US Publications

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  • Care Management Summary - Colorado Team-Based Care Initiative Change Package Tool
    May, 2017 - Care Management Summary from the Team-Based Care Initiative Change Package Toolkit. Ensuring patients who are at high risk or have complex needs are well cared for during and between office visits. Download (PDF, 160 KB) ...
  • Colorado School-Based Health Center Sustainability Study
    September, 2015 - In 2012-2013, nearly 32,000 children across Colorado received comprehensive health care at 56 school-based health centers (SBHCs). In February 2015, John Snow, Inc. (JSI) was hired to identify a SBHC business model and financing strategy that incentivizes efficiency and movement toward sustainability, addresses the primary care needs of the target ...
  • Colorado Team-Based Care Initiative Change Package Tool
    March, 2017 - The Change Package is a tool used to support practice transformation by serving as an evidence- and experience-based guide for both the program team and the participating practices. Based on the evidence and best practices around team-based care (TBC), this change package draws on the work of LEAP, the IOM, ...
  • Redesigning Primary Health Care Teams for Population Health and Quality Improvement
    May, 2017 - Over a the-year period, Penobscot Community Health Care, a federally qualified health center in Maine, implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this “Delegate Model,” Penobscot physicians assign tasks that they used to perform to trained care team medical assistants (CTMAs). The ...
  • Using Data to Manage Population Health Under Risk-Based Contracts
    June, 2017 - With value-based care, providers are increasingly being asked to take on more accountability, and in some cases financial risk, for cost and quality outcomes for a defined population. By reviewing this document, health centers can assess whether they are investing sufficiently in the clinical and administrative infrastructure and analytics to ...
  • What is value-based payment and why are health centers considering payment reform?
    2016 - Many health centers are at the crossroads of needing to invest in updating their care model so they can engage in the evolution of the health care system, and maintaining financial sustainability in what remains largely a fee-for-service world. By helping to shape value-based payment models in their services areas, ...