Advisory Group

The Oregon Medical Home Advisory Group includes CDRC’s Key Partners in building community-based systems of care for CSHN. This group evolved from the Oregon Medical Home Task Force which was formed after the Title V Tri-Regional meeting in November, 1999. The Medical Home Task Force sponsored a number of activities such as presentation of the “Every Child Deserves a Medical Home” training in Portland, March, 2001; a survey of parents and primary care providers covering medical home concepts; and the application for funding of this project. The members agreed to become the project’s Advisory Group when funding was obtained.

Advisory Group Members:
Becky Adelmann,BS Family Voices adelmann@ohsu.edu
Sarojini Budden, MD OHSU/Pediatric Development msbudden@pacifier.com
Carol Camfield, RN Office of Medical Director carol.l.camfield@state.or.us
Janice Cockrell, MD Emanuel Hospital & Pediatric Rehabilitation jcockrel@lhs.org
J. Allen Johnson, MD Regence BCBS HMO OR jajohns@regence.com
Mark Merkens, MD CDRC/OHSU merkensm@ohsu.edu
Carol Misrack, RN Office of Medical Director carol.misrack@state.or.us
Judy Mohr Peterson OMAP Judy.MOHR PETERSON@state.or.us
Brian Rogers, MD CDRC/OHSU rogersbr@ohsu.edu
Amy Rosenthal, MA Department of Human Services amy.rosenthal@state.or.us
Norma Jean Smith Providence Good Health smithn@providence.org
Sherry Spence Dept of Human Services sherry.spence@state.or.us
John Stull, MD Kaiser Center for Health Research stulljohn@chr.mts.kpnw.org
Thomas Turek, MD OMAP thomas.turek@state.or.us

Advisory Group Activities

The members of the Advisory Group have participated or will participate in three special activities all of which are related to the need to identify ongoing supports for care coordination and care management activities in the primary care office.

1. The first activity was to recommend a common definition of CSHN for use by state agencies, health plans and Medicaid. The Questionnaire for Identifying Children with Chronic Conditions–Revised (QuICCC-R) was recommended as the practice-level screen to identify CSHN, and Bob’s Levels of Support Scale (BLSS) was recommended as a complexity tool. The comprehensive list of ICD-9 codes compiled by Drs. Stull and Pearson was recommended as the systems-level tool to identify CSHN.

2. A sub-committee has just begun work on the second issue, care coordination. The sub-committee will recommend a common definition/description of care coordination and care management, identify current supports for these activities in Oregon, review approaches to improving reimbursement and compensation for care coordination in other states, and finally recommend a model or model(s) to improve the care management of CSHN in a medical home as part of a community-based system of care (to include identifying on-going fiscal support).

3. The third activity is to review the use of encounter data in the primary care office. The objective of this activity is to determine the need for a training program for primary care offices in the appropriate use of ICD-9 and billing codes in order to assure the appropriate and consistent use of these codes across practices. The accuracy and success of the first two activities of the Advisory Group will depend on this.