A happy family showing a non-binary parent, a male parent and two young children

Healthy Families

Raising a family is a wonderful experience and can also be hard. Families with young children know the child care system is in crisis. Many cannot afford high-quality day care and preschools. Often, these services are not even available. There are other families who take on caregiving for older adults or family members with disabilities. They often do this without pay or enough support.

Oregon has a bold approach to deliver health care. Even so, many families still face barriers when they try to access preventive services.

We need to ease the challenges families face. This will ensure they are supported and thriving. Strategies will help families to:

  • Build on family strengths
  • Help families feel more supported
  • Improve skills in communication
  • Help families access needed services

Our approach:

  • An open book

    Definition

    Evidence-based means a practice that has been tested through science.

    Culturally responsive is the ability of individuals and systems to respond respectfully to people of all cultures, in a way that accepts the value and preserves the dignity of individuals, families and communities.

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    Why This Matters

    Oregon is one of the first states to offer nurse home visits for all families with a newborn. This strategy aims to support implementation of the 2019 law through continued funding, training and staffing.

  • measure

    How we measure change

    Percentage of families enrolled in the Family Connects home visiting program following birth of a baby.*

* Family Connects

  • An open book

    Definition

    Culturally responsive is the ability of individuals and systems to respond respectfully to people of all cultures, in a way that accepts the value and preserves the dignity of individuals, families and communities.

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    Why This Matters

    Families with young children know the child care system is in crisis. Many cannot afford child care. Often these services are not even available.

    There are other families who take on caregiving for older adults or for family members with disabilities. Caregivers are often paid poorly, if at all. They face stressors that have a negative impact on health.  

    The purpose of this strategy is to promote policies that help families and provide support for caregiving.

  • measure

    How we measure change

    Percentage of children aged 0-5 with access to a childcare slot.*

* Early Learning Map of Oregon

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    Definition

    Family resiliency is the family’s ability to withstand and rebound from life challenges.

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    Why This Matters

    This strategy seeks to:

    • Build on family strengths
    • Help families feel closer and more supported
    • Improve skills in communication

    As family dynamics can be very different depending on the family’s culture, these trainings should take cultural differences into account.

  • measure

    How we measure change

    Percentage of parents coping very well with the daily demands of raising children.*

* National Survey of Children’s Health

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    Definition

    Health care payment reform means changing the way health care is paid for to improve the quality of care a person receives.

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    Why This Matters

    It is important to determine ways to use health care dollars to support and expand crucial social programs. This is due to the growing knowledge that health outcomes improve when people’s basic needs are met.  Some of these needs include food, housing and transportation.

    This strategy aims to find funding opportunities in the health care system for these services.

  • measure

    How we measure change

    Average CCO spending on health related services per member per month.*

* Oregon Health Authority – Annual CCO Reporting and Spending Analysis

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    Definition

    Health literacy is the degree to which people can access and understand health information needed to make decisions about their health.

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    Why This Matters

    Patients need to understand information about:

    • Their health conditions
    • Their medications
    • How to prevent other illness or disease

    Providers need to support patients in health literacy. There are many health literacy trainings. But not all are offered online, on demand and at times when providers can access them. Trainings need to be tailored to different types of providers. They also need to include information that is specific to diverse cultures.

  • measure

    How we measure change

    Percentage of patients who said their doctor explained things in a way that was easy to understand.*

* Consumer Assessment of Healthcare Providers and Systems Survey

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    Definition

    Preventive services are healthcare services that prevent illness or disease. 

    Evidence-based means a practice that has been tested through science.

    Promising practice means a practice that reports positive outcomes but may not yet have been studied through science.

     

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    Why This Matters

    The focus of prevention is to prevent illness rather than treat symptoms. To be healthy, families need access to services that prevent disease throughout life.

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    How we measure change

    Percentage of children aged 3-6 who had a well child visit with a primary care provider in the past year.

*CCO incentive metrics report

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    Why This Matters

    Supporting people to choose when and if they want to have children is part of helping families be healthy. Also, sexually transmitted infections are very common. People sometimes do not access these needed services because of stigma or discomfort with their provider.

    The goal of this strategy is to help people feel more comfortable accessing services. It is also to help providers be more comfortable talking about sexual health issues with their patients.

  • measure

    How we measure change

    Gonorrhea incidence State Health Indicator – Gonorrhea cases per 100,000 people in Oregon.*

* Oregon Health Authority – Public Health Division

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    Definition

    Culturally responsive is the ability of individuals and systems to respond respectfully to people of all cultures, in a way that accepts the value and preserves the dignity of individuals, families and communities.

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    Why This Matters

    Babies born to those who receive prenatal care are less likely to have low birth weight or to be born prematurely.* Giving new parents support is also important after the birth of a baby.

    The goal of this strategy is to give support early in pregnancy and after the birth to ensure the best possible outcomes for parents and babies.

  • measure

    How we measure change

    Percentage of women who had a timely postpartum visit.**

* https://www.oregon.gov/oha/PH/ABOUT/Documents/sha/state-health-assessment-full-report.pdf  page 132

 

**Informe de mediciones de incentivos de la CCO

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    Why This Matters

    It can be complex and confusing to figure out how to enroll in Medicare. SHIBA is a program that helps older adults understand and enroll in Medicare and Medicare Advantage Plans. It is key that this important resource be offered statewide. 

  • measure

    How we measure change

    Percentage of contacts with “hard to reach” Medicare beneficiaries who are low income, rural, or non-native English speaking.*

* Division of Consumer and Business Services