A key area of focus for OPIP has been supporting primary care practices to be medical homes and provide robust and team-based care. Since 2010, at last one project in each year of OPIP’s work has been focused on enhancing medical homes for children and adolescents.
In Oregon, there is a priority around medical homes through the Patient Centered Primary Care Home (PCPCH) program and related incentive metrics and requirements for value-based payments to PCPCH sites. To that end, OPIP has been synergistic with those PCPCH financial and priority levers and has supported a number of projects supporting PCPCH sites to improving the quality of care for children and adolescents.
OPIP is involved in a number of projects focused on implementing and enhancing patient-centered primary care medical homes and on using practice-level findings to inform policy-level improvements.
- Transforming Pediatrics for Early Childhood includes a Learning Collaborative for Medical Homes to improve Early Childhood Developmental Services for Young Children.
- Enhancing Child Health in Oregon (ECHO): Medical Home Learning Collaborative
- Tri-State Children’s Health Improvement Consortium (T-CHIC)
- Patient Centered Primary Care Institute supported OPIP to lead a number of Learning Collaboratives focused on enhancing medical home services for children.
- Learning Collaborative for Integrated Behavioral Health in Medical Home Sites.
- Trainings for Primary Care Providers in medical homes on early childhood developmental services.
- Pathways from Screening to Services have focused on Medical Homes Role Related to Surveillance and Screening for Young Children and Best Match Referrals
Informing Oregon Patient-Centered Primary Care Homes (PCPCH) Health Reform
A key part of the OPIP mission is to “inform policies that support optimal health and development for all children and youth.” Given the breadth and depth of OPIP’s work in this area, we routinely meet with state and system-level policymakers.
In this critical work, we partner collaboratively with our OPIP Partners to articulate shared perspectives to and ensure a child and youth focus. We also seek to share learnings from the “front-line” to inform policy-level efforts and vice-versa hope to translate policy-level efforts into concrete, concise, and clear messages to front-line health care providers.
Below are some key activities OPIP has been involved in specific to medical home:
- Click here to see a sampling of each OPIP Public Comments, Reports and Issue Briefs distilling feedback.
- OPIP Senior Leadership on the PCPCH Pediatric Advisory Committee.
- OPIP Senior Leadership has continued its involvement in the PCPCH program since the Pediatric Advisory Committee, including the Payment Workgroup in spring of 2010, and the PCPCH Implementation Taskforce in 2011 (convened by the Northwest Health Foundation).
- Feedback to Ensure a Child and Youth Focus in the Oregon PCPCH: In working with practices on medical home and the related PCPCH Standards through the ECHO Learning Collaborative, OPIP learned from the experiences of front-line practices. This feedback was compiled and given to the OHA for consideration into future iterations of the PCPCH Standards.
