University of Colorado Anschutz Medical Campus

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)

Opening ceremony at conference

The 2024 CASCHEW conference was held Friday, March 1 – Saturday, March 2, 2024 at the Cheyenne Mountain Resort in Colorado Springs. This year’s conference went beyond “convening across sectors” to actually building “collaborations across sectors”. CASCHEW was an invitation only conference and brought together over 100 project participants, community partners, community members, public health departments/organizations, clinic staff, primary care clinicians, and medical and academic partners committed to improving the health of all Coloradans.

The conference included an engaging keynote presentation from Dr. Ned Calonge, a cross-sector panel with leaders across community, medical, research, and government agencies, and 9 breakout sessions covering a wide variety of topics. Sessions were open to all attendees and highlighted work being done by groups that benefit from greater collaboration and or dissemination across sectors. CASCHEW concluded with an interactive session led by Dr. Kyle Leggott in which participants identified and committed to concrete steps to further the collaborative, cross-sector work to improve health equity in Colorado.

CASCHEW was hosted by a group of partners from the University of Colorado Anschutz Medical Campus including the Colorado Community Engagement Alliance Against Health Disparities (CO-CEAL), State Networks of Ambulatory Practices and Partners (SNOCAP), Extension for Community Health Outcomes (ECHO) Colorado, and the Colorado Clinical and Translational Sciences Institute (CCTSI). Participants from these programs were invited.

Please see the following for the 2024 CASCHEW Conference agenda, including presentation slides.

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)
March 1 - 2, 2024
Cheyenne Mountain Resort
3225 Broadmoor Valley Road, Colorado Springs, CO, 80906

Day 1: Friday, March 1
3:00 - 5:00 pm Hallway outside Centennial	Registration
5:00 - 7:00 pm Remington's Ballroom	Welcome/Evening Session Hors d’oeuvres Welcome remarks, Don Nease, MD Poster and networking session The poster exchange at the CASCHEW Conference allows attendees to network and learn about research that is going on across the state surrounding patient and community engagement, practice-specific research, various specific medical topics, Community-Based Participatory Research, and a far range above that.
Day 2: Saturday, March 2
7:30 - 9:00 am Remington's Ballroom	Breakfast and Registration Registration tables will be outside Centennial
9:00 - 10:00 am Centennial	Plenary Session Welcome remarks: Don Nease, MD Keynote Speaker: Ned Calonge, MD, MPH The intersection between social determinants of health and health outcomes: Where are we today with addressing the health impacts of systemic racism? This presentation will review the evidence for the association of social determinants of health and health disparities, discuss the current political state for addressing structural racism, and contemplate the future for this work going forward.
	Morning Session Concurrent Sessions
10:10 - 11:00 am Platte, Gunnison, and Arkansas	Platte Session 1a: Data from and for our CO-CEAL communities: Common Survey Zachary Giano, PhD and Lisa Lucero, MBA Learning Objectives: Understand the basic structure of CO-CEAL Methods: How data were gathered and disseminated Wave 3 data outcomes Gain a community perspective of the data collection experience Session 1b: Data from and for our CO-CEAL communities: iHeard Don Nease, MD and George Autobee Learning Objectives: iHeard Colorado overview Methods: How data were gathered and disseminated Gain a community perspective of the iHeard project experience	Gunnison Advocacy Skills Workshop Kyle Leggott, MD Learning Objectives: Demonstrate the use of narrative storytelling to improve advocacy efforts Summarize ways to apply skills post-session	Arkansas Primary Care and Research - Health Topic Prioritization Mary Fisher, MPH, Sarah Brewer, PhD, MPA and Anne Nederveld, MD, MPH Learning Objectives: Analyze current topics of priority from various partners state-wide Build and develop several action items related to the top priorities discussed Identity leaders to ensure work is carried out in the short and long term
11:10 - 12:00 pm Platte, Gunnison, and Arkansas	Platte Social Network Analysis and Boot Camp Translation Kate Oviatt, PhD, Quatisha "Q" Bailey, MA, Jameel Mallory and Emma Gilchrist, MPH Learning Objectives: Understand the purpose, methods, and outcomes of Social Network Analysis Understand how SNA was implemented in the context of a BCT for Urban Black/African American community See the results of the CO-CEAL SNA (e.g., products, information, relationships) Understand lessons learned for implementing an SNA in this type of work Gain hands-on experience practicing SNA	Gunnison Keeping Care Local: eConsults and ECHOs in Rural and Frontier Counties BreAnna Teeters, MPH and Dave Saxon, MD Learning Objectives: Describe how eConsults and ECHO improve access to care in rural and frontier counties Understand how telehealth methods can improve quality Describe how eConsults and ECHOs support peer-models of care	Arkansas Community and Patient Partnerships to Address Complex Needs Anne Nederveld, MD, MPH, Kristen Curcija, MPH, Sadie Fritzler, MA and Maret Felzien, MA Projects presented, along with likely presenters: Following up on Food Insecurity Prevent T2+Choice Tackling Loneliness with Communities (TLC) Learning Objectives: Summarize information and results from various projects Utilize information learned to see how to engage in the work in the future
12:00 - 1:00 pm Mountain View Restaurant	Lunch Networking lunch
	Afternoon Session Concurrent sessions
1:00 - 1:50 pm Platte, Gunnison, and Arkansas	Platte Building Capacity for Community Engaged Research and Lessons Learned Along the Way Panelists: Sol Sandoval Tafoya, Javier Garcia Arellano, Quatisha "Q" Bailey, MA and Don Nease, MD Moderator: Charlene Barrientos Ortiz Learning Objectives: Provide a framework within which capacity building can be structured for both university and community partners Understand CO-CEAL Community Connectors' roles and experiences in participant recruitment, training, communication, data collection and more Understand how trust was built between academics and community Identify lessons learned around what worked and what did not work/what challenges people experienced around engagement and building trust Understand how lessons learned informed future work of CO-CEAL and similar efforts	Gunnison State Agency Collaboration to Improve Access to Care Devin Miller, MPH Lauren Phillips, MPH Alexis Burakoff, MD, MPH Learning Objectives: Describe how partnerships with state agencies can improve health equity Summarize examples of successful state agency partnerships Identify ways to connect organizational partnerships post-conference	Arkansas Projects Shaping the Future of Primary Care Anne Nederveld, MD, MPH Projects presented, along with likely presenters: HOPE Study SDoH in Primary Care - Food Insecurities Learning Objectives: Summarize information and results from various projects Utilize information learned to see how to engage in the work in the future
2:00 - 3:00 pm Centennial	Panel: Successful Cross-Sector Collaborations in Action Panelists: Lisa Lucero, MBA, Gus Basterrechea, MA, Jason Guidry, MA, LPC and Anne Nederveld, MD, MPH Moderator: Ricardo Gonzalez-Fisher, MD, MPH Learning Objectives: Understand how community members and academics from a variety of backgrounds and sectors collaborate to improve and advance the health and health equity of their communities Understand the history of how entities have engaged with community health equity Identify ways in which cross-sector collaborations have been initiated and sustained
3:00 - 4:00 pm Centennial	Closing Session Commitments and The Story of Us: Kyle Leggott, MD Final remarks: Don Nease, MD Learning Objectives: Build on the other learning objectives and previous sessions Call to Action from planning committee to bring things into the next steps in community

The CCTSI is a collaborative enterprise between University of Colorado Denver, University of Colorado Boulder, Colorado State University, six affiliated hospitals and health care organizations, and multiple community organizations with a goal to accelerate the translation of research discoveries into improved patient care and public health. The Partnership of Academicians and Communities for Translation (PACT) is the nexus of the CCTSI Community Engagement and Health Equity (CEHE) Core, facilitating community-based participatory research (CBPR), educating and connecting investigators and communities, developing programs to create and improve relationships and build trust between academicians and communities, and making pilot grant funds available for community engaged research. The PACT encompasses more than 20 Colorado communities, 940 physician practices, 28 hospitals, 11 Community Research Liaisons who are embedded in communities throughout the state, and a group of core community engagement staff. The PACT is operationalized through the leadership and governance of the PACT Council, which is a balanced governance structure comprised of equal numbers of community and academic experts who have equal influence over decisions.

ECHO Colorado leverages the knowledge and experience of geographically diverse communities for workforce development and improved health for all. Our virtual ECHO series increase the capacity of health professionals by enabling specialists and front-line clinicians to meet in a collaborative focused on a particular clinical or public health-related topic. The result is the spreading of knowledge that positively impacts health equity across the state and beyond. ECHO Colorado is located on the University of Colorado Anschutz Medical Campus as a part of the Peer Mentored Care Collaborative (PMCC). The PMCC is focused on strengthening relationships between community-based primary care providers and academic medical center-based specialists to assure communication of best practices, increased care coordination and improved collaboration.

Find out more.

The State Network of Colorado Ambulatory Practices & Partners (SNOCAP) is a state-wide affiliation of primary care/family medicine Practice-Based Research Networks (PBRNs) affiliated with the Department of Family Medicine at the University of Colorado Anschutz Medical Campus. SNOCAP Member Networks collaborate with practices, patients, community members, researchers, research teams, local partners on projects and studies, share resources and jointly sponsor an annual meeting of their members.

The Colorado Community Engagement Alliance Against Health Disparities Team (CO-CEAL) is a partnership between the University of Colorado Anschutz Medical Campus, Servicios de la Raza, the Trailhead Institute, and dozens of trusted local community members. Our mission is to provide trustworthy information through active community engagement and outreach to the people most impacted by health disparities while building long-lasting community partnerships to improve diversity and inclusion in health research. We currently work with the following communities: Urban Latina/o/x community in Pueblo and Metro Denver, Rural Latina/o/x community in the San Luis Valley, Urban Black/African American community in Metro Denver, Rural African Immigrant community in Ft. Morgan and Greeley, and the American Indian/Alaska Native community in Metro Denver. Funding for CEAL comes from the National Institutes of Health (NIH).

About SNOCAP PBRNs

BIGHORN’s mission is to transform a network of private practices into a community of reflective, investigative practices and their patients, thereby enhancing the quality, safety, efficiency, and accessibility of primary health care through practice-based research. This network comprises practices representative of busy community practices in both urban and rural areas across Colorado. BIGHORN has completed studies on patient safety, underinsurance, direct-to-consumer advertising, health information technology, and chronic pain with funding from the Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality (AHRQ), and National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

CaReNet is a network of nearly 450 clinicians (family physicians, general internists, general pediatricians, and nurse practitioners) in both urban and rural practices (federally qualified health centers, community health center clinics, residency training sites, and university affiliated private practices). CaReNet practices are located along the front range, as well as in the San Luis Valley (SLV) in south central Colorado.

COCONet is a network that works with pediatric medical practices to improve the health and well-being of Colorado children and families. The mission of COCONet is to conduct collaborative practice-based research and quality improvement that informs real-world clinical practice to improve the health and well-being of Colorado children and families. COCONet supports and conducts studies and projects to improve children’s health. Projects have included topics such as improving immunization coverage, physician communication with patients and parents, referral systems, and mental health integration. COCONet is committed to connecting practicing physicians and researchers to examine the most pressing questions facing pediatric providers in Colorado. COCONet has a Network Advisory Board (NAB), as well as a Steering Committee, that both meet as-needed to discuss priority topics and to participate in projects and grant writing. The COCONet NAB meets each quarter and focuses meetings on current and developing projects. COCONet has received funding from Patient-Centered Outcomes Research Institute (PCORI), National Institute of Allergy and Infectious Diseases (NIAID), and elsewhere.

Established in 1997, HPRN is an integrated rural network of clinicians and health care facilities located in the 16 counties of eastern rural Colorado. The HPRN region covers 30,000 square miles and is home to approximately 150,000 people, 30% of whom are Hispanic. HPRN includes 16 hospitals ranging from six to 40 acute care beds all between 50 and 180 miles from the closest tertiary care center, 53 primary care practices, 15 nursing homes, 3 home health agencies, 4 public health departments, and 3 hospice organizations. Eight of the Colorado counties served by HPRN clinics have been officially designated Health Professional Shortage Areas, and 4 are Medically Underserved Area. HPRN’s mission is to provide excellent rural health care by translating the best scientific evidence into every day clinical practice. Since its first study which assessed the use of new medical technology in rural hospitals, HPRN’s studies have studied new interventions that support colon cancer screening; chronic disease diagnosis, treatment, and management (asthma, cancer survivorship care, opioid use disorder, hypertension); test diagnostic tools in primary care (chronic obstructive pulmonary disease); and describe patient, practice staff, and clinicians' knowledge and attitudes on a range of topics (underinsurance, behavioral health integration, patient centered medical home). HPRN research has been funded by the Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality, Robert Wood Johnson Foundation, National Cancer Institute, National Institute of Nursing Research (NINR) Patient Centered Outcomes Research Institute, The Colorado Health Foundation, Caring for Colorado Foundation, Colorado Department of Public Health and Environment. The HPRN has an active Community Advisory Council (C.A.C.) that was established in 2003 and consists of 12 local residents of eastern Colorado, including farmers, ranchers, teachers, para-health professionals, small business workers, office workers, students, and retirees. By joining the best science with the best community knowledge, HPRN and the C.A.C. can produce something better than either could alone.

Starting in 2017, interest for starting a new PBRN on the Western Slope grew as a few practices became involved in PBRN projects and recognized that very few others were involved. In addition, there are issues specific to the geographic region that likely require asking different questions and potentially using different research strategies to answer them. The model for this PBRN is one that includes health care related organizations as well as practices and practitioners, as well as several different organizations ranging from academic institutions to Health Information Technology companies. Due to this scope of involvement, the network is called PEACHnet, which stands for Partners Engaged in Achieving Change in Healthcare Network. Currently, a small steering committee has been formed and staff has been starting to reach out to practices and organizations across the Western Slope. They are actively working to develop project ideas to attract practices and help to increase understanding of the incredible benefits PBRN projects can bring to communities. Funding for PEACHnet has come from Patient-Centered Outcomes Research Institute (PCORI) and the American Cancer Society. PEACHNet is actively working to create a Regional Advisory Board (RAB) as of 2019. The RAB will be composed of stakeholder groups including patients, health care workers, and community members from various organizations. This group will include 10 to 12 people and will meet monthly starting in July 2019. The name, “Regional Advisory Board, ” is being used to emphasize that PEACHnet includes practices and communities across a geographic region.

Colorado Clinical and Translational Sciences Institute (CCTSI)

CU Anschutz

Anschutz Health Sciences Building

1890 N Revere Ct

Campus Box B141

Aurora, CO 80045

303-724-1222

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CTSA Grant UM1 TR004399, K12 TR004412, T32 TR004367, T32 TR004366

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CU Campuses

CU Anschutz Medical Campus

Colorado Clinical and Translational Sciences Institute

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)
March 1 - 2, 2024
Cheyenne Mountain Resort
3225 Broadmoor Valley Road, Colorado Springs, CO, 80906

About SNOCAP PBRNs

Colorado Clinical and Translational Sciences Institute (CCTSI)

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)March 1 - 2, 2024Cheyenne Mountain Resort3225 Broadmoor Valley Road, Colorado Springs, CO, 80906

About the CCTSI

About ECHO Colorado

About SNOCAP

About CO-CEAL

About SNOCAP PBRNs

BIGHORN

CaReNet

COCONet

HPRN

PEACHnet

Colorado Clinical and Translational Sciences Institute (CCTSI)

Collaborating Across Sectors for Colorado's Health Equity and Wellness (CASCHEW)
March 1 - 2, 2024
Cheyenne Mountain Resort
3225 Broadmoor Valley Road, Colorado Springs, CO, 80906