Colorado Physician Health Program Annual Report July 2005 - June 2006

1
Colorado Physician Health ProgramAnnual Report
July 2005 - June 2006

• Executive Director Sarah R. Early, PsyD
• Medical Director Michael H. Gendel, MD

The mission of Colorado Physician Health Program
is to assist physicians, residents, medical
students, physician assistants and physician
assistant students who may have health problems
which if left untreated, could adversely effect
their ability to practice medicine safely.
2
Table of ContentsAnnual ReportJuly 2005 - June
2006

• Referral Summary Page 3
• Number of New Referrals - Program History Page 4
• Source of New Referrals - Year-to-Date Page 5
• Primary Presenting Problem -Year-to-Date Page 6
• Specialty of New Referrals - Year-to-Date Page 7
• License Status of New Referrals -
  Year-to-Date Page 8
• New Referrals Geographical Area -
  Year-to-Date Page 9
• Referrals Reactivations 1993 - 2006 Page 10
• Reactivations - Year-to-Date Page 11
• Inactivations (Reasons/Outcome) -
  Year-to-Date Page 12
• Participants Documentation Requests Page 13
• Program Highlights Page 14
• Community Outreach Page 15
• Services Provided by CPHP Page 16
• CPHP Board of Directors and Staff Page 17
• APPENDIX
• Definition of Terms Page 19

3
Referral Summary July 2005 - June 2006

• New Referrals Fiscal Year 2005-2006 represents
  the highest number of New Referrals in CPHP
  history. While CPHP projected an increase number
  of referrals due to the fact that 2005 was a
  Colorado Board of Medical Examiners (BME) renewal
  year, the referrals exceeded the expectations.
  When compared to the 2004-05 Fiscal Year CPHP
  realized a 34 increase in referrals. This is an
  actual growth of 74 cases.
• Caseload The average active caseload at any
  given period during Fiscal Year 2005-06 was 403
  clients. This represents an increase of 8
  compared to Fiscal Year 2004-05 (373 active
  client caseload).
• Overview Significantly, 52 of New Referrals
  came to CPHP voluntarily. 48 were mandatory
  referrals. This is a slight increase (5) of
  voluntary New Referrals when compared to Fiscal
  Year 2004-05 (with 47 voluntary New Referrals).
  Of the total New Referrals this year, 64 had an
  active Colorado license, 11 had a Colorado
  Training License and 5 held Physician Assistant
  licenses. 19 did not hold any license which
  includes 10 Applicants, 6 students and 3
  out-of-state clients. CPHP served New Referral
  clients from 24 counties of residence throughout
  Colorado during Fiscal Year 2005-06.
• Referral Source The highest single source of New
  Referrals was Self referrals, representing 32 of
  New Referrals. The second highest source of New
  Referrals was the BME (24). Administration
  (12) was the third highest category of referral
  source.
• Primary Presenting Problem of New Referrals The
  three most common primary presenting problems
  were Psychiatric at 26, followed by Legal at
  17 and lastly tied were Substance Abuse and
  Behavioral each at 14.
• Specialty of New Referrals For Fiscal Year
  2005-06 Family Practice (16) is the most
  frequent specialty of New Referrals, followed by
  Internal Medicine (14) and Anesthesiology (10).
  
• Reactivations Of the 290 New Referrals, 56 were
  Reactivations. This represents 19 of the total
  New Referrals.
• Outcome For Fiscal Year 2005-06, CPHP
  inactivated 243 participants and opened 290 new
  cases, resulting in a net gain of 47 cases. Of
  243 inactivations, 61 (25) Declined Evaluation,
  9 Relocated, 1 was Referred in Error and 1 was
  incarcerated therefore, 171 clients were
  evaluated. Of the 171 evaluated, 160 (94) were
  inactivated with an outcome considered successful
  and/or satisfactory. CPHP is pleased with our
  continued high rate of satisfactory outcomes!
• Documentation Requests CPHP processed 1170
  report requests during Fiscal Year 2005-06.
• Total Participants in CPHP History Since the
  inception of the program in 1986, CPHP has served
  2,496 participants.

4
Annual Number of New Referrals Program History
1986 - Present

• This graph shows the continued overall growth of
  New Referrals in the history of the program.
  Fiscal Year 2005-2006 represents the highest
  number of New Referrals in CPHP history. While
  CPHP projected an increase number of referrals
  due to the fact that 2005 was a Colorado Board of
  Medical Examiners (BME) renewal year, the
  referrals exceeded the expectations. When
  compared to the 2004-05 Fiscal Year CPHP realized
  a 34 increase in referrals. This is an actual
  growth of 74 cases.
• When compared to Fiscal Year 2003-04 (the last
  fiscal year that was a BME license renewal year),
  CPHP experienced an actual growth of 68 cases, an
  increase of 31.
• The average active caseload at any given period
  during Fiscal Year 2005-06 was 403 clients. This
  represents an increase of 8 compared to Fiscal
  Year 2004-05 (373 active client caseload).
• BME License Renewal Years

5
Source of New Referrals July 2005 - June 2006
Continued High Self Voluntary Referrals
Client Medical Profession
Other DPM, PhD
N290
Other Attorney, PHP

• During Fiscal Year 2005-06, the highest single
  source of New Referrals was Self referrals,
  representing 32 of New Referrals. This is a
  decrease (7) when compared to last year (39).
  CPHP continues to be proud of the number of Self
  Referrals to the program demonstrating trust and
  confidence in CPHP. This decrease in self
  referrals appears to correlate with the addition
  of the referral source category Proactive which
  encompassed 10 of the New Referrals. CPHP
  created this referral source category to more
  accurately reflect client circumstances.
• Significantly, 52 of New Referrals came to CPHP
  voluntarily. 48 were mandatory referrals. This
  is a slight increase (5) of voluntary New
  Referrals when compared to Fiscal Year 2004-05
  (with 47 voluntary New Referrals). CPHP is
  proud of the high percentage of referrals that
  are voluntary, as this reflects the respect for
  the program among physicians within the state and
  medical community. CPHP attributes this high
  level of voluntary referrals to the relationship
  building efforts made in the community, the
  positive and caring approach of CPHPs staff and
  provision of educational materials that
  normalizes physician experiences and illness.
• The second highest source of New Referrals was
  the BME (24). Administration (12) was the third
  highest category of referral source. This is
  consistent with 2004-05 percentage of BME New
  Referrals also at 24 and Administrative New
  Referrals at 13. CPHP appreciates the referrals
  received from the BME to assist physicians in
  evaluating potential health issues that may
  effect their ability to practice medicine safely.
  The other significant change in New Referral
  source this Fiscal Year was the addition of the
  referral source category Proactive which
  encompassed 10 of the New Referrals.
• Please note updated definitions in referral
  source categories. See page 21.
• The pie chart on the right reflects the medical
  profession of CPHP clients. The majority of
  clients are Physicians without a resident status
  (67). Residents (16) comprise the second
  largest group served and Physician Assistants
  (7) comprise the third largest group.

6
Primary Presenting Problem of New Referrals
July 2005 - June 2006
Other Career, Emotional
N208

• In an effort to better understand the relevancy
  of the primary presenting problem data, CPHP has
  removed cases that are in process or have not
  yet been assigned a primary presenting problem.
  Of the 290 New Referrals received during Fiscal
  Year 2005-06, 82 were in process at the time of
  this report, thus 208 were assigned a primary
  presenting problem.
• A primary presenting problem area which best
  represents the participant is identified by the
  clinical team following the completion of the
  initial intake interview. This does not mean
  that other problem areas are not present or being
  addressed with the participant at CPHP. Rather,
  the primary presenting problem is identified for
  data collection and reporting purposes.
• The three most common primary presenting problems
  among the 208 New Referrals were Psychiatric at
  26, followed by Legal at 17 and lastly tied
  were Substance Abuse and Behavioral each at 14.
• Using the same methodology of data collection,
  this representation has varied from Fiscal Year
  2004-05 with the top three categories of
  Psychiatric (21), Substance Abuse (21) and
  Behavioral (20). When compared to last fiscal
  year, the primary presenting problem of
  Psychiatric increased 5, Substance Abuse
  decreased 7 and Behavioral decreased 6. Legal
  issues, which was not in the top three primary
  presenting problems last fiscal year, increased
  10. There was a significant increase in clients
  seeking assistance for legal problems which
  included a variety of issues, with a predominance
  of Driving Under the Influence and Domestic
  Violence charges.

7
Specialty of New Referrals July 2005 June
2006
Other Dermatology, Gastroenterology, Pathology,
Podiatry, Radiation/Oncology, Urology, None N/A
Student
N208

• In an effort to reflect the true representation
  of specialties served, CPHP is reporting on cases
  where specialty information has been collected.
  The data on specialty is collected at the time of
  intake. Of the 290 New Referrals received during
  Fiscal Year 2005-05, 82 had not completed an
  initial intake session at the time of this
  report, thus for 208 New Referrals, specialty
  information had been collected.
• For Fiscal Year 2005-06 Family Practice (16) is
  the most frequent specialty of New Referrals,
  followed by Internal Medicine (14) and
  Anesthesiology (10).
• This representation is similar to Fiscal Year
  2004-05 with the same three most frequent
  specialties of Family Practice (21), Internal
  Medicine (14) and Anesthesiology (15). However,
  when compared to last fiscal year, this fiscal
  year CPHP had an decrease of Family Practice
  physicians by 5, the same percentage of Internal
  Medicine physicians and a decrease of
  Anesthesiologists by 5.
• The specialty statistics among CPHP participants
  are only meaningful if there is a deviation from
  the specialty populations of practicing
  physicians in Colorado. CPHP does not posses
  current information to determine the significance
  of this data.

8
License Type of New Referrals July 2005 - June
2006
Other DPM, PhD
N290

• This pie chart shows the medical license type of
  each New Referral to CPHP at the time of
  referral.
• Of the total New Referrals this year, 64 had an
  active Colorado license, 11 had a Colorado
  Training License and 5 held Physician Assistant
  licenses. 19 did not hold any Colorado license
  which includes 10 Applicants, 6 students and 3
  out-of-state clients.

9
Colorado Counties Served by CPHP July 2005 -
June 2006







N



































Other Other includes counties that
contain less than 10 physicians, based on a BME
listing (obtained in September 2005) of Colorado
licensed physicians. These counties are grouped
into one category (Other) to protect the
confidentiality of clients residing in those
counties. Counties in this category include
Baca, Cheyenne, Conejos, Crowley, Custer,
Dolores, Hinsdale, Jackson, Kiowa, Mineral, Park,
Phillips, Rio Blanco, Saguache, San Juan and
Sedgwick.

County Served

Region Number Percent
Adams 5 3
Alamosa 1 .5
Arapahoe 36 17
Boulder 16 8
Broomfield 4 2
Denver 54 26
Douglas 7 3
El Paso 8 4
Fremont 1 .5
Region Number Percent
Garfield 3 1
Grand 1 .5
Jefferson 20 10
La Plata 1 .5
Larimer 7 3
Las Animas 1 .5
Mesa 6 3
Moffat 1 .5
Montrose 2 1
Region Number Percent
Pitkin 2 1
Prowers 2 1
Pueblo 6 3
Routt 1 .5
Summit 1 .5
Weld 3 1
Out-of-State 19 9
YTD N 208 100
In Process 82 -

• CPHP served New Referral clients from 24 counties
  of residence throughout Colorado during the
  Fiscal Year 2005-06.
• The most frequent county of residence among New
  Referrals was Denver County at 26.

10
Referrals Reactivations1993 - 2006

• Of the 290 New Referrals, 56 were Reactivations.
  This represents 19 of the total New Referrals.
  This is a slight decrease (2) when compared to
  Fiscal Year 2004-05 at 21.

11
Reactivations July 2005 - June 2006
Primary Presenting Problem
Referral Source
N56

• Reactivation refers to when a participant
  returns to CPHP after having been inactivated.
• Referral sources of reactivated clients are
  depicted on the left pie chart. Of 56
  participants who were reactivated, 28 Self
  Referred. This represents a decrease when
  compared to Fiscal Year 2004-05 when 34 of
  Reactivations Self Referred.
• The second most frequent referral source among
  reactivated clients was the BME (23). This is a
  decrease of 7 when compared to last fiscal year
  in which BME Referrals comprised 30 of the
  Reactivation sample.
• 55 of Reactivations voluntarily returned to CPHP
  during Fiscal Year 2005-06. There is a increase
  of 18 when compared to Fiscal Year 2005-06 which
  had 37 voluntary Reactivations. CPHP is pleased
  with the increase in voluntary referrals as this
  demonstrates trust and confidence in CPHP
  services.
• Primary presenting problems of reactivated
  clients are illustrated on the right pie chart.
  These statistics reflect that Reactivations most
  commonly present with Psychiatric issues (27),
  followed by Behavioral problems (22) and Legal
  (16) issues.
• This distribution is similar to the Annual New
  Referrals (three largest categories Psychiatric,
  Legal, and Substance Abuse and Behavioral). The
  primary presenting problem of Psychiatric was
  similar for Reactivations (27) compared to
  Annual New Referrals (26). The primary
  presenting problem of Behavioral was 8 higher
  for Reactivations (22) compared to Annual New
  Referrals (14). The primary presenting problem
  of Legal was similar for Reactivations (16)
  compared to Annual New Referrals (17).

12
243 Participants Inactivated (Reasons/Outcome)
July 2005 - June 2006
Length of Active Status at CPHP
N243
Other Incarcerated, Referred in Error

• Inactivation refers to when a case is closed at
  CPHP. Definitions of inactivation reasons are on
  page 21.
• For Fiscal Year 2005-06, CPHP inactivated 243
  participants and opened 290 new cases, resulting
  in a net gain of 47 cases.
• Of 243 inactivations, 61 (25) Declined
  Evaluation, 9 Relocated, 1 was Referred in Error
  and 1 was incarcerated therefore, 171 clients
  were evaluated. Of the 171 evaluated, 160 (94)
  were inactivated with an outcome considered
  successful and/or satisfactory. CPHP is pleased
  with our continued high rate of satisfactory
  outcomes!
• Length of Active Status at CPHP is depicted on
  the right pie chart. The majority of
  participants (57) completed the necessary
  involvement with CPHP in one year or less.

13
Participants Documentation Requests July 2005
- June 2006
N 1170

• CPHP processed 1170 report requests during Fiscal
  Year 2005-06. This is an increase of 25
  compared to Fiscal Year 2004-05 at 939 report
  requests!

14
Program HighlightsJuly 2005 - June 2006

• CPHP Honors 20 Years of Service! 2006 is CPHPs
  20th anniversary year! CPHP is proud of our
  tradition of peer assistance and this year we are
  taking the time to reflect on our history and
  celebrate our achievements. We look forward to
  honoring our anniversary year through several
  venues including a CPHP newsletter tribute,
  distribution of commemorative mementos state-wide
  and hosting a tribute event for our medical
  community colleagues and supporters. Thank you
  to all, past and present, who have promoted
  CPHPs mission!
• CPHP Welcomed New CPHP Board Director Alfred
  Gilchrist, Executive Director of Colorado Medical
  Society, began his three year term on May 16,
  2006 as a CPHP Board Director. CPHP appreciated
  the caliber of experience and expertise that Mr.
  Gilchrist brings to CPHP. Welcome!
• Workplace Violence Prevention CPHP believes in
  the utmost safety and protection of both its
  employees and clients. Often, CPHP clients have
  difficult and complex problems that occasionally
  result in unfavorable behaviors. In an effort to
  prevent or minimize volatile situations, it was
  determined essential to develop workplace
  violence prevention procedures. CPHP had
  previously established workplace violence
  policies yet recently expanded on these
  guidelines with step-by-step procedures to follow
  in the event of an emergency. CPHP Associate
  Medical Directors who also are violence
  prevention experts, Doris C. Gundersen, MD, and
  David A. Iverson, MD, led an internal staff
  committee to create procedures that are readily
  accessible and specific. All CPHP staff are
  trained on these procedures to best serve clients
  in a safe environment.
• Federation of State Physician Health Programs
  (FSPHP) CPHP continued active national
  involvement with the FSPHP during Fiscal Year
  2005-06 with CPHP Medical Director, Michael H.
  Gendel, MD, serving as Immediate Past President
  of this organization. As always, CPHP welcomes
  FSPHP meetings as a forum for education and
  exchange of information among state physician
  health programs.
• Western Region of the Federation of State
  Physician Health Programs (FSPHP) Annual Meeting
  CPHP Medical Director, Executive Director, and
  Associate Medical Directors attended the Western
  Region of the FSPHP Annual Meeting in Honolulu,
  Hawaii October 7-9, 2005. CPHP representatives
  welcomed the opportunity to network with
  colleagues from other Physician Health Programs
  and gain valuable information about physician
  health related issues.
• Federation of State Physician Health Programs
  (FSPHP) Annual Meeting The CPHP Executive
  Director and Associate Medical Director attended
  the FSPHP Annual Meeting in Boston, Massachusetts
  April 21-24, 2006. Dr. Gundersen presented in a
  joint panel session to both the FSPHP and the
  Federation of State Medical Boards on Physician
  Depression and Suicide. Sarah R. Early, PsyD
  participated in a panel discussing the topic of
  Gaining and Sustaining Funding.
• Spirit of Medicine Fundraising Campaign CPHP
  completed the annual Spirit of Medicine
  fundraising campaign with successful results!
  CPHP utilizes fundraising efforts to supplement
  expenses that exceed the Peer Assistance Budget.
  CPHP Board of Directors along with the
  Development Specialist and Staff work together to
  cultivate and extend fundraising efforts
  throughout the Colorado medical community. We
  appreciate all of our generous contributors.
• Availability of Services In addition to CPHP
  providing services to Colorado licensed
  physicians and physician assistants, contracts
  exist to provide services for residents, medical
  students and physician assistant students
  enrolled at University of Colorado Health
  Sciences Center Residency Program, Medical
  School, and Physician Assistant Program, St.
  Josephs Residency Training Program, St.
  Anthonys Residency Training Program, Red Rocks
  Community College Physician Assistant Program and
  Southern Colorado Family Residency Training
  Program for the 2005-06 academic year.
• Finance and Peer Assistance Budget CPHP finished
  the fourth quarter and fiscal year with a
  Year-to-Date Peer Assistance Net Loss of
  40,863.31. Year-to-Date Revenue was higher
  mainly due to an unanticipated increase in the
  Peer Assistance Contract as approved beginning in
  March, 2006. Year-to-Date expenses were largely
  on target with Year-to-Date budget with the
  exception of increased expense in physician hours
  to meet clinical demands. The Net Loss was
  supplemented with cash reserves from the annual
  Spirit of Medicine campaign.

15
Community Outreach Highlights July 2005 - June
2006

• Copic/CPHP Educational Seminars CPHP and Copic
  successfully completed the fourth series of
  educational seminars to educate physicians about
  the importance of maintaining a healthy
  lifestyle. These seminars were met with
  overwhelming success throughout Colorado.
  Locations of the fourth series of presentations
  included Metro Denver, Boulder, Steamboat
  Springs, Pueblo, Durango, Colorado Springs and
  Fort Collins. The presentation topics for this
  series included Work Stress Among Physicians,
  Professional Boundaries, and Physicians in
  Relationships and Families. The fifth series is
  underway for 2006-07!
• Targeted Community Outreach Initiatives
• Colorado Permanente Medical Group (CPMG)
  Collaboration Sarah R. Early, PsyD joined
  various CPMG representatives to explore the issue
  of physician wellness and the relation to patient
  safety. Issues of prevention, early
  intervention, and methods of assistance have been
  explored. CPHP is pleased to collaborate with
  this large Health Maintenance Organization to
  proactively support their clinical staff.
• UCHSC Medical School Outreach On August 9-10,
  2005, Sarah R. Early, PsyD and Mary Ellen Caiati,
  MD, CPHP Associate Medical Director, were invited
  by Maureen Garrity, PhD, to attend the
  orientation for the UCHSC Medical School students
  in Winter Park. Dr. Early presented on health
  issues that physicians face throughout their
  medical career and utilization of CPHP as a
  resource. In addition, she co-facilitated two
  voluntary discussion groups on the topic of life
  balance. During the academic year, Dr. Early
  collaborated with the Medical School Alliance to
  address challenges faced during a physicians
  career and preventative measures to promote a
  healthy, balanced lifestyle. Lastly, during an
  annual meeting with the Dean of the School of
  Medicine, Michael Gendel, MD and Dr. Early
  collaborated on student wellness issues and
  future organizational areas of interest. CPHP
  appreciates the opportunity to collaborate with
  the future physicians of Colorado.
• Anesthesiology Outreach On January 19, 2006,
  CPHP representatives met with the Human Resources
  Director of South Denver Anesthesiology to
  discuss the best avenues to proactively serve
  their physician staff. On January 23, 2006, Dr.
  Early, and Ms. Carol Goddard, CPHP Board
  Director, met with the President of the Colorado
  Society of Anesthesiology to collaborate on
  mutual issues of concern namely, providing
  education of the risk factors specific to
  Anesthesiologists and useful resources. Future
  joint ventures were discussed.
• Physician Assistant Outreach CPHP provided
  targeted education and outreach to physician
  assistants this year. CPHP exhibited at the
  Colorado Academy of Physician Assistant Regional
  Meeting at St. Josephs Hospital on August 26,
  2005 and on January 14-16, 2006, at the
  Mid-Winter conference at Copper Mountain. In
  addition, Elizabeth Libby Stuyt, MD, CPHP
  Associate Medical Director presented to the
  Advanced Practice Nurses Physician Assistant
  Alliance of Southern Colorado on Healthcare
  Provider Stress Management on September 24, 2005
  in Pueblo. CPHP was delighted with the
  opportunity to outreach and inform the physician
  assistant population.
• Additional Community Presentations In addition
  to the presentations on Work Stress Among
  Physicians, CPHP conducted presentations and
  exhibits about CPHP and related physician health
  topics. Audiences included Residency Programs,
  Medical and Physician Assistant Programs, Medical
  and Professional Societies, Spouse Alliance
  Groups, Medical Staff Offices, Group Practices
  and Treatment Providers. CPHP was pleased to
  exhibit at the annual meetings/conferences for
  Colorado Medical Society, Colorado Society of
  Osteopathic Medicine, Colorado Health and
  Hospital Association, and Colorado Rural Health.
• Community Meetings Referral source meetings were
  held with community entities including hospital
  administration and medical staff offices medical
  and physician assistant training programs
  residency programs and affiliate organizations.
  Issues addressed included how CPHP and the
  organization may work best together, building
  relationships with referral sources and improving
  CPHP services. Workplace consultation continues
  to be an important element of CPHP services.
  CPHP participants and/or participants potential
  workplaces seek assistance from CPHP on
  identifying problems, intervention strategies,
  how to make referrals, and documentation.
• Participant Monitoring Visits CPHP Medical
  Director and Associate Medical Directors traveled
  to various areas in the state for client
  appointments outside of Metro Denver including
  Boulder, Fort Collins, Grand Junction, Durango
  and Pueblo.

16
Services Provided by CPHP

• Client Services
• Assessment
• Treatment referral
• Monitoring and support
• Family support
• Documentation
• Workplace and Referral Source Services
• Consultation on identifying physicians who need
  assistance
• Consultation on making referrals
• Workplace consultations
• Educational presentations
• Medical Community Services
• Promote physician health awareness
• Educational presentations
• Partnership with organizations to meet special
  needs
• Develop meaningful research on physician health

17
CPHP Board of Directors and Staff
Board of Directors Board of Directors-
continued Medical Director and Associate
Medical Directors Officers Board
Directors Chair James Borgstede, MD George
Dikeou, Esq Michael H. Gendel, MD Penrad
Imaging Executive Vice President Medical
Director Radiology Copic Companies Colorado
Springs Denver Mary Ellen Caiati,
MD Associate Medical Director Vice Chair
Alfred Gilchrist Stephen Dilts, MD
Executive Director Doris C. Gundersen,
MD Retired Colorado Medical Society Associate
Medical Director CPHP Medical Director Emeritus
Denver Denver David A. Iverson,
MD Carol Goddard Associate Medical
Director Immediate-Past Chair Owner and CEO
Bruce Wilson, MD Goddard Associates Jay H.
Shore, MD Retired Englewood Associate Medical
Director Grand Junction Warren Johnson,
MD Michael S. Sturges, MD Secretary Private
Practice Associate Medical Director Caroline
Gellrick, MD Family Practice Exempla
Occupational Medicine Brighton Elizabeth
Libby B. Stuyt, MD Wheat Ridge Associate
Medical Director Debbie Lazarus Treasurer
Colo. Medical Society Alliance Theodore
Zerwin, MSW Greenwood Village Professional and
Administrative Staff Retired, President
Arthritis Foundation Michael Michalek, MD
Westminster Retired Sarah R. Early, PsyD
Lakewood Executive Director Director-at-Large
Maureen Garrity, PhD Dennis OMalley Cae
Allison, LCSW Associate Dean, Student Affairs
President Director of Clinical Services Univ.
of Colo Health Science Ctr Craig
Hospital Denver Englewood Teresa Bajorek,
CPCS Executive Assistant/Office
Administrator Director-at-Large Lawrence Varner,
DO Larry Schafer, MD Private Practice
Karen Chipley, MBA Private Practice Orthopedic
Surgery Director of Finance Oncology/Hematology
Aurora Wheat Ridge Brian
Ellis Receptionist/Program Assistant
Lynne Klaus, LCSW Clinician Shari
Lewinski, LPC Clinician Sally
Moody, MSW Clinician Naomi Richards,
LCSW Clinician Jill Sample,
BS Clinical Coordinator Todd Weiss,
BA Development Specialist
18
APPENDIX
19
Definition of Terms

REFERRAL SOURCES For the purpose of this report,
the following definitions are applied Self
Voluntary referrals who request services on their
own and there are not consequences with other
entities or organizations if they do not follow
through. Proactive Self referral who request
services who will have or would likely have
consequences with other entities or organizations
if they do not follow through. Board of Medical
Examiners (BME) Any written referral made by
the BME or required evaluations as part of the
application or renewal process to
Colorado Administrative (Admin) Dept. Heads,
Directors, Partners, Presidents, CEOs (which are
not part of a hospital system). For example, Vail
Clinic, CFO of a Radiology group, managed care
such as Kaiser Permanente Hospital MEC,
Medical Staff Offices, Quality Management, Chief
of Staff, Credentialing Committees Resident
Program (Res Prog) Any referrals made by
Residency Directors and personnel Peer Any
MD, DO, or PA that does not fit into another
category Treatment Provider (Tx Prov)
Professionals in community that provide treatment
to CPHP participants Malpractice A
malpractice company Attorney Referrals made
by a physicians attorney Medical School Any
referrals made by the Medical School Faculty,
administration and personnel Physician
Assistant Program Any referrals made by a
Physician Assistant School Faculty,
administration and personnel REASONS FOR
INACTIVATION Monitoring Completed (Mon Comp)
Client has followed CPHP recommendations for
treatment, and/or monitoring. Monitoring no
longer warranted.   Evaluation Completed (Eval
Comp) Client completed evaluation, no treatment
or monitoring recommended. Also used for out of
state clients that will follow-up with treatment
and/or monitoring in own state. Evaluation
Declined (Eval Declined) Client referred for
evaluation. Refused or declined to have
evaluation or cannot be located. No patient
safety issues identified. Relocated Client
relocated after evaluation completed. No patient
safety issues identified. Monitoring Declined
(Mon Declined) Client completed evaluation.
Client declined CPHP recommendations for
treatment and/or monitoring. No patient safety
issues identified. Other Any reason that
does not fit another category. Non-Compliance
Client did not comply with the completion of CPHP
evaluation and/or did not comply with CPHP
treatment and/or monitoring recommendations.
Potential safety or patient safety issues
identified. Deceased Client deceased.