2020-11-16T09:27:45-06:00 2019-12-31 814510790 Grisier Bussey and Kaper CPAs 2135 N Seventh St Grand Junction CO 81501 990 2019-01-01 201632384 Quality Health Network QUAL 9702480033 744 Horizon Ct No 210 Grand Junction CO 81506 Richard Thompson Executive Director 9702480033 2020-11-16 1 James R Grisier CPA P00018693 9702438245 2020-10-28 204.132.224.42 2020-11-16 07:00:53 MS P 579CE05DAF6B5D630644D3C83CFCCB70FE11A1B7 579CE05DAF6B5D630644D3C83CFCCB70FE11A1B7 2019 2021-01-29 14:40:06Z Richard Thompson 744 Horizon Ct No 210 Grand Junction CO 81506 5353866 0 X n/a X 2004 CO See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the more than 400,000 residents that reside in the Western Colorado medical trade area QHN serves. QHN's health information exchange(HIE) improves the efficiency, timeliness, and quality of the healthcare provided for all, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government programs. The services QHN provides improves the ability of healthcare providers to collaborate in, coordinate treatment, manage and prevent illness and reduce costly duplicative testing and medical errors that are attributable to insufficient access to timely, accurate clinical information. 10 5 29 0 0 0 420000 420000 4620522 4850421 49452 83445 0 0 5089974 5353866 0 0 0 0 2819497 3065308 0 0 186166 1327441 1593424 4146938 4658732 943036 695134 6247652 7006596 612469 676279 5635183 6330317 X See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the more than 400,000 residents that reside in the western Colorado medical trade area QHN serves. QHN's health information exchange (HIE) improves the efficiency, timeliness, and quality of healthcare provided for all, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government programs. The services QHN provides improves the ability of healthcare providers to collaborate in, coordinate treatment, manage and prevent illness and reduce costly duplicative testing and medical errors that are attributable to insufficient access to timely, accurate clinical information. 0 0 2224112 2835951 Clinical Data Acquisition,Aggregation and Delivery: Quality Health Network (QHN) utilizes a secure HIE network as the foundation for the services provided to health organizations and providers to support the Quadruple Aim in Healthcare - improving patient outcomes, improving the physician experience, improving patient experience and reducing the cost of healthcare for all. Since its inception, QHN has continued a steady focus on its founding mission of expanding the opportunity, resources and infrastructure necessary to increase the widespread provision of high-quality coordinated healthcare. The provision of services by the QHN network has placed Western Colorado in a strong position to achieve innovative,meaningful healthcare reforms. As of the end of calendar year 2019, more than 4,600 providers, care team members and other healthcare staff were connected to the QHN network and they made over 1.1 million data repository query requests to the Patient Summary record(patient longitudinal record). QHN facilitates the ability of area healthcare providers to collaborate and coordinate care through the secure exchange of information and securely communicate, in a manner fully compliant with HIPAA and all other patient privacy laws and regulations. During 2019, QHN continued its expansion with the addition of new providers and healthcare services, which currently total more than 430 associated health and human service provider organizations, long-term care facilities, home healthcare agencies, behavior health and Hospice programs. These operations and expansions are in the Western Colorado medical neighborhoods QHN serves: Mesa, Delta, Montrose, Garfield, Pitkin, Hinsdale, Eagle, Ouray, Rio Blanco, San Miguel,Gunnison, Moffat, Routt, and Summit counties. More than 90 percent of the providers in QHN's service area are now connected to the robust QHN network. QHN continues to expand cross-state and cross-regional HIE-to-HIE connectivity. This is in an effort to improve the coordination and continuity of care,statewide, and as people travel across state borders. This HIE-to-HIE information exchange work was established statewide with Colorado Regional Health Information Organization (CORHIO), the HIE that serves the eastern part of Colorado and has been expanded to include the HIEs in Utah(UHIN) and Arizona(Health Current). In 2019, QHN continues to work on expanding HIE-to-HIE-exchange to other HIE's throughout the western United States and other parts of the country. This type of exchange, based on the Patient-Centered Data Home (PCDH)concept, is a cost-effective, scalable method of exchanging patient data among health information exchanges. HIE-to-HIE exchange is a critical step toward establishing a robust national interoperability infrastructure between regional and state HIEs. Considering the significant percent of the Colorado population that are "snowbirds and travel for recreation, the secure electronic transmission of information between healthcare providers across regional and state lines has translated into a significant exchange of clinical information. This robust exchange of patient information between and among HIEs translates into improvements in coordinated care, patient safety and reduced healthcare costs. QHN is also a participant in the federal Health and Human Services program to develop secure infrastructure for the nationwide exchange of health information called eHealth Exchange. QHN delivers real-time, critical patient information and provides a robust repository of patient clincal data (Patient Summary Record) to treating providers serving patients in life-threatening as well as non-emergent care situations. The ability for treating providers to securely access patient records and send directed, encrypted patient clinical information via QHN's high-speed network improves transitions of care and health outcomes. This immediate access to patient data reduces the burden on Government by decreasing medical errors, duplicative testing, and the expense associated with the manual delivery, storage and processing of paper records. 1056578 1347236 Clinical ImprovementPopulation Health Management and Chronic Disease Management: While the chronically ill comprise a relatively small percentage of the total population, they historically account for a large percentage of the healthcare delivery systems resources and associated expenses. Medicare and Medicaid eligible populations suffer disproportionately from chronic illnesses. A key component of QHN's quality improvement activities is the provision and implementation of high value technical applications to support providers' ability to identify and manage the care of chronically ill patients. These applications support population health management, risk stratification, predictive modeling tools, and proactive care coordination to reduce the burden on these government supported programs. These tools help in the early identification and treatment of patients with chronic disease to improve patient outcomes and reduce healthcare costs. As the electronic network connectivity work in the QHN medical trade area continues to mature, the process to improve evidence-based, coordinated care for chronic disease is progressing by implementing these sophisticated applications. This helps providers move from the current system of episodic care to a coordinated system of care that creates and maintains healthy populations. QHN's network and advanced architecture supports the data needs of these applications to help providers integrate coordinated chronic disease management and preventive care into their workflow and make them more successful as they transition to new value-based payment models. Improvements in care require that these chronic disease states are not only managed and controlled during the patient visit, but that proactive management and patient engagement occur. This level of coordinated care is only practical with the support of these applications. QHN actively works to support providers as they implement and use population health management and registry applications embedded in the provider's electronic health record (EHR) systems. These registry applications provide for the longitudinal monitoring capabilities needed to proactively manage disease and aggregate outcomes for groups of patients or the entire provider's patient panel. Registries and other care coordination tools also enable providers to involve care team members to efficiently support the patient care process and actively engage patients in their disease management. Managing diseases via a registry is the expected best practice as providers develop more efficient means to care for patients. QHN supports most of the 4,300 QHN users with their data needs for the utilization of registry tools embedded in their EHRs. Prescription drug and Opiod abuse is a major area of concern, not only in the state of Colorado but nationwide. QHN provides services under a pilot project to improve access and use of the Colorado Prescription Drug Monitoring Program(PDMP) by enabling access to PDMP via the QHN System for nearly 300 QHN users. Improving Care Coordination and Care Transitions: The transition of a patient from one care setting to another is frequently the source of reduced system efficiency, duplicative diagnostic testing and the impetus for increased medical errors. This transition may be from provider to provider or from care setting to care setting such as the hospital to rehabilitation facility, home health care or hospice facility. It is common for a patient to receive care and treatment from many disparate providers during a single episode of care. Having real-time, concise & accurate patient medical information available to all providers involved in the care of the patient during these transitions is essential for improved quality, safety, and cost reduction. Prior to the availability of the QHN's secure electronic network, processes which transferred patient medical information between providers were paper-based manual processes, utilizing photocopying, fax and courier services, and many providers were unaware of the outcome of care patients received in other care settings. The QHN patient longitudinal health record (Patient Summary) established for each of nearly 1,400,000 unique patients in the QHN system, is a comprehensive record of all care a patient receives from disparate sources. Referring physicians, consulting physicians, discharge planners, long-term care facilities, hospice organizations and care coordinators frequently access the data repository. Patients receive better, faster, and more appropriate treatment due to the QHN system which rapidly exchanges current patient information amongst the patient's care providers when and where it's needed. Duplicative testing, medical errors and loss of crucial time, due to missing or incomplete medical information, are reduced using the QHN system. The Grand Junction Veterans Affairs Medical Center(VAMC) recognizes the value of this data repository resource which connects their providers and care team members to QHN. VAMC providers have recognized the value of the QHN system for improved care coordination and have continued to expand the number of VAMC users to nearly 150 utilizing QHN. Access to the extensive QHN clinical data repository by VAMC providers, continues to support quality of care improvements for the approximately 40,000 VA patients across Western Colorado and Eastern Utah. The large rural expanse and geographically challenging terrain Western Colorado encompasses can make access to VAMC facilities difficult for veterans. Consequently, veterans must seek care from their community's local hospitals, physicians, and other healthcare providers. This makes it difficult for VAMC providers to coordinate veterans' care, something critical to improving quality and reducing costs and the burden on government. Most providers in Western Colorado are connected to QHN, allowing them to exchange critical health information when it's needed for care, regardless of where the patient is treated. Historically, when veterans are seen outside VAMC facilities, this information has not been accessible, so VAMC providers were often unaware of the services their patients received outside of the VA system. Care coordination and care transitions rely upon the successful and timely transfer of physician generated patient-centric progress notes and care plans between and among treating providers. This data can be summarized within the providers EHR system in a document called a Continuity of Care Document (CCD) or progress note. Everyday thousands of healthcare providers across Western Colorado utilize QHN to view inpatient and outpatient data, lab and radiology results. The data contained in the QHN System is of great value to providers and helps create a clinical picture of the patient. QHN continued to participate in two major grant opportunities during 2019. The Medicaid 90-10 Health Information Technology (HITECH) administrative contract funding supports QHN's work with qualified Medicaid and referring organizations to assist providers with new and enhanced HIE utilization, which includes but is not limited to: the exchange of ambulatory encounter information, alert notifications, lab and radiology reports, single sign on, and image exchange. The State Innovation Model Grant focusing on obtaining and reporting Electronic Clinical Control Measures from practices to the state. The goal of this grant contract work is to enrich and create a more complete patient longitudinal health record in the QHN System, improve transitions of care and to support ambulatory and long-term/post-acute care providers via the exchange of clinical data. Currently more than 180 providers are exchanging ambulatory encounter data with QHN, which may include, CCDs, care summaries(transcription), progress notes, alert notifications, and lab/radiology reports. This grant ended in 2019 but the work was continued under another source of funding through the Department of Health Care Policy and Finance (HCPF). QHN's secure network and uniquely connected technology also allows authorized providers to receive hospital(emergency department, etc.,) Admission, Discharge, and Transfer(ADT) alerts for real-time notifications of care occurrences that occur on their patients. QHN continues to focus on the expansion of the delivery of ADT alerts to providers, care coordinators, and organizations. Managing a patient's care across all care settings is the cornerstone of the new Medicaid and Medicare payment models. QHN is providing alerts to multiple FQHCs in QHN's service area to support this quality improvement and cost containment work and help reduce the burden on these government programs. 418329 533409 Indigent Care Support In QHN's medical trade area, the estimated underserved (uninsured or underinsured) population approaches 30 percent. This population tends to be transitory in nature, as the area attracts many seasonal & short-term workers in the farming, service, and recreational industries. These underserved patients often "float" in and out of eligibility for insurance/financial assistance & other government supported subsidies - and present for care in multiple care settings. To effectively treat this population, access to current patient eligibility and clinical information from previous care episodes is critical. The QHN HIE supports equitable treatment for all patients--wherever they may present for care--by providing accurate patient demographics to authorized providers to assist with ascertaining eligibility and clinical information to support care coordination and continuity. The cohorts of underserved patients positively impacted by this QHN functionality are most frequently Medicaid and/or Medicare eligible. The resulting effect of this system functionality is more efficient, cost effective care for this underserved population, which helps reduce the burden on government. As a recipient of the 90-10 grant contract with HCPF, QHN has focused on increasing the number, and enhancing the services offered, to QHN participants who serve the Medicaid population and Federally Qualified Health Centers(FQHCs) focused on treating the underserved. QHN not only supports individual care providers and organizations that accept and provide care for the indigent population, but also supports the data needs of several programs focused on improving the care delivery models for the Medicaid population. These new models will replace the nation's reliance on fragmented, fee-for-service care. The models QHN is currently supporting include Colorado's Accountable Care Collaborative Program and the Comprehensive Primary Care initiative (CPCi). 104953 133825 Support for Public Health Programs: QHN continues to work with public health and community providers to improve patient care and public health through the timely exchange of, and access to, health information. The Mesa County Health Department (MCHD) has a unidirectional interface with QHN for direct delivery of transcription and laboratory and radiology results, ADT's and has been actively involved in the community care coordination pilot. To better serve the indigent in Mesa County, MCHD partnered with Marillac Clinic, the FQHC inc the Grand Junction area, co-locating a Marillac Clinic within the health department. This has allowed patients who seek care at MHCD to have quick and easy access to a full range of medical services, including vision and dental care. QHN is supporting these public health programs, MCHD and Marillac Clinic, through its existing secure high-speed electronic data collection/delivery infrastructure. This infrastructure creates a mechanism to electronically deliver and query critical health information and to alert providers when an important health event occurs. 104953 133825 3803972 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 1 29 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Richard Thompson Executive Director 9702480033 744 Horizon Ct Ste 210 Grand Junction CO 81506 Gregory Reicks DO Chair 5.00 X X 0 0 0 Dan Sullivan MD Vice Chair 1.00 X X 0 0 0 J Michael Stahl Secretary/Treasurer 1.00 X X 0 0 0 Andrew Jones MD Director 1.00 X 0 0 0 Jeff Kuhr PhD Director 1.00 X 0 0 0 Charleen Raaum Director 1.00 X 0 0 0 Chris Thomas Director 1.00 X 0 0 0 Kay Ramachandran Director 1.00 X 0 0 0 Jodie Atchley Director 1.00 X 0 0 0 Joe Adragna MD Director 1.00 X 0 0 0 Richard Thompson Executive Director 60.00 X 264509 0 64322 Justin Aubert Chief Financial Officer 60.00 X 163170 0 37368 Richard Warner Chief Project Management Officer 45.00 X 131458 0 41839 Marc T Lassaux Chief Technology Officer 45.00 X 174171 0 60852 733308 0 204381 4 0 1 0 Stella Technology 6203 San Ignacio Avenue Ste 100 San Jose CA 95119 Platform development services 456500 Rocky Mountain Health Plans PO Box 173704 Denver CO 802173704 Healthcare insurance 397861 NextGen Healthcare Inc PO Box 511449 Los Angeles CA 90051 Software licenses and service 394361 Diameter Health Inc 10 Executive Health Farmington CT 06032 Software licenses and service 180000 Hoskin Farina & Kampf Professional Corp PO Box 40 Grand Junction CO 81502 Legal services 125049 5 420000 420000 Data Processing - Serv 518210 2744852 2744852 Data Processing - Subs 518210 2105569 2105569 4850421 83445 83445 5353866 4850421 0 83445 767204 613763 115081 38360 1533663 1226931 230049 76683 202567 162054 30385 10128 438334 350667 65750 21917 123540 98832 18531 6177 122953 80698 39248 3007 38662 25375 12341 946 16126 10584 5148 394 31249 24999 3125 3125 68328 58082 6832 3414 7731 6604 776 351 92415 78501 9276 4638 80905 60679 16181 4045 41846 31477 9323 1046 53665 45615 5367 2683 Consultants/Software/Sy 834707 795494 39213 Outside consultants 73640 48332 23507 1801 Marketing 53903 32342 16171 5390 Staff Development 24010 19226 4765 19 53284 33717 17525 2042 4658732 3803972 668594 186166 64392 59083 5606290 5876386 560973 574037 456500 15997 40590 6247652 7006596 89462 57984 30745 13779 492262 604516 612469 676279 X 5635183 6330317 5635183 6330317 6247652 7006596 695134 0 X 0 1 X 0 0 X X X 6 Hilltop Health Services Corporation 742321009 10 1 0 0 St Mary's Hospital 840425720 3 1 0 0 Colorado West Healthcare System 840469270 3 1 0 0 Mesa County Public Health 841121015 6 1 0 0 Marillac Clinic Inc 841085822 3 1 0 0 SummitWest Care 020565600 10 1 0 0 6 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 Part IV Section A Line 2 Mesa County Public Health is a governmental unit described in Section 170(b)(1)(A) of the Code as a political subdivision of the State. Part IV Section A Line 5A Rocky Mountain Health Foundation (EIN 84-1424932) was removed as a supported organization at its request. SummitWest Care (EIN 02-0565600) was added because its purposes in providing healthcare in Western Colorado are consistent with the purposes of the Organization. The Articles of Incorporation and Bylaws of the Organization grant the Organization the power to add and remove supported organizations. The Articles of Incorporation and Bylaws of the Organization were amended to accomplish this change in supported organizations. The Board of Directors passed appropriate resolutions to amend the Articles of Incorporation and Bylaws. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 456500 C 456500 Accrued payroll 51710 Contingent Compensation payable 552806 604516 5353866 0 5353866 0 5353866 4658732 0 4658732 0 4658732 X X X X 0 0 0 0 0 0 0 0 0 Richard Thompson Executive Director 190962 0 55047 0 18500 0 14733 0 49589 0 328831 0 0 0 Justin Aubert Chief Financial Officer 143170 0 20000 0 0 0 17582 0 19786 0 200538 0 0 0 Richard Warner Chief Project Management Officer 119458 0 12000 0 0 0 14038 0 27801 0 173297 0 0 0 Marc T Lassaux Chief Technology Officer 154171 0 20000 0 0 0 17582 0 43270 0 235023 0 0 0 Clinical Improvement Code 4b While QHN's historical focus has predominately been on the medical side of a person's health, this does not include the many social factors that affect a person's health. In 2017, QHN launched a new initiative called the Community Resource Network (CRN). This social information exchange is designed to help bridge the gap by combining social, behavioral, and medical information to get more comprehensive view of a person. CRN allows those involved in the coordinated care to view pertinent information to more efficiently guide the person to better health. This collaboration is critical to improve the health and safety of those QHN serves, reducing unnecessary duplication, reducing the burden on government supported healthcare programs and ultimately driving down the cost of healthcare. QHN did development and beta testing of its system in 2019 and went live with its CRN system in mid-2020. Funding Sources: Grant contracts help support the work required to build the technology infrastructure, data interoperability exchange capabilities, and robust data warehousing essential for the advanced analytics and data needs of new care and payment models. QHN continues to support the efforts of the State Innovation Model (SIM) initiative and the HCPF 90-10 contract that procures services to make improvements to the Health Information Exchange capabilities and infrastructure in Colorado. This 90-10 contract focuses on those providers and organizations who serve the Medicaid population. These investments have allowed QHN to increase and enhance connectivity with Medicaid and Medicare providers, expand acquistion of ambulatory data, including data from behavioral health and long-term care providers to, enrich the data repository. This supports the common vision of improving outcomes for Medicaid, Medicare and all patients in Western Colorado. The collective impact of these acquisitions, and the practice transformation work they support, has been instrumental in the evolution of the healthcare delivery system of Western Colorado. Form 990, Part VI, Section A, line 4 The Articles of Incorporation and Bylaws of the Organization were amended in 2019. The Articles of Incorporation were amended effective January 1, 2019 to remove Rocky Mountain Health Foundation as a supported organization and to add SummitWest Care as a supported organization. Corresponding changes were also made to the Organization's Bylaws at the same time. Form 990, Part VI, Section A, line 7a The board consists of ten members. There are six tax exempt non-profit entities represented on the board and one taxable nonprofit entity. Each entity chooses a member to serve on the board. Three members are at large. All members of the board elect the three members at large. Form 990, Part VI, Section B, line 11b A copy of form 990 is provided to each board member before its' filing. Each board member is given an opportunity to comment on the 990 and ask questions before it is filed. Form 990, Part VI, Section B, line 12c Conflict of interest disclosure statements are reviewed by the Executive Director and legal counsel. All Board members, officers and key employees are covered under the policy. Before each Board meeting legal counsel and the Executive Director review the agenda and determine if there is a conflict of interest potential for each board action item and during each board meeting legal counsel and the Executive Director are present to do the same. If there is a potential for a conflict, legal counsel advises the Board and the Board acts in accordance with its' conflict of interest policy. If someone has a conflict that person cannot participate in the deliberations or decision on the transaction. Form 990, Part VI, Section B, line 15 Line 15a: The process is used for Executive Director (who is the top management official) compensation. The Board Chair, Board Vice Chair and Treasurer meet to determine the compensation amount relying on data of compensation rates for executives involved in health care in the Mesa County area. Their determination is documented contemporaneously in e-mail exchanges. In addition, in 2017 the Board had executive compensation reviewed by a compensation consultant. Line 15b: The Organization uses a compensation survey and/or a third party consultant to review salaries of several key positions including officers. Form 990, Part VI, Section C, line 19 No requests for these documents have been received. However, if such a request were made, we would provide a copy of these documents to the extent required by applicable law for 501(c)(3) organizations. Hilltop Health Services Corporation 1331 Hermosa Ave Grand Junction CO 81501 742321009 Rehabilitation services CO 501(c)(3) 10 N/A 0 St Mary's Hospital and Medical Center 2635 N Seventh St Grand Junction CO 81501 840425720 Full service hospital CO 501(c)(3) 3 N/A 0 Colorado West Healthcare System 2351 G Road Grand Junction CO 81505 840469270 Full service hospital CO 501(c)(3) 3 N/A 0 Mesa County Public Health PO Box 20000-5033 Grand Junction CO 815025003 841121015 County Health Department CO Line 6 N/A 0 Marillac Clinic 2333 N 6th Grand Junction CO 81501 841085822 Health care to indigent population CO 501(c)(3) 3 N/A 0 SummitWest Care 2800 Printers Way 200 Grand Junction CO 81506 020565600 Home health care services CO 501(c)(3) 10 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 St Mary's Hospital and Medical Center C 300000 Colorado West Healthcare System C 120000