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Projects
EVALUATION OF EMERGENCY DEPARTMENT UTILIZATION AMOUNG THE UNINSURED IN LANE COUNTY
Under a contract with the 100% Access Healthcare Initiative, HPRN conducts the annual acquisition and analysis of Emergency Department data for Lane County in partnership with the Oregon Health and Sciences University's Center for Policy and Research in Emergency Medicine. Metrics established are used annually to quantify improvements in access to healthcare and the return on community investment. HPRN organized, analyzed, reported and publicly presented the high level statistical data and results in a manner that is comprehendible and moreover actionable by various social and health service agencies. Results for 2005 - 2007 will be presented at the 2008 American Public Health Association National Conference in San Diego, CA. Click here for the 2005 - 2006 Executive Summary.
NEW! The 2005 - 2007 Executive Summary is now available! Click here to see Lane County ED utilization trends.
LAND USE POLICIES THAT IMPACT OBESITY PREVALENCE IN LANE COUNTY
HPRN developed an Obesity Prevention Toolkit (OPT) for Healthy Lane Neighborhoods in collaboration with the Lane Coalition for Healthy Active Youth, City of Eugene and Lane County Public Health that will be used to assess built environment factors and health indicators among Lane County neighborhoods. The OPT program includes strategies to assess and advocate for built environment change related to land use and social welfare policies. HPRN is conducting a comprehensive evaluation with aims to: 1) evaluate appropriateness and effectiveness of the toolkit strategies, 2) evaluate the steps and timeline of the advocacy agenda and 3) determine the feasibility, personnel requirements and financial resources required to operate the OPT program in future Lane County neighborhoods. The OPT pilot was funded by the Northwest Health Foundation's Physical Activity and Nutrition (PAN) grant program.
EFFECTIVENESS OF COMMUNITY HEALTH COLLABORATIVES IN IMPROVING ACCESS TO HEALTHCARE
Under a contract with the 100% Access Healthcare Initiative, HPRN participates in the development and implementation of the MAP pilot project. MAP is a coordinated system of care for uninsured Lane County residents that do not qualify for existing government programs and cannot afford commercial health insurance. HPRN organized and reported the high level data and results to the 100% Access Coalition, 2008 Oregon Public Health Association, 2008 Communities Joined in Action National Conference (Seattle, WA) and the 2008 American Public Health Association National Conference (San Diego, CA). Click here for more information about the MAP pilot project (prepared by the 100% Access Healthcare Initiative).
HPRN is currently completing the program evaluation for Project Access of Northwest Oregon and Washington (NOW). Project Access NOW coordinates the volunteer network of physicians in the four counties of the Portland Metropolitan Area
COMMUNITY DATABASES FOR CROSS-SECTOR CARE COORDINATION
HPRN independently designed and continues to manage a custom, HIPAA-compliant, web-based system for tracking and coordinating care for the uninsured (www.mapcard.org). The system allows for utilization trends and incurred costs to be evaluated. HPRN organized and reported the high level data and results to the 100% Access Coalition, 2008 Communities Joined in Action National Conference (Seattle, WA) and the 2008 American Public Health Association National Conference (San Diego, CA).
IMPACT OF MALPRACTICE LITIGATION ON LANE COUNTY MEDICAL PROVIDERS
With support and in partnership with the Lane County Medical Society and Northwest Physician's Mutual Insurance Company, HPRN is investigating the impact of malpractice litigation on the practice patterns of Lane County Medical Society members. Results will be used to design a tailored program and recommend policy changes that may be applicable to medical societies in Oregon and beyond.
CHARACTERISTICS OF ANTIPSYCHOTIC MEDICATION USE AMOUNG A DUAL-ELIGIBLE (MEDICARE-MEDICAID) POPULATION
In Oregon, second generation antipsychotic medication accounted for approximately 30% of total Medicaid drug spending in 2005-2006, placing Oregon highest amongst 49 states in this analysis (Polinski, 07). The purpose of this study was to examine the characteristics of antipsychotic use in a dual-eligible community health plan population including: demographics, disease frequency, mental health and non-mental health co-morbidities, as well as highlight potential polypharmacy issues for antipsychotic use and across various mental health drug classes. Click here for an Executive Summary. The antipsychotic study was funded by Agate Resources, Inc. and completed in partnership with the Lane Individual Practice Association and Trillium Community Health Plan.
SURVEY DEVELOPMENT AND EVALUATION
HPRN has partnered with multiple community agencies to develop, administer and/or analyze surveys. HPRN synthesizes and analyzes survey responses administered through various media including web-based surveys. Comprehensive reports, including actionable policy recommendations, are prepared. Key findings characterizing the nature and impact are presented at client and community meetings.
FACTORS AFFECTING DIABETIC EDUCATION OUTCOMES
The Lane Individual Practice Association (Lipa), Lane County's Oregon Health Plan (Medicaid) administrator, contracted with HPRN to evaluate factors affecting the outcomes of formal diabetic education sessions for LIPA's Medicaid enrollees six months after intervention. Results impact reimbursement and eligibility for diabetic education programs.
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