What is the ďhealth careĒ sector?

In this report, the health care industry has four primary parts.

  1. HOSPITALS, including all activities that originate at health care facilities, such as physician and nursing services, surgeries, diagnostic exams, medical research, etc.
  2. AMBULATORY HEALTH, including activities at physician offices, medical imaging, ambulatory surgery centers, lab analyses, etc.
  3. NURSING RESIDENT CARE, including nursing, supervisory and other types of care required by residents of care facilities.
  4. OTHER BUSINESSES, including insurance, pharmaceutical production and retail pharmacies.



What are Hospital Referral Regions?

Hospital Referral Regions (HRRs) represent regional health care markets for specialized medical care that generally requires the services of a major referral center. The regions were defined by determining where patients were referred for major cardiovascular surgical procedures and neurosurgery. Each hospital service area (HSA) was examined to determine where most of its residents went for these services. The result was the aggregation of the 3,436 hospital service areas into 306 to 308 HRRs, depending on the type of medical service. Each HRR has at least one city where both major cardiovascular surgical procedures and neurosurgery are performed.

Source: Dartmouth Healthcare Atlas, http://www.dartmouthatlas.org/data/region/



Portland-metroís health care educational institutions

Oregon Health & Science University is Portland-metroís best known health care educational institution. But it is not the only one. Educational institutions attracting students and funding from outside the region include:

  • OHSU Schools of Medicine, Dentistry and Nursing
  • University of Portlandís School of Nursing
  • Concordia Universityís College of Health and Human Services
  • George Fox Universityís School of Nursing
  • Linfield College-Good Samaritan School of Nursing
  • National College of Natural Medicine
  • Oregon Institute of Technologyís Division of Health Sciences
  • Oregon College of Oriental Medicine
  • Pacific University Colleges of Optometry, Pharmacy, Health Administration, and others



Coordinated Care Organizations

A new model for organizing health care in Oregon, Coordinated Care Organizations (CCOs), were designed to achieve a triple bottom line for Oregonís Medicaid (lower income) population: improving health outcomes, providing better medical care and lowering costs. Initial data points to success: between January and June of 2013, compared to a 2011 baseline; this report found:

  • Visits to emergency departments were down 9 percent, and spending was down 18 percent.
  • Treatment through primary care facilities grew: Primary care visits increased 18 percent, and enrollment in patient-centered primary care homes increased 36 percent.
  • Hospitalization for chronic conditions declined: Admissions for congestive heart failure were down 29 percent; for chronic obstructive pulmonary disease 28 percent, and for adult asthma 14 percent.