Practice Transformation

Practice Transformation

RMHP Transformation Projects

The Rocky Mountain Health Plans 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 at Rocky Mountain Health Plans (RMHP) 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’s 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:

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:  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: Modules are available for practices who wish to delve into transformational work without commitment to a full program. 

Clinical Quality Measure (CQM) Tool Kits: These toolkits 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.