Phase / Objectives / Key Changes / Activities / Tools
Practice
Engagement / 1) Recruit practices
2) Identify gaps in care at the practice level that are appropriate to address with PSP practice change work / Practice Assessment
Conference call to orient teams to the work
Orient practices to the change package for Advanced Access and Office Efficiency including an overview of the aims and measures
Engage Physician Practice Leaders / Improvement Charter
Engagement package (Practice Assessment, Know Your Processes – Discoveries and Actions, synopsis, remuneration details)
change package for Advanced Access and office efficiency
Third next available appointment tracker
Supply and Demand tracker
Learning Session 1 (LS#1) / 1) Define the gap in care and the overall aim of the collaborative.
2) Describe the specific change package and related measures for Advanced Access.
3) Demonstrate the use of the model for improvement in testing priority changes.
4) Incorporate practice team planning and discussion time to promote the development of aims and a PDSA related to the key changes.
5) Describe participant deliverables including testing, data and narrative reports, conference calls attendance, and listserv interaction.
6) Describe action period activities. / Plenary presentations.
Sharing of practice stories
Discussion
Practice team planning. / LS 1 Agenda
Advanced Access tools (supply and demand collection sheets; third next available tracker)
Web-based Resources
LS Sharing template
PDSA Examples
PDSA Planning Form
Appointment cycle time collection sheet and tracker
Action Period 1 / 1)Progression toward access and efficiency aims at the individual practice team level
2)Establish data collection, analysis and feedback processes for the practice / Implement small tests of change directly related to the key change areas
Conference calls
Monthly data and narrative reports per practice with appropriate feedback from coaches.
Listserv messages
Selection of physicians to share experiences / PDSA form
PDSA tracker
Conference call objectives,
Monthly report template
Use of “helpful question sheet”.
Learning Session 2 / 1) Highlight practice experiences that effectively demonstrate application of access and efficiency changes
2) Describe the specific change package and related measures for office efficiency
3) Incorporate practice team planning and discussion time to promote the development of aims and a PDSA related to the key changes.
4) Describe action period activities. / Plenary presentations.
Practice Team planning to develop action period tests of change. / LS 2 Agenda
Presentation template
Office efficiency tools (cycle time collection sheet and tracker)
Patient survey
PDSA Examples
PDSA Planning Form
Action Period 2 / 1) Continue progress toward practice team aims
2) Implement PDSAs / Implement small tests of change directly related to the key change areas
Practice team conference calls
Monthly data and narrative reports per practice team with appropriate feedback from coaches.
Listserv messages / PDSA form
Use of “helpful question” sheet for calls.
Monthly report template
Learning Session 3 / 1) Highlight practice experiences that effectively demonstrate application of access and efficiency changes
2) Develop a sustainability and spread action plan
3) Highlight a patient experience (patient sharing if possible) / Presentations by practice teams related to implementation of advanced access principles, office efficiency tools, and related impact on care.
Sustainability planning
Patient experience / Learning Session 3 agenda
Improvement Story Sharing template
Discussion guidelines
Sustainability action plan worksheet
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PSP AA+OE Practice Change Plan
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