Delivery System Transformation Workgroups
The Delivery System Transformation Committee utilizes workgroups, groups of people working towards 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, better access, and to reduce costs.
Please contact the Committee if you are interested in joining the workgroups, or if you would like more information.
Current workgroup summaries
Alternative Payment Methodologies
- Define key elements in a sustainable Alternative Payment Methodology (APM).
- Evaluate APM pilots that will lead to payment models that promote and support transformation at the system and care level.
- Implement, monitor and provide direction for Patient Centered Primary Care Home (PCPCH), specialists, and hospital APM’s.
- Develop proposals for system-wide APM’s that are in alignment with, support, and incentivize CCO delivery systems integration efforts, including social determinants of health, and CCO service delivery strategic goals, and service delivery sustainability.
Short term goals
- Manage the APM Roadmap that drives the expansion of fully integrated, quality based payment models.
- Increase subcommittee participation.
- Continue to be a resource for pilots in recommending opportunities for an APM, and put a process into place to have ongoing communication from the Delivery Systems Transformation approved pilots, so that we can best determine potential APM’s that are suitable for the service delivery, as appropriate.
- Create ways to communicate with DST approved pilots to ensure all components of sustainability and service delivery are incorporated into APM development.
- Expand knowledge, and make recommendations for building IHN-CCO risk stratification model.
- Provide direction to IHN-CCO on metrics that should be considered part of the IHN-CCO metric catalog used in contracting APM’s with providers.
Long term goals
- Evaluate progress and use information to develop APM’s above and beyond the Transformation Plan deliverables in collaboration with all facets of the community, based on experience of sustainability and those that are replicable.
- Refine the tool box, check list, and roll out process for APM’s to be used when implementing the APM.
- Maintain the payment methodology platform for which to build Pay for Performance contracts that will drive the growth of more quality driven reimbursement.
- Evaluate the outcomes of approved APM’s to determine success based on Triple Aim goals in our community.
- Expand knowledge of, and create alternative payment models to support specialists.
- Expand knowledge of, and create alternative payment models that incorporate and support social determinants of health.
- Expand knowledge of and create models to support hospital services.
Meet bi-monthly, and on an as needed basis
First Wednesday of every two months
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
- Approval of Strategic Plan
- Complete Strategic Plan Actions as planned
Long term goals
- 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.
- 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.
- Diverse workforce: Support and encourage IHN-CCO provider and staff composition that reflects member diversity.
- Traditional Health Workers (THW): Increase, retain, and sustain support for THW to address health disparities across IHN-CCO services and in Linn, Benton and Lincoln counties.
- 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.
Monthly — 4th Thursday of the month from 2:30 to 4 p.m.
Quarterly joint meeting with Traditional Health Worker Workgroup
Traditional Health Workers
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
- Implement the THW training hub in the Linn, Benton and Lincoln area that will serve the mid-Willamette area.
- 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.
Monthly — Generally the second Wednesday of the month, from 2:30 to 4 p.m.
Quarterly joint meeting with Health Equity Workgroup
Universal Care Coordination
The Universal Care Coordination Workgroup exists to convene and align community around a common referral process that can be electronically captured and made available to the PCP at the time of service. This process will capture the Social Determinates of Health in an electronic form, have a common assessment form for all programs that have assessments, and reduce duplication of services along with helping members navigate the healthcare system (and potentially other systems).
- Collaborate to identify common practices and strategies for community partners and PCPCHs to improve care coordination.
- Determine next steps to improve care coordination in our community.
- Form a workgroup of committed individuals to advance care coordination practices in our community.
Third Friday of the month, 10 to 11:30 a.m.