Practice Transformation

CCHN provides various forms of technical assistance to facilitate continued transformation around components of Patient Centered Medical Home (PCMH). Practice coaches focus on enhancing the following efforts of CHCs: patient engagement, social determinants of health, collecting informative data, oral health integration, behavioral health integration, care coordination, and innovative technologies.

Team-Based Care
CCHN, in partnership with the Colorado Health Foundation, John Snow, Inc (JSI), the MacColl Center for Health Care Innovation, and Leibig-Shepherd LLC, provides technical assistance (QI coaching) to select CHCs to improve clinical efficiencies, health outcomes, and integration of services within primary care practices by optimizing existing care teams to deliver coordinated, high quality care. For more information on the Colorado Team-Based Care Initiative, click here. For more information on Team-Based Care, visit www.improvingprimarycare.org.

State Innovation Model (SIM)
CCHN serves as a Practice Transformation Organization for the SIM project, working with CHCs across the state to provide technical assistance and practice facilitation for behavioral health Integration.

Patient Centered Medical Home (PCMH)
CCHN supports Colorado CHCs in pursuing PCMH recognition by providing practice coaching, readiness assessments, application review, and training on PCMH components. CCHN has a dedicated PCMH team with content experts who have received Certified Professional in Healthcare Quality (CPHQ) and NCQA Recognized Content Expert credentials.

Click here to learn more about how CCHN can help your CHC.

QID will support Colorado’s community health centers through their PCMH journey by:

  • Developing initial gap analysis for PCMH readiness and needs
  • All staff orientation on PCMH concepts and what means for your organization
  • Review of NCQA PCMH Toolkit
  • Technical assistance in developing QI infrastructure and workflows
  • Training resources
  • Policy and document review throughout the implementation of new workflows
  • Final review of application
  • Hands on support while uploading NCQA application
  • PCMH workshops
  • Regional Learning Sessions
  • System Redesign coaching
  • Peer Learning and networking

ECHO Colorado
CCHN facilitates participation by CHC staff in ECHO Colorado (Extension for Community Health Outcomes) in order to increase the capacity of CHC providers to manage complex health care problems in primary care settings and address social determinants of health.

Click here to see program offerings.

Transforming Clinical Practice Initiative (TCPI)
CCHN serves as a Practice Transformation Organization for TCPI, currently working with specialty practices to achieve practice transformation, coordination of care systems and improvement on quality metrics in preparation for upcoming value-based reimbursement through the Medicare’s Quality Payment Program.

Please contact Jessica Sanchez, jessica@cchn.org, for additional information.