CIN Safety-Net Quality Improvement Projects

Between October 2016 and March 2017, clinic consortia, Medi-Cal health plans, and departments of public health received grants from CHCF's California Improvement Network to enhance the population health improvement programs they provide for their provider audiences.

May 2017

CHCF selected eight organizations to participate in Round Two of the California Improvement Network's grant opportunity for expert consultation for the design of safety-net improvement programs. Awardees included clinic consortia, Medi-Cal health plans, and departments of public health.

Selected organizations received a small grant to support the cost of a consultant to inform and enhance their programmatic activities with their primary care safety-net partners. The awardees all serve as instructional hubs, and used these grants to enhance their programming, processes, and/or materials. These efforts furthered CIN's goal to support quality improvement programs that in turn lead to better population health. A requirement of this grant opportunity was that the resulting program plans be implemented immediately with awardees' safety-net primary care partners.

The awardees, their selected consultants, and their project work are outlined below. Available for download are two resources from these projects: presentation slides from a three-part course on the model for improvement, and a practice coach self-assessment tool.

Coalition of Orange County Community Clinics (COCCC): The Institute for High Quality Care assessed the needs of COCCC's member health centers and designed clinic-level training for the implementation of the patient-centered medical home model of care.

Community Clinic Association of Los Angeles County (CCALAC): The Institute for High Quality Care conducted a gap analysis of CCALAC's membership and recommended options for support programs and training opportunities. Additionally, CCALAC conducted Lean / Six Sigma training for its staff to support its member clinics in using those improvement methods.

Health Improvement Partnership of Santa Cruz County (HIPSCC): Seamster Consulting designed and delivered a quality improvement master-trainer curriculum to HIPSCC staff and members of its safety-net coalition.

Partnership HealthPlan of California (PHC): Signal Key Consulting designed a practice coach development program, including course curriculum and an evaluation plan, for PHC staff serving community clinics as practice coaches in HEDIS-related population health improvement initiatives.

Health Center Partners of Southern California (HCP): Centerprise supported a strategic planning retreat to advance clinical integration efforts and conducted a network needs assessment to inform HCP's technical assistance offerings.

California Health Care Safety Net Institute (SNI): Signal Key Consulting developed a program curriculum for SNI's membership to reach their goals in 1115 Waiver-related primary care delivery systems. Additionally, Signal Key's Hunter Gatewood coached SNI staff on foundational best practices in team-based primary care.

San Francisco Community Clinic Consortium (SFCCC): Kristene Cristobal Consulting helped shape a strategic plan and vision for SFCCC's 2017 quality improvement efforts.

San Francisco Department of Public Health (SFDPH): Kristene Cristobal Consulting developed a quality improvement (QI) roadmap to leverage SFDPH's existing QI infrastructure, improve integration and coordination among SFDPH divisions, and enhance internal capacity to sustain and spread QI work.