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Quality Initiatives

In partnership with the Oregon Health Authority (OHA), we measure our success through several quality measures developed by the OHA Metrics and Scoring Committee. These measures show positive change towards improving health outcomes in Oregon.

Measuring Health

With the ultimate goals of improving our members’ health, making quality care more accessible, eliminating health inequalities, and reducing cost, CHA ensures its members receive the highest quality health care.

Through a county-wide health data collection and analyzation process, we identify improvement opportunities in the healthcare delivery system and turn data into action through performance improvement initiatives. Due to this process, we ensure data driven decisions, customized care, and lower costs.

Learn How We Measure Health in Klamath County

Each year, OHA defines new quality initiatives that CHA will use to measure progress in Klamath County.

CCO Performance Report

For 2020, the quality initiatives include:

Prevention/Early Detection – Physical Health Conditions

Childhood Immunizations Status

Percentage of children that turned 2 years old that had the Dtap, IPV, MMR, HiB, HepB, and VZV vaccines.

Immunizations of Adolescents

Percentage of adults that turned 13 years old that had the meningococcal, Tdap, and HPV vaccines.

Well-Child Visits in the 3rd, 4th, 5th and 6th Years of Life

Percentage of children ages 3 to 6 that had one or more well-child visits with a PCP during the measurement year.

Prenatal & Postpartum Care

Percentage of deliveries of live births between November 6 of the year prior to the measurement year and November 5 of the measurement year that had a postpartum visit on or between 21 and 56 days after delivery

Prevention/Early Detection – Mental Health Conditions

Screening for Clinical Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow up plan is documented on the date of the positive screen

Prevention/Early Detection – Substance Abuse Disorder (SUD) Conditions

Cigarette Smoking Prevalence

Percentage of Medicaid members ages 13 and older who currently smoke cigarettes or use other tobacco products

Alcohol and Drug Misuse: Screening, Brief Intervention and Referral for Treatment (SBIRT)

Percentage of patients ages 12 years and older who have had a qualifying outpatient visit or home visit during the measurement year with one or more screening, brief intervention, and referral to treatment services

Prevention/Early Detection – Oral Health

Members Receiving Preventive Dental Services, ages 1-5 (kindergarten readiness) and 6-14

Percentage of enrolled children ages 1-5 (kindergarten readiness) and 6-14 who received a preventive dental service during the measurement year

Oral Evaluation for Adults with Diabetes

Percentage of adult CCO members identified as having diabetes who received at least one dental service within the reporting year

Prevention/Early Detection – All Conditions

Mental, Physical and Oral Health Assessment Within 60 Days for Children in DHS Custody

Percentage of children ages 0-17 who received a physical health assessment, children ages 1-17 who received a dental health assessment, and children ages 4-17 who received a mental health assessment within 60 days of the state notifying CCOs that the children were placed into custody with the Department of Human Services (foster care)

Physical Health Conditions - Chronic Conditions and Special Health Needs

Comprehensive Diabetes Care

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period

Substance Abuse Disorder (SUD) - Chronic Disease and Special Health Needs

Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment

Percentage of adolescent and adult patients with a new episode of alcohol or other drug (AOD) dependence who (1) initiated treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter or partial hospitalization within 14 days of the diagnosis and (2) who initiated treatment and who had two or more additional services with a diagnosis of AOD within 34 days of the initiation visit

Acute, Episodic and Procedural Care

Disparity Measure: Emergency Department Utilization among Members with Mental Illness

Number of ED visits per 1,000 member months for adult members enrolled within the organization who are identified as having experienced mental illness