Help shape the future of coordinated care

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Issues and actions in Oregon health today

February 21, 2018

You can help shape the future of coordinated care

The next five-year contract for Oregon’s coordinated care organizations will start in January of 2020, but there is a lot of work to do between now and then to decide what will be included in the "CCO 2.0" contract.

The Oregon Health Authority wants your help to inform the new contract and improve on the first version of Oregon’s coordinated care model. OHA will present the public meeting plan to the Oregon Health Policy Board on March 6 and begin a series of public meetings shortly after. 

Public meetings will continue through the summer and focus on improvements in four key areas identified by Governor Kate Brown.

  • Maintain sustainable cost growth
  • Increase value and pay for performance
  • Focus on social determinants of health and equity
  • Improve the behavioral health system

Watch this video message from OHPB Chair Zeke Smith, and stay tuned for a full public meeting schedule and a CCO 2.0 website coming in early March.

OHPB chairman Zeke Smith
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5 questions for Dana Hargunani, OHA's chief medical officer

Dana Hargunani

Q. What are your top priorities as OHA’s chief medical officer?

A. As chief medical officer my top priority is to inform Oregon’s health policy and the ongoing transformation of Oregon’s health systems by applying my health care and public health experience. My immediate priorities will be to inform the continued development of our Coordinated Care Model (“CCO 2.0”) as well as to address the impact of high-cost drugs on our state’s health care costs. For the long term, my priority will be to inform strategic decision-making and to ensure coordination and collaboration across all OHA divisions relating to cross-cutting health issues, such as access to and quality of care, disease prevention, primary care, behavioral health integration, oral health integration, and beyond.

Q. Are you glad to be back at OHA?

A. I am thrilled to return to OHA after my departure two-and-a-half years ago. I have tremendous confidence in OHA’s new leadership team and feel committed to the important work in front of us to continue our achievements in health system transformation. I am also excited to apply the skills and experience I’ve gained during the past several years in my new role as chief medical officer.

Q. How does your policy background and work as a pediatrician inform your work here at OHA?

I bring six years of policy experience including four years as OHA’s child health director, plus public health non-profit leadership and consulting experience to my new role with OHA. These experiences have helped me to build the policy analysis, strategic decision-making and communication skills to support OHA’s new leadership related to complex health policy issues. As a pediatrician, I bring a deep understanding and dedication to population health, disease prevention, primary care, the social determinants of health, and health equity. I am committed to addressing the developmental origins of health and disease by looking at upstream opportunities to improve health outcomes such as through quality early learning, childhood nutrition and other early life experiences. While I am thrilled to return to providing specific leadership in child and adolescent health at OHA, I look forward to building on my past work and knowledge to address the needs of all populations that our agency serves.

Q. Tell us about your life outside of work

A. Life outside of work is busy! My husband and I have three sons (ages 7, 9 and 11) who enjoy school, music and most things sports-related, with favorites including skiing, baseball and lacrosse. We feel blessed to live in the Pacific Northwest and try to take advantage of our surrounding mountains, rivers and beaches whenever possible. When I have time to myself (it’s rare!), I can usually be found jogging in our neighborhood or reading a book.

Q. How do you plan to work with OHA’s health system partners? What do they need from OHA and how can OHA help them be successful?

A. OHA’s triple aim goals cannot be achieved without the important leadership and commitment of our health system partners. With rapid changes constantly afoot with regards to diagnosis, treatments, quality improvement, electronic health records, changing payment methodologies, and quality incentives, it is important that we listen to and understand the perspective and needs of our first-line health providers, public health partners, and health systems. I am committed to supporting these health system partners as we jointly work to improve the access, quality and experience of care, and to assess the tools we can provide such as through the Transformation Center to help them address any barriers to achieving these goals.

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Naloxone: a lifesaver

Naloxone is a life-saving drug that can reverse overdose from opioids. Oregon law now makes it easier to obtain naloxone. You can be prepared to save the life of someone in need. Ask your health care provider or a pharmacist about naloxone if you believe you or someone you know may be at risk of an overdose. Read our FAQ to learn about naloxone training, how to get naloxone and more.

naloxone infographic