These Improving Chronic Illness Care tools were created for The Breakthrough Series Collaboratives, with the specific purpose of preparing for and conducting a regional collaborative health care improvement effort.
Multiple Chronic Conditions
New Staffing Models for Primary Care webinar
This October 2013 WIHI "talk show" webinar from the Institute for Healthcare Improvement focuses on some of the workforce innovations observed by the PCT-LEAP project team. Discussion was led by PCT-LEAP's Ed Wagner, Kirsten Meisinger, and Thad Schilling. Also joining was IHI's Trissa Torres, who developed the Health Navigator program at Michigan's Genesys Health System.
A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care.
Assessment of Chronic Illness Care (ACIC) survey
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.
Aligning Forces for Quality
Our team provides assistance to the 16 communities participating in Aligning Forces for Quality, advising the National Program Office on regional quality improvement (QI) strategies, community drivers for improved healthcare, and how to sustain QI structures and supports once the grant period has ended. MacColl’s Dr. Ed Wagner has also served on its National Advisory Committee since 2007.
Coach Medical Home: A Practice Facilitator’s Guide to Medical Home Transformation
“Coach Medical Home: A Practice Facilitator’s Guide to Medical Home Transformation” is a web-based curriculum developed by MacColl and Qualis Health that offers support to practice coaches working on PCMH recognition.