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Doctor and Patient

Learning and Action Collaborative (LAC)

WHAT IS A LAC?

A structure built on established business development, quality improvement, and implementation science methods.

Meds

OUR GOALS

Advance the inclusion of pharmacists on interdisciplinary care teams to bridge the gap between Nephrology, Cardiology, Endocrinology and Primary care for patients with Cardiovascular- Kidney-Metabolic (CKM) syndrome by implementing Comprehensive Medication Management (CMM) services.

 

Help meet new value-based payment model metrics and serve as evidence generating incubators for interdisciplinary CKM care.

 

Foster learning and action to ensure best practices in the care of patients with chronic kidney disease and CKM.

TOOLS AND RESOURCES

Comprehensive Medication Management (CMM)

  • Defining a Philosophy of Practice

  • Delivering the CMM Patient Care Process

  • Establishing a robust Practice Management 

Implementation Science

  • Supporting your team with dedicated learning coach

  • Pacing implementation with proven quality improvement strategies

  • Using Plan-Do-Study-Act (PDSA) cycles  

Progress Tracking

  • Defining a Measurement Strategy

  • Tracking outcome and process measures with customizable templates

  • Developing your organization's Performance Story 

  • Collect medication therapy problems and resolution

Learning Collaborative

  • Offering live and virtual pacing events

  • Connecting teams with nephrology field experts

  • Celebrating team accomplishments

THE PROCESS

Hospital Employees

SUCCESSFUL IMPLEMENTATION TEAM

3-4 Members
Pharmacist required

Other members: physician, nurse, administrative and/or IT staff

TEAM EXPECTATIONS

Up to 8 hours a month for entire team

Pharmacist completes CMM training

Administrative support and champion(s) are identified

COACH

Expert in implementation science

FIELD EXPERTS

in Nephrology

Planning and Design Phase: 4 Months

1

PHASE 1

Assessing Team Readiness

2

PHASE 2

Building a CMM Practice

3

PHASE 3

Establishing Improvement Strategies

4

PHASE 4

Finalizing Your Bold Aims (PS)

Planning and Design

 

Development of CMM program foundation and preparation for implementation

Implementation Phase: 12 Months

Pace program delivery and progress in generating measurable results toward achieving bold aims

Milestone Learning Session

Five Monthly Pacing Events

Milestone Learning Session

Four Monthly Pacing Events

Milestone Learning Session

Four Action Periods

Five Action Periods

Four Team Deliverables

Five Team Deliverables

Milestone Learning Sessions

Orient, share ideas and plans with all teams; celebrate success

Monthly
Pacing Events

Focus on specific implementation steps sharing progress (team and coach)

Team
Deliverables

Assignments that align with planning and implementation themes to foster accountability

Action
Periods

Guided by coaches and focus on planning and implementing work by the team

The first AKHOMM LAC cohort launched in July 2024. Check back frequently for updates on progress of the first cohort and when our second cohort’s recruitment will begin.

AKHOMM Learning and Action Collaborative Participants 2024-25

Intermountain HealthCare

Legacy Health

Piedmont Columbus

Salina Family Healthcare Center

Sentara

Tufts Medical Center

University of Maryland

UVA Health

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