Addressing Issues

Professional Training: Preparing Health Care Professionals for Systems Change

Resources

1. American Society for Training and Development (ASTD)

www.astd.org

ASTD is an association that provides numerous resources for workplace learning and performance professionals.

2. Institute for Health Improvement (IHI)
www.ihi.org

IHI is a not-for-profit organization driving the improvement of health by advancing the quality and value of health care. Founded in 1991 by Dr. Donald M. Berwick and based in Cambridge, Mass., IHI offers comprehensive products and services to accelerate improvement in health care systems in the United States, Canada, and Europe by fostering collaboration among health care organizations.

Improving Care For People With Chronic Conditions: Diabetes

www.ihi.org/IHI/Topics/ChronicConditions/AllConditions/

IHI’s health professions education group is addressing clinical education through various pathways. 

www.ihi.org/IHI/Topics/HealthProfessionsEducation/

The Healthcare Improvement Skills Center (HISC), in partnership with IHI, has developed six online learning modules focusing on the “how to” of improvement. For use by residents, fellows, and professionals in practice, the modules include the following topics: 1) describe the issue; 2) build a team; 3) define the problem; 4) choose the target; 5) test the change; and 6) reconsider or extend improvement efforts.

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3. MacColl Institute for Healthcare Innovation

www.improvingchroniccare.org

Improving Chronic Illness Care (ICIC)

ICIC is a national program of the Robert Wood Johnson Foundation and is based at the MacColl Institute for Healthcare Innovation, within Group Health Cooperative of Seattle, Wash. Dr. Edward Wagner is National Program Director for ICIC and the MacColl Institute for Healthcare Innovation.

Now in its sixth year, the program seeks to improve the care of the chronically ill through improvement collaboratives that bring together dozens of health care organizations to improve care for a specific chronic condition. Programs including the Breakthrough Series operate collaboratively with the Institute for Healthcare Improvement, as well as regional collaboratives.  Programs are guided by a team of staff, advisors, and consultants working to promote the Chronic Care Model.

Improving Chronic Care also publishes an online newsletter that includes tips for change and new developments.

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4. Institute of Medicine (IOM)

www.nap.edu/books/0309093031/html/index.html

Adams, K., Greiner, A. C., and Corrigan, J. M., Eds. (2004). 1st annual crossing the quality chasm summit: A focus on communities. In Committee on crossing the quality chasm: Next steps toward a new health care system. National Academic Press.

The diabetes working group identified the following strategies for overcoming current barriers to high-quality care for diabetes:

• Team approach to comprehensive care

• Greater application of information and communications technology

• Research on patient-centered wants and needs
• Finance

The summit’s audience stressed the need for more widespread implementation of programs that pay for performance on the basis of performance measures—programs that hinge on demonstrating a return on investment, particularly to purchasers and employers. The audience also stressed that reformatting the compensation system to reward team-based care and addressing multiple comorbidities among diabetics, such as high blood pressure and depression, are ongoing challenges.

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5. America's Health Insurance Plans (AHIP)

www.ahip.org

Taking On Diabetes
www.takingondiabetes.org
America's Health Insurance Plans and the American Diabetes Association developed a joint initiative, Taking on Diabetes, to improve health outcomes for people with diabetes. More than 200 health plans that provide coverage for over four million people with diabetes partnered at national and local levels to promote screening, early intervention, and state-of-the-art treatment. The initiative received pharmaceutical support. Visit the website for A Directory of Employer Programs, How Employers Can Implement Change, and Best Practices. For a copy of the Taking on Diabetes 2002 Annual Report, visit

www.takingondiabetes.org/home/2002report.htm

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6. Institute for Clinical Systems Improvement - Minnesota Model

www.icsi.org

The Institute for Clinical Systems Improvement is an independent, non-profit organization that helps its members identify and accelerate the implementation of best clinical practices for their patients. Sponsored by a number of Minnesota health plans, it provides health care quality improvement services to small and large medical groups, including Mayo Clinic. The combined medical groups represent over 7,600 physicians

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