Charting the Waters

1. Charting the Waters Improving Performance in Practice (IPIP)

2. Three Levels of IPIP National Level State Level Local Level

3. National Leadership

4. NC Statewide Collaborators • Community Care of North Carolina • NC Area Health Education Centers • NC Academy of Family Physicians • NC DHHS, Division of Public Health • The Carolina Centers for Medical Excellence • North Carolina Pediatric Society • North Carolina Medical Society • North Carolina Chapter of the American College of Physicians

5. Community Level Collaborators • Eastern AHEC and Mountain AHEC • Pitt County and Henderson County Health Departments • Community Care Plan of EC and Access II Care of WNC • Local Practices and Champions

6. IPIP … The NC Story • The American Board of Medical Specialties, through a grant from Robert Wood Johnson Foundation, has selected NC to be one of two pilot states for this exciting national initiative. • In NC, IPIP will be deployed locally in the Community Care networks with support from the AHECs and the local health departments to reach the primary care providers on-site, in their practices.

7. Improving Performance in Practice in North Carolina Practices QIC Indicates that IPIP is available to primary care providers in that county. Project Director Practices QIC

8. The Goals of IPIP IPIP aims to dramatically improve patient outcomes by:  • Transforming healthcare delivery • Integrating quality improvement and data collection methods into practices • Increasing efficiency and satisfaction for both patients and the health care team • Incorporating population-based strategies for care management • Developing and applying strategies to expand and sustain improvements to care

9. Model for Improvement Act Plan Study Do What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will result in improvement?

10. Repeated Use of the Cycle Changes That Result in Improvement A P S D DATA D S P A A P S D A P S D Hunches Theories Ideas

11. P P P P P P A A A A A A D D D D D D S S S S S S S S S S S S D D D D D D A A A A A A P P P P P P A A A A A A P P P P P P S S S S S S D D D D D D P P P P P P A A A A A A D D D D D D S S S S S S Changes in Parallel Self- Mgmt Support Delivery System Design Decision Support Clinical Information Systems Community Resources Organization Strategies for Each Component of the Care Model

12. High Level Implementation Plan • Assess practice needs/Establish outcomes baseline • Form QI Team • Develop AIM and goals for individual projects • Establish baseline data • Conduct tests of change • Report data and 2 cycles of change monthly • Adopt successful changes into policy • Ongoing Learning/Development

13. Next Steps: • For the clinics- -Establish a champion and a contact person -Meet with Quality Improvement Consultant -Conduct initial clinic assessments -Establish a baseline for outcomes data • For this committee? -Establish AIM statement for IPIP? -Gather information/data on your process for adopting change into policies and job descriptions?

14. Contact Information Ann Lefebvre MSW, CPHQ Project Director Improving Performance in Practice 919-833-2110 alefebvre@ncafp.com