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Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
Judy Mohr Peterson
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Judy Mohr Peterson

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  • Sometimes public health can be siloed in their efforts (reflective of their varied funding streams). Use community assessments to help create a Systems-level approach.
  • Transcript

    • 1. Oregon Medicaid & Vital Records Session #10 Judy Mohr Peterson Oregon Office of Medical Assistance Programs Conference for Community Health Assessment Seattle, WA Sept. 20-22, 2006
    • 2. Oregon - Landscape
      • Demographics:
        • Population of 3.5 million – majority on I-5 corridor with wide expanses of rural to frontier areas
        • Well over 80% White
        • Hispanics largest & fastest growing racial-ethnic minority
    • 3. Medicaid: Oregon Health Plan
      • In Oregon:
        • 650,000 people covered in a year
        • 13% of population, including adults not traditionally covered by Medicaid programs
        • 20% of children
        • 38% of all births
      • Oregon Health Plan: Prioritized list of health conditions and treatments with a priority and heavy focus on preventive services
      • Focus on managed care as delivery system
        • Over 80% of all populations including disabled, seniors and special needs children are in managed care
    • 4. Oregonazation
      • Both part of same agency, Department of Human Services
      • History of collaboration
      • Medicaid program has one staff person to promote prevention services; Public Health has staff person to work with “Health Systems” like managed care organizations.
    • 5. Oregon Medicaid/Vital Statistics Connections
      • Death certificate matching
        • Remove from Medicaid rolls
        • Leading causes of mortality
        • Unintentional injuries for Medicaid population vs. general population
    • 6. Oregon Medicaid/Vital Statistics Connections
      • Birth Certificate Data
        • Performance measures
          • Percent of births covered by the OHP vs. Self-pay
          • Receipt of prenatal care in 1st trimester
          • Smoking rates for pregnant women
    • 7. Oregon Medicaid/Vital Statistics Connections
      • Matching w/ Birth Certificate Data
        • Birth Certificate data accuracy regarding Payer type (Medicaid)
        • Immunization Initiation
          • Relationship between delayed immunization and insurance status of mother and/or child at birth
          • Looked for trends of OHP coverage or not by hospital
          • No trends by hospital found. Targeted interventions to caseworkers, outreach workers instead
    • 8. Oregon Medicaid/Vital Statistics Connections
      • Assessment of Prenatal care
        • Prenatal care in Oregon for Undocumented women
          • Labor and delivery covered, but prenatal care is not (Citizen Alien Waived Emergency Medical)
          • 50% of foreign-born Mexican mothers did not receive adequate prenatal care regardless of whether with full Medicaid benefits or not (Kotelchuck measure)
        • Adequacy of Prenatal Care
          • Kotelchuck measure: Timeliness of initiation & #s of visits
          • Apply to managed care plans
          • Design interventions with each managed care plan based on assessing area of concern (too few visits or started too late into pregnancy)
    • 9. Hints for Public Health Working with Medicaid
      • Limited resources – focus on high prevalence and or high cost conditions that have clinical effective interventions
    • 10. Contact Info
      • Judy Mohr Peterson, Ph.D.
      • Manager, Analysis & Evaluation Unit
      • Office of Medical Assistance Programs
      • Dept. of Human Services
      • 500 Summer St. NE; E-35
      • Salem, OR 97371
      • Ph: 503 945-6929
      • Judy. mohr - peterson @state.or.us

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