- Overview
- Adult Immunizations
- Alcohol and Substance Use (SBIRT)
- Asthma
- Appropriate Use of Antibiotics for ARI
- Childhood Obesity
- Colorectal Cancer Screening
- Cardiovascular Disease (CVD) and Stroke Prevention
- Depression
- Diabetes in Adult Patients
- Gestational Diabetes
- Hepatitis B and C
- Immunizations
- Motivational Interviewing
- Obesity
- Pediatric Immunizations
- Preconception & Interconception Care
- Prevention
- Tobacco Cessation and Secondhand Smoke Exposure
Learning Collaboratives
A Breakthrough Series Collaborative is a short-term (6- to 15- month) learning system that brings together a large number of teams from clinics to seek improvement in a focused topic area.
Overview
- Executive Summary
- October 8-9, 2010
- June 11-12, 2010
- January 22-23, 2010
- June 12-13, 2009
- November 14-15, 2008
- May 9-10 2008
Resources
October 8-9, 2010 Meeting Materials
The Journey to PCMH Learning Collaborative.
General Session Handouts
- Learning Collaborative Agenda
- CME Application for PCMH Foundations Participation
- Elective Breakout Room Assignment
- EHR Round Table Groups
- Marriot Hotel Map
- Contact List
- Storyboard Room Assignments
- PCMH Foundations Measures
- PCMH Foundations Methodology of Implementing the Chronic Care Model
- Speaker Biographies
- Systems that Work Break Outs
- The Chronic Care Model
Friday (October 8, 2010)
Handouts:
- Managing the Change
- Decision Support Strategies for Patient Outreach
- Reflections from Trailblazers
- Model for Improvement: PDSA Template
- Model for Improvement: Global Aim Statement
- Delivery System Redesign: What Will You Do By Next Tuesday?
- Delivery System Redesign: Diabetes Flow Sheet version 2
- Delivery System Redesign: Asthma Flow Sheet
- Customer Service: PCMH Patient Survey
- Customer Service: What Will You Do By Next Tuesday?
- Customer Service: Case Studies
Presentations:
- Show Me The Data (Harbrecht)
- Key Note (Jones)
- Chronic Care Model (Downs)
- Managing the Change (Skoch)
- Sustainability and Spread (Reims)
- Decision Support: CVD
- Decision Support: Asthma (Szefler)
- Decision Support: Strategies for Patient Outreach (Skoch)
- Enhancing Performance Improvement (Reims)
- Model for Improvement (Skoch)
- Delivery System Redesign (Solomon)
- Systems Outcomes A1c
- Systems Outcomes LDL (Eads)
- Systems Outcomes that Work BP (Oasis Family Medicine)
- Population Management (Ehrenberger)
- Eye Exam (Spruce Street)
- Nephropathy (Summit Community Care)
- Team Huddles (Hewitt, Solomon)
- Community Resources (McIntosh)
- Customer Service (Courtney)
Saturday (October 9, 2010)
Handouts:
Presentations:
- EHR Roundtable: Already Installed EHR
- EHR Roundtable: System Selection
- Introduction to Self Management Support (Reims)
June 11-12, 2010 Meeting Materials
The fifth Learning Collaborative will again be a joint session with IPIP and the Patient Centered Medical Home (PCMH) pilot. It will be held on Friday, June 11 through Saturday, June 12, 2010. Click on a link below to download the material.
General Session Handouts
- Chronic Care Model
- Care Management Care Coordination Functions
- PCMH Planned Care Diagram
- Full Agenda
- Health TeamWorks
- IPIP I and IPIP II Prework Curriculum Packet
Friday (June 11, 2010)
Presentations:
- Show Me The Data (Harbrecht)
- Being the Best Never Goes Out of Style (Loken)
- Whys and Hows of Group Visits (Christie and Ehrenberger)
- Care Coordinator Training (Gaipa)
- Whys and Hows of Group Visits (Mellette)
- Whys and Hows of Group Visits (Linares)
- Model for Improvement (Jacobs)
- Accelerating Improvement (Reims)
- Lessons Learned from Out Customers (Panel)
- Organizational Team Meeting #1 (Rome)
- Remembering Why We Are Taking This Journey (Green)
- The Planned Care Model (Jacobs)
- Avoiding Death by Meeting (Deaner and O'Neill)
- It's All About You: How Ready Are You to Motivate Change? (Barber)
- Everything You Wanted to Know About Guidelines Driven Care (Krantz)
- Building a Medical Neighborhood (Hofeditz)
- Building a Medical Neighborhood (Barba)
- Building a Medical Neighborhood (Bender)
- Decision Support: Putting Guidelines Into Practice (Krantz)
- Clinical Information Systems: Lessons from the Field (Reims)
Handouts:
- Being the Best: What Will You Do By Next Tuesday? (Loken)
- Being the Best Never Goes Out of Style Case Studies (Loken)
- Care Coordination Training: Care Coordination Functions
- Care Coordinator Training: Common Content (Gaipa)
- Care Coordinator Training: Confidence Ruler (Gaipa)
- Care Coordinator Training: Motivational Ruler (Gaipa)
- Care Coordinator Training: Planned Care Model
- Care Coordinator Training: Prioritizing Care Coordination
- Care Coordinator Training: Value Card Sort (Gaipa)
- Model for Improvement: PDSA Worksheets
- BJGP Article (by Larry Green)
Saturday (June 12, 2010)
Presentations:
- Measurement and Reporting: IPIP (Reims and Rome)
- Working Together to Affect the Cost Trend Measures (Sullivan)
- Self-Management Support (Reims)
- Organizational Team Meeting #2 (Rome)
- Healthcare Alphabet Soup and You (Schilz)
Handouts:
- Healthcare Alphabet Soup: IPIP PCMH Relationship
- Healthcare Alphabet Soup: Transforming Your Practice
- PDSA Worksheets
January 22-23, 2010 Meeting Materials
The fourth Learning Collaborative will again be a joint session with IPIP and the Patient Centered Medical Home (PCMH) pilot. It will be held on Friday, January 22 through Saturday, January 23, 2010. Click on a link below to download the material.
General Session Handouts
- IPIP PCMH Shared Learning Collaborative Agenda
- Attendee and Faculty Contact List
- Faculty Biographies
- Chronic Care Model
- IPIP Measures
- IPIP Methodology of Implementing the Chronic Care Model
- PCMH Planned Care Diagram
- PCMH Prioritizing Care Coordination
Friday (January 22, 2010)
- Leading Medical Group Improvement Overview (Kilo)
- Show Me The Data (Harbrecht)
- IPIP Planned Care Model Overview (Kilo)
- PCMH Advanced Access (Houck)
- PCMH Advanced Access: Handout (Houck)
- PCMH Advanced Access: Supply and Demand Toolkit (Houck)
- PCMH Advanced Access: Measuring Demand (Houck)
- PCMH Advanced Access: What Works (Houck)
- IPIP Team Approach to Care (Hyman)
- IPIP Team Approach to Care Handouts (Hyman)
- IPIP Registry (Sharp and Gottsman)
- IPIP Registry Handouts (Sharp and Gottsman)
- Motivational Interviewing (Barber)
- Meeting Facilitation: Making Time for Improvement (Deaner)
- Meeting Facilitation: Making Time for Improvement Handouts (Deaner)
- Utilizing Community Resources (Valverde)
- IPIP Why Data? Using Data to Improve Care (Harbrecht)
- Business Acumen and Practice Viability (Nooning and Svoboda)
Saturday (January 23, 2010)
- IPIP: Self-Management (Reims)
- PCMH: Why Behavioral Health Integration? (Oftedahl)
- How to Get Everyone on the Same Page for Change (Oftedahl)
- Integrating Behavioral Healthcare into Your Practice (deGruy and Miller)
- IPIP: Model for Improvement (Reims)
- PCMH: Medical Neighborhood and Care Coordination (Hammond and Harbrecht)
- Care Management and Care Coordination Functions
- PDSA Worksheet
- IPIP Change Package Handout
- IPIP: Clinical Protocols - Diabetes (Merenich and Harbrecht)
- PCMH: Assessing and Prioritizing Patients for Change (Oftedahl)
June 12-13, 2009 Meeting Materials
The third Learning Session was a joint session with IPIP and the Patient Centered Medical Home (PCMH) pilot. It was held on June 12-13, 2009 at the Sheraton Denver West. The following materials are in PDF format and are organized by the room and date they were presented. Click on a link below to download the material.
City Lights: Friday
- Welcome Vision of PCMH (Marjie Harbrecht, MD)
- Focus on Patient Centeredness (Eileen Forlenza)
- Better Health Care: The Undervalued Contribution of the Patient Video (Jessie Gruman)
*Right click the link above and choose "Save Target As" to save the .AVI file to your computer. The download should take ~20 minutes. - Better Healthcare: The Undervalued Contribution of the Patient (Jessie Gruman, PhD)
- Patient-Centered Planned Care: part 1 (Marjie Harbrecht, MD)
- Patient-Centered Planned Care: part 2 (Marjie Harbrecht, MD)
- Patient-Centered Planned Care: Diagram Handout (Marjie Harbrecht, MD)
- Patient-Centered Planned Care: Prioritizing Care Coordination Diagram Handout (Marjie Harbrecht, MD)
- Patient-Centered Planned Care: Care Management Care Coordination (Marjie Harbrecht, MD)
- Enhancing Access to Care (Richard Wright, MD)
- Got Data (Bruce Bagley, MD)
- Round Up (Bruce Bagley, MD)
City Lights: Saturday
- Self-Management Support (Kathy Reims, MD)
- Self-Management Support Resource Article
- Team is Essential (Bruce Bagley, MD)
- Introduction to Process Mapping (Zula Solomon, MBA)
- Introduction to Process Mapping Symbols part 2 (Zula Solomon, MBA)
- Work Flow Analysis: Utilizing IT (Jay Krakovitz, MD and Kathy Reims, MD)
- Wrap Up (Marjie Harbrecht, MD)
Genessee: Friday
- Diabetes: LDL (Lone Tree Family Practice)
- Decision Support (Perry Dickinson, MD)
Genessee: Saturday
- Tobacco Query and Counseling (Sunrise)
- Healthier Living Colorado (Chris Katzenmeyer and Penny Studebaker)
Green Mountain: Friday
- Organization of Healthcare: Holding the Gains (Kathy Reims, MD)
- Diabetes: Blood Pressure and Eye Exam (Spruce Street Internal Medicine)
Green Mountain: Saturday
- Infrastructure for Quality (Kathy Reims, MD)
- How to do Team Huddles (Scott Hammond, MD)
- How to do Team Huddles: Anatomy of a Huddle handout (Scott Hammond, MD)
- ReachMyDoctor (Marjie Harbrecht, MD and Greg Sharp, MD)
- ReachMyDoctor: Screenshot handouts (Marjie Harbrecht, MD and Greg Sharp, MD)
- ReachMyDoctor: Enrollment Sheet handout (Marjie Harbrecht, MD and Greg Sharp, MD)
Lookout Mountain: Friday
- Clinical Information Systems: Data Patterns (Richard Wright, MD)
- Clinical Information Systems: Data Patterns - Worksheet in Wright (Richard Wright, MD)
- Clinical Information Systems: Data Patterns - Worksheet in Wright 2 (Richard Wright, MD)
- A1c (Family Care Southwest)
- Diabetes: Self-Management Goal Measures (Lakewood Family Medicine)
Lookout Mountain: Saturday
- Delivery System Design (Dave Downs, MD)
- Delivery System Design: Know Your Process handout
- Delivery System Design: Staff Satisfaction Survey handout
- Delivery System Design: Team Effectiveness Exercise handout
- Delivery System Design: Group Visit Starter Kit handout
- Delivery System Design: Agenda Setting Tool Bubble Diagram handout
- Delivery System Design: Prevention Priorities Article handout
Union Square: Friday
- Clinical Information Systems: Registry Functionality (Scott Hammond, MD and Pam Hohnstein, MA)
- Clinical Information Systems: Registry Functionality handout (Scott Hammond, MD and Pam Hohnstein, MA)
- Clinical Information Systems: Registry Functionality Diabetes Population Management Monthly Report handout (Scott Hammond, MD and Pam Hohnstein, MA)
- Asthma (Moffat Family Clinic)
Union Square: Saturday
- Cultural Sensitivity (Arthur McFarlane II)
- Patients and Families as Part of the QI Team (Steve Hurd, PhD)
- Patients and Families as Part of the QI Team: Patient Satisfaction handout
- Patients and Families as Part of the QI Team: Medical Survey handout
- Patients and Families as Part of the QI Team: Dental Survey handout
- Patients and Families as Part of the QI Team: In-Depth Patient Satisfaction Survey Guidelines
- Shared Decision Making (Steve Hurd, PhD)
- Shared Decision Making: Patient Health History Questionnaire handout
November 14-15, 2008 Meeting Materials
The second Learning Session was held on November 14-15, 2008 at the Holiday Inn on Colorado Blvd. Most of the following materials are in PDF format. Click on a link below to download the material.
- Flyer
- Storyboard Template (PowerPoint file)
- Agenda
- DM Eduction by County
- Asthma Resources
- Diabetes Protocols
- Downs: IPIP Compacts
- Ehrenberger: The Healthcare Team - Deconstructing a Modern Myth
- Ballonoff: Diabetes Protocols
- Gallagher: Reflection Review
- Harbrecht: IPIP - Show Me The Data!
- Harbrecht: Decision Support
- Ehrenberger: Clinical Information Systems: Process Improvement in Office Practice
- Reims: Improve Self Management Support in your Practice
- Reims: PDSA: A Clear Strategy for Improvement
- Szefler: Update and Implementation of the Revised Asthma Guideline Part 1
- Szefler: Update and Implementation of the Revised Asthma Guideline Part 2
- Szefler: ACE Outcomes Lancet as Published
May 9-10, 2008 Meeting Materials
The first Learning Session was held in Metro Denver on May 9-10, 2008 at COPIC. The following materials are all in PDF format. Click on a link below to download the material.
- Learning Collaborative flyer
- Agenda
- IPIP: Show Me The Data (Marjie Harbrecht, MD)
- Stages of Change and Self-Management Support (Heather LaChance, LMFT, PhD)
- Why This Work is Important! (Larry Kipe, MD)
- IPIP: Building Statewide Infrastructure for Sustainable Improvement (Martha Rome, RN, MPH)
- The Model for Improvement handout
- The Model for Improvement graphic
- Changing Data Into Information: Use of Registry Functionality to Support Patient Care and Performance Improvement (Richard Wright, MD)
- Where There's A Will, There's A Way (Dave Downs, MD)
Additional Information
For questions and additional information, please contact Allyson Gottsman at (720) 297-1681 or by email.
