Learning Session Three

During Learning Session #3 teams begin refining plans to improve chronic illness care and implement "spread," the expansion of improvement efforts throughout a health system. They also continue measuring the success of their efforts. Plenaries focus on selected clinical topics and methods for sustaining change and managing spread. Team sharing plays a greater role; over the two-day session, selected teams present model-based care at their sites. Breakout sessions focus on specific plans for greater testing and implementation of the innovations. Sponsors should begin preparing for this learning session immediately at the conclusion of Learning Session #2.

Learning Session #3 Tools

Learning Session #3 Overview

This is a descriptive overview of Learning Session #3. The objectives that must be met during the learning session are included.

Learning Session #3 Task List

This task list focuses on the activities needed to prepare Learning Session #3, including setting the agenda, making hotel reservations and team preparation. These tasks must be completed during Action Period #2.

Faculty Meeting Agendas for Learning Session #3

Faculty meetings for Learning Session #3 are scheduled immediately prior to the start of the learning session and at about the halfway point. The purpose of faculty meetings is: to orient faculty to the learning session objectives and agenda; to problem-solve any issues; and to identify teams that may need specific faculty interventions. Faculty will use Team Grid: Action Period #2 as an early indication of teams needing support.

Learning Session #3 Agenda and Annotated Agenda

Following is a sample agenda to be provided to participants, as well as an annotated agenda to assist sponsors and leaders planning the learning session. This learning session features more teams in presentation roles, with faculty facilitating discussions. The emphasis should be on the successful teams, who serve as an example to those who may be struggling. The agenda for this learning session is more flexible than those of previous learning sessions; it should be tailored to the collaborative’s specific needs at this time.

Team Grid: Learning Session #3

The grid will be used by faculty to monitor team activities. It will guide faculty interventions during the learning session.

Learning Session #3, First Team Meeting Worksheet

During the first day of Learning Session #3, the teams have had a chance to reflect on their accomplishments and hear about other teams’ successes. During their first meeting, teams share information with each other about additional tests of improvement efforts. They also identify barriers to improvement and consider whether they are ready for spread. This worksheet will assist teams with these tasks.

During this meeting, teams must also sign up to host conference calls during the upcoming action period. The sponsor should return the conference call schedule and topics to the teams on the second day of the learning session.

Learning Session #3, Second Team Meeting Worksheet

During the second meeting, teams build on ideas from the first meeting and the plenary and breakout sessions. They schedule tests on a time line to help them plan for Action Period #3. If the team is ready for spread, they begin generating specific plans to encourage spread. This worksheet will assist teams with these tasks.

Breakout Session A and the Assessment of Chronic Illness Care

As they did in Learning Session #2, teams use their first breakout session to assess progress and determine where to focus their efforts during the current learning session. Instead of using an abbreviated worksheet, however, this time the teams use the Assessment of Chronic Illness Care survey, which covers elements of improvement under the entire Chronic Care Model. The exercise helps teams focus on what they wish to accomplish by the end of the collaborative.

The exercise also helps to familiarize teams with the ACIC, which they will have to complete as part of their special summary report.

Evaluation Sample

Evaluations of each learning session assist the sponsor, director and chair in improving upcoming sessions. This is a sample evaluation for Learning Session #3. If you are providing continuing education credits, make certain that your evaluation will fulfill the requirements of the accrediting organization. A summary of the evaluations should be provided to the presenters within a month of the event.

‘What Needs to Happen During the Next Six Months’ Presentation

Used before the final plenary, the projections presentation gives teams an inspiring glimpse at their role in improving care for chronic conditions. By recording each teams’ current registry population and the projected population, this Microsoft Excel spreadsheet will show them the amount of spread they can achieve over the remaining six months of the collaborative. Prepare and practice with the Excel program, developed by Kevin Weiss, asthma co-chair of the third National Chronic Conditions Collaborative, before the start of Learning Session #3.

Plenary Presentation Template

Successful teams are invited to present in plenary sessions. Teams chosen should be able to demonstrate improvement in outcomes for patients with chronic illness. This template will help the team give a concise and organized presentation within the time limits.