Oregon’s Mid-year Health System Transformation report shows CCOs’ progress
Oregon’s mid-year Health System Transformation report lays out the progress of Oregon’s coordinated care organizations (CCOs) on key quality and financial measures. For the first time, the report includes two new measures: effective contraceptive use and dental sealants. This also is the first report to show results on a subset of measures for Oregonians enrolled in the Oregon Health Plan with disabilities, or with severe and persistent mental illness.
“Oregon’s continuing progress in transforming health delivery for Oregonians is clear, and we appreciate the efforts of CCOs, health care professionals and providers reflected in our mid year report,” said Lynne Saxton, Director of the Oregon Health Authority. “Based on this performance, incentive payments are made to CCOs and their partners and the Oregon Health Authority will continue to provide targeted technical assistance throughout the state. By providing CCOs with this support, we bring better health and better care at lower cost to Oregon Health Plan members.”
Oregon is staying within the budget that meets its commitment to the Centers for Medicare and Medicaid Services to reduce the growth in spending by 2 percentage points per member, per year.
The report, which covers July 1, 2014, through June 30, 2015, continues to show improvements for Oregon Health Plan members in areas such as enrollment in patient-centered primary care homes, decreased emergency department visits, and hospital admissions from chronic diseases:
- Statewide, all-cause readmissions met the benchmark for the first time in mid-2015. Some patients who leave the hospital end up being admitted again shortly thereafter. Often, these costly and burdensome readmissions are avoidable. Reducing the preventable problems that send patients back to the hospital is the best way to keep patients at home and healthy. Oregon’s CCOs started at a baseline of 12.9 percent in 2011. Today, readmissions are at 9.9 percent, surpassing the benchmark of 10.5 percent.
- Decreased emergency department visits. Emergency department visits by people served by CCOs has decreased 23 percent since 2011 baseline data.
- Decreased hospital admissions for short-term complications from diabetes. The rate of adult patients (ages 18 and older) with diabetes who had a hospital stay because of a short-term problem from their disease dropped by 32 percent since 2011 baseline data.
- Decreased rate of hospital admissions for chronic obstructive pulmonary disease. The rate of adult patients (ages 40 and older) who had a hospital stay because of chronic obstructive pulmonary disease or asthma decreased by 68 percent since 2011 baseline data.
- Patient-centered primary care home (PCPCH) enrollment continues to increase. Coordinated care organizations continue to increase the proportion of members enrolled in a patient-centered primary care homes. PCPCH enrollment has increased 61 percent since 2012.
This report also includes two new metrics:
- Statewide, the percentage of children ages 6-9 who received dental sealants increased by 25 percent between 2014 and mid-2015.
- Effective contraceptive use among women at risk of unintended pregnancy, of all ages, remained fairly steady between 2014 and mid-2015, with rates hovering around 33 percent.