Practice Transformation

CCHN provides technical assistance to facilitate continued transformation around components of Patient Centered Medical Home (PCMH). Practice facilitators focus on enhancing the following efforts of CHCs: team-based care, patient engagement, social determinants of health, data for the purpose of quality improvement, 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 centered around behavioral health integration. CCHN practice facilitators work with SIM grantee practices in Cohorts 1, 2, and 3 to support workflow development and practice progress along the SIM Milestones. For more information or resources about Colorado’s SIM initiative, visit http://www.practiceinnovationco.org/sim/.

Patient Centered Medical Home (PCMH)
CCHN supports Colorado CHCs in pursuing PCMH recognition by providing practice facilitation, readiness assessments, application review, and training on PCMH components. CCHN has a dedicated PCMH team with content experts who have received 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:

  • Initial gap analysis for PCMH readiness and needs
  • Orientation on PCMH concepts and what means for your organization
  • Practice transformation support to meet PCMH guidelines
  • Training resources
  • Final review of application
  • Hands on support during review by recognition organization

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.

For additional information about CCHN’s practice transformation activities, please contact Taylor Miranda Thompson, tmiranda@cchn.org.