IHI.org - A resource from the Institute for Healthcare Improvement
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Organization of Health Care:
Make Improving Chronic Care a Part of the Organization’s Vision, Mission, Goals, Performance Improvement and Business Plans
  1. Link asthma measures and outcomes to the strategic business plan.
  2. Gain the senior leader’s interest with reports and feedback. Provide senior leader with data about benefits of the initiative, including cost savings and improved patient outcomes.
  3. Have the team leader or physician champion regularly report progress and results to the Board.
  4. Show Health Disparities Collaboratives training and promotional video to introduce the senior leader, Board, and staff to improving chronic care.
  5. Place storyboards in places visible to staff and patients.
  6. Post senior leader report/graphs so staff can review.

Tips
  • Discuss with senior leader the direct impact that improved outcomes have on the organization. Provide references of other senior leaders who have undertaken the same effort.
  • Help senior leader in determining the “value” of improving chronic illness care (e.g., quality, accreditation/PCER, increased productivity/efficiency, business case, more patients, and important community linkages that can provide needed services and resources).
  • Make a standing monthly appointment with the senior leader and team or team leader to discuss report to senior leader.
  • Provide report to senior leader two or three days prior to meeting to allow for review time and to remind leader of appointment to discuss.
  • Use the Clinical Information System to collect data about cost and outcomes.
  • Understand the data! Know what the issues/barriers are, and present them in an objective manner that invites the senior leader to contribute.
  • Keep it simple! Provide a simple, straightforward report that everyone can understand. Avoid being too technical or too clinical.
  • Quote patients’ own words or reactions whenever possible, or discuss provider satisfaction.
  • Provide printed reports and if possible do overheads of graphs.
  • Present to Board of Directors a list of barriers to progress—e.g., transportation, equipment needs (spirometers), patient and family understanding of the disease, and resource development—and seek their help in overcoming the barriers.
  • The Health Disparities Collaborative video [NEED LINK] is an excellent tool to get others involved.
  • Post a sign saying: “For further information, contact xxxxx”
  • Assign team member to change posting monthly.