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Using Quality Improvement as a Mechanism for Fostering Partnerships and Promoting Equity in a Health System Change

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Quality improvement processes enhanced equity in designing materials for the North Carolina Integrated Care for Kids (NC InCK) program. Usability testing of the Shared Action Plan (SAP) improved materials and strengthened community partnerships.

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Area of Science:

  • Health Services Research
  • Quality Improvement Science
  • Health Equity

Background:

  • The North Carolina Integrated Care for Kids (NC InCK) model aims to improve child health outcomes by integrating services and addressing social determinants of health.
  • A key component of the NC InCK model is the Shared Action Plan (SAP), designed to guide care coordination.

Purpose of the Study:

  • To present a case study on using quality improvement (QI) processes for partnership building and enhancing equity in designing materials for the NC InCK Medicaid pilot program.
  • To evaluate the usability of the Shared Action Plan (SAP) as a QI strategy.

Main Methods:

  • The study employed Plan-Do-Study-Act (PDSA) cycles for usability testing of the SAP during the NC InCK planning phase.
  • Testing involved feedback from Family Council members, care managers, and a physician.

Main Results:

  • Usability testing led to revisions, resulting in a SAP with clear, accessible language that emphasizes family strengths and goals.
  • Feedback from diverse stakeholders informed the refinement of the SAP, differentiating it from other care management plans.

Conclusions:

  • Usability testing refined materials prior to the NC InCK launch, fostering stronger community partnerships.
  • The QI process promoted equity by incorporating multiple perspectives into the SAP revision process, benefiting both the NC InCK team and the Family Council.