System Transformation (DST) Committee for desired IHN-CCO initiatives and service level pilots.
  3. Identify best practices from the DST pilots for implementation of screening and referrals within the Patient-Centered Primary Care Home (PCPCH).

Long Term Goals

  1. Provide recommendations for educating health care providers and care team members on SDoH and raising awareness in the community regarding what is being done to address SDoH within the region.
  2. Explore the interest/feasibility of organizing a learning session summit.
  3. Influence the direction and provide input to IHN-CCO for the 5-year CCO application.

Meeting Frequency

Second Thursday of the month from 3 to 4 p.m.

Workgroup Purpose

The Sustainability Workgroup’s purpose is to identify best practices for billing, staffing, funding, data collection and overall sustainability. Support and collaborate with past, current and potential Delivery System Transformation (DST) Pilots for advancement into sustainable practices and organizations to better the community’s available resources, providers and services.

Strategic Goals

  1. To discuss and address barriers and share best practices to become sustainable.
  2. Identify opportunities for IHN-CCO to better support DST Pilots through onboarding, funding and closing out. 
  3. Assist DST Pilots in troubleshooting challenges throughout the entire process.

Short Term Goals

  1. Understand current and past Pilots’ challenges, successes and areas for opportunity. 
  2. Create a streamline pathway for non-traditional billing questions and supportive services.
  3. Identify reporting tools and how to leverage data for additional funding opportunities

Desired Outcomes and Actions

  1. Improved DST Pilot onboarding and offboarding processes to increase support from IHN-CCO and the opportunity for sustainability.
  2. Increased sustainable DST Pilots in the community to extend resource, provider, and service access within the Benton, Lincoln and Linn counties. 
  3. Create a sustainability resource guide for newly funded DST Pilots to include best practices and support services for billing, staffing, funding and data collection.
     

Meeting Frequency

Fourth Wednesday of the month from 3 to 4 p.m.

Workgroup Purpose

The Traditional Health Workers (THW) Workgroup aims to advance the development of THWs in the transformation of healthcare to advance the Triple Aim. Promote utilization of THWs to address social determinants of health.

Short Term Goals

  1. Implement the THW training hub in the Benton, Lincoln and Linn area that will serve the mid-Willamette area.
  2. Work with the Health Equity Workgroup on an ongoing quarterly basis to align goals and strategies.

Long Term Goals

Improve the THW delivery system, allowing THWs to better support and educate members in navigating the healthcare system and ensure appropriate, timely care.

Meeting Frequency

Second Wednesday of the month from 3 to 4 p.m.
Quarterly joint meeting with Health Equity Workgroup.