March 22, 2019

Media contacts

Delia Hernandez, Oregon Health Authority, 503-422-7179, phd.communications@dhsoha.state.or.us

Julie Sullivan-Springhetti, Multnomah County, 503-709-9858, inghetti@multco.us">julie.sullivan-springhetti@multco.us

Tim Heider, Clackamas County, 503-742-5911, theider@clackamas.us

Katrina Rothenberger, Marion County, 503-588-5621, othenberger@co.marion.or.us">krothenberger@co.marion.or.us

Health officials report two new cases of measles from Marion County exposure

A Multnomah County and a Clackamas County resident have been diagnosed with the measles.

The two cases stem from an outbreak that began in Marion County, where two people have tested positive for measles. This outbreak is unrelated to a large outbreak that began in Clark County, Wash., in January.

The Clackamas County resident had previously visited a Salem missionary training school, Youth With a Mission, during the same time as an Illinois resident who was contagious with measles.

“The spread of this disease in Oregon is a sobering reminder of how this virus can travel,” said Ann Thomas, MD, public health physician at OHA. “So, if you haven’t already, make sure all adults and children in your household are up-to-date on vaccines.”

Exposures

The Oregon residents visited the following locations while contagious with measles:

• Kaiser Sunnyside Medical Center, Clackamas, March 12, 11:45 p.m. through March 13, 5 a.m.
• Revolution Foursquare Church, Portland, March 16, 11 a.m. to 1:30 p.m. and March 17, 9:30 a.m. to 2 p.m.
• Von Ebert Brewing – Glendoveer location, Portland, March 17, 1:45-4:30 p.m.
• Kaiser Rockwood Medical Center, Portland, March 19, 12:30-3 p.m.

Find a complete list of all Oregon public exposures on the OHA website at healthoregon.org/measles.

Who to call

Public health officials urge people not to arrive unannounced at a medical office, if:

1. They are not immune AND
2. They have been exposed within the previous 21 days AND
3. They have symptoms of measles (such as fever, cough, red eyes or rash).

First, call a health care provider or urgent care center by telephone to create an entry plan to avoid exposing others in waiting rooms.

People with questions about measles infection or the measles vaccine should call their primary care provider or their county health department.

• Multnomah County Public Health: 503-988-3406
• Clackamas County Public Health: 503-655-8411
• Marion County Public Health: 503-588-5621
• Clark County Public Health: 564-397-8182

About measles

Measles poses the highest risk to unvaccinated pregnant women, infants under 12 months of age, and people with weakened immune systems.

The symptoms of measles start with a fever, cough, runny nose and red eyes, followed by a rash that usually begins on the face and spreads to the rest of the body.

Common complications of measles include ear infection, lung infection, and diarrhea. Swelling of the brain is a rare but much more serious complication.

After someone contracts measles, illness develops in about two weeks, but people can be contagious up to four days before they get a rash.

Measles is a highly contagious virus that spreads through the air after a person with measles coughs or sneezes. People are contagious with measles as soon as they feel sick until up to four days after the rash starts. The virus can also linger in the air for up to two hours after someone who is infectious has left the area.

You are considered immune to measles if ANY of the following apply:

• You were born before 1957.
• Your physician has diagnosed you with measles.
• A blood test proves that you are immune.
• You have had two doses of measles vaccine.

The measles vaccine, known as MMR, is safe and very effective. Almost everyone with two MMR vaccines has long-term protection against measles.

For more information on measles for the public, please visit the OHA measles webpage or see answers to common questions about measles in English and other languages here: Winter 2019 Measles Outbreak: Frequently Asked Questions.

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March 21, 2019

Media contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us

Tri-County Regional Behavioral Health Collaborative Medical Community meets March 22

What: A public meeting of the Tri-County Regional Behavioral Health Collaborative Medical Community.

Agenda: Learning session presented by OHSU’s IMPACT team to understand key elements necessary for successful integration of recovery peers within a medical setting.

When: March 22, 10 a.m. to noon.

Where: Portland State Office Building, Room 1A, 800 NE Oregon Street, Portland.

Details: The Tri-County Regional Behavioral Health Collaborative brings together multiple sectors across the Portland metro area to collectively address and prevent behavioral health challenges. Its focus is on peer-delivered services and substance use disorder activities that can make an impact in 12 to 24 months.

For more information, see the RBHC website at https://www.oregon.gov/OHA/HSD/BHP/Pages/Regional-Collaboratives.aspx

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

•         Sign language and spoken language interpreters

•         Written materials in other languages

•         Braille

•         Large print

•         Audio and other formats

If you need help or have questions, please contact Summer Boslaugh at 503-753-9688, 711 TTY or email .h.boslaugh@dhsoha.state.or.us">summer.h.boslaugh@dhsoha.state.or.us.

March 18, 2019

Media contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us

Tri-County Regional Behavioral Health Collaborative Youth and Families Workgroup meets March 22

What: A public meeting of the Tri-County Regional Behavioral Health Collaborative Youth and Families Workgroup.

Agenda: Update on OHA statewide work related to peer-delivered services; brainstorming and discussion of workgroup goals and strategies; identification of peers and peer groups that can provide expertise and input on tentative goals.

When: March 22, 9-11 a.m.

Where: Portland State Office Building Room 1A, 800 NE Oregon Street, Portland.

Details: The Tri-County Regional Behavioral Health Collaborative brings together multiple sectors across the Portland metro area to collectively address and prevent behavioral health challenges. Its focus is on peer-delivered services and substance use disorder activities that can make an impact in 12 to 24 months.

For more information, see the RBHC website at https://www.oregon.gov/OHA/HSD/BHP/Pages/Regional-Collaboratives.aspx

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

•           Sign language and spoken language interpreters

•           Written materials in other languages

•           Braille

•           Large print

•           Audio and other formats

If you need help or have questions, please contact Summer Boslaugh at 503-753-9688, 711 TTY or email .h.boslaugh@dhsoha.state.or.us">summer.h.boslaugh@dhsoha.state.or.us at least 48 hours before the meeting.

March 15, 2019

Contact: Jonathan Modie, 971-239-6483, phd.communications@dhsoha.state.or.us

Oregon Cannabis Commission meets by conference call March 21

What: The regular public meeting of the Oregon Cannabis Commission (OCC).

Agenda: Refresher: Robert's Rules of Order; overview of data collection; patient survey update; previous public comment review; OCC mission statement; legislative session update; commission next steps: working within framework; statute rules and report assignments; public comment.

When: March 21, 1-4 p.m.

Where: By conference call only at 877-848-7030, access code 753428.

Background: The Oregon Cannabis Commission was established in the 2017 legislative session through HB 2198. The commission consists of the state health officer or designee and an eight-member panel appointed by the Governor and confirmed by the Senate. The commission is tasked with determining a possible framework for future governance of the Oregon Medical Marijuana Program, steps to address research on cannabis in areas of public health policy and public safety policy, agronomic and horticultural best practices, and medical and pharmacopoeia best practices. Along with this, they advise the Oregon Health Authority and the Oregon Liquor Control Commission with respect to the statutes governing medical and retail cannabis. For more information, please visit the commission's website at http://www.healthoregon.org/cannabiscommission.

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Everyone has a right to know about and use the Oregon Health Authority (OHA) Programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written material in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Shannon McFadden at 971-673-3181, 711 TTY or shannon.m.mcfadden@dhsoha.state.or.us at least 48 hours before the meeting.

March 15, 2019

Contact: Jonathan Modie, 971-239-6483, PHD.Communications@dhsoha.state.or.us

Healthcare-Associated Infections Advisory Committee meets March 20

What: The quarterly public meeting of the Healthcare-Associated Infections Advisory Committee (HAIAC).

Agenda: Logistics update; general HAI Program updates; multi-drug resistant organisms (MDRO) toolkit: content and implementation; antimicrobial stewardship in long-term care facilities (LTCFs); OHA National Healthcare Safety Network (NHSN) reporting requirement review; discussion on topics for future meetings and reports; and public comment.

When: March 20, 1-3 p.m., with a 10-minute public comment period at 2:55 p.m.; comments are limited to five minutes.

Where: Portland State Office Building Room 1B, 800 NE Oregon St., Portland. A webinar is available at https://attendee.gotowebinar.com/register/7176971287507746817.

OHA provides oversight and support for the mandatory reporting of health care-associated infections in Oregon via the HAI Program. The HAI Program convenes its advisory board on a quarterly basis. The purpose of the board is to make recommendations to OHA regarding infection measures reportable by health care facilities.

Meeting materials including the agenda are available on the advisory board's webpage at https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/HAI/PREVENTION/Pages/meetings.aspx.

Program contact: Roza Tammer, 971-673-1074, oza.p.tammer@dhsoha.state.or.us">roza.p.tammer@dhsoha.state.or.us

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Everyone has a right to know about and use OHA programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written material in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Diane Roy at 971-673-1093, 711 TTY or oy@dhsoha.state.or.us">diane.m.roy@dhsoha.state.or.us at least 48 hours before the meeting.

March 15, 2019

Contacts: Allyson Hagen, 503-449-6457, allyson.hagen@dhsoha.state.or.us (media inquiries)

Daphne Peck, 503-373-1985, c.info@dhsoha.state.or.us">herc.info@dhsoha.state.or.us (meeting information or accommodation)

HERC Evidence-based Guidelines Subcommittee meets April 4 in Wilsonville

What: A public meeting of the Health Evidence Review Commission’s Evidence-based Guidelines Subcommittee.

When: April 4, 2-5 p.m.

Where: Clackamas Community College Wilsonville Training Center, Room 210, 29353 SW Town Center Loop E, Wilsonville. The public also may attend via a listen-only conference line at 888-204-5984, participant code 801373; or by webinar. Register for the webinar at https://attendee.gotowebinar.com/rt/8469821036548113923.

Agenda includes: Review the draft coverage guidance on temporary percutaneous mechanical support devices after being referred back to the subcommittee by HERC; review public comments on the draft coverage guidance on community health workers for patients with chronic disease; review the evidence for the draft coverage guidance on planned out-of-hospital birth.

For more information about the meeting, visit the committee’s website at https://www.oregon.gov/oha/HPA/DSI-HERC/Pages/Meetings-Public.aspx. The meeting agenda and materials will be available one week before the meeting.

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Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Daphne Peck at 503-373-1985, 711 TTY or c.info@dhsoha.state.or.us">herc.info@dhsoha.state.or.us at least 48 hours before the event. Written comments are also welcome at c.info@dhsoha.state.or.us">herc.info@dhsoha.state.or.us.

March 15, 2019

Media contact: Delia Hernández, 503-422-7174, phd.communications@dhsoha.state.or.us

Conference of Local Health Officials meets March 21 in Portland and Salem

What: The monthly public meeting of the Conference of Local Health Officials (CLHO).

When: March 21, 9:30-11:30 a.m.

Where: Portland State Office Building, Room 1E, 800 NE Oregon Street, Portland; and Local Government Center, 1201 Court Street NE, Salem. No conference call option is available for the public.

Agenda: Public Health Advisory Board (PHAB) Incentives and Funding Committee update; active transportation public health metric data; Tobacco Prevention and Education Program (TPEP) funding; Alcohol and Drug Prevention and Education Program (ADPEP) program element; Sexually Transmitted Infections program element funding, Foodborne Illness Prevention Program remittance factor; OHA updates.

The agenda is subject to change. It will be posted with meeting materials on the Conference of Local Health Officials website at http://www.oregonclho.org/ before the meeting.

Background: The Conference of Local Health Officials provides recommendations to the Oregon Health Authority on the foundational capabilities and programs and any other public health program or activity under ORS 431.147. (ORS 431.340)

Program contact: Danna Drum, 503-957-8869, um@dhsoha.state.or.us">danna.k.drum@dhsoha.state.or.us

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Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Danna Drum at 971-673-1223, 711 TTY or um@dhsoha.state.or.us">danna.k.drum@dhsoha.state.or.us at least 48 hours before the meeting.

March 14, 2019

FOR IMMEDIATE RELEASE

Contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us

OHA director pauses review of chronic pain benefit changes in Medicaid program pending independent review, in light of potential conflicts of interest by staff

SALEM, Ore. – Oregon Health Authority Director Patrick Allen asked a key policy committee to table review of proposed changes in Medicaid benefits for Oregon Health Plan (OHP) members with chronic pain, so the agency could seek independent review of the recommendation, after potential conflicts of interest surfaced on the part of a contracted medical expert who was involved in formulating the proposal.

In recent days, agency leadership became aware the contracted expert is receiving compensation for her role in a long-term study on the effects of previous changes relating to back pain benefits for OHP members.

In response to this new information, Allen released the following statement:

Objectivity, integrity and transparency are the foundation of Oregon’s unique health evidence review process. This week I received information that a medical consultant to the Health Evidence Review Commission (HERC) is a paid researcher on a study evaluating the impact of back pain benefit changes previously authorized by the HERC. As a result, I have requested the HERC to remove a chronic pain management proposal from today’s agenda to allow OHA time to seek independent review to ensure no potential conflicts of interest compromised the way the chronic pain benefit proposal was developed for the HERC’s consideration. In addition, I’ve asked Dr. Dana Hargunani, OHA’s chief medical officer, to conduct a top-to-bottom review of the conflict of interest disclosure process for all staff, contractors and members associated with the HERC.

It is vital for the Oregon Health Plan to cover safe and effective therapies to help people reduce and manage chronic pain. Yet it is also vital that Oregonians have full confidence in the decisions the HERC makes to assess the effectiveness of health care procedures. The independent review will ensure the HERC can consider this proposal knowing that the outcome fully upholds the committee’s long-standing commitment to making decisions that are based on the best available scientific evidence and the highest ethical standards.

Today the Health Evidence Review Commission (and its Value-based Benefits Subcommittee) was scheduled to deliberate on a proposal that would have allowed coverage of pain management benefits for people on OHP suffering chronic pain from five conditions: chronic pain due to trauma, other chronic procedural pain, other chronic pain, chronic pain syndrome, and fibromyalgia. None of these conditions are currently covered by OHP.

The proposal would have expanded access to prescription opioids for four of these conditions. In addition, it would have added coverage for alternative therapies such as acupuncture, physical therapy and cognitive behavioral therapy. In addition, the proposal would cover supportive, individualized opioid tapers if the patient has fibromyalgia or their opioid prescribing is not aligned with the statewide opioid prescribing guidelines.

Dr. Catherine Livingston is a family medicine physician who serves as a contracted medical consultant to the HERC. In addition, she is a co-investigator on two studies evaluating the impact of HERC’s previous decision to expand pain management coverage for people suffering from back pain.

Dr. Livingston serves as a paid consultant for the Patient-Centered Outcomes Research Institute (PCORI), in collaboration with the Kaiser Center for Health Research and OCHIN, which is a three-year large-scale study that compares the impact of Oregon’s back pain benefits in its Medicaid program to benefits for back pain in California. She is also a paid co-investigator for a study funded by the National Institute of Drug Abuse (NIDA), in which she has teamed with researchers from Oregon Health & Science University and Health Insight to examine the impact of Oregon’s back pain policy changes.

These studies were not under HERC consideration at today’s scheduled vote on the chronic pain benefit recommendation.

About the HERC

The Health Evidence Review Commission reviews medical evidence in order to prioritize health spending in the Oregon Health Plan and to promote evidence-based medical practice statewide through comparative effectiveness reports, including coverage guidances and multisector interventions, health technology assessments and evidence-based practice guidelines.

The commission consists of 13 governor-appointed and senate-confirmed volunteer members including five physician representatives (one of whom must be a doctor of osteopathy and another a hospital representative), a dentist, a public health nurse, a behavioral health representative, a provider of complementary and alternative medicine, a retail pharmacist, an insurance industry representative and two consumer representatives.

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March 13, 2019

Contact: Allyson Hagen, 503-449-6457, allyson.hagen@dhsoha.state.or.us (media inquiries)

Pete Edlund, 503-559-2216, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us (meeting information or accommodation)

All Payer All Claims Rules Advisory Committee meets March 21 in Portland

What: A public meeting of the Oregon Health Authority’s All Payer All Claims Rules Advisory Committee.

When: March 21, 1:30-3 p.m.

Where: Five Oak Building, Suite 850 Abraham Room, 421 SW Oak St., Portland. The public also can join remotely through a webinar and listen-only conference line. Register for the webinar at https://attendee.gotowebinar.com/register/5647465951473315339. Call the conference line at 877-810-9415, access code 1773452#.

Agenda: The OHA Office of Health Analytics is preparing to amend the All Payer All Claims (APAC) data reporting program rules in OAR 409-025. OHA will convene a rules advisory committee (RAC) to provide feedback on the rule changes from content experts and those who are likely to be affected by the rule. Following the RAC meeting, OHA will consider the committee’s recommendations and the OHA executive staff will approve text for submission to the Oregon Secretary of State for public hearing and comment.

For more information about the All Payer All Claims reporting program, see the program's webpage at https://www.oregon.gov/oha/hpa/analytics/Pages/All-Payer-All-Claims.aspx.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Pete Edlund at 503-559-2216, 711 TTY, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us, at least 48 hours before the meeting.

March 11, 2019

Contact: Allyson Hagen, 503-449-6457, allyson.hagen@dhsoha.state.or.us (media inquiries)

Pete Edlund, 503-559-2216, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us (meeting information or accommodation)

All Payer All Claims Technical Advisory Group meets March 14 in Portland

What: A regular public meeting of the Oregon Health Authority’s All Payer All Claims Technical Advisory Group.

When: March 14, 2-4 p.m.

Where: Five Oak Building, Suite 850 Abraham Room, 421 SW Oak St., Portland. The public also can join remotely through a webinar and listen-only conference line. Register for the webinar at https://attendee.gotowebinar.com/register/2239280069326082306 and call the conference line at 877-810-9415, access code 1773452#.

Agenda: Introduction and meeting goals; general updates; 2019 and 2020 administrative rule final draft edits; memo accompanying rule – Discussion Document #4; timeline for administrative rule changes; public comments.

For more information, please visit the committee's website at https://www.oregon.gov/oha/HPA/ANALYTICS/Pages/All-Payer-All-Claims-TAG.aspx.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Pete Edlund at 503-559-2216, 711 TTY, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us, at least 48 hours before the meeting.

March 11, 2019

Media contact: Rebeka Gipson-King, 503-945-7141, ebeka.gipson-king@dhsoha.state.or.us">rebeka.gipson-king@dhsoha.state.or.us

Program contact: Jacee Vangestel, 503-945-2852, jacee.m.vangestel@dhsoha.state.or.us

Oregon State Hospital Advisory Board meets March 21 in Salem

What: The regular public meeting of the Oregon State Hospital Advisory Board.

When: March 21,1-5 p.m.

Where: Oregon State Hospital Callan Conference Room, 2600 Center Street NE, Salem. The public can also attend via toll-free conference line at 888-278-0296, participant code 4294893.

Agenda: After the public comment period, topics will include a legislative update, Aid and Assist population management, an update from the Peer Advisory Council and Diversity Committee, as well as a .370 update.

Details: The Oregon State Hospital Advisory Board advises the superintendent, Oregon Health Authority director and legislators on issues related to the safety, security and care of patients. Members include consumers, providers, advocates, legislators, community members, consumer families and OSH union members.

For more information, see the board’s website at https://www.oregon.gov/oha/OSH/Pages/OSHAB.aspx.

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Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Jacee Vangestel at

503-945-2852, 711 TTY or jacee.m.vangestel@dhsoha.state.or.us at least 48 hours before the meeting.

March 11, 2019

Media contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us

Tri-County Regional Behavioral Health Collaborative Communities of Color Workgroup meets March 15 in Portland

What: The second public meeting of the Tri-County Regional Behavioral Health Collaborative Communities of Color Workgroup.

When: March 15, 10 a.m. to noon.

Where: Portland State Office Building Room 1D, 800 NE Oregon Street, Portland.

Agenda: Discuss and agree on shared language; discuss vision.

Details: The Tri-County Regional Behavioral Health Collaborative brings together multiple sectors across the Portland metro area to collectively address and prevent behavioral health challenges. Its focus is on peer-delivered services and substance use disorder activities that can make an impact in 12 to 24 months.

For more information, see the RBHC website at https://www.oregon.gov/OHA/HSD/BHP/Pages/Regional-Collaboratives.aspx

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

•         Sign language and spoken language interpreters

•         Written materials in other languages

•         Braille

•         Large print

•         Audio and other formats

If you need help or have questions, please contact Summer Boslaugh at 503-753-9688, 711 TTY or email .h.boslaugh@dhsoha.state.or.us">summer.h.boslaugh@dhsoha.state.or.us at least 48 hours before the meeting.

March 11, 2019

Contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us

Oregon Health Authority appoints new behavioral health director

Steve Allen is a national policy expert with a track record of state-level reforms

Salem, Ore. – The Oregon Health Authority announced today that it has appointed Steve Allen, a skilled clinician, national expert on behavioral health policy and state government reform, and experienced behavioral health administrator, as the new state behavioral health director. He will begin work April 29.

Steve Allen will fill the role created in July 2018, when OHA reorganized its behavioral health program. Mike Morris had been serving in the role on an interim basis until he retired in February.

Steve Allen’s current position is senior policy advisor at the Council of State Governments, where for the past four years he has worked with 10 states, including Oregon, to develop strategies to improve behavioral health services and outcomes for individuals involved in the criminal justice system. It was through this work that Steve Allen and OHA Director Patrick Allen crossed paths in 2018.

"He knows how to look under the hood of a state’s behavioral health system, diagnose its weaknesses and set a strategic road map to ultimately improve the accessibility and effectiveness of a state's behavioral health system," OHA Director Allen said. "I have full confidence that Steve has the experience and leadership qualities that we need to build a person-centered and recovery-oriented behavioral health system."

Steve Allen also has first-hand clinical experience and understands the operational rigor necessary to operate successful organizations. Before his work with the Council of State Governments, Steve Allen served two years in the Minnesota Department of Human Services as the executive director of mental health and substance abuse treatment services, where he oversaw the operational functions of 19 transitional, residential and acute behavioral health facilities. He was responsible for strategic direction as well as building and maintaining relationships with key stakeholders and advocates.

In his current capacity at the Council of State Governments, Steve Allen has become familiar with Oregon’s behavioral health stakeholders and advocates and has visited many communities across the state.

"I have been impressed by the level of dedication, passion and sophistication of Oregon’s behavioral health stakeholders and advocates," Steve Allen said. "I am excited for the opportunity to influence statewide strategy to transform Oregon’s behavioral health system and better support recovery for Oregonians."

Rachel Solotaroff, MD, president and CEO of Central City Concern, a federally qualified health center in Portland, said she is impressed by Steve Allen’s broad experience as a leader and clinician.

"Steve’s experience in complex behavioral health issues is precisely what we need right now in Oregon," Solotaroff said. "His background not only as a systems-builder, but also as a deeply empathic clinician, allows him to address the intersection of behavioral health with other crucial issues, such as safe and affordable housing and meaningful employment. I look forward to the transformative effect he will have on human-centered systems of care, for those who need it most."

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March 8, 2019

Contact: Jonathan Modie, 971-246-9139, phd.communications@dhsoha.state.or.us

State Health Improvement priorities updated with community input

2020 plan takes on social determinants of health, such as racism, housing

The next State Health Improvement Plan (SHIP) will take on social factors that can affect people’s health, including exposure to racism, childhood trauma, living-wage jobs, food security and access to health care.

The PartnerSHIP, a steering committee responsible for developing the 2020-2024 SHIP, determined the priorities during a meeting Feb. 12. They include:

• Institutional bias: This is defined as the systematic distribution of resources, power and opportunity in society to the benefit of people who are white and the exclusion of people of color, people with disabilities, people with low income and people who identify as LGBTQ+. This can have a significant effect on health.
• Adversity, trauma and toxic stress: These experiences can include abuse and neglect, living in poverty, incarceration, family separation, and exposure to racism and discrimination. These events have a lifelong effect on health and are correlated with things like substance use, suicide and even some cancers.
• Economic drivers of health, such as housing, living wage, food insecurity and transportation: Poverty is a strong predictor of poor health. Although Oregon’s economy is growing, many are struggling to get out of poverty despite having a job due to the high cost of living or raising a family. People living in poverty experience higher rates of premature death and increased rates of homelessness, mental distress and food insecurity.
• Access to equitable preventive health care: Despite an increasing number of people with health insurance, many are challenged to get to a health care provider or see a dentist due to provider shortages, transportation barriers, health care costs, or because they don’t feel comfortable with their provider due to language or other cultural difference.
• Behavioral health, including mental health and substance use: Oregon has one of the highest rates of mental illness in the country. Tobacco and substance use are the first and third leading causes of death, respectively, in Oregon. Mental distress can lead to lower quality of life, unemployment and increased rates of suicide. Use of alcohol, opioids, methamphetamine and other substances have a significant impact on many families.

According to the State Health Assessment that OHA published in July 2018, Oregon "lags far behind many other states in measures of the social determinants of health, which are social factors that influence health." Oregon’s low standing in education, housing affordability and food insecurity have contributed to a decline in the state’s relative standing in national scorecards of health measures.

The 2018 United Health Foundation’s Annual Health Rankings found that Oregon has had the largest decrease in the country in national ranking. Oregon is the 21st healthiest state in the country, down from eighth in 2011. Persistent health inequities among people of color, people with disabilities, people with low income, and people who identify as LGBTQ+ remain high.

"The 2020-2024 SHIP priorities reflect where we need to focus our efforts and respond to the statewide health challenges uncovered in the State Health Assessment," said Katrina Hedberg, MD, state health officer and epidemiologist at the OHA Public Health Division. "They take a more upstream approach to improve the health of everyone in Oregon in a more equitable way."

The SHIP priorities were chosen from a list of health issues identified in the 2018 State Health Assessment. The priorities were further refined by feedback from more than 2,500 people who participated in online surveys and other efforts led by community-based organizations.

Subcommittees of the PartnerSHIP steering committee will soon begin meeting to identify strategies and metrics to measure progress. Strategies will address upstream changes needed in policies, systems and environments, and may include recommendations such as implicit bias training, providing paid family leave, increasing use of traditional health workers and raising the price of alcohol.

PartnerSHIP member Clarice Amorim Freitas, coordinator of the Linn Benton Health Equity Alliance, a program of Willamette Neighborhood Housing Services, said it’s important that the new SHIP priorities support health equity.

"Equity is not equality," she said. "We need to acknowledge that not all communities across our state have historically had access to the same resources, and we must understand that additional focus must be given to disadvantaged communities in order to ensure that everyone has the opportunity to be healthy from now on."

Given that much of this work will be carried out through the Community Health Improvement Plans implemented by local public health, hospitals and coordinated care organizations (CCOs), community members are also encouraged to learn more about the plans and priorities in their local area, which are available through the interactive map at https://www.arcgis.com/apps/MapSeries/index.html?appid=8568988df599486f9801edbff9433936

More information about the SHIP is at available on the SHIP webpage at http://www.healthoregon.org/2020ship. Sign up for the SHIP  email list to receive updates and information about future opportunities to engage in the development of this plan.

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March 8, 2019

Contact: Allyson Hagen, 503-449-6457, allyson.hagen@state.or.us

Oregon Health Authority launches survey on insurance coverage and health care access

The Oregon Health Authority is asking Oregonians to participate in the 2019 Oregon Health Insurance Survey (OHIS). Since 2011 the biennial survey has provided important information on health insurance coverage, access to care, and the cost of health care for Oregonians. OHA aims to reach more than 8,000 families through the survey between February and June.

"Oregon has dramatically reduced the uninsured rate, but too many people still remain uninsured, underinsured, and confused about their coverage options," said Patrick Allen, Director of the Oregon Health Authority. "This survey helps us better understand the gaps in health coverage and where we need to focus our attention to achieve better health, better care and lower costs for all Oregonians."

Studies have shown health coverage is linked to more access to health care, better health and reduced mortality. When individuals and families lack health coverage, they can be exposed to medical debt and bankruptcy, forced to rely on hospital emergency departments for health care, and unable to obtain regular treatment for chronic conditions and serious illness (such as cancer).

In 2017 Oregon’s uninsured rate stood at 6 percent, and about one in 10 Oregonians experienced a gap in coverage during the year. More than eight in 10 children and adults under age 65 who lacked coverage were eligible for the Oregon Health Plan (OHP) or financial assistance to reduce premium costs. Hispanic Oregonians constituted the racial/ethnic group with the highest rate of uninsurance (15 percent). Asians had the lowest percentage of uninsured (2 percent).

There are about 243,000 uninsured people in Oregon. If 80 percent of them made use of available OHP or marketplace subsidies to gain health insurance coverage, the number of Oregonians who are uninsured would drop to 34,000.

The information provided by Oregon families through the OHIS helps communities and stakeholders understand changes in the health care system and their impact on individuals and families. Survey results will be used to inform policymakers and programs that help reduce disparities in health care coverage, access and cost. The survey is conducted in English and Spanish.

Frequently asked questions about the 2019 OHIS survey can be found on OHA’s website:

• English FAQs.
• Spanish FAQs.

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March 7, 2019

Contact: Pete Edlund, 503-931-8873, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us (meeting information or accommodation)

Health Plan Quality Metrics Committee meets March 14

What: The regular public meeting of the Oregon Health Authority’s CCO Metrics and Scoring Committee.

When: March 14, 1-3:30 p.m.

Where: Clackamas Community College Wilsonville Training Center Room 210, 29353 SW Town Center, Loop E., Wilsonville. The public also may join remotely through a webinar at https://attendee.gotowebinar.com/rt/5441985918617611266 and listen-only conference line at 877-336-1828, access code 9657836.

Agenda: Welcome, general updates; public comment 1:15-1:25; Health Equity Measure proposal; final review and approval: 2020 measure menu; legislative update: SB7 35; update on member renewal and recruitment; 2019-2020 committee work plan; adjourn.

For more information, please visit the committee's website at https://www.oregon.gov/oha/HPA/ANALYTICS/Pages/Quality-Metrics-Committee.aspx.

http://bit.ly/2Ca8RsW

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Pete Edlund at 503-931-8873, 711 TTY, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us, at least 48 hours before the meeting.

March 7, 2019

Contact: Pete Edlund, 503-931-8873, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us (meeting information or accommodation)

What: The regular public meeting of the Oregon Health Authority’s CCO Metrics and Scoring Committee.

When: March 15, 9 a.m. to noon.

Where: Clackamas Community College Wilsonville Training Center Room 210, 29353 SW Town Center, Loop E., Wilsonville. The public also may join remotely through a webinar at https://attendee.gotowebinar.com/rt/3895887851300669185 and listen-only conference line at 888-204-5984, access code 1277166.

Agenda: Welcome, consent agenda, and general updates; public testimony 9:20-9:30; presentation on State Health Improvement Plan priorities; committee update and input on obesity measure development; individual measure review (oral evaluation for adults with diabetes; dental sealants; developmental screening; kindergarten readiness; weight assessment, nutrition, and activity counseling); adjourn.

For more information, please visit the committee's website at https://www.oregon.gov/oha/HPA/ANALYTICS/Pages/Metrics-Scoring-Committee.aspx.

http://bit.ly/2IXZceQ

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Pete Edlund at 503-931-8873, 711 TTY, .m.edlund@dhsoha.state.or.us">peter.m.edlund@dhsoha.state.or.us, at least 48 hours before the meeting.

March 6, 2019

Contact: Delia Hernández, 503-422-7179, PHD.Communications@dhsoha.state.or.us

Public Health Advisory Board meets March 21

What: The regular public meeting of the Public Health Advisory Board.

When: March 21, 2-5 p.m. The meeting is open to the public. A public comment period will be held at the end of the meeting.

Where: Portland State Office Building Room 1B, 800 NE Oregon St., Portland; watch via webinar at https://register.gotowebinar.com/rt/4888122320415752707, or listen by telephone at  877-873-8017, access code 767068#.

Agenda: Updates on public health modernization and OHA’s health policy and health system work; updates from PHAB subcommittees; take action on 2019 Accountability Metrics Report; take action on plan for distributing flat funding.

Oregon’s Public Health Advisory Board provides guidance for Oregon’s governmental public health system and oversees the implementation of public health modernization and Oregon’s State Health Improvement Plan.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

•         Sign language and spoken language interpreters

•         Written materials in other languages

•         Braille

•         Large print

•         Audio and other formats

If you need help or have questions, please contact Kati Moseley at 971-673-2284, 711 TTY or ina.moseley@dhsoha.state.or.us">katarina.moseley@dhsoha.state.or.us at least 48 hours before the meeting.

March 6, 2019

Media contact: Delia Hernández, 503-422-7179, phd.communications@dhsoha.state.or.us

Public Health Advisory Board Incentives and Funding Subcommittee meets March 12 by webinar

What: A public meeting of the Public Health Advisory Board's Incentives and Funding Subcommittee.

When: March 12, 1-2 p.m. A public comment period is offered at the end of the meeting.

Where: By webinar at https://register.gotowebinar.com/register/3531740595390230274 and by conference call at 877-873-8017, access code 767068#.

Agenda: Approve February 12 meeting minutes; discuss increased funding through tobacco tax revenue; finalize recommendations for distributing funds if funding is at the same level for 2019-2021.

Background: Oregon’s Public Health Advisory Board provides guidance for Oregon’s governmental public health system and oversees the implementation of public health modernization and Oregon’s State Health Improvement Plan. The Incentives and Funding Subcommittee develops recommendations for the board's consideration.

For more information, see the board's website.

Program contact: Sara Beaudrault, 971-645-5766, a.beaudrault@dhsoha.state.or.us">sara.beaudrault@dhsoha.state.or.us

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Sara Beaudrault at 971-645-5766, 711 TTY, a.beaudrault@dhsoha.state.or.us">sara.beaudrault@dhsoha.state.or.us, at least 48 hours before the meeting.

March 5, 2019

Contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us (media inquiries)

Lisa Bui, 971-673-3397, ootg.info@dhsoha.state.or.us (meeting information or accommodation)

Oregon Opioid Taper Guidelines Taskforce meets March 12 in Portland

What: A public meeting of the Oregon Opioid Taper Guidelines Taskforce.

When: March 12 1:30-4 p.m.

Where: Portland State Office Building Room 1B, 800 NE Oregon Street, Portland. The public can also attend by remote teleconference at 888-278-0296, access code 843163. 

Agenda: Welcome, taskforce purpose and outcomes, agenda review, introductions, background on formation of the Taskforce, principles for guidelines, key components for inclusion in the guidelines, next steps and summary.

For more information and to see the task force roster, please visit the Opioid Prescribing Guidelines Task Force website at https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SUBSTANCEUSE/OPIOIDS/Pages/task-force.aspx.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Lisa Bui at 971-673-3397, 711 TTY, ootg.info@dhsoha.state.or.us, at least 48 hours before the meeting.

March 5, 2019

Contact: Jonathan Modie, 971-239-6483, phd.communications@state.or.us

Immunization Policy Advisory Team meets March 7 in Portland

What: The quarterly public meeting of the Immunization Policy Advisory Team.

Agenda: Agenda will be available at the meeting or via email by request from imm.info@state.or.us three days before the meeting date.

When: March 7, noon to 2 p.m.

Where: Portland State Office Building Room 1D, 800 NE Oregon St., Portland. A conference call line is available at 866-377-3315, access code 9971040. A public comment period will be provided toward the beginning of the meeting for about 10 to 12 minutes. The public comment period is for comments only; the team will not entertain questions from the public. Those who want to provide public comment must provide notice by 4 p.m. the day prior to the meeting by calling 971-673-0300

 or emailing imm.info@state.or.us. Please provide the following information: Name, whether commenting in person or telephone, and If by phone, the phone number you will be using. Additional information regarding public comments:

• Comment time will be allocated depending on the number of requests received.
• The minimum time allowed per request will be two minutes for a total of six slots.
• The meeting facilitator will provide time to each pre-arranged comment by name. For those in the room, please move to the designated chair so that those on the phone can hear you. For those on the conference call line, the call coordinator will un-mute your line allowing you to provide your comment.
• Please stay within your allotted time so that everyone has time to comment within the allowed period. The public comment period will not be extended.

The Oregon Immunization Program works to reduce the incidence of vaccine-preventable disease in Oregon. Staff members seek to identify and promote evidence-based public health best practices to the public and health care professionals throughout the state. For more information, please visit the program's webpage at https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/VACCINESIMMUNIZATION/Pages/index.aspx.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Aaron Dunn at 971-673-0318, 711 TTY or imm.info@dhsoha.state.or.us at least 48 hours before the meeting.

March 4, 2019

Contact: Allyson Hagen, OHA External Relations, 503-449-6457, allyson.hagen@dhsoha.state.or.us

Health Care Workforce Committee meets March 6 in Wilsonville

What: A public meeting of the Health Care Workforce Committee.

When: March 6, 9:30 a.m. to 12:45 p.m. Public testimony will be heard at 12:15-12:30 p.m.

Where: Clackamas Community College Wilsonville Training Center, Room 210, 29353 SW Town Center Loop E, Wilsonville.

Attendees can also follow the presentation by webinar and listen to discussion by phone. Conference line: 877-411-9748, access code 730407.

Agenda: Approval of January meeting summary, OHPB and OHA updates, discussion of Committee Charter for 2019-21, update on Health Care Provider Incentive Fund recommendations, possible vote on behavioral health policy matters, continued Farley Center discussion, HRSA Oral Health Workforce grant update, OHA legislative update, public comment.

Agenda, Materials and Webinar information will be sent to members, and posted on the committee's website prior to the meeting.

###

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Janet Reves at 503-373-7897, 711 TTY, eves@dhsoha.state.or.us">janet.reves@dhsoha.state.or.us at least 48 hours before the meeting.

Spanish / Español version here

March 1, 2019

Media contacts:

Katrina Rothenberger, Marion County, 503-588-5621, othenberger@co.marion.or.us">krothenberger@co.marion.or.us

Kate Willson, Multnomah County, 503-410-4524, kate.willson@multco.us

Delia Hernández, OHA, 503-422-7179, phd.communications@state.or.us

Traveler with measles may have exposed others at Portland International Airport, Salem

PORTLAND, Ore.— An individual contagious with measles visited Portland International Airport as well as locations in Marion County. This case is unrelated to the measles outbreak in Clark County, Wash., and unrelated to a recent report of measles in Multnomah County.

The individual, a resident of Illinois, recently spent time in countries where measles is common and has not received immunizations against the virus.

The Oregon Health Authority is working with Marion and Multnomah counties to notify individuals of their potential exposure and help them take steps to prevent exposing others should they become ill.

Most Oregonians have been vaccinated against measles and their risk is low. Risk may be higher for unvaccinated persons who may have been exposed at one of these locations during these times only:

• Youth With a Mission, 7085 Battle Creek Road SE, Salem, Feb. 18, 7 a.m. through Feb. 22, 1 p.m.
• Get Air Trampoline Park, 3910 Rickey St. SE, Salem, Feb. 21, 1:45-5 p.m.
• Red Robin, 831 Lancaster Dr. NE, Salem, Feb. 21, 12:30-3:30 p.m.
• Portland International Airport: Southwest Airlines check-in area and Concourse C, Feb. 22, 12:30-5 p.m.

Who to call

Oregon public health officials urge people to avoid immediately going to a medical office, if:

1. They are not immune AND
2. They have been exposed AND
3. They have symptoms

Instead, call a health care provider or urgent care center by telephone to create an entry plan to avoid exposing others in waiting rooms.

Marion County has established a call center for general questions related to this measles case. Anyone who has questions about public exposures should call 503-588-5621. The call center hours are Friday, March 1, noon to 8 p.m.; Saturday, March 2, 9 a.m. to 5 p.m.; and Sunday, March 3, 9 a.m. to 4 p.m.

Anyone with questions about measles infection or the measles vaccine should call their primary care provider or their county health department. For more information on measles for the public, please visit the OHA measles webpage or call the public health departments in the following counties:

• Marion County Public Health Division: 503-588-5621.
• Multnomah County Public Health: 503-988-3406.

About measles

Measles poses the highest risk to unvaccinated pregnant women, infants under 12 months of age, and people with weakened immune systems.

The symptoms of measles start with a fever, cough, runny nose and red eyes, followed by a rash that usually begins on the face and spreads to the rest of the body.

Common complications of measles include ear infection, lung infection, and diarrhea. Swelling of the brain is a rare but much more serious complication.

After someone contracts measles, illness develops in about two weeks, but people can be contagious days before they know they’re sick.

Measles is a highly contagious virus that spreads through the air after a person with measles coughs or sneezes. People are contagious with measles for four days before the rash appears and up to four days after the rash appears. The virus can also linger in the air for up to two hours after someone who is infectious has left.

A person is considered immune to measles if ANY of the following apply:

1. You were born before 1957.
2. Your physician has diagnosed you with measles.
3. A blood test proves that you are immune.
4. You have been fully vaccinated against measles (one dose for children 12 months through 3 years old, two doses in anyone 4 years and older).

# # #

February 27, 2019

Media contact: Saerom England, 971-239-6483, om.y.england@dhsoha.state.or.us">saerom.y.england@dhsoha.state.or.us

Tri-County Regional Behavioral Health Collaborative Core Leadership Team meets March 1 in Portland

What: The second meeting of the Tri-County Regional Behavioral Health Collaborative Core Leadership Team.

Agenda: Describe the Regional Behavioral Health Collaborative and its focus on peer-delivered services and substance use disorder; discuss the role of the workgroup; review opportunities, barriers and resources identified at the November 6, 2018, kickoff meeting.

When: March 1, 2019, 3-5 p.m.

Where: Portland State Office Building Room 1E, 800 NE Oregon Street, Portland.

The Tri-County Regional Behavioral Health Collaborative brings together multiple sectors across the Portland metro area to collectively address and prevent behavioral health challenges, with a focus on peer-delivered services and substance use disorder activities that can make an impact in 12 to 24 months.

For more information, see the RBHC website at https://www.oregon.gov/OHA/HSD/BHP/Pages/Regional-Collaboratives.aspx.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

•         Sign language and spoken language interpreters

•         Written materials in other languages

•         Braille

•         Large print

•         Audio and other formats

If you need help or have questions, please contact Summer Boslaugh at 503-753-9688, 711 TTY, or .h.boslaugh@dhsoha.state.or.us">summer.h.boslaugh@dhsoha.state.or.us at least 48 hours before the meeting.

Feb. 27, 2019

Contact: Allyson Hagen, 503-449-6457, allyson.hagen@dhsoha.state.or.us

Oregon Health Policy Board meets March 5 in Portland

What: The monthly meeting of the Oregon Health Policy Board

When: March 5, 8:30 a.m. to 12:00 p.m.

Where: Portland State Office Building; 800 NE Oregon St, Conf. Room 1E Portland, OR 97232

Members of the public can call in to listen by dialing 888-808-6929, participant code 915042#.

Agenda: welcome; minutes approval; liaison updates; OHA report; Children’s Health; Cost Benchmark update; public testimony; Legislative update; Transformation Center review.

For more information on the meeting, visit the board’s meeting page.

# # #

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

• Sign language and spoken language interpreters
• Written materials in other languages
• Braille
• Large print
• Audio and other formats

If you need help or have questions, please contact Jeff Scroggin at 541-999-6983, 711 TTY at least 48 hours before the meeting.