Civic Intelligence

Center for Improving Value in Health Care

EIN 27-2884568 • 501(c)3 • Denver, CO

Profile

See Schedule O.We help communities, organizations and individuals identify opportunities to develop and advance innovative approaches to improve the health and well-being of Coloradans. By design, our activities support Change Agents in four ways. Serve We engage, support and collaborate with others to collectively advance the Triple Aim for a healthier Colorado. Everything we do is for the success and health of the communities we serve. Engage All voices are necessary to reshape our health care system and CIVHC is committed to meaningful collaboration with individuals, communities, and organizations. Educate We help educate communities on resources, partnerships, data literacy, and innovations to accelerate the pace of change. Amplify CIVHC promotes the successes and innovations of Change Agents, highlighting accomplishments and progress both locally and nationally.

4500 Cherry Creek S DrDenver, CO 80246

www.civhc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

62nd percentile

0.29x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

51st percentile

0.23x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

45th percentile

2.6%

Higher net margin than 45% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

85th percentile

$375,289

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 3.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

22nd percentile

-3.1%

Faster asset growth than 22% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

30th percentile

-1.5%

Faster revenue growth than 30% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Assets

Down

$8,140,392

Down $34,738 (-0.4%) from 2023

Liabilities

Down

$2,342,835

Down $1,502,882 (-39%) from 2023

Net Assets

Up

$5,797,557

Up $1,468,144 (+34%) from 2023

Revenue

Up

$10,314,367

Up $527,322 (+5.4%) from 2023

Expenses

Up

$10,049,597

Up $1,872,954 (+23%) from 2023

Net Income

Down

$264,770

Down $1,345,632 (-84%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0Assets 2015: $3,056,820Liabilities 2015: $946,381Net Assets 2015: $2,110,4392015Assets 2016: $2,922,303Liabilities 2016: $551,192Net Assets 2016: $2,371,1112016Assets 2017: $3,955,510Liabilities 2017: $1,351,823Net Assets 2017: $2,603,6872017Assets 2019: $3,712,007Liabilities 2019: $2,209,023Net Assets 2019: $1,502,9842019Assets 2020: $5,046,167Liabilities 2020: $3,021,414Net Assets 2020: $2,024,7532020Assets 2021: $5,205,406Liabilities 2021: $2,780,308Net Assets 2021: $2,425,0982021Assets 2022: $5,434,732Liabilities 2022: $2,756,321Net Assets 2022: $2,678,4112022Assets 2023: $8,175,130Liabilities 2023: $3,845,717Net Assets 2023: $4,329,4132023Assets 2025: $8,140,392Liabilities 2025: $2,342,835Net Assets 2025: $5,797,5572025

Highlighted filing

2025

Assets$8,140,392
Liabilities$2,342,835
Net Assets$5,797,557

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2015: $4,340,736Expenses 2015: $3,866,626Net Income 2015: $474,1102015Revenue 2016: $4,981,498Expenses 2016: $4,720,826Net Income 2016: $260,6722016Revenue 2017: $5,346,184Expenses 2017: $5,113,608Net Income 2017: $232,5762017Revenue 2019: $4,494,713Expenses 2019: $5,378,001Net Income 2019: -$883,2882019Revenue 2020: $6,515,626Expenses 2020: $5,993,857Net Income 2020: $521,7692020Revenue 2021: $6,343,698Expenses 2021: $5,948,424Net Income 2021: $395,2742021Revenue 2022: $7,883,219Expenses 2022: $7,362,945Net Income 2022: $520,2742022Revenue 2023: $9,787,045Expenses 2023: $8,176,643Net Income 2023: $1,610,4022023Revenue 2025: $10,314,367Expenses 2025: $10,049,597Net Income 2025: $264,7702025

Highlighted filing

2025

Revenue$10,314,367
Expenses$10,049,597
Net Income$264,770

Filings

Latest Detailed Filing

The latest 2025 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2023 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$9,787,045
Mission and Program Overview

Mission

See Schedule O.CIVHC's mission is to cultivate and advance strategic initiatives that improve the health of Coloradans, contain costs and ensure maximum value for health care received. By adhering to our mission, we will achieve our vision; that by 2020, Colorado is leveraging data and analytics to lead the nation in realizing the Triple Aim.

To equip partners and communities in colorado and across the nation with the resources, services and unbiased data needed to improve health and health care. We help communities, organizations and individuals identify opportunities to develop and advance innovative approaches to improve health and health care. Our work is grounded in the communities we serve. We build collaborative relationships and focus on addressing the needs of our partners. Service: our work is grounded in the communities we serve. We build collaborative relationships and focus on addressing the needs of our staff and our partners. Stewardship: we are conscientious stewards of the colorado all payer claims database. Through data expertise and partnership, we ensure exceptional data quality and create innovative health care analytics resulting in actionable, data-driven insights. Integrity: we are objective, solution-oriented, and maintain the highest integrity in the work we do. We aim to be a trusted, credible, re

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$1,638,377$2,515,476▲ $877,099
Investments in Publicly Traded Securities$2,224,248$2,308,054▲ $83,806
Savings and Temporary Cash Investments$440,895$1,037,619▲ $596,724
Cash and Non-Interest-Bearing Accounts$425,885$425,000▼ $885
Accounts Receivable$339,853$332,528▼ $7,325
Prepaid Expenses and Deferred Charges$289,656$296,113▲ $6,457
Land, Buildings, and Equipment, Net$75,818$37,451▼ $38,367
Total Assets$5,434,732$8,175,130▲ $2,740,398
Other Assets Total-$1,222,889-
Liabilities
Other Liabilities$136,346$3,053,827▲ $2,917,481
Unsecured Notes Loans Payable$2,000,000--
Accounts Payable and Accrued Expenses$619,975$763,998▲ $144,023
Deferred Revenue-$27,892-
Total Liabilities$2,756,321$3,845,717▲ $1,089,396
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,678,411$4,329,413▲ $1,651,002
Total Net Assets Fund Balance$2,678,411$4,329,413▲ $1,651,002
Total Liabilities and Net Assets / Fund Balance$5,434,732$8,175,130▲ $2,740,398

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$25,447$2,229,013$2,254,460
Leasehold Improvements$12,004$15,936$27,940
Other Assets Org$1,222,889--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ana EnglishCEO Thru 12/FT$347,600$34,332$381,932
Ana EnglishCEO Thru 12/2022-$251,281$130,651$381,932
Kristin PaulsonCEO in 11/20FT$215,675$21,905$237,580
Kristin PaulsonCEO in 11/2022-$187,802$49,778$237,580
Peter SheehanVP Client SoFT$169,425$10,398$179,823
Peter SheehanVP Client Solutions-$153,225$26,598$179,823
Cari FrankVP of CommunFT$152,215$19,877$172,092
Cari FrankVP of Communication-$137,306$34,786$172,092
Paul MccormickVP of Data OFT$148,522$18,274$166,796
Paul MccormickVP of Data Operation-$134,718$32,078$166,796
Everett CostaSr Health DaFT$139,154$9,214$148,368
Maria De Jesus Diaz-perezDirector of ReseFT$125,512$19,415$144,927

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Human Services Research InstituteIt Services2336 MASSACHUSETTS AVE, Cambridge, MA 02140$1,348,429
Milliman Solutions LLCSoftware1301 FIFTH AVE SUITE 3800, Seattle, WA 98101$327,850
Revenue and Support

Revenue Composition

Contributions and Grants
$8,278,246
Program Service Revenue
$1,417,176
Investment Income
$85,203
Other Revenue
$6,420
All Other Contributions
$299,318
Change in Net Assets
$1,610,402

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,787,045
Revenue Not Reported on Form 990
$40,600
Total Revenue per Audited Statements
$9,827,645
Total Revenue per Form 990
$9,787,045
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,202,003
Other Expenses$2,974,640
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,730,649$96,965-$3,827,614
Information Technology$1,927,440$5,252-$1,932,692
Other Employee Benefits$511,101$19,675-$530,776
Current Officers, Directors, Trustees, and Key Employees$412,920$83,168-$496,088
Payroll Taxes$335,048$12,477-$347,525
Fees for Services Other$134,654$144,146-$278,800
Occupancy$240,264$10,314-$250,578
Fees for Services Accounting-$111,156-$111,156
Travel$64,586$1,525-$66,111
Depreciation Depletion$26,111$12,256-$38,367
Insurance$27,712$1,200-$28,912
Advertising$20,000$729-$20,729
Other Expenses$8,372$20,051-$20,051
Interest$18,645$808-$19,453
Conferences and Meetings$5,204$11,622-$16,826
Fees for Services Legal$6,638$6,254-$12,892
Fees for Service Investment Mgmnt Fees-$7,693-$7,693
Fees for Services Lobbying$4,200--$4,200
Total Functional Expenses$7,473,544$703,099$0$8,176,643

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$8,176,643
Total Expenses per Audited Statements$8,176,643
Total Expenses per Form 990$8,176,643
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Refundable Advance$1,750,000
Operating Lease Liability$1,303,827
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

The form 990 is sent to the audit and finance committee for review. That committee votes to recommend the form 990 to the board for approval and the board reviews and approves the form 990 prior to it being filed with the irs.

Form 990, Page 6, Part VI, Line 12C

The conflict-of-interest policy is given to the board and staff on an annual basis. Board and staff members are required to list potential conflicts and sign to indicate that they will comply with the policy. Board members may cite a potential conflict of interest during any discussion and the other board members present must decide whether to require a recusal from that discussion and/or vote. Staff must report any potential conflicts to a supervisor so that the supervisor can address the conflict as appropriate.

Form 990, Page 6, Part VI, Line 15A

The executive committee designates a sub-committee called the compensation committee to decide compensation for the ceo and to develop and monitor ceo performance goals with associated bonus incentives. This is an annual process.

Form 990, Page 6, Part VI, Line 15B

The ceo determines the salary levels for officers and other employees based on a combination of informal surveys with similar organizations, compensation information disclosed in the 990's of similar organizations, and through independent compensations consultants. This is done on an annual basis.

Form 990, Page 6, Part VI, Line 18

Civhc makes its form 990 and form 1023 available to the public through its website and upon request.

Form 990, Page 6, Part VI, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Center for Improving Value in
EIN
27-2884568
Phone
7205832128
Address
4500 CHERRY CREEK S DR, DENVER, CO 80246
Doing Business As
Civhc

Signing Officer

Name
Kristin Paulson
Title
CEO in 11/2022
Phone
7205832128
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristin Paulson
Formed
2010
Legal Domicile
Co
Voting Board Members
10
Independent Board Members
10
Employees
53
Volunteers
52

Preparer

Firm
Kundinger Corder & Montoya Pc
Address
475 LINCOLN STREET SUITE 200, DENVER, CO 80203
Preparer
Kristin Calder
Phone
3035345953
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

To equip partners and communities in colorado and across the nation with the resources, services and unbiased data needed to improve health and health care. We help communities, organizations and individuals identify opportunities to develop and advance innovative approaches to improve health and health care. Our work is grounded in the communities we serve. We build collaborative relationships and focus on addressing the needs of our partners. Service: our work is grounded in the communities we serve. We build collaborative relationships and focus on addressing the needs of our staff and our partners. Stewardship: we are conscientious stewards of the colorado all payer claims database. Through data expertise and partnership, we ensure exceptional data quality and create innovative health care analytics resulting in actionable, data-driven insights. Integrity: we are objective, solution-oriented, and maintain the highest integrity in the work we do. We aim to be a trusted, credible, resource and partner, and we hold ourselves accountable to deliver transparent, high-quality services. Equity: equity and inclusivity are core to our work. We provide insights to advance health equity and strive to create an environment where all voices are represented, heard and respected.

Form 990, Page 2, Part III, Line 4A

Colorado all payer claims database in 2010, the executive director of the colorado department of health care policy and financing (hcpf) appointed civhc the administrator of the co apcd. The co apcd is a state-legislated, secure health care claims database compliant with all federal privacy laws. The complexity and scale of the database continually grows with millions of claims submitted by payers each month, reflecting over 5 million lives and over 1 billion claims. It is the only claims repository in the state that represents the vast majority of insured lives in colorado, with over ten years of data from commercial health insurance payers, medicaid, and medicare. Analysis of these claims provide valuable insights on ways to improve the health of coloradans, make care more accessible and affordable, and improve the quality of the care being delivered. Civhc makes this information available publicly via civhc.org, and non-publicly via a data release process to multiple change agents including consumers, providers, employers, payers, researchers, state agencies, non-profits and others working to improve health and health care, and lower costs for colorado residents. Public data releases increasing access to transparent health care data for all stakeholders is foundational to the original legislative vision of the co apcd, civhcs mission, and to colorados ability to make informed decisions that will have lasting benefit to the state. Public analyses and interactive tools, available at civhc.org is one of the methods civhc employs to bring transparency to the health care marketplace. Non-public data releases in addition to making public information available, civhc provides custom data sets and reports to state agencies, organizations and researchers seeking to advance health care and lower costs. Every release of data must benefit colorado, as mandated by co apcd regulations.

Form 990, Page 2, Part III, Line 4B

Research, partnerships, and innovation building on the work begun in 2022 with the program evaluation services started offering, civhc created the research, partnerships, and innovation (rpi) department in 2023. The new department is focused specifically on providing support and value to low-income, bipoc, and marginalized or underserved communities through research, program evaluation, community engagement, health care programs, and multi-state collaboration. Palliative care civhc has become a national go-to source for insight into palliative care issues through convening, reporting and analyses. In 2014, civhc and taskforce partners from across the state successfully appealed to the colorado state board of health to include a definition of palliative care as part of the colorado standards for hospitals and health facilities. Since then, civhc has continued to play a key role in advancing palliative care and understanding areas of opportunity by convening other organizations and conducting analyses on cost of care at the end of life. Advance care planning advance care planning allows individuals to share and document their wishes surrounding serious illness, incapacitation, and end of life. Civhc convenes an advance care planning work group where change agents discuss issues facing the palliative care community and brainstorm ideas about how to affect meaningful change. Civhc also hosts the medical orders for scope of treatment (most) form on civhc.org. The most form is a document that consolidates and summarizes patient preferences for key life-sustaining treatments: cpr, medical interventions and artificially administered nutrition. The program was established by legislation (c.r.s. 18.7) in colorado in 2010.

Form 990, Page 12, Part XII, Line 2C

Civhc's finance and audit committee assumes the responsibility for oversight of the audit of its financial statements and the selection of the independent accountant. This process has not changed from the prior year.

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IRS990/ActivityOrMissionDesc0TO EQUIP PARTNERS AND COMMUNITIES IN COLORADO AND ACROSS THE NATION WITH THE RESOURCES, SERVICES AND UNBIASED DATA NEEDED TO IMPROVE HEALTH AND HEALTH CARE. WE HELP COMMUNITIES, ORGANIZATIONS AND INDIVIDUALS IDENTIFY OPPORTUNITIES TO DEVELOP AND ADVANCE INNOVATIVE APPROACHES TO IMPROVE HEALTH AND HEALTH CARE. OUR WORK IS GROUNDED IN THE COMMUNITIES WE SERVE. WE BUILD COLLABORATIVE RELATIONSHIPS AND FOCUS ON ADDRESSING THE NEEDS OF OUR PARTNERS. SERVICE: OUR WORK IS GROUNDED IN THE COMMUNITIES WE SERVE. WE BUILD COLLABORATIVE RELATIONSHIPS AND FOCUS ON ADDRESSING THE NEEDS OF OUR STAFF AND OUR PARTNERS. STEWARDSHIP: WE ARE CONSCIENTIOUS STEWARDS OF THE COLORADO ALL PAYER CLAIMS DATABASE. THROUGH DATA EXPERTISE AND PARTNERSHIP, WE ENSURE EXCEPTIONAL DATA QUALITY AND CREATE INNOVATIVE HEALTH CARE ANALYTICS RESULTING IN ACTIONABLE, DATA-DRIVEN INSIGHTS. INTEGRITY: WE ARE OBJECTIVE, SOLUTION-ORIENTED, AND MAINTAIN THE HIGHEST INTEGRITY IN THE WORK WE DO. WE AIM TO BE A TRUSTED, CREDIBLE, RE
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IRS990/Desc0COLORADO ALL PAYER CLAIMS DATABASE IN 2010, THE EXECUTIVE DIRECTOR OF THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING (HCPF) APPOINTED CIVHC THE ADMINISTRATOR OF THE CO APCD. THE CO APCD IS A STATE-LEGISLATED, SECURE HEALTH CARE CLAIMS DATABASE COMPLIANT WITH ALL FEDERAL PRIVACY LAWS. THE COMPLEXITY AND SCALE OF THE DATABASE CONTINUALLY GROWS WITH MILLIONS OF CLAIMS SUBMITTED BY PAYERS EACH MONTH, REFLECTING OVER 5 MILLION LIVES AND OVER 1 BILLION CLAIMS. IT IS THE ONLY CLAIMS REPOSITORY IN THE STATE THAT REPRESENTS THE VAST MAJORITY OF INSURED LIVES IN COLORADO, WITH OVER TEN YEARS OF DATA FROM COMMERCIAL HEALTH INSURANCE PAYERS, MEDICAID, AND MEDICARE. ANALYSIS OF THESE CLAIMS PROVIDE VALUABLE INSIGHTS ON WAYS TO IMPROVE THE HEALTH OF COLORADANS, MAKE CARE MORE ACCESSIBLE AND AFFORDABLE, AND IMPROVE THE QUALITY OF THE CARE BEING DELIVERED. CIVHC MAKES THIS INFORMATION AVAILABLE PUBLICLY VIA CIVHC.ORG, AND NON-PUBLICLY VIA A DATA RELEASE PROCESS TO MULTIPLE CHANGE AGENTS INCLUDING CONSUMERS, PROVIDERS, EMPLOYERS, PAYERS, RESEARCHERS, STATE AGENCIES, NON-PROFITS AND OTHERS WORKING TO IMPROVE HEALTH AND HEALTH CARE, AND LOWER COSTS FOR COLORADO RESIDENTS. PUBLIC DATA RELEASES INCREASING ACCESS TO TRANSPARENT HEALTH CARE DATA FOR ALL STAKEHOLDERS IS FOUNDATIONAL TO THE ORIGINAL LEGISLATIVE VISION OF THE CO APCD, CIVHCS MISSION, AND TO COLORADOS ABILITY TO MAKE INFORMED DECISIONS THAT WILL HAVE LASTING BENEFIT TO THE STATE. PUBLIC ANALYSES AND INTERACTIVE TOOLS, AVAILABLE AT CIVHC.ORG IS ONE OF THE METHODS CIVHC EMPLOYS TO BRING TRANSPARENCY TO THE HEALTH CARE MARKETPLACE. NON-PUBLIC DATA RELEASES IN ADDITION TO MAKING PUBLIC INFORMATION AVAILABLE, CIVHC PROVIDES CUSTOM DATA SETS AND REPORTS TO STATE AGENCIES, ORGANIZATIONS AND RESEARCHERS SEEKING TO ADVANCE HEALTH CARE AND LOWER COSTS. EVERY RELEASE OF DATA MUST BENEFIT COLORADO, AS MANDATED BY CO APCD REGULATIONS.
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IRS990/MissionDesc0TO EQUIP PARTNERS AND COMMUNITIES IN COLORADO AND ACROSS THE NATION WITH THE RESOURCES, SERVICES AND UNBIASED DATA NEEDED TO IMPROVE HEALTH AND HEALTH CARE. WE HELP COMMUNITIES, ORGANIZATIONS AND INDIVIDUALS IDENTIFY OPPORTUNITIES TO DEVELOP AND ADVANCE INNOVATIVE APPROACHES TO IMPROVE HEALTH AND HEALTH CARE. OUR WORK IS GROUNDED IN THE COMMUNITIES WE SERVE. WE BUILD COLLABORATIVE RELATIONSHIPS AND FOCUS ON ADDRESSING THE NEEDS OF OUR PARTNERS. SERVICE: OUR WORK IS GROUNDED IN THE COMMUNITIES WE SERVE. WE BUILD COLLABORATIVE RELATIONSHIPS AND FOCUS ON ADDRESSING THE NEEDS OF OUR STAFF AND OUR PARTNERS. STEWARDSHIP: WE ARE CONSCIENTIOUS STEWARDS OF THE COLORADO ALL PAYER CLAIMS DATABASE. THROUGH DATA EXPERTISE AND PARTNERSHIP, WE ENSURE EXCEPTIONAL DATA QUALITY AND CREATE INNOVATIVE HEALTH CARE ANALYTICS RESULTING IN ACTIONABLE, DATA-DRIVEN INSIGHTS. INTEGRITY: WE ARE OBJECTIVE, SOLUTION-ORIENTED, AND MAINTAIN THE HIGHEST INTEGRITY IN THE WORK WE DO. WE AIM TO BE A TRUSTED, CREDIBLE, RE
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IRS990/ProgSrvcAccomActy2Grp/Desc0RESEARCH, PARTNERSHIPS, AND INNOVATION BUILDING ON THE WORK BEGUN IN 2022 WITH THE PROGRAM EVALUATION SERVICES STARTED OFFERING, CIVHC CREATED THE RESEARCH, PARTNERSHIPS, AND INNOVATION (RPI) DEPARTMENT IN 2023. THE NEW DEPARTMENT IS FOCUSED SPECIFICALLY ON PROVIDING SUPPORT AND VALUE TO LOW-INCOME, BIPOC, AND MARGINALIZED OR UNDERSERVED COMMUNITIES THROUGH RESEARCH, PROGRAM EVALUATION, COMMUNITY ENGAGEMENT, HEALTH CARE PROGRAMS, AND MULTI-STATE COLLABORATION. PALLIATIVE CARE CIVHC HAS BECOME A NATIONAL GO-TO SOURCE FOR INSIGHT INTO PALLIATIVE CARE ISSUES THROUGH CONVENING, REPORTING AND ANALYSES. IN 2014, CIVHC AND TASKFORCE PARTNERS FROM ACROSS THE STATE SUCCESSFULLY APPEALED TO THE COLORADO STATE BOARD OF HEALTH TO INCLUDE A DEFINITION OF PALLIATIVE CARE AS PART OF THE COLORADO STANDARDS FOR HOSPITALS AND HEALTH FACILITIES. SINCE THEN, CIVHC HAS CONTINUED TO PLAY A KEY ROLE IN ADVANCING PALLIATIVE CARE AND UNDERSTANDING AREAS OF OPPORTUNITY BY CONVENING OTHER ORGANIZATIONS AND CONDUCTING ANALYSES ON COST OF CARE AT THE END OF LIFE. ADVANCE CARE PLANNING ADVANCE CARE PLANNING ALLOWS INDIVIDUALS TO SHARE AND DOCUMENT THEIR WISHES SURROUNDING SERIOUS ILLNESS, INCAPACITATION, AND END OF LIFE. CIVHC CONVENES AN ADVANCE CARE PLANNING WORK GROUP WHERE CHANGE AGENTS DISCUSS ISSUES FACING THE PALLIATIVE CARE COMMUNITY AND BRAINSTORM IDEAS ABOUT HOW TO AFFECT MEANINGFUL CHANGE. CIVHC ALSO HOSTS THE MEDICAL ORDERS FOR SCOPE OF TREATMENT (MOST) FORM ON CIVHC.ORG. THE MOST FORM IS A DOCUMENT THAT CONSOLIDATES AND SUMMARIZES PATIENT PREFERENCES FOR KEY LIFE-SUSTAINING TREATMENTS: CPR, MEDICAL INTERVENTIONS AND ARTIFICIALLY ADMINISTERED NUTRITION. THE PROGRAM WAS ESTABLISHED BY LEGISLATION (C.R.S. 18.7) IN COLORADO IN 2010.
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