A SHARED VISION
2017
“
Thank you for the opportunity to partner so closely with The Colorado Health Foundation in pursuit of a shared vision of improving the lives of all Coloradans. With you by our side for more than a decade, we have made a tangible impact on the health of people and families across our state. There is perhaps no more important mission than improving health and wellbeing, and we are humbled by your continued philanthropic investments in discovery, innovation, education and care at the University of Colorado Anschutz Medical Campus. Your support is resulting in discoveries made and lives saved. Donald M. Elliman, Jr. | Chancellor University of Colorado Anschutz Medical Campus
THANK YOU! 1
A LONGSTANDING PARTNERSHIP, A SHARED VISION "Since its establishment nearly a decade ago with your help, the Colorado School of Public Health has made remarkable strides toward becoming one of the country's premier institutions of public health." - Donald M. Elliman, Jr. | Chancellor
2007 Founding funder of the Colorado School of Public Health
2008 Clinicians in the Community
2
2009 Expanding Primary Care to Underserved 2009 Leadership Education Advocacy Development Scholarship (LEADS)
"It's time to move beyond the separate histories of physical and mental health, and to achieve whole-person care for everyone. ACT was a highly successful five-year effort to do just that." - Larry A. Green, MD | Professor of Family Medicine | Former Director, ACT 2010 Advancing Care Together (ACT)
2010 Healthy Eaters Lifelong Movers (HELM) 2008 Area Health Education Support grew into a statewide effort to encourage middle and high school students to pursue health careers
"Through HELM, we bring the latest research to schools, and the schools bring knowledge of their community and a keen understanding of what will work." - Elaine Belansky, PhD | Professor and Director, Rocky Mountain Prevention Research Center Co-Director, HELM
2012 Interprofessional Education
2011 Urban Track 2011 BA/BS – MD Program
"With your tremendous investments, the ECHO model has proven a powerful way to connect clinical and public health professionals across miles and disciplines to share knowledge and, ultimately, improve care across Colorado."
2013 Pyramid Plus 2012 Skaggs School of Pharmacy and Pharmaceutical Sciences/ Health Outcomes
2012 Rural Track Support
- John F. "Fred" Thomas, PhD Executive Director, ECHO Colorado 2013 Sheridan Clinic Expansion
2013 Culture of Wellness in Preschools
2014 Extension for Community Health Outcomes (ECHO) Colorado
2013 Advance Care Planning
"Our goal is to empower our communities by promoting a culture of wellness in our partner preschools and early childhood education centers, and we have reached 15,000 students, parents and teachers so far." - Jina Puma, PhD | Assistant Professor of Public Health Director, Culture of Wellness in Preschools
2015 Behavioral Health Summit
2016 Mental Health Nursing in Colorado Springs
2017 Una Madre a Otra
2016 Virgilio Licona Scholarship
3
A DECADE OF IMPACT AT THE UNIVERSITY OF COLORADO
HEALTHY LIVING $12,045,670 SPONSORED $125,614 SPECIAL PROJECTS $3,909,509
BOARD DESIGNATED $298,750 TOTALS
HEALTH CARE $35,270,617
LIFETIME GIVING $59,974,482 CU FOUNDATION $52,062,501
2007-2017 TOTAL GIVING:
$51,650,160 4
OFFICE OF GRANTS AND CONTRACTS $7,911,980
PROGRESS
2016-2017 5
CREATING HEALTHY PLACES Michael Jenson, PhD & Austin Troy, PhD Last year, your support for “Creating Healthy Places Through Transformational Education and Design” enabled interdisciplinary teams of design students to explore principles and emergent trends for addressing health in the built environment. The project teams have developed a working draft of a health-based evaluation tool, or “health lens,” for assessing how emergent trends in health are integrated into design, planning and decision-making efforts within the Sun Valley neighborhood in west Denver. These criteria have influenced the creation of nearly two dozen plans for the neighborhood, including a transit station plan, a master plan, a greenway plan, a boulevard plan and more.
“
This kind of work is being done at different levels, but nobody has really connected the dots. We’re going to try to connect more of the dots.”
6
– Michael Jenson, PhD | Associate Dean and Professor, College of Architecture and Planning Associate Vice Chancellor of Research and Creative Activities, University of Colorado Denver Co-Director, Creating Healthy Places
Key accomplishments made possible with The Colorado Health Foundation’s support include: • development of a lecture series bridging the health and design disciplines that was open to the general public and the academic community • foundational research for initial graduate studio offerings and partial content for a massive open online course (MOOC) to be launched in the near future • establishment of professional and academic networks interested in participating in courses and symposia featuring content on health and the built environment • development and launch of a pilot interdisciplinary design studio/seminar that produced the initial content for a forthcoming “Health, Design and Implementation” guidebook
11 SITES 440 PRACTICE MEMBERS 120,000 PATIENTS
Through an incredible five-year partnership with The Colorado Health Foundation, the CU Department of Family Medicine was able to make meaningful progress in Colorado by deepening our understanding of how to change practice so that people with mental, emotional and behavioral problems can get the help they need and want. Over the course of the “Advancing Care Together” (ACT) enterprise, we met face-to-face with people in need of help with these problems to discuss their ideas and understand resources available in their local communities. We engaged state and national experts in integrating primary care and behavioral health to guide and monitor our work, assess ideas and strategies, and select a set of 11 diverse Colorado practices reflecting our state’s demographics, each of which accepted our invitation to take part in the ACT project. Through direct observation and open sharing of information, the ACT team concluded its collaboration with community practice sites and a steering committee with new ideas and lessons learned about the practical issues that hinder or enable the advancement of integrated care in real Colorado communities. The ACT innovators continue to provide frontline care all across Colorado today. The practical knowledge developed by the ACT team about implementing integrated care spanned everything from floor plans to onboarding new staff and dealing with electronic medical records. The effort resulted in important contributions to the field, including: • more than 30 peer-reviewed publications, including an entire journal supplement • nearly 50 national and regional presentations • an invitation to write a book for international use by primary care clinicians • participation in The Colorado Health Foundation’s award-winning “Symposium Unplugged: Colorado’s Journey to Integrated Care,” which was met by a standing-room-only crowd of state, nonprofit, advocacy and academic organizations from all over Colorado • foundational work that stimulated and enabled the Colorado State Innovation Model (SIM) project focused on integrating care
ADVANCING CARE TOGETHER Larry A. Green, MD 7
THE UCCS AGING CENTER Sara Qualls, PhD Since 2006, The Colorado Health Foundation’s generous investments in the Aging Center at the University of Colorado Colorado Springs have been instrumental in our development and growth. The center’s integrated care program ensures that increasing numbers of people are receiving high-quality behavioral health care from geropsychology doctoral trainees at two Peak Vista Community Health Center primary care clinics and the Rocky Mountain Program of All-Inclusive Care for the Elderly (PACE). Thanks to these partnerships, behavioral health services have become fully integrated into both agencies, which is uncommon among primary care practices and in other PACE programs. Both organizations have created behavioral health administrative positions at leadership levels since our program began. In addition, our well-established integrated care program enabled us to leverage two multiyear Graduate Psychology Education grants from the Health Resources and Services Administration to support our training program.
With your help, the UCCS Aging Center has expanded its reach and achieved positive results: • provided 14,000 services to nearly 7,000 clients at Peak Vista and PACE combined • 100% of all older adults seen at Peak Vista now routinely receive evidencebased depression/anxiety and cognitive screens at primary care appointments • more than 60% of patients accessing services at PACE show improvements in cognitive functioning, and depression and/or anxiety after counseling of some kind
“There is no question that funding from The Colorado Health Foundation has been the bedrock upon which the Aging Center’s integrated care program has been built and grown. Not only have we been able to improve the health and well-being of thousands of older adults and families but we have also leveraged your awards to secure additional grants that help sustain the only mental health clinic in the Pikes Peak region exclusively devoted to older adults. We are exceptionally proud of the impact our partnership has had in helping to transform the health paradigm of our partner agencies so that they now view behavioral health as core to their services, while we continue to prepare the workforce to meet this growing demand.” – Sara Qualls, PhD | Director, UCCS Aging Center, University of Colorado Colorado Springs 8
PARTNERSHIPS
2017-2018 9
NEW COLORADO SCHOOL OF PUBLIC HEALTH DEAN In October 2017, the Colorado School of Public Health welcomed Jonathan M. Samet as its third dean after an extensive national search. An accomplished physician and administrator, Dr. Samet has held leadership positions at distinguished universities around the country, most recently serving as distinguished professor and chair of the department of preventive medicine at the Keck School of Medicine at the University of Southern California. Previously, he chaired the epidemiology department at the Johns Hopkins Bloomberg School of Public Health and was clinical division chief for pulmonary and critical care medicine at the University of New Mexico. “I am honored by being selected as the third dean of the Colorado School of Public Health,” Dr. Samet said. “A key goal will be to enhance the school’s impact on public health in the state and region through our research, educational and community activities. I look forward to continuing our partnership with The Colorado Health Foundation to help all Coloradans live healthy, productive lives.”
10
Associate Dean for Public Health Practice Elaine Morrato, DrPH, MPH, served as interim dean of the Colorado School of Public Health from December 2016 until Dr. Samet’s arrival. “The Colorado Health Foundation and the Colorado School of Public Health share a common mission to improve the health of Colorado residents,” she said. “The Colorado Health Foundation has been a committed partner and friend to our school in its initial phases as a founding funder, as well as supporting our ongoing work to foster relationships and identify opportunities for strategic partnership within the Colorado health community. As head of the foundation, Karen McNeil-Miller has extended that relationship with our school in sharing her knowledge and wisdom with us, first as our 2016 Commencement Speaker and again as part of our search committee for a new dean and leader who will take us into the future.”
HARD CALL PODCAST The first season of the Center for Bioethics and Humanities podcast, Hard Call, made its debut in May and has received positive reviews. The first season is split into two story lines: the first is focused on mental health and stigma, and was made possible with your support, and the second focuses on the “electronic heart.” “Derailed: When mental illness throws a life off track” is a five-part series highlighting the harmful stigma facing many individuals suffering from mood disorders and their loved ones. The series was developed to help break the silence around mental health issues and bring light to a broken mental health care system, in order to effect change. “The Electronic Heart: What would you do to live longer?” is a four-part series following 72-yearold Mac, who is dying of severe congestive heart failure, a chronic disease affecting millions of Americans. This story weighs the pros and cons of implantation of a high-tech heart pump that could add years to Max’s life, but brings with it life-threatening risks and complications. A companion website — hardcallshow.org — was launched to highlight more information about the patients and stories featured in the series, provide educational materials, and offer opportunities to share ideas for future episodes. The Center for Bioethics and Humanities is planning to focus season two on opioid addiction and substance abuse, and has a cache of additional ideas including the politics of obesity, health inequities and mandatory vaccinations. In addition to the recorded podcast, live theater-in-the-round forums at the Fulginiti Pavilion on campus are hosted by center director Matt Wynia, MD, who leads participants through discussions of patient stories taken from real life.
11
NATIONAL MENTAL HEALTH INNOVATION CENTER Over the past several years, the National Mental Health Innovation Center has had valuable opportunities to work closely with The Colorado Health Foundation board and staff, exploring shared goals in pursuit of better mental and behavioral health for all Coloradans.
• 2016 Board Retreat | Devil’s Thumb Ranch: The NMHIC presented on the interface of physical and mental health. • 2017 Board Retreat | Beaver Creek: The NMHIC staffed virtual reality booths over the three-day event and presented on the use of virtual reality in mental and behavioral health improvement. • Educational Series: By invitation from The Colorado Health Foundation, the NMHIC team is developing and implementing a five-part education series on important topics in mental health. • Mental Health Strategy Committee: The NMHIC has also been part of The Colorado Health Foundation’s efforts to develop a funding strategy for your mental health focus area, which was presented in late September 2017. • Mental Health Mapping Project: The NMHIC has been a part of The Colorado Health Foundation’s ambitious effort of mapping out mental health systems and resources across the state of Colorado, and how those systems and resources are accessed. • 2017 Health Symposium | Keystone: At this year’s annual symposium, NMHIC staff operated five demonstration areas showing a variety of potential mental health uses for virtual reality technology, and presented two workshops on virtual reality in health care.
12
GIVING BY THE COLORADO HEALTH FOUNDATION BOARD AND STAFF Not only is The Colorado Health Foundation a committed philanthropic partner to CU Anschutz, but members of your board and staff have contributed gifts totaling $250,000 in support for student scholarships, Alzheimer’s disease research, emergency funding for students in need, and rural health activities. One area of giving is particularly special. The Virgilio Licona, MD, Scholarship Fund was established by The Colorado Health Foundation to honor Dr. Licona, a member of your board of directors and a CU School of Medicine alumnus who was committed throughout his lifetime to serving the vulnerable and underserved. A pioneer and grassroots activist, Dr. Licona inspired others to work for social justice, civil rights and community health. Gifts to the Licona Fund total more than $201,000 and are directly supporting students who are underrepresented in medicine.
2017-2018 Licona Scholars: Judas Kelly Judas is a member of the Denver Health longitudinal curriculum, allowing him to care for patients across specialties and advocate for them as they access health care. He has a 2-year-old son and a 9-month-old daughter.
“Medicine is an amazing synthesis of science, art and, most importantly, humanity.” Myra Sendelweck While her engineering career in the field of medical devices was enjoyable, Myra had always wanted to become a doctor. She matriculated into the CU School of Medicine in 2014 and will graduate in 2018.
“My career began 14 years ago, when I graduated from CU Boulder with a master’s degree in chemical engineering.” 13
ECHO (Extension for Community Health Outcomes) Colorado With your tremendous ongoing investments in ECHO Colorado, we are able to expand the work of the ECHO program center into 2020, and bring additional training and practice support to health care providers all across the state. This effort has been instrumental in increasing capacity for managing complex health care problems in primary care settings throughout Colorado, and with passage of the ECHO Act by the U.S. Congress late last year we are poised to make an even greater impact by building from our successes to leverage telehealth technology to serve more people in rural and underserved locations. The ECHO Act will result in a Department of Health and Human Services study detailing Project ECHO’s impact on patient care and clinician development, including its effects in four key areas: • mental and substance use disorders, chronic conditions, maternal and pediatric health and palliative care • health care workforce issues like specialty care shortages • public health programs focused on issues including disease prevention • delivery of health care in rural and frontier areas, as well as Health Professional Shortage Areas Each of these areas is significant in Colorado, and we look forward to using the lessons learned from this study to further bolster our ability to offer targeted training and promote relevant knowledge-sharing among clinical providers and public health professionals across miles and disciplines. Together with The Colorado Health Foundation, we are improving health and wellness by creating and nurturing a collaborative learning community.
14
ECHO COLORADO PARTNERS
“We at ECHO Colorado are appreciative of our partnership and funding from The Colorado Health Foundation in developing the Colorado model of ECHO. As individuals come to the CU Anschutz Medical Campus for world-class care and then return to their communities across the state, we partner with their community-based providers in technology-enabled collaborative learning and care delivery models with the purpose of facilitating case-based learning, disseminating best practices, and evaluating outcomes.” John F. “Fred” Thomas, PhD Director Telehealth Services, Children’s Hospital Colorado Director ECHO Colorado, University of Colorado
PLANS
LOOKING TO THE FUTURE 15
DEVELOPING NEW COLLABORATIONS To ensure the most strategic, meaningful and successful future together, The Colorado Health Foundation and the CU Anschutz Office of Advancement will partner even more closely to develop bold ideas with substantial impact to put forward for future funding opportunities. Together, we can empower communities through education and innovation. STRATEGY SESSIONS: BETTER TOGETHER Joint strategy sessions provide a valuable opportunity for The Colorado Health Foundation and the CU Anschutz Medical Campus to share ideas, co-create ambitious goals, and chart a shared course for the future. Together, we will transform physical and mental health care in Colorado, and ensure all people and families in our state have everything they need to live their healthiest lives. • Transforming care through co-creation and big ideas • Immediate needs • Long-term goals • The future of mental and behavioral health • Serving our most vulnerable populations
16
“The Ambulance Down in the Valley” – Herbert Nehrlich (1895) ‘Twas a dangerous cliff, as they freely confessed, though to walk near its crest was so pleasant; but over its terrible edge there had slipped a duke and full many a peasant. So the people said something would have to be done, but their projects did not at all tally; some said, ‘Put a fence ‘round the edge of the cliff,’ some, ‘An ambulance down in the valley.’ But the cry for the ambulance carried the day, for it spread through the neighboring city; a fence may be useful or not, it is true, but each heart became full of pity for those who slipped over the dangerous cliff; And the dwellers in highway and alley gave pounds and gave pence, not to put up a fence, but an ambulance down in the valley. ‘For the cliff is all right, if you’re careful,’ they said, ‘and if folks even slip and are dropping, it isn’t the slipping that hurts them so much as the shock down below when they’re stopping.’ So day after day, as these mishaps occurred, quick forth would those rescuers sally
to pick up the victims who fell off the cliff, with their ambulance down in the valley. Then an old sage remarked: ‘It’s a marvel to me that people give far more attention to repairing results than to stopping the cause, when they’d much better aim at prevention. Let us stop at its source all this mischief,’ cried he, ‘come, neighbors and friends, let us rally; if the cliff we will fence, we might almost dispense with the ambulance down in the valley.’
This poem by Herbert Nehrlich stands as a cautionary tale about our long history in the U.S. of treating only the symptoms of those in our community who fall off the cliff, rather than proactively minimizing that risk for some of the most vulnerable members of our community. While we have amazing ambulances to take community members into treatment once they have fallen, the real challenge before us today is to protect those most at risk and to prevent them from falling in the first place. Together, we can get to the root causes of the risk that brings people and families so close to the cliff edge and begin to move the community onto safer ground. 17
Our story together continues. On behalf of the University of Colorado, thank you for The Colorado Health Foundation’s longstanding partnership in pursuit of a shared vision. Together, we have made progress on so many vital initiatives and programs that are impacting lives in meaningful ways all across the state of Colorado. We simply would not be where we are today without you by our side.
Thank you. 18