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

2. 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

3. 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

4. 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

5. 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

6. 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!

7. First Access Group Activities
Tracking enrollment in Denver County, sending enrollment updates to partners. Contact 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

8. 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

9. 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.

10. 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

11. 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?

12. 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.

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