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

基本信息

项目摘要

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)建议将8个中小型网络(每年2个,为期4年)推向以人口为基础的医疗保健系统。通过基于人口管理的质量改进,参与网络将努力提高其提供的护理的质量、效力、效率和安全。PA SPREAD旨在:(1)利用与初级保健做法和卫生系统的现有关系,在整个初级保健网络中推广质量改进和人口管理基础,使网络成为能够协调和改善社区保健和健康的负责任的保健组织。(2)在初级保健网络内建立能力,以促进持续的实践,IT支持,变革管理和质量改进。(3)通过发展由当地实践促进支持的区域和全州学习社区,支持广泛采用循证临床指南和护理提供最佳实践。基于网络的主要成果包括在参与实践中,在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指标的绩效率提高到最新的第90百分位数HEDIS基准。PA SPREAD、AHEC和PRHI将通过四项主要干预措施,在参与实践和网络中发展自组织能力,以提高质量。学习社区将融合PA SPREAD/AHEC和PRHI模式,以便更频繁地举行会议,以加速改进,并提供更多机会,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"最佳实践"网络研讨会的基础上,发展一个全州范围的学习社区,包括任何致力于人口管理质量改进的实践或网络。将为参与网络提供一个人口管理改进路线图,重点是(1)在每次访视时使用主动式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。除了向实践广告网络提供直接的实践促进支持外,PA SPREAD伙伴关系还将同时努力在每个网络内建立促进能力。在一年之内,PA SPREAD/AHEC/PRHI促进者将努力将实践促进过渡到基于网络的实践促进者。每月业绩报告和基准设定将在业务一级进行,以便能够评估每个业务在其独特的环境、组织、文化和特点范围内测试和实施变革的成功情况。

项目成果

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ALAN M. ADELMAN其他文献

ALAN M. ADELMAN的其他文献

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{{ truncateString('ALAN M. ADELMAN', 18)}}的其他基金

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
  • 财政年份:
    2014
  • 资助金额:
    $ 49.54万
  • 项目类别:
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:
    9072471
  • 财政年份:
    2014
  • 资助金额:
    $ 49.54万
  • 项目类别:
PA SPREAD: PA Spreading Primary Care Enhanced Delivery Infrastructure
PA SPREAD:PA 传播初级保健,增强交付基础设施
  • 批准号:
    8331304
  • 财政年份:
    2011
  • 资助金额:
    $ 49.54万
  • 项目类别:
Implementing Motivational Counseling for Patients with Type 2 Diabetes
对 2 型糖尿病患者实施激励咨询
  • 批准号:
    7739058
  • 财政年份:
    2009
  • 资助金额:
    $ 49.54万
  • 项目类别:
Implementing Motivational Counseling for Patients with Type 2 Diabetes
对 2 型糖尿病患者实施动机咨询
  • 批准号:
    7924853
  • 财政年份:
    2009
  • 资助金额:
    $ 49.54万
  • 项目类别:

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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
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    8744557
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    $ 49.54万
  • 项目类别:
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
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    2014
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    $ 49.54万
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PA SPREAD: PA Spreading Primary Care Enhanced Delivery Infrastructure
PA SPREAD:PA 传播初级保健,增强交付基础设施
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Extremely fast spreading factor adaptation in spread-spectrum networks
扩频网络中极快的扩频因子自适应
  • 批准号:
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扩频网络中极快的扩频因子自适应
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    Discovery Grants Program - Individual
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扩频网络中极快的扩频因子自适应
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    328481-2006
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