I-MPACT is a Blue Cross and Blue Shield of Michigan funded Collaborative Quality Improvement Initiative (CQI) that was developed to bring Michigan hospitals, provider organizations (POs), and patients together to assess gaps in patient care coordination and to identify ways to bridge those gaps for improved patient care transitions. While the project is funded by Blue Cross, participating organizations target initiatives to all patients who may benefit from what is learned through I-MPACT and the subsequent improvements made to transitions of care.
I-MPACT is new and the first of its kind! There are many BCBS collaboratives working to improve healthcare quality across a range of diagnoses and populations. I-MPACT is the first to integrate patient and caregiver participation along with coordinated teams of hospitals and POs. We call these hospital, PO and patient/caregiver teams “clusters.” I-MPACT was designed to be patient centered and inclusive. So, not only do we have patients and caregivers participating with their hospitals and POs we also have a large e-Advisory group comprised of other patient representatives.
The structure for I-MPACT, including what interventions to use and what data to collect, will be determined with input from the participant clusters. It is structured to be a forum for real-world problem solving. We are including all those involved in patient care transitions in the development of the initiative so all aspects of a patient’s care transition can be improved. The collaborative is also reaching out to students within the Masters in Integrative Design (MDes) to bring design into this initiative so the work of the clusters helps to uncover “blind spots” in care transitions. University of Michigan is proud to be the coordinating center for such an important project directed at improving care.
Participating clusters are requested to select a single “target population,” patients with a specific diagnosis or type of surgery, to be the initial focus of their attention and efforts. The I-MPACT Coordinating center has selected five different patient populations to target for care transition improvements. Each cluster participating in I-MPACT will review the current status of care transitions for the targeted population in their cluster and work to identify ways to make the process better.
Once each cluster has identified the areas for improvement within their selected target population they will develop interventions to improve those areas. Whether the interventions are successful or not will be primarily determined by the collection of data and patient feedback. More than one intervention may be needed before improvement is noticed or before finding one that works.
How Will This Help Patients?
We hope the findings and improvements realized by I-MPACT cluster participants will be shared and used to improve care transitions for patients throughout Michigan. As I-MPACT adds more clusters over the coming years, more information can be gathered and shared.