Marcus Pierson, MD: Transparency

Pursuing Perfect Healht Care in Whatcom County, WA

This is a high level view of our project plan. Details will be forthcoming in various media and arenas. The project officially begins June 1 though much work has been going on at many levels in the participating organizations.

Leadership Board Oversight
Use of Simulation Model to advocate for reimbursement changes
Complete Initial Staffing for Project
Staff Training
Creation of Curriculum and Documentation of Training provided all staff
Measurement
Information Technology Work on Infrastructure
Medication Hand-offs Work
Communication and Transparency (extraordinary openness) Infrastructure Complete
Diabetes Pilot Work Plan
Integrate Care Managers into the Clinics and Virtual Care Team
Congestive Heart Failure Pilot Work Plan
Hospital Related Changes to Support Chronic Care Model
Living With Chronic Illness Program Expansion
Idealized Design of Clinical Office Practice Completed for Pilots
Develop Evidence Based Medicine strategy and approach
Develop an approach for early adopters outside the grant

Communication and Transparency Infrastructure

The Pursuing Perfection grant encourages, develops and requires Transparency. Extraordinary openness. In order to accomplish this level of openness we have the following project goals in front of us. Several are underway, even before the grant begins, June 1.

Communication Plan Developed
Establish Communication Team
Identify current technology to support internal/external communication on Project Activities
Test Technology with this Workplan
Attempt to connect all sites participating across the country and in Europe with simple userfriendly web tools for communication. More later.
Quarterly Community Forums Planned
Extranet Web Site for Pursuing Perfection Started. More soon.
Videos Developed
Speakers Bureau Developed
Experiment with RadioLand as long term communication solution
Quarterly Community Forums

Great Britian's Clinical Measures

Links to the Great Britians National Healht Service (NHS) national performance indicators.

High Level model of Whatcom Co, Pursuing Perfection approach

Key Components of Whatcom Consortium's approach to Pursuing Perfection in Healhtcare.

Pursuing Perfection Components in Whatcom County.

We will use this or a similar graphic on the home page of the future to guide users to the parts they are interested in. We will also add search capabilities by these categories... in the future, the near future I hope.

6 Aims and 10 Simple Rules for more perfect heathcare, Institute of Medicine

The key ideas behind this entire Institute of Medicine approach includes six goals:
1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable; and ten simple rules:

1. Continuous healing relationships
2. Customization
3. Patient control
4. Shared information
5. Evidence-based decision-making
6. Safety as a system property
7. Transparency
8. Anticipation of needs
9. Continuous decrease in waste
10. Cooperation among clinicians

Communities of Learning, Apply to Healthcare?

Please read this.