Process Improvement Initiatives for GLPTN's Indiana Clinicians

The Great Lakes Practice Transformation (GLPTN), in partnership with Purdue Healthcare Advisors' lean services team, is providing to select Indiana-based members the opportunity to improve Merit-based Incentive Program (MIPS) scores in the Quality and Improvement Activities categories though process improvement-related skill-building and project-facilitation initiatives.  



GLPTN+LEANGLPTN+LEAN focuses on building capacity for ongoing practice improvement in organizations with 15 or more clinicians. GLPTN+LEAN Round II is a six-month engagement that will help organizations make significant improvement in targeted areas. Implementation of this formal, process improvement methodology may benefit all areas of an organization as well as satisfy components of MIPS.

A half-dozen Indiana organizations are participating in Round I of GLPTN+LEAN. Round II, which consists of a grant-subsidized package of lean services worth between $8 to 10K, begins at the end of January 2018. 

Before applying for GLPTN+LEAN Round II, please review the eligibility requirements and expectations below, and discuss the initiative with your leadership. For programmatic success, it is vital that you have executive leadership support; an internal passion for quality improvement with a commitment to sustainability of the new workflow; and provide sufficient time and resources to complete each project.

Apply NowYour organization is eligible to apply for GLPTN+LEAN Round II if it:

  • has not participated in GLPTN+LEAN before (not to be confused with GLPTN+LDI - see below)
  • is a participating member of the Great Lakes Practice Transformation Network (GLPTN)
  • is located in Indiana
  • employs more than 15 clinicians

Applications will be considered through December 29, 2017 at 5 p.m. (EST). The six selected organizations for GLPTN+LEAN Round II will be notified by mid January 2018. 

Selected candidates for GLPTN+LEAN Round II should expect:

  1. an introductory webinar that will lay out expectations and highlight any pre-work required
  2. one half-day, on-site strategy session with key leadership and stakeholders
  3. training for two staff members in Lean Daily Improvement (LDI), a methodology critical for the sustainment of the new standard work
  4. two (2) Purdue Healthcare Advisors-facilitated Rapid Improvement Events (RIEs) that will align with GLPTN's aims*
    1. each event will take approximately three days to complete and will require a cross-functional team of 6-9 people to be present at each session
    2. the first event will occur within 60 days after the strategy session
    3. the second event will occur approximately 45 days after the first event is completed
  5. coaching calls with the lean expert, project tracking, and reporting for LDI certification purposes. 

*GLPTN's aims align closely with the Center's for Medicare and Medicaid Services' (CMS) Transforming Clinical Practice Initiative (TCPI) and include:

  • Reduce unplanned, unnecessary readmissions (i.e. Transitional Care Management/TCM)
  • Improve the referral process
  • Improve health outcomes through Depression Screening; Diabetes Control (A1C); and Hypertension Control
  • Reduce unnecessary testing
  • Reduce unnecessary hospitalizations
  • Expand access



GLPTN+LDIGLPTN is calling for applicants to participate in a new, lean methodology-based initiative aimed at improving MIPS scores for Q4 2017 without major workflow disruption. Lean Daily Improvement (LDI) is a continuous improvement process run at the point of service, making small but meaningful daily adjustments to how we work and behave in order to move or hold a metric. These systematic, small-step changes can be made while work is being done.

The GLPTN+LDI initiative, which runs from September 15 to December 31, 2017, will teach participants how to scope a project; create new standard work; collect and display data visually; run team huddles to get to root causes; assign corrective actions; and keep the process moving.

Apply NowApplicants must select from one of the following focus areas for an LDI project:

  1. Depression Screening
  2. Diabetes Control (A1C)
  3. Hypertension Control
  4. Transitional Care Management (TCM) enhancements
  5. Chronic Care Management (CCM) enhancements

The first three project options are the core clinical measures GLPTN is committed to helping its clients improve. If you choose TCM or CCM enhancements, your organization should not be in the initial stages of implementing the code.

Client-organizations of all sizes and medical specialties are eligible to apply for GLPTN+LDI, but they must be participating GLPTN members based in Indiana. GLPTN will select twelve (12) candidates based on their applications. Only one (1) applicant per organization need apply.

Selected candidates should expect:

  • to launch their project in October following some pre-work in September;
  • to work toward an LDI certification;
  • to attend a 1 to 1-1/2 hour online session about proper scoping of a project;
  • to attend four, two-hour online-facilitated training sessions (total of 8 hours);
  • coaching throughout the duration of the project; and
  • to complete the selected LDI project in 3-1/2 months.

Applications will be accepted no later than 5 p.m. on August 30, 2017. Additional organizations will be considered on a case-by-case basis after the deadline


Allison Bryan-Jungels
Allison Bryan-Jungels
Senior Advisor-GLPTN Network QI Lead, and GLPTN Indiana Program Manager


Onsite: Successful Hand-offs for Touchdowns in Transitions of Care
Thursday, Nov. 30, 2017, 8 a.m.-12 p.m. (EST), at the Landsbaum Center in Terre Haute, IN
Join us in Southwest Indiana later this month for a collaborative meeting to discuss how we can work together to improve care transitions. At the conference entitled Successful Hand-offs for Touchdowns in Transitions of Care, you'll learn about how change management can improve care transitions across the healthcare continuum. The keynote speaker will be Jackie Conrad, RN, BS, MBA, RCC, an Improvement Advisor who serves as the HRET Hospital Improvement and Innovation Network clinical topic lead for falls, pressure injuries, catheter associated urinary infections, and the critical access affinity group.

View a list of GLPTN conferences and webinars here.


Round II of GLPTN+LEAN begins in January 2018 – Apply today
Applications are being be considered through December 29, 2017, at 5 p.m. (EST) for participation in GLPTN+LEAN Round II, a six-month engagement that will help Indiana organizations of 15+ clinicians make significant improvement in targeted areas. Round II includes an on-site strategy session; LDI training; and two RIEs. Six organizations will be selected. Find out more.

Skill-building opportunity for Indiana GLPTN
If you are interested in enrolling your Indiana-based organization in GLPTN+LDI, a lean methodology-based initiative aimed at improving metrics for Q4 without major workflow disruption, apply here

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