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Aligning Forces for Quality

Aligning Forces for Quality. Learning 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

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Aligning Forces for Quality

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  1. Aligning Forces for Quality • Learning from Effective Ambulatory Practices (LEAP): Opportunities for Collaboration with AF4Q • January 23, 2014

  2. Agenda • Welcome, Introductions, Roll CallFatema 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

  3. AF4Q, LEAP, and Super Utilizer Sites

  4. Lisa LetourneauNational Advisory CommitteeLEAP

  5. Primary Care Teams: Learning from Effective Ambulatory Practices Presentation to AF4Q Communities January 23rd, 2014

  6. Overall Project goal: Identify innovative primary care practices that can serve as models for improving efficiency andquality of the healthcare workforce.

  7. Create a learning community among exemplar sites LEAP Project Objectives Identify up to 30 exemplar sites Collect data on innovations and change processes, best practices Develop a toolkit for broad dissemination

  8. 31 LEAP Sites

  9. Site Visit Structure On site for 3 consecutive days LEAP Team: 3 – 4 researchers/clinical experts Qualitative research expert Clinical expert Research assistant

  10. 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 10

  11. Related Emerging Leaders Program drawn from site personnel Site Involvement After Visits: In-person meeting in Seattle Fall 2013 Participation in LEAP Learning Community web site

  12. Major Findings from Site Visits: Sites have well-developed core teams surrounded by An 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 roles In most practices..

  13. 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. 13

  14. Question for Today • Can the LEAP NPO, sites, learning community, and/or TA program be of help to AF4Q alliances?

  15. Connecting the Dots&Next Steps

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