Goal: Develop and integrate a depression module in the Diabetes III and Cardiovascular
Collaborative.

Performance Expectations:
PCA and CN:

1. Identify 1-2 teams to help test the web-based depression module.
2. Arrange for one site visit, with IHI National Director and cluster director to the test health center.
3. Include cognitive and problem solving therapy in at least 1 Learning Session (LS) per collaborative.

In support of this National Goal, BPHC and SAMHSA and IHI plan to:

1. With expert panel, design a depression module for the DM III and Cardiovascular and Cancer and Prevention collaboratives by April 2001. Include depression screening in IS programs.
2. Develop and test a web-based depression module for health centers that have completed a collaborative successfully by March 2002.
3. Provide resources to include cognitive and problem solving therapy in at least 1 LS per collaborative.

Goal: Begin a 12 month asthma collaborative, with a primary focus on children, pre-work to begin June or July 2001 and the first learning session August 2001 for 20 school-based and or public housing teams and 10 health center teams. This collaborative will be housed in one cluster with an additional cluster director housed in the lead PCA and technical expert housed in IHI dedicated to the asthma collaborative. The asthma cluster director will be integrated into the regular coaching system and training activities for the BPHC cluster directors.
The sponsor cluster will provide the assistance of the cluster director to the new asthma collaborative director. The sponsor cluster will provide the teams with Information System technical support during the collaborative. Teams will be recruited nationally to participate. A planning group will provide technical assistance (TA) and ongoing advice at learning sessions and during action periods. This group will include high performing school-based health center (SBHC) team members and other health centers in the current Asthma I collaborative.

Performance Expectations:
PCA and CN:

1. Lead PCA for Asthma shall provide travel and logistical support for SBHC, homeless, or public housing health centers and health centers and NHSC sites and senior leaders to participate in the Asthma collaborative kick-off and learning session and final national congress.
2. Asthma Collaborative Director shall receive logistical support from PCA to organize and implement and provide travel and logistical support for 30 teams and their senior leader to two cluster-based learning sessions.
3. Develop cluster strategy to utilize high performing teams in the collaborative.
4. Provide travel and logistical support for two high performing teams for asthma and their senior leaders to serve as faculty and provide a poster session for Asthma II kick-off learning session and final national congress two learning sessions.
5. Shall collaborate with BPHC to pilot 3-5 "business case" measures in 1-2 volunteer asthma sites per cluster (probably RVU based).
6. Establish and implement cluster strategy to sustain and promote high performing teams and improve performance for lower performing teams.
7. Collaborate with the BPHC and other clusters to select and enroll asthma teams by June 30, 2001. (This was included in the application form November and recruitment has started.)
8. Provide revised orientation manual and TA to teams during pre-work phase to begin July 2001.
9. With BPHC and IHI develop strategy to involve senior leader(s) in pre-work and monthly test cycles and assure that senior leadership attends August Asthma kick-off with breakout session designed for leadership.
10. With national director, develop schedule for involving coordinators and directors from other clusters in learning sessions and conference calls.
11. Ensure that participating sites enroll in and use the cluster listservs.
12. Have cluster coordinators and directors attend the IHI National Forum, December 2001.
13. With BPHC and other clusters, develop and implement a communication strategy that includes national and cluster specific information, highlights successful models and partnerships and is shared on a regular basis with partners, health centers, community groups, and patients. In support of this National Goal, the

BPHC plans to:

1. Provide funding in the PCA Budget, tuition and travel, registration support for health center faculty for the "kick-off" learning session for Asthma. The BPHC to provide logistical support for kick-off and closeout.
2. With IHI, provide updated software registry program that includes Asthma data elements, reports, and visit sheets.
3. Partner with EPA to identify and collect environmental outcomes.
4. With IHI provide IS technical assistant for collaborative.