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.
The GLPTN+LEAN initiative focuses on building capacity for ongoing practice improvement in organizations with 15 or more clinicians. The six-month engagement for eligible Indiana-based, GLPTN-participating organizations helps them 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.
Six organizations participated in GLPTN+LEAN Round I, which consisted of a grant-subsidized package of lean services worth between $8 to 10K. Six more are participating in GLPTN+LEAN Round II, which began in mid-January 2018. The program consists of:
- an introductory webinar that will lay out expectations and highlight any pre-work required
- one half-day, on-site strategy session with key leadership and stakeholders
- training for two staff members in Lean Daily Improvement (LDI), a methodology critical for the sustainment of the new standard work
- two (2) Purdue Healthcare Advisors-facilitated Rapid Improvement Events (RIEs) that will align with GLPTN's aims*
- 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
- the first event will occur within 60 days after the strategy session
- the second event will occur approximately 45 days after the first event is completed
- 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 the reduction of unplanned, unnecessary readmissions (i.e. Transitional Care Management/TCM); improvement of the referral process; improvement of health outcomes through Depression Screening; Diabetes Control (A1C); and Hypertension Control; reduction of unnecessary testing; reduction of unnecessary hospitalizations; and expansion of access.
The GLPTN+LDI initiative offers GLPTN-participating hospitals and practices based in Indiana the opportunity to participate in a lean methodology-based initiative aimed at improving quality metrics (including MIPS scores) 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 2017 GLPTN+LDI initiative, which ran from September 15 to December 31, 2017, taught 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. Applicants selected from one of the following focus areas for an LDI project: 1) Depression Screening; 2) Diabetes Control (A1); 3) Hypertension Control; 4) Transitional Care Management (TCM) enhancements; and 5) Chronic Care Management (CCM) enhancements.
The first three project options are the core clinical measures GLPTN is committed to helping its clients improve. Those who selected the TCM or CCM enhancements were not in the initial stages of implementing the code. The initiative consisted of some pre-work; a project launch; work toward an LDI certification; an online session about proper scoping of a project; online-facilitated training sessions (total of 8 hours); coaching throughout the duration of the project; and the completition of the selected LDI project in 3-1/2 months.
Four opportunities to participate in this 1/2-day session (from 1-5 p.m. local time):
- Apr. 11, 2018, at the University of Southern Indiana campus in Evansville, IN
- Apr. 12, 2018, at Franciscan Health in Indianapolis, IN
- May 14, 2018, at Manchester College School of Pharmacy in Fort Wayne, IN
- May 15, 2018, at Purdue Calumet in Hammond, IN
Join us on one of the above days to discuss how we can work together to improve care transitions. The goal of these events, sponsored by Purdue Healthcare Advisors, GLPTN, the Indiana Hospital Association, and Qsource, is to help you understand the process of change management for improving care transitions across the healthcare continuum. You'll learn to identify data from patients' and providers' shared stories and experiences; be able to describe improvement opportunities from the Transitional Care Management process; identify regional opportunities from case presentations; and collectively engage community healthcare providers in improving care transitions.
View a list of GLPTN conferences and webinars here.