The Role of Purchasers in “Aim High: Building a Healthy Oregon”

1. The Role of Purchasers in “Aim High: Building a Healthy Oregon” Barney Speight Executive Director (ret.) Oregon Health Fund Board

2. Background on OHFB • Seven member citizen board created by SB 329 • Bill Thorndike, Jonathan Ater, Eileen Brady, Tom Chamberlain, Chuck Hofmann, MD, Ray Miao & Marcus Mundy • Charter: Develop a comprehensive plan that addresses 12 goals outlined in SB 329 • Uninsured, Cost, Quality, Population Health

3. Background on OHFB • Launched on 10-2-07; report delivered on 11-25-08 (420 days) • Worked through 7 committees & 2 workgroups • ~ 150 volunteers • > 100 meetings • Extensive public engagement in Sep. 2008 • 10 Town Hall meetings + ½ day public hearing • > 1,000 citizens provided feedback

4. Seven Essential Building Blocks • Bring Everyone Under the Tent • Set High Standards – Measure & Report • Unify Purchasing Power • Stimulate System Innovation & Improvement • Ensure Health Equity • Train a New Health Care Workforce • Advocate for Federal Change

5. The Keystone for Reform • Create the Oregon Health Authority • Replaces OHFB & OR Health Policy Commission • Modeled after OR Transportation Commission • Citizen board • Broad responsibility for implementing the 7 Building Blocks • Accountable to Governor, Legislature & Citizens

6. Recommendations Relevant to OCHCP • Set High Standards – Measure & Report • Unify Purchasing Power • Stimulate System Innovation & Improvement • Train a New Health Care Workforce

7. Set High Standards – Measure & Report • All-payer, all-claims data collection program • Comprehensive reporting by insurers & health facilities • Common set of measures, standards & targets to improve quality • Increase the use of evidence-based practice • Increase standardization in administrative processes • Public reporting on provider performance & costs

8. Unify Purchasing Power • Implement uniform contract standards by the State as a major purchaser of health care • Partner with other public & private employers • EBM guidelines & best practice clinical standards • Comparative effectiveness research • Standard clinical & service quality measures • More rigorous review of increases in administrative “loads” by insurers

9. Stimulate System Innovation • New models of care – the Integrated Health Home model • Within Oregon Health Plan, better integration of behavioral & physical health • Payment reform • Physician Orders for Life Sustaining Treatment (POLST) Registry • Develop Accountable Health Communities to compare health outcomes, quality & costs • Stimulate implementation of Health Information Technologies to improve quality, coordination & cost effectiveness of care

10. Train a New Health Care Workforce • Recognize the need for a workforce strategy • Data • Partner with Oregon Healthcare Workforce Institute • Strategy must address: • Train, recruit & retain • Cultural diversity & cultural competency

11. Next Steps • The Board’s work is completed • January 12, 2009: 75th Oregon Legislative Assembly • Business groups are reviewing the Board’s report & developing positions on various recommendations • Associated Oregon Industries • Oregon Business Association • Oregon Business Council • Get Involved – Stay Involved!