For SIM Practices

Welcome to the Practice Innovation Program (PIP) at CU’s State Innovation Model (SIM) web page. This page was created for primary care practices and includes a number of important resources to help guide you through the practice transformation process.

The SIM Initiative is funded by the Center for Medicare and Medicaid Services (CMS) whose aim is to transform healthcare through the integration of behavioral health into primary care while testing alternative payment models.

For more information about the SIM Initiative and our partners at the Colorado SIM Office, please visit:

Getting Started

In an effort to support your practice as it begins its participation in SIM, we have included some key information, documents, and links to more helpful resources below. Please don’t hesitate to reach out with any questions or concerns, to Practice Innovation Support:


  • Practice Participation Agreement (PPA)
    • The Practice Participation Agreement (PPA) serves as a formal agreement between a primary care practice and the University of Colorado, enabling official practice transformation support to begin. This formal agreement confirms participation in the SIM Initiative and outlines the benefits of participation and practice expectations.

SIM Learning Opportunities

A number of learning opportunities, webinars, and events are available to participating SIM practices. To view a schedule of upcoming events, please access our Online Calendar.

A significant benefit to participating in SIM is the opportunity to connect with clinicians and staff from across the state who are working towards similar goals. Collaborative Learning Sessions are held twice a year to share lessons learned and best practices. CLS events offer training on related clinical content and strategic planning to help your team improve momentum in your practice transformation goals. CME is available for both behavioral health and primary care who participate.

Practices have access to e-Learning modules, webinars and other learning opportunities to help move toward greater integration of behavioral health care, adopt alternative payment models, and implement comprehensive primary care functions.
Enter Registration Code: SIM
For questions, please contact:

Suggested Introductory e-Learning Modules:

ECHO (Extension for Community Healthcare Outcomes) is a lifelong learning and guided practice model that revolutionizes medical education and exponentially increases workforce capacity to provide best-practice specialty care and reduce health disparities. Participating SIM practices have the opportunity to participate in a variety of ECHO learning series and training events.

Shared Practice Learning and Improvement Tool (SPLIT)

The goal of SPLIT is to provide a secure web-based solution that collects, organizes, and feeds back information about practice transformation activities of individual clinics, organizations and projects.

Basic "How To" documents have been created for the SPLIT online reporting platform. There are more resources soon to come along with video tutorials and webinars which will be available for SIM practices.


Clinical Quality Measures, or CQMs, are collected every calendar quarter. CQMs are used to track patient and process outcomes achieved by the practice.

Assessments are a key component of participating in SIM, and in addition to tracking the overall initiative progress they are a tool to help practice sites evaluate and prioritize practice transformation efforts. Practice sites must complete activities by the specified deadline to receive achievement based payments associated with that reporting activity.

  • From the main SPLIT navigation, select the ‘Assessments’ page in the ‘My Tasks’ section for assessment tasks.
  • Assessment tasks are shared and accessible to practice users and PTO users associated with the practice site.
  • Respond to all required assessment questions and review assessment responses prior to submitting – PDF versions of submitted response are available on the ‘Response Exports’ page in the ‘Data Dashboard’ section.

Please view the SIM-Final Practice & PTO Reporting Instructions Summary for upcoming deadlines and submission information:

Please view the SIM Assessments and Reporting Schedules for submission timelines:

Please refer to the Cohort 2 Year 2 & Cohort 3 Achievement Based Payment Documents:

Practice Transformation Support Throughout the SIM Initiative

Practice Facilitators (PFs) are responsible for a number of SIM related tasks to help practices attain and maintain results within the SIM Initiative. They provide quality improvement (QI) coaching through the support of QI teams and help facilitate access to additional practice transformation, including coordination with the Regional Health Connectors (RHCs).

Practice Facilitators will engage with practices at least twice monthly, including meeting with the QI team at least once in person  to implement improvements based on the practice transformation building blocks outlined in SIM Framework and Milestones, and support practices in identifying and resolving challenges and achieving milestones as well as facilitate the development of a sustainable QI process. 

PFs assist with completion of assessments that are outlined in the SIM Assessments and Reporting Schedules (Cohort 2 & Cohort 3).

Clinical Health Information Technology Advisors (CHITAs) are primarily responsible for aiding practices in their data management and improvement using a variety of tools. CHITAs assist in completion of a Health Information Technology (HIT) Assessment, including identification and assessment of current HIT resources. They also support an enhancement of practice capacity to implement data-driven quality improvement. In addition, they aid in implementation of practice workflow for data collection, reporting, validation and analysis, and use this to create data-driven quality improvement priorities. CHITAs also link practice sites with technical assistance through SIM and non-SIM HIT resources.

CHITAs will meet with the practice at least once a month to implement improvements based on the practice transformation building blocks and assist practices with the completion of Health Information Technology Assessment as outlined in the SIM Cohort 2 Assessments and Reporting Schedule  & SIM Cohort 3 Assessments and Reporting Schedule.

CHITAs will also link practices to additional resources and will also assist a practice with the submission of CQMs and review CQM data to inform rapid cycle improvement processes.

Regional Health Connectors, or RHCs, are essential to the SIM practice innovation efforts. RHCs are responsible for providing information regarding state and regional practice transformation and community health resources, as well as connecting practice sites to local public health and other community resources. RHCs also establish ongoing supportive relationships that can be sustained beyond the scope of the SIM initiative.

Extended Support Opportunities for SIM Practices

We are happy to announce that the state SIM office and the Center for Medicare and Medicaid Services (CMS) have approved offering additional support to Cohort 1 practices through Extended CHITA Services. This means you have access to the continued support of the traditional CHITA services you received while participating in Cohort 1 of SIM, as well as a targeted focus on support related to investigating and evaluating participation in the Health Data Colorado (HDCO) eCQM solution.

Extended CHITA Services began in December 2018 and will end March 2019.

Please review the SIM Extended CHITA Services – Payment Table for Practices document for participation guidelines and the practice payment table.

Glossary and Access to Key Resources

Please view the SIM Cohort 3 Resource Sheet with Glossary for additional information on SIM Cohort 3 and a full glossary of terms.

The organization responsible for overall management of SIM, including Milliman reports and StratusTM.

The organization responsible for all the practice transformation aspects of SIM.

A detailed explanation of SIM Milestones with resources and strategies to assist with implementation in practices.

Summary list of SIM Milestones with brief descriptions of each.

SIM Milestones grouped into phases with specific timeframes for implementation to help keep PFs/CHITAs and practices on track.

List of SIM Assessments with an explanation of each one’s purpose, responsible person for completing/submitting, frequency of reporting, and expected time of completion.

A list of specific quality metrics (e.g., blood pressure, depression, substance use disorder), to monitor how practices are managing the health of their population and identify areas needing improvement.

List of clinical quality measures and when reports should be submitted through the SPLIT tool.

Monthly descriptions by PFs/CHITAs of progress being made by each practice in implementing advanced primary care and integrated behavioral health processes.

Survey completed by practices that rate their level of collaboration/integration using A Standard Framework for Levels of Integrated Healthcare.

Survey completed by clinicians and staff regarding their satisfaction with how the practice functions, including teamwork, time with patients and other issues.   

A rating scale to guide practices and PFs in attesting to practice progress with the milestones for both “Good Standing” status and qualification for SIM achievement-based payments.

An interactive document that allows practices and CHITAs to assess current data quality, measure validity and reporting procedures, as well as identify practice priorities, barriers, and opportunities for improvement.


General Information