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Michigan IPIP/PCMH

Michigan IPIP/PCMH. Preliminary Project Summation on the Transformation of Primary Care Practice. Insert Longitudinal IPIP Project Development. Insert Longitudinal IPIP Project Implementation. IPIP Project: Start to Finish. Practice Enrollment. 1 Based on data submission. Enrollment:

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Michigan IPIP/PCMH

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  1. Michigan IPIP/PCMH Preliminary Project Summation on the Transformation of Primary Care Practice Working Together for a Healthier Michigan

  2. Insert LongitudinalIPIP Project Development Working Together for a Healthier Michigan

  3. Insert LongitudinalIPIP Project Implementation Working Together for a Healthier Michigan

  4. IPIP Project: Start to Finish Working Together for a Healthier Michigan

  5. Practice Enrollment 1 Based on data submission • Enrollment: • Wave 1 = Nov 2008 to Mar 2009 (17 practices) • Wave 2 = June 2009-Aug 2009 (8 practices) • Wave 3 = Sept 2009-Jan 2010 (4 practices) • Practices not reporting (4 practices) • Engagement occurred within 3 months of starting Working Together for a Healthier Michigan

  6. Working Together for a Healthier Michigan

  7. Time Commitment & Coach Involvement • Quality improvement tools & techniques knowledge possessed by all QI Coaches • QI Coach involvement with practice underestimated • 3-4xs more time needed with practices to assist in transformation than planned • Engaged, strong facilitation skills & vigor lead to more transformation Working Together for a Healthier Michigan

  8. Diabetic Measures: Start to Finish OUTCOME: More engagement , Closer to goal Working Together for a Healthier Michigan

  9. Asthma Measures: Start to Finish OUTCOME: More engagement, Closer to goal Percent Working Together for a Healthier Michigan

  10. Diabetes Measures by Activity: Start to Finish Working Together for a Healthier Michigan

  11. Asthma Measures by Activity: Start to Finish Working Together for a Healthier Michigan

  12. IPIP Reporting Criteria:Nov 2008 - Feb 2009 Working Together for a Healthier Michigan

  13. IPIP Reporting Criteria: Feb - May 2010 Working Together for a Healthier Michigan

  14. Implementation of Electronic System(s) Working Together for a Healthier Michigan

  15. Learning Collaborative Working Together for a Healthier Michigan

  16. Lessons Learned: People & Culture • Engage everyone! • Get physician buy-in/engagement early • Make the “Big Picture” visible: • Understanding the process • Understanding how their actions impact others • Different views = valuable • Transformation takes longer than you think • “Coaching” is critical Working Together for a Healthier Michigan

  17. Lessons Learned: Process Change • Improving the process improves the patient care • Think simple, be creative & resourceful • Standardizing the work improves the outcomes • Elimination of waste: • Unnecessary steps • Redundant actions • Duplication of documentation • Identification of inefficiencies • Accuracy of data/information • Lack of accountability • Success breeds more success • Important to understand what you “want to improve” to avoid frustration Working Together for a Healthier Michigan

  18. Lessons Learned: Outcomes • Realization that current way is not necessarily the best way • Registry allows for more “active” care of the patient population • Be specific on what you measure! • Measures & tracking drive the improvements • Consistency in direction & efforts • Tailoring tools to the user works best! • Coaching time needed for practice assistance was underestimated • Automation of metrics facilitated transformation Working Together for a Healthier Michigan

  19. QI Coach Skills Inventory Summary Working Together for a Healthier Michigan

  20. CHANGE Plan more time for transformation Make website/library easier to use Plan LCs by region & practice size Better funding Create a database for reporting/tracking Upgrade Coach Handbook for easier use (make on-line?) Practice tool box/ guideline Stronger link between coach & practice Change Management training KEEP Coach actively present within practice Energetic leadership for driving the program/process Engaged leadership for the program/process National IPIP reporting system Learning Collaboratives Access to coaches TQM & PDSA Process mapping Things to Change & Keep Working Together for a Healthier Michigan

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