Medical Assistance

ORS 414.578
Community health improvement plan


A community health improvement plan adopted by a coordinated care organization and its community advisory council in accordance with ORS 414.577 (Community health assessment and adoption of community health improvement plan) shall include a component for addressing the health of children and youth in the areas served by the coordinated care organization including, to the extent practicable, a strategy and a plan for:


Working with programs developed by the Early Learning Council, Early Learning Hubs, the Youth Development Council and the school health providers in the region; and


Coordinating the effective and efficient delivery of health care to children and adolescents in the community.


A community health improvement plan must be based on research, including research into adverse childhood experiences, and must identify funding sources and additional funding necessary to address the health needs of children and adolescents in the community and to meet the goals of the plan. The plan must also:


Evaluate the adequacy of the existing school-based health resources including school-based health centers and school nurses to meet the specific pediatric and adolescent health care needs in the community;


Make recommendations to improve the school-based health center and school nurse system, including the addition or improvement of electronic medical records and billing systems;


Take into consideration whether integration of school-based health centers with the larger health system or system of community clinics would further advance the goals of the plan;


Improve the integration of all services provided to meet the needs of children, adolescents and families;


Focus on primary care, behavioral health and oral health; and


Address promotion of health and prevention and early intervention in the treatment of children and adolescents.


A coordinated care organization shall involve in the development of its community health improvement plan, school-based health centers, school nurses, school mental health providers and individuals representing:


Programs developed by the Early Learning Council and Early Learning Hubs;


Programs developed by the Youth Development Council in the region;


The Healthy Start Family Support Services program in the region;


The Health Care for All Oregon Children program and other medical assistance programs;


Relief nurseries in the region;


Community health centers;


Oral health care providers;


Community mental health providers;


Administrators of county health department programs that offer preventive health services to children;


Hospitals in the region; and


Other appropriate child and adolescent health program administrators.


The Oregon Health Authority may provide incentive grants to coordinated care organizations for the purpose of contracting with individuals or organizations to help coordinate integration strategies identified in the community health improvement plan adopted by the community advisory council. The authority may also provide funds to coordinated care organizations to improve systems of services that will promote the implementation of the plan.


Each coordinated care organization shall report to the authority, in the form and manner prescribed by the authority, on the progress of the integration strategies and implementation of the plan for working with the programs developed by the Early Learning Council, Early Learning Hubs, the Youth Development Council and school health care providers in the region, as part of the development and implementation of the community health improvement plan. The authority shall compile the information biennially and report the information to the Legislative Assembly by December 31 of each even-numbered year. [Formerly 414.629]
Note: 414.578 (Community health improvement plan) was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 414 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.


Last accessed
Jun. 26, 2021