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, JSI, the MacColl Center for Health Care Innovation, and Leibig-Shepherd LLC, provides technical assistance (QI coaching) to select CHCs to improve clinical efficiencies, integration of services and health outcomes within primary care practices by optimizing existing care teams to deliver coordinated, high quality care.

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.

EvidenceNow Southwest (ENSW)
CCHN serves as a Practice Transformation Organization for the ENSW project, working with CHCs to provide technical assistance and practice facilitation to improve outcomes associated with cardiovascular disease.

Patient Centered Medical Home (PCMH)
The Quality Initiatives Division (QID) supports Colorado Community Health Centers (CHCs) in pursuing Patient Centered Medical Home (PCMH) recognition by providing practice coaching, data analysis for quality improvement, and training on PCMH components. As the Colorado Primary Care Association, CCHN is directed to provide this support to Colorado CHCs by the Health Resources and Services Administration’s Bureau of Primary Health Care (BPHC). CCHN receives funding from BPHC and grant funding from other institutions.

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
ECHO Colorado (Extension for Community Health Outcomes) is a statewide program of training and practice support to increase the capacity to manage complex health care problems in primary care settings and to prevent disease in Colorado. In partnership with ECHO, CCHN facilitates participation by CHC staff in ECHO offerings with the aim to increase capacity for clinical patient case and disease prevention. Click here to see program offerings.

 

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