Table 2.
Pillar/ Aims | Access | Care Coordination and Management | Practice Redesign | |||||
---|---|---|---|---|---|---|---|---|
A1 | A2 | CCM1 | CCM2 | CCM3 | PR1 | PR2 | ||
Exemplar teams (*Scoring at least 4.0) | n | 75 | 80 | 74 | 61 | 34 | 74 | 107 |
% | 53 % | 57 % | 52 % | 43 % | 24 % | 53 % | 77 % | |
Work-in-progress teams (*Scoring 3.0 – 3.5) | n | 51 | 47 | 42 | 50 | 35 | 43 | 23 |
% | 35 % | 33 % | 29 % | 35 % | 24 % | `30 % | 16 % | |
Low-score teams (*Scoring at most 2.5) | n | 15 | 13 | 25 | 29 | 71 | 23 | 9 |
% | 10 % | 9 % | 17 % | 20 % | 49 % | 16 % | 6 % |
AIMS:
A1: Offer same day appointments
A2: Increase non-face to face care
CCM1: Identify and actively manage high risk patients
CCM2: Improve handovers with inpatient
CCM3: Improve handovers with specialty
PR1: Start appointments within 10 mins of scheduled time
PR2: Improve team communication
*Scoring 1-5 scale:
4.0 = Achieved Aims
3.0 = Several successful tests of change with outcomes
3.5 = Testing multiple changes; measurable progress over > 3 data points
2.5 = Tests of change begun, no measurable Progress
*Based on the Institute for Healthcare Improvement Breakthrough Series Model Assessment Scoring 1-5 scale (Appendix F)