Learning Communities

Learning Communities

A collaborative approach that encourages participants to share their work, discuss ways to improve, and learn from one another. The Medical Home Initiative provides support and technical assistance to two quality improvement projects, or learning communities. Within the communities there are structured goals that guide the work. Individual teams have the ability to take unique approaches within the community to best meet their needs and achieve desired outcomes.

Care Coordination Project

Advancing Family-Centered Care Coordination for CYSHCN using a Shared Plan of Care

The Medical Home Initiative is supporting implementation of quality improvement processes designed to support work with Wisconsin health care teams and Tribal Health Centers to advance medical home care provision for children and youth with special health care needs through the use of a Shared Plan of Care.

A Shared Plan of Care is a living document created by parents and health care providers. It includes information that ensures issues affecting a child’s health are identified and accessible across systems, and that activities and accountability for addressing those activities are documented. Key components of a Shared Plan of Care include:

• Medical summary
• Family strengths and preferences
• Negotiated plan of action (including clinical and family goals, actions to address goals, responsible partners, and timelines)
• Other necessary attachments (such as emergency plans, chronic condition protocols, and relevant legal documents such as IEPs or 504 plans)

2021 Shared Plan of Care Learning Community
2021 Project Timeline Coming Soon

Learning Community Calls and Meetings

• February 23: Agenda | Recording
• March: Individual team meetings
• May: Individual team meetings
• September: Individual team meetings
• November 9 (location TBD): Project meeting

For more information about the Shared Plan of Care Project, please contact Colleen Lane.

Developmental Screening Project

Developmental Screening National Performance Measure

The Medical Home Initiative is supporting local public health departments and tribal agencies focusing on the developmental screening national performance measure. Agencies have the option of selecting one or more of the following focus areas: medical providers, child care providers or community groups.

2021 Learning Community Calls
All calls are from 9:00 a.m. – 10:00 a.m.

• March 17: Agenda | Recording
• May 19: Agenda | Recording
• August 18: Agenda | Recording
• October 20: Agenda | Recording

For more information about the Developmental Screening Project, please contact Naomi Kowald.