Aligning Forces for QualityLearning from Effective Ambulatory Practices (LEAP):

Opportunities for Collaboration with AF4Q

January 23, 2014

Agenda

‣ Welcome, Introductions, Roll Call Fatema Salam

‣ Providing the Context Lisa Letourneau

‣ Why should alliances pay attention to the LEAP project?

‣ About LEAP… Ed Wagner & Brian Austin

‣ Description of the project

‣ Lessons learned so far

‣ What comes next?

‣ Connecting the Dots Lisa

‣ Exploring Ways to Collaborate

‣ Next Steps Fatema

AF4Q, LEAP, and Super Utilizer Sites

Lisa LetourneauNational Advisory Committee

LEAP

Presentation to AF4Q Communities

January 23rd, 2014

Primary Care Teams:Learning from Effective Ambulatory Practices

Overall Project goal:Overall Project goal:

Identify innovative primary care Identify innovative primary care

practices that can serve as practices that can serve as

models for improving efficiency models for improving efficiency

andand quality of the healthcare quality of the healthcare

workforce.workforce.

LEAP Project Objectives

Collect data on innovations and change processes, best practicesCollect data on innovations and change processes, best practices

Develop a toolkit for broad disseminationDevelop a toolkit for broad dissemination

Create a learning community among exemplar sites

Identify up to 30 exemplar sitesIdentify up to 30 exemplar sites

31 LEAP Sites

Site Visit Structure

On site for 3 consecutive days

LEAP Team:

3 – 4 researchers/clinical expertsQualitative research expert

Clinical expert

Research assistant

Overview of Site Visit Activities

• Interview key leaders

• Clinic tour and EMR Demonstration

• Individual interviews with up to 5 staff members

• Formal staff and patient shadowing

• Online staff survey

• Photo documentation by staff

• Collect documents, tools

• Observe meetings/activities related to innovations

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Site Involvement After Visits:Site Involvement After Visits:

Participation in LEAP Learning Community web siteParticipation in LEAP Learning Community web site

Related Emerging Leaders Program drawn from site personnel

In-person meeting in Seattle Fall 2013In-person meeting in Seattle Fall 2013

Major Findings from Site Visits:Major Findings from Site Visits:

Sites have well-developed core teams surrounded byAn extended team with care mgrs., pharmacists, behavioral health, etc.

Sites perform planned care, population management, care management, and medication management well..

Lay-persons and flow staff play key patient care rolesIn most practices..

Dissemination Plan

• Code and analyze site visit and interview data

• Develop a web-based technical assistance

program directed at primary care leaders and staff,

and practice facilitators.

• TA will include guidance on both building teams,

developing staff, and how they can be deployed to

optimize care.

• Identify planned or ongoing PC transformation

efforts willing to incorporate our TA.

• Evaluate the usability and impact of the TA.

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Question for TodayQuestion for Today

• Can the LEAP NPO, sites, Can the LEAP NPO, sites,

learning community, and/or TA learning community, and/or TA

program be of help to AF4Q program be of help to AF4Q

alliances?alliances?

Connecting the Dots&

Next Steps