SIM COHORT 3 RFA INFORMATIONAL WEBINAR DECEMBER 6TH 12:15PM - 1:15PM

JANUARY 4TH 7:30AM – 8:30AMCarissa Fralin, MSW, LCSW – SIM Program Implementation Manager Allyson Gottsman - CHES Program ManagerEmily Lenzini, MPH(c) – CU SIM Student Assistant

PRESENTERS:

WEBINAR OBJECTIVES

▪ Overview & Significance of Colorado SIM

▪ SIM Cohort 3 Timeline

▪ SIM Practice Participation Qualifications

▪ SIM Practice Transformation Support Services

▪ SIM Practice Participation Benefits

▪ SIM Practice Participation Expectations

▪ SIM Alignment with CPC+

▪ SIM Practice Request for Application (RFA) Process

▪ Questions & Answers

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Integrate.Innovate.

Transform.

▪ SIM: The Colorado State Innovation Model

▪ SIM is a governor’s office initiative that is funded by the Centers for Medicare & Medicaid Services (CMS)

▪ Colorado was awarded a $2 million planning grant and $65 million implementation grant to strengthen Colorado’s Quadruple AIM strategy

▪ SIM encourages states to develop and test models for transforming health care payment and delivery systems

▪ Colorado is the only SIM state focused on the integration of primary care and behavioral health supported by public and private payers

WHAT IS SIM?

COLORADO SIM: WHY IT MATTERS

84%

> 50%

80%

50%

67%

Of the time, the 14 most common physical complaints have no identifiable organic cause

Of referrals from primary care to an outpatient behavioral health clinic do not make the 1st appointment

Of people with a behavioral health disorder will visit primary care at least once a year

Of behavioral health disorders are treated in primary care

Of people with a behavioral health disorder do not get behavioral health treatment

VISION – To create a coordinated, accountable system of care that will improve Coloradans’ access to integrated primary care and behavioral health in the setting of the patient’s medical home.

GOAL - Influence the health of Coloradans by improving access to integrated physical and behavioral healthcare services in coordinated systems, with value-based payment structures, for 80% of Colorado residents by 2019.

GOAL & VISION

▪ Primary Care Practices: Integration of physical and behavioral healthcare in 400 primary care practices during the four-year initiative.

PRACTICE TRANSFORMATION

Ramp-up, including practice assessment tool and IT infrastructure

Onboard additional 150 practices

2015 2016 2017 2018

Onboard initial 100 practices

Onboard additional 150 practices

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▪ Bidirectional Health Homes: Integration of primary care into four community mental health centers, with a focus on serving individuals with severe mental illness who do not already have a regular source of primary care.

.

SIM APPROACH

Public Health

Behavioral HealthProviders

Consumers

Practice Transformation

Payment Reform

Population Health

HIT

80% of Coloradans have Access to Integrated Care

Support for practices as they

accept new payment models

and integrate behavioral and physical health

care.

Engaging communities in

prevention, education, and

improving access to integrated

care.

Development and implementation of value-based

payment models that incentive integration and improve quality

of care.

Secure and efficient use of

technology across health and non-health sectors in order to advance integration and

improving health.

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KEY IMPROVEMENTS MADE

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Cohort 1 Practice Feedback Changes As A Result of Feedback

Reporting burden Streamlined set of Clinical Quality Measures

Difficulties implementing SIM at individual practice sites instead of across healthcare systems/multi-site organizations

All practices within a healthcare system/multi-site organization now encouraged to apply

Confusion regarding support from payers Inclusion of clarifying language with links to the payer MOU, addendum, and payment model summaries in RFA

$5,000 insufficient and practices relayed the $40,000 grant applications were difficult

Achievement-based payments of up to $6,500 per year available with $40,000 grant funds provided by The Colorado Health Foundation

Insufficient HIT support Inclusion of HIE support, more clearly defined information regarding broadband expansion

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DATA REPORTSMilliman cost & utilization reports StratusTM data aggregation tool

APCD data Payers submit directly or via APCD

All payers 6 payers who support tool

Practice level claims data itemized by line of business (i.e. Commercial, Medicare, and Medicaid).

Patient level claims data from supporting payers through SIM

SIM standard attribution methodology Proprietary payer attribution methodology

9 SIM cost and utilization measures (aligned with CMMI report)

Cost of care data; pharmacy data; 3 HEDIS measures; filters & custom reports on claims data

6 month – 1 year time lag May be more recent for payers who submit directly

Quarterly reports Monthly – quarterly data refreshes

First report April 2017 Access May-June 2017

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FINANCIAL SUPPORT – COHORT 3

SIM Cohort 3 Practice Achievement‐Based Payments Practices in SIM and CPC+

Activity 

SIM/CPC+ Practices

Year 1

Completion and review of all SIM assessments  $500

Quarterly reporting of required Clinical Quality Measures $1,000

Achievement of Building Block 4 Milestones $1,000

Achievement of Building Block 7 Milestones  $1,000

Achievement of Building Blocks 8, 9, or 10 Milestones (choose two of these Building Blocks)  $3,000

Total: $6,500.00

SIM Cohort 3 Practice Achievement‐Based Payments Practices in SIM‐Only

ActivitySIM‐Only Practices

Year 1

Completion and review of all SIM assessments  $500

Quarterly reporting of required Clinical Quality Measures $1,000

Achievement of Building Block 1 Milestones  $1,000

Achievement of Building Block 4 Milestones  $2,000

Achievement of Building Block 7 Milestones  $2,000

Total: $6,500.00

Small Grant Funding:

Competitive grants of up to $40,000 to assist in meeting SIM milestones and achieving goals outlined in their Practice Improvement Plans

Provided by a generous grant from The Colorado Health Foundation

Applicants selected through a competitive process, based on: Overall quality of the application and ability of proposed project to help

practice achieve practice transformation milestones

▪ For more information about the SIM small grants program, listen to the latest SIM podcast (http://bit.ly/2AKu2mr.

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FINANCIAL SUPPORT – COHORT 3

SUPPORT FROM PAYERS

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MedicaidColorado ChoiceUnited

Medicaid

UnitedAnthemCignaRMHP

Practice A

Practice B

Practice C

• Each practice site may be supported by a different group of payers.

• Practice sites will be notified in writing of which payers have agreed to support them.

• Practices in existing APMs and value-based payment initiatives, including CPC+, may not receive additional value-based payments for their participation in SIM.

SUPPORT FROM PAYERS

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PAYER MOU

Enhanced Financial Support

Data Sharing

Aligning Quality

Measures

Common Approach to

Accountability

• Health First Colorado (Medicaid)• Anthem Blue Cross Blue Shield• Cigna• Colorado Choice now Friday

Health Plan• Kaiser Permanente• Rocky Mountain Health Plans• UnitedHealthcare

For any payer related questions please email Krysten Joyce: krysten.joyce@state.co.us

SUPPORT FROM PAYERS

FINANCIAL SUPPORTContractual payments negotiated between health plans and SIM practices include:

▪ Fee-for-service payments

▪ Payments that include behavioral health integration through one of the following mechanisms: ▪ Upfront payments ▪ Population-based payments (e.g., PMPM) ▪ Care coordination payments ▪ Payment for additional codes

▪ Shared savings opportunities OR incentive payments based on performance and/or outcomes linked to quality

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APM MODEL FRAMEWORK

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SIM PAYER FRAMEWORK

PayerHCPLAN

Framework Level

SIM Model

Anthem Blue Cross Blue Shield

3 Enhanced Personal Healthcare (EPHC) or looking at individual provider’s fee schedule if EPHC is not available in their geography.

Cigna 3 PMPM with Share Savings Opportunity

Colorado Choice now Friday Health Plans

3 Per Member per Month Care Management Fee/ Shared Net Savings

Health First Colorado (Colorado Department of Health Care Policy and Financing—Medicaid)

2 Accountable Care Collaborative Behavioral Health Integration Program

Kaiser Permanente 3 Fee for Service, Fee for Service – Link to Quality & Value & Population Based Payments – MOU with Colorado Permanente Medical Group

Rocky Mountain Health Plans

3 and 4 Enhanced Fee-For-Service with shared savings/upside arrangements; Population Based Payments; Enhanced Global Payments

UnitedHealthcare of Colorado

2 Accountable Care Collaborative: Primary Care Physician Initiative/Behavioral Health Integration Program (PCPi/BHI) 17

▪ SIM Practice Request for Application OPENED: November 15, 2017

▪ SIM Informational Webinars held between November 30, 2017 and January 4, 2018

▪ SIM Practice Application CLOSES: January 10, 2018

▪ SIM Practice Participants NOTIFIED: April/May 2018

▪ Third Cohort starts: June 2018

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SIM COHORT 3 TIMELINE

Nov 2017

Jan2018

Apr/May2018

Jun2018

▪ Website: www.colorado.gov/healthinnovation

▪ SIM social media channels: bit.ly/2nntnRf

▪ Data hub : http://bit.ly/2pMtiGQ

RESOURCES

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▪ SIM videos: http://bit.ly/2nTKrLe

▪ SIM podcasts: http://bit.ly/2pK3FWK

▪ SIM articles: http://bit.ly/2rjTdUB

Learn more about SIM:

UNIVERSITY OF COLORADO PRACTICE TRANSFORMATION OVERVIEW

& APPLICATION RELATED INFORMATION

▪ The Practice Innovation Program is housed in the Dept of Family Medicine at the CU School of Medicine located on Anschutz Medical Campus

▪ Many Practice Innovation Team members also support the Colorado Health Extension System (CHES) a collaboration of individuals and organizations that share a passion for helping practices and communities improve health

▪ Focus on mobilizing quality improvement expertise from organizations across the state to engage practices and communities in achieving better population health, lower costs, improve experience of care for patients, families and the healthcare team

▪ Many of these organizations are referred to as Practice Transformation Organizations (PTOs) from across the state

▪ These organizations and our partners deploy Regional Health Connectors (RHCs) in communities and match Practice Facilitators (PFs) and Clinical Health Information Technology Advisors (CHITAs) into practices

▪ Practice Innovation Program Colorado and CHES guide learning networks that spread best practices and connect participants to local, state, and national transformation resources

THE PRACTICE INNOVATION PROGRAM

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▪ Practice Transformation Organizations (PTOs)▪ Organizations approved to provide practice facilitation (PF) and/or

clinical health information technology advisor (CHITA) services for large scale practice transformation programs

▪ PTOs were selected based on:▪ working relationships with Colorado primary care practices and ▪ experience and/or expertise in content areas required for primary care

practice transformation

▪ PTOs who will work together to provide practice transformation support to primary care and potentially to specialty practices to improve health and healthcare in Colorado

WHAT IS A PTO?

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PRACTICE TRANSFORMATION IS A PROCESS

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The main concepts of practice transformation: implementation of continuous QI engaged leadership empanelment developing continuous and team-based

relationships with patients evidence-based care patient-centered interactions enhanced access care coordination

… that results in observable and measureable changes to practice behavior

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PRACTICE TRANSFORMATION SUPPORT SERVICES

▪ Support implementation of ongoing change and quality improvement process through Quality Improvement Teams

▪ Facilitate Quality Improvement Team activities to focus on behavioral health integration objectives

▪ Identify and help resolve challenges in achieving objectives

▪ Facilitate the development of sustainable quality improvement skills, techniques and processes

▪ Coordinate and facilitate practice site access to additional resources

Practice Facilitators:

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▪ Assist in the completion of the SIM HIT assessment, including identification of current HIT resources and gaps

▪ Support the enhancement of practice capacity to implement data-driven quality improvement

▪ Assist with the development and implementation of practice workflow for data collection, reporting, validation and analysis

▪ Facilitate data-driven quality improvement priorities

▪ Link practice sites with technical assistance available through various SIM and non-SIM HIT resources

PRACTICE TRANSFORMATION SUPPORT SERVICES

Clinical Health Information Technology Advisors (CHITAs):

▪ Access to a Regional Health Connector (RHC), a local person dedicated to connecting practice sites to resources that can improve patient outcomes

▪ Facilitate the connection of practice site to local public health and other community resources

▪ Establish ongoing supportive relationships with practice sites that can be sustained beyond the two years of active practice transformation support

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Public Health

CONNECTION TO COMMUNITY RESOURCES

Regional Health Connectors (RHCs):

▪ Form a SIM Implementation/Quality Improvement (QI) Team ▪ Can also be existing QI Team targeting SIM

▪ Meet with Practice Facilitators

▪ Meet with Clinical Health Information Technology Advisors (CHITAs)

▪ Meet with Regional Health Connectors (as available)

▪ Complete the practice assessments and other evaluation activities

▪ Submit Clinical Quality Measures (CQMs)▪ Quarterly to SIM

▪ Participate in SIM Collaborative Learning Sessions (CLS)

PRACTICE EXPECTATIONS

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CPC+ ALIGNMENT

▪ CPC+ also funded by CMS through Centers for Medicare and Medicaid Innovation (CMMI)▪ Initiative aimed at, strengthening primary care and helping practices shift from

volume-based to value-based payment systems

▪ SIM Collaborating with CMS to align SIM with CPC+▪ Complementary initiatives offering unique benefits to practice sites interested in

integrating behavioral health and primary care

▪ Support focusing on behavioral health integration, business support, and health information technology assistance

▪ Practice sites that participate in both initiatives will receive support through the SIM Practice Transformation Program that will build on the support provided by CPC+

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SHARED EXPECTATIONS (across both SIM-Only & SIM/CPC+ practices)

1) Identify a cross-functional Quality Improvement Team to implement improvements based on the SIM Practice Transformation Building Blocks.▪ Quality Improvement Team, generally includes:

- Provider Champion - Clinical Support Staff - Front Desk Staff - Office Manager AND (if applicable) - Care Manager - Behavioral Health Professional

2) Complete a set of practice assessments to identify key areas of focus for improvement.

3) Participate in SIM evaluation activities.

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SIM PRACTICE PARTICIPATION –SHARED EXPECTATIONS

EXPECTATIONS OF SIM-ONLY PARTICIPATING PRACTICES

4) Required to attend the SIM Collaborative Learning Sessions.

5) Collect, report, and review SIM Clinical Quality Measures on a quarterly basis.

6) Complete a foundational subset of building blocks through achievement of key milestones.

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SIM PRACTICE PARTICIPATION –SIM-ONLY EXPECTATIONS

EXPECTATIONS OF SIM/CPC+ PARTICIPATING PRACTICES

4) Required to attend at least two SIM or CPC+ Collaborative Learning Sessions. Encouraged to attend the SIM Collaborative Learning Sessions, but not required to do so.

5) Collect, report, and review only those SIM Clinical Quality Measures that align with CPC+ requirements on a quarterly basis.

6) Complete an advanced subset of building blocks through achievement of key milestones as outlined in the SIM Framework and Milestones.

** Practice sites that participate in both CPC+ and SIM will be expected to adhere to all expectations of CPC+

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SIM PRACTICE PARTICIPATION –SIM/CPC+ EXPECTATIONS

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Assessment Name/Tool Assessment Purpose

Responsible for

Filling Out

Responsible for

Submitting

Frequency of

Reporting

Expected Time to

Complete

Field Note(includes free text and check box fields)

Documentation of number of meetings/encounters and specific areas of focus as aligned with SIM Framework & Milestones (aka Practice Transformation Building Blocks)

Practice Facilitator &

CHITA

Practice Facilitator & CHITA

Monthly 10 minutes

Medical Home Practice Monitor

Practice self-assessment of level of implementation of core aspects of advanced primary care

Practice Team(led by Practice

Facilitator)

Practice Champion Baseline & Annually

60 minutes

Integrated Practice Assessment Tool (IPAT)

Assesses current methods BHI along levels of coordination, co-location and integration

Practice Team(led by Practice

Facilitator)

Practice Champion Baseline & Annually

10 minutes

Clinician and Staff Experience Survey

Individual provider and staff survey that assesses: 1) Clinician and Staff Experience and 2) Burnout

All Members of Practice

Each Practice Member Baseline & Annually

15 minutes

SIM Milestone Attestation Checklist (previously Milestone Activity Inventory)

Assesses practice's current implementation of SIM milestone activities and progress. Additionally, will provide mechanism for Practice Facilitator attestation.

Practice Team(led by Practice

Facilitator)

Practice Team Submits Draft

Practice Facilitator Submits Final

Baseline & Every 6 Months

(updateable anytime)

60 minutes

HIT Assessments Assesses practice's current state of data quality, validity of CQM reports and implementation of SIM’s other HIT priorities.

Practice Team (led by CHITA)

CHITA Baseline & Every 6 Months

60 minutes

Clinical Quality Measures (CQMs)

Track patient and process outcomes achieved by practices Practice Champion(led by CHITA)

Practice Champion Every Calendar Quarter

Variable

SIM PRACTICE PARTICIPATION –PRACTICE ASSESSMENTS

▪ Milestones, based on 10 Building Blocks framework, Comprehensive Primary Care initiative change package, and approaches to behavioral integration▪ Developed by SIM Practice Transformation Workgroup▪ Refined further for pediatric and Mental Health Center use by task groups

▪ Implementation Guide – detailed information about how to implement each milestone, framed by Building Blocks ▪ Now Online: http://www.practiceinnovationco.org/sim/simimplementationguide/

▪ Toolkit – additional online resources

SIM PRACTICE PARTICIPATION -SIM CHANGE PACKAGE

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SIM PRACTICE TRANSFORMATION BUILDING BLOCKS

Based on Bodenheimer’s “The 10 Building Blocks of High Performing Primary Care" framework

The building blocks are made up of milestones that have been aligned with alternative payment models intended to strengthen delivery of comprehensive primary care by moving toward greater integration of behavioral health services

Outlined in the: ‘Colorado SIM Framework and Milestones’

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Reflect SIM’s target focus on behavioral health integration and population health

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SIM PRACTICE TRANSFORMATION BUILDING BLOCKS

Found in the RFA Packet Attachment A and on the University’s Practice Innovation website in the Resource Hub:

http://resourcehub.practiceinnovationco.org/initiative-information/sim/

▪ Practice Transformation Support Services

▪ Financial Support

▪ Recognition

▪ Health Information Technology

▪ Data

▪ Connection to Community Resources

▪ Business Support

▪ Patient Outcomes

▪ Provider Satisfaction36

SIM PARTICIPATION BENEFITS

Outlined on page 5 in the RFA Packet

SIM PRACTICE REVIEW & SELECTION PROCESS

▪ A comprehensive and impartial evaluation by a selection committee

▪ Practices ranked based on meeting required characteristics and application responses

▪ Applicants will be grouped and ranked and the information shared with the SIM Office

▪ Applicant practices will be placed in one of the following categories:▪ Strongly Recommend▪ Recommend▪ Consider with some concerns▪ Do not recommend at this time

▪ SIM Office will make the final determination of practices chosen for Cohort 3

▪ Practices will be notified between April/May of their status

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SIM PARTICIPATION QUALIFICATIONS

To be eligible for participation in SIM Cohort 3:

1. Practice sites must be physically located in Colorado.

2. Individual practice sites must complete and submit the application in its entirety online before 11:59 pm MST on January 10th, 2018

3. Practice sites must currently use an EHR.

4. Practice sites must meet the IOM definition of primary care.

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Requirements for Practices Interested in Participating:

SIM PRACTICE APPLICATION PROCESS

On-Line Application

Each practice site must complete its own individual application

Healthcare systems/multi-site organizations should encourage their practice sites to apply and can assist practice sites in preparing their applications

Some sections within the application must be completed by the practice site; in particular, questions in Narrative and Attestation sections

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SIM PRACTICE APPLICATION PROCESS

On-Line Application

Consider working with various members of your team to complete the application in order to address different sections:

- Practice Demographics & Provider Roster

- Health Information Technology (HIT)

- Behavioral Health & Practice Transformation

- Participation Attestations (requires leadership commitment and fiscal capabilities)

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▪ Colorado SIM website

▪ University’s Practice Innovation Program Colorado website

https://www.colorado.gov/healthinnovation

http://www.practiceinnovationco.org/sim/

SIM PRACTICE ONLINE APPLICATIONBEGINNING THE PROCESS

SIM PRACTICE ONLINE APPLICATIONBEGINNING THE PROCESS

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The SIM Cohort 3 Application Resources:• SIM Cohort 3 Practice Request for

Application (RFA) Packet• SIM Cohort 3 Application Instructions

and Questions• SIM Cohort 3 Application FAQs

• For technical and programmatic questions related to the application please contact:

• PracticeInnovation@ucdenver.edu

SIM PRACTICE ONLINE APPLICATIONBEGINNING THE PROCESS

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▪ Start a New Cohort 3 Application

▪ Access a SIM Cohort 3 Application Already in Progress▪ This will be used if you need

to stop working on a current application and return at a later

SIM PRACTICE ONLINE APPLICATIONBEGINNING THE PROCESS

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▪ SIM Cohort 3 Practice Requirements

▪ Preferred Practice Site Name

▪ Does this practice provide Primary Care to its patients and is located in Colorado?

▪ Does this practice have an EHR?

SIM PRACTICE ONLINE APPLICATIONUNIQUE ACCESS CODES

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▪ You will be provided a unique ‘SIM Application Login ID’ and ‘SIM Application Access Code’

▪ Be sure to save this information! It is required in order to re-access your application.

SIM PRACTICE ONLINE APPLICATIONUNIQUE ACCESS CODES

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▪ SIM Application Access Code Contacts▪ Email will be sent contacting the

practice site’s▪ SIM Application Login ID ▪ SIM Application Access Code

▪ Only one contact is required though providing an additional two contacts are recommended

▪ Click Submit once complete

SIM PRACTICE ONLINE APPLICATIONUNIQUE ACCESS CODES

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▪ SIM Cohort 3 Application Link – click the link

▪ SIM Cohort 3 Application Login Page▪ SIM Application Login ID ▪ SIM Application Access Code

▪ Click “Enter Application” once complete

SIM PRACTICE ONLINE APPLICATION -SAVING & RETURNING LATER

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To return to an application already started, go to the application home page and click on the ‘SIM Application Link’ under the Already in Progress area.

You will be required to enter the SIM Application ID and Access Code you were originally emailed.

To close your application and return later, click ‘Save & Next’ and close your browser.

Your application will automatically save.

SIM PRACTICE ONLINE APPLICATION -NAVIGATING THROUGH THE APPLICATION

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There are ‘required’ questions withinthe application that must be completedprior to submission.

However, you can move betweensections (by clicking the Next arrow),but will be notified of any unansweredquestions before you leave a page.

You can ‘Continue Without Answering’and move to another section.

When you reach the final ‘Application Completion Section’ any unanswered questions will be listed.

You are required to go back into each section and answer the required questions prior to submission.

SIM PRACTICE ONLINE APPLICATION -IMPORTANT QUESTIONS - ROSTER INFORMATION

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Responses to Question 19) will determine how many response fields will be allowed in the following Practice Site Provider Roster sections

For any Providers at your Practice Site an associated NPI should be listed within the roster

You will be asked to provide an up to date roster of their Practice Site

Question 19) will ask you to approximate the number of Providers/ Clinicians and Staff

SIM PRACTICE ONLINE APPLICATION -IMPORTANT QUESTIONS – KEY CONTACTS

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In the ‘Practice Site Key Contacts’ section you will be asked to enter information about the key contacts at your practice

Further explanation is provided at the top of this section in the application

SIM PRACTICE ONLINE APPLICATION -IMPORTANT QUESTIONS – UNIVERSITY W9 FORM

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Practices will be asked to provide a University of Colorado W9 form

The CU W9 and Vendor Authorization is linked here and in Question 34

Please note the W9 is 2 pages, please read through the document carefully to ensure you are filling it out to completion

SIM PRACTICE ONLINE APPLICATION -SUBMITTING YOUR APPLICATION

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This section will list any questions you have not answered. It will also tell you which section those questions are in.

Once the application is submitted you will see this dialogue box

UNIVERSITY’S PRACTICE INNOVATION COLORADO WEBSITE

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www.practiceinnovationco.org http://resourcehub.practiceinnovationco.org/

KEY DATES: (previously listed on Project Timeline Slide)

▪ SIM Practice Application OPENS: November 15, 2017

▪ SIM Practice Application CLOSES: January 10, 2018

▪ SIM Practice Participants NOTIFIED BY: April/May 2018

▪ SIM Cohort 3 Initiative BEGINS: June 2018

RFA LINK: http://resourcehub.practiceinnovationco.org/wp-content/uploads/2017/11/SIM-Cohort-3-RFA-Packet.pdf

APPLICATION LINK: http://bit.ly/sim3applicationresume

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IMPORTANT DATES & INFORMATION

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• RFA & Program Related SIM Questions: practiceinnovation@ucdenver.edu

• Payer Specific & Small Grants Related Questions: gov_simgrant@state.co.us

• University’s Practice Innovation Website: http://www.practiceinnovationco.org

• University’s SIM Resource Hub:

http://resourcehub.practiceinnovationco.org/ initiative-information/sim/

• Colorado SIM Office Website: http://www.colorado.gov/healthinnovation

CONTACT INFORMATION FOR QUESTIONS

QUESTIONS & ANSWERS

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KEY DATES: (previously listed on Project Timeline Slide)

▪ SIM Practice Application OPENS: November 15, 2017

▪ SIM Practice Application CLOSES: January 10, 2018

▪ SIM Practice Participants NOTIFIED BY: April/May 2018

▪ SIM Cohort 3 Initiative BEGINS: June 2018

REQUEST FOR APPLICATION (RFA) PACKET LINK:http://resourcehub.practiceinnovationco.org/wp-content/uploads/2017/11/SIM-Cohort-3-RFA-Packet.pdf

APPLICATION LINK: http://bit.ly/sim3applicationresume

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IMPORTANT DATES & INFORMATION

THANK YOU!