Transformation Plan

Transformation Plan

InterCommunity Health Network CCO (IHN-CCO) received approval from the Centers for Medicare and Medicaid Services (CMS) for its Transformation Plan beginning July 1, 2013. The approval allows IHN-CCO to put in place programs and projects that are aimed at improving local health and health care in Benton, Lincoln and Linn counties:

July 2015 - June 2017
July 2013 - June 2015  
The purpose
The transformation plans serve a two-fold purpose: first, to establish a mechanism that facilitates Oregon Health Authority's (OHA) partnership with CCOs to achieve Oregon’s health system goals; and, second, to encourage continuous quality improvement, recognizing that transformation is an iterative process and that a CCO’s transformation plans will and should evolve over time.

Eight standards
All plans are subject to eight minimum standards:
  1. Integration of care – Developing and implementing a health care delivery model that integrates mental health and physical health care and addictions
    and dental health, when dental services are included. This plan must specifically address the needs of individuals with severe and persistent mental illness.
  2. Patient-Centered Primary Care Home (PCPCH) – Continuing implementation and development of Patient-Centered Primary Care Homes (PCPCH).
  3. Alternative payment methodologies – Implementing consistent alternative payment methodologies that align payment with health outcomes.
  4. Community Health Assessment and Community Health Improvement Plan – Preparing a strategy for developing Contractor’s Community Health Assessment and adopting an annual Community Health Improvement Plan consistent with ORS 414.627.
  5. Electronic health records – Develop a plan for encouraging electronic health records, health information exchange, and meaningful use.
  6. Communications, outreach and member engagement – Assuring communications, outreach, member engagement, and services are tailored to cultural, health literacy, and linguistic needs.
  7. Meeting the culturally diverse needs of members – Assuring that the culturally diverse needs of members are met (cultural competence training, provider composition reflects member diversity, Certified Traditional Health Workers and Traditional Health Workers composition reflects member diversity).
  8. Eliminating racial, ethnic and linguistic disparities – Developing a quality improvement plan focused on eliminating racial, ethnic and linguistic disparities in access, quality of care, experience of care, and outcomes.

A significant milestone
“This marks a significant milestone for our CCO — the culmination of over two years of planning by diverse community, county government, and private organizations — and sets in motion the first phase of implementation to transform and unify our local health care systems and processes,” said Kelley Kaiser, chief executive officer for IHN-CCO. “It is our intention to be transparent and timely in sharing the progress and results of our transformation plans with the communities we serve. We will continue to seek input and feedback from our members and communities through our public meetings and our multiple community advisory councils at the local and regional, tri-county level. We see this two-way communication as essential to ensuring that we deliver new and better ways to prevent and manage health problems and address the cost of care.”

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