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II:
DEVELOPMENT & IMPLEMENTATION
OF HEALTH DISPARITY COLLABORATIVES (Note:
All
health disparity kick-offs are 2 1/2 days)
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Goal:
Begin 12 month Diabetes Mellitus (DM)
Collaborative III and Cardiovascular I with
prework to begin in February 2001 and a first
learning session in April 2001. The kick-off
learning session in April includes 100 health
centers and NHSC freestanding sites; with 50
health centers and 10-15 DCPs focusing on diabetes
and 50 health centers focusing on cardiovascular
disease.
Goal: Health Center and NHSC
teams will complete the collaborative with an
average team score of 3.5, meet the shared national
project goals, with 90 percent of the monthly
reports arriving on time each month, the cluster
and national reports shared with all participants
and partners by the end of each month, and with
100 percent of the participating sites completing
the 12 month collaborative Note: Cardiovascular
national project goals will be defined during
the expert panel meetings.
Performance Expectations
PCA and CN
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Shall provide travel and logistical
support for 20-25 teams and a senior leader
from each health center and NHSC site to attend
the DM Collaborative III and Cardiovascular
I kick-off learning session and the final
national congress.
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Shall provide travel and logistical support
for two high performing teams from DM II and
their senior leaders to serve as faculty and
provide a poster session for DM Collaborative
III and Cardiovascular I kick-off learning
session and the final national congress.
- Shall
provide logistical support to organize and
implement two cluster-based learning sessions,
providing travel and support for 20-25 teams
and their senior leader.
- Shall
collaborate with BPHC to pilot 3-5 "business
case" measures in 1-2 volunteer diabetes
sites per cluster (probably Relative Value
Unit (RVU) based).
- Establish
and implement cluster strategy to sustain
and promote high performing teams and improve
performance for lower performing teams.
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Support and facilitate implementation of State
DCP and health center team aims and facilitate
support from State and local cardiovascular
initiatives with health center teams working
on cardiovascular aims.
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Collaborate with the BPHC and other clusters
to develop an uniform application and selection
protocol and recruit health centers and NHSC
sites for the collaboratives. Recruitment
and selection will target health centers that
have not previously participated in a health
disparity collaborative.
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Select and enroll health centers including
migrant, homeless and public housing primary
care health centers for participation.
- Provide
revised orientation manual and technical assistance
to teams during pre-work phase prior to April
kick-off learning session.
- Develop
cluster strategy to utilize high performing
teams in the collaborative.
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With BPHC and IHI develop strategy to involve
senior leader(s) in pre-work and monthly test
cycles and assure that senior leadership attends
April diabetes and cardiovascular kick-off
with breakout session designed for leadership.
- With
national director, develop a strategy for
involving coordinators and directors from
other clusters in learning sessions and expanding
faculty available to each cluster.
- Promote
participating sites enrollment in and use
of the cluster listservs.
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Have cluster directors attend the IHI National
Forum in December 2001.
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Collaborate with BPHC and CDC to identify
additional State DCPs to participate in the
collaborative.
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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.
Utilize existing State or regional telecommunications
systems where feasible.
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Implement site visit, conference call and
monthly report protocols with one section
specifically set aside to address collaboration
with DCP and other CDC-supported State partners.
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In collaboration with national director, integrate
cluster coordinators and directors as faculty
in selected cluster learning sessions.
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The Together for Tots (TOTs) State PCAs will
submit Letter Of Intent with lead cluster
PCA. The TOT PCAs will receive direct funding
unless other agreements between TOT PCAs and
Lead PCAs request funding to go to the lead
PCA. Funding for travel of TOTs coordinators
to the DM III and Cardiovascular I kick-off
is to be included in PCA budgets.
- Collaboration
with Patient Visit Redesign coaches to provide
an introduction of the redesign principles
along with additional learning opportunities.
In
support of these National Goals, the BPHC plans
to:
- Provide
funding in the PCA budget for registration
fee and travel support for health center faculty
for the "kick-off" learning session
for DM III and Cardiovascular I.
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With IHI, provide updated software registry
program that includes both diabetes and cardiovascular
data elements, reports, and visit sheets.
In support of these National Goals,
Center Disease Control plans to:
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Support and facilitate partnerships with State
diabetes control program and State health
department cardiovascular activities with
health center teams.
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With BPHC, IHI and cluster directors, design
and implement training for State DCP professionals
in care and improvement model.
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