Meeting with Denver Legislators July 21, 2015, 1:30-2:30pm Inner City Health Center Denver, Colorado

Mission: Achieving Better Health through Collaboration Established in 2015 based on a recommendation in Denver’s Community Health Improvement Plan related to increasing Access to Care Brings together stakeholders from: medical care behavioral health care – mental health and substance abuse treatment public health and other governmental entities social and community services Mission: Achieving Better Health through Collaboration

Key Role: Implementation Governance Structure Board of Directors One designated voting representative from each member organization, regardless of size or number of sub-units Key Role: Strategy Executive Committee Elected by the Board Key Role: Implementation Working Groups Formed and dissolved by the Board, Overseen by the Executive Director Major decisions approved by the Executive Committee Executive Director Appointed by the Executive Committee

Organizational Members Ex-Officio (Non-Voting) Members Membership List, June 2015 Sustaining Members 1 Denver Health and Hospital Authority 2 Mental Health Center of Denver Major Contributors 3 Saint Joseph Hospital Organizational Members 4 Arapahoe House 5 Asian Pacific Development Center 6 Center for African American Health 7 Centura Health 8 Clinica Tepeyac 9 Colorado Access 10 Colorado Alliance for Health Equity and Practice 11 Colorado Coalition for the Homeless 12 CREA Results 13 Denver Environmental Health 14 Denver Human Services 15 Denver Indian Health and Family Services, Inc. 16 Denver Medical Society 17 Denver Public Schools 18 Families Forward Resource Center 19 Focus Points Family Resource Center 20 Inner City Health Center 21 Kaiser Permanente 22 Servicios de la Raza Ex-Officio (Non-Voting) Members 23 Colorado Coalition for the Medically Underserved

Position in Home Organization Executive Committee of the Board, Elected July 2015 No. Position Name Organization Position in Home Organization 1 Chair Bill Burman Denver Health and Hospital Authority Director, Denver Public Health 2 Vice-Chair Annie Lee Kaiser Permanente Director, Medicaid and Charitable Coverage Programs 3 Treasurer Chris Wanifuchi Asian Pacific Development Center CEO 4 Secretary Robert Bremer Colorado Access Executive Director, Access Behavioral Care 5 At-Large Mirna Castro Servicios de La Raza Manager, CCares Program 6 Carl Clark Mental Health Center of Denver CEO and Medical Director 7 Jim Garcia Clinica Tepeyac Executive Director and Founder

Working Groups First Access to Care (coverage, health and insurance literacy, entry into care) Access to Specialty Care for Underinsured and Uninsured Denver Residents Better Management of High Utilizers of the Medical Care System Integrated Physical and Behavioral Health – NEW!

First Access Group Activities Tracking enrollment in Denver County, sending enrollment updates to partners. Contact Rebekah.Marshall@dhha to get updates. Sharing information about outreach and enrollment events and coordinating needs during second open enrollment period Facilitating community outreach and enrollment meetings - Denver stakeholder meeting held July 13, 2015 to develop enrollment plans for specific priority populations: Racial/Ethnic Communities Occupation-Based Approaches Health Care Sites Defining our role in promoting health insurance literacy Matrix of First Access resources developed

Enrollment in Denver through April 2015 Medicaid expansion total = 69,595 Data Sources: HCPF – Increase in Medicaid Enrollment January 2014 – April 2015. Connect for Health Colorado – Enrollment data for 1st and 2nd Open Enrollment Periods, adjusted to exclude those estimated to have been previously insured and who re-enrolled in the 2nd period Kaiser Family Foundation (2014), Survey of Non-Group Insurance Enrollees and (2015), Survey of Non-Group Health Insurance Enrollees, Wave 2

Specialty Care Access Group Recommended to form a specialty care referral hub for publically insured, under-insured, and uninsured residents who are patients at Denver’s safety net clinics To include e-consults, in-person referrals, and capacity building for primary care providers Held stakeholder meeting in December to gather feedback on the draft plan Recently received a grant from the Caring for Colorado Foundation ($55K) to fund the development of a more detailed implementation plan for a pilot project - August 2015-February 2016.

Targeting High Utilizers Group Learning the landscape: Existing programs, how they are structured and funded, data sources, mental health and substance abuse connection and need for payment reform, connection with housing Exchanging information and developing relationships between existing high utilizer programs Summit held June 22, 2015 in coordination with CCMU: Learning and sharing about programs in the metro area Panels on payment reform, integrated care, and data/assessment Identifying common challenges Collaboratively identifying next steps to address some of the challenges

New Integrated Care Working Group - 1-Year Objectives Defining Integrated Care for Alliance Members: Develop an operational definition of integrated care to assist Alliance members in understanding the landscape and how they might make practice transformations. Environmental Scan and Identifying Best Practices: Who is doing already integrated care in Denver? How is it working? What are the successes and challenges of those implementing it? How are they paying for it? What are the best practices and tools they are using? Identifying Needs: What is the current need for integrated care in Denver? Are staff in member organizations trained and able to perform their responsibilities and tasks in an integrated care environment? What support do they need to do so? What are the potential resources to support these efforts?

New Integrated Care Working Group - 3-Year Objectives Learning: Provide a collaborative learning environment that shares best practices. Technical Assistance: Develop and share tools that assist member organizations to implement integrated care models in their organizations. Advocacy: Advocate for system-level changes that support the success of these models.

Questions about the Mile High Health Alliance? What issues do Legislators have that the Alliance might work on? How can we help you?