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Building Trusted Relationships
The Future of Health Care Oregon Association of Community Health Workers John A. Kitzhaber, M.D.
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The Oregon Health Plan
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Coordinated Care Organizations
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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
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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
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Three Areas of Focus Prevention Chronic disease management
End of life care
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Adverse Childhood Experiences (ACEs)
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Community Health Workers
A stable, culturally responsive community heath workforce that can build trusted relationships—especially with those experiencing the greatest health disparities.
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Chronic Disease
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Our Shared Mortality End Life Care
Care versus Cure
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The Road Ahead CCO 2.0
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Moral Courage ”…the one essential vital quality for those who seek to change a world that yields most painfully to change.” Robert F. Kennedy
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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
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The Social Determinants of Health
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The First 1000 Days
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Behavioral Health
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