2012-115-Resolution Recorded 4/2/2012DESCH
TES COUNTY OFFICIAL
UBLANKENSHIP, COUNTY CLERK
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COMMISSIONERS' JOURNAL 04��2�2Q12 8:23;22 AM
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Deschutes County Clerk
Certificate Page
Central OmgQn Health
Counc
■ Tammy Baney,
Council Chair,
Commissioner,
Deschutes County
Jim Diegel,
Vice Chair,
President and Chief
Executive Officer,
St. Charles Health
System
• Mike Ahern,
Commissioner,
Jefferson County
■ Ben Fahlgren,
Commissioner,
Crook County
■ Chuck Frazier,
Citizen
Representative
■ Linda McCoy,
Citizen
Representative
■ Stephen Mann, DO
Board President,
Central Oregon
Independent
Practice Association
• Dan Stevens, Senior
Vice President of
Government
Programs,
PacificSounce Health
Plans
( 1,f,11t1"�11 C)regoll
,akH"e,,alth
(_"( 111(' 11
Resolution
March 8, 2012
Whereas the cost of health care in Oregon is not sustainable and places
the health of our population, the viability of our health care system and
the economic future of our region and State at great risk;
Whereas the Oregon Health Policy Board HB 3650 Implementation
Proposal and Federal Accountable Care Act documents a dramatic
increase in health cost in Oregon from $3 billion in 2011 to $11 billion by
2019, including the need to serve an estimated 50 percent increase in
Medicaid covered lives;
Whereas the health and economic future of Central Oregon as a region
and our communities hinges on a unified and innovative effort to
improve the health of our residents, transform our health care system
and reduce the costs of health care to individuals, employers and the
State and Federal government;
Whereas integration and effectiveness of our population health efforts
and behavioral, physical and dental resources and services are critical to
better health, better care and lower cost;
Whereas recent Oregon legislation provides a framework to guide our
efforts including the legislation to form the Central Oregon Health
Council (SB 204, 2011), to develop and implement Coordinated Care
Organizations (HB 3650, 2011 and SB 1580, 2012), develop and
implement Health Insurance Exchanges (SB 99, 2011 and HB 4164,
2012) and develop the Early Learning Council (HB 4165, 2012);
Whereas it is the mission of the Central Oregon Health Council (Council),
a legal entity created by SB 204, to transform the health of our region's
residents, making Central Oregon the healthiest region in the nation.
The Council intends to create community alignment in pursuit of better
health, better care and lower cost;
Whereas health disparity, the lack of health coverage and preventative
care for thousands of low income people in our region and the critical
need for a strong safety net system of social, public safety and health
services must be addressed and enhanced in a unified way as part of our
work;
OC -2012-169
Whereas the Council has established and intends to work within seven guiding principles (attached);
Now therefore, it is resolved that the Council serves as the governing body for Central Oregon's
Coordinated Care Organization (CCO). This governance role will include approval of the CCO
application, adoption of CCO policies, determination of CCO investment priorities and initiatives,
adoption of the regional Health Improvement Plan, adoption of the framework for integration of public
health, physical health, behavioral health, oral health and long term care programs and services and
other governance responsibilities as defined by the Oregon Health Authority or the Council, with
unanimous approval of the Council;
Be it also resolved that PacificSource Community Solutions submit the CCO application for Central
Oregon on behalf of the Council and assume, delegate or purchase operational responsibilities as the
regional CCO and that the Council assist PacificSource with this application process in any way
possible;
Be it also resolved that the Council will maintain the Advisory Council created in SB 204 as a technical
advisory group, and other Councils or structures that may be determined by the Council.
Be it also resolved that the Central Oregon Health Board as a statutory 190 organization formed by
Crook, Deschutes and Jefferson counties operate within the Council and CCO transformation guidance,
unify the health and safety net responsibilities of county governments, fulfill Oregon assigned mental
health and public health authority roles efficiently and effectively, manage State indigent, County and
OHP resources in a complementary manner and provide transformation support in the areas of
behavioral health, public health, early learning council and other safety net services; and
Be it finally resolved that the Council may develop a legal entity to assume responsibility for the CCO
in Central Oregon.
By action of the Central Oregon Health Council, arch S 20j12
X
Tammy Banw, Deschutqg County Ji i gtdfl, St. Charles Health System
Council Chair Council Vice Chair
Included by reference: Council Guiding Principles:
1. Creation of an efficient organization that facilitates the highest level of community engagement, coordination,
collaboration and alignment to the COHC Vision.
2. Assurance of financial sustainability, both within the organization and among the programs and initiatives it
supports.
3. Reinvestment of shared savings is essential.
4. High levels of transparency and accountability, both among the organizations directly participating and with the
community at large.
S. Flexibility and responsiveness to local, state and federal health reform efforts.
6. Pursuit of outcomes -based decision making principles regarding priorities, projects and investments, including
the use of best practices where applicable. Strict monitoring to determine the effectiveness of programs,
projects and interventions.
7. Orientation toward whole person health, ensuring health outcomes are optimized and including integration of
physical, behavioral, dental health delivery systems and the engagement with public health and social services.