Support for Practice Transformation PCMH Learning Collaborative & Learning Sessions
PCMH Learning Collaborative & Learning Sessions
The Maine PCMH Pilot is offering support to practices in the Maine PCMH Pilot through a Learning Collaborative modeled after the successful “Breakthrough Series Collaborative” (BTS) model developed by the Institute for Healthcare Improvement (1, 2). As part of the application process, Pilot sites agreed to participate in the Collaborative with a “leadership team” made up at a minimum of a physician leader, clinical support, and administrative leader. The Collaborative will be led by faculty and staff experienced in practice change and will include a series of three “learning sessions” each year that bring teams together with faculty and content experts to promote collaborative learning and rapid cycle improvement methods.
There have been eight Learning Sessions to date.
PCMH Pilot Learning Sessions
Learning Session 1 - Oct 30, 2009 (Maple Hill Farm, Hallowell) brought together leaders from Pilot practice teams and focused on practice leadership, teamwork, population management, and change management issues. For more information, see Learning Session 1 Agenda or click below to see the slides from this session:
Sinsky's Building the Patient Centered Medical Home,
Sinky's Creating the Culture for Change
Call to Action
Next Steps.
Learning Session 2 - Feb 12, 2010 (Maple Hill Farm, Hallowell) - Over 130 participants from the twenty six Pilot teams met on February 12th to revisit issues of leadership, teamwork, and change management, while additionally focusing on enhanced access and practice-integrated care management.
Following are the links to the slides from the learning session.
Introduction-Review of Core Measures - Lisa Letourneau, MD, MPH
Access: How to See it Differently - Dr. Mark Murray
Access: How to Do it Differently - Dr. Mark Murray
Behavioral Physical Health Integration - Neil Korsen, MD
Using Data to Move the Needle - Ann Marie Hess
Closing-Next Steps Lisa Letourneau, MD
Learning Session 3 - June 11, 2010 (Maple Hill Farm, Hallowell) - Over 135 participants from the twenty six Pilot teams and stakeholders met on June 11th to revisit issues of leadership, teamwork, and change management, while additionally focusing on reducing waste and behavioral and physical health integration . Following are the links to the slides:
LS3 Intro to Core Expectations Opening Session Lisa Letourneau Slides 06.11.10
LS3 Medicare APCP Update Josh Cutler Slides 06.11.10
LS3 'Letting Go' Linda Thomas Slides 06.11.10
LS3 Mental Health Integration in the Medical Home Korsen & Mork Slides 06.11.10
LS3 Linking to Resources and Coordinating Treatment M.J. Mork Slides 06.11.10
LS3 Screening for Mental Health Conditions N. Korsen Slides 06.11.10
LS3 Mental Health Services and Level of Care Determination Worksheet Korsen & Mork 06.11.10
LS3 Hospital Costs Intro to Reducing Waste Elizabeth Mitchell Slides 06.11.10
LS3 Intro to Reducing Waste Lisa Letourneau Slides 06.11.10
LS3 Best Practice in Reducing Waste DFD Russell Medical Center Laurie Kane-Lewis Slides 06.11.10
LS3 Best Practice in Reducing Waste Schaller Anderson Slides Susan Koblara Slides 06.11.10
Learning Session 4 - October 22, 2010 (Governor Hill Mansion, Augusta, ME)-Twenty six primary care practices, their patient & family advisors, and several community partners attended the fourth Learning Session of the Maine PCMH Pilot on October 22, 2010. The session had the best attendance yet with over 160 people participating in the event. The focus of the session was on engaging patients and family members in practice and on connecting with community partners on behalf of patients.
On Sunday, October 24, the Kennebec Journal published an article about the Maine Patient Centered Medical Home (PCMH) Pilot. Reporter Mechele Cooper interviewed providers and staff members to help readers learn more about this exciting approach to care. Read the article here! Following are the various slide sets and presentations from some of the major sessions held throughout the day:
Introductory Slides from PCMH LS4 10.22.10
ME PCMH LS4 Working with Consumers Deb Emery Presentation 10.22.10
ME PCMH LS4 Slides Engaging Patients Yindra 10.22.10
PCMH LS4 Living Well Matls Janet Sawyer 10.22.10
PCMH LS4 Wrap Up Slides LLetourneau 10.22.10
Learning Session 5 - February 11, 2010 (Augusta Civic Center) - Over 150 people participated in Learning Session 5, focused on the Integration and Optimization of Health Information Technology. The Session was kicked off by Keynote David Kibbe, MD MBA and Senior Advisor for the American Academy of Family Physicians. Slides and handouts for that session and for many of the other small and large group sessions during the day can be found at the following links:
ME PCMH Pilot LS5 Opening Slides Lisa Letourneau
ME PCMH Pilot LS5 David Kibbe MD Slides
Pediatric Breakout Session Agenda Pediatric Measures DRAFT
Peds Practice Improvement Logic Model
Building a Maine Child Health Improvement Network
ME PCMH LS5 Using the EMR to Transform Care
Promoting Connected Health Records - Maine's Health Information Exchange
yad Sabbagh Breakout Patient Portals ME PCMH LS5
ME PCMH LS5 Closing Slides Lisa Letourneau, MD
Learning Session 6 - June 3, 2012 (Hilton Garden Inn, Auburn) This learning session focused on reducing avoidable health care costs. The day-long Session provided opportunities for the Pilot practice teams to learn more about steps they can take, in collaboration with their “medical neighbors”, to address the important task of working together to reduce avoidable health care costs. One of the speakers, Arnold Milstein, based his talk on his 2008 blog entitled Medical Homes—And Medical ‘Home Runs'. This posting can be found at: http://healthaffairs.org/blog/2008/09/10/medical-homes-and-medical-home-runs.
Slides and handouts from this session:
Dr. Letourneau - LS6 Intro Slides
Dr. Milstein's Slides - What do Americans Need Primary Care Leaders to Do?
Hammond/Barba - Ensuring Continuity and Coordination of Care
K. Frederick-Gallegos - Action Planning: Building Your Medical Neighborhood
A.M. Hess - Optimizing Care Transitions to Positively Impact Hosp Admission Rates
Medical Home News - Feb '11
Facilitation Guide and ToolKit
Learning Session 7- October 21, 2011(Hilton Garden Inn, Bangor: This session focused on the aspects of Leadership and Teamwork required to accomplish and sustain transformation. The day-long Session provided opportunities for the Pilot practice teams to learn more about steps they can take, in collaboration with their “medical neighbors”, to address the important task of working together to accomplish and sustain transformation. One of the speakers, Jeffrey Brenner, MD, shared his experiences with addressing the needs of high needs populations - specifically, the attributes needed by every level of leadership to accomplish the work. This session was titled, 'Harvesting the Power of the Team'.
Slides and handouts from this session:
LS 7 Adaptive Leadership Assessment Slides
ME PCMH _LS7_Strateging Goals for Coming Year_Next Steps_LMLv2
8am Letourneau ME_PCMH_LS8_Intro_Slides
830am McAllister_Engage10Feb2010 slides
915am Tantau -AA_Imp_Acc_Key_Prin_BP's_Maine
1015am Tantau-Opt_Role_of_RN_IHS
11am breakout A-Tantau Dem_Sup_Basics_2011
11am breakout B- Messier, Randy Coordinating_Care
2pm breakout A- Tantau Problem_Solving_Access
2pm breakout B- Finding+Time+Presentation
2pm breakout C- Behavioral Health Integration
Practice QI Coaching
PCMH Pilot practices also recieve one-on-one quality improvement (QI) coaching provided by external, experienced QI staff from PHOs and provider organizations around the state. Several PHOs have lent their support to this effort, and are providing experienced QI coaching to support many of the Pilot practices; additional funds have been secured from Harvard Pilgrim Healh Care to support QI coaching for non-PHO supported practices. See the list of specific QI coaches working with each Pilot practice: PCMH Coach list 2012
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>(1) Institute for Healthcare Improvement, The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement, 2003, accessed online at www.ihi.org on October 8, 2005; (2) Ovretveit, J., et al. Quality Collaboratives: lessons from research. Quality and Safety in Health Care 2002; 11:345-351