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Health Policy and Analytics Division
Orientation
Understanding the Organization and its Functions
Last updated: September 2016
Outline
• Overview of Oregon Health Authority (OHA)
• Division of Health Policy & Analytics (HPA)
• HPA Points of Contact
• HPA Committees and Councils
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Oregon Health Authority (OHA)
Mission
• The mission of the Oregon Health Authority is
helping people and communities achieve
optimum physical, mental, and social well-being
through partnerships, prevention, and access to
high-quality health care.
OHA Priorities 2016-2017
1. Make Oregon Health Plan member experience with Oregon’sMedicaid program simpler, easier, more timely, and reliable
2. Create a behavioral health system that works for all Oregonians
3. Address inequities, disparities, and disproportionate impact toachieve health equity in OHA health systems
4. Accelerate health system transformation and maximize the value ofOregon’s investment
5. Advance Oregon’s health system transformation through renewal ofour 1115 Medicaid Demonstration Waiver
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6. Modernize Oregon’s public health system
7. Address rising pharmaceutical costs
8. Implement Oregon’s retail and medical marijuana laws to protect
public health
9. Maintain a fiscally sustainable budget
10. Empower and strengthen the skills and capabilities of OHA’s
employees
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OHA Priorities 2016-2017 (continued)
OHA Functional Chart
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Oregon Health Authority Director
Lynne Saxton
Fiscal and Operations
Division
Mark Fairbanks
Equity and Inclusion
Leann Johnson
External Relations BethAnne Darby
Health Policy and Analytics
Leslie Clement
Public Health Division
Lillian Shirley
Oregon State Hospital
Greg Roberts
Health Systems Division
Varsha Chauhan
Information Technology
(Shared Service)
Human Resources
Budget Office
Heath Care Finance
Health Policy
Public Benefit Plans
Central Legal Coordination
Shared Services (OHA/DHS) Joint Governance
Diversity and Inclusion
Health Equity
Communications
Governmental Relations
Member Services
Provider Services
Compliance Regulations
Business Support
Business Systems
Prevention and Health Promotion
Office of Health Information Technology
Health Analytics
Business Support
Business Support
Health Protection, Regulation, and
Licensing
Public Health Practice
Business and Community
Support
Continuous Process Improvement (CPI)
and Quality Management (QM)
Pendleton Cottage
Oregon State Hospital
Advocacy
Tribal Liaison Karol Dixon
ONE SystemMedicaid Director
Chief Medical Officer
Medical Marijuana Program
OHA Functional Chart
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Oregon Health Authority Director
Lynne Saxton
Fiscal and Operations
Division
Mark Fairbanks
Equity and Inclusion
Leann Johnson
External Relations BethAnne Darby
Health Policy and Analytics
Leslie Clement
Public Health Division
Lillian Shirley
Oregon State Hospital
Greg Roberts
Health Systems Division
Varsha Chauhan
Information Technology
(Shared Service)
Human Resources
Budget Office
Heath Care Finance
Health Policy
Public Benefit Plans
Central Legal Coordination
Shared Services (OHA/DHS) Joint Governance
Diversity and Inclusion
Health Equity
Communications
Governmental Relations
Member Services
Provider Services
Compliance Regulations
Business Support
Business Systems
Prevention and Health Promotion
Office of Health Information Technology
Health Analytics
Business Support
Business Support
Health Protection, Regulation, and
Licensing
Public Health Practice
Business and Community
Support
Continuous Process Improvement (CPI)
and Quality Management (QM)
Pendleton Cottage
Oregon State Hospital
Advocacy
Tribal Liaison Karol Dixon
ONE SystemMedicaid Director
Chief Medical Officer
Medical Marijuana Program
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CLEMENT, LESLIE M
HPA Division DirectorOHPR Administrator
BETTS, MATTHEW
Director Business Supports
COLLINS, JON C.
Director Health Analytics
OTTER, SUSAN R
Director OHIT
SIMNITT, DAVID
Director Health Policy
RICKARDS, JIM
Chief Medical Officer
COYNER, LORI
State Medicaid Director
Medicaid Policy
Health Policy
Clinical & Quality Services Improvement
Health Analytics Health Information Technology
Public Benefit Plans
Business Supports
Medicaid State Plan
1115 Waiver
Home & Community Based Services Waiver
Oregon Health Policy Board
Initiatives
Health Policy Analysis & Research
Behavioral Health Policy Strategic
Initiatives
Dental Director
Behavioral Health Policy Director
Medicaid Medical Director
Transformation TA
Pharmacy Policy
Health Evidence Review & Pharmacological
Review
Improvement and Implementation
Metrics Management & Reports
Internal Health Programs Analysis
Data Integration
All Payer All Claims Management
Health System Research & Data
PEBB & OEBB Program Administration
Finance Mgmt.
Benefits Systems & Analysis
Member Services
Contracts
Compliance
Communications
Program Grants & Contracts
Program Staffing
Admin Support
Accounts Payable/Receivable
Program Budget Management
Rule Making Support
Evaluation
Federal Liason
Health Programs Measurment
Strategic Health Policy Planning
Oral Health Policy Development
Clinical Leadership
Transformation Center
Evidence Based Standards
Innovation and Development
Medicaid Electronic Health Records Incentive
Program
Health Information Exchange Programs
Common Credentialing Program
Health Information Technology Policy
Health Information Technology Partnerships
Health Information Technology
Implementation
Health Information Technology Initiatives
LORETZ, KATHLEEN
PEBB Admin
RAUSSEN, JAMES
OEBB Admin
HPA – State Medicaid Director
• Main Roles and Responsibilities
– Federal Liaison
– Medicaid State Plan
– 1115 Waiver Demonstration
– Home and Community-Based Services Waiver
• Contact
– Director Lori Coyner, [email protected]
• Executive Assistant: Jennifer Uhlman,
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HPA – Health Policy
• Main Roles and Responsibilities
– Analyze and develop policy options, facilitate stakeholder
discussions, and coordinate strategic and implementation
planning efforts
– Conduct health services research and policy evaluation for the
Governor’s Office, the Legislature, the Oregon Health Policy
Board (OHPB), and the Oregon Health Authority
• Contact
– Director David Simnitt, [email protected]
• Executive Assistant: Julie Earnest, [email protected]
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HPA – Clinical & Quality Services Improvement
• Main Roles and Responsibilities
– Clinical leadership team
– Health Evidence Review Commission
– Pharmacy Policy
– Transformation Center
• Contact
– Chief Medical Officer Jim Rickards, [email protected]
• Exec. Assistant: Heather Johnson, [email protected]
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HPA – Health Analytics
• Main Roles and Responsibilities
– Collect and analyze data to inform policy development, program
implementation, and system evaluation
– Develop metrics reports for Coordinated Care Organizations
(CCOs), hospitals, etc. to support statewide healthcare
improvement
– Provide analysis and measurement of OHA and DHS programs
– Develop and implement data integrations strategies and
technology
• Contact
– Director Jon Collins, [email protected]
• Exec. Assistant: Heather Johnson, [email protected]
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HPA – Office of Health Information
Technology (OHIT)
• Main Roles and Responsibilities
– Develop and support effective Health Information Technology
(HIT) policies, programs, and partnerships
– Develop and support effective Health Information Exchange
(HIE) efforts
• Contact
– Director Susan Otter, [email protected]
• Executive Assistant: Ivan Kuletz, [email protected]
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HPA – Public Benefit Plans
Public Employee Benefit Board (PEBB)
• Main Roles and Responsibilities
– Offer core health benefits to public employees and their
dependents, including medical, dental, vision, and life insurance
– Design, contract for, and administer health plans, group policies,
and flexible spending accounts for over 130,000 Oregonians
• Contact
– Deputy Administrator Kathleen Loretz,
• Executive Assistant: Cherie Taylor, [email protected]
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HPA – Public Benefit Plans
Oregon Educators Benefit Board (OEBB)
• Main Roles and Responsibilities
– Administer medical, dental, vision, and other benefit plans for
Oregon’s public educators and their dependents
– Administers serves more than 150,000 Oregonians
• Contact
– Administrator James Raussen, [email protected]
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HPA – Business Support
• Main Roles and Responsibilities
– Program: grants and contracts, staffing, facilities support,
technical support, budget management
– Administrative support, accounts payable/receivable, rule-
making support
• Contact
– Matt Betts, [email protected]
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HPA Points of Contact
• HPA Director Leslie Clement, [email protected]
– Medicaid Policy Director Lori Coyner, [email protected]
– Health Policy Director David Simnitt, [email protected]
– Clinical and Quality Services Improvement, Chief Medical Officer Jim
Rickards, [email protected]
– Health Analytics Director Jon Collins, [email protected]
– Office of Health Information Technology Director Susan Otter,
– Public Employees Benefit Board Deputy Administrator Kathleen Loretz,
– Oregon Educators Benefit Board Administrator James Raussen,
– Business Supports Director Matthew Betts, [email protected]
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HPA
Committees and Councils
• Medicaid
– Medicaid Advisory Committee
• Health Policy
– Oregon Health Policy Board
– Coordinated Care Model Alignment Workgroup
– Healthcare Workforce Committee
• Clinical and Quality Services Improvement
– Health Evidence Review Commission
– Quality & Health Outcomes Committee
– Oregon Pain Management Commission
– Palliative Care Advisory Council
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HPA
Committees and Councils (Cont.)
• Health Analytics
– All Payer All Claims Technical Advisory Group
– Metrics & Scoring Committee
– Hospital Transformation Performance Program Committee
• Office of Health Information Technology
– Health Information Technology Oversight Council
– Provider Directory Advisory Group
– Common Credentialing Advisory Group
• Public Benefit Plans
– Public Employees Benefits Board
– Oregon Educators Benefits Board
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