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Care Coordination & Systems Integration

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Goal: To coordinate between a wide range of behavioral health services so that individuals are receiving timely, continuous, and appropriate care  

We recognize that care coordination levels vary from basic to intensive which often required long-term support for individuals with complex needs that may involve multiple providers, medication coordination, and support services. The vision for our community is to develop a community-wide, integrated system that assures that anyone with a behavioral health need is quickly connected to services that can help them, coordinate care, and support navigating ongoing or future needs.

Possible strategies to improve care coordination across the continuum of care:

  • Increase the use of memoranda of understanding (MOUs) & legal sign-offs so agencies can speak to one another
  • Offer transportation to get outpatient treatment
  • Technological system improvements and integration

Click below to review the three different targeted grant funding areas in more detail.  

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BASIC TO MODERATE CARE COORDINATION FOR SHORT-TERM OR LESS COMPLICATED NEEDS

This is for those who may be new to seeking care and are not likely to need extensive, complicated levels of service, for long periods of time.

Impact Fund Grants in this targeted area should aim to:  

  • Facilitate the appropriateness of care (right care, at the right time, and right setting)
  • Provide assistance in understanding options and empower those seeking care to make informed decisions about their health care
  • Provide assistance in connecting to services to ensure continuity of care by reducing fragmentation, avoiding gaps in care, avoiding duplication, and improving the quality of their experience.
  • Build partnerships and collaborate with other community agencies and various providers to avoid duplication and enhance communication.

MODERATELY INTENSIVE TO INTENSIVE CARE COORDINATION AND MANAGEMENT FOR THOSE WITH COMPLEX NEEDS

This level of care is for those who have extensive needs and can benefit from considerable assistance that includes a blend of outreach, care coordination, support, and therapeutic services through multi-disciplinary trained specialists. 

Impact Fund Grants in this targeted area should aim to:

  • Expand the capacity of multi-disciplinary teams, such as Assertive Community Treatment (ACT), Community Dual Diagnosis Treatment Team (CDDT), Medicaid Accountable Care Collaborative (MACC), Colorado Opioid Synergy – Larimer & Weld (CO-SLAW).

Technology, privacy and lack of data sharing can often be a barrier to receiving quality care. Better support through transition and coordination across providers is needed so people can easily get continuous care.

Impact Fund Grants in this targeted area should aim to:  

  • Propose, develop, or enhance, technological solutions that facilitate the quick and easy connection of people to services, as well as information sharing to improve efficiencies, reduce duplication, and determine what gaps still need to be filled.