Care Coordination

About Care Coordination

The Office of eHealth Innovation (OeHI) and the Care Coordination workgroup have done extensive research to understand the current state of care coordination in Colorado. The established goal of the Care Coordination workgroup is to identify, understand, and prioritize leverage points to support whole person care by facilitating the connection of individuals to needed resources across Colorado communities using health IT infrastructure and data sharing. The workgroup defines whole person care as being comprehensive of behavioral, social, and physical health needs. OeHI aims to connect healthcare, human services, and community partners to build a social-health information exchange (S-HIE) infrastructure for navigating resources. Investing in SHIE infrastructure requires advancing multiple components simultaneously, including advancing shared practices for data governance, common workflows across collaborating organizations, and the adoption of interoperable technology. The overall vision of the infrastructure is to allow multiple entities to screen, assess and refer clients to resources, ensure clients access resources, provide case management when applicable, and evaluate the impact of resources on health and wellbeing.

Many efforts are underway in Colorado, including both for-profit companies and grant funded pilots, to bring disconnected partners together and connect clients to resources. OeHI is funding eligible entities under HITECH guidelines to advance infrastructure projects that support the overall S-HIE ecosystem. The OeHI funding strategy is to advance and connect the required components of the infrastructure, reduce duplicative technology systems, and facilitate information sharing within and across local communities through common data standards. We recognize that many initiatives are currently underway and aim to leverage prior investments and support local and regional efforts in scaling effective solutions.