As Dr. Lonnie Fuller says in a featured story in this week's Healthcare Business Weekly Update, "Practice transformation is a buzzword for change, and change is very hard." In recruiting physician practices for its multi-payor medical home pilot, Health TeamWorks (formerly Colorado Clinical Guidelines Collaborative) tries to determine where a practice is on its redesign journey by walking candidates through a readiness assessment.
In last week's webinar on the practice recruitment process, Health TeamWorks medical and executive director Dr. Marjie Harbrecht explained how the Improving Performance in Practice (IPIP) exercise is both an assessment opportunity and a teachable moment:
"We go into the practice with an hour-long brainstorming tool and talk about how they would take three steps for tobacco cessation: to make sure every patient in your practice is being asked about whether they smoked or not, is advised to quit and is then referred to our Colorado quit line for further counseling. We would ask them how they would build a process into their practice to accomplish that. We used that tool as an opportunity not only to teach these skills but also to see whether this practice was ready to start taking on quality improvement."
Dr. Harbrecht describes the financial impact of the medical home model and some of the practice selection criteria in this week's HealthSounds podcast.