The IC4 coaching program accelerates the acquisition of competency for nurses in their roles as care coordinators. It focuses on the development of real world, point-of care skills to empower the delivery of comprehensive, family-centered, and targeted supports for patients and families.
The curriculum includes three phases: orientation, high intensity didactics and coaching and a longitudinal learning collaborative with ongoing coaching at a less intense volume.
Duration: 1-2 Weeks Each nurse is onboarded as per the expectation in their own health system. In addition to local training, the university team provides ~ 6-8 hours of introduction to the IC4 processes. Orientation activities include:
Duration: Initial 6 Months (~3 hours per week) Each nurse joins a cohort of other new care coordinators to attend weekly virtual didactics, weekly one-on-one virtual coaching sessions with an experienced and trained care coordination coach and monthly statewide team meetings with the full community of care coordinators.
Longitudinal ~3 hours per month Upon completion of the 6-month curriculum, each care coordinator joins the ongoing learning collaborative as a community of practice. Activities include:
Quality improvement is a critical method used to propel each nurse care coordinator's acquisition of more effective processes. Data collection focuses on the key principles of the project, including frequent contact with enrolled families, regular updates of plans of care, effective sharing of plans of care, family satisfaction and primary care team satisfaction.
During the pilot, it was discovered that new nurse care coordinators were often familiar with types of quality measures used in primary care, without a functional background in the “why” of quality improvement principles. Therefore, an introduction of the basic methodology including the Plan, Do, Study, Act model for improvement was incorporated into the didactic series. Coaching support is essential to help translate quality improvement theory into real world applications to encourage action for individual improvements.
Care coordinators receive monthly reports on quality indicators and related care coordination activity to identify and monitor program improvements at the individual and practice level.
Quality Indicators
Family satisfaction surveys are collected semiannually from families who volunteer to participate. Each practice receives an individual report, as well as shared summary for the whole project. Composite scores for care coordination, shared plans of care and medical home principles have demonstrated progressive improvement over the course of the project.
Contact us for more information about the Indiana Complex Care Coordination Collaborative.
Looking for patient care? Pediatric primary care can be reached at the site below.
