quality improvement: the medical home leadership network kate orville, mph washington state...
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Quality Improvement:Quality Improvement: The Medical Home The Medical Home Leadership NetworkLeadership Network
Quality Improvement:Quality Improvement: The Medical Home The Medical Home Leadership NetworkLeadership Network
Kate Orville, MPHKate Orville, MPH
Washington State Partnerships for Medical Homes MeetingWashington State Partnerships for Medical Homes Meeting
November 2, 2006November 2, 2006
Kate Orville, MPHKate Orville, MPH
Washington State Partnerships for Medical Homes MeetingWashington State Partnerships for Medical Homes Meeting
November 2, 2006November 2, 2006
OverviewOverview
• The Medical Home Leadership Network
• Team QI Activity: Spring Conference
• How to Increase Medical Home Teams
• How to Increase Team QI Opportunities
• Questions
MHLN TeamsMHLN Teams• Integration of Networks (local, state)
• Forum to Improve Care
• ID 1+ Local Needs & How to Address Based on Strengths
• Team Activities – Incubate/Adapt Ideas– Promote Best Practices-
• Community Resources • Providing Care
Washington StateMedical Home Leadership Network
Northwest
Regions
King & Pierce
Southwest
Central
East
Regional Resource Teams
COWLITZCOWLITZWAHKIAKUMWAHKIAKUM
PACIFICPACIFIC
GRAYSHARBORGRAYSHARBOR
JEFFERSONJEFFERSON
CLALLAMCLALLAM
WHATCOMWHATCOM
SKAGITSKAGIT
MASONMASON
LEWISLEWIS
THURSTONTHURSTON
SAN JUANSAN JUAN
ISLANDISLANDSNOHOMISHSNOHOMISH
KITSAPKITSAP
KINGKING
PIERCEPIERCE
KLICKITATKLICKITAT
BENTONBENTONWALLAWALLAWALLAWALLA
COLUMBIACOLUMBIA
GARFIELDGARFIELD
ASOTINASOTIN
WHITMANWHITMAN
FRANKLINFRANKLIN
YAKIMAYAKIMA
SKAMANIASKAMANIA
CLARKCLARK
OKANOGANOKANOGANFERRYFERRY
STEVENSSTEVENS
PENDOREILLEPEND
OREILLE
SPOKANESPOKANE
LINCOLNLINCOLN
ADAMSADAMSGRANTGRANTKITTITASKITTITAS
DOUGLASDOUGLAS
CHELANCHELAN
Conference as QIConference as QI• The Medical home IS QI—listening to
parents to learn how to do what you’re doing better – Dr. A. Chris Olson
• Spring Conference is QI- listening to teams to find out what TA they need to improve medical homes as team and individuals
May 30, 2007 ConferenceMay 30, 2007 Conference
• Purpose: Inspire, Inform, Empower• Planning Process:
– Talk to Team coordinators, Review MD Needs Assessment, NICHQ Medical Home Learning Collaborative Findings, WA & US Priorities for CSHCN, Past Conference evaluations
– Topics: Family-Provider Partnerships, Mental/Behavioral Health, Care Coordination, QI, State Initiatives, Team Evolution
– Planning Committee
May 30, 2007 Conference:Proposed OutcomesMay 30, 2007 Conference:Proposed Outcomes
– Team Members Energized and Act to Improve Care as Teams and Individuals
– Horizontal & Vertical Networking and Relationship Building
– Belief You Can Make a Difference-(Local/State)– Stronger Family-Professional Partnerships and
Infrastructure, Better Knowledge and Use of Care Coordination and Other Medical Home Tools, Increased Outreach to PCPs and Others
– Improvement in Quality of Medical Homes in WA
Increase MHLN TeamsIncrease MHLN TeamsEnhance Current Model - Support for
Teams and Medical Home Concept
• Visible Support & Encouragement from Peer Orgs and Health Care System Partners– Newsletters, Recognition, Inclusion in Policy
Decisions, CE Credits…
• In-kind or Financial Support – Travel Money for Speakers/TA, Provide TA,
Collaborate on Grants, Team Stipends…
Increase MHLN Teams cont…Increase MHLN Teams cont…• Recruitment
– ID Champions-- Outstanding PCPs/clinics, Parents, Communities
– Have Teams Recruit Each Other– Integrate w/Existing Initiatives– “In-house” Teams
Provide Teams QI OpportunitiesProvide Teams QI Opportunities
• QI Skills Transferable• Publicize Opportunities Through Listserv,
Website, Conference• QI Opportunity Examples:
– Children’s Preventive Health Care Collaborative
– Medical Home QI Tools e.g., Medical Home Index/Family Survey training
– Improving Chronic Care Efforts, e.g. WA State Diabetes Collaborative
Questions?/DiscussionQuestions?/Discussion
For More Information:For More Information:
Washington State Medical Home Leadership Network
www.medicalhome.org
Kate Orville [email protected] 206-685-1279
Katherine TeKolste [email protected]
Funded by the Washington State Dept. of Health, Children with Special Health Care Needs Program
Dissemination of InnovationsDissemination of Innovations• Find Sound Innovations
• Find and Support Innovators
• Invest in Early Adopters
• Make Early Adopter Activity Observable
• Trust and Enable Reinvention
• Create Slack for Change
• Lead by Example-Berwick, D.M, JAMA, April 16, 2003, Vol 289, No. 15