Action Period Three

During Action Period #3, teams shift their focus from testing to implementing a system for better care, striving for monthly improvement. They also continue gauging their success and may devise a system to measure their spread of innovations throughout the health system. They continue to keep in touch with each other and collaborative leaders through conference calls and a listserve, but team members themselves now take on a bigger role in these interactions.

Action Period #3 Tools


Action Period #3 Task List

This task list will outline steps for preparing and conducting Action Period #3, including scheduling conference calls and monitoring team reports. Some of this preparation is done simultaneously with the preparation for Learning Session #3.

Action Period #3 Conference Call Sample Schedule

During Learning Session #3, teams sign up to host conference calls on topics of their choice. Sample past topics have included behavioral health, promoting spread and maintaining gains in improvement. The director contacts the sponsoring teams two weeks before each call and assists them in setting up an agenda and finding a presenter, if they need one. The director will be on the call to help take roll call and answer questions. The team should be encouraged to handle all other aspects of the call.

Continue Using the Listserve

While the listserve continues to be a resource for information exchange and reminders, it should now be used more heavily by the teams in preparation for the conference calls they will be conducting. The listserve is also a good way to build enthusiasm for the Closing Event.

Senior Leader Letter

Collaborative teams report to senior leaders within their organizations. Senior leaders help teams implement and spread reform and prepare the business case for the improvement plan. After Learning Session #3 is completed, collaborative sponsors update senior leaders about the progress teams have made. For many teams, it is time to seriously consider spreading what they have learned to other parts of the health system. This letter is intended to remind senior leaders of their supporting role.

Special Senior Leader Report

Two months before the closing event of the collaborative, the teams complete a special senior leader report that describes their entire experience of participation. This report becomes an essential part of the teamís effort to share their progress within their organization and to an audience at the Closing Event. The special report is modeled after the monthly senior leader report, but includes an additional summary of changes for each element of the Chronic Care Model. The teams also submit a copy of the Assessment of Chronic Illness Care.