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Collaborative Learning in the Texas Medicaid 1115 Waiver Program.

Lee Revere, Adele Semaan, Nicole Lievsay

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
    |September 16, 2016
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    Texas Medicaid 1115 Transformation Waiver fostered regional collaboration through adapted learning collaboratives. This approach improved provider communication and care continuums, enhancing community health delivery.

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    Area of Science:

    • Healthcare policy and reform
    • Public health initiatives
    • Quality improvement methodologies

    Background:

    • The Texas Medicaid 1115 Transformation Waiver aims to reform healthcare delivery systems.
    • It established an incentive pool for innovative healthcare projects and required regional Learning Collaboratives.
    • These collaboratives focus on project implementation and outcome assessment.

    Purpose of the Study:

    • To describe a region's experience adapting the Institute for Healthcare Improvement Breakthrough Series (IHI BTS) model.
    • To evaluate the implementation of a Learning Collaborative within this adapted framework.
    • To assess the impact on regional healthcare delivery and community health.

    Main Methods:

    • Systematic, multidimensional implementation and evaluation of a regional Learning Collaborative.
    • Adaptation of the IHI BTS model, including extended Plan-Do-Check-Act cycles and a broader clinical focus.
    • Qualitative assessment of inter-organizational connections, care continuum development, and stakeholder involvement.

    Main Results:

    • Successful adaptation of the IHI BTS model for a diverse regional healthcare context.
    • Demonstrated improvements in communication and relationships among healthcare providers.
    • Increased collaboration among organizations, agencies, and stakeholders in healthcare delivery.

    Conclusions:

    • The adapted IHI BTS model facilitated a more diverse approach to health improvement compared to traditional collaboratives.
    • Regional adaptation fostered inter-organizational connections and continuum of care development.
    • Further evaluation is needed to determine the long-term impact on community health outcomes.