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Central Oregon Region education and health r eform

August 2, 2012. Central Oregon Region education and health r eform. An effort to align and integrate service delivery systems in Central Oregon. Today. Brief overview of health and education reform: How align C ommon themes and touch points The charge and the challenge:

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Central Oregon Region education and health r eform

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  1. August 2, 2012 Central Oregon Region education and health reform An effort to align and integrate service delivery systems in Central Oregon

  2. Today Brief overview of health and education reform: • How align • Common themes and touch points The charge and the challenge: • Aligning and integrating education and health reform • Old theme, new approach, greater urgency Our regional efforts – our work to date: • Regional governance structure and local service delivery • Next steps and other considerations • Where do you fit into the picture?

  3. Health Care/Services Better Outcomes Cost Behavioral Health Early Childhood Early Learning Education

  4. Design Principles (SB 909, 2011) • Integrationand alignment:Health & education reform, public and private partnerships. • Broad based oversight or governing board (including elected officials). • Required representation: Across geographic regions and across domains (health, human services, education, business, faith, elected officials). • HB 4165 (2012): Addition of school age youth (6-20) and requires inclusion of, and coordination with, county government and services. • Expanded: “ELC” to include “YDC” = OEIB = Cradle to Career • Common System & Data Driven (indicators to measure success)

  5. Health Reform Background Information • HB 3650 (2011) • Health care coordination • Triple Aim Goals: Better care, better health (outcomes), less cost • Created Coordinated Care Organizations (CCOs) • SB 1580 (2012) further defines role of CCOs • SB 204 (2011) • Created tri county Central Oregon Health Council (COHC) • Regional health improvement plan (RHIP) • 190 Inter-Governmental Agreement (IGA) – • Central Oregon Health Board (COHB)

  6. What does health reform and integration look like in our region?

  7. Our Region • Crook, Deschutes and Jefferson County • Health Reform statute: N. Klamath, N. Lake? • Fastest growing region, high unemployment • 200,000 residents – growth to 250,000 by 2019? • More than 100 miles north to south

  8. Background & Caveats • Work in Progress – no blue print • There is still work to be done • Many layers to consider • Needs more vetting and universal buy in • Bridge to Central Oregon’s health reform • A place to start • Comprehensive two year health reform process

  9. Health and Wellness COHB Central Oregon Health Board OHA Oregon Health Authority Provider Provider Provider Goals: Triple Aim Better Health Better Care Lower Cost State Early Learning Council Safety Net $ OHP Medicaid Medicare Pacific Source - CCO R-ELC Regional Early Learning Council Admin Staff Contracts / Accountability Joint Management Agreement Central OR Health Council Regional Youth Council Clinical Advisory Panel Community Advisory Council Operations Council HEALTH ASSESSMENT / PLANNING Data Team, HIE, Research & Analysis STRATEGIC FOCUS ON TARGET ED POPULATIONS Prevention, Disparities, Social Det. DRAFT Central Oregon Education, Health and Wellness Org Chart (C2C6) • CCO Staff • Director / staff • CCO Roles • Contract / performance Management • Assessment & Accountability • Reporting • Service Integration • Service Delivery System • Community Health Development WORK FORCE DEVELOPMENT Service Coordination and Training (CHW FRM FAN PWS PSS) Contracted clients Local provider Local provider Local Central Oregon Education, Health and Wellness Draft Org Chart (C2C5) Safety Net Services: e.g. housing, food insecurities

  10. Education Health and Wellness OEIB (0-20) Oregon Education Investment Board COHB Central Oregon Health Board OHA Oregon Health Authority OEIB (0-20) Oregon Education Investment Board Goals: OEIB 40-40-20 Provider Provider Provider Provider Provider Provider Goals: Triple Aim Better Health Better Care Lower Cost Goals: ELC Kindergarten Readiness Reading 1st grade State Early Learning Council Early Learning Council Youth Council Safety Net $ OHP Medicaid Medicare Cradle to Career (C2C) Council(Public/Private) Pacific Source - CCO R-ELC Regional Early Learning Council Admin Staff Contracts / Accountability Joint Management Agreement Central OR Health Council Youth Council Regional Early Learning Council Youth Council C2C Backbone Org Clinical Advisory Panel Community Advisory Council Operations Council C2C Steering Committee ASSESSMENT / PLANNING / ACCOUNTABILITY/ INFO EXCHANGE Data Team, Research & Analysis STRATEGIC FOCUS ON TARGET ED POPULATIONS Prevention, Disparities, Social Det. DRAFT Central Oregon Education, Health and Wellness Org Chart (C2C6) • BACKBONE Staff • Director • Data Manager • Continuous Improvement Expert • BACKBONE Roles – work in community to: • Set Common Agenda • Identify & Monitor Shared Measures • Set Mutually Reinforcing Activities • Assessment & Accountability • Contract / Performance Management • Continuous Improvement /Communication • Facilitate / Coordinate / Collaborate • CCO Staff • Director / staff • CCO Roles • Contract / performance Management • Assessment & Accountability • Reporting • Service Integration • Service Delivery System • Community Health Development Contracted WORK FORCE DEVELOPMENT Service Coordination and Training (CHW FRM FAN PWS PSS) Contracted clients Local provider Local provider Local provider Local provider Local Central Oregon Education, Health and Wellness Draft Org Chart (C2C5) Safety Net Services: e.g. housing, food insecurities

  11. Diverse organizations coming together to solve complex social problems~ Foundation Strategy Group (FSG) Collective Impact:

  12. Alignment is not the same as collective impact

  13. From Isolation to Collective Impact Isolation Alignment Collective Impact Source: All Hands Raised, Portland Oregon

  14. But we do have buckshot (collective impact) There is no “silver bullet”

  15. Local Service Delivery

  16. Our work to date (examples) • Gathering Data and mapping existing services • Developing a governance framework (that aligns health and education) • Re-designing service delivery systems (and how organizations work together) • Future: Transformation to different business model

  17. Where do you fit in?

  18. Coordinating holistic supports for babies, children, students and families July 31, 2012- DRAFT – Revised from Gladstone Center

  19. Next Steps & Other ConsiderationsLocal Service Delivery • What does implementation look like at the local level? • “Navigator” Role – work force development • “A rose by any other name….” coordination of effort • Inventory and analysis of functions • Standardized training & certification • Strategic focus on targeted populations

  20. Next Steps & Other ConsiderationsRegional Level • Data collection system needs & opportunities • Information exchange • Regional “Administrative Hub” • Efficiencies and Effectiveness • Collective Impact

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