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Colorado SIM’s practice transformation strategy, as detailed in the operational plan, focuses on:
As outlined in the Operational Plan, Colorado SIM will recruit 400 primary care practices to participate in practice transformation efforts over the course of the grant. Participating practices will be split into three cohorts. The first cohort, consisting of 100 practices, has officially launched as of February 2016. Two additional cohorts of 150 practices each will be on-boarded in 2017 and 2018. The SIM practices will play an integral role in achieving Colorado SIM’s goal of providing access to integrated physical and behavioral health care services in coordinated systems, with value-based payment structures, for 80 percent of Colorado residents by 2019.
Practices selected for all SIM cohorts will commit to progressing toward implementation of ten practice milestones that relate to the Colorado framework for whole person care. Each practice will work with a Practice Facilitator, provided through one of 17 approved Practice Transformation Organizations, to design and implement a Practice Improvement Plan that outlines a pathway toward greater integration of care based on the practice’s unique strengths and needs. Additionally, practices have committed to reporting their progress toward a common set of clinical quality measures and will be provided with a Clinical Health Information Technology Advisor to assist in building practice data capacity. The University of Colorado is providing leadership and oversight for practice transformation activities undertaken by the SIM practices and will be offering opportunities for provider education, convening bi-annual learning collaboratives, and provide technical assistance to help support practice progress.
For more information on the SIM-participating practices and other practice transformation opportunities please visit: www.practiceinnovationco.org
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The Colorado SIM Practice Transformation strategy also includes a Bi-Directional Integration Demonstration Pilot that will create integrated health homes in four CMHCs. These health homes will provide comprehensive behavioral and physical health care to children, adolescents, and adults to stabilize and manage their illness and support their recovery. Because CMHCs serve as the primary locus of care for many Coloradans, particularly those managing a serious mental illness (SMI) or addiction, the CMHC-based integrated health home represents the best opportunity for the greatest cost reduction for individuals with the greatest needs and costs of care.
Under the strategic leadership of CBHC and the Colorado SIM Office, these sites will create alignment within the broader Colorado SIM initiative and gather health outcome, quality, cost, and payment data to inform the design of value-based payment systems for high quality integrated care. The Bi-Directional Pilot will not only incorporate integrated/co-located primary care and ready access to more intensive behavioral health services, but will also include comprehensive care-planning and management; health care coordination; health promotion/wellness activities; transition support across care settings; individual and family recovery support; and links to community services.
For more information please visit: www.cbhc.org/sim