CEPC Healthy Huddles Resources

The Center for Excellence in Primary Care summarizes the role of daily huddles in healthy teams. They have developed several tools to assist with building healthy team huddles:

• “Healthy Huddles Happen” assists with developing goals for the daily huddle.
• “Healthy Huddle Warm Up” helps medical assistants prepare for the daily huddle.
• “Healthy Huddle Wrap-up Tool” assists in follow-up for issues that emerge in daily huddles.
• “Spotlight on Huddles” provides an synopsis of the huddle experience at four clinics.

The following link will take you to the healthy huddle tools:

https://cepc.ucsf.edu/healthy-huddles

Primary Care Practice Facilitation Curriculum

This is an 800 page curriculum (with 289 additional pages in appendices) on Practice Facilitation developed by the Agency for Healthcare Research & Quality. It is designed to assist in training new practice facilitators to develop the knowledge and skills necessary to support meaningful improvement in primary care practices. It contains 32 modules that are designed to take between 30-90 minutes to complete. It is a public domain resource.

The curriculum and associated appendices can be accessed at the following link:

https://pcmh.ahrq.gov/page/primary-care-practice-facilitation-curriculum

The modules are designed to be self-contained and can be studied individually or as part of the complete curriculum. (Note: Modules pertaining to specific Building Blocks have been identified below.). The modules included in the curriculum include:

1. Instructor’s Guide to Using the PCPF Curriculum
2. Practice Facilitation as a Resource for Practice Improvement
3. The Primary Care Landscape
4. An Introduction to Practice Organization and Management
5. Special Considerations When Working With Safety Net Practices
6. An Overview of the Practice Facilitation Process
7. Professionalism for Practice Facilitators
8. Approaches to Quality Improvement
9. Using Appreciative Inquiry with Practices
10. Mapping and Redesigning Workflow – Building Block 4: Team-based Care
11. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes
12. An Introduction to Assessing Practices: Issues to Consider
13. Measuring and Benchmarking Clinical Performance – Building Block 2: Data-driven Improvement
14. Collecting Performance Data Using Chart Audits and Electronic Data Extraction – Building Block 2: Data-driven Improvement
15. Preparing and Presenting Performance Data – Building Block 2: Data-driven Performance
16. Academic Detailing as  Quality Improvement Tool
17. Introducing a Practice to Facilitation
18. Assessing Practice Readiness for Change
19. Conducting a Kickoff Meeting
20. Creating Quality Improvement Teams and QI Plans
21. Working With and Supporting Practice Leaders – Building Block 1: Engaged Leadership
22. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings
23. Documenting Your Work With Practices
24. Introduction to the Care Model
25. The Patient-Centered Medical Home: Principles and Recognition Processes
26. An Introduction to Electronic Health Records and Meaningful Use – Building Block 2: Data-driven Improvement and Building Block 6: Population Management
27. Helping Practices Optimize EHRs for Patient Centered Medical Home Transformation and Quality Improvement
28. Using AHRQ Care Model Toolkit with Practices
29. Implementing Care Teams – Building Block 4: Team-based Care
30. Building Teams in Primary Care – Building Block 4: Team-based Care
31. Facilitating Panel Management – Building Block 3: Empanelment and Building Block 6: Population Management
32. Improving Self-Management Support and Engaging Patients in Care and Practice Improvement Topics – Building Block 5: Patient-team Partnership

 

 

Electronic Consultations Between Primary and Specialty Care Clinicians: Early Insights

“Electronic Consultations Between Primary and Specialty Care Clinicians: Early Insights” is a 14-page issue brief of the Commonwealth Fund to review the impact of electronic consultation on quality and efficiency. The brief can be accessed at the following link:

http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Oct/1554_Horner_econsultations_primary_specialty_care_clinicians_ib.pdf

Use of an Electronic Referral System to Improve the Outpatient Primary Care–Specialty Care Interface

“Use of an Electronic Referral System to Improve the Outpatient Primary Care- Specialty Care Interface” is a 56-page final action report prepared for the Agency for Healthcare Research and Quality to evaluate a Web-based electronic and referral system (eReferral) which was developed by the University of California San Francisco (UCSF) at San Francisco General Hospital (SFGH). The report can be accessed at the following link:

https://healthit.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationreportfinal.pdf

Optimizing Referrals and Consults With a Standardized Process

“Optimizing Referrals and Consults With a Standarized Process” is an article written by Mara Reichman and discusses how to make referrals and consultations run smoothly for everyone involved. The original article was published in Family Practice Management  2007 Nov-Dec;14(10):38-42 and can be accessed at the following link:

http://www.aafp.org/fpm/2007/1100/p38.html

Care Coordination Questions from Validated Instruments

The MacColl Institute for Healthcare Innovation developed this summary of validated questions regarding care coordination from the following survey instruments:

• ACES (Ambulatory Care Experience Survey
• Picker Institute
• PACIC (Patient Assessment of Chronic Illness Care)
• CAHPS (Consumer Assessment of Healthcare Providers and Systems
• CYSHCN (Children and Youth Special Health Care Needs)
• Press Ganey Outpatient Satisfaction Survey

The tool includes 28 measures of care coordination. The tool can be accessed at:

http://www.improvingchroniccare.org/downloads/2_care_coordination_questions_from_validated_instruments.pdf