The document describes a year-long pilot program that will select 10 organizations to improve standards of care for people with schizophrenia. Participating organizations will receive tools and expertise to assess treatment outcomes, implement standardized assessments, and identify barriers. They must commit staff time and resources to project goals. In exchange, they receive technical assistance, data management support, and a $3,000 stipend. The goal is to enhance interventions and compare outcomes across diverse clinical settings.
July 12, 2017
This webinar was based on the June 23, 2017 event, "Critical Pathways to Improved Care for Serious Illness: Concluding Convening." At this event, leading health care executives, experts, policymakers, and other thought leaders gathered to conclude a project to develop a guiding framework for providing improved care for people with serious illness. Participants observed the final working session where distinguished panelists discussed innovations in program design and pathways for delivering high quality care to an aging population with chronic illnesses, especially those with declining function and complex care needs. The panelists engaged audience members in Q&A sessions during each panel, as well as at breakout sessions over lunch.
This project was funded by the Gordon & Betty Moore Foundation, and this convening was part of the Project on Advanced Care and Health Policy, a collaboration between the Coalition to Transform Advanced Care (C-TAC) and the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.
Learn more on the website: http://petrieflom.law.harvard.edu/events/details/critical-pathways-to-improved-care-for-serious-illness-2.
The following document outlines the supporting tools that were discussed in the Spotlight on Methods and Tools: Rapid Review Guidebook: Synthesizing Evidence to Inform Public Health Practice webinar. These tools aid in the production of a rapid review and are specific to the first five stages of the Evidence-informed decision making (EIDM) process.
July 12, 2017
This webinar was based on the June 23, 2017 event, "Critical Pathways to Improved Care for Serious Illness: Concluding Convening." At this event, leading health care executives, experts, policymakers, and other thought leaders gathered to conclude a project to develop a guiding framework for providing improved care for people with serious illness. Participants observed the final working session where distinguished panelists discussed innovations in program design and pathways for delivering high quality care to an aging population with chronic illnesses, especially those with declining function and complex care needs. The panelists engaged audience members in Q&A sessions during each panel, as well as at breakout sessions over lunch.
This project was funded by the Gordon & Betty Moore Foundation, and this convening was part of the Project on Advanced Care and Health Policy, a collaboration between the Coalition to Transform Advanced Care (C-TAC) and the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.
Learn more on the website: http://petrieflom.law.harvard.edu/events/details/critical-pathways-to-improved-care-for-serious-illness-2.
The following document outlines the supporting tools that were discussed in the Spotlight on Methods and Tools: Rapid Review Guidebook: Synthesizing Evidence to Inform Public Health Practice webinar. These tools aid in the production of a rapid review and are specific to the first five stages of the Evidence-informed decision making (EIDM) process.
Transforming end of life care in acute hospitals: Critical success factors report
Feedback from a focus group of pilot site representatives looking at factors that have influenced progress during the first phase
13 December 2012 - National End of Life Care Programme
Over 50% of people die in acute hospitals in England, despite statistics and surveys consistently showing that most people would prefer to die in their normal place of residence.
The Transform Programme was set up to provide practical support for hospital Trusts delivering end of life care. Twenty-five acute Trusts (43 hospitals) signed up to take part in the first phase pilots during 2011/2, supported by a route to success 'how to' guide which included five key enablers and key metrics to implement best practice.
Each of the pilot sites provided regular returns on progress against implementation of the five key enablers and a focus group was also held to discuss some of the practical issues that had helped and sometimes hindered progress. This short report reflects the views expressed by those participating in the focus group.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The NCCMT looks forward to hosting its popular student-led webinar on evidence-informed decision making (EIDM) in public health programs. During this webinar, students and recent graduates showcase how they are using EIDM tools and resources. EIDM skills are in demand in the workforce. Join this webinar to learn how the NCCMT’s accessible and informative resources can support your coursework, practicums and future public health careers.
Clinical Data Quality in Mozambique: A Comparative ExerciseJSI
Presentation for the American Public Health Association & Expo in Atlanta, GA. November 2017:
Ensuring that quality data are collected and reported to the Ministry of Health (MOH) is a priority in Mozambique as it is the foundation for the provision of quality health services. Since 2014, the Strategic Information Project in Mozambique (M-SIP) has provided technical assistance to MOH to conduct annual rounds of data quality assessments (DQA) in each province. Seven indicators were selected as part of the national DQA strategy. Each DQA had a quantitative and a system assessment component. The quantitative component includes tracing and verification of reported data, where recounted data is compared to data reported at three levels: health facility (HF), district, and province. M-SIP conducted all DQAs using the same methodology making the results comparable. After three consecutive national rounds, there is a clear trend of improvement, despite deviations remaining high. The regular, reinforcing nature of this activity and consistency of HF recommendations has had a positive impact on the data quality and results of the assessments. For example, the overall national deviation of the “patients active in ART” indicator decreased from 37% to 22% over the three-year period. The successful implementation of the DQA activity, as well as its unique, inclusive approach to promoting MOH ownership, has resulted in MOH recognition—at all levels—that DQA activities are crucial to future success. The M-SIP and MOH teams are now developing a more methodological approach to MOH staff empowerment, enabling fully independent MOH implementation of this activity while continuing to improve the quality of data.
Project Management at GVK BIO is led by skilled and highly motivated executives with experience averaging 6-7 years. Our Project Managers (PMs) employ proven planning, time management, problem solving and communication skills to ensure timely project delivery,
determined to exceed customer expectations.
Interested in sharing best practices within your organization?
Are you engaged in creating community health status reports? Are you interested in learning about how to improve health equity? The Equity-Integrated Population Health Status Reporting Action Framework can help health professionals at all levels identify and implement manageable steps for integrating equity into existing or new public health status reporting processes. The framework is suitable for use by health/public health staff, community organizations that provide local data, and academic researchers.
This framework was developed collaboratively by the six National Collaborating Centres for Public Health, building upon earlier work by the NCC for Determinants of Health.
To see the summary statement of this tool developed by NCCMT, click here: http://www.nccmt.ca/resources/search/240
The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.
NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.
Medicare Advantage is a well-known program, but perhaps not so well-known in its details. In this webinar, we get into the nuts and bolts of how the program works, including a case study with practical examples. If you’d like to offer or improve a Medicare Advantage plan at your facility, this is a good place to start.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
Big Data and VistA Evolution, Theresa A. Cullen, MD, MSBrian Ahier
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
The Tool for Assessing the Effects of Local Intersectoral Action (https://www.tamarackcommunity.ca/library/assessing-effects-local-intersectoral-action-tool-cacis) is an interactive online tool that uses timeline mapping to support assessment of the impacts of local intersectoral action in living environments.
Join Angèle Bilodeau, from the School of Public Health at the University of Montreal, Marie-Pier St-Louis, from the Canada Research Chair in Community Approaches and Health Inequalities (CACIS), and their collaborator Gillian Kranias for an introduction to this tool, which was developed in collaboration with the Montreal Coalition of Neighborhood Round Tables, Communagir and the Tamarack Institute.
This webinar will be presented in partnership with the National Collaborating Centre for Methods and Tools (NCCMT), the National Collaborating Centre for Healthy Public Policy (NCCHPP), and the National Collaborating Centre for Determinants of Health (NCCDH).
Infographic- Improve Clinical Trial Participation with Mobile AppsDiaspark
Mobile apps are pivotal to patient recruitment & retention in clinical trials, we have done research on changing trends &d challenges in clinical trial patient recruitment & retention.
Quality Programs: Hurdles and Milestones for Health Systems and Their Employe...PYA, P.C.
PYA Principal Linda ClenDening and Erlanger Health System’s Sondra McGinnis recently spoke on “Quality Programs: Hurdles and Milestones for Health Systems and Their Employed Physicians" at the Georgia Healthcare Financial Management Association’s Financial Executive One-Day.
KickApps Business Results with Social Media Seminar - ROI, Trends, Social Med...Mike Merrill
This is a presentation I delivered at the KickApps Business Results Seminar in Dallas on 2/25/2010.
Review of Social Media ROI, 4 Trends to Watch and information about the Social Media Club of Dallas
Transforming end of life care in acute hospitals: Critical success factors report
Feedback from a focus group of pilot site representatives looking at factors that have influenced progress during the first phase
13 December 2012 - National End of Life Care Programme
Over 50% of people die in acute hospitals in England, despite statistics and surveys consistently showing that most people would prefer to die in their normal place of residence.
The Transform Programme was set up to provide practical support for hospital Trusts delivering end of life care. Twenty-five acute Trusts (43 hospitals) signed up to take part in the first phase pilots during 2011/2, supported by a route to success 'how to' guide which included five key enablers and key metrics to implement best practice.
Each of the pilot sites provided regular returns on progress against implementation of the five key enablers and a focus group was also held to discuss some of the practical issues that had helped and sometimes hindered progress. This short report reflects the views expressed by those participating in the focus group.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The NCCMT looks forward to hosting its popular student-led webinar on evidence-informed decision making (EIDM) in public health programs. During this webinar, students and recent graduates showcase how they are using EIDM tools and resources. EIDM skills are in demand in the workforce. Join this webinar to learn how the NCCMT’s accessible and informative resources can support your coursework, practicums and future public health careers.
Clinical Data Quality in Mozambique: A Comparative ExerciseJSI
Presentation for the American Public Health Association & Expo in Atlanta, GA. November 2017:
Ensuring that quality data are collected and reported to the Ministry of Health (MOH) is a priority in Mozambique as it is the foundation for the provision of quality health services. Since 2014, the Strategic Information Project in Mozambique (M-SIP) has provided technical assistance to MOH to conduct annual rounds of data quality assessments (DQA) in each province. Seven indicators were selected as part of the national DQA strategy. Each DQA had a quantitative and a system assessment component. The quantitative component includes tracing and verification of reported data, where recounted data is compared to data reported at three levels: health facility (HF), district, and province. M-SIP conducted all DQAs using the same methodology making the results comparable. After three consecutive national rounds, there is a clear trend of improvement, despite deviations remaining high. The regular, reinforcing nature of this activity and consistency of HF recommendations has had a positive impact on the data quality and results of the assessments. For example, the overall national deviation of the “patients active in ART” indicator decreased from 37% to 22% over the three-year period. The successful implementation of the DQA activity, as well as its unique, inclusive approach to promoting MOH ownership, has resulted in MOH recognition—at all levels—that DQA activities are crucial to future success. The M-SIP and MOH teams are now developing a more methodological approach to MOH staff empowerment, enabling fully independent MOH implementation of this activity while continuing to improve the quality of data.
Project Management at GVK BIO is led by skilled and highly motivated executives with experience averaging 6-7 years. Our Project Managers (PMs) employ proven planning, time management, problem solving and communication skills to ensure timely project delivery,
determined to exceed customer expectations.
Interested in sharing best practices within your organization?
Are you engaged in creating community health status reports? Are you interested in learning about how to improve health equity? The Equity-Integrated Population Health Status Reporting Action Framework can help health professionals at all levels identify and implement manageable steps for integrating equity into existing or new public health status reporting processes. The framework is suitable for use by health/public health staff, community organizations that provide local data, and academic researchers.
This framework was developed collaboratively by the six National Collaborating Centres for Public Health, building upon earlier work by the NCC for Determinants of Health.
To see the summary statement of this tool developed by NCCMT, click here: http://www.nccmt.ca/resources/search/240
The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.
NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.
Medicare Advantage is a well-known program, but perhaps not so well-known in its details. In this webinar, we get into the nuts and bolts of how the program works, including a case study with practical examples. If you’d like to offer or improve a Medicare Advantage plan at your facility, this is a good place to start.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
Big Data and VistA Evolution, Theresa A. Cullen, MD, MSBrian Ahier
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
The Tool for Assessing the Effects of Local Intersectoral Action (https://www.tamarackcommunity.ca/library/assessing-effects-local-intersectoral-action-tool-cacis) is an interactive online tool that uses timeline mapping to support assessment of the impacts of local intersectoral action in living environments.
Join Angèle Bilodeau, from the School of Public Health at the University of Montreal, Marie-Pier St-Louis, from the Canada Research Chair in Community Approaches and Health Inequalities (CACIS), and their collaborator Gillian Kranias for an introduction to this tool, which was developed in collaboration with the Montreal Coalition of Neighborhood Round Tables, Communagir and the Tamarack Institute.
This webinar will be presented in partnership with the National Collaborating Centre for Methods and Tools (NCCMT), the National Collaborating Centre for Healthy Public Policy (NCCHPP), and the National Collaborating Centre for Determinants of Health (NCCDH).
Infographic- Improve Clinical Trial Participation with Mobile AppsDiaspark
Mobile apps are pivotal to patient recruitment & retention in clinical trials, we have done research on changing trends &d challenges in clinical trial patient recruitment & retention.
Quality Programs: Hurdles and Milestones for Health Systems and Their Employe...PYA, P.C.
PYA Principal Linda ClenDening and Erlanger Health System’s Sondra McGinnis recently spoke on “Quality Programs: Hurdles and Milestones for Health Systems and Their Employed Physicians" at the Georgia Healthcare Financial Management Association’s Financial Executive One-Day.
KickApps Business Results with Social Media Seminar - ROI, Trends, Social Med...Mike Merrill
This is a presentation I delivered at the KickApps Business Results Seminar in Dallas on 2/25/2010.
Review of Social Media ROI, 4 Trends to Watch and information about the Social Media Club of Dallas
REO Guidebook by Jeff Bochsler & Lara LogueLara Logue
Use our detail-oriented REO Guidebook to strategically place your offer in front of the rest! What are the Banks looking for? What do you need to do to qualify for financing? This REO Guidebook, written by Lara Logue, an experienced Realtor specializing in REO properties with Sotheby's International Realty and Jeff Bochsler, a Home Loan Officer with Medallion Mortgage, will become a valuable resource as you embark on the REO purchase process.
On April 25, 2012, Steve Pavlina began a writing series of blog posts on generating
passive income. This ebook, prepared on August 19. 2012, collects those posts on the
topic published to-date.
Develop a 5-7 page implementation plan addressing the various factors.docxrosaliaj1
Develop a 5-7 page implementation plan addressing the various factors critical to the successful deployment of the new or upgraded telehealth technology that was the focus of the previous two assessments. Introduction Technology continues to move at an accelerated pace, and the delivery of health care is shifting from office-based environments to the home. For this reason, health care organizations must be at technology's cutting edge in order to remain competitive in today's environment. Integrating the daily activities of patients into the health care continuum will improve the quality of care that is provided and enable more holistic care. This assessment provides an opportunity for you to develop an implementation plan that addresses the various factors critical to the successful deployment of the new or upgraded telehealth technology that was the focus of your previous assessments. Preparation Based on the positive reactions and feedback from stakeholders with regard to the proposed telehealth technology, executive leaders have decided to move forward with implementation of this telehealth solution and have asked you to develop the implementation plan. To prepare for the assessment, you are encouraged to reflect on the factors critical to the successful deployment of the new or upgraded telehealth technology and on how such technology would be implemented in your organization or practice setting. In addition, you are encouraged to become familiar with the Systems Development Life Cycle (SDLC) process for successfully implementing information systems or a change model for technology use that you think best supports your technology implementation ideas. Refer to the suggested readings, supplemented, as desired, by your own research. You may also wish to:
· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
· Review the , which includes questions to consider and additional guidance on how to successfully complete the assessment.. Requirements Develop a technology implementation plan that supports the vision for safe, high-quality health care in your organization or practice setting. Complete the simulation. The implementation plan requirements, outlined below, correspond to the grading criteria in the Implementation Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Implementation Plan document, linked above, provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.
· Assess the adequacy of existing telehealth technology infrastructure in your organization or practice setting.
· Assign tasks and responsibilities for deploying the new or upgraded telehealth technology.
· Develop an implementation sch.
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Critical Access Hospital Goal Setting Provided By The Nat.docxwillcoxjanay
Critical Access Hospital Goal Setting
Provided By:
The National Learning Consortium (NLC)
Developed By:
Health Information Technology Research Center (HITRC)
Key Health Alliance, Regional Extension Assistance Center for HIT
http://www.HealthIT.gov
National Learning Consortium
• The National Learning Consortium (NLC) is a virtual and evolving body of knowledge and resources designed to
support healthcare providers and health IT professionals working towards the implementation, adoption and
meaningful use of certified EHR systems.
• The NLC represents the collective EHR implementation experiences and knowledge gained directly from the field
of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research
Center (HITRC) Communities of Practice (CoPs).
• The following resource can be used in support of the EHR Implementation Lifecycle. It is recommended by
“boots-on-the-ground” professionals for use by others who have made the commitment to implement or upgrade to
certified EHR systems.
EHR Implementation Lifecycle
The material in this document was developed by Regional Extension Center staff in the performance of technical support and EHR implementation. The
information in this document is not intended to serve as legal advice nor should it substitute for legal counsel. Users are encouraged to seek additional detailed
technical guidance to supplement the information contained within. The REC staff developed these materials based on the technology and law that were in
place at the time this document was developed. Therefore, advances in technology and/or changes to the law subsequent to that date may not have been
incorporated into this material.
September 30, 2013 • Version 1.0
www.HealthIT.gov
1
http://www.healthit.gov/providers-professionals/regional-extension-centers-recs
http://www.healthit.gov/providers-professionals/beacon-community-centers
http://www.healthit.gov/policy-researchers-implementers/state-health-information-exchange
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__rec_program/1495
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__rec_program/1495
http://www.healthit.gov/providers-professionals/ehr-implementation-steps
http://www.HealthIT.gov
www.HealthIT.gov
2
Description & Instructions
• The Critical Access Hospital Goal Setting guide is intended to aid providers
and health IT implementers with Planning, Selecting, Implementing, and
Achieving Meaningful Use. It can be used to determine what goals are, how
they should be set, and how they should be measured.
• This resource includes goal setting tools and tips.
September 30, 2013 • Version 1.0
www.HealthIT.gov
Goals
• Goals play an important part of many of the aspects of planning, selecting,
implementing, and realizing benefits of HIT
• Help educate about what is possible with an EHR
• Initiate change management by recognizi.
Meaningful and active collaboration with public and patient partners in planning, conducting and disseminating rapid reviews helps ensure that their perspectives are considered in research priorities and in shaping the evidence and care they receive.
Join us for an interactive session to learn about meaningfully engaging public partners in rapid reviews. We will present a spectrum of strategies to involve public partners and share lessons learned to optimize these opportunities. Public and patient partners will also present and share their perspectives and experiences.
Webinar: Integrating Physician Practices into Your NetworkModern Healthcare
As the federal government and private payers move swiftly toward value-based care, hospitals and health systems are increasingly looking to clinical integration strategies as a way to coordinate care more easily across settings, manage the health of populations and take advantage of emerging payment models. Join us as we explore strategies for integrating physician practices and ambulatory care facilities. Our panel of experts will outline proven practices—and pitfalls to avoid—when it comes to growing your network and bringing new docs into the fold.
Digital Maturitiy model
Digital solutions in the form of applications, algorithms, and process automation embody the administration’s knowledge and make it possible to apply it at scale.
Similar to Advancing standards of care call for applications (20)
Mh and addiction services for service members and veterans
Advancing standards of care call for applications
1. Advancing Standards of Care Pilot Program
2010 Participation Application
We would like to invite you to participate in a new National Council Advancing Standards
of Care Pilot Program. Through participation in this year-long initiative, your organization will
be provided with the tools necessary to:
• Assess whether their treatment regimen is maximizing patient outcomes
• Implement a standardized assessment that focuses on functioning and health
status
• Identify areas in which structural and treatment barriers continue to block efforts
to improve standards of care.
The National Council’s Advancing Standards of Care Pilot Program is a year-long learning
collaborative involving ten community behavioral health organizations to be chosen through a
competitive application process. Involvement in this project includes both on-site and virtual
(web and phone-based) technical assistance from national experts, data management through
a web portal, and participation in a day-long Learning Congress.
The project is sponsored by Sepracor, Inc. and all project costs, including conference calls,
travel, and consultation time, are free to participants. Additionally, the National Council will
provide participating sites with $3,000 to cover incidental expenses.
Participation is limited. To be considered, please submit this application via email to
RebeccaF@thenationalcouncil.org by close of business (5:00 pm, eastern time) on September
10, 2010.
Questions? Contact Rebecca Farley at 202.684.7457, ext. 235, or
RebeccaF@thenationalcouncil.org.
1
2. Project Goals:
The Advancing Standards of Care Pilot Program for People with Schizophrenia is designed
to provide clinicians and program administrators at ten Pilot Program sites with the
opportunity and means to:
• Assess whether their treatment regimen is maximizing patient outcomes
• Implement a standardized assessment that focuses on functioning and health status
• Identify areas in which structural and treatment barriers continue to block efforts to
improve standards of care.
To support the attainment of these goals, The National Council has selected MTM Services to
provide project management, technical assistance and training for the initiative. The MTM
Team of consultants will work with each of the ten selected pilot programs to accomplish the
identified goals through using a proven learning collaborative support process that will include
both onsite and offsite Internet based consultation/training.
Selection Process and Qualifying Criteria:
Ten Community Behavioral Healthcare Organizations (CBHOs) will be selected by the National
Council for participation in this process. The National Council will select sites through review of
the application and support information submitted by each applicant as well as through
individual telephonic and/or in-person site interviews of prospective candidate organizations.
Specific criteria will be used in the selection process including but not limited to:
• CBHO will vary in sizes, geographic location and have a large number of persons
with schizophrenia. Selecting pilot sites of various sizes and locations will
demonstrate that these approaches and outcomes are achievable for any clinic.
CBHO locations will be geographically diverse and represent diverse consumer
populations.
• CBHO will have demonstrated a commitment to improving care and have Chief
Executive Officers and Medical Directors willing to commit the time, energy and
enthusiasm to participate in this pilot program.
• CBHO must be able to fully participate in completing the goals of the initiative. This
requirement is especially important if the CBHO knows about a current or impending
fiscal, political, or other crisis that could substantially distract from the organization’s
ability to stay on task. CBHOs must work with the MTM Faculty to review and
assess organizational commitment in such situations as they arise.
• CBHOs must have the capacity to participate in Internet based meetings including an
adequate high speed Internet connection, conference phone equipment and an LCD
Projector.
Benefits to Participating Organizations:
• Participating organizations will receive the benefit of intense consultation by expert
national consultants to assist in the achievement of project goals and objectives. All
consultant fees and expenses (excluding service encounter data measurement
capacity costs) will be covered.
• Participating organizations will have access to specialized tools and strategies that
they can use beyond the duration of the project.
2
3. • Participating organizations will receive consultation support to enhance
comprehensive clinical interventions for person with Schizophrenia and will be able
to compare on a continuing quality improvement basis the outcomes achieved with
the other nine pilot sites.
• Each of the ten CBHO participants in the initiative will receive a $3,000 stipend.
• Participating organizations will have the opportunity for professional recognition as
the initiative receives national, state and local attention and generates presentations
and papers.
Organizational Commitments Required:
The Executive Team of each CBHO applying for participation must agree to the following levels
of commitment in order to be considered for project involvement:
1. Agree to identify and implement a local Advancing Standards of Care Improvement
Team including core membership by the Executive Director and members of Executive
Leadership (i.e. Executive Director, Medical Director, Clinical Director, QI Director, etc.)
that will commit adequate time, energy and enthusiasm to participate in this CQI
process.
2. Agree to participate in an Internet based pilot program orientation session at the
beginning of the project
3. Agree to conduct a Pilot Site specific baseline Self- Assessment to determine its
current use of the panel’s recommended schizophrenia intervention strategies
4. Agree to conduct assessments on a subset of patients using an assessment tool
determined by an Expert Advisory Panel and project leads to help evaluate functional
outcomes (e.g., living independently, join workforce), QoL (e.g., relationships with
family/friends) and health risks (e.g., weight gain).
5. Commit to selecting and including a cohort of 50 patients with schizophrenia in the
pilot program using the selection criteria identified in Appendix A.
6. Commit to implement the Expert Advisory Panel’s recommended intervention
strategies, tailoring those interventions to account for clinic and community assets
available to each site as well as needs of patients with schizophrenia participating in
the pilot.
7. Agree to work with the National Council and MTM Team, using a Continuous Quality
Improvement model and a “Rapid Cycle Change” project plan framework to identify and
define challenges, generate solutions, implement these solutions and evaluate the
outcomes.
8. Agree to engage in and use the comprehensive technical assistance and training that
will be provided by the MTM consultants to provide support for change management,
solution designs, implementation and evaluation of outcomes achieved efforts. As
part of this continuous quality improvement process, each pilot program will conduct
periodic patient assessments along the three dimensions of function, QoL and health
risk using the assessment tool determined by the panel.
3
4. Technical assistance will include:
a. Review and Consultation: Each pilot program will receive consultation services
to support the implementation of identified assessment tools and recommended
intervention strategies. This will include on-site training for clinical staff and
supervisors in the proper administration, scoring and interpretation of the
assessment tools and in the selected interventions.
b. Data Management: Each pilot program will be required to enter assessment tool
scores via a SPQM Web-Based Data Submission and Reporting Portal.
• This includes the development, deployment and hosting a secure data
submission portal for all 10 pilot programs for the duration of the initiative.
Each pilot program will be provided secure SSL enabled access to the
submission portal. Portal will employ ASP.NET, JavaScript and AJAX
technologies to provide dynamic data validation, error trapping, and
correction at the point of data entry. Such technologies will provide
substantial data quality controls to ensure the authenticity and validity of
project data.
• All information entered by each pilot program will be stored and analyzed
by the all pilot programs, the MTM consultation team and the Expert
Advisory Panel to inform the change process.
c. Internet Meetings and Conference Calls: All ten pilot programs will be invited
to attend learning collaborative based Internet based meetings and
teleconferences with MTM consultants to:
• Identify current level of functioning, quality of life and health risks for
identified patients and empower clinicians and teams to identify
opportunities for improvement, such as treatment changes, the
implementation of additional psychosocial interventions, or other changes
needed by the patient.
• Share progress, explore challenges encountered and brainstorm solutions
and next steps.
9. Agree to participate in a one-day Learning Conference at the end of the project period to
share strategies used and outcomes achieved. Travel expenses will be paid for up to
three staff from each pilot site.
10. Consent to and support publishing the findings of the initiative.
By signing and submitting the application below, the organization is indicating that it has read
and agrees to the project commitments outlined above.
Please complete the information requested on the following pages of the Participation
Application and return it by 5:00pm eastern time on Friday, September 3, 2010 to:
RebeccaF@thenationalcouncil.org.
4
5. Advancing Standards of Care ParticipationTotal FTEs
Organizational Summary Application
Total Budget
What was the size of your
organization in the most
Organization Name:
recent fiscal year?
What is Address: Private Non
Mailing your organizational Public Non State Other (describe):
structure?
City, State and Zip:
City:
Agency
Profit Profit County
Authorized
State: Zip Code:
Agency Authority
Which most closely
Contact Person/Title:
Contact Person:
Rural Frontier
Title:
Urban Other:
describes your geographic Number: Suburban
Phone Fax Number: Email:
location?
Phone/Fax/Email:
How many clinical events/encounters did your agency provide in the previous Number
fiscal year? Advancing Standards Initiative Team Information
Name:
Executive the previous Email:
Number
How many unduplicated clients did your organization serve inDirector
1.
fiscal year?
2.
What percent of clients Percent Medical Director
Percent
Email:
Percent
served were children/ Children/youth Adults Older Adults
3. Clinical Director 65+
Email:
youth, adults, or older 0-17 18-64
adults?
4. QI Director Email:
Percentage
What percent of your clients served in the previous fiscal year received
medication services? Commitment: The above individuals commit that they will individually and collectively
Verification of CBHO
support the Organizational Commitments as outlined in fiscal year1were people
What percentage of your clients served in the previous numbers – 10 above. Percentage
Signed By: Title: Date:
with Schizophrenia?
Executive Director
Of the total number of people with Schizophrenia served the previous fiscal year:
Percentage
1. What percent are seen at least monthly
Percentage
2. What percent are receiving more than Medication Management Only
Does your organization currently use for persons with Schizophrenia an
assessment tool/measure to help evaluate functional outcomes, QoL and Yes No
health risks? (i.e., DLA-20, LOCUS, BPRS, etc.)
If YES above, please list the 1.
name/type of each 2.
assessment tool being used
for people with 3.
Schizophrenia: 4.
Evidence Based Practices: Has your center implemented and continue
Yes No
to use any Evidence Based Practices (EBPs) for persons with Schizophrenia?
EBP Summary How Long Practiced?
If YES above, please list the 1. 1.
name/type of each EBP 2. 2.
being used for people with
Schizophrenia: 3. 3.
4. 4.
Health Indicators: Please confirm below all of the health indicators your center measures/monitors for
persons with Schizophrenia:
1. Personal History of Diabetes, Hypertension, Cardiovascular Disease Yes No
2. Family History of Diabetes, Hypertension, Cardiovascular Disease Yes No
3. Weight/Height/Body Mass Index (BMI) Yes No
4. Blood Pressure Yes No
5. Blood Glucose or HbA1C Yes No
6. Lipid Profile Yes No
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6. 7. Tobacco Use/History Yes No
8. Substance Use/History Yes No
9. Medication History/Current Medication List, with Dosages Yes No
10. Social Supports Yes No
If YES to any of the ten indicators above, please confirm how your center uses the health information collected
to support services for persons with Schizophrenia:
Days
What is the approximate wait time (in days) from a routine level initial call for
help and the initial Intake/ Assessment for adult clients?
Days
What is the approximate wait time (in days) from Intake/ Assessment to first
Therapy Appointment for adult clients?
Days
What is the approximate wait time (in days) from Intake/ Assessment to first
Psychiatry Appointment for adult clients?
Does your center use a centralized scheduling system? Yes No
Does your center use concurrent documentation? Yes No
Does your center have a separate scheduling manager for the Medical Team? Yes No
Do your psychiatrists and/or advanced nurse practitioners routinely have
Yes No
“drop- in” Medication Clinics?
Rate (from 1 to 10) the ease with which your organization implements change Easy = 1……….Difficult = 10
in clinical practices and operations.
Rate (from 1 to 10) how quickly your organization implements changes in Rapid = 1 ………….Failure = 10
clinical practices and operations?
What type of medical record documentation system does your organization Paper
use? E-Form
Electronic
Additional Information/Comments
Please tell us why your organization would like to participate in this improvement project and/or
provide any other supportive comments:
Thank you for your time, we will be in touch with you after a review
of all of the applications submitted.
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7. Appendix A
Selection Criteria for Inclusion in Schizophrenia Project Pilot Cohort
Each individual entering the pilot cohort must meet the following five criteria:
1. Open Case
2. Age 18 and older
3. Diagnosis Criteria:
Schizophrenia
4. Psychiatric Hospital/ ER utilization
In the most recent 12 months:
One or more admissions of any duration to inpatient psychiatric treatment, and/or two or
more psychiatric emergency room visits.
5. Functional Criteria
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8. Must meet at least two of the following functional criteria:
1. Has a serious impairment in social, occupational or school functioning.
2. Is unemployed or working only part-time due to mental illness and not for reasons of
physical disability or some other role responsibility (e.g., student or primary
caregiver for dependent family member); is employed in a sheltered setting or
supportive work situation, or has markedly limited work skills.
3. Requires help to seek public financial assistance for out-of-hospital maintenance
(e.g., Medicaid, SSI, SSDI, other indicators).
4. Does not seek appropriate supportive community services, e.g. recreational,
educational or vocational support services, without assistance.
5. Lacks supportive social systems in the community (e.g., no intimate or confiding
relationship with anyone in their personal life, no close friends or group affiliations, is
highly transient or has inability to co-exist within family setting).
6. Requires assistance in basic life and survival skills (must be reminded to take
medication, must have transportation to mental health clinic and other supportive
services, needs assistance in self-care, household management, food preparation
or money management, etc., is homeless or at risk of becoming homeless).
7. Exhibits inappropriate or dangerous social behavior which results in demand for
intervention by the mental health and/or judicial/legal system.
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