NORTH COLORADO HEALTH ALLIANCE

INTEGRATED INFORMATION TECHNOLOGY: NCHA MANAGES A SHARED AND INTEGRATED IT PLATFORM FOR PARTNER MEMBERS WHO WISH TO USE THE PLATFORM. NCHA EMPLOYS A DIRECTOR OF INFORMATION TECHNOLOGY TO OVERSEE ALL PROGRAM ACTIVITIES AND HAS A SERVICES AGREEMENT WITH A HIPAA-COMPLIANT EXTERNAL HOSTING COMPANY FOR HARDWARE INCLUDING DATABASE AND CITRIX SERVERS, SYSTEM DESIGN AND MAINTENANCE, AND ENGINEERING SUPPORT. IN ADDITION TO BASIC E-MAIL, OFFICE PRODUCTIVITY SOFTWARE, GENERAL LEDGER, AND PAYROLL PROGRAMS, NCHA HOSTS A SHARED PRACTICE MANAGEMENT AND ELECTRONIC HEALTH RECORD SOLUTION (ATHENA PRACTICE MANAGEMENT SOLUTION) THAT SUPPORTS THE INTEGRATED HEALTH CARE PROGRAMS OPERATED BY ALLIANCE PARTNER ORGANIZATIONS. OPERATING COSTS ARE SHARED ON A PRO-RATED BASIS DETERMINED BY NUMBER OF ORGANIZATIONAL USERS.

SECOND ACCOMPLISHMENT REGIONAL ACCOUNTABLE ENTITY (RAE) CARE MANAGEMENT: NCHA PROVIDES CARE MANAGEMENT SERVICES IN TWO OF SEVEN REGIONS IN COLORADO UNDER DELEGATION AGREEMENTS WITH NORTHEAST HEALTH PARTNERS (RAE 2) AND ROCKY MOUNTAIN HEALTH PLANS (RAE 1). NCHA IS COMPENSATED ON A PER MEMBER PER MONTH BASIS TO PROVIDE CARE MANAGEMENT SERVICES TO ATTRIBUTED MEDICAID/MEDICARE MEMBERS. NCHA IS RESPONSIBLE FOR AN AVERAGE POPULATION OF 90,000 MEMBERS BETWEEN BOTH REGIONS. THE PERFORMANCE METRICS OF THE CARE MANAGEMENT PROGRAM INCLUDE REDUCING EMERGENCY DEPARTMENT UTILIZATION, REDUCING HOSPITAL ADMISSIONS AND READMISSIONS, ADDRESSING POTENTIALLY AVOIDABLE HEALTH CARE COSTS THROUGH INCREASING RATES OF WELL CHILD CHECKS, PRENATAL AND POSTPARTUM VISITS, AND DIABETES SCREENING AND ASSESSMENTS. CURRENTLY THE CARE MANAGEMENT TEAM HAS A TOTAL OF 52 POSITIONS FUNDED THROUGH THIS SOURCE.