A Program of
Southwestern Colorado
Area Health Education Center

701 Camino del Rio, Suite 316
Durango CO 81301
(970) 426-4284
(970) 426-4285

New and Emerging Care Coordination Programs

2017-2018 Inventory of Care Coordination Networks

New initiatives are changing the landscape in which to navigate clinical care and social assistance programs for community members with complex needs. We compiled a list of current and emerging care coordination available here as the 2017-2018 Care Coordination Network Inventory for Southwestern Colorado.


 Community Wellness Programs

Calendars for Community Wellness Programs in Durango, Pagosa Springs, and Cortez

Are you looking to empower individuals and families to achieve and maintain their physical and mental wellness goals? Axis Health System community wellness programs offer peer interaction and education events in a supportive and safe environment in three locations.

             Durango              Pagosa Springs               Cortez

For more information contact Amber at [email protected]

Quality Improvement in Care Coordination

Care Coordination Quality Measure for Primary Care (CCQM-PC)

The CCQM-PC is free tool to measure care coordination. It consists of a survey of adult patients’ experiences with care coordination in primary care settings. The development of the CCQM-PC was enabled through the Agency for Healthcare Research & Quality (AHRQ) to offer a conceptual framework for care coordination measurement and quality improvement. The tool was originally designed to be used in research and evaluation but can be applied to organizational quality improvement initiatives because it is in the public domain and may be used without additional permission. For more click here.



News and Updates

Patient Navigation Happy Hour May 10th

Posted on 07 May 2017
Please join us for an informal happy hour to network with your colleagues outside of work! Date and Time: Wednesday, May 10, 5-7 pm Location: Carver B

Bi-Annual Dialogue: Coordinating Care with Health Information Technology

Posted on 09 Mar 2017
You are invited to a shared learning opportunity on health IT tools for care coordination. This event caters primarily to professionals who work as ca

    Care Coordination Central (CCC) strives for functional system integration to promote health, health equity, and value in health care through its support of care coordination. We value diversity of opinion, culture, age, gender, profession and practice as engines of creativity, resourcefulness, and resilience within communities. CCC is guided by the framework of the Collective Impact Model to facilitate nimble adaptation and sustained change.

    The goal of the Care Coordination Central (CCC) is to facilitate cooperation and networking among care coordinators who together advance practice and improve access to quality, coordinated, and cost-effective services for community members. CCC serves all professionals who coordinate care or manage referrals for patients with actual and potential health and social needs within Archuleta, Dolores, Hinsdale, La Plata, Montezuma, Ouray, San Juan, and San Miguel counties. The purpose CCC is to merge community capital, knowledge, ideas and innovation, and evaluation to advance care coordination practices.

    Coordinated care for all individuals in Southwestern Colorado and access patient-centered, high-quality, and cost-effective health care and social support.

Care Coordination Goals:

  • • Reduce emergency room visits
    • Avoid hospital admissions (disease-specific & overall)
    • Decrease mortality (disease-specific & overall)
    • Improve short-term clinical outcomes (e.g. glycated hemoglobin levels for patients with diabetes)
    • Increase functional status (e.g. for patients with congestive heart failure)
    • Enhance quality of life promoting other patient outcomes (e.g. less missed school days due to illness)
    • Improve treatment adherence
    • Promote service adherence (e.g. remaining in contact with mental health services)