Using a Cohort-Based Quality Improvement Coaching Model to Optimize Chronic Disease Management for Federally Qualified Health Center Patients

Details

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Barragan, Noel C. ; Green, Gabrielle ; Cruz, Gerardo ; Pogosyan, Sarine ; Newman, Deanna ; Kuo, Tony
• Description:
  Context
  
  In fall 2020, Community Clinic Association of Los Angeles County, in collaboration with the Los Angeles County Department of Public Health, launched a 3-year, cohort-based quality improvement (QI) coaching program to assist Federally Qualified Health Centers (FQHCs) in improving their clinical management of hypertension, high blood cholesterol, diabetes, and chronic kidney disease.
  
  Program
  
  The QI program utilized a cohort-based coaching model in which 5 FQHCs were each assigned a practice transformation coach who provided them with guidance and support to monitor clinical quality measures. These measures were then used to facilitate changes and improvements in clinical workflows and approaches to patient care. To encourage peer learning and promote inter-organizational collaboration, the coaching team hosted quarterly cohort check-ins and an online group messaging board where the participating FQHCs could share lessons learned. Throughout the program, the FQHCs were provided trainings and resources to advance their clinical quality measures of choice.
  
  Implementation
  
  To implement the program, each FQHC selected 2 clinical quality measures to focus on, completing a minimum of 1 Plan-Do-Study-Act cycle per year for each measure. Throughout, the coaches met regularly with FQHC staff to discuss progress, strategize on how best to address challenges encountered, and identify training or resource needs for their clinic sites.
  
  Evaluation
  
  To drive implementation of QI interventions and monitor overall progress, the FQHCs reported quarterly on the clinical quality measures being addressed. By program’s end, all 5 FQHCs reached their 10% improvement goals.
  
  Discussion
  
  This QI coaching program allowed participating FQHCs to build new competencies and achieve measurable improvements in how they managed their patients’ chronic diseases. This model of practice serves as a promising approach for achieving sustainable clinical improvements in these FQHCs.
  
  
• Subjects:
  Chronic Disease Cohort Studies Community Health Centers Disease Management Humans Los Angeles Mentoring Quality Improvement
• Keywords:
  Chronic Disease Continuous Quality Improvement Diabetes Federally Qualified Health Centers Hypertension
• Source:
  J Public Health Manag Pract. 30:S52-S61
• Pubmed ID:
  38870361
• Pubmed Central ID:
  PMC11178243
• Document Type:
  Journal Article
• Funding:
  NU58DP006619/DP/NCCDPHP CDC HHSUnited States/ ; NU58DP006619/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  30
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:efbc3688d9f1f3439fff98f150601e8c7fe81384a129d9bcaed4dfc9270cb0ee99c5f4759808adcad875544622c0f0ab6951df9ff66b4e307e212dadeb8f96c1
• Download URL:
  https://stacks.cdc.gov/view/cdc/157978/cdc_157978_DS1.pdf
• File Type:
  [PDF - 618.25 KB ]