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Sustain and Spread Learning Improvements in Primary Care

www.pcdcny.org/resources/documents/CWFsustainabilityandspreadwebsitearticle-FINAL.pdf  Read this excellent qualitative analysis based article about factors leading to sustained spread of learning innovation in primary care.

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Model, Simulate and Research
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Sustain and Spread Learning Improvements in Primary Care
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Allocate actual resources
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Coach for change
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Create a culture of improvement
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Deploy Teams to Make Changes
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Make the new way unavoidable
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Monitor what you want to sustain and spread
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Provide Direct and Visible Leadership
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Six Critical Factors
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Test Changes
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Use the Care Model as a framework for change
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Model "Smart Annotation" of the Problem List
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Model Case-based Reasoning (CBR) in VisTa
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Model implementation of rational popular press advice
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Model Medical Dx / Issue to Nursing Dx in VisTa
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Model Outcomes Oriented Documentation
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Model Prevention and Health Promotion in VisTa
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Model, Simulate, Research Switching Meds Best Practices
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NIH to research D and I of Translational Research
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People to People Modeling, Simulation, Research
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Simulate Acute Care activities +/- VisTa
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Simulate CQI costs +/- VisTa
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Simulate Dissemination and Implementation of practice innovations
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Simulate ER activities +/- VisTa
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Simulate Health Promotion and Prevention +/- VisTa
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Simulate HIT personnel costs +/- VisTa
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Simulate hospital costs +/- VisTa
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Simulate small primary care practice activites +/- VisTa
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