I alone cannot change the world, but I can cast a stone across the waters to create many ripples. – Mother Teresa
The 2012 IOM Report, Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, addresses the need to broaden the definition of communities. “The typical definition of a community is a group located in a particular geographic area. However, communities that promote continuous learning and improvement in healthcare go beyond geographic boundaries to include groups linked through culture, occupation, conditions based on a common workplace, prognosis, stage in the care process, intensity of care needed and more.” (7-14).
The most unique healthcare community I have ever been engaged with is the CPM International Consortium. More than 25 years ago, the CPM Resource Center recognized that uniting like-minded organizations to make the healthcare transformation journey together was not only a smart solution, but also a less risky one. We recognized that one healthcare organization cannot change the world, but together we could collectively learn and impact the creation of an integrated health care system and the health of a global community. That’s why the CPM International Consortium was created; a voluntary community made up of hundreds of our client hospitals, health systems, and educational institutions.
The CPM International Consortium Model gathers a group of organizations that unite around a common vision for sustainable healthcare transformation through the use of a common culture and professional practice framework. The CPM Consortium community has the opportunity to participate in collective thought leadership, implementation science and clinical scholarship.
An example of this is a recent study published that was conducted to better understand the relationship between self-efficacy and EBP Implementation in clinical environments that have undergone efforts to increase EBP utilization. In the study, Does self-efficacy influence the application of evidence-based practice: A survey and structural equation model , the researchers’ analyzed data by a 2011 survey of clinicians working within a national sample of hospitals that are actively participating in the CPM Consortium to guide the implementation of EBP into the work worlds of clinicians. (2013, Abrahamson, K., Arling, A., & Gillette, J.)
Another example of tapping lessons from this unique learning community that has implemented a common framework with replicable interventions and sustainable outcomes is described in Lessons from the Field: The Essential Elements of Point-of-Care Transformation. (2011, Wesorick & Doebbeling) Medical Care 49 (12), S49-S58.
Community sharing can decrease “re-inventing the wheel” and move us much faster to sustainable improved health of a broad community.
Recommendation 5: Community Links
Promote community-clinical partnerships and services aimed at managing and improving health at the community level. Care delivery and community-based organizations and agencies should partner with each other to develop cooperative strategies for the design, implementation, and accountability of services aimed at improving individual and population health.
Strategies for progress toward this goal:
- Health care delivery organizations and clinicians should partner with community-based organizations and public health agencies to leverage and coordinate prevention, health promotion, and community-based interventions to improve health outcomes, including strategies related to the assessment and use of web-based tools.
- Public and private payers should incorporate population health improvement into their health care payment and contracting policies and accountability measures.
- Health economists, health service researchers, professional specialty societies, and measure development organizations should continue to improve measures that can readily be applied to assess performance on both individual and population health
What does community mean to you?
What are ways your organization is constantly improving transformation strategies, tools and resources?