1. Quality Improvement: The Medical Home Leadership Network Kate Orville, MPH Washington State Partnerships for Medical Homes Meeting November 2, 2006 Kate Orville, MPH Washington State Partnerships for Medical Homes Meeting November 2, 2006

2. Overview The Medical Home Leadership Network Team QI Activity: Spring Conference How to Increase Medical Home Teams How to Increase Team QI Opportunities Questions

3. MHLN Teams Integration of Networks (local, state) Forum to Improve Care ID 1+ Local Needs & How to Address Based on Strengths Team Activities –Incubate/Adapt Ideas –Promote Best Practices- Community Resources Providing Care

4. Washington State Medical Home Leadership Network Northwest Regions King & Pierce Southwest Central East Regional Resource Teams COWLITZ WAHKIAKUM PACIFIC GRAYS HARBOR GRAYS HARBOR JEFFERSON CLALLAM WHATCOM SKAGIT MASON LEWIS THURSTON SAN JUAN ISLAND SNOHOMISH KITSAP KING PIERCE KLICKITAT BENTON WALLA COLUMBIA GARFIELD ASOTIN WHITMAN FRANKLIN YAKIMA SKAMANIA CLARK OKANOGAN FERRY STEVENS PEND OREILLE PEND OREILLE SPOKANE LINCOLN ADAMS GRANT KITTITAS DOUGLAS CHELAN

5. Conference as QI The Medical home IS QI—listening to parents to learn how to do what you’re doing better – Dr. A. Chris Olson Spring Conference is QI- listening to teams to find out what TA they need to improve medical homes as team and individuals

6. May 30, 2007 Conference Purpose: Inspire, Inform, Empower Planning Process: –Talk to Team coordinators, Review MD Needs Assessment, NICHQ Medical Home Learning Collaborative Findings, WA & US Priorities for CSHCN, Past Conference evaluations –Topics: Family-Provider Partnerships, Mental/Behavioral Health, Care Coordination, QI, State Initiatives, Team Evolution –Planning Committee

7. May 30, 2007 Conference: Proposed Outcomes –Team Members Energized and Act to Improve Care as Teams and Individuals –Horizontal & Vertical Networking and Relationship Building –Belief You Can Make a Difference-(Local/State) –Stronger Family-Professional Partnerships and Infrastructure, Better Knowledge and Use of Care Coordination and Other Medical Home Tools, Increased Outreach to PCPs and Others –Improvement in Quality of Medical Homes in WA

8. Increase MHLN Teams Enhance Current Model - Support for Teams and Medical Home Concept Visible Support & Encouragement from Peer Orgs and Health Care System Partners –Newsletters, Recognition, Inclusion in Policy Decisions, CE Credits… In-kind or Financial Support –Travel Money for Speakers/TA, Provide TA, Collaborate on Grants, Team Stipends…

9. Increase MHLN Teams cont… Recruitment –ID Champions-- Outstanding PCPs/clinics, Parents, Communities –Have Teams Recruit Each Other –Integrate w/Existing Initiatives –“In-house” Teams

10. Provide Teams QI Opportunities QI Skills Transferable Publicize Opportunities Through Listserv, Website, Conference QI Opportunity Examples: –Children’s Preventive Health Care Collaborative –Medical Home QI Tools e.g., Medical Home Index/Family Survey training –Improving Chronic Care Efforts, e.g. WA State Diabetes Collaborative

11. Questions?/Discussion

12. For More Information: Washington State Medical Home Leadership Network www.medicalhome.org Kate Orville orville@u.washington.edu 206-685-1279 orville@u.washington.edu Katherine TeKolste kat423@u.washington.edu kat423@u.washington.edu Funded by the Washington State Dept. of Health, Children with Special Health Care Needs Program

13. Dissemination of Innovations Find Sound Innovations Find and Support Innovators Invest in Early Adopters Make Early Adopter Activity Observable Trust and Enable Reinvention Create Slack for Change Lead by Example -Berwick, D.M, JAMA, April 16, 2003, Vol 289, No. 15