Or. Admin. R. 410-141-3730 - Community Health Assessment and Community Health Improvement Plans
Current through Register Vol. 60, No. 12, December 1, 2021
(1) CCOs shall
comply with the requirements in ORS
414.627
and
414.629,
as well as any requirements specified in the contract regarding the Community
Health Assessment (CHA) and the Community Health Improvement Plan (CHP). To the
extent a CCO shares all or part of a Service Area, the CCO must develop a
shared CHA and CHP with all of the following organizations and entities: local
public health authorities, hospitals, other CCOs, and, if a federally
recognized tribe has already developed or will develop their own CHA or CHP,
CCOs must invite the tribe to participate in the shared CHA and CHP. These
entities will be referred to as the Collaborative CHA/CHP Partners. This
collaboration shall be documented in the CHA and CHP documents, inclusive of
CHP progress reports.
(2) The CCOs'
CACs shall oversee, with the Collaborative CHA/CHP Partners, the development of
the shared CHA.
(3) In developing
and maintaining a CHA, CCOs shall, with the Collaborative CHA/CHP Partners,
meaningfully and systematically engage representatives of local and tribal
governments, community partners and stakeholders, and critical populations to
assess the Community health needs of Contractor's Service Area. The following
must be engaged in the CHA process, without limitation:
(a) County and city government
representatives;
(b) Federally
recognized tribes (if not already collaborating on a shared CHA);
(c) SDOH-E partners, as defined in OAR
410-141-3735;
(d) Local mental
health authorities and community mental health programs;
(e) Physical, behavioral, and oral health
care providers;
(f) Federally
Qualified Health Centers;
(g)
Indian Health Care Providers;
(h)
Traditional Health Workers;
(i)
School nurses, school mental health providers, and other individuals
representing child and adolescent health services;
(j) Culturally specific organizations,
including Regional Health Equity Coalitions; and
(k) Representatives from populations who are
experiencing health and health care disparities.
(4) The CHA must include or identify and
analyse at a minimum, all of the following:
(a) The demographics of all of the
Communities within Contractor's Service Area, including race, ethnicity,
languages spoken, disabilities, age, sex, gender identity, and sexual
orientation. CCOs shall work with community organizations and available data
sources to obtain information on gender identity and sexual orientation if it
is available;
(b) The health status
and issues of all the Communities within Contractor's Service Area;
(c) The health disparities among all of the
Communities within Contractor's Service Area;
(d) Findings on health indicators, including
the leading causes of chronic disease, injury and death within Contractor's
Service Area;
(e) Findings on
social determinants of health indicators across the four key domains (economic
stability, education, neighborhood and built environment, social and community
health);
(f) Assets and resources
that can be utilized to improve the health of the all of the Communities served
within Contractor's Service Area with an emphasis on determining the current
status of:
(A) Access to primary prevention
resources;
(B) Disproportionate,
unmet, health-related needs;
(C)
Description of assets within the Community that can be built on to improve the
Community's health;
(D) Systems of
seamless continuum of care; and
(E)
Systems or programs of collaborative governance of community benefit.
(g) Means to promote the health
and early intervention in the treatment of children and adolescents within
Contractor's Service Area, and whether they are sufficient and
effective;
(h) Areas for
improvement; and
(i) The persons,
organizations, and entities with whom Contractor collaborated and process for
collaboration in creating the CHA as such persons, organizations, and entities
are identified in Section (2) of this rule.
(5) CCOs and their CACs must develop baseline
data on health disparities identified through the CHA process. CCOs and their
CACs may collaborate with the Authority in developing this data, which includes
health disparities defined by race, ethnicity, language, health literacy, age,
disability, gender identity, sexual orientation, behavioral health status,
geography, neighborhood and environment, or other factors. This data will be
used to identify and prioritize strategies to reduce health disparities in the
development of their CHPs.
(6) CCOs
shall develop, review, and update its CHA at least every five years (or more
often, if so requested by the Authority).
(7) Using the findings documented in their
CHAs, including any health disparities data and other reliable data, CCOs shall
draft a CHP, which shall serve as a strategic plan for developing a population
health and health care system plan to serve the Communities within the CCOs
Service Areas. Any Collaborative CHA/CHP Partners from the shared CHA, must
collaborate in the development of a shared CHP. The CCOs' CACs are responsible
for adopting CHPs.
(8) In
developing a CHP, CCOs shall, with the Collaborative CHA/CHP Partners,
meaningfully and systematically engage representatives of local and tribal
governments, community partners and stakeholders, and critical populations. The
following must be engaged in the CHP process, without limitation:
(a) County and city government
representatives;
(b) Federally
recognized tribes (if not already collaborating on a shared CHA);
(c) SDOH-E partners, as defined in OAR
410-141-3735;
(d) Local mental
health authorities and community mental health programs;
(e) Physical, behavioral, and oral health
care providers;
(f) Federally
Qualified Health Centers;
(g)
Indian Health Care Providers;
(h)
Traditional Health Workers;
(i)
School nurses, school mental health providers, and other individuals
representing child and adolescent health services;
(j) Culturally specific organizations,
including Regional Health Equity Coalitions; and
(k) Representatives from populations who are
experiencing health and health care disparities.
(9) A CHP adopted by a CAC shall describe the
health priority goals and strategies that will govern the activities and
services the CCO will implement in order to address the population health needs
and resources of the Community.
(a) CHP
health priority goals are intended to improve the Community's health, and may
include, without limitation, issues related to:
(A) Closing the gap on disproportionate,
unmet, health-related needs;
(B)
Creating access to primary prevention;
(C) Building a system of seamless continuum
of care;
(D) Building on current
Community resources and improving Community capacity to improve health or
address SDOH-E, or both; and
(E)
Engaging the Community in the implementation of the CHP.
(b) The CHP strategies should be based on
research and may include, without limitation:
(A) Developing a or supporting Health Policy
that supports the CHP goals and objectives;
(B) Implementing or supporting community
health or SDOH-E interventions, or both, to support the CHP goals and
objectives, with emphasis on evidence-based interventions as
available;
(C) Developing public
and private resources and capacities;
(D) Designing and building a system of
Integrated service delivery;
(E)
Developing and implementing best practices of culturally and linguistically
appropriate care and service delivery.
(c) The CHP shall include metrics or
indicators used to monitor progress toward CHP goals and strategies;
(d) The CHP must also address, with the input
of school nurses, school mental health providers, and other individuals
representing child and adolescent health services, the needs of adolescents and
children in a CCO's Service Area and must address:
(A) Findings based on research, including
adverse childhood experiences;
(B)
The adequacy of existing school-based health center (SBHC) networks and make
recommendations relating to the improvement of, and undertake efforts that will
ensure, SBHC networks meet the specific health care needs of children and
adolescents in the Community;
(C)
The integration of all services provided to meet the needs of children,
adolescents, and families; and
(D)
Primary care, behavioral and oral health, promotion of health and prevention,
and early intervention in the treatment of children and adolescents.
(10) In addition, CACs
shall annually publish a CHP progress report that evaluates and describes
progress towards advancing CHP goals and strategies, addressing health
disparities, and improving health equity. Progress reports will be submitted in
the manner and form proscribed by OHA.
Notes
Statutory/Other Authority: ORS 413.042, 414.615, 414.625, 414.635 & 414.651
Statutes/Other Implemented: ORS 414.610 - 414.685
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