Centers of Occupational Health & Education (COHE)

Standards

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COHEs are contractors to Labor & Industries and are expected to deliver work in the following areas:

Deliverables
1 Action Plan, Reporting & Meetings
2 Provider Enrollment
3 Provider Education
4 COHE Advisors
5 Health Services Coordination
6 Communication & Community Outreach
7 Quality Indicators & Quality Improvement Methods
8 Annual Review/Performance Monitoring

 

All of these deliverables will require a start-up plan due 90 days after the contract is signed.  Start-up planning allows COHEs to take deliverable requirements and match them to the organizations they serve and their organization’s processes.

In addition, specific service levels are required for each area.  For example, in Provider Enrollment:

  1. Community Only:  Community COHEs must enroll and maintain enrollment of 100% of the providers within the sponsoring organization who have an active L&I provider number and have been an attending provider for an injured worker during the last fiscal year. Fiscal year runs from July 1 through June 30.
    • A minimum of 60% of the providers enrolled in the COHE must practice outside of the sponsoring organization.  The COHE must meet this ratio within six months of the start date of their period of performance.
    • The COHE should maintain a mix of high, medium, and low volume providers.
    • The COHE will continue to enroll providers in their defined service area who express an interest in participating in the COHE even if they are no longer recruiting APPs.
    • The COHE must contact all participating providers annually to confirm that the provider wants to continue participating in the COHE.
  2. Institutional Only:  Institutional COHEs must enroll and maintain enrollment of 100% of providers within their institution who have an active L&I provider number and have been an attending provider for an injured worker during the last fiscal year. Fiscal year runs from July 1 through June 30.
    • The COHE must contact all participating providers annually to confirm that the provider wants to continue participating in the COHE.

The COHE Program is currently testing these deliverables, performance measures, and financial model.  They may change at any time.

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