Jackson County Health and Human Services (JCHHS) continues to strive to provide public services that protect and promote the health and well-being of County residents.
With the passage of the Healthcare Transformation bill in 2011 came newly prescribed models of care that are patient-centered and team focused. The expectation is improved coordination of services between primary care, mental health, dental, and alcohol and drug treatment providers with a focus on prevention, chronic illness management, and person-centered care. Coordinated Care Organizations (CCOs) now contract with the state to manage funding of care for the Oregon Health Plan - Medicaid population and have defined the goal of the Triple Aim: improving access; improving outcomes; and reducing costs. Funding for services is now based on measures and outcomes.
Changes to the Affordable Care Act enabled more individuals to be eligible for the Oregon Health Plan. Nearly 16,000 individuals enrolled during the period of November 2013 through April 2014. This exceeded the expected 15,100 newly covered lives over a two year period. As of September 1st, nearly 60,000 Jackson County residents (out of 208,000) have OHP as their insurance benefit.
We are embracing these changes and utilizing this opportunity to enhance our service program and delivery system. It is more important now, than ever, to collaborate with partnering agencies and maximize and pool our resources. We are working with several agency partners and the CCOs to develop an integrated Primary Care and Behavioral Health Care Clinic with the objective of defragmenting the system and improving outcomes for our Serious and Persistent Mentally Ill (SPMI) population. To further this goal, we are embedding a Mental Health Therapist/staff in our Developmental Disabilities program, at the State Child Welfare office, Kids Unlimited Charter School, and at Community Justice.
JCHHS was previously spread across several campuses and buildings creating barriers or silos in our system. In January of 2015, Jackson County Mental Health, Public Health, Administration, Developmental Disabilities, and several agency/community partners moved to a single campus that has been designed to optimize efficient and effective service delivery, increase collaboration within HHS and with external service providers and, ultimately, improve experiences and outcomes for those accessing our services. Services are grouped in clusters where natural linkages occur for the provision of coordinated, integrated, and comprehensive care that utilizes and naturally inspires a multidisciplinary team approach. One agency partner, La Clinica, was awarded a New Point of Access Primary Care Clinic grant that allows them to be sited within the new facility. This clinic provides primary care and dental services to an additional 3,500 clients in our community. Other partner agencies in the new facility include Health Care Coalition of Southern Oregon, HIV Alliance, Living Opportunities, Families for Community, and Oregon Pain Advisors and Pain Resiliency Program. Additional partnerships and hoteling of staff will occur in the future. Those discussions have included: Self Sufficiency & Child Welfare, Housing Authority, and ACCESS, just to name a few. Our goal is to not simply be co-housed but to become more integrated with those community partners and agencies with whom we have common customers that utilize our shared services. We will continue to work closely with our other partners throughout the community. The assessments of our community partners and the process of improved collaboration are both a dynamic and evolving process.
This is an exciting time; a time of great change and challenge and we are thankful for this opportunity.