2014 Learning Collaboratives

Twenty-four Oregon practices have been chosen to participate in four Learning Collaboratives taking place from June 2014 - May 2015. 

 

The participating practices will receive in-person training, technical assistance and practice coaching through one of four Learning Collaboratives designed to support adoption of the Oregon Health Authority's Patient-Centered Primary Care Home program standards. The practices will improve patient care through the focus area of their Collaborative while achieving PCPCH recognition for the first time, or advancing their recognized tier level or point total.

 

Collaboratives

Each Collaborative will engage six practices and be focused on learning and enhancing quality improvement and other relevant skills through a focus on a specific aspect of the primary care home:

  • Improving Patient Experience of Care [two Collaboratives] includes the implementation of a patient experience of care survey, patient engagement methods, and design of quality improvement projects in a way that addresses multiple PCPCH standards. This collaborative includes the state funding the practice-level fielding of the Clinician and Group CAHPS survey.  Participants must be able to provide a sample of eligible patients to the certified survey vendor to be used for the survey administration.

  • Improving Access through PCPCH includes understanding your practices supply and demand and how to move to an Open Access scheduling model. The collaborative will be tailored to support the practices particular access needs around absorbing many new patients, creating more same day capacity, reducing backlog, and utilizing all team members in non-face-to-face visits.  Please note this Collaborative also provides an opportunity for your practice to designate a practice coach in training – this is ideal for multi-site practices who want to spread learning from this Collaborative to other clinics.

  • The Patient-Centered Communication Skills, Behaviors and Attitudes Collaborative includes embedding the spirit of patient-centered communication in your organizational culture, identifying ways to measure patient-centeredness, mastery of basic patient-centered office skills, cultural agility, health literacy and self-management support.

 

The Collaboratives are being led by the following organizations:

What is a Learning Collaborative?

Through partnerships with expert technical assistance (TA) organizations, the Institute offers Institute for Healthcare Improvement Breakthrough Series-style Learning Collaboratives which partner a cohort of practices with a TA expert who organizes and facilitates learning sessions and provides practice facilitation (“coaching”) to the practices as a group and individually.  Practice coaches use a range of organizational development, project management, and quality improvement approaches to build the internal capacity of a practice so they may engage in improvement activities over time.

The Learning Collaborative approach relies upon the existing expertise of participating practices – practices that have just figured something out can help others along while reinforcing their own learning or re-evaluating their own goals. This helps practices take ownership over their work and is consistent with theory on how adults learn. The format also allows natural competition between teams and peer accountability to help motivate practices to accomplish work between sessions.

Finally, in-person sessions often end with dedicated time for the practice team to plan their next steps.  Many report this planning time to be invaluable as it can be quite difficult to assemble the team outside of the Collaborative when everyday demands of running their practice come first.

 

What is Required of Participating Practices?

Participating in a PCPCI Learning Collaborative means that practices agree to:

  • Identify a multi-disciplinary practice team comprised of at least one clinical champion and one administrative champion who will participate in the Collaborative together, including: attending in-person learning sessions; participating in meetings with the practice facilitator; actively engaging with practice facilitator through email, phone and in-person visits; participation in any group or individual calls or webinars; and actively working on clinic-wide goals 

  • Complete paperwork as requested by the Institute and the respective practice coach, including an agreement, baseline assessment, quarterly reports and evaluations

  • Set at least two quality or process improvement goals related to the project and report on progress towards those goals

  • During or at the conclusion of the project, re-evaluate PCPCH tier level and re-attest at a higher tier, as applicable

  • Provide support to future Institute initiatives as requested and as clinics are able, including serving as site visit host for other practices and/or webinar or training presenters

 

On-going Practice Facilitation

In addition to the 2014 Learning Collaboratives, 15 clinics that participated in the 2013 Learning Collaboratives have signed on to receive one additional year of practice facilitation to continue planning and implementing PCPCH and related QI efforts. The practices will receive coaching and support through email, phone and in-person visits from an assigned practice coach.

Selected practices agree to:

  • Identify a practice team who will work together with the practice coach on clinic-wide goals

  • Set at least two quality or process improvement goals and report on progress towards these goals

  • Actively engage with the practice coach through email, phone and in-person visits

  • Re-evaluate PCPCH tier level and re-attest at a higher tier as applicable

 

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