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Every Oregonian has access to medically-necessary health care services.
Objectives:
- Stabilize and expand access for people in all geographic regions.
- Broaden access to community-based inpatient and outpatient mental health and addiction services.
- Advocate for policies that support enrollment for all Medicaid-eligible individuals.
- Participate in the creation of the state's value-based essential benefit package.
- Monitor and assess the impact of primary care home standards and development of payment methodologies.
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Oregon communities have appropriate staff to deliver high-quality care.
Objectives:
- Actively support medical liability reform that enhances the climate to practice in Oregon.
- Support efforts to:
a) Improve hospital-staff-physician relationships (e.g., safe harbor, contracts, and labor relations); and b) Promote flexibility in licensure and scope of practice.
- Advocate to increase the number of available clinicians by supporting activities that assist with pipeline development.
- Develop and disseminate best practices that enhance recruitment and retention and a positive work environment.
- Promote training and pilots for team-based care delivery and expanded practice models (e.g., Primary Care and Patient-Centered Medical Home care teams).
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The needs of the community (population) drive what we do and how we collaborate.
Objectives:
- Assist members in leading local efforts to develop and conduct a single community needs assessment across all stakeholders. Collaborate to use these community needs assessments to drive community investment.
- Develop Balanced Scorecard measures of community accountability
- Collaborate to develop a statewide minimum data set for what should be included in community health needs assessments.
- Promote community planning and coalition-building to meet the identified needs across regions in the state.
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Oregon hospitals provide health care services that meet or exceed national benchmarks.
Objectives:
- Ensure federal and state alignment on value-based purchasing targets.
- Advocate for the development and use of standardized definitions, data sets and desired outcomes in order to improve population health.
- Create a single public reporting clearinghouse.
- Lead the creation of Oregon Hospital Quality Standards that are based on publicly reported data and serve as benchmarks for public accountability.
- Lead statewide adoption of six IOM aims: equitable, timely, effective, efficient, patient-centered and safe patient care.
- Promote accelerated quality and safety improvement through learning collaboratives and coalition-building.
- Promote a statewide care management initiative focusing on better communications at handoffs and transitions of care.
- Promote implementation of statewide initiatives to improve outcomes and reduce unnecessary variations (e.g., STEMI and/or Stroke Network).
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Oregon hospitals, in collaboration with patients, providers, purchasers, and insurers, will lower costs so that care is affordable to everyone.
Objectives:
- Support hospital and provider adoption of EHR in order to assist members in achieving meaningful use.
- Promote reduction in non-evidence based hospital services.
- Promote reduction in cost of services provided.
- Promote appropriate collaboration and coordination among hospitals to avoid unnecessary duplication of services.
- Promote regional and statewide adoption of evidence-based best practices.
- Help reduce readmissions by fostering partnerships between hospitals and other stakeholders to improve patient transitions and care coordination.
- Facilitate development of regional health information exchanges.
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Oregon hospitals receive fair and adequate reimbursement to ensure access to local health care services are sustainable long-term.
Objectives:
- Influence the state's planning for alternative health care payment and purchasing methodologies.
- Advocate for Medicare payment rates that reward providers in a given region for providing high-value care (e.g., Dartmouth's Healthcare Referral Regions).
- Advocate for payment reform that incentivizes care at the appropriate level.
- Advocate for government funding mechanisms that are broad-based, equitable and sustainable.
- Seek opportunities to gain new/additional federal funds to support health care services (e.g., pilot programs, waivers, and grants).
- Ensure members are reporting accurate data to capture federal funds value-based purchasing and meaningful use incentives.
- Provide assistance for members interested in pursuing ACOs and bundled payments.
- Support rural hospitals in adapting to emerging payment methodologies.
- Ensure that the state insurance exchange is adequately funded and properly governed to achieve desired outcomes.
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