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)
2020 Shared Plan of Care Learning Community
2020 Project Timeline
Learning Community Calls
All calls are from 12:00 p.m. – 1:00 p.m.
- February 25: Agenda | Slides | Recording
- June 23: Agenda | Slides | Recording
- October 27: Agenda | Slides | Recording
Family Representative Calls
All calls are from 7:00 p.m. – 8:00 p.m.
- March 3
- June 10
2020 Project Team Map
Wisconsin Clinics and Tribal Health Centers participating in the project
Shared Plan of Care Project Summary 2016-2017
A brief summary of the work in Wisconsin from 2016 and 2017.
For more information about grant opportunities or the Shared Plan of Care Project, please contact Colleen Lane.
Welcome/Opening – Sharon Fleischfresser, Colleen Lane
Coordinating Care in an Uncoordinated World – Rebecca Baum, MD
Discussion at the Practice Level – Rebecca Baum, MD
Using the Care Coordination Measurement Tool – Colleen Lane
Youth Health Transition – Anne Bradford Harris, Tim Markle
Promoting Family Understanding of Medical Home – Becky Burns
Promoting Family Understanding of Care Coordination – Brigit Frank
Family and Youth Engagement – Barbara Katz, Robin Mathea
Learning Communities and Quality Improvement – Geeta Wadhwani, Dana Fischer
Sample Shared Plan of Care-Indiana University’s Riley’s Children Hospital
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.
MCH Objective Map
2020 MCH Objective - Developmental Screening Map
Driver Diagram
2020 Developmental Screening Quality Improvement Project
2020 Learning Community Calls
All calls are from 9:00 a.m. – 10:00 a.m.
For more information about the Developmental Screening Project, please contact Naomi Kowald.
Life QI: Quality Improvement Platform
The Wisconsin Medical Home Initiative provides all 2019 project teams with access to Life QI. This online platform enhances the learning community experience by helping members collaborate, learn and share with different project teams throughout the year.
Life QI allows project teams to:
- Submit and visualize PDSA cycles
- Monitor progress towards goals
- Communicate and connect with Medical Home staff and other project teams
- Discuss and share best practices and other information
For more information on Life QI, or for help logging in, please contact us.
Contact Our Staff
Colleen Lane
Project Manager
Medical Home
(608) 442-4177
clane@chw.org
Naomi Kowald, CAPSW
Project Manager
Medical Home
(608) 442-4176
nkowald@chw.org
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Monthly news, events and resources from the Wisconsin Medical Home Initiative.
The Wisconsin Medical Home Initiative is funded by the Wisconsin Department of Health Services’ Title V Children and Youth with Special Health Care Needs Program and the Maternal Child Health Program located in the Division of Public Health.
