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The Oregon Health Authority (OHA) Lisa Millet, MSH

Oregon Health AuthorityOctober 2, 2013

Governor’s Task Force on TBI MeetingOregon Health Sciences University

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Agency Story

OHA was created by the legislature in 2009, and was launched in July of 2011.

OHA brought together agencies that had been part of the Department of Human Services (DHS) and the Department of Administrative Services (DAS) The Division of Medical Assistance Programs (includes Oregon’s

Medicaid Program) The Public Health Division The Addictions and Mental Health Division The High Risk Insurance Pool The Public Employees Benefit Board (PEBB) and the Oregon

Educators Investment Board (OEBB) The Oregon Office of Health Policy and Research

The Oregon Health Policy Board has nine Governor-appointed members and serves as the policy-making and oversight body for OHA

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OHA Vision, Mission and Goals

Vision: A healthy Oregon.

Mission: Helping people and communities achieve optimum physical, mental and social well-being through partnerships, prevention and access to quality, affordable health care.

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OHA GoalsMajor focus on transforming the health care

system by:Improving the lifelong health of OregoniansIncreasing the quality, reliability, and availability

of care for all OregoniansLowering or containing the cost of care so it's

affordable to everyoneor in short…

“Better health, better care, lower costs”.

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OHA Org Chart

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Key Divisions

OHA has three major Divisions:The Division of Medical Assistance ProgramsThe Addictions and Mental Health DivisionThe Public Health Division

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The Addictions and Mental Health Division of OHA (AMH)AMH provides:

Substance abuse and problem gambling prevention and treatment services

Children and Adult Mental health prevention and treatment services

Manages the state hospital system, including custody of persons committed to the state by courts because of mental illness

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The Division of Medical Assistance Programs in OHA (DMAP)Administers the Oregon Health Plan (OHP)

which provides health care coverage to low-income Oregonians

More than 600,000 people each month receive health care coverage through the OHP.   

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The Public Health Division of OHA (PHD)PHD is primarily focused on prevention and on

fostering environments that promote health rather than providing treatment services to individuals

PHD has two goals, each with a set of priority areas:Make Oregon one of the healthiest states Make Oregon’s public health system into a

national model of excellence

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PHD Priorities for Making Oregon One of the Healthiest StatesPrevent tobacco use Decrease obesity/overweight Reduce suicidePrevent or reduce heart disease and

stroke, and increase survivability Prevent family violence Increase community resilience to

emergencies

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PHD Priorities for Making Oregon’s Public Health System into a National Model of ExcellenceTransform the public health system through public

health accreditationSupport CCOs in achieving community health goals Increase the use of health impact assessments as

a tool in communitiesEstablish mechanisms that ensure health in all

policies Maintain excellence in epidemiology and

surveillance

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AMH Service Delivery SystemOutside of the State Hospital system mental

health and addictions services are delivered through contracts with community mental health programs, regional organizations and direct service providers.

Medicaid pays for many of the treatment services overseen by AMH.

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DMAP Delivery SystemHealth care services paid for by DMAP are

provided by public and private health care providers around the state.

16 Coordinated Care Organizations (CCOs) are the umbrella organizations that govern and administer care for 90% of OHP members. One budget that grows at a fixed rateAlso accountable for health outcomes

Metrics for incentive payments

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PHD Service Delivery SystemSome statewide services are administered

by PHDMany services are provided in partnership

with 34 county health departments

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AMH and TBIAMH has begun to develop settings that

specialize in treatment and behavioral supports needed by people with TBIEnhanced Care Program (Medford) in

partnership with DHS: 16 bed residential care facility

Two 5-bed residential treatment homes15-bed long term care facility due to open in

2014

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DMAP and TBIDMAP concussion work

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PHD and TBIPHD’s Injury and Violence Prevention Program

analyzes data about the incidence of TBI and risk factors for TBI

TBI has been highlighted as an issue in the Division’s fall prevention work

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Future DirectionSupport the development of CCOs, and

inclusion of robust prevention activities.

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What are the gaps?

Need for a TBI Registry to:Help connect those with TBI to servicesProvide data to inform policymakers and service

and prevention program managers about the annual incidence, injury severity, treatment costs, discharge status, geographic distribution of persons with TBI, and the causes and risk factors for TBI in Oregon

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