Value-Based Care Learning Collaborative
Improving Quality, Outcomes, and Value in Health Care
This year-long learning collaborative engages three practice team cohorts in group training and 1:1 coaching sessions to improve their care delivery and performance in quality metrics tied to payment in Medicaid value-based payment (VBP) arrangements in the District of Columbia
Value-Based Payment Foundations
Value-Based Payment Foundations
VBC Learning Collaborative Resource Portal
For questions and/or assistance, please contact us at support@integratedcaredc.com.
Track 1
Pediatric Care: Well-child Visits
Preventive care is critical for children’s health and development. Well-child visits at recommended ages promote immunizations, parent education, and early detection and treatment of disease, contributing to better outcomes and lower overall healthcare costs. However, missed or delayed well-child visits occur and raise the risk for adverse outcomes.
Track 2
Care of Acute and Chronic Conditions: Potentially Preventable Admissions
Preventable hospitalizations are common and costly for both patients and payers. Many conditions, from acute infections to chronic conditions such as asthma and diabetes, can be managed in primary care settings. Using quality improvement strategies, primary care practices can address these conditions more effectively and efficiently, and at a lower cost.
Track 3
Maternity Care: Timeliness of Prenatal and Postpartum Care
Preventing complications during and after pregnancy and reducing disparities in outcomes requires quality care that starts in the first trimester and continues for at least a year after the pregnancy ends. Timely care promotes healthier habits and earlier identification of risk factors, such as high blood pressure, postpartum depression, substance use disorder, and health-related social needs, that can impact the health and wellbeing of women and infants.
Learning Objectives
The Learning Collaborative supports DC Medicaid providers’ success in VBP arrangements by:
- Increasing their understanding of the payment mechanisms and quality metrics in their VBP arrangements.
- Enhancing their ability to work as a care team and with their network.
- Strengthening learning about best practices to improve care for measures that matter to their patient population and value-based payment.
- Sharing challenges and best practices with their peers and with managed care plans.
- Identifying opportunities to spread these learnings to other VBP metrics for improved overall performance.
Learning Components
Participants enrolled in the Learning Collaborative can expect to engage in:
- Tailored technical assistance over four learning cycles, including virtual and in-person group training sessions, drop-in office hours, and 1:1 practice-level coaching.
- Quality improvement tasks to improve outcomes, including a logic model, plan-do-study-act cycles, data reporting, and barrier mitigation and sustainability activities.
- A peer-to-peer showcase session after each learning cycle to exchange quality improvement project plans, experiences, and best practices with other participants.
- A dedicated portal with resources to support and share the work of participants across and within the three Learning Collaborative tracks.
What Are the Four Learning Cycles?
July-September 2024: Learning Cycle 1 – Plan
Action: Create a quality improvement (QI) plan for your practice in your chosen track.
July 30, 2024
Virtual Session 1
Team engagement and QI logic models
- Track 1: Pediatric Care | 1:00 pm – 2:00 pm
- Track 2: Care of Acute and Chronic Conditions | 2:00 -3:00 pm
- Track 3: Maternity Care | 12:00 – 1:00 pm
August 29, 2024
Virtual Session 2
Best practices to improve your selected measure.
- Track 1: Pediatric Care | 12:00 – 1:00 pm
- Track 2: Care of Acute and Chronic Conditions | 1:00 pm – 2:00 pm
- Track 3: Maternity Care | 11:00 am – 12:00 pm
September 5, 2024
Virtual Session 3
Complete your logic model and develop your QI plan.
- Track 1: Pediatric Care | 10:00 am – 11:00 am
- Track 2: Care of Acute and Chronic Conditions | 1:00 pm – 2:00 pm
- Track 3: Maternity Care | 11:00 am – 12:00 pm
September 2024
Office Hours
Opportunity to discuss any questions, challenges, or strategies for completing your QI project.
- Track 1: Pediatric Care I September 9th, 2024 12:00-1:00pm
- Track 2: Care of Acute and Chronic Conditions I September 10th, 2024 12:00-1:00pm
- Track 3: Maternity Care I September 17th, 2024 12:00-1:00pm
October 1st, 2024
In-Person Work Sessions by Track
We invite you to attend all three tracks!
- Get feedback on your logic model and tips for engaging teams and anticipating barriers.
October-December 2024: Learning Cycle 2 – Implement
Action: Test your QI strategies, monitor progress using data, and identify barriers.
Multiple Dates
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Webinars and 1:1 support to enhance your success.
Early January 2025
In-Person Work Session by Track
We invite you to attend all three tracks!
- Share your progress and get feedback from peers. Plan for sustainability and spread.
January-March 2025: Learning Cycle 3 – Improve & Ingrain
Action: Monitor, assess, adjust, and re-test. Build your plan for sustainability.
Multiple Dates
- Webinars and 1:1 support to enhance your success.
April 2025
Virtual Peer Sharing by Track
We invite you to attend all three tracks!
- Share your progress and get feedback from your peers.
April-June 2025: Learning Cycle 4 – Sustain & Report
Action: Test and refine, hold the gains, and share results.
Multiple Dates
- Webinars and 1:1 support to enhance your success.
Early June 2025
In-Person Report-Outs by Track
We encourage you to attend all three tracks!
- Share successes and lessons learned and review aggregated results.
Subject Matter Experts
Here to guide and support your VBP quality improvement journey:
Kelli Stannard, BSN, RN, Pediatric Care Subject Matter Expert and Track Lead
“I enjoy working with programs that are seeking innovative ways to improve child health outcomes, especially using quality improvement to drive projects that will have a lasting and collective impact. Using the Learning Collaborative approach is exciting because teams get to work together and learn alongside each other, which leads to wonderful discoveries and impactful work, both at the individual and organizational level.”
Suzanne Daub, LCSW, Care of Acute and Chronic Conditions Expert and Co-Track Lead
“I am passionate about integrated Physical Health (PH) and Behavioral Health (BH), viewing this as a crucial social justice issue. My goal is to contribute to the development of an integrated system of care, ensuring that everyone, regardless of their entry point, receives comprehensive support. In such a system, there are no wrong doors to accessing help; both physical and behavioral health are addressed seamlessly. By bridging these gaps, we can create a more equitable healthcare landscape, where all individuals receive the whole person care they deserve. I am committed to working towards this vision, advocating for policies and practices that foster integration and inclusivity in healthcare, ensuring that no one is left behind.”
Michele Bosworth, MD. Care of Acute and Chronic Conditions Expert and Co-Track Lead
“There is nothing more important than giving providers and their care teams the tools and support they need to enhance the care and access to care for their patients and communities they serve. Improving care delivery requires learning how to think with an “improvement mindset” and applying this to every process, every encounter, every day while engaging patients to make sure care delivery is being improved equitably in alignment with their access, comprehensive care, and social needs.”
Read Michele’s Full Bio
Elizabeth Wolff, MD, MPA, Maternal Care Subject Matter Expert and Track Lead
“I went into family medicine to care for women across their reproductive lives and address the needs of their families. The struggle to improve maternal health outcomes in D.C. is multifaceted, and an important component is ensuring high-quality, timely pre and postnatal care.”
Reem Sharaf, LICSW, MSW, Maternal and Pediatric Care Subject Matter Expert and Project Lead Support
“As a licensed clinical social worker and former trauma therapist, I’m passionate about prevention and early intervention work in improving outcomes for women, children, and their families. I look forward to engaging with and supporting change makers and thought leaders in the District of Columbia to strategize on and facilitate evidence-based solutions for their service communities.”
Jodi Pekkala, MPH. Quality Improvement Subject Matter Expert and Project Lead
“I’m looking forward to this opportunity to continue to provide technical assistance and support to providers in the District of Columbia. Value-based payment is a mechanism to support high-performance patient care, and I’m proud to support provider organizations in increasing their understanding of VBP and quality improvement to better support their patients and providers.”
