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6

Medicine in Oregon

Bryan Boehringer

CEO and Executive Vice President

Oregon Medical Association

bryan@theOMA.org

QUICK, WHAT’S THE WEATHER

like two

states over? What’s the score of the game?

And what were those dinner ingredients I

needed to pick up on the way home?

Living in today’s world of instant access to

information has a lot of benefits.

But our ready access to news can also be

dispiriting. Not a week goes by without

a news alert about acts of violence across

the globe. And far too often, we later

learn that addressing mental health

concerns proactively could have prevented

heartbreak.

Whatever the specific causes, it's hard to

ignore that in this state and country, there

are still far too many people who can't

access necessary mental health services.

Through the OMA’s town halls, focus

groups and surveys, our members have

communicated to us that improving

coordination of, and access to, mental and

behavioral care is a top priority for this

association. Many have found themselves

in the tough situation of having a patient

who needs mental health services but

having no resources to provide.

The final report for CCO metrics in

Oregon for 2015 is out, and the results

continue to show that investments in

better coordination of care have resulted

in increased access to prevention services

for Oregonians, with a simultaneous

decrease in the use of emergency rooms

Mental Health:

A Top Priority

and other high-cost care. While better

coordination has improved outcomes on

the physical health side, we continue to

seek integration of behavioral health.

Given some of health care's most vexing

problems, like funding and care for

behavioral health issues, the OMA is

trying to focus on solutions rather than

highlighting past problems. Appropriate

care for behavioral and mental health

still reigns as one of the industry's most

challenging issues.

It hasn't been for a lack of effort.

The legislature has made additional

investments in behavioral health, the

Oregon Health Authority has created

a Behavioral Health Collaborative to

improve cross-agency collaboration

and health outcomes, and local law

enforcement works to improve their

recognition of individuals with mental

illness and ensuring that they respond

appropriately.

Again, there are choices we make every

day that can help shine a light on the

need for better care, even something as

simple as understanding the damage we

do when we call a person “crazy” or “nuts”

or “mentally ill,” rather than respectfully

(and empathetically) noting they may have

a mental illness.

No one is untouched by the impact of

mental illness.

Again, thank you for your membership.