1 | Functional coordination | Community-wide case conferencing across organizations & agencies; support of PCMH | Blue Group; Clients and practice level care coordinators, discharge planners, social workers, case workers, psychologists | Monthly. Third Thursday of each month from 8:30-10:00 am |
2 | Practice level feedback | Capture of practice level information, data & perception; decision support to identify community wide gaps & duplication | From Blue Group to Yellow Group | 2x a year |
3 | Population health planning | Stakeholder collaboration for vision & strategy | Yellow Group, Community leaders | Quarterly |
4 | Local Innovation | Showcasing & dissemination of local innovation in care coordination | All partners forum; Care coordinators from 32 partner organizations of 8 southwestern Colorado counties | Biannual |
5 | Process learning | Aggregation of shared learning, identification of successful initiatives across Colorado’s Western slope | To RCCO 1 (RMHP) | |
6 | Data & analytics | Interpretation of regional trends, evaluation and outcome measurements | From HCPF/SDAC/ RCCO 1 (RMHP) | Monthly |
7 | Inform care coordination state policy | Advocacy for clients & care coordinators, rural perspective, development of measures sensitive to care coordination | To HCPF | As solicited by state agency |
8 | Training & education for EBP | Evidence-based chronic care management; curriculum for CHWs | Established and emerging roles in care coordination | 2x a year |
9 | Practice-based evidence & rural health research | Primary and comparative effectiveness research in rural care coordination | In collaboration with the University of Colorado | |
10 | Advisory capacity | Seat on CYSHCN state leadership team HRSA-14-030, development of care coordination measures | CDPHE | Monthly. First Wednesday of month from 2:00-4:30 pm |
11 | Information management & knowledge repository | Externalizing expertise and knowledge of evidence-based care coordination | Open access | 24/7, online |
12 | Knowledge dissemination | Print, poster, podium presentations, speaker engagements | CoECC staff and partners |