The utah beacon experience: integrating quality improvement, @entity283 , and practice facilitation to improve XXXX outcomes in small health care facilities.

@entity1 @entity283 @entity6
PURPOSE: The Utah Improving Care through Connectivity and Collaboration (IC3) Beacon community (2010-2013) was spearheaded by HealthInsight, a nonprofit, community-based organization. One of the main objectives of IC(3) was to improve health care provided to @entity1 with @entity6 in three Utah counties, collaborating with 21 independent smaller clinics and two large health care enterprises. This paper will focus on the use of @entity283 ( @entity283 ) and practice facilitation to develop and implement new care processes to improve clinic workflow and ultimately improve @entity1 ' @entity6 outcomes at 21 participating smaller, independent clinics. INNOVATION: Early in the project, we learned that most of the 21 clinics did not have the resources needed to successfully implement quality improvement (QI) initiatives. IC(3) helped clinics effectively use data generated from their electronic health records (EHRs) to design and implement interventions to improve @entity1 ' @entity6 outcomes. This close coupling of @entity283 , expert practice facilitation, and Learning Collaboratives was found to be especially valuable in clinics with limited resources. FINDINGS: Through this process we learned that (1) an extensive readiness assessment improved clinic retention, (2) clinic champions were important for a successful collaboration, and (3) current EHR systems have limited functionality to assist in QI initiatives. In general, smaller, independent clinics lack knowledge and experience with QI and have limited @entity283 experience to improve @entity1 care using electronic clinical data. Additionally, future projects like IC(3) Beacon will be instrumental in changing clinic culture so that QI is integrated into routine workflow. CONCLUSION AND DISCUSSION: Our efforts led to significant changes in how practice staff optimized their EHRs to manage and improve @entity6 care, while establishing the framework for sustainability. Some of the IC(3) Beacon practices are currently smoothly transitioning to new models of care such as @entity1 -Centered Medical Homes. Thus, IC(3) Beacon has been instrumental in creating a strong community partnership among various organizations to meet the shared vision of better health and lower costs, and the experience over the last few years has helped the community prepare for the changing health care landscape.
