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Health Plan Quality Metrics Committee

In this role, OFRH will be the consumer advocate voice, to ensure the recommendations put forward in fact support health equity for all Oregon women and families through valuing the care given and impacts for population health. OFRH believes that all people should have the power and resources to make healthy decisions about their bodies, sexuality, and reproduction for themselves and their families without fear of discrimination, exclusion, or harm.

Review materials and agendas at the OHA site: Health Plan Quality Metrics Committee

Here is a brief review of the committee and why it’s work will be important for health care transformation: Consumer Advocate at the Metrics Table


Follow along with Hannah as she participates as the Consumer Advocate at the Metrics Table in her blog:

Week 1 “Right away I knew I wasn’t at a social justice meeting. Where were the group ground rules and icebreakers?”

 

 Week 2 ” I couldn’t help but wonder…” 

 

 

 

Week 3

The Health Plan Quality Metrics Committee (can someone come up with a cute acronym for us?) met again for the third time, with our new Chair and Vice Chair at the helm. It feels like the group is getting into a rhythm now, which is down to business but encouraging of dialogue.

Our Chair, Kristen, shared a little more on the legislative perspective as to why SB440 passed which includes the need to remove administrative and reporting burdens on clinicians. In essence, when each payor asks for reports on service delivery in a slightly different way, it can mean providers are spending a lot more time on preparing reports than seeing patients. For example, there might be measures that relate to management of patients who are diabetic. Every payer agrees it’s important but while one payer simply measures whether an annual HbA1C level has been documented, another wants the level to be less than 9%, and another needs documentation of prescribing a 180-day supply of a medication.  By carefully selecting measures that can align across payors, the idea is that we can cut down on some of this duplication and redundancy, while still supporting clinicians in common population health goals.

Next we worked on out Committee Vision and Mission Statements. The Oregon Health Authority staff had the mission statements of similar organization and committees ready to go so we could compare and contrast what would fit for our work.

DRAFT Vision: Optimum health and well being for all Oregonians.

DRAFT Mission: Advancing optimum physical, mental, oral and social health by using meaningful and timely quality measurement to guide health care purchasing.

 There were some concrete changes, such as changing “mental health” to the current expression of “behavioral health”, as well as devising how to be more specific as to how this group contributes to that mission and vision. Next week we’ll see the results of the group brainstorm and I’ll have the final version to post ( I see a meme coming…).

We then went into the six measure selection criteria that was included in the Senate Bill such as utilizing existing state and national health outcome and quality measures, that have been adopted or endorsed by other state or national organizations and have a relevant state or national benchmark,  and the use a common format in the collection of the data and facilitate the public reporting of the data. We also took a couple of criteria which were used by other state committees that better represent the commitment to transformative potential and representing the diversity of patients served and services provided.

And before we knew it, three hours had blown by!  Our next meeting is on July 13th if anyone wants to tune in to hear the live action and hear the mission statement first!

Until then-

Hannah

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