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Susie Gronseth and Sara G. McNeil

COURSE 6 of 7. Fragmented healthcare has created the need for healthcare reform, changing how healthcare is delivered and managed by shifting the structure and culture of healthcare organizations across the U.S. In this course, you will explore ways that provider organizations can successfully move from volume to value through implementing Quality Improvement plans and Continuous Quality Improvement. Organizational improvement is a continuous process. To be successful means coming to grips with things you have to do, how they get done, and who needs to be involved. Paramount to the process is recognizing that every role—every team member—in the organization is important to a successful VBC strategy. You will also learn about adaptive leadership and how to advance vision and innovation through collaboration. Collaborative relationships between team members and leadership are critical to the transformation. You will explore strategies to gain buy-in, agreement, and understanding about the organization’s vision of value-based care and learn to engage team members in developing solutions to challenges. In the summative assignment, you will identify a measurable value-based care goal that would benefit from process improvement, describe how that goal will be communicated with the care team, and explain your role in leading the targeted improvements.

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Syllabus

Quality and Process Improvement to Evolve the Practice
If you participated in earlier courses, you have learned that the journey from volume to value for any provider organization is one of continuous improvement and change. Successfully moving to a value-based care agreement with a health plan takes many steps and is not completed all at once. In Course 5, new competencies, new roles and responsibilities for staff, and new financial and other measures required for a successful transition to and ongoing maintenance of a value-based care organization were examined, in addition to some of the challenges in the transition and ongoing work. Throughout, it was clearly noted that a big part of success is adopting a Quality Improvement (QI) plan. Why? What does that even mean for you and your organization? In this module, we look more closely at continuous quality improvement, or CQI. In this course, you will again hear the theme, “This is not once and done.” Organizational improvement is a continuous process. To be successful means coming to grips with things you have to do, how they get done, and who needs to be involved. This statement is not intended to overwhelm, as often a small change can make a huge difference. However, paramount to the process is recognizing that every role—every team member—in the organization is important to a successful VBC strategy. Remember, as you read or hear terms or concepts that are new to you, have your digital (Word doc) or analog (paper) notepad handy to write them down. At any time, you can use your favorite search engine to learn more. Be a self-directed learner!
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Building a High-Performing Care Team
Fragmented healthcare has created the need for healthcare reform. This requires changing how healthcare is delivered and managed by changing the structure and culture of healthcare organizations across the U.S. However, as you explored in previous courses or may know from experience, successful transformation of the current system of fragmented, high-cost, ineffective care to one that is built on coordinated, efficient, and effective care cannot be accomplished quickly. While decisions must be made to determine strategic directions and obstacles have to be resolved, the process is a steady, thoughtful, and reflective journey. And, the key to success is an adaptive leadership able to advance vision and innovation through collaboration. Collaborative relationships between team members and leadership are critical to the transformation. This is not the time to direct teams, but instead to gain buy-in, agreement, and understanding about the organization’s strategy for and vision of value-based care. Listen, understand, and engage team members in developing solutions to challenges, workflows, etc. that directly impact them. Empowering, inspiring, respecting, and valuing team members will lead to the best decisions, care, and outcomes for patients. Believing in team member abilities leads to everyone reaping the benefits—from staff to patients, family members, other customers, and vendors. As the organization transforms, a new culture emerges with the common goal of supporting and advancing how value-based healthcare is delivered. Remember, as you read or hear terms or concepts that are new to you, have your digital (Word doc) or analog (paper) notepad handy to write them down. At any time, you can use your favorite search engine to learn more. Be a self-directed learner!
Course Project: Making This My Own

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Explores ways that provider organizations can move from volume to value by implementing Quality Improvement plans and Continuous Quality Improvement
Emphasizes the importance of adaptive leadership in advancing vision and innovation through collaboration
Practical focus on engaging team members in developing solutions to challenges, ensuring buy-in and alignment
Taught by Sara G. McNeil and Susie Gronseth, both recognized experts in healthcare quality and improvement
Suitable for healthcare professionals seeking to transform their organizations to value-based care

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Reviews summary

Valued-based healthcare quality

According to students, Value-Based Care presents an engaging overview of quality improvement within healthcare organizations. Students praise the course for being interesting and informative, and they especially value the variety of learning materials at their disposal, such as videos, articles, and summaries.
Self-paced format for busy schedules
"The self paced process is exactly what I need with my work and personal life for a balance."
Engaging and informative materials
"Really interesting, lively, engaging, informative."
"It was wonderful to have different options such as videos, articles and the class summaries available."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Value-Based Care: Quality Improvement in Organizations with these activities:
Review basic statistics and research methods
Strengthen your foundation in statistics and research to support QI initiatives.
Browse courses on Descriptive Statistics
Show steps
  • Review online materials on descriptive statistics
  • Review online materials on inferential statistics
  • Review online materials on experimental design
Complete online tutorials on specific QI tools and techniques
Acquire practical skills to enhance your QI toolkit.
Browse courses on Pareto Chart
Show steps
  • Identify specific QI tools or techniques to learn
  • Find online tutorials on those tools or techniques
  • Complete the tutorials
Practice using QI tools and techniques through simulations or exercises
Develop proficiency and confidence in applying QI tools and techniques.
Browse courses on Pareto Chart
Show steps
  • Identify QI tools or techniques to practice
  • Find simulations or exercises related to those tools or techniques
  • Complete the simulations or exercises
Five other activities
Expand to see all activities and additional details
Show all eight activities
Attend a workshop on QI best practices and implementation
Gain exposure to cutting-edge QI approaches and connect with experts.
Show steps
  • Find a relevant QI workshop
  • Register for the workshop
  • Attend the workshop
Review 'Crossing the Quality Chasm: A New Health System for the 21st Century'
Understand the challenges and imperatives of improving quality in healthcare.
Show steps
  • Read the 'Crossing the Quality Chasm' executive summary
  • Read the 'Crossing the Quality Chasm' report
  • Take notes on the key points and implications for your work
Participate in a peer group to discuss QI case studies
Share experiences, learn from others, and enhance your QI knowledge.
Show steps
  • Join a peer group
  • Attend peer group meetings
  • Participate in case study discussions
Develop a Quality Improvement Plan for a specific healthcare process
Apply your understanding of QI to a real-world healthcare scenario.
Show steps
  • Implement the QI plan
  • Identify a specific healthcare process that needs improvement
  • Conduct a process analysis
  • Develop a QI plan with specific aims, interventions, and measures
  • Monitor and evaluate the QI plan
Develop a QI dashboard to track progress and measure outcomes
Create a valuable tool for monitoring and evaluating QI initiatives.
Show steps
  • Identify the metrics to track
  • Design the dashboard
  • Develop the dashboard using a data visualization tool
  • Implement the dashboard

Career center

Learners who complete Value-Based Care: Quality Improvement in Organizations will develop knowledge and skills that may be useful to these careers:
Healthcare Executive
A Healthcare Executive is responsible for the overall leadership and management of a healthcare organization. This course may be useful for Healthcare Executives who want to learn more about value-based care and how to lead their organizations to success in this new era of healthcare.
Physician Executive
A Physician Executive is a physician who has taken on a leadership role in a healthcare organization. This course may be useful for Physician Executives who want to learn more about value-based care and how to lead their organizations to success in this new era of healthcare.
Nurse Manager
A Nurse Manager is responsible for the management of nurses in a healthcare organization. This course may be useful for Nurse Managers who want to learn more about value-based care and how to lead their teams to success in this new era of healthcare.
Healthcare Administrator
A Healthcare Administrator is responsible for the day-to-day operations of a healthcare organization. This course may be useful for Healthcare Administrators who want to learn more about value-based care and how to lead their organizations to success in this new era of healthcare.
Healthcare Operations Manager
A Healthcare Operations Manager is responsible for the day-to-day operations of a healthcare organization. This course may be useful for Healthcare Operations Managers who want to learn more about value-based care and how to lead their organizations to success in this new era of healthcare.
Healthcare Quality Manager
A Healthcare Quality Manager is responsible for improving the quality of care in a healthcare organization. This course may be useful for Healthcare Quality Managers who want to learn more about value-based care and how to improve quality of care in their organizations.
Healthcare Data Analyst
A Healthcare Data Analyst specializes in analyzing data to improve the quality and efficiency of healthcare delivery. This course may be useful for Healthcare Data Analysts who want to learn more about value-based care and how to use data to improve quality of care.
Medical Director
A Medical Director is responsible for the medical care of patients in a healthcare organization. This course may be useful for Medical Directors who want to learn more about value-based care and how to lead their organizations to success in this new era of healthcare.
Healthcare Information Technology Manager
A Healthcare Information Technology Manager is responsible for the management of information technology systems in a healthcare organization. This course may be useful for Healthcare Information Technology Managers who want to learn more about value-based care and how to use technology to improve quality of care.
Healthcare Consultant
A Healthcare Consultant helps healthcare organizations improve their performance. This course may be useful for Healthcare Consultants who want to learn more about value-based care and how to help their clients succeed in this new era of healthcare.
Healthcare Policy Analyst
A Healthcare Policy Analyst analyzes healthcare policies and makes recommendations for changes to improve the quality and efficiency of healthcare delivery. This course may be useful for Healthcare Policy Analysts who want to learn more about value-based care and how to develop policies that support this new model of healthcare.
Health Informatics Specialist
A Health Informatics Specialist uses technology to improve the efficiency and effectiveness of healthcare delivery. This course may be useful for Health Informatics Specialists who want to learn more about value-based care and how to use technology to improve quality of care.
Healthcare Finance Manager
A Healthcare Finance Manager is responsible for the financial management of a healthcare organization. This course may be useful for Healthcare Finance Managers who want to learn more about value-based care and how to manage their organizations' finances in this new era of healthcare.
Healthcare Risk Manager
A Healthcare Risk Manager identifies and manages risks to the health and safety of patients in a healthcare organization. This course may be useful for Healthcare Risk Managers who want to learn more about value-based care and how to manage risks in this new era of healthcare.
Data Analyst
A Data Analyst works with large amounts of data to extract meaningful insights, which can be used in a variety of fields, including healthcare. This course may be useful for Data Analysts who want to learn more about value-based care and how to use data to improve quality of care.

Reading list

We've selected eight books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Value-Based Care: Quality Improvement in Organizations.
Presents a framework for delivering value-based care, including how to measure and improve value, and how to engage patients and families in the process.
Presents a practical guide to continuous quality improvement in healthcare, including how to develop and implement a quality improvement plan, and how to measure and evaluate progress.
Presents a case study of how Toyota's principles of continuous improvement can be applied to healthcare, providing insights into how to improve quality and efficiency.
Presents a groundbreaking report on the state of healthcare quality in the US, and provides recommendations for how to improve quality.
Presents a vision for the future of healthcare, and provides recommendations for how to achieve this vision.
Provides a comprehensive overview of the Patient Protection and Affordable Care Act, and its implications for healthcare providers.
Provides a comprehensive overview of the Value Measurement Framework, and its implications for healthcare providers.
Provides a comprehensive overview of the Quality and Value Measurement Guide, and its implications for healthcare providers.

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