PA SPREAD: Spreading Quality Improvement Infrastructure across Pennsylvania

PA SPREAD：在宾夕法尼亚州推广质量改进基础设施

• 批准号: 8744557
• 负责人: ALAN M. ADELMAN
• 金额: $ 49.47万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-06-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8744557
• 关键词: PA; SPREAD; Spreading; Quality; Improvement

DESCRIPTION (provided by applicant): PA SPREAD, PA Area Health Education Center (AHEC), and Pittsburgh Regional Health Initiative (PRHI) propose to move 8 small- to mid-size networks (2 per year of this 4-year grant) towards a population-based health care system. Through population management-based quality improvement, participating networks will work to improve the quality, effectiveness, efficiency and safety of the care they deliver. PA SPREAD aims to: (1) Leverage existing relationships with primary care practices and health systems to spread the quality improvement and population management foundation across entire primary care networks to prepare networks to function as accountable care organizations capable of coordinating and improving the care and health of their communities. (2) Build capacity within primary care networks for ongoing practice facilitation, IT support, change management, and quality improvement. (3) Support widespread adoption of evidence-based clinical guidelines and care delivery best practices by developing regional and statewide learning communities supported by local practice facilitation. Primary network-based outcomes include the improvement of performance rates on nationally-used clinical quality measures for heart disease, diabetes, hypertension and asthma to the most recently available 90th percentile HEDIS benchmark within 4 years in participating practices PA SPREAD, AHEC, and PRHI will work to develop self-organizing capacity for quality improvement within participating practices and networks through four main interventions. Learning Communities will blend PA SPREAD/AHEC and PRHI models to allow for more frequent meetings to accelerate improvement and provide additional opportunities to assist networks to develop their self-organizing capacity. Additionally, PA SPREAD will work with the PA Department of Health to build upon its existing "best practices" webinars to develop a statewide learning community involving any practice or network working on population management-based quality improvement. Participating networks will be provided a population management roadmap for improvement that will focus on (1) planned care and risk assessment at every visit using proactive team-based care, (2) patient self-management support, education, and activation, and (3) care coordination. In addition to providing direct practice facilitation support to practices ad networks, the PA SPREAD partnership will work simultaneously to build facilitation capacity within each network. Within a year, PA SPREAD/AHEC/ PRHI facilitators will work to transition practice facilitation to network-based practice facilitators. Monthly performance reporting and benchmarking will be at the practice population level to enable assessment of each practice's success in testing and implementing changes in the context of its unique environment, organization, culture, and characteristics.

描述（由申请人提供）：PA SPREAD， PA地区健康教育中心（AHEC）和匹兹堡地区健康倡议（PRHI）提议将8个中小型网络（每年2个，为期4年）转向以人口为基础的医疗保健系统。通过以人口管理为基础的质量改进，参与网络将努力提高所提供护理的质量、效力、效率和安全性。PA SPREAD旨在：(1)利用与初级保健实践和卫生系统的现有关系，在整个初级保健网络中传播质量改进和人口管理基础，使网络成为负责任的保健组织，能够协调和改善其社区的护理和健康。(2)在初级保健网络中建立能力，以促进持续的实践，IT支持，变革管理和质量改进。(3)支持广泛采用循证临床指南和护理服务最佳实践，在当地实践促进的支持下，发展区域和全州学习社区。基于网络的主要结果包括在参与实践的4年内，将全国使用的心脏病、糖尿病、高血压和哮喘临床质量测量的绩效提高到最新可获得的第90百分位heis基准，PA SPREAD、AHEC和PRHI将努力通过四种主要干预措施，在参与实践和网络中发展质量改进的自组织能力。学习社区将混合PA SPREAD/AHEC和PRHI模式，以允许更频繁的会议加速改进，并提供额外的机会来帮助网络发展其自组织能力。此外，PA SPREAD将与PA卫生部合作，在其现有的“最佳做法”网络研讨会的基础上，建立一个全州范围的学习社区，涉及任何以人口管理为基础的质量改进的实践或网络。参与网络将提供一份人口管理改进路线图，该路线图将侧重于(1)在每次就诊时使用前瞻性团队护理进行计划护理和风险评估，(2)患者自我管理支持、教育和激活，以及(3)护理协调。除了向实践和网络提供直接的实践促进支持外，PA SPREAD伙伴关系还将同时在每个网络内建立促进能力。在一年内，PA SPREAD/AHEC/ PRHI促进者将努力将实践促进者过渡到基于网络的实践促进者。每月的绩效报告和基准将在实践人口水平上进行，以便在其独特的环境、组织、文化和特征的背景下，对每个实践在测试和实施变更方面的成功进行评估。