Children’s Health Complexity Data

Overview

Children’s health complexity uses system-level data to summarize medical and social complexity factors for children with Oregon Health Plan (OHP) and Children’s Health Insurance Plan (CHIP) coverage. Between 2019 and 2022, the Oregon Health Authority (OHA) produced reports using children’s health complexity data. These data were intended to support coordinated care organizations (CCOs), providers and communities in their efforts to equip all families with the resources they need for their children to thrive. 

For questions related to children’s health complexity, please contact HealthComplexity.Program@oha.oregon.gov.

For more background on this data project, please visit the Oregon Pediatric Improvement Partnership (OPIP) project page.

Resources

Using children’s health complexity data

CCOs can use children’s health complexity data to guide and support their efforts to engage communities and identify supports for families and children.

1. Use population-level findings regarding children’s health complexity to engage community-level partners and facilitate community conversations
   • Community conversations can surface child and family needs, identify community-level assets, and address capacity of services to serve children with health complexity.
   • For more information, OPIP has created guidance for engaging community level partners in conversations about children's health complexity.
2. Use health complexity data to develop models of care coordination and case management for children with various levels of health complexity
   • Data can be used to inform valuable centralized supports for children with health complexity.
3. Use children’s health complexity information to guide efforts with front-line health care providers
   • Examine aggregate population-level data by practice and by geographic regions to assess resources and health complexity management needs in the practice and/or in the community.
     

Children’s health complexity data reports

Children’s health complexity data and reports include children ages 0-20 enrolled in the Oregon Health Plan (OHP, Medicaid) and Children's Health Insurance Program (CHIP). The children’s health complexity data reports were produced by OHA in collaboration with OPIP and ODHS. The reports included:

• County reports
• CCO reports
• Statewide report
  

Past reports

View past reports on children's health complexity.