Oregon is unique in being one of the first states to negotiate an agreement, among all Medicaid managed care plans in the state, to make smoking intervention part of routine health care. The purpose of this project is to provide funds to track and evaluate statewide implementation of this policy change. This project was initiated by the Tobacco-Free Coalition of Oregon, which has been working in partnership with the Oregon Health Plan--the largest purchaser of managed care in Oregon--and the Oregon Health Division. Evaluation of this process will provide a unique picture of organizational factors that influence the integration of programs on a large scale. The goals of the evaluation are to: (1) identify organizational characteristics of plans and provider groups that both facilitate and impede adoption of guidelines; (2) select a subset of managed care organizations (MCOs) that represent diverse organizational structures, and collect more specific data from these organizations (including cost data) to better compare differences in implementation; (3) compare outcomes on the three chart audit measures conducted through the Oregon Health Plan with the equivalent HEDIS measures (e.g., do patients report more or less physician advice to quit than their charts indicate?); (4) compare these outcome measures to organizational factors (e.g., do you find more charting about assistance to quit in settings using prevention withholds or other financial incentives vs. those that do not?); and (5) compare the influence of managed care plans vs. the influence of provider networks on the implementation of guidelines.
Amount Awarded $332,185.00
Awarded on: 8/25/1998
Time frame: 9/1/1998 - 6/30/2004
Grant Number: 34190