www. TheNationalCouncil .org State of Ohio Learning Community Basics Presented by: Jeff Capobianco, PhD, LLP Suzanne Daub, LCSW Contact: OHIO-TTAC@thenationalcouncil.org
What is a Learning Community? www. TheNationalCouncil .org • Collection of like-minded organizations and/or individuals with a common mission related to a common topic • The expertise is generally available within the group • Expert facilitators organize and manage the meeting and bring needed expertise if it is not available in the group • Active involvement of all parties – need people at all levels of implementation • Learning Community members are key to setting the agenda and defining topics to be discussed Contact: OHIO-TTAC@thenationalcouncil.org
Benefits to Participating in a Learning Community www. TheNationalCouncil .org • Reduce the amount of time it takes to bring research into practice • Learn from others in areas of need • Teach others from your successes (and failures) • Consistent support and coaching from facilitators • Access to needed resources • Increase experience with cycles of quality improvement • Key up on the day to day happenings in Ohio with the SPA and Health Homes Contact: OHIO-TTAC@thenationalcouncil.org
Ohio Specific Learning Communities www. TheNationalCouncil .org Integration Learning Community Health Homes Learning Community What’ s the difference? Contact: OHIO-TTAC@thenationalcouncil.org
Integration Learning Community www. TheNationalCouncil .org Facilitators: Jeff Capobianco and Suzanne Daub Objectives: • Increase knowledge and application of integrated primary and behavioral health care strategies. • Stimulate dialogue and best practice sharing among organizations serving Ohio who are pursuing integrated care models. • Identify learning and resource needs for organizations implementing integrated care. • Foster networking and relationships that strengthen organizational capability for integrated care. • Identify potential organizations that can meet Ohio Health Home requirements in the future. Requirement for participation: Interested in or providing integrated health care Contact: OHIO-TTAC@thenationalcouncil.org
Health Home Learning Community www. TheNationalCouncil .org Facilitators: Kathleen Reynolds, Joan King Objectives: • Extend learning and implementation strategy development for Phase 1 Health Homes.. • Foster dialogue and best practice sharing among certified Health Homes and organizations under review for certification. • Identify learning and resource needs for Ohio Health Homes. • Support work plan refinement and implementation for Ohio Health Homes Requirement for Participation: Current designation as an Ohio Health Home and/or providing onsite primary care by 1/1/14 Contact: OHIO-TTAC@thenationalcouncil.org
Learning Community Activities www. TheNationalCouncil .org • Monthly contact with content determined by participants • Face to Face Meetings – quarterly • Webinar - quarterly • Group Coaching Call – quarterly • Individuals coaching calls - monthly • Site visits • Agency-based Case to Care Training (10 across the state – 8 still available) Contact: OHIO-TTAC@thenationalcouncil.org
www. TheNationalCouncil .org Poll Would you like Case to Care training at your agency? Contact: OHIO-TTAC@thenationalcouncil.org
www. TheNationalCouncil .org Poll Would you like a site visit at your agency? Contact: OHIO-TTAC@thenationalcouncil.org
Key Dates – IH LC www. TheNationalCouncil .org October 29, 2013 Orientation Webinar November 14 Face to Face Kick Off - Columbus, Ohio December 3 Individual Coaching Calls December 19 Webinar January 14, 2014 Individual Coaching Calls January 15 Group Coaching Call January 16 Individual Coaching Calls February 19 Individual Coaching Calls February 20 Face to Face Meeting February 21 Individual Coaching Calls (Revised Content Schedule Issued after this Orientation Call with content for each session based on participant feedback) Contact: OHIO-TTAC@thenationalcouncil.org
Key Dates – IH LC www. TheNationalCouncil .org March 18 Individual Coaching Calls March 19 Individual Coaching Calls March 20 Webinar April 15 Individual Coaching Calls April 16 Group Coaching Call April 17 Individual Coaching Calls May 13 Individual Coaching Calls May 14 Individual Coaching Calls May 15 Face to Face Meeting June 4 Individual Coaching Calls June 5 Individual Coaching Calls June 19 Webinar (Revised Content Schedule Issued after this Orientation Call with content for each session based on participant feedback) Contact: OHIO-TTAC@thenationalcouncil.org
www. TheNationalCouncil .org Should the face to face Learning Community meetings rotate between cities or always be at the same site? Contact: OHIO-TTAC@thenationalcouncil.org
www. TheNationalCouncil .org Using the Continuum of Integration In Ohio Contact: OHIO-TTAC@thenationalcouncil.org
Continuum of Integration www. TheNationalCouncil .org Co-Located Integrated Key Element: Communication Key Element: Physical Proximity Key Element: Practice Change Level 1 Level 2 Level 3 Level 4 Minimal Collaboration Basic Collaboration On-Site Level 5 Level 6 Basic Collaboration at a Close Collaboration On-Site Distance with Some System Close Collaboration Full Collaboration in a Approaching an Integrated Transformed/ Merged Integration Practice Integrated Practice Behavioral health, primary care and other healthcare providers work: In separate facilities, In separate facilities, In same facility not In same space within In same space In same space within where they: where they: necessarily same the same facility, within the the same facility, offices, where they: where they: same facility sharing all practice (some shared space, where they: space), where they: Contact: OHIO-TTAC@thenationalcouncil.org
Continuum of Integration www. TheNationalCouncil .org Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 Minimal Collaboration Basic Collaboration at a Basic Collaboration On-Site Close Collaboration On-Site Close Collaboration Full Collaboration in a Distance with Some System Approaching an Integrated Transformed/ Merged Integration Practice Integrated Practice Have separate systems Have separate systems Have separate systems Share some systems, Actively seek system Have resolved most or like scheduling or solutions together or all system issues, medical records develop work- a- rounds functioning as one integrated system Communicate about Communicate Communicate regularly Communicate frequently Communicate in person Communicate cases only rarely and periodically about shared about shared patients, by in person patients phone or e-mail as needed under compelling consistently at the circumstances system, team and individual levels Communicate, driven by Collaborate, driven by Communicate, driven by Collaborate, driven by provider need need for each other ’ s Collaborate, driven by Collaborate, driven by specific patient issues services and more desire to be a member of reliable referral need for consultation and the care team shared concept of team May never meet in coordinated plans for care May meet as part of person Meet difficult patients Have regular team larger community occasional Have regular face-to-face Have formal and informal ly to meetings to discuss discuss interactions about some overall patient care and meetings to support cases due patients specific patient issues integrated model of care Have limited to close Appreciate each other ’ s Have an in-depth understanding of each proximity Have roles and cultures other ’ s roles roles as resources understanding of roles Have a basic and culture that blur or blend understanding of roles Feel part of a larger yet and culture ill-defined team Contact: OHIO-TTAC@thenationalcouncil.org
Questions www. TheNationalCouncil .org Contact: OHIO-TTAC@thenationalcouncil.org
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