Posted by & filed under CHP News.

The Department of Health Care Policy and Financing (the Department) invites you to participate with us in guiding the Accountable Care Collaborative Phase II (ACC Phase II). The Overview (released earlier this month) and the full Concept Paper (to be released the week of October 19th) are meant to initiate conversations between the Department and the wide variety of stakeholders who deliver and receive services through Colorado Medicaid.

In order to facilitate dialogue and collaboration, the Department has scheduled a number of public meetings to discuss specific topics as they relate to ACC Phase II. Additional sessions will be announced at a later date that will explicitly address the areas of behavioral health and long-term services and supports. The Department will utilize this listserv as an avenue to distribute meeting announcements and minutes, policy updates, and other relevant documents.

For more information click here

Posted by & filed under CHP News.

By Jakob Rodgers, the Gazette • Published: June 24, 2015

A single electronic health record for each person in the Pikes Peak region moved closer to becoming a reality Tuesday.

Community Health Partnership – a health care coalition spanning El Paso, Teller, Park and Elbert counties – announced a contract with a nonprofit to seamlessly share patients’ electronic health records among physicians offices, hospitals, mental health providers and insurers.

Under the contract, the coalition plans to connect participating providers to the Colorado Regional Health Information Organization, which is working on similar projects with other Colorado counties.

The goal is to help health care providers streamline care, cut costs and reduce duplicated services, such as X-rays or lab tests, said Jim Calanni, a Community Health Partnership program director.

The initiative also should allow for large-scale data analysis that would let Community Health Partnership identify health care trends or insurers to spot trends in claims data, he said.

“That is massive data,” Calanni said. “Not just in size. But the ability and the things and predictive analytics that can be done with claims in real-time clinical data, I think, would be very valuable just about to anyone in the health care industry.”

The federal government has pushed hospitals, physicians offices and other health care providers to swiftly implement electronic health records in recent years. But not all providers have adopted the same software.

Community Health Partnership’s initiative would take those records and feed them into the Colorado Regional Health Information Organization’s system. In effect, that would create one all-encompassing electronic health record for that patient, Calanni said.

That record could then be read by any health care provider that chooses to opt into the program, he said. Provider agreements have not been finalized.

A pilot program focusing on Medicaid patients and involving three entities began in March and will run through the end of the year, Calanni said. Community Health Partnership will then seek to expand the program across the region.

The initiative comes as health records across the nation have increasingly become the target of hackers looking to steal personal information. This year, one such data breach affected millions of Anthem insurance customers.

Anyone who wants to opt out of sharing information in the initiative can do so, Calanni said, adding that controls are in place to keep information safe.

Morgan Honea, chief executive of the Colorado Regional Health Information Organization, emphasized the same point.

“We take it (data security) incredibly seriously,” he said. “We luckily have not had any issues to date, and that’s the track record that we plan on keeping.”

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CHP Media Contact: Terri R.R. Reishus |(719)-632-5094 | terri@ppchp.org

June 29, 2015

Poverty Immersion in Colorado Springs (PICOS)

CU School of Medicine and UCCS students and faculty experience the impact of poverty on the health of Colorado Springs

Colorado Springs, CO- June 25, 2015 – This August, students and faculty from the University of Colorado School of Medicine and the University of Colorado Colorado Springs will participate in a 2.5 day project, called Poverty Immersion in Colorado Springs (PICOS), that will help them better understand the health care needs of the community.

PICOS is a collaboration between multiple organizations in Colorado Springs that will educate students, faculty, and community stakeholders in the demographics and factors affecting the health conditions and needs of the community. Activities will include community resource presentations, a simulated one-month poverty experience, and living “A Day in the Life” of people in our community who have limited resources.

The community developed the PICOS educational program to prepare for the arrival of 24 medical students from the University of Colorado School of Medicine Colorado Springs Branch in April 2016. Those students will conduct their third-year clinical rotations with health care providers throughout the community.

“Just as health care students and providers need to know human anatomy, they also need to know the anatomy of the community in which they learn and practice,” said Erik Wallace, MD, associate dean for the University of Colorado School of Medicine’s Colorado Springs Branch. “The PICOS program will help us work collaboratively to improve the health of our community.”

PICOS is designed to give participants the knowledge and skills to describe demographics and health care disparities within the Colorado Springs community; to define health equity and analyze social determinants of health effects on health outcomes; and to obtain and utilize basic resources while experiencing life in poverty.

PICOS will be held August 11-13, 2015, that will include up to 50 participants from CU School of Medicine, UCCS Helen and Arthur E. Johnson Beth-El College of Nursing and Health Sciences, and the Colorado Springs community.

Organizations contributing to the planning, operations, and funding of PICOS include:

Community Health Partnership

Coordinated Access to Community Health (CATCH) Committee

El Paso County Public Health

Kaiser Permanente Community Health Fund

Leadership Pikes Peak

Memorial Hospital – University of Colorado Health

Peak Vista Community Health Centers

Pikes Peak United Way

University of Colorado Colorado Springs

University of Colorado Colorado Springs Helen and Arthur E. Johnson Beth-El College of Nursing and Health Sciences

University of Colorado School of Medicine Anschutz Medical Campus

University of Colorado School of Medicine Colorado Springs Branch

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PICOS Press Release

Posted by & filed under CHP News.

CHP Media Contact: Terri R.R. Reishus | terri@ppchp.org | (719) 632-5094

COLORADO SPRINGS, Colo. – June 23, 2015 – Community Health Partnership (CHP), a coalition of more than 25 provider organizations in southern Colorado, announced today that it has signed an agreement to connect to the CORHIO (Colorado Regional Health Information Organization) health information exchange (HIE) network.

CHP includes some of the largest health care provider organizations in Colorado Springs and the greater Pikes Peak region, and collectively provides care to more than 143,000 patients. CHP will begin the process of connecting its members’ electronic health record (EHR) systems to the CORHIO network starting next month.

By connecting CHP members to the statewide HIE network, which will include bi-directional data exchange, health care providers participating in the coalition will have faster and more complete access to their patients’ most critical health information. The enhanced information access will improve patients’ care coordination, reduce treatment delays, eliminate unnecessary testing and allow care providers to make more targeted diagnoses and treatment recommendations.patients’ care coordination, reduce treatment delays, eliminate unnecessary testing and allow care providers to make more targeted diagnoses and treatment recommendations.

Additionally, CORHIO will provide CHP with data to enable enhanced clinical reporting that will improve population health analysis, patient outcomes and success with health care quality initiatives such as accountable care and medical home programs.

“This agreement with CORHIO will enable CHP to move forward with our mission of connecting the members of our community to a more accessible and complete patient health record,” said Carol Bruce-Fritz, chief executive officer for CHP. “Sharing information among health care providers is fundamental to providing the highest quality of care for our citizens.”

“We are excited to begin leveraging CORHIO’s services to enhance our care management processes and reduce costs associated with chronic conditions,” added Jim Calanni, program director at CHP. “I am thrilled to be leading CHP’s technology initiatives along with our project manager, Ed Daniels.”

The CORHIO HIE is a secure, statewide network for information exchange comprised of 48 hospitals, more than 2,600 providers, 131 long-term care facilities, 39 behavioral health centers, four large medical laboratories, emergency medical services (EMS) providers, the Colorado Springs Military Health System and the state health department. The network continues to expand and is in the process of adding an additional 11 hospitals, more than 400 medical clinics, 2 medical labs, 12 radiology centers and a handful of long-term care facilities.

“We enthusiastically support CHP’s vision of higher quality, better coordinated care for individuals living in southern Colorado,” said Morgan Honea, chief executive officer at CORHIO. “CHP is among the most ambitious health care coalitions in the state — they are implementing state-of-the-art technology that will significantly improve collaboration among providers in their area. Ultimately, this will improve patient outcomes and reduce overall health care costs for everyone.”

About Community Health Partnership (CHP)
CHP is a member-based community coalition who’s enduring purpose is to improve the health of the community through collaboration. CHP members know each other well, are open to new ways of working together and are not afraid to take chances. The coalition is built on a foundation of trust and respect aligned with mutual values and goals.

About CORHIO
CORHIO is an independent, nonprofit organization dedicated to improving health care quality for all Coloradans through health information technology and health information exchange (HIE). CORHIO collaborates with all health care stakeholders including physicians, hospitals, clinics, public health, long-term care, laboratories, imaging centers, health plans and patients to improve care coordination through secure systems and processes for sharing clinical information. For more information about CORHIO, please visit www.corhio.org.

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At the CHP Annual Membership Meeting held on Friday, May 15th the membership elected Robin Johnson MD (ER Physician) and Tom Reiter (President & CEO of Rocky Mountain Health Care Services) to the 2015/2016 Board of Directors.  The Board of Directors elected the 2015/2016 officers:  Chair Jamie Smith (Penrose-St. Francis),  Chair-Elect Mick Pattinson (AspenPointe), Treasurer Valerie Herl (Pikes Peak Hospice & Palliative Care), and Secretary Mike Ware (El Paso County Medical Society).

Congratulations to all.

Posted by & filed under What's New In Healthcare.

By Wayne Heilman for the Gazette

A health care model designed to improve patients’ care and lower their costs is coming to Colorado Springs this year, courtesy of insurance giant Aetna.

OTHER PLAYERS

Two accountable care organizations already operate in the Colorado Springs area, but they serve only Medicare and Medicaid patients:

– Community Health Partnership, which includes 25 health care organizations, formed an accountable care organization that began covering about 70,000 Medicaid patients in Elbert, El Paso, Park and Teller counties in 2012.

– Clinical Partners of Colorado Springs LLC, a partnership of Mountain View Medical Group and Peak Vista Community Health Centers, formed an accountable care organization that began covering about 7,000 Medicare patients in El Paso and Teller counties last year.

The company has been operating its accountable care organization in Denver and northern Colorado since Jan. 1 and will expand it to the Colorado Springs area July 1.

In an accountable care operation, a group of health care providers assumes responsibility for the quality and care of a group of patients, with the providers getting rewards for improving outcomes and reducing costs. Insurers now pay doctors, hospitals and others providers a negotiated rate for each service.

Aetna is the first insurer to bring that model to a health plan that Colorado Springs-area employers can purchase for their workers, said Tom Dameron, president of Aetna’s operations in Arizona, Colorado and New Mexico. Two organizations formed since 2011operate an accountable care model that covers about 77,000 Medicaid and Medicare patients in the Springs area, but Aetna is the first to offer one for local patients not covered under either federal program.

“There are Colorado Springs-area employers who are very excited about having this option because their employees have heard about and asked for it,” Dameron said.

The plan will not be available to individuals.

Premiums will vary, but Aetna says its Whole Health plan should save individuals about 10 percent of their monthly premium, or $30, by better controlling costs. One way that is accomplished is by reducing the number of patients who get care through a hospital emergency room or have to be rehospitalized. It also means better management of patients with chronic health conditions such as diabetes and heart attacks, Dameron said.

Aetna’s plan rewards doctors, hospitals and other health care providers in its network for reductions in emergency room visits and hospital readmissions, among other measures.

In the Colorado Springs area, Aetna has signed agreements with Colorado Innovative Physician Solutions, which includes doctors from Colorado Springs Health Partners and Mountain View Medical Group, and Colorado Health Neighborhoods, which is part of Denver-based hospital giant Centura Health. That gives Aetna access to 150 primary care doctors, 250 specialists, four hospitals and six urgent care clinics in the Springs area and more than 900 primary care doctors, 4,400 specialists, 37 hospitals and more than 50 urgent care clinics statewide.

Aetna estimates that about 3.2 million, or 14 percent of its 23.7 million members nationwide are covered by plans that use the accountable care organization model.

“We already have a dozen large employers with 5,000 employees who have purchased this plan in northern Colorado and we expect more than 20 with 10,000 employees by July 1,” Dameron said. “We expect the same response in Colorado Springs as we have seen in northern Colorado. We feel over the next couple of years – by the end of 2017 – this is a 100,000-plus member opportunity for us.”

Aetna already has a “Patient-Centered Medical Home” agreement with CSHP – essentially a scaled-down version of an accountable care organization that includes only primary care doctors but no specialists or hospitals. That agreement began July 2013 and covers about 2,200 patients on another Aetna plan; they’ll be moved to the new plan on July 1.

Under the current agreement, CSHP gets additional fees that other practices don’t receive, but it doesn’t include the incentives tied to performance that are part of the new plan.

“There is no question that this is where the whole medical industry is heading,” said Bruce Minear, Mountain View’s CEO. “From the risk-management perspective, it puts everyone on the same side of the table to provide better care and control costs.”

Posted by & filed under CHP News.

The National Academy for State Health Policy, a non-profit, independent academy of state health policymakers, recently published a blog highlighting a pilot project between Community Care of Central Colorado and Colorado Springs Fire Department. To read the entire blog, click here.

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thank you note

CHP would like to take this opportunity to thank all of our guests who came out to support the Grand Opening of our newest offices located at 1465 Kelly Johnson Blvd., Suite 110. We had more than 80 guests attend the event.

We would also like to thank our joint hosts, El Paso County Medical Society, for all they contributed to the success of this event.

As a reminder, CHP Administrative offices are still located at 722 S Wahsatch Ave. Our new offices are primarily for the Community Care Care Coordination staff.

We are grateful for your continued support and look forward to seeing you soon.