Tracking SIM practice transformation efforts 
May 31, 2018
Charting successful pathways

Attendees gather for April SIM
Multi-Stakeholder Symposium  
May has been a busy month for the Colorado State Innovation Model (SIM) team with a successful site visit with federal partners from the Centers for Medicare and Medicaid Innovation (CMMI) and a well-attended Collaborative Learning Session hosted by the University of Colorado Department of Family Medicine for SIM and the Transforming Clinical Practice Initiative practices. The CMMI team was impressed with the work SIM practices are doing and the progress made in the past few years.

As we welcome the third cohort of practices this summer, we will
continue to promote the work of SIM practices and hope you'll tell us ( about your integration efforts. 

In addition to supporting practice efforts to integrate care, the SIM team continues to encourage closer partnerships between health plans and health providers during Multi-Stakeholder Symposiums (MSS) held three times a year. The MSS in Grand Junction last month included a partnership-building exercise that resonated with representatives from health plans, SIM providers and practice transformation organizations. Read more in the 
"What's your piece of the payer-provider puzzle" article, and save-the-date for the next MSS Sept. 27 in Denver.
90 spots available for SIM providers 

SIM launched a new electronic clinical quality measure (eCQM) service to help SIM practices extract CQMs once and report them to several, approved entities. Apply by May 31 to participate in the first phase that includes three adult CQMs.

The new service helps practices extract eCQMs from electronic health records (EHRs) and report data to the Shared Practice Learning and Improvement Tool and other appropriate sources while reducing administrative reporting burden.  Complete this application to participate in the initial phase, which is scheduled to run through July 31, 2018. The SIM office is looking for practices that can quickly mobilize staff and a representative from their EHR vendors for weekly meetings and validation sessions with the eCQM extraction vendor. Learn more about this eCQM solution in a  SIM podcast. The SIM team expects to launch the application to participate in the second phase in June.
SIM helps practices integrate care, improve patient health

New practice data shows that SIM providers are screening more patients for depression and developmental delays, and have more confidence in the data they report and use to drive better patient care and ongoing quality improvement. Check the SIM data hub for more details.  
Respond to the call: Help improve mental health

The SIM team released "Seeking a different approach to behavioral health awareness, prevention and treatment for boys and men," a new report that includes a 10-year strategy for improving mental health. While it focuses on boys and men, the report includes general recommendations to promote behavioral health and prevent mental health and substance use conditions in all populations. Read the report here and get more details in the SIM blog.
SIM helps practices connect to broadband

Adequate broadband capacity is essential for providers to collaborate, coordinate care and take advantage of telehealth, health information exchange (HIE), unified communications and cloud services. However, many healthcare providers lack adequate broadband capacity to leverage technologies that can transform health care delivery and outcomes. SIM has helped 196 practice sites gain access to broadband to rectify this issue. Read more about SIM broadband expansion efforts.
Cancer genetics event: Why it matters to primary care

Learn how cancer genetics affect your patients across the care continuum, where to find screening tools to collect a complete family history, how to find genetic counseling and testing resources in the state, and hear updates on the two most common hereditary cancer syndromes on June 28 at a " Cancer Genetics in Primary Care workshop." This free event is intended for primary care providers and clinical staff. For more information and to register visit: Details follow:
  • WHEN: Thursday, June 28 5:30-8:00pm (Dinner/Registration at 5:30, Workshop at 6:00pm)
  • WHERE: COPIC (in the Founder's Board Room) 7351 E Lowry Blvd., Suite 400, Denver, CO 80230
  • HOST: The Family History and Genetics Task Force of the Colorado Cancer Coalition & The Colorado Cancer Genetics Alliance 
  • COPIC points will be available and continuing education is pending 
Data sharing and 42 CFR part 2

The ability to share data between physical health and behavioral health providers is essential to effectively integrate care. Inconsistent interpretations of data sharing regulations like 42 CFR Part 2 and an unwillingness to share data can lead to inappropriate care as demonstrated by a new graphic novel. Recently, the Substance Abuse and Mental Health Administration released two FAQs to clarify who the regulation applies to and how to share 42 CFR Part 2 data.
Free training modules for care teams

Access SIM-funded training modules that provide comprehensive, practical information about behavioral health integration in primary care practices. Sign-up for a free account  on the e-learning platform with the "SIM" registration code. 
Increasing access with integrated care: A success story 

It's powerful to see how integrating behavioral and physical health improves patient outcomes in SIM practice sites and four community health centers (CMHCs) that participate in the federally funded, governor's office initiative. One CMHC shared a powerful example of how whole-person care can change a patient's life. Read the full story on the SIM website.
RHCs help practices throughout Colorado

Regional Health Connectors (RHCs) are helping practices across Colorado provide behavioral health supports to patients by connecting them with community services. A few examples:
  • In Region 21 (Jefferson County), RHC Cynthia Farrar is coordinating provider education opportunities related to substance use disorders and behavioral health treatment. She also identifies and addresses gaps in health care and social services in rural Jefferson county.
  • In Regions 3 and 14 (Douglas and Adams County), RHCs Laura Don and Meghan Prentiss facilitate the Tri-County Overdose Prevention Program Provider Education Workgroup, which strives to increase screening rates for mental health and substance abuse throughout Adams, Arapahoe and Douglas Counties. The hope is to scale the program for the metro Denver area.
  • In Region 1, 5, 7, 12, 17, 18 and 20 (see map for counties), RHCs expand access and knowledge of mental health resources by engaging practices and community organizations in Mental Health First Aid Training. Partners that have held and received trainings go beyond conventional behavioral health providers, including chambers of commerce, education providers, and nurses.
Meet your RHC and tap community resources to integrate care:
New documentary highlights mental illness

Home Box Office (HBO) is airing "A Dangerous Son," a documentary that sheds light on the issues families face when they have children, particularly young boys, who have severe mental health problems and exhibit aggressive behavior.  The documentary includes footage filmed onsite at Aurora Mental Health's Intercept Center, and features services provided by staff.  Stream the documentary
New opioid anti-stigman campaign   

The state's new opioid anti-stigma campaign,  Lift the Label   , strives to remove damaging labels and stigmas applied to people with opioid addiction that prevent them from seeking treatment.  Learn more about how you can participate on the  website .
Don't miss out: Activate Stratus  licenses 

SIM cohort-2 practices will soon receive their licenses for Stratus™, a tool that aggregates claims data from payers that support SIM practices. An email was sent to SIM practices with more information about Stratus™ last week. The tool is available to CPC+ practices in Colorado and those that participate in both initiatives. Get more information about licenses and business associate agreements to include Medicare data in the tool.
Save the date: Next SIM MSS

The next SIM Multi-Stakeholder Symposium (MSS) will be held Sept. 27 in Denver. More information with registration details will be sent via email. Save the date and read about the last MSS on the SIM website.
QPP fast facts in 5 minutes

The Quality Payment Program (QPP) began 
Jan. 1 under the Medicare Access and CHIP Reauthorization Act (MACRA) to drive clinician engagement and enhance the quality, cost effectiveness and health of the population. Read the latest installment of fast facts in 5 minutes from the Colorado QPP Coalition to help your practice succeed. The Colorado QPP Coalition, which was formed last year to help practice teams successfully transition to the new program, releases new resources monthly. Visit the web page for updates.
Suggested reading

Chronic conditions - such as obesity, diabetes and heart disease - take an enormous physical toll on Americans every year. They also take a significant economic toll on individuals  and employers through missed work days, lost productivity, and higher health care costs and premiums. 

Providers, payers, and state policymakers are moving to implement behavioral health integration models b ut many states face an obstacle - the lack of a health care workforce that has the legal authority, training, and skills necessary to practice in these new models. 

New toolkits from Mental Health Colorado provide educators with resources to help identify mental illness in kids. 
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The project described was supported by Funding Opportunity Number CMS-1G1-14-001 from the U.S Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). The Colorado State Innovation Model (SIM), a four-year initiative, is funded by up to $65 million from CMS. The content provided is solely the responsibility of the authors and does not necessarily represent the official views of HHS or any of its agencies.