Presenters: Pamela E. Hageny, MBA, Quality Improvement, Medical Care Development; Diane Stewart, MBA, Program Director, Breakthroughs in Chronic Care Program, Pacific Business Group on Health; Tom Wroth, MD, MPH, Senior Clinical Consultant, Community Care of North Carolina and Assistant Professor, Department of Family Medicine, UNC School of Medicine

    This session introduces an emerging model for collaboration across plans, purchasers, providers, and patients to create widespread improvement across a state or region. The role of changing financial incentives, data aggregation, and building improvement support for practices will also be described. Collaborative improvement in three leading states will be discussed, along with prerequisites for successful implementation.
    After this presentation you will be able to:

• Describe a model for promoting improvement across a region or state.
• Discuss how four strategies for spreading improvement have evolved in three states that have built an improvement infrastructure for office practices.
• Determine whether your region has the prerequisites for building a successful regional improvement strategy.
• Identify common barriers, such as sustainability, and strategies to overcome them.