Planned Care Model
Model for Improvement
Learning Model
Planned Care Model
Knowing what you should do and actually being able to consistently do it has proven to be a challenge in today’s busy practices. So part of every collaborative is a “change package”, which is designed by the experts to help teams eliminate the gap. These ideas guide participants to focus on key areas that have been demonstrated to create positive change.
The HRSA sponsored Collaboratives use the structure of the Planned Care Model. This model identifies 6 major categories that must be addressed to achieve substantial change:
- The healthcare organization
- Community resources and policies
- Self-management support
- Decision support
- Delivery system design
- Clinical information systems
These components interact with each other as depicted in the schematic.
Acknowledgements:
Improving Chronic Illness Care, a national program of the Robert
Wood Johnson Foundation, MacColl Institute, Seattle, WA
More about Care Model Change Concepts can be found at http://www.improvingchroniccare.org/index.php?p=Models&s=98.
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Model for Improvement
Participants learn about specific changes that can be made within each area. Changes are then “tested” at each site, guided by the Model for Improvement designed by Associates in Process Improvement, Inc (API). Part of the learning of the Collaboratives is the art of making small changes and learning from each change – the PDSA process. Changes that are effective are expanded. Multiple changes in high leverage areas result in transformational change. This is the “execution” part of the equation.
More about the applications of the Model for Improvement can be found
at http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/.
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Learning Model
The “ideas” come from a variety of sources that
appeal to adult learners. The Learning Model adopted by the Institute
for Healthcare Improvement (IHI) uses a process of pre-work, learning
and action periods designed to effect organizational change.
HRSA sponsored Collaboratives have involved between 120 and 150 health center organizations per year, working together in an initial learning phase. Expert faculty guidance, sharing among participants and application of the learning in individual settings provide a rich supportive environment for participants. Following the initial learning phase, participants continue to sustain and spread the improvement methods with an aim of total system transformation as part of the national health center community.
Used together, these three models have a proven track record of leveraging healthcare improvements that have helped hundreds of thousands of patients across the nation.
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