Programs for Providers

Programs for Providers

The RMHP Practice Transformation team works to develop, enhance and help implement skills, processes and infrastructure to support ongoing improvement and delivery of effective, efficient primary care. Read on to learn more about the programs and benefits of taking part. Want more information about how to participate? Email the RMHP Practice Transformation team.

Email Practice Transformation


About RMHP Practice Transformation

The RMHP Practice Transformation team offers a suite of services that support practices as they develop the competencies to show value through delivery of advanced primary care.

For more than 16 years, the Practice Transformation team has fostered relationships with clinicians, helping them provide patient-centered, coordinated, team-based care to the residents of Western Colorado. The RMHP team provides a suite of evidence-based tools and the talent, including Quality Improvement Advisors, Clinical Informaticists, and Integrated Behavioral Health Advisors.

The result: Practices that are advancing toward the Quadruple Aim:

  1. Improve the health of the population
  2. Enhance the patient experience of care (including quality, access, and reliability)
  3. Control the per capital cost of care
  4. Improve provider/clinician job satisfaction 

As practices more toward the Quadruple Aim, they are better prepared for value-based reimbursement.

RMHP’s approach to practice transformation succeeds because it is based on practice and community needs while maintaining close alignment with state and federal transformation programs.

Participating primary care practices advance through curricula based on engaged leadership, data-driven improvement, empanelment, team-based care, patient-team partnership, population management, continuity of care, prompt access to care, compre­hensiveness and care coordination, and integration.

RMHP’s step-wise approach to transformation gives physicians and their teams the opportunity to fundamentally redesign their practices and prepare for value-based payments while achieving the Quadruple Aim. The destination is the same—advanced primary care—but each practice is unique. That's why RMHP offers a variety of programs that meet practices where they are.

The RMHP Practice Transformation team works with practices to:

  • Develop a functioning quality improvement team within the practice;
  • Implement proven models for delivering clinical guideline-driven care; and 
  • Develop accurate, timely and actionable reporting for quality improvement.

The support services we provide include:

  • Individualized quality improvement advisor (QIA) support in your practice;
  • Clinical systems advisor support; and
  • Free tools and resources, including CME credits available for participation in each Learning Collaborative, our sessions in which practices come together to learn from each other and share best practices, strategies and practice transformation techniques.

 RMHP Practice Transformation Resources

Practices participating in the Practice Transformation program offerings are provided educational support which is uniquely tailored to meet the needs and learning goals of the practice. This is accomplished by using a variety of techniques.

  • Face-to-Face Practice Coaching. Program delivery to participating practices is a face-to-face model in which Quality Improvement Advisors (QIA) and Clinical Informaticists (CI) meet with practice staff in their office setting once or twice a month to provide onsite coaching, training and provision of resources.
  • Learning Collaboratives provide practices with the opportunity to participate in day-long face-to-face learning opportunities through which educational content is delivered by experts in the field and practices have the opportunity for peer-to-peer learning with other practices. 
  • Targeted Training. Day-long face-to-face learning events are offered to meet specific learning and skill needs of the practices. 
  • Webinars. Additional educational support comes to the practices via the provision of webinars. 
  • Content Specific Modules are available for practices who wish to delve into transformational work without commitment to a full program. 
  • Clinical Quality Measure (CQM) Tool Kits provide specific resources and tools targeting improvements in specific CQM performance.
  • Tools, Resources and References. The Practice Transformation Program maintains an extensive library of resources, templates and tools that can be made available to the practice as needed to support the successful completion of their program work. 
  • Healthcare Information Technology. The Practice Transformation team works with practices to facilitate the advanced use of health care information technology and electronic health information tools.
  • Continuing Medical Education (CME). Each Learning Collaborative offers the opportunity for participating medical providers (MDs and DOs) to earn hour-for-hour continuing medical education credits.
  • Optional Performance Improvements CME Activity. Providers have the opportunity to earn up to 20 PI CME credits while participating in the improvement program.
  • Medical Neighborhood Initiative. Coordinating the Coordinators is a pilot group that was chartered with the following aim statement: Enhance the patient experience during the transitions period in a manner in which duplication is minimized and primary care coordinates the efforts for improved communications between organizations.

Meet the RMHP Practice Transformation Team

The Practice Transformation Team falls within the department of Clinical Program Development and Evaluation at RMHP. The Practice Transformation Staff bring a variety of background expertise as it relates to quality improvement in the primary care setting. This staff is available to support the work at the practice site in a face-to-face setting that is supplemented by webinars and day long learning collaborative events in which practices have the opportunity for peer-to-peer learning.

  • Lori Stephenson, RN is the Director of Clinical Program Development and Evaluation holds degrees in nursing and organizational management.  Mrs. Stephenson has been with RMHP for 25 years.  She held the position of Quality Improvement Director for 17 years and was responsible for RMHP’s Quality Improvement activities as well as Continuing Medical Education projects, Credentialing, the Provider Review process and the HEDIS/CAHPs reporting activities.  She currently directs the Practice Transformation and Data Analysis Team. 
  • David S. Herr, MD is the Physician Advisor for the Practice Transformation Team at RMHP.  Dr. Herr is a board certified pediatrician.  He earned his medical degree at the University of Pennsylvania, School of Medicine and completed his residency in Pediatrics at Strong Memorial Hospital, University of Rochester School of Medicine.  He practiced general pediatrics in Grand Junction, Colorado for 22 years before joining RMHP as Associate Medical Director.  He was Chief Medical Officer at RMHP from 2005 until his retirement in 2008.
  • Kim Brown, MHA, BS, RT(R), CPEHR is the Supervisor of the Clinical Informaticists. She holds a Bachelor’s Degree in Medical Imaging and a Master’s Degree in Healthcare Administration.  She is a certified professional in Electronic Health Records. Mrs. Brown previously worked in the field of healthcare IT and began her career at RMHP in 2013 as A Quality Improvement Advisor.  In her current role as a Clinical Informaticist she works collaboratively to support practices with health information technology needs including compiling and analyzing data.
  • Cynthia Mattingley, RN, BSN is the Program Manager of Practice Transformation. She is a Registered Nurse holding a Bachelor of Science degree and previously a board certification in Infection Control and Epidemiology for 15 years.  She has training and experience in LEAN Six Sigma. Mrs. Mattingley’s background of 28 years of nursing includes Medical Surgical/Orthopedic nursing, Supervision of Infection prevention and Control, and Quality Management.

The Program Education and Communication Coordinator maintains coordination and implementation of Practice Transformation program educational offerings such as Leaning Collaboratives, webinars and communications with program participants.

Mindy Patton, BS holds a Bachelor of Science degree in Marketing Management, Business and Hospitality. Mrs. Patton came to RMHP from the transportation industry and has 10 years of experience in leadership and continuous improvement in a rapidly evolving market.

The Integrated Behavioral Health Advisor role is filled by a licensed mental health professional who has training and experience in delivering behavioral health services within primary care. The IBHA shares evidence-based recommendations with practices pertaining to clinical assessment and brief interventions and strategizes with practices how to build sustainable operational systems to support the integration of physical and behavioral healthcare.

Alex Schmidt, PhD, LMFT holds a PhD in Marriage and Family Therapy with a Certificate of Advanced Specialization in Medical Family Therapy. She has over five years of clinical experience providing therapy for individuals, couples, and families in various primary and specialty care settings, including pediatrics. Dr. Schmidt’s background includes training resident physicians and mental health clinicians in integrated behavioral health practices, leading multidisciplinary consultation groups in care management, and assisting with grant management supporting integrated behavioral health in rural and smaller practices in western Colorado.

  • Kristi Hall, MA, BS, CCM holds a Bachelor of Science degree in Human Development and Family Studies (with a concentration in Adulthood) and a Master’s degree in Gerontology. Mrs. Hall has experience in behavioral health, long term care as a Social Services Director and three years as a Nursing Home Administrator. She also worked as an independent geriatric case manager and holds a certification in case management.  She serves the Southwestern part of Colorado. 
  • Mary Beckner holds a degree in Business Management.  Mrs. Beckner came to RMHP from the Seattle Cancer Care Alliance where she was introduced to the Toyota Way, and assisted in implementing Lean methodologies to the organization using continuous improvement. 
  • Britta Fuglevand, MSHA holds a Bachelor of Business Administration degree in business administration (with a concentration in Human Resources) and a Master’s of Science in Health Administration. Ms. Fuglevand has 9 years of experience as a Quality Improvement Coach which includes implementing Electronic Health Records and population management with a pediatric focus.  She serves the Northwestern and Roaring Fork Valley regions of Colorado.  She is also our Practice Transformation Staff Training and Development Coordinator.  
  • Anna Messinger, MHA, PCMH CCE holds a Bachelor of Science degree in Psychology and Business Administration and a Master’s Degree in Healthcare Administration.  Ms. Messinger came to RMHP from the University of Colorado Cancer Center, where she worked primarily in the realm of financial administration for Phase I clinical trials.   She is a Certified Content Expert in PCMH.
  • Andy Keith, MBA holds a Bachelor of Science in business and a Masters of Business Administration with a concentration in technology management. Mr. Keith previously worked in the pharmaceutical industry as a Healthcare Representative. He was the General Manager for Rocky Mountain Donor Services and has previous medical training and certification as an Emergency Medical Technician.
  • Katie Voller, MS, CPHQ, CPPS holds a Bachelor’s of Arts in Biology and a Masters of Science in Patient Safety Leadership. Katie is a Certified Professional in Healthcare Quality and Certified Professional in Patient Safety. Katie has almost ten years’ experience working in quality improvement and patient safety for hospitals. She has experience developing and implementing quality improvement programs, leading effective performance improvement initiatives and facilitating quality improvement teams.
  • Heather Steele, MHA has a Bachelor of Science Degree in Biology and recently completed her Masters of Health Administration and Management with an emphasis in Organizational Leadership. She has spent the last decade as a Pharmaceutical Representative in Western Colorado and is passionate about continuing to work with physician practices in a new capacity that aligns with how they can move closer toward achieving the quadruple aim.
  • Barbara Bishop, BA, MA holds a Bachelor of Arts in Anthropology and a Master of Arts in Historical Administration. She previously worked as a Customer Service Universal Representative for RMHP and has prior experience in a medical office setting.
  • Sara Jordan BS, MS holds a Bachelor of Science in Kinesiology and a Masters of Science – Exercise Science and Health Promotion. She previously worked as a Customer Service Universal Representative for RMHP and has prior experience coaching at the collegiate level.

Clinical Informaticists (CI) are specialists in the field of health information technology, the use of EMRs, data collection and analysis. CIs can provide support to the practice through feedback on how to maximize the use of technology in the practice and through facilitation of the effective use of data through integration into quality improvement activities. CIs assist practices with optimizing health information technology and the use of EMRs and data mapping, data reports, report building, registries, support for MU, and face-to-face coaching on the meaning and application of practice’s data.

  • Jennifer Walterscheid, BS holds a Bachelor’s Degree in Computer Information Systems. She previously worked in the public health sector on software and EHR implementation and management, quality improvement, and program data and measurement. In her current role as a Clinical Informaticist, she works collaboratively with the Practice Transformation Team, to provide support that meets the needs of the practices and the team, including database management, reporting abilities, and data analysis.
  • Chelsea Wells, MHA, BS, CHES has a Masters of Health Care Administration and Management with an emphasis in Finance and a Bachelor of Science in Health Promotion and Education with an emphasis in Community Health.  She is a Certified Health Education Specialist. Her prior experience includes working in the public health sector as a Health Promotion Specialist on the health promotions and informatics team. Ms. Wells’ career at RMHP began as a QIA in 2016, and in her current role as a Clinical Informaticist, she serves practices in RMHP programs, SIM, and TCPi. Ms. Wells is also the TCPi-lead for the Practice Transformation Team.