Application in PDF - Lane County Public Health Prevention Program

Dear Community Member,Trillium CCO Rural Advisory CouncilThank you for your interest in becoming a member of the Trillium Coordinated Care Organization’sRural Advisory Council (Trillium CCO-RAC). The Council provides input and makes recommendationsto the Trillium CCO Governance Board, which is responsible for creating a high quality system of healthcare for all members in Lane County. The second page of this application contains information about theOregon Legislative requirements for the Council as well as member roles, responsibilities, and duties.Name: ______________________________________________________________________________Address:_____________________________________________________________________________City, State, Zip:_______________________________________________________________________Phone: ______________________________________________________________________________Email: ______________________________________________________________________________Signature________________________________________________Date________________________Please describe your interest in serving on the Trillium CCO-RAC. Include examples of any particularexperiences and expertise you have representing physical health, mental health, or substance abusetreatment services. If you are a social service provider or government representative, please share yourinterest in serving on the Council._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ I am applying as a consumer representative currently enrolled on the Oregon Health Plan._____ I am applying as a community social service organization or governmental representative.Organization:____________________________ Website address:_________________________Mail completed application to: Lindsey Adkisson,Lane County Health & Human Services151 W. 7 th Ave., Room 520Eugene, OR 97401Or email to: Lindsey.Adkisson@co.lane.or.us.For additional information, Lindsey can be reached at 541-682-8772 or by email.Applications Due by September 15th

Overview of the CCO Community Advisory Council and RuralAdvisory CouncilAccording to ORS 414.625, Coordinated Care Organizations (CCO) must have a Community AdvisoryCouncil (CAC) which makes recommendations to the CCO Governing Board in order to ensure thathealth care needs of the consumers and community are being addressed.Rural Community Advisory CouncilIn addition to the Community Advisory Council, a Rural Community Advisory Council will also bedeveloped to ensure that the health care needs of the rural consumers and community are being addressed.The Rural Advisory Council will work collaboratively with the Community Advisory Council and theGoverning Board to transform the health care delivery system in rural parts of Lane County as well asensure that the care provided in the urban area is responsive to the needs of rural residents.The CAC and RAC must:• Include representatives of the community;• Have consumer representatives constitute a majority of the membership;• Meet no less frequently than once every 3 months; and• Have its membership selected by a committee composed of equal numbers of countyrepresentatives and members of the governing body of the organization.CAC/RAC Member Roles and ResponsibilitiesThe duties of the CCO Community Advisory Council and Rural Advisory Council include:• Identifying and advocating for preventive care practices to be utilized by the organization;• Developing a community wellness program; and• Annually publishing a report on the health of the organization that includes a review of the workof the organization and recommendations to the governing body of the organization for changeimprovements;• Members should be willing to commit to an estimated 2 year term limit.How to ApplyAll individuals interested in applying for the CCO-RAC should fill out the application on the front of thisform by September 15 th and mail to:Lindsey AdkissonLane County Health & Human Services151 W. 7 th Ave., Room 520Eugene, Oregon 97405Or, by email at Lindsey.Adkisson@co.lane.or.us or fax at (541)682-3804 attn: Lindsey Adkisson.Upon receipt of the application, interviews will be scheduled.For questions, please call Lindsey at (541)682-8772.Applications Due by September 15