Wisconsin Collaborative for Quality Healthcare

Measurement & Quality Initiatives

Improving Performance in Practice (IPIP)
2008 — 2010

WCHQ guided the participation of small Wisconsin healthcare practices in the Improving Performance in Practice (IPIP) initiative, which was convened by the American Board of Medical Specialties and funded nationally by the Robert Wood Johnson Foundation. In Wisconsin, additional financial support came from the American Cancer Society, Greater Milwaukee Business Foundation on Health, and Wisconsin Department of Health Services.

Through IPIP, WCHQ provided 14 small practices with tools, support, coaching, and collaborative learning opportunities to evaluate their performance and undertake quality improvement activities.

These practices used patient registries or electronic medical records to collect data and report quality measures on healthcare processes and outcomes. Compiling data from all participating practices, IPIP released a monthly report to help practices identify performance trends and compare themselves with peers. Additionally, IPIP supported process improvements that enable practices to efficiently utilize resources, create effective team work flows, and engage patients to actively manage their care in partnership with providers.

IPIP concluded that sustainable improvement in patient outcomes is possible, but it requires monitoring and a relentless focus on performance results. WCHQ and its participating practices reached a number of nuts-and-bolts conclusions related to quality improvement. For example, they learned that electronic medical records often lack patient registry functionality and fail to interface smoothly with external registries.

Although WCHQ's work with IPIP has officially ended, some of the participating practices continue to collect and report performance data, even expanding their efforts into new areas of measurement.

In fall of 2010, WCHQ transitioned leadership for IPIP to the Wisconsin Medical Society, which is actively recruiting for an improvement initiative around breast cancer. The Society has developed a web-based tool to support physicians in using this initiative for PI-CME credits.

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