We are continuously recruiting for the Facilitating Alcohol Screening & Treatment (FAST) program. This program is funded by The Agency for Healthcare Research and Quality (AHRQ), while RMHP and the University of Colorado Anschutz Medical Campus’ Practice Innovation Program School of Medicine work together to facilitate the program requirements. For more information or to enroll in the program and request RMHP as your Practice Transformation Organization (PTO), please visit the FAST website.
The RMHP Clinical Quality Improvement (CQI) Program 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 Kristi Hall, MA, BS, NHA, CCM, Manager of the Clinical Quality Improvement Program Team.
About RMHP Clinical Quality Improvement Program Team
The Clinical Quality Improvement Program Team (formerly known as the Practice Transformation Team) at Rocky Mountain Health Plans (RMHP) has partnered with practices in Western Colorado and Larimer County for over a decade, to develop a community of advanced practices by fostering quality improvement at the practice level between physicians and patients with a focus on team-based, patient-centered primary care. A state-of-the-art practice transformation approach is integrated into the medical neighborhood through the implementation of care management and care coordination processes, and engagement of both primary and specialty practices.
Practices are engaged in a stair-step trajectory of advancing curriculums based on Bodenheimer’s 10 Building Blocks of High-Performing Primary Care. Bodenheimer’s building blocks of 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 are incorporated in program curriculum. Practices build skillsets based on these building blocks.
Data evaluation and analysis is used throughout all programs. This allows practices to monitor their program performance and make program changes based on measured outcomes. Value measurements include practice reported and actionable quality metrics, patient experience, and total cost of care. There is a strong focus on the advanced use of healthcare information technology.
One element of our clinical quality improvement program includes comprehensive care that extends beyond traditional medical services and accounts for various needs along the biopsychosocial spectrum. RMHP’s Clinical Quality Improvement Program Team offers a variety of ways to support practices in developing models of integrated behavioral health that are clinically, operationally, and financially sustainable. For example, the team includes a Clinical Program Manager specializing in integrated behavioral health, who works one-on-one with practices to create visionary, tailored plans for integrated behavioral health and can serve as a resource over time for evidence-based tools, staff trainings, and more. There are several clinical quality improvement programs facilitated by RMHP’s Clinical Quality Improvement Program Team that specifically address the role of integrated behavioral health in primary care.
Participation in clinical quality improvement programs allows practices the opportunity to test, prepare for, and implement payment reform opportunities. Specific attention and action in the program offerings focus on the three components of the Institute for Healthcare Improvements Triple Aim, as well as Bodenheimer’s and Sinsky’s Fourth Aim, provider satisfaction:
- Improve the health of the population
- Enhance the patient experience of care (including quality, access, and reliability)
- Control the per capita cost of care
- Improve provider/clinician job satisfaction
As the models for healthcare improvement continue to evolve, there is a growing consensus that an additional aim is needed to address inequities in the healthcare system. You may begin to hear of a fifth aim, or “The Quintuple Aim". The Quintuple Aim builds upon the Quadruple Aim framework and includes an additional dimension to address health equity and inclusion. With this framework as a foundation, your progress in the RMHP Clinical Quality Improvement Programs will help shape workflows to improve population health, elevate the experience of the patient and medical staff, decrease healthcare costs, and address disparities in care.
RMHP Practice Transformation Resources
Practices participating in the RMHP Clinical Quality Improvement programs 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 Clinical Program Managers (CPMs) meet with practice staff in their office setting once or twice a month to provide onsite coaching, training and provision of resources.
- Virtual Practice Coaching: Virtual Practice Coaching: Program delivery to participating practices can also be a virtual model in which Clinical Program Managers (CPMs) meet with practice staff virtually to provide onsite coaching, training and provision of resources.
- Educational Learning Events: Provide practices with the opportunity to participate in webinars, targeted training and day-long or half-day events virtually or face-to-face where educational content is delivered by experts in the field and practices have the opportunity for peer-to-peer learning with other practices.
- Clinical Quality Measure (CQM) Tool Kits: Provide specific resources and tools targeting improvements in specific CQM performance.
- Tools, Resources and References. The Clinical Quality Improvement team 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 Clinical Quality Improvement team works with practices to facilitate the advanced use of health care information technology and electronic health information tools.
- DestinationRMHP Podcasts: This podcast series is dedicated to the journey of advancing care. Join the conversation as the RMHP Practice Transformation team and their guests explore topics centered around advanced care.
Meet the RMHP Clinical Quality Improvement Team
The Clinical Quality Improvement Program Team falls within the Clinical Services department at RMHP. The team brings a variety of background expertise related to quality improvement in the primary care setting. The Clinical Program Managers (CPMs) provide direct support and provide resources to practices in the areas of behavioral health, primary care workflows, and data management.