A care led, state supported initiative to build a statewide innovation pilot network across Oregon. Oregon care leaders set the priorities. We find the technology, run the vetting and carry the coordination.
ACCORD is Advanced Computing for Coordinated Rural Delivery. The word carries CCO inside it on purpose. Oregon is the only state that organised its Medicaid programme around coordinated care organizations, and a pilot network here that ignores that structure will not scale past the first site.
Not a pitch competition. Not a demo day. A standing mechanism that lets Oregon care organizations look at new technology together, safely, on a schedule, with the diligence and the paperwork done once rather than fourteen times.
Name the priority problems in Oregon care delivery. Review pre screened technology and give direct feedback to the teams building it. Host a scoped, short pilot when there is a genuine fit, with support and some funding to offset internal effort. Compare notes with peers and set the direction for the next round.
Outreach and the national call. Technology vetting with the advisory council. Evaluation design with a clear success measure and a clear stop option. Legal and data templates so nobody writes a new agreement from scratch. Then the part most programmes skip: making sure what was learned reaches every other organisation in the state, including when the answer was no.
It is not a procurement, a purchase commitment or a vendor list. No organisation is obliged to pilot anything. Participation starts at listening in, and a majority of participants will never host a pilot. That is a working outcome, not a failure.
Oregon care teams are holding staffing shortages, rising demand and a federal funding reset at the same time. Almost none of them has capacity for a long independent innovation cycle. Shared infrastructure is the only version of this that works.
Promising tools exist and rarely reach the right leader at the right moment. When they do, the team is mid shift and has no way to judge whether the claim is real.
Rural Health Transformation money runs on a federal clock. Capacity to use it well has to exist before the money is committed, not after.
Five steps. Start at step one and stop whenever you want to.
01
Start where you are. Request the participation brief and come to the recurring sessions, so you can see what Oregon peers are facing and what exists, whether or not you ever host a pilot.
02
Work with other leaders to name what matters most for Oregon care delivery: access, behavioural health, workforce, transitions, frontier distance, tribal health, financial sustainability, or something we have not heard yet.
03
We curate a short list of pre screened companies that present at the recurring sessions. Listen in, say whether it would survive in your setting, and flag anything you want to look at properly.
04
If something looks promising you can host a time bound pilot, with our support on design, agreement and evaluation. Funding may be available to offset the internal effort. For rural and frontier sites, the pilot can run through the Milepost delivery footprint instead of your own staff.
05
Use the result to refine, expand, deepen a partnership or stop. The write up goes back to the whole network, which is the part that makes the next organisation's decision cheaper than yours was.
Fourteen organisations doing the same diligence badly, separately, is the actual problem.
Illustrative. Real priorities, partners, evaluation design and outcomes vary by cohort and are set with the participating organisation, never by us alone.
per participant
A worked example. Participants name a priority: staying connected to patients between visits after a discharge, in counties where the next appointment is a ninety minute drive. We issue a national call. The advisory council narrows it to a short list that is feasible in a frontier clinic. Those teams present. One organisation opts to host. Eight weeks later there is a number, a staff account of what it was like to use, and a decision.
For leaders who want a clear, care led way to look at new technology and partnership models without standing up an innovation team of their own.
For CCOs carrying a global budget and a quality pool, who need things that move the metrics they are actually measured on, in the communities hardest to reach.
For pilot ready teams whose product could help Oregon serve its communities better, and who want honest review and a path to real world testing when the fit is strong.
Timelines, cohort dates and the participation brief. Care organizations and funders start here. Companies should go to the application page.