This Week at the Institute for Healthcare Improvement
May 18, 2015
Better Health and Lower Costs for
People with Complex Chronic Conditions

The population of Louisiana has a high prevalence of hypertension, diabetes, chronic kidney disease, and cardiovascular disease. With a common vision to improve primary care delivery for patients with complex chronic conditions, Blue Cross Blue Shield of Louisiana and the Louisiana Department of Health and Hospitals Office of Public Health formed the Louisiana Alliance for Better Health (LABH). In this interview with IHI Senior Project Manager Catherine Mather, primary care physician Dr. Ross Hamic shares his experience as part of the LABH team participating in IHI’s Better Health and Lower Costs for Patients with Complex Needs Collaborative. LABH joined the Collaborative in 2014 to support integrated learning about population health chronic disease management. Dr. Hamic describes his role in this work to improve health and reduce costs, and shares some strategies other primary care physicians might try to help patients manage multiple chronic conditions. (To learn more about the Collaborative, listen to the May 12 informational call recording.)

Transforming Primary Care with
Highly Functional Team-based Care

Along with the increasing prevalence of the patient-centered medical home (PCMH) model is an even stronger emphasis on optimized care teams, with the engaged patient at the center. In a new post to the IHI Blog, Cindy Hupke, BSN, MBA, Director and Faculty for IHI’s Transforming the Primary Care Practice seminar, discusses why effective team-based care is so essential today. “We need to think beyond the four walls of our clinics and into the lives, communities, and homes of the populations we serve,” Hupke writes, adding, “An optimized care team provides the skills and resources to jointly plan and customize patient care and provide alternative types of visits, as needed. By tailoring their approach to each patient and segment of the population, optimized care teams can provide support for individuals and families to better manage their own health.”

Best Practices for Newly Diagnosed Cancer Patients: WIHI, May 21

When someone is first diagnosed with cancer, those first few days and weeks can be terribly disorienting. Even when health care professionals and staff try to provide clear information about next steps, the person who’s supposed to be taking everything in may be severely distracted. On the next WIHI (Thursday, May 21, 2-3pm ET), we’ll explore some of the particular ways the health care system can behave, and some of the best practices that can be deployed, to ease this initial, difficult part of the cancer journey. We have well-known marketing and health care service expert, and IHI Senior Fellow, Leonard Berry to thank for helping us shape and anchor this particular WIHI. Len has spent the past year interviewing more than 350 patients, family members, oncologists, and others to get to the heart of current problems and missteps when it comes to supporting those who are newly diagnosed with cancer. We hope you join us, Len, and our other guests for this important WIHI broadcast.

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IHI Focus Area Spotlight

Improvement Capability: How Do You Set Up a Large-Scale Improvement Project for Success?

Person- and Family-Centered Care: Why Are Patient Stories Valuable in Health Care?

Patient Safety: Learning from Medical Errors

Quality, Cost, and Value: New Website Helps Inform Consumers about Health Care Prices

Triple Aim for Populations: CDC Community Health Improvement Navigator Tools and Resources

Look For

A new post to the IHI Blog by Amy Reid, MPH (above, left), Senior Research Associate at IHI, and Ron Wyatt, MD, MHA, DMS(Hon) (above, right), Medical Director in the Division of Healthcare Improvement at The Joint Commission: "What Does Quality Improvement Have to Offer #blacklivesmatter?"



A new article published in the Scandinavian Journal of Primary Health Care, co-authored by IHI Executive Director for Performance Improvement, Robert Lloyd, PhD (above): "Impact of an ABCDE team triage process combined with public guidance on the division of work in an emergency department"



A recent editorial published in The BMJ, "Supporting clinicians after medical error," co-authored by IHI Executive Director and patient safety expert, Frank Federico (above); he is also co-author of the IHI white paper, Respectful Management of Serious Clinical Adverse Events


Where's IHI?

Sue Gullo, MS, RN, IHI Director, is in Bihar state in India this week to participate in a collaborative focused on improving maternal and infant health.

Who's at IHI?

Arjun Karki, MD, Professor of Internal Medicine and Medical Education at the Patan Academy of Health Sciences in Nepal, is visiting IHI this week.

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