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Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Quality and Innovation Learning Network


Participating Improving Patient Care Program (IPC) sites that have completed the IPC collaborative and successfully implement the key improvement methodologies are encouraged to join the IPC Quality and Innovation Learning Network (QILN). QILN provides on-going support and learning for Indian Health Service/Tribal/Urban (I/T/U) programs that are committed to the provision of an accessible and patient-centered system of care that provides safe, timely, effective, efficient, and equitable care.

The IPC Care Model serves as a framework to guide the creation of and recognition for the development of patient-centered medical homes. A major focus of QILN is to encourage ongoing changes in the health care system that will improve the health of patients and communities, improve health care services, and reduce associated costs. While IPC methodology does not guarantee accreditation or certification, QILN provides a supportive environment and applicable framework for organizational transformation supporting facility-level recognition, certification or accreditation as a patient-centered medical home model through a number of state and national organizations such as the National Committee for Quality Assurance (NCQA) or the Accreditation Association for Ambulatory Health Care, Inc (AAAHC).

This opportunity is intended for

All I/T/U organizations that have participated in a previous IPC Collaborative and include individuals who understand improvement concepts, methodologies, and tools. I/T/U sites that have already achieved NCQA recognition as Level 3 Patient Centered Medical Homes or the equivalent will be encouraged to participate.

Areas of focus

The QILN is designed to address the needs of primary care practices in a rapidly changing health care environment. Meaningful Use, the Medical Home, Advanced Primary Care, Patient and Family Centered Care, and Electronic Health Records all constitute new challenges for office practices, yet they also present new opportunities. When equipped with foundational skills, and knowledge, organizations that have a will to change and improve can thrive in this new environment and will learn how to transform their systems of care in a way that will lead to better, sustainable results.

To help primary care practices adapt and succeed, the QILN is designed to bring together the best knowledge available on high leverage and innovative changes for primary care transformation and subsequent patient centered medical home recognition, the content of which includes:

  • Engagement of leadership at multiple levels
  • Building improvement capacity and capability throughout the system
  • Developing mechanisms to listen to and communicate transparently with the community and staff
  • Mobilizing care coordination and partnering with community entities
  • Ensuring opportunities for the community and Tribe to engage in improvement processes, program development, and policy
  • Empowering and preparing patients to manage their health and health care
  • Developing and optimizing a multidisciplinary care team
  • Enhancing access to care and services with a consistent care team
  • Optimizing the clinical information system, for proactive, reliable, evidence-based, and coordinated care for patients

Activities will include

Multiple opportunities for like-minded organizations and peer group innovators to share common goals, standards, measures, and practices are available. Methods to creatively collaborate, share knowledge, and network include:

  • On-line programs, such as Summits and Learning Sessions
  • Monthly conference calls, with on-line capabilities (such as Adobe or WebEx)
  • Office hours, as needed and/or requested
  • Site visits to peer organizations
  • Peer group discussions and workgroups via conference calls and listserv dialogue
  • Content intensives and “boot camps” for topic immersion
  • Monthly reporting and analysis of data, with identification of opportunities to improve and accelerate progress

Approaches consist of:

  • Use of synchronous and asynchronous methods
  • Shared documents, tools and resources on the IPC Knowledge Portal
  • Segmentation of content to meet the needs of multiple levels of readiness and progress
  • Availability of common measure sets and change packages

Supportive infrastructure

  • National IPC Team
  • Trained Faculty
  • Experienced peers
  • Area Improvement Support Teams and Improvement Advisors (IAs)
  • Office of Clinical and Preventive Services Program Staff and faculty from National I/T/U initiatives


QILN is an ongoing learning community, without a specific start and end time. Following the completion of each IPC collaborative, there is likely to be an influx of new organizations to the QILN.

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