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Pilot Programs Improve Local Health & Health Care Access

IHN-CCO has pilot programs underway in Benton, Lincoln and Linn counties. All pilot programs share the same goal of improving local health and health care access. Each program operates under criteria developed by the Oregon Health Authority and the IHN-CCO Community Health Improvement Plan. Program progress is monitored quarterly.

The Bravery Center pilot primary goal is to create an open, accepting center where LGBTQ+ youth can access mental health, educational, vocational, mentorship, and other services such as meals. The Bravery Center pilot will also offer assistance with LGBTQ+ specific needs, such as assisting youth by connecting with LGBTQ+ affirming healthcare providers, navigating the legal processes for name and/or gender changes, and accessing specialist services.

Health outcomes:

  • Provide behavioral health services from affirming providers to LGBTQ+ youth.
  • Reduced food insecurity within the LGBTQ+ population.
  • Reduced homelessness within the LGBTQ+ population.
Sustainability: If successful, Olalla will continue support of the Bravery Center pilot with partnerships in the region. 
CHIP areas: Access to Healthcare, Behavioral Health, Child & Youth Health, Social Determinants of Health and Equity
Date range: January 2020 to December 2020
Location: Lincoln County
Site: Olalla Center for Children and Families

 

Birth doulas are traditional health workers that build trusting relationships with pregnant members and provide physical, emotional, and informational support during labor and birth. The goals of the pilot are to increase the number of birth doulas, improve health outcomes, and evaluate medical cost savings for pregnant members of IHN-CCO.

Health outcomes:

  • Increase number of Spanish speaking doulas in the community.
  • Improve birth outcomes such as prematurity, cesarean-section and pain medication use.
  • Cross train active multi-lingual doulas to serve as health care interpreters.
Sustainability: If successful, Heart of the Valley Birth and Beyond will bill for services and seek out funding for the training portions of the pilot.
CHIP areas: Access to Healthcare, Child Health, Maternal Health, Social Determinants of Health and Equity
Date range: January 2018 to December 2020
Location: Benton, Lincoln and Linn countries
Site: Heart of the Valley Birth and Beyond

 

This pilot’s main goal is to create curriculum to teach high school students how to understand pain and take care of themselves better. The pilot also provides access to wellness classes and works on emergency department diversion. 

Health outcomes:

  • Decreased emergency department use.
  • Improved access to wellness classes.
  • Reduced access to opioids (pain medicine).
Sustainability: If successful, the Corvallis School District will continue providing services and expanding the curriculum.
CHIP areas: Access to Healthcare, Behavioral Health, Child & Young Health, Healthy Living, Social Determinants of Health and Equity
Date range: January 2019 to December 2020
Location: Benton County
Sites: Corvallis School District

 

The Homeless Resource Team includes a case manager, Health Navigator, and Homeless and Vulnerable Patient Committee to help homeless patients find supportive housing. The pilot partners with local health departments, housing agencies, and community service organizations.

Health outcomes:

  • Improved primary care use.
  • Decreased emergency department use.
Sustainability: If successful, the partnerships will continue, and funding will occur through medical billing and reduced costs.
CHIP areas: Access to Healthcare, Behavioral Health, Healthy Living, Social Determinants of Health and Equity
Date range: January 2019 to June 2020
Location: Benton County
Sites: Samaritan Health Services

 

Creating Housing Coalition is partnering with several agencies to develop the first tiny home community in Linn County. This is a new and different housing model which meets a need unmet by single family houses and apartments. It also addresses access to resources through onsite health navigation.

Health outcomes:

  • Closed loop referral process based on health needs and income complete.
  • Circle of providers established.
Sustainability: If successful, Creating Housing Coalition will work with IHN-CCO to contract for services and expand to other areas.
CHIP areas: Access to Healthcare, Behavioral Health, Healthy Living, Social Determinants of Health and Equity
Date range: January 2020 to December 2020
Location: Linn County
Site: Creating Housing Coalition

 

The purpose of this pilot is to develop a model of care to find the best way to coordinate care for high-need foster children. Key activities are coordination of services, intensive care coordination, creating partnerships, and establishing a sustainable model.

Health outcomes:

  • Provide timely medical, dental and mental health care for all foster children.
  • Support foster youth and families during transition periods.
Sustainability: If successful, the partnerships will continue, and funding will occur through medical billing and reduced costs.
CHIP areas: Access to Healthcare, Behavioral Health, Child & Young Health, Social Determinants of Health and Equity
Date range: January 2019 to December 2020
Location: Benton, Lincoln and Linn counties
Champion: Dr. Carissa Cousins 

 

Lincoln County Sheriff’s Office and many other Lincoln County partners are developing a model of Permanent Supportive Housing targeting gap areas of homelessness. This model would add to existing projects in housing with a referral system hub supported by partners involved.

Health outcomes:

  • Identify and network development of community partners for wrap around services.
  • Improved care coordination of housing/social services with the Patient-Centered Primary Care Home (PCPCH).
  • Increase permanent housing availability.
Sustainability: If successful, Lincoln County Sheriff’s Office will continue to will work with IHN-CCO and other partners.
CHIP areas: Access to Healthcare, Behavioral Health, Social Determinants of Health and Equity
Date range: January 2020 to December 2020
Location: Lincoln County
Sites: Lincoln County Sheriff’s Office

 

This pilot will have certified training courses for Peer Wellness Specialists (PWSs) in the tri-county area. PWSs are Peer Support Specialists (peers trained in addiction and recovery) with additional training. They work to help people become healthier.

Health outcomes:

  • Identify members in need of Peer Wellness Services.
  • Increase the number of PWSs working in the region.
Sustainability: If successful, the training will continue to be offered by the Traditional Health Worker Hub at an affordable cost.
CHIP areas: Access to Healthcare, Behavioral Health, Healthy Living, Social Determinants of Health and Equity 
Date range: January 2018 to December 2020
Location: Benton, Lincoln, and Linn counties
Sites: Family Tree Relief Nursery and Traditional Health Worker Workgroup

 

This pilot works to improve the relationship between physical and oral health. A dental hygienist provides oral health services in a hospital and clinic. These services include navigation for patients and resources for the medical staff.

Health outcomes:

  • Improved quality of care for hospital patients.
  • Improved access for emergency department patients with dental conditions.
Sustainability: If successful, Capitol Dental Care will explore medical and dental billing to offset project costs.
CHIP areas: Access of Healthcare
Date range: January 2019 to June 2020
Location: Linn County
Sites: Capitol Dental Care, Albany General Hospital, Samaritan Cancer Resource Center

 

The Skills and Connections to Support Housing pilot is implementing a program to increase the skills, knowledge, and confidence of residents. The skills and connections to resources will help with employment, education, and more. The end result will be greater stability for residents and less spending on expensive services.

Health outcomes:

  • Increased permanent supportive housing.
  • Improved housing stability rates.
  • Closed loop referral system and service coordination for residents developed.
Sustainability: If successful, Corvallis Housing First will work with IHN-CCO to contract for services.
CHIP areas: Access to Healthcare, Healthy Living, Social Determinants of Health and Equity
Date range: January 2020 to December 2020
Location: Benton County
Sites: Corvallis Housing First

 

Linn County Public Health (LCPH) and OSU Center for Health Innovation (OSU) are partnering with convenience store owners and managers on  environmental and health impact assessments. Convenience stores will be assessed and adjusted to improve healthy eating and food security in areas IHN-CCO members live.

Health outcomes:

  • Increase the percentage of IHN-CCO members who have access to healthy food.
  • Improved understanding of IHN-CCO members’ health needs with regard to shopping in convenience stores.
Sustainability: If successful, Linn County Public Health and Oregon State University will develop a toolkit for dissemination throughout the region.
CHIP areas: Healthy Living, Social Determinants of Health and Equity
Date range: January 2020 to December 2020
Location: Linn County
Site: Linn County Public Health/Oregon State University

 

The Wellness to Smiles pilot program addresses barriers to nutritious affordable food, housing, and oral health by improving the collaboration between oral health care and social services in Lincoln County. The primary goal of the pilot is to coordinate systems among community partners to reduce health disparities and improve oral health and overall health outcomes for IHN-CCO clients.

Health outcomes:

  • Increase oral health usage.
  • Screenings for SDoH and referral system developed.
  • Improved member satisfaction.
Sustainability: If successful, Advantage Dental will continue to provide services.
CHIP areas: Access to Healthcare, Child & Youth Health, Social Determinants of Health and Equity
Date range: January 2020 to December 2020
Location: Lincoln County
Site: Advantage Dental