The OHLC Best Practice Committee is chartered to recommend and execute community and/or statewide evidence based best practice strategies.
These best practice strategies are aimed at improving quality, increasing value, promoting appropriate utilization and enhancing provider satisfaction. Work considered will be areas of high variation where applying evidence or best practices can support waste elimination, improve quality or reduce harm to the patient.
The Best Practice Committee is comprised of representatives from Oregon medical groups, hospitals, health systems, health plans, state agencies, and professional associations. BPC workgroups are comprised of key stakeholders and subject matter experts from these organizations.
- Build on best practices already existing within the health care system or being considered for implementation by health plans or health systems and have or can readily gain the broad support of providers to achieve a new community standard.
- Achieve improved quality, increased value, appropriate utilization and enhanced provider satisfaction using evidence based best practices.
- Clearly identify and measure outcomes.
- Consider alternative payment methodologies or benefit designs to support implementation.
- Report progress to the Council on a regular basis.
The Best Practice Committee works with CCOs across the state to leverage efforts that support transformation across all market segments, as well as evaluating and recommending support for other non-OHLC community and statewide efforts to accomplish the same goals.
Opioid Prescribing Reduction –
The purpose of the Opioid Prescribing Reduction Workgroup is to develop policies, procedures and recommendations for payment and benefit methodology that support the reduction of opioid prescribing in Oregon. This includes the development and dissemination of opioid prescribing guidelines, promotion of practices outlined in the Oregon Opioid Recommended Practices checklist, and support of pain education for providers and patients.
The purpose of the Reducing Ineffective Care Workgroup is to identify and implement collaborative strategies for reducing healthcare waste. This includes providing guidance to the development and dissemination of reports aimed at assessing overuse and developing recommendations for consistent payment and benefit methodology across health plans for identified low value health care services.
Prior Authorization – Advanced Imaging Workgroup -
The Advanced Imaging Prior Authorization workgroup’s purpose is to partner with payers and providers to identify and prioritize opportunities for improving prior authorization processes to reduce provider burden, improve outcomes and increase patient satisfaction.
Advanced Care Planning