Field of Work: Improving quality in home health care
Problem Synopsis: There is a growing body of evidence-based knowledge on improving chronic care outcomes in various health care settings. But home health providers often are unclear about which part of the new knowledge applies to their work and how to put it into practice.
Synopsis of the Work: Learning collaboratives have emerged as a means for implementing existing knowledge and spreading innovation across institutions. From 2001 to 2007, project staff at the Center for Home Care Policy and Research engaged home health agencies in two different "learning collaborative" aimed at improving patient care. Project staff also hosted two conferences and commissioned papers synthesizing evidence-based knowledge on critical issues related to quality and performance in the home health setting.
Eight home care agencies participating in the 11-month-long Home Health Diabetes Learning Collaborative produced these changes in diabetes care:
More than 150 home health agencies participating in the Reducing Acute Care Hospitalization (ReACH) National Demonstration completed two waves of a learning collaborative over a two-year period. The following changes for patients identified as at risk for acute care hospitalizations were produced in Wave II: