SIM Practice Request for Application (RFA) Overview- A Transformative Opportunity “Improve the health of Coloradans by providing access to integrated physical and behavioral health care services in coordinated systems, with value-based payment structures, for 80% of Colorado residents by 2019." WHAT: The Colorado State Innovation Model (SIM) touches nearly every aspect of our health system, setting the stage for a sweeping transformation that will help accelerate our progress toward the Triple Aim of lower costs, better care and improved population health. It will also allow us to reach the goal of becoming the healthiest state in the nation and provide your practice the opportunity to be a part of such innovative change. Central to transforming the Colorado health system is the integration of behavioral health and primary care. Colorado SIM will improve the health of Coloradans by: (1) Providing access to integrated primary care and behavioral health services in coordinated community systems; (2) Applying value-based payment structures; and (3) Expanding information technology efforts, including telehealth. WHY: Benefits and Support for Practices Practice Improvement: Practices participating in SIM will receive extensive support to implement models of care that improve the quality of care being delivered to patients and are emerging as frameworks for payment for primary care. Colorado SIM Practice Transformation Fund: Payments of up to $5000 will be provided to offset some of the costs of participation, including attending learning sessions, submitting measures, and participating in the evaluation. There will also be an opportunity to apply for small grants based on need and innovation. Payments from Health Plans: Colorado payers are working together to develop a framework and expanding value‐based payments within their own networks to practices engaged in transformation activities, and meeting specific milestones. Multi-payer Collaborative FAQ Maintenance of Certification (MOC) and Continuing Medical Education (CME) Credit: MOC and CME credit will be available for clinicians who participate in SIM educational sessions and/or engage in quality improvement activities. Be PART of the Change and Innovation! WHO: 400 primary care practices in Colorado Cohort 1- 100 practices beginning in February 2016 Cohort 2- 150 practices beginning in February 2017 Cohort 3- 150 practices beginning in February 2018 PARTICIPATION QUALIFICATIONS: • Colorado primary care practice with leadership commitment to moving toward behavioral health integration • Electronic health record in place • Experience with practice transformation, including team based care, quality improvement, population management, using data for improvement (Recommended Practice Qualifications) PRACTICES DEMONSTRATE COMMITMENT TO PARTICIPATE THROUGH: 1) Work on advancing behavioral health integration using an advanced primary care model. 2) Forming a SIM Implementation Team. 3) Submitting clinical quality measures at least quarterly (SIM Quality Measures) 4) Sending multiple staff to attend two learning sessions per year that will be held regionally across the state. 5) Participate in the evaluation process.

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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, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

IMPORTANT DATES: SIM Practice Request for Applications (RFA) Cohort 1- OPENS: September 15, 2015 SIM Practice Request for Applications (RFA) Cohort 1- CLOSES: October 26, 2015 SIM Practice Notification of Selection for Cohort 1- BY: December 25, 2015 SIM Practice transformation efforts Cohort 1- BEGINS: February 1, 2016 WHERE TO GO FOR ADDITIONAL INFORMATION: Colorado SIM Website: https://www.colorado.gov/healthinnovation UC Denver Practice Transformation Website: http://www.ucdenver.edu/anschutz/about/practicetransformation* Email us at [email protected] or call the UC Denver Practice Transformation Phone Line at: 303.724.8968

* Please note the new UC Denver Practice Transformation Website is just getting up and running. We will be posting more information as it becomes available but encourage you to reach out with questions, concerns, and suggestions. We are very interested and committed to make this process work effectively for you and for this entire process being truly collaborative. For more information please attend one of the upcoming SIM Practice RFA Webinars on: - Wednesday September 23rd from 12:15pm-1:15pm - Wednesday October 7th from 7:00am-8:00am - Thursday October 22nd from 12:15pm-1:15pm

To sign up for one of the SIM Practice RFA Webinars go to: http://www.coloradosim.org/register-rfa Or CLICK HERE- Webinar Registration

To access the SIM Practice Online Application go to: https://redcap.ucdenver.edu/surveys/?s=DFMRXMAMEROr CLICK HERE- Online Application

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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, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

SIM Practice RFA Overview-09-08-15 draft.pdf

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