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Harvard Medical School Center for Primary Care’s Academic Innovations Collaborative


Practice Transformation in Academic Medical Settings

The Harvard Medical School Center for Primary Care and the Institute for Healthcare Improvement enlisted Qualis Health to help incorporate patient-centered medical home principles into the care delivery and medical education provided by Harvard Medical School-affiliated teaching practices.

We facilitate primary care redesign through the Academic Innovations Collaborative (AIC), reaching 19 practices across six academic medical centers and nearly 260,000 patients.


Results

Assessments performed every six months by all participating sites show significant progress in practice transformation.


Our Work

Qualis Health has supported the project through:

  • Facilitating the eight Change Concepts for Practice Transformation to provide the framework for transforming healthcare delivery
  • Developing a sequenced curriculum and measurement strategy for the initiative
  • Providing technical assistance, including content expertise, resource/tool procurement and development, and connections to additional experts
  • Conducting regular learning sessions, assessments, webinars, and other measurement and testing
  • Delivering detailed reports and other feedback
  • Providing one-on-one coaching on site-specific practical aspects of implementing medical home concepts
  • Developing process mapping skills
  • Strengthening quality improvement infrastructure through application of the Model for Improvement and monthly feedback on Plan-Do-Study-Act cycles
  • Assessing and supporting change management, sustainability planning, and capacity for learning and development
  • Engaging patients in practice transformation
  • Identifying and overcoming patients’ barriers to care


The Academic Innovations Collaborative began in 2012 and was extended to the CARES Initiative in 2014. The specific aims of the CARES Initiative include:

  • Continuing practice transformation towards high functioning interdisciplinary teams
  • Preventing missed and delayed diagnoses of colorectal and breast cancer, OR
  • Reducing the gap between positive developmental screen to completion of a referral for children ages 0–3
  • Reducing preventable harm for patients with multiple clinical, behavioral or psychosocial morbidities
  • Training multi-disciplinary teams of leaders capable of spreading and facilitating spread