State of Colorado Interoperability and Integration Project


Project Summary

The Colorado Client Information Sharing System (CCISS) was a 12‐month effort to explore and plan improved interoperability and integration in business process and workflows, case management, and other related functions across health and human services information technology systems in order to support an integrated and coordinated System of Care.  The planning grant provided support for the development of a CCISS Implementation Plan that will help Colorado achieve the following goals in its health and human service programs: a) improve service delivery for clients; b) reduce errors and improve program integrity; and c) improve administrative efficiency.  Colorado’s approach was to develop an implementation plan that will:

  • Assess current integration points and existing interoperability interfaces between health and human services programs and systems;
  • Identify opportunities to enhance existing interfaces and establish new integration points between systems;
  • Explore expanding tools and functionality to enhance data analysis and reporting to improve administrative efficiency and assess program quality;
  • Develop data discovery standard processes and templates to map existing databases and to generate opportunities to more effectively manage data across state systems; and
  • Develop privacy and confidentiality policy, processes, and frameworks to improve and support appropriate data sharing.

Needs Addressed

Colorado’s agency data systems must be able to speak to one another before the state can provide the best possible array of services to their clients.  Colorado’s vision for data sharing is as follows: at the direct services level, a child welfare case worker, a mental health worker, a youth corrections worker, a school counselor, etc., should have access to all client information (mental health, child welfare, education, etc.) needed to understand, coordinate, and/or provide services to families, youth, and children.  Colorado believes that each supervisor and manager needs access to client information so that he or she can be effective in providing guidance and recommendations to the worker.  The state also believes that county and state administrators need access to current, real-time aggregate information across systems so that they are informed enough to make operational and strategic decisions regarding services and outcomes.


Colorado is moving toward establishing a System of Care in each of the state’s 64 counties.  One important aspect of this system is the creation of care management entities.  These entities will be composed of interdisciplinary professionals from mental health, child welfare, law enforcement, schools, juvenile justice, child support, etc., and will work together to provide continuity of care and comprehensive services to children based on the unique needs of the child and family.  To provide comprehensive and effective services, care management entities will need information on each child and family.  The intent of Colorado’s interoperability plan (CCISS) is to build a data infrastructure that supports the best decisions possible for the best care of every child and family in need.

Deliverables (click on each deliverable below for more information)

  • Analysis of Privacy and Security Framework (Final)
    These documents include: clarification of tasks for cross boundary information sharing project; review of privacy, security, compliance regulations; expansion of legal analysis; recommendations and policy and governance framework and stakeholder perceptions on information sharing.
  • Recommendations for Improving Data Analytics and Reporting (Final)
    This report presents an assessment of the potential for improving business intelligence and business analytics for the Colorado Department of Human Services (CDHS), with a particular focus on child welfare and behavioral health programs.
  • Data Discovery Report and Documentation (Final)
    This final planning report illustrates the framework for the Colorado information marketplace including an enterprise data model, options for collecting metadata and recommended next steps to enhance databases systems and environments.
  • Interface Analysis Report (Final)
    This deliverable consists of existing and desired interfaces and recommendations for enhancements based on subject matter expert interviews and technical best-practices.
  • Portfolio of Processes, Deliverables, and Artifacts (Final)
    This deliverable is a comprehensive portfolio of documents, processes, and artifacts created for other state and agency reuse.
  • Interoperability Roadmap (Final)
    The CCISS Interoperability Roadmap identifies the activities and tasks necessary to successfully leverage the existing infrastructure for an interoperable system across the Department of Human Services by securely removing the barriers existing in siloed technology systems.


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