Children's Health Alliance

 

Five CHA Practices Achieve Highest Medical Home Rating

Only seven practices in Oregon have achieved the state’s highest medical home rating; five of those are independent pediatric practices
 
(Portland, Ore.) – May 31, 2016 – What does healthcare transformation really mean? What does high quality healthcare look like? Since 2011 Oregon’s Patient-Centered Primary Care Home Program (PCPCH) has facilitated changes in the way care is delivered at more than 600 primary care practices in Oregon. In 2014 the PCPCH Program released a new set of standards, called Tier 3 STAR, to recognize exceptional practices that have truly transformed into advanced medical homes. To date, only seven practices in Oregon have achieved the STAR criteria, which must be verified with an on-site audit by state officials.
 
At a time when people often lament that “private medical practice is dying,” it is noteworthy that all seven STAR practices are independent, and five of those are pediatric clinics and members of the Children’s Health Alliance and Children’s Health Foundation:
 
  • Childhood Health Associates of Salem
  • Metropolitan Pediatrics - Gresham
  • Metropolitan Pediatrics - Happy Valley
  • Metropolitan Pediatrics - Northwest
  • Metropolitan Pediatrics – Westside
The Children’s Health Alliance and Foundation supports member practices through pioneering quality improvement programs and medical home support, transparent quality measurement and accountability, and progressive contracting and strategic alignment.
 
A STAR pediatric practice is no ordinary primary care clinic. Over a period of many years, they’ve adopted innovative ways to provide better care for their patients and families including integrated psychologists, same-day, evening and weekend appointments, enhanced care coordination, and a family advisory committee to provide input on quality improvement efforts. Metropolitan Pediatrics was the first pediatric group to achieve the STAR criteria, and recently Childhood Health Associates of Salem also received the state’s highest quality rating for their unrelenting pursuit of primary care excellence.
 
Oregon’s STAR practices are leading the way toward the Triple Aim of improved health, improved patient experience, and controlled total cost of care. As independent practices, these pediatricians are investing in building comprehensive care teams and adopting new population health management technology, often with little or no extra payment from health insurers. In fact, a new report to the Oregon legislature revealed that prominent commercial carriers spend, on average, only 9% of their total medical spending on primary care. The state’s Medicaid insurers, Coordinated Care Organizations, spend 13% on average.
 
The report was mandated by senate bill 231, passed in the 2015 legislative session, which also required the Oregon Health Authority to convene a primary care payment reform collaborative to develop recommendations for directing greater resources to ensure Oregon has a strong primary care infrastructure2. All eyes are on this influential group, which meets monthly through September.
 
About the Children’s Health Alliance and Children’s Health Foundation
The Children’s Health Alliance (CHA) is a clinically integrated network of independent primary care Pediatricians with a culture of improvement aiming to raise the quality of care for children and families. The Alliance includes more than 100 pediatricians and their care teams at 21 patient-centered primary care homes across five counties in the Portland/Vancouver and Salem metropolitan areas. Approximately 150,000 children and families are cared for at CHA member practices. For more information, please visit www.ch‐alliance.org. For more information about CHA’s quality programs, please visit the Children’s Health Foundation at www.ch‐foundation.org.
 
Three Star Designation
 
1 Primary Care Spending in Oregon: A Report to the Oregon State Legislature. February 2016. Last accessed 5/25/16 at: http://www.oregon.gov/oha/pcpch/Documents/SB231_Primary-Care-Spending-in-Oregon-Report-to-the-Legislature.pdf