PROVIDER RESOURCES

Umpqua Health is committed to helping Douglas County doctors and healthcare providers deliver quality care to area families and individuals. Our goal is to make sure you have the tools you need to help patients achieve better health outcomes while managing costs.

From EMR support to the latest on contracting, we’re here to help you and your practice operate successfully.

QUESTIONS?

Contact Provider Relations: 541-957-3094; uhprovidernetwork@umpquahealth.com

PROVIDER NEWS

LATEST PROVIDER UPDATES

  • New Provider Portal Feature
    • Umpqua Health’s provider portal has a new feature that allows users to address gaps in real time and removes members from gap opportunities for a set period of time.Click here to learn more.
  • Transitional Care Support
    • Umpqua Health’s Transitional Care Clinic is here to see your recently discharged ATRIO and UHA patients on a limited basis when they can’t get in to see you. Our team will work to enhance outcomes and improve the health of patients at risk for readmission.Download our flyer to learn more.
  • CCO Incentive Metrics
    • Umpqua Health Alliance has met the benchmark or improvement targets on 14 of the 17 CCO incentive measures for calendar year 2017. UHA final metrics are available here.
  • Provider Newsletter
    • Click here to access the latest edition of Umpqua Health’s Provider Newsletter
    • Archived Umpqua Health’s Provider Newsletters can be found here

If you’d like to receive our provider newsletters, click here.

CIM Portal and Resources (Eligibility and Prior Authorizations)

The Community Integration Manager (CIM) is your tool for the following:

  • Submitting Prior Authorizations
  • Checking eligibility status
  • Monitoring claim status

CIM eliminates paperwork and faxing associated with the authorization process. If you have any questions about CIM or the Prior Authorization process, please email priorauthorizations@umpquahealth.com.

To view archived notices regarding the transition to PH TECH, click here.

OHP/UHA Member Services

If you’re a provider seeking information regarding your patient’s benefits, Umpqua Health is here to help you get the answers you need. Call us today. We’re happy to assist you.

Phone: (541) 229-4842
TTY: (541) 440-6304 | Toll Free TTY: (866) 672-1551

CME and Training Opportunities

Every month in the provider newsletter, we share information about upcoming CME and training opportunities. See below to learn more about some of these modules, programs and events:

Time-Sensitive Opportunities

  • Innovative Care for Behavioral Health and Substance Use Disorders: Payment, Data and System Strategies

This one-day event will offer peer-to-peer learning on how CCOs, primary care practices and specialty behavioral health organizations are integrating behavioral health. Topics will include the benefit of integration in reducing emergency department use amongst those with mental illness, effective use of data, and substance use disorder strategies.

When: October 30, 2019, 8 a.m.–4 p.m
Where: Salem Convention Center (tentative)
Audience: CCO behavioral health directors, CCO medical directors, primary care practices, CMHPs, behavioral health providers
Registration: Click here
Contact: Summer Boslaugh (summer.h.boslaugh@dhsoha.state.or.us, 503-753-9688), Transformation Analyst, OHA Transformation Center.

  • The Journey from NAS to NOWS (CME Available)

Event offerings:
October 2, 2019 6:00-8:00 pm
OR
October 3, 2019 8:00-10:00 am
Fees: Free of charge
Location:
The Ford Family Foundation Conference Center
1600 NW Stewart Parkway, Roseburg OR 97471
Register at: www.tinyurl.com/RCHNOWS
Course Objectives:
Upon completion of this course, participants will:

    1. Review Neonatal Opioid Withdrawal Syndrome (NOWS) definition, epidemiology, increasing incidence and clinical management.
    2. Increase awareness and understanding of the many “faces” of NOWS.
    3. Discuss ways to implement evidence-based practice changes to optimally treat NOWS.

Course Faculty:
Pat Scheans, DNP, NNP-BC provides clinical support for neonatal care for Legacy Health System. She has practiced at the Legacy Health since 1983. She is a S.T.A.B.L.E. and NRP Instructor.

Enduring Materials/Ongoing Opportunities

Community Resources

  • Blue Zones Plant Based Eating Guide
  • E-Cigarettes & Young People is a guide from the CDC for health care professionals to talk to young patients about the risks of e-cigarettes
  • The Chadwick Clubhouse is an evidence-based, non-clinical mental health program following the proven Clubhouse Model to help members transition into the community. It supplements existing clinical mental health services and fosters a healthy lifestyle.
  • Take Root Parenting Hub offers classes, workshops and materials to parents and guardians to help them learn ways to provide effective discipline and guidance, nurture and foster life skills, promote healthy development, and enjoy raising their children.
  • Total Health Improvement Program (THIP) classes by UC VEG share simple, safe, affordable and practical methods that result in health restoration.
  • Diabetes Education Empowerment Program classes by UHA helps people with diabetes live healthy lives.
  • Substance Abuse and Mental Health Services Administration, or SAMHSA, recently released new videos and other resources to help prevent suicide and offer support to those in crisis. Find resources to help prevent suicide here.

Compliance

Umpqua Health encourages its providers, patients, employees and members of the public to report any potential illegal, unethical, or otherwise inappropriate conduct by any person or entity.

To file a report:

Umpqua Health prohibits any retaliation of any kind against any person or entity who reports, or assists in the investigation of, any suspected or potential misconduct.

Note: If you know the name of the specific entity involved, please include that information in your report. After making your report, you will receive a report number that you may use to report additional information or inquire as to the status or resolution of your report. The company taking the report will pass on employment-related complaints to the Director of the Human Resources Department and all other complaints to the Chief Compliance Officer.

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