The Iowa Department of Public Health (IDPH) has contracted with the Iowa Healthcare Collaborative (IHC) to provide technical assistance to Iowa’s Community Care Coalitions (C3s) in the form of training, communications, and Quality Improvement (QI) support services. This technical assistance will align and equip Iowa communities to improve quality, safety, and value by positioning themselves as high-performers under value-based reimbursement. Community-Based Performance Improvement (CBPI) builds off of the statewide population health strategies and the need for providers to improve in-care coordination and value-based purchasing models (see statewide strategies grid). The goal is to build QI capacity and promote improvement projects across Iowa. Central to QI services is the advancement of CBPI methodology in practice transformation initiatives. CBPI uses the Plan Do Study Act (PDSA) cycles to implement and test change over abbreviated project timelines, which are critical to addressing transformation in an emerging value-based healthcare system. CBPI will impact all three SIM goals, but ultimately, health care delivery will transform with the planned supportive improvement activities.
Secondary Drivers for Rapid Cycle Performance Improvement
Align and equip Iowa communities to improve quality, safety, and value by positioning themselves as high-performers under value-based reimbursement. IDPH has contracted with the Iowa Healthcare Collaborative (IHC) to provide Technical Assistance (TA) to Iowa’s C3s in the form of training, communications and performance improvement support services. The goal is to build project management competencies and promote health care coordination and improvement projects across Iowa. Central to IHC’s project management strategy is the advancement of RCPI methodology to effect an accelerated change model. RCPI uses the Plan Do Study Act (PDSA) cycles to implement and test change over abbreviated project timelines, which are critical to addressing transformation in an emerging value-based health care system. In addition to QI support IHC will provide educational opportunities, facilitate C3 communications, and establish systems for securely capturing project specific data and requests for assistance.
Funded through state appropriations, two Community Care Teams were piloted in 2014 to explore the integration of community resources into community level health care delivery systems to determine if such models could improve health outcomes and reduce costs. An additional four areas were funded in 2015 for a total of six communities. The funding for the initial two years were appropriated to a Safety Net Collaborative that was administered by Iowa’s community health center association. SIM funding was extended to the six pilots during SIM year one to advance the Community Care Team (CCT) pilot project and transition toward the State Innovation Model (SIM) focus areas which include but are not limited to diabetes, obesity and tobacco. Successes and lessons learned from the pilots will provide a foundation that will be built upon moving forward.
- Engage leadership and receive leadership commitment
- Develop and implement quality improvement strategies
- Conduct rapid-cycle evaluation of performance data for stakeholders
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