The Taking Action on Overuse Action Planning Framework (formerly Supporting Provider Engagement to Reduce Low-Value Care) is a promising approach to engage healthcare providers and care teams in undertaking the difficult work of reducing low-value, unnecessary care. The MacColl Center for Health Care Innovation developed this framework with the support of the Robert Wood Johnson Foundation (RWJF).
SNMHI 8 Change Concepts
We define "change concept" as a general idea, with proven merit and a sound scientific or logical foundation, that can stimulate specific ideas for changes that lead to improvement. The 8 Safety Net Medical Home (SNMHI) Patient-Centered Medical Home change concepts include:
Health Literate Care Model
When a health care organization adopts the Health Literate Care Model, health literacy becomes embedded into all aspects of planning and operations. View and download the Health Literate Care Model, co-authored by Michael Parchman.
Citation: Koh, H.; Brach, C.; Harris, L.M.; and Parchman, M.L. (2013) “A Proposed ‘Health Literate Care Model Would Constitute A Systems Approach to Improving Patients’ Engagement in Care.” Health Affairs. No. 2 (357-367).
A conceptual model of the role of complexity in the care of patients with multiple chronic conditions.
This AHRQ MCCRN conceptual model defines complexity as the gap between patient needs and healthcare services, considering the many needs of MCC patients as well as the contextual factors influencing service delivery. Reframeing processes and outcomes to include not only clinical care quality and experience, the model also incorporates patient health, well being, and quality of life issues.
Framework for Regional Healthcare Coalitions
MacColl has developed a practical framework that identifies strategies utilize by regional healthcare coalitions to maximize effectiveness and sustainability. "It Takes a Region: Creating a Framework to Improve Chronic Disease Care" was authored by Ed Wagner, Katie Coleman, and Brian Austin in 2006 for the California Health Care Foundation.