The HHA Partnering Collaborative adapted the Breakthrough Series model of collaborative learning developed by the Institute for Healthcare Improvement (IHI), including the Plan, Do, Study, Act methodology developed by Associates in Process Improvement. Many individuals and organizations contributed to the development of the Home Health Aide (HHA) Partnering Collaborative and this Implementation Manual.
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TABLE OF CONTENTS ACKNOWLEDGEMENTS ABOUT THIS MANUAL FOR SENIOR LEADERS Introduction to the Home Health Aide Partnering Collaborative FOR MANAGERS IMPLEMENTING THE COLLABORATIVE Why We Need to Improve Teamwork in Home Health Care How a Collaborative Works Overview of Collaborative Goals and Strategies The Importance of Gaining Buy-In Using the PDSA Cycle to Set Goals, Test Changes, and Adapt Ideas Goal 1: Improving Support to Home Health Aides Goal 2: Improving Patients' Functional Independence FOR SENIOR LEADERS AND MANAGERS Celebrating Success and Planning for Spread Sustaining the Gains NOTES LIST OF FIGURES FIGURE 1: Who Participates FIGURE 2: Learning Collaborative Model FIGURE 3: PDSA Cycle FIGURE 4: Percentage of Patients Showing Improvement in Bathing at Discharge FIGURE 5: Tests of Change LIST OF EXHIBITS HHA Job Perceptions Survey Clinician Survey Items for Measuring Patients' Functional Outcomes Nurse-Aide Interaction: The ∿ive Promises Paraprofessional Manager Tool for Partnering Collaborative Conference Calls Paraprofessional Manager Tool for Partnering Collaborative Team Meetings Activities of Daily Living (ADL) Tool "What I Can Do for Myself" Tool Role-Play Script for Introducing the Functional Improvement Tool HHA Partnering Collaborative: Tasks and Timeline ACKNOWLEDGEMENTS They do not necessarily reflect the views of the Department of Health and Human Services, the contractor or any other funding organization. Her e-mail address is: opinions and views expressed in this report are those of the authors.
Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C. For additional information about this subject, you can visit the DALTCP home page at or contact the ASPE Project Officer, Marie Squillace, at HHS/ASPE/DALTCP, Room 424E, H.H. Department of Health and the Center for Home Care Policy and Research. This report was prepared under contract #HHSP23320044304EC between the U.S. Visiting Nurse Service of New YorkCenter for Home Care Policy and Research August 2007
Department of Health and Human Services The Home Health Aide Partnering Collaborative: Implementation Manual Miriam Ryvicker, Ph.D., Theresa Schwartz, B.A., Sally Sobolewski, M.S.N., Terese Acampora, M.A., R.N., Marki Flannery, M.A., Elizabeth Buff, R.N., B.S.N., M.S., Ann Marie Hess, M.S.N., M.S., Robert Rosati, Ph.D., and Penny Feldman, Ph.D.
More customization is possible, as needed.U.S. When you build your agreement, you'll also be able to determine which state's laws will govern it.
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