Thursday, April 25, 2024
4/25/2024
Oregon- Promoting Integration of Primary and Behavioral Health Care (PIPBHC) Abstract For more than two decades Oregon has been on the forefront of the health system transformation, and the recently implemented Certified Community Behavioral Health Clinics (CCBHC) Demonstration Project has further strengthened Oregon’s position to move towards a more integrated model of care when it comes to providing services to individuals with serious mental illness, physical chronic conditions, and substance use disorder. The Promoting Integration of Primary and Behavioral Health Care grant will enable Oregon Health Authority (OHA) to build upon existing and emerging health system infrastructure that have been central to the state’s transformation progress to date to integrate behavioral and physical health care delivery in behavioral health settings. OHA also proposes to leverage its experience with Patient Centered Primary Care Home Model, and the Federally Qualified Health Center (FQHC) Alternative Payment Methodology Pilot. OHA proposes to collaborate with eight of its 12 CCBHC provider organizations, who in turn will partner with their respective FQHCs to integrate primary care into behavioral health settings. It is estimated that in one year period between 2014 and 2015, 4.7 percent of Oregonians, 18 and older, coped with a serious mental illness and 21 percent of all adults suffered from any mental illness. The CCBHC regions, which are based on HPSA regions, have a significantly higher proportion of individuals with serious mental illness, substance use disorder, and chronic conditions. Even though Oregon has made improvements over the last few years, there is significant work to be done, especially in rural and frontier regions, when it comes to accessing behavioral and physical healthcare to achieve total community wellness. Through the PIPBHC resources in the CCBHC provider organizations, OHA anticipates significantly strengthening its existing infrastructure and direct services by ensuring comprehensive whole person care to individuals whose primary contact with the health system is through behavioral health settings. By the end of the grant period, each of the participating CCBHC provider organizations will be ready to meet Meaningful Use stage 2 criteria and will have a sustainability plan to keep primary care integrated within their behavioral health settings. 1
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
