Learning Collaborative Plan

Region Healthcare Partnership 3 (RHP3), has created a menu of learning opportunities to meet the Learning Collaborative requirement for the Texas 1115 Medicaid Transformation Waiver, that is tailored to the needs of our region's stakeholders. Over the life of the waiver, the RHP3 Learning Collaborative will focus on three themes - RHP3 DSRIP Projects, Data and Project Management. The overall aim of the Learning Collaborative is to support the implementation and improvement of all of the region's projects. To do this, improvement activities and learning opportunities will be developed based on available data. Lastly, with the size of the region and the proposed projects, project management is critical to the successful implementation and learning activities will include project management best practices to meet this need. The overall Learning Collaborative effort is also supported by the guiding principle that our performing providers' number one priority is the successful implementation of their projects. Learning Collaborative opportunities should support this and not be burdensome.

The "menu" of Learning Collaborative opportunities is categorized into Individual, Core and Regional activities. A depiction of this "menu" may be found in Appendix B (in the box on the right). Additionally, Appendix B includes a description of how RHP3 will meet the suggested requirements from the HHSC/CMS RHP Planning Protocol. Below is a summary of the RHP3 Learning Collaborative categories.

Innovator Agents - All resources associated with the RHP3 Learning Collaborative - anchor staff, internal Harris Health System resources and contract support - will serve as innovator agents. Innovator agents will work with performing providers in a variety of settings and will identify best practices and learning opportunities for that specific provider which may be shared throughout the region.

Peer-to-peer - As learning needs are identified for specific providers, the anchor will partner experts and peer providers so that providers may learn from each other in appropriate settings and at a faster pace.

Self-paced Training - This will include PowerPoint presentations and webinars on discrete topics, as developed by the anchor and regional experts.

Special Issue - As performing providers identify issues that prevent the successful implementation of approved projects and the associated outcomes, the anchor will work directly to assist in identifying the appropriate learning opportunity to apply and to manage any other concerns that present.

Project Management Data Analysis - On an ongoing basis, the anchor will review project management data to asses project progress and to identify areas in need of attention.

For regional activities, the anchor will incorporate learning moments and opportunities in regularly scheduled monthly status calls, hosting webinars related to relevant topics (including project spotlights and other learning information in monthly newsletters) publicizing other learning opportunities offered by regional stakeholders and performing providers, publishing white papers and annual reports, and through hosting celebration events. 

Core learning opportunities within RHP3 will focus on two formats - two large regional events per year and cohort workgroups that will participate in Plan, Do, Study, Act (PDSA) learning cycles. The large regional events will be hosted by the anchor and will focus on projects, data, and project management and will offer the opportunity for cohort workgroups to report on PDSA activities and disseminate findings of their work.

This full menu of learning will have a wide variety of support through anchor staff and contract support that will staff two advisory workgroups - data and quality improvement.

Though performing providers are the majority of participants, membership within the Learning Collaborative is open to all interested, regional stakeholders. That is, DSRIP performing providers, UC only hospitals, regional advisory committee members and other partners are fully notified of all Learning Collaborative opportunities and are welcome to participate in all activities. In this way, findings can be fully disseminated and more lessons learned and best practices can be identified and shared, further impacting our healthcare infrastructure.

The goal of the RHP3 Learning Collaborative is two-fold. The first is to create a forum that brings regional providers together for information sharing, networking and general support within the regional DSRIP projects, but also including other regional stakeholders. The second is to assist regional providers in improving their category 3 and category 4 outcome measures through discrete cohorts focused on process improvement. The initial cohorts include: emergency center utilization, behavioral health, access to primary care, navigation and chronic care prevention and management. The cohorts will conduct 6-8 week PDSA cycles that will be coordinated by the RHP3 anchor team and subject matter experts. 

The outcomes of the cohorts will drive major events related to transformational healthcare such as flow redesign, community outreach, information sharing, technological advances and sharing of best practices. It may also spur subsequent cohorts on sub-topics generated throughout the PDSA cycles. The lessons learned strive to make a meaningful impact in terms of CQI centered on category 3 and category 4 outcomes. The resultant information will be disseminated to the region at large through multiple methods such as in-person events, website updates, training opportunities, newsletters, anchor communications, case studies and publications, newsletters, white papers and academic articles.  

The anchor will also identify learning opportunities that span the region's provider needs, such as change management, and which can be hosted at the region level, as opposed to the cohort level.

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