1. Larry Wolk, MD MSPH Executive Director Colorado Department of Public Health and Environment

3.  State of Colorado/CDPHE strategy  ACA  Delivery System Reform  Payment System Reform  Technology advancement  Colorado-specific opportunities

6. Safe and Clean Food, Water, Air Affordable Care Act Winnable Battles Foundation Initiatives & Collective Impact Integrated Care (State Innovation Models Funding Initiative) Medicaid Accountable Care Collaborative And many more… The State of Health Full report: www.colorado.gov/stateofhealth

7. Full report: www.colorado.gov/stateofhealth

8.  State of Colorado/CDPHE strategy ◦ Elegant, Efficient, Effective ◦ Public Health in the context of the ACA ◦ Promote technology ◦ Evidence-based education and information ◦ “Simply Health”  State of Health  Foundations  Winnable Battles

9. CDPHE funds 15 primary contractors with 47 centers operating statewide. In FY2012-13, nearly 22,000 children and youth were served by our school-based health centers partners. Thank you and congratulations on job well done!

10.  SBHC Legislative Intent: To provide access to primary, behavioral and dental health care for low-income, uninsured or under-insured, high-risk children and youth through school-based health centers.  SBHC Program Priorities: Quality through the Standards and Clinical Outcomes; Quantity by increasing the number SBHCs, the number of persons served and the services offered; Sustainability through local infrastructure development such as data and records systems, billing systems, and clinic build-outs; and Partnerships through active involvement by local SBHC staff and stakeholders such as through advisory committee participation and application reviews.

11.  Quality of care by providing funds for highly qualified primary care, behavioral health and dental care providers; by funding training and technical assistance to help SBHC sites meet the SBHC Quality Standards.  Quantity by investing in existing SBHC centers to continue or expand their services and to serve more children and youth, and by providing funds for emerging and newly operational sites.  Sustainability by investing in the infrastructure of SBHCs, including patient enrollment in Medicaid and CHP+, enhancements to physical space, and data and billing systems to capture health service information and to generate program revenue through Medicaid and private insurance billing.  Partnerships by funding key partners, such as CASBHC for events such as this annual conference, and others to provide quality training on important topics related to SBHC care.

13.  ACA (life after capital) ◦ Similar to LPHAs providing direct services ◦ Insurance eligibility ◦ Insurance enrollment ◦ Provider enrollment ◦ Billing and encounter submission

15.  Delivery System Reform ◦ Medical home ◦ Integrated primary/behavioral healthcare (SIM) ◦ Dental ◦ Relevant metrics (HEDIS, “stars”)

17.  Payment system reform ◦ Medicare “bump” ◦ Care management, care navigation ◦ Episodes of care ◦ Medicare pilots (inclusive, outcomes, severity)

19.  Technology advancement ◦ EHRs/Meaningful Use ◦ HIE/Meaningful Use ◦ APCD ◦ Public Health and disease-specific registries ◦ Telehealth ◦ Project ECHO

21. © 2010 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO Proprietary - Not For Redistribution

22. Live In Development In Queue # Office Providers Live: 1416 # Hospital Providers Live: 244 83 EHR practices representing 763 providers Behavior Health: 24 facilities/118 providers 48 LTPAC orgs/123 facilities 3 Labs: CLS, LabCorp, Quest 33 Hospitals/Systems: BCH, SLVRMC, Centura, LUH, PVHS, Parkview, Memorial, Banner, Children’s, UCH, Craig, HCA (Rose), Evans, Rio Grande CDPHE NB Screening Results Delivery, ELR, Immunizations QHN Integration Interstate/HISP : KHIN, Surescripts 9Health Fair 3,449,784 Unique Patients 133,819,480 Messages # Office Providers Live: 1416 # Hospital Providers Live: 244 83 EHR practices representing 763 providers Behavior Health: 24 facilities/118 providers 48 LTPAC orgs/123 facilities 3 Labs: CLS, LabCorp, Quest 33 Hospitals/Systems: BCH, SLVRMC, Centura, LUH, PVHS, Parkview, Memorial, Banner, Children’s, UCH, Craig, HCA (Rose), Evans, Rio Grande CDPHE NB Screening Results Delivery, ELR, Immunizations QHN Integration Interstate/HISP : KHIN, Surescripts 9Health Fair 3,449,784 Unique Patients 133,819,480 Messages #Providers in Development: 543 EHR Practices: 22 practices/359 providers LTPAC: 2 organizations/2 facilities 7 Hospitals/Systems: Denver Health, Pagosa Springs, HealthONE, Exempla, Estes Park, Evans, Rio Grande 1 Regional Lab: Schryver Behavioral Health: 2 Organizations CDPHE: Immunizations, ELR CDC: Syndromic Surveillance Payer: Colorado Access ACO: PHP HISP: Montana Other: Kaiser Permanente #Providers in Development: 543 EHR Practices: 22 practices/359 providers LTPAC: 2 organizations/2 facilities 7 Hospitals/Systems: Denver Health, Pagosa Springs, HealthONE, Exempla, Estes Park, Evans, Rio Grande 1 Regional Lab: Schryver Behavioral Health: 2 Organizations CDPHE: Immunizations, ELR CDC: Syndromic Surveillance Payer: Colorado Access ACO: PHP HISP: Montana Other: Kaiser Permanente Providers: Ready: 34 practices/56 providers Other: 39 practices/252 providers 4 Hospitals/Systems: Southwest Memorial, Animas Surgical, Mt. San Rafael, Conejos 1 Regional Lab: Cedar Diagnostics Behavioral Health: 1 Organization LTPAC: 8 organization/11 facilities Public Health: Cancer Registry Providers: Ready: 34 practices/56 providers Other: 39 practices/252 providers 4 Hospitals/Systems: Southwest Memorial, Animas Surgical, Mt. San Rafael, Conejos 1 Regional Lab: Cedar Diagnostics Behavioral Health: 1 Organization LTPAC: 8 organization/11 facilities Public Health: Cancer Registry

23.  Marijuana (medical, retail, minors)  10 Winnable Battles  General Fund  Environmental Health ◦ Fracking ◦ Radon ◦ Water

24.  Contact:  Larry Wolk, MD MSPH ◦ Larry.wolk@state.co.us Larry.wolk@state.co.us ◦ 303-692-2012