Healthcare Integration Barrier Submission Form

What is the Healthcare Integration Collaborative?
The purpose of the Healthcare Integration Collaborative (HIC) is to advance coordination, collaboration and integration across healthcare disciplines, including primary care, mental health, and substance use recovery providers, to better meet the health needs of the adult population in Lane County.

What is the Barrier Submission process?
Lane County healthcare providers, social service organizations, government employees and consumers have identified a need for increased collaboration between healthcare disciplines to better support individuals in need of integrated care. A variety of barriers serve to complicate this need.

The barrier submission form allows community members to identify and describe a barrier specific to the advancement of an integrated healthcare system. Barriers may relate to communication, workflows, billing, distinctions in treatment philosophies, etc.

How do I submit a barrier for review?
Please fill out the barrier submission form on the next page and tell us about your problem or barrier. Expect to receive a follow-up email with clarifying questions and any next steps within one week of submitting your response. You will be requested to attend a future HIC monthly meeting or to send a representative, to provide a brief overview of the barrier and be available to answer questions.

If the barrier does not align with the scope of the Healthcare Integration Collaborative, you will be provided recommendations for more appropriate platforms to elevate your barrier.

How does the Healthcare Integration Collaborative review barriers?
Once you submit a barrier via the submission form, Healthcare Integration Collaborative participants review the details and potential solutions or recommendations via “think tank” discussions with perspectives from multiple healthcare professionals and community partners. The HIC participants will
then determine next course of action, including either providing a list of recommendations to the individual submitting the barrier, implementing recommendations within their respective organizations, or elevating
recommendations to decision makers with greater influence in the community.

If you are interested in attending the monthly Healthcare Integration Collaborative, please email britni.d’eliso@pacificsource.com

*Please note: Not all barriers will be addressed every month, and this process is not intended to address urgent situations or crisis situations. This form does not replace the formal grievance process that exists for providers and system partners. Please do not include Protected Health Information on this form.

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* 1. One sentence describing the specific barrier you would like discussed at an upcoming HIC meeting

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* 2. Population or community most affected by barrier (check all that apply)

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* 3. Type of barrier (check all that apply)

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* 4. This barrier is related to the following system(s) (check all that apply)

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* 5. Detailed barrier description (do not include any private health information, or specific agency/provider names)

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* 6. Your goals, questions or needs related to this specific barrier (please also include your own suggestions on how to address)

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* 7. Any other comments relevant to your specified barrier?

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* 8. Feel free to upload any relevant materials (reports, pictures, etc.) that would help the HIC understand this barrier and develop effective recommendations.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 9. Please provide your contact information

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