Presentation on theme: "The Oregon Health Authority (OHA)"— Presentation transcript:
1 The Oregon Health Authority (OHA) Lisa Millet, MSHOregon Health AuthorityOctober 2, 2013Governor’s Task Force on TBI MeetingOregon Health Sciences University
2 Agency StoryOHA was created by the legislature in 2009, and was launched in July of 2011.OHA brought together agencies that had been part of the Department of Human Services (DHS) and the Department of Administrative Services (DAS)The Division of Medical Assistance Programs (includes Oregon’s Medicaid Program)The Public Health DivisionThe Addictions and Mental Health DivisionThe High Risk Insurance PoolThe Public Employees Benefit Board (PEBB) and the Oregon Educators Investment Board (OEBB)The Oregon Office of Health Policy and ResearchThe Oregon Health Policy Board has nine Governor-appointed members and serves as the policy-making and oversight body for OHAan agency providing a spectrum of human services to individuals, families and communities2
3 OHA Vision, Mission and Goals Vision: A healthy Oregon.Mission: Helping people and communities achieve optimum physical, mental and social well-being through partnerships, prevention and access to quality, affordable health care.3
4 OHA Goals Major focus on transforming the health care system by: Improving the lifelong health of OregoniansIncreasing the quality, reliability, and availability of care for all OregoniansLowering or containing the cost of care so it's affordable to everyoneor in short…“Better health, better care, lower costs”.
6 Key Divisions OHA has three major Divisions: The Division of Medical Assistance ProgramsThe Addictions and Mental Health DivisionThe Public Health Division6
7 The Addictions and Mental Health Division of OHA (AMH) AMH provides:Substance abuse and problem gambling prevention and treatment servicesChildren and Adult Mental health prevention and treatment servicesManages the state hospital system, including custody of persons committed to the state by courts because of mental illness
8 The Division of Medical Assistance Programs in OHA (DMAP) Administers the Oregon Health Plan (OHP) which provides health care coverage to low-income OregoniansMore than 600,000 people each month receive health care coverage through the OHP.
9 The Public Health Division of OHA (PHD) PHD is primarily focused on prevention and on fostering environments that promote health rather than providing treatment services to individualsPHD has two goals, each with a set of priority areas:Make Oregon one of the healthiest statesMake Oregon’s public health system into a national model of excellence
10 PHD Priorities for Making Oregon One of the Healthiest States Prevent tobacco useDecrease obesity/overweightReduce suicidePrevent or reduce heart disease and stroke, and increase survivabilityPrevent family violenceIncrease community resilience to emergencies
11 PHD Priorities for Making Oregon’s Public Health System into a National Model of Excellence Transform the public health system through public health accreditationSupport CCOs in achieving community health goalsIncrease the use of health impact assessments as a tool in communitiesEstablish mechanisms that ensure health in all policiesMaintain excellence in epidemiology and surveillance11
12 AMH Service Delivery System Outside of the State Hospital system mental health and addictions services are delivered through contracts with community mental health programs, regional organizations and direct service providers.Medicaid pays for many of the treatment services overseen by AMH.
13 DMAP Delivery SystemHealth care services paid for by DMAP are provided by public and private health care providers around the state.16 Coordinated Care Organizations (CCOs) are the umbrella organizations that govern and administer care for 90% of OHP members.One budget that grows at a fixed rateAlso accountable for health outcomesMetrics for incentive payments
14 PHD Service Delivery System Some statewide services are administered by PHDMany services are provided in partnership with 34 county health departments
15 AMH and TBIAMH has begun to develop settings that specialize in treatment and behavioral supports needed by people with TBIEnhanced Care Program (Medford) in partnership with DHS: 16 bed residential care facilityTwo 5-bed residential treatment homes15-bed long term care facility due to open in 2014
17 PHD and TBIPHD’s Injury and Violence Prevention Program analyzes data about the incidence of TBI and risk factors for TBITBI has been highlighted as an issue in the Division’s fall prevention work
18 Future DirectionSupport the development of CCOs, and inclusion of robust prevention activities.18
19 What are the gaps? Need for a TBI Registry to: Help connect those with TBI to servicesProvide data to inform policymakers and service and prevention program managers about the annual incidence, injury severity, treatment costs, discharge status, geographic distribution of persons with TBI, and the causes and risk factors for TBI in Oregon1919