title: A Strategy for Identifying and Disseminating Best Practice Innovations in the Care of Patients with Multiple Chronic Conditions or End-of-Life Care Needs.
abstract: Patients with multiple chronic conditions and those with end-of-life care needs experience high health care costs and needs for skilled coordination and well-trained staff. Focusing on these populations presents an opportunity to improve the patient experience toward the goal of more patient-centered care and reduced costs. Although innovative programs that provide better care to these patient populations have been developed, these innovations are often localized and not actively disseminated to other settings. This paper describes a quality-improvement project aimed at developing a process to identify best practices implemented in community-based clinical settings, develop a platform to share and disseminate these best practices, and facilitate the adoption of successful practices across other similar settings. The facilitation process involved structured coaching by clinicians and researchers experienced with practice change and quality improvement. The coaching component ensured that implementation teams receive guidance in the planning and adoption process, stay on track with implementation, and have access to timely support in addressing unanticipated barriers.
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: Daphna
authors.initials: D
authors.lastname: Gans
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.|VA Greater Los Angeles Healthcare System.
authors.forename: David A
authors.initials: DA
authors.lastname: Ganz
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: Wendy
authors.initials: W
authors.lastname: Senelick
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: Heather E
authors.initials: HE
authors.lastname: Mccreath
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: Jessica
authors.initials: J
authors.lastname: Jew
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.|SCAN Health Plan.
authors.forename: Dan
authors.initials: D
authors.lastname: Osterweil
authors.affiliation: SCAN Health Plan.
authors.forename: Romilla A
authors.initials: RA
authors.lastname: Batra
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: Zaldy
authors.initials: Z
authors.lastname: Tan
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: Lee A
authors.initials: LA
authors.lastname: Jennings
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles.
authors.forename: David B
authors.initials: DB
authors.lastname: Reuben
mesh_terms: D006801:Humans; D000071069:Multiple Chronic Conditions / Q000628:therapy*; D018802:Patient-Centered Care; D058996:Quality Improvement; D013727:Terminal Care / Q000592:standards*