CMS 2005 ROAD MAP OF GOALS, STRATEGIES, AND ACTIVITIES
	BANNER GOAL	ACTION INITIATIVES	ASSIGNED TO	STATUS UPDATE
HEALTH CARE ENVIRONMENT AND ACCESS
	Access to care	1) Access to care – CMS will advocate for legislation to expand access to care for all Colorado citizens	Council on Legislation & Health Leadership Committee	CMS successfully supported numerous pieces of legislation that will increase access to care as well as establish interim studies to further identify options for increasing access to care. See the Legislative Digest for full details.
		2) Legislative interim study: Private sector managed care – Major study promoted by CMS will examine various facets of private sector delivery systems.	Council on Practice Environment (COPE)	CMS has contracted with a nationally recognized consultant, conducted policy forum and COPE is finalizing reform initiatives for presentation to the legislative interim study and the CMS House of Delegates. Click here to view work plan.
		3) Legislative interim study: Comprehensive health care reform – Interim study will analyze alternative health programs to maximize coverage, increase access and reduce costs of care.	Health Leadership Committee	Operational plan is currently being developed in preparation for the first of many meetings of this committee in early fall.
		4) Legislative interim study: Medicaid/CHP+ Reform - Owens Administration proposing programatic reform through a federal waiver with General Assemby buy-in.	Council on Health Affairs	CMS testified at Legislative hearing on 7/12/05 (click here for testimony) effectively postioning CMS and specialty society partners "at the table" during future reform decisions. Operational plan to engage in reform process approved by Counicl on Health Affairs. (Click here to review plan.) Physician policy development meeting to be held at the end of July.
		5) Legislative interim study: Auto insuracne reform - Analyze impact of switch from no-fault to tort based auto insurance.	Workers' Compensation/Personal Injury Committee	Physician policy forum held on July 13 to determine problems and propose solutions to interim committee. Click here to view work plan.
		6) Workforce – Seek information and data to quantify and qualify statewide physician workforce capacity issues.	Council on Health Affairs	A workforce survey (paper and online versions) acccompanied the Board of Medical Examiner's license renewal notification that was sent to all Colorado physicians in the spring. The survey was the result of a collaborative effort between CMS and the Central Area Health Education Center, Colorado Health Institute (CHI) and Colorado Rural Health Center. CHI is currently analyzing survey results. More information will be available soon.
PATIENT SAFETY & QUALITY
	Patient safety and quality of care initiatives	1) Electronic prescribing – Develop and promote a member education program in collaboration with the Colorado Pharmacists Society regarding electronic prescribing.	Council on Health Affairs	Initial discussions with Col. Pharmacists Society have occurred. Health Affairs Council has reviewed and is revising guiding principles for e-health initiatives. Currently developing action plan for educational program.
		2) Uniform discharge data form - Working with stakeholders, establish a uniform discharge data form with all hospitals.	Council on Health Affairs	Both the Health Affairs Council (HAC) and the Council on Practice Environment (COPE) evaluated the draft uniform discharge data information developed by the Colorado Hospital Associations Quality Managers Group. The councils approved the form, with minor edits. A memo has been sent to the Colorado Health and Hospital Association and work continues in the integration of this form with the Colorado Patient Safety Coalition's Healthy Handoffs Initiative.
		3) Continuity of care – Collaborate with the Colorado Patient Safety Coalition (CPSC) in their Healthy Hand-Offs Initiative to develop a continuity of care record.	Council on Health Affairs	Council on Health Affairs reviewed the outline of this project during its February meeting. Dennis Waite, MD, will serve as the HAC liaison to the CPSC on this initiative.
		4) Scope of practice – Collaborate proactively with non-physician health care professionals to ensure optimal care, while defeating legislative initiatives that threaten patient safety.	Council on Legislation	CMS successfully prevented a move to establish chiropractors as primary care providers. Negotiations under way on pharmacist drug therapy management under physician delegation.
	Health information	1) Inpatient outcomes data – Collaborate with all stakeholders regarding the upcoming release and interpretation of hospital specific mortality data.	Council on Health Affairs	A data pre-release informational session was held on 3/3/05 to educate physicians about data, methodology and impacts. Extensive communications with component and specialty societies, in addition to presidents of hospital staffs occurred in advance of release. Data was released in April and received limited media attention.
		2) Electronic information exchange – Partner with Colorado Health Information Exchange in the development of the forthcoming statewide, health information exchange for physicians and patients.	Council on Health Affairs	The Health Affairs Council received a complete briefing on the project during its May meeting. Dr. Dave Downs from Denver has been appointed as the CMS representative to the COHIE Steering Committee.
	Technology	1) Technology fair – Host a trade show for physicians and their staff featuring the latest office automation products, services, and application.	Council on Health Affairs	This highly successful day-long event was held on Friday, June 24 in Denver. Over 400 people attended, including 263 physicians and their practice managers from all over the state. National and local experts provided educational content, and 47 exhibitors were present. All costs for this unbudgeted conference were covered. Evaluations showed a high level of interest by physicians in more non-sales, hands-on experience in health information technology products, in addition to self-help educational modules. Click here for event day pictures and recap.
		2) Colorado Health Information Exchange Community Advisory Council – Partner in the development of a statewide, health information exchange to enable data sharing at the point of care.	Council on Health Affairs	The Health Affairs Council received a complete briefing on the project during its May meeting. Dr. Dave Downs from Denver has been appointed as the CMS representative to the COHIE Steering Committee.
		3) Electronic prescribing – S.T.E.P. Alliance (Safety Through Electronic Prescribing) education campaign in collaboration with the Colorado Pharmacists Society.	Council on Health Affairs	Initial discussions with Col. Pharmacists Society have occurred. Health Affairs Council has reviewed and is revising guiding principles for e-health initiatives. Currently developing action plan for educational program.
	Physician continuing medical education and professional development	1) Periodically survey accredited education programs	Committee on Professional Education and Accreditation	Memorial Hospital, Colorado Springs surveyed 2/8/05 Parkview Hospital, Pueblo surveyed 3/15/05 Southwest Memorial Hospital, Cortez scheduled 7/22/05 Aspen Valley Hospital scheduled for 9/8/05
		2) Provide individual and group education to physician chairs and staff of accredited programs	Committee on Professional Education and Accreditation	Individual training continues for accredited programs and for staff and physicians representing 6 organizations seeking acreditation Group training conducted on 6/3/05 3 for all CME staff, chairs and CME committee members. Exceeded attendance expectations. Dr. Murray Kopolow, Chief Executice, Accreditation Council for CME was guest speaker.
		3) Recruit hospitals around the state to become accredited to provide CME	Committee on Professional Education and Accreditation	Drs. Lewis & Bonelli initiating recruitment program. Visits made to hospitals in Canon City, Alamosa, Parker, Littleton and Good Samaritan, Lafayette
COMMUNITY HEALTH
	Physician leadership	1) End of life care campaign – Develop and execute a statewide education/public relations campaign on end of life care	Health Leadership Committee	Draft goals and objectives developed by the Health Leadership Committee on 2/10/05. Patient persuasion brochure developed Click here to view. Operational plan being developed to hold End of Life Care Month (tentatively scheduled for later this year), which would include media events, educational opportunities and other programs. Seeking corporate sponsors.
		2) Referendum C & D	COMPAC	A product of the 2005 Spring Conference, COMPAC will mobilize physician and Alliance turnout and outreach to non-physicians for Referendum C&D, a 11/05 ballot initiative to restor funding to Colorado's public health, higher education and transportation infrastructure.
		3) Patient web page – Develop a patient-oriented section of the CMS Web site.	Board of Directors	The Communications Department is currently coordinating the development of this page.
	Community projects	1) Doctor Line9 – Establish a positive connection between the physicians of Colorado and the public through this valuable community service	Board of Directors	CMS member physicians staffed two programs since last board meeting focusing on cardiology and allergies. Both proved to be very popular with 9News viewers.
		2) Obesity – Provide physician input to the Colorado Department of Public Health and Environment's Colorado Physical Activity and Nutrition Program.		The state and component society staff are collaborating to identify opporttunities to hold interactive workshops sponsored by the Centers for Obesity Research and Education for physicians on how to manage their obese and overweight patients.
		3) Smoke free public areas – Strongly support the Colorado Tobacco Education and Prevention Alliance (CTEPA) in our joint effort to make public places in Colorado smoke free.	Council on Legislation	While SB 207 which addressed smoke free Colorado was unsuccessful, CMS continues to work with smoke free advocates toward local ordinances.
PRACTICE VIABILITY
	Practice costs	1) State legislature a. Professional liability – Defend hard earned tort reforms b. Assignment of benefits – Promote mandatory honoring c. Economic credentialing – Fight for prohibition d. Interim studies e. Other - As prioritized by the Council on Legislation	Council on Legislation	Successfully lobbied against a legislative proposal that would have weakened Colorado's tort reform. CMS successfully passed an "assignments of benefits" bill which has become law.
		2) Colorado Congressional Delegation a. Medicare – Stop the payment cuts scheduled for 1/1/06: Fix the sustainable growth rate (SGR) formula Program/Activity: Comprehensive public affairs strategy forthcoming. b. Professional liability reform – Promote aggressively c. Other – Identify and promote initiatives on practice viability issues as appropriate	Council on Legislation	a. Public Affairs continues to work closely with the AMA to increase co-sponsorship on HR2356 and S1081. Click here for complete details.
	Practice management	1) Assembly of payer meetings – Conduct hands-on practice management education for physician office staff across the state.	Council on Practice Environment	QAOAP 1st Quarter Presentation – Medicare 2005 Update – March 17, 2005. QAOAP 2nd Quarter Presentation – The What, Why & Who of HSAs – May 11, 2005. QAOAP 3rd Quarter Presentation – Understanding Your Payer Contracts – August 18 & 19, 2005.
		2) Hassle factor – Revamp the CMS Hassle Factor Project with proactive activities such as an Ombudsman program, coding/billing “advice-line”, and technical support on state and federal statutory and regulatory requirements.	Council on Practice Environment	A detailed action plan was approved by COPE on February 15, 2005. Click here for complete details. Initial meeting of the Office Manager Advisory Panel was held on June 15, 2005 to discuss Hassle Factor Revamp.
		3) Annual individual health plan meetings – Continue these meetings between CMS Physician Leadership and executives from six large local health plans to personally communicate CMS members’ concerns.	Council on Practice Environment	Action list developed for 2005. Meetings set for March and April.
		4) Legislative interim study: Private sector managed care – Major study promoted by CMS will examine various facets of private sector delivery systems.	Council on Practice Environment	CMS has contracted with a nationally recognized consultant, conducted policy forum and COPE is finalizing reform initiatives for presentation to the legislative interim study and the CMS House of Delegates. Click here to view work plan.
		5) Legislative interim study: Auto insuracne reform - Analyze impact of switch from no-fault to tort based auto insurance.	Workers' Compensation/Personal Injury Committee	Physician policy forum held on July 13 to determine problems and propose solutions to interim committee. Click here to view work plan.
		6) CMS office manager newsletter – Reinstate a newsletter to office manager providing the latest information to maintain practice viability.	Council on Practice Environment
A STRONGER, MORE UNIFIED CMS
		1) Process for the future – Harness unprecedented collaboration and cooperation among individual physicians and physician-driven organizations to unify the medical profession and establish the long-term direction of CMS.	Board of Directors	In progress. Board to discuss initial plan at 3/18/05 meeting. Spring Conference to focus on this initiative.
		2) Member participation – Explore opportunities and ideas to increase physician involvement in CMS.	Board of Directors	Activities evolving with 2005 Road Map implementation
		3) Alliance – Fully integrate the Alliance into key CMS projects that support 2005 CMS goals and promote the mission of the Alliance.	Board of Directors	Executive Director/Alliance leadership meetings in-progress
		4) Communications - Miss no opportunity to effectively communicate CMS accomplishments, programs, and activities to Colorado physicians and their staff, component and specialty societies, the CMS Alliance, the media, and the public. a. i. Media relations – Establish a program of relationship building with the Colorado press corps so CMS becomes the single best source for health related information. b. ii. Physician relations – CMS will establish and maintain meaningful dialogue with Colorado physicians to foster ownership in the programs and activities of their society.	Board of Directors	February/March edition of Colorado Medicinespotlighted CMS 2005 Road Map and launched the CMS communications campaign to fix the Medicare SGR. Several interviews with reporters from various papers have occurred on Medicare and legislative issues. CMS leadership was quoted as a result of these intereviews.
		5) Membership development – Retention and recruitment of physicians are a result of delivering superior services to Colorado physicians Collaborate with county and specialty medical societies to recruit a minimum of 10% of identified non-members.	Board of Directors	In progress. 2800 non-members identifed from membership rosters from 15 specialty societies. Recruitment plan included in 7/15/05 BOD agenda.
		6) Political action and grassroots activism – COMPAC will plan, develop, and implement effective political action programs to strengthen the voice of Colorado physicians in the development of public policy on the state and federal levels.	COMPAC	COMPAC has committed up to $25,000 toward the passage of Ref. C & D. Public Affairs is actively engage in the campaign.
		7) Information technology – Develop streamlined, efficient, and effective organizational functions through superior information technology.	Board of Directors	Ongoing updates to hardware/software to protect against Internet-based threats. Internet-based discussion forum and events calendar added to the website. Server added for internal sharing of contact information.