Building Trusted Relationships The Future of Health Care Oregon Association of Community Health Workers John A. Kitzhaber, M.D.

The Oregon Health Plan

Coordinated Care Organizations

Policy of universal coverage for a defined benefit with the delivery system assuming financial risk and accountability for quality and outcomes within the framework of a fixed global budget indexed to a sustainable rate of growth

Four Elements of the Solution Universal coverage Defined benefit Delivery system assuming financial risk and accountability for quality and outcomes Global budget indexed to a sustainable rate of growth

Three Areas of Focus Prevention Chronic disease management End of life care

Adverse Childhood Experiences (ACEs)

Community Health Workers A stable, culturally responsive community heath workforce that can build trusted relationships—especially with those experiencing the greatest health disparities.

Chronic Disease

Our Shared Mortality End Life Care Care versus Cure

The Road Ahead CCO 2.0

Moral Courage ”…the one essential vital quality for those who seek to change a world that yields most painfully to change.” Robert F. Kennedy

Challenges (and Opportunities) Defining the appropriate role and scope of the CCOs in addressing the social determinants of health Doing a better job of integrating behavioral health into the care model More intentionally deploying community health workers

The Social Determinants of Health

The First 1000 Days

Behavioral Health