IHI.org - A resource from the Institute for Healthcare Improvement
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Organization of Health Care:
Integrate Collaborative Models (Model for Improvement and Care Model) into the "Fabric" of the Organization
  1. Educate entire staff about the Care Model and the Model for Improvement.
  2. Justify the time and cost of integrating the models. Use the data generated regarding improvements to enhance the image of the health center or clinic in the eyes of both internal leaders (e.g., CEO, Board members) and external leaders (e.g., funding institutions, HMOs, JCAHO).
  3. Make quality part of everyone’s job:
    • Hold staff accountable for quality improvement through performance reviews.
    • Include quality-related tasks in job descriptions.
    • Address quality-related tasks in policies and procedures.
  4. Make the models the basis for all quality efforts.

Tips
  • Create written goals for integrating models with a periodic reporting tool. Evaluate whether goals are met.
  • Ensure that job descriptions include participation in quality improvement activities and accountability for related goals.
  • Consider incorporating the following aspects of a patient- and family-centered palliative care model:
    • Psychosocial
    • Emotional
    • Spiritual
    • Medical
  • Construct justification based on the system of care (e.g., for managed care, construct argument based on decreased hospitalization).
  • Emphasize increase in revenue from grant support (for federally qualified health centers). Justify services based on volume of visits to revenue. Present data on increased efficiency. Choose PDSA (Plan-Do-Study-Act) cycles that illustrate financial performance. If relevant, show the increase in market share.
  • Use this improvement project as an example of quality improvement efforts when seeking accreditation.
  • Hold monthly meetings to review less-than-optimal results and how to improve them.