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Aligning Forces for Quality

Discover how the LEAP project aims to identify innovative primary care practices as models for healthcare improvement. Learn about site visits, major findings, and the dissemination plan for this initiative.

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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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