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SAV I N GS ATTRI B U TED TO

Prescribing boards 82 practices on reducingrelease emergency revised Fremont County brings physicians working together department visits through expanded access and patient engagement

guidelines for prescribing and dispensing opioids 80 practices

working on reducingThe seven prescribing and dispensing hospitalizations improved access,at the Colorado Division boards housed patient engagementof Professions and Occupations adopted and released revised Guidelines for Prescribing and Dispensing Opioids in April 2018.

These boards – the Colorado Dental Board, Colorado Medical Board, State Board of Nursing, State Board of Optometry, Colorado Podiatry Board, State Board of Pharmacy, and State Board of Veterinary Medicine – embarked on an 18-month stakeholder engagement process in May 2016. The revised policy reflects 27 different specialty their collaboration and thetypes robust stakeholder feedback the boards received.

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A BOU T TH E C O L O RAD O P RAC TI C E TRAN SF O RMATION NE TW The Fremont County Medical Society and Colorado Medical Society held a Regional Forum in Cañon City on March 13, bringing local physicians and CMS leaders together for an evening of dialogue about what’s COLORADO new at CMS, CMS advocacy efforts, and the latest on the opioid crisis and physician wellness. FCMS includes the cities and towns of Brookside, Canon City, Coal Creek, Coaldale, Cotopaxi, Florence, Hillside, Howard, Lincoln Park, Penrose, Rockvale, Silver Cliff, Statewide PTN Westcliffe, Wetmore and Williamsburg. n

TCPi practices get top MIPS scores Practices engaged in the Transforming Clinical Practice Initiative (TCPi) are reporting success with the Merit Based Incentive Payment System (MIPS). Two TCPi practices received a MIPS score of 100 out of 100 and many others scored in the 90s, which means they will get positive payment adjustments. More than 90 percent of MIPSeligible providers in TCPi submitted their reports and will avoid a negative payment adjustment due to their work. SIM and TCPi practices have demonstrated success in the Centers for Medicare and Medicaid System Quality Payment Program (QPP) through their work with practice facilitators and clinical health information technology advisors (CHITAs). Get details on what practices need to submit for MIPS as well as advanced alternative payment models (the other track in QPP) 34

through the Colorado QPP website: www.cms.org/coqpp/fast-facts. TCPi, a governor’s office initiative that is funded by the federal CMS, is helping position providers (specialists, behavioral health centers and primary care practices) for success with alternative payment models (APMs) that reward the value of care delivered. More than 1,900 clinicians are participating in TCPi throughout Colorado, 87 percent of whom are specialists. Learn more about how TCPi helps providers in a new episode of the Colorado State Innovation Model (SIM) podcast series Innovation Insights: https:// soundcloud.com/user-118904494/tcpipodcast. n

Moving forward, the boards will continue to evaluate the policy, incorporating new legislation and collaborating with other state agencies, researchers, practitioners, patients, the Colorado Consortium for Prescription Drug Abuse Prevention, and other stakeholders to identify and evaluate outcomes. In a news release, the boards note that the policy is a “living document, reflective of the evolving science, technology, policy and law in their ongoing efforts to address Colorado's opioid crisis.” Written comments may be provided at any time to Holli Weaver at holli.weaver@state. co.us. A new website – www.colorado.gov/ dora/opioid_guidelines – provides additional information about the new policy, the process for its revisions and stakeholder meeting recordings. n

Colorado Medicine for May/June 2018