Funding Opportunity: Team-based Care

Funding Overview

Primary care is essential for Coloradans to improve and maintain their health. When primary care practices have embraced a team-based model of care, there are consistent, positive outcomes. The Foundation is dedicated to improving Colorado’s primary care through a new funding opportunity focused on optimizing existing care teams to deliver coordinated, high-quality care.

The three-and-a-half year Team-based Care funding opportunity builds off the Foundation’s previous investments in practice transformation and integrated care and helps prepare primary care practices throughout the state to capitalize on future delivery and payment reform opportunities.

Grant Deadline: Not accepting applications. This work is in progress.

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The Foundation launched the first phase of this work in February 2015 by inviting both nonprofit and for-profit primary care clinics serving a significant population of underserved patients to submit a letter of intent (LOI).

Thirty clinics were selected to receive technical assistance dedicated to assisting existing care teams assemble a work plan and budget for delivering coordinated, high-quality, team-based care. Following this planning period, participating clinics are eligible to apply for grant funding or no-interest loans (program-related investments)* of up to $150,000 over three years to implement their work plans for phase two of this one-time funding opportunity.

The Foundation has contracted with a technical assistance provider to work in collaboration with each practice to: 1) conduct a personalized assessment of the practices’ existing level of teamwork; 2) identify areas for improvement; and 3) assist clinics in applying for implementation funding in June 2015.

These clinics were asked to submit a full proposal and work plan by June 15, 2015. Three-year, non-renewable implementation grants or no-interest loans will be awarded through this funding opportunity. 

Practices that were selected for phase two continue to work with the technical assistance provider to implement their work plan through in-person and online instruction, site visits, personal consultations and participation in a learning community that will meet in person at least twice a year over the next three years.

Associated Measurable Results: Applicants will be asked to indicate how their work will numerically:

  • Increase the number of Coloradans who receive comprehensive, person-centered primary care.

Additional Evaluation Activities: As part of this funding opportunity, participating practices will be asked to engage in an evaluation study conducted by an external evaluator. The design and scope of the evaluation will be determined early in the funding opportunity, though the evaluation is expected to comprehensively assess practices’ implementation of team-based care over the life of the funding opportunity. It is anticipated that the evaluation will require participants to provide some specific quantitative and/or qualitative data about their activities, to participate in regular data collection activities with the evaluator (e.g., interviews, surveys, observations), and to participate in learning discussions about the findings.

*Nonprofit clinics were eligible for grants, For-profit clinics were eligible for no-interest loans. 

To be considered for funding, applicants demonstrated within their letter of intent that they meet the following criteria:

  • Primary care clinic in Colorado that serves a significant population of underserved patients
  • One or more teams already in place (co-located or virtual)
  • Use of an ONC-certified electronic health records system 
  • Full commitment to the initiative from practice/organizational leaders
  • Full commitment to participation in the technical assistance components of the program
  • Full commitment to participation in the evaluation components of the program

Preference was given to clinics that have:

  • Empaneled population
  • Patient registries
  • Active quality improvement team and processes
  • Approaches to actively engage patients (e.g. patient advisory committee)
  • Team(s) working on behavioral and/or oral health integration
  • Scope of services consistent with the definition of basic primary care established in Section 330 of the Public Health Service Act