Elevation Health Partners (EHP) collaborated with Blue Shield of California Promise Health Plan to develop a Co-Design Community-Led Quality Improvement Initiative. This innovative project engaged more than 10 community-based organizations (CBOs) serving pregnant women, children, and youth to co-design programs aimed at closing care gaps and advancing health equity.

Key Contributions by EHP:

• Co-Design Session Development: Created content, agendas, formats, and presentation decks for working sessions with CBO partners.

• Tools & Templates: Designed resources to help CBOs build programs and business cases aligned with health plan metrics.

• Program Management Support: Guided implementation through outcome tracking, workplan development, and ongoing coordination.

• Measurement & Reporting: Established success measures, compiled outcomes, and produced summaries highlighting value for internal and external stakeholders.

• Quality Alignment: Supported CBOs in aligning initiatives with quality metrics to effectively close care gaps.

Elevation Health Partners (EHP) empowers healthcare and community-based organizations to design, implement, and scale value-based care models that improve outcomes, advance equity, and reduce costs.

We partner with Federally Qualified Health Centers, managed care plans, behavioral health agencies, and community-based providers to navigate the complex transition from fee-for-service to person-centered, value-driven systems. Our team of experts provides end-to-end support — from readiness assessments and financial modeling to care coordination design, data analytics, and cross-sector integration — ensuring that every client delivers high-quality, equitable, and financially sustainable care.

By aligning incentives, improving quality, and addressing social determinants of health, EHP helps organizations achieve measurable, lasting impact for the people and communities they serve.

Key activities included:
• Training staff on Cozeva’s reporting and patient list functionality
• Aligning clinical and administrative workflows to maximize adoption
• Providing facilitation to ensure sustainable use of the platform
• Improving encounter data accuracy and optimizing supplemental data submission

This approach allowed practices to more effectively engage patients around preventive and chronic care needs while driving measurable improvements in quality performance. 

Beyond Cozeva, Elevation Health Partners has also guided practices in the adoption of other technologies such as Azara and RetinaVu, embedding these tools into standardized workflows, training staff for consistent use, and enabling providers to act on real-time insights to close care gaps. Additional details on this work are reflected in the HIPP project summary.

Starting in 2024, Elevation Health Partners was selected as a dedicated coaching organization for California’s Equity in Practice Transformation (EPT) Program.  EPT is a statewide initiative designed to improve access, quality, and equity in healthcare, particularly for Medi-Cal members.  The program provides funding, technical assistance, and resources to clinics and other providers to help them adopt changes that address disparities and strengthen care delivery systems.  Its primary goal is to ensure that underserved communities receive more equitable, person-centered care.

Through the program, providers are coached on building infrastructure and adopting best practices that improve care coordination, data use, and patient engagement. This includes implementing equity-focused quality improvement projects, enhancing culturally responsive care, and improving workflows for vulnerable populations. EPT supports providers in aligning with broader statewide healthcare transformation efforts, such as CalAIM.

Elevation Health Partners (EHP) provides specialized executive advisory services for mission-driven organizations, including Federally Qualified Health Centers (FQHCs), Community-Based Organizations (CBOs), and nonprofits, navigating leadership transitions or complex organizational challenges.

Led by Dr. Emily Ptaszek—former FQHC CEO and licensed psychologist—EHP’s Advisory Practice delivers high-impact advisory support that fosters meaningful growth, resilient teams, and strong, enduring leadership. 

Elevation Health Partners provides hands-on PCMH technical assistance to guide organization clinic sites to PCMH recognition. The scope of work includes:

1.  PCMH kick-off meetings

2.  Onsite PCMH concept assessments

3. Ongoing coaching support

4.  Application submission through Q-PASS

5.   Sustainability

6.  Oversight of annual renewal submission

Elevation Health Partners’ team of PCMH Certified Content Experts and expert PCMH Consultants successfully guides practices throughout the practice transformation process to achieve PCMH recognition. EHP has developed over 20 policies, developed streamlined reports and trained staff across sites.

Elevation Health Partners:

• Co-designed survey content in collaboration with CPCA

• Built tailored question subsets by organizational role to capture unique workforce insights

• Ensured survey technology compatibility across common platforms and browsers

• Developed and executed a multi-channel outreach strategy (email, social media, webinars, direct support) to maximize participation and ensure statewide representation

• Monitored survey progress in real time and provided regular updates

• Delivered ongoing technical assistance and hosted office hours to support accurate survey completion

• Conducted rigorous data validation to ensure accuracy and consistency

• Analyzed results to identify key workforce trends, emerging challenges, and promising practices 

Final deliverables include a statewide report with actionable findings, an executive summary for policymakers and partners, and a key findings webinar to help health centers translate results into workforce planning strategies. This collaborative project positioned CPCA and its members with the data and insights needed to strengthen California’s health center workforce and advance equity through population health management.

Implementation of Collaborative Care (CoCM) for Perinatal Common Mental Disorders in Los Angeles Community Health Centers

Elevation Health Partners supports various community health centers within Los Angeles County to build local capacity for significant practice change and clinical training needed to move current models of care towards team based collaborative care model (CoCM) with efficient specialty mental health involvement.

In this five-year effort, we focus on pre-implementation and implementation activities of the highly evidence-based (CoCM) adapted for vulnerable women in pregnancy and the year postpartum, and the design and launch of a regional learning collaborative reaching up to 200 primary care sites to support capacity building and improve perinatal mental health at a population level in the region.

Elevation Health Partners practice transformation coaches worked with seven Michigan Community Health Network health centers across the state to improve HEDIS and CMS quality measures and enhance performance under Medicaid health plan value-based agreements. In addition to health center-specific support, EHP coaches aided network-level initiatives including:

1. Clinical Pathway Subcommittee

2. Utilization Subcommittee

3. HRSA Early Childhood Development Grant Cohort

4. HIPP Project Cohort ‘Bring, Brag, Borrow’ Sessions

5. Playbook development and presentation for chronic disease, care management outreach, Transitions of Care, preventative screening, Well Child Visits, and prenatal/postpartum metrics

Overall, the project aimed to maximize the shared savings and HEDIS performance-related earnings for the participating health centers and demonstrate a model for improvement that can be scaled, spread, and maintained throughout the MCHN network and among relevant health plans.

The HIPP project led to quantifiable results In HEDIS and CMS measure Improvement as well as Increased value on Investment. Some highlights are:

• 4 of 6 HEDIS measures of focus saw a 15% or greater improvement

• Notably, health centers equipped with RetinaVue cameras that received coaching demonstrated higher CMS & HEDIS measure performance compared to those without direct coaching.

• NCQA Target Achievement: 31 Primary & Secondary Targets were reached across HIPP measures of focus from 2022-2024

  • 7 of 31 were ‘Net New’ Targets reached

The Partnership for Quality Care Innovation (PQCI) program, implemented by Elevation Health Partners in collaboration with Health Net, aimed to improve clinical performance among Medi-Cal and Medicare providers across California by delivering tailored quality improvement (QI) coaching. Serving 86 Medi-Cal-focused and 27 Medicare-focused practices, the initiative was designed to support practices in reaching or exceeding the 50th percentile in HEDIS/MCAS measures by 2024, with a path to reach the 75th percentile by 2027.

Program Impact:

• Enrollment Success: Exceeded Medi-Cal enrollment goals (90 practices total); achieved 90% of Medicare enrollment goal (27 of 30).

• Coaching Impact: Over 10,000 hours of practice coaching resulted in significant improvements across 17 of 19 HEDIS/MCAS measures from 2023 to 2024.

• Innovative Outreach: An omnichannel engagement strategy secured high practice participation, leveraging webinars, direct calls, and on-site visits.

• Practice Engagement: 80 practices averaged high engagement scores

• LA DHS Collaboration: A standout participant that integrated foundational QI, supplemental data improvement, and PDSA training into its care model.

The Health Net CAHPS Access to Care Program is a highly focused initiative serving Staff-Model and Independent practices with high attributed Health Net Medicare membership. The goal of the project is to improve CAHPS Survey Scores and increase appointments available to Health Net Medicare Members through access to care initiatives.

The project is designed to improve the patient experience related to CAHPS focus areas of:

• Getting Needed Care

• Getting Care Quickly

• How Well Doctors Communicate

• Care Coordination 

Elevation Health Partners provides Technical Assistance to CCALAC for the DPH Solutions for Healthier Communities project, which targets chronic disease through Social Drivers of Health interventions within California Federally Qualified Health Centers. Elevation Health Partners tailors our toolkit of coaching best practices and materials to facilitate practice transformation coaching and quality improvement initiatives through root cause analysis and interventions assessments to impact priority chronic disease HEDIS metrics: A1c Poor Control and Controlling High Blood Pressure.

We provide specialized technical assistance to support implementation of closed-loop referral platforms and subject matter expertise for project Affinity Groups to assist with capacity building for three key components to develop a roadmap towards optimal impact to SDoH needs:

1. Social Health Technology & Integration

2. Creating Community Clinical Linkages

3. Self-Measured Blood Pressure Monitoring Programs

Elevation Health Partners was selected and contracted to work on behalf of the Los Angeles County Department of Public Health, Division of HIV and STD Programs (DHSP) to design and deliver Mission Possible, an HIV Quality Improvement Learning Collaborative for Medical Care Coordination (MCC) Teams at contracted MCC agencies. Working directly with peers and expert DHSP faculty, MCC teams completed a comprehensive needs assessment designed to focus on numerous content priorities, including retention in care, viral load suppression, data reporting, screening and referrals and education about the U=U campaign, and developing in-person and remote webinar trainings.

Due to the COVID-19 pandemic, the Mission Possible Learning Collaborative was repurposed with a focus on improving capacity for providing virtual care to patients with HIV and maintaining MCC services in a remote setting utilizing telehealth visits.

The outcomes of the program include:

• All 27 MCC teams successfully participated in a virtual learning collaborative

• Elevation Health developed six webinar trainings focused on

  • Providing telehealth best practices

  • How to conduct remote phone visits

  • Empathic techniques for telephone visits

  • Strategies on prioritizing MCC patient services while honoring patient preferences for in-person vs. telephone visits

  • Addressing racial and ethnic HIV disparities and the Black experience in healthcare.

  • Strengthening quality improvement and data reporting mechanisms among MCC Teams and DHSP

  • Scaling-up interventions and spreading existing best practices to improve HIV outcomes

  • Enhancing communication channels and prioritizing activities for improvement at DHSP, learned through collaborative engagement and feedback mechanisms